AMD 9 RE WIC SPEC PROJ WITH ADHS.PDF

Maricopa County — Formal (2018-01-17)

Extracted text (via pymupdf_layout) 9978 characters

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.1044
602.542.1741 - Fax
PROCUREMENT OFFICER
CONTRACT No.: ADHS14-053007 AMENDMENT No.: 9 JESSICA CANEVARI
WIC, BFPC, FMNP and ONEDS SERVICES
Effective upon signature, it is mutually agreed that the Contract referenced is amended as follows:
Pursuant to the Terms and Conditions, Provision Seven (7), Contract Changes, Item 6.1, Amendments, Purchase Orders and Change
Orders, the following is amended as follows:
1. The WIC Price Sheet in Amendment Eight (8) is hereby replaced with the revised WIC Price Sheet of this Amendment Nine (9).
The total budget amount for the WIC Price Sheet remains at: $8,901,440.00.
2. The BFPC Price Sheet in Amendment Eight (8) is hereby replaced with the revised BFPC Price Sheet of this Amendment Nine
(9). The BFPC Price Sheet total budget amount remains at: $485,000.00.
3. The WIC Special Projects Price Sheet from Amendment Eight (8) is hereby revised and replaced with the WIC Special Projects
Price Sheet of this Amendment Nine (9). The total budget amount for the WIC Special Projects Price Sheet is: $326,861.00.
ALL OTHER PROVISIONS OF THIS AGREEMENT SHALL REMAIN IN THEIR ENTIRETY
CONTINUED ON NEXT PAGE
CONTRACTOR SIGNATURE
MARICOPA COUNTY BY AND THROUGH ITS,
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Contractor Name Contractor Authorized Signature
4041 NORTH CENTRAL AVE., STE. NO. 1400
Address Printed Name
PHOENIX AZ 85012 Chairman, Maricopa County Board of Supervisors
City State Zip Title
CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective the
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney date indicated. The Public Agency is hereby cautioned not to commence
has determined that this Intergovernmental Agreement is in proper any billable work or provide any material, service or construction under
form and is within the powers and authority granted under the laws of this IGA until the IGA has been executed by an authorized ADHS
the State of Arizona. signatory.
State of Arizona
Signed this ______ day of _______________________ 20_______
Signature Date
Printed Name Procurement Officer
Attorney General Contract No. P0012014000078, which is an RESERVED FOR USE BY THE SECRETARY OF STATE
Agreement between public agencies, has been reviewed pursuant to
A.R.S. § 11-952 by the undersigned Assistant Attorney General, who Under House Bill 2011, A.R.S. § 11-952
has determined that it is in proper form and is within the powers and was amended to remove the requirement
authority granted under the laws of the State of Arizona. that Intergovernmental Agreements be filed
with the Secretary of State.
Signature Date
Assistant Attorney General
Printed Name:
ATTEST:
__________________________________________________
Clerk of the Board Date

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.2934 - Main
602.542.1741 - Fax
PROCUREMENT OFFICER
CONTRACT No.: ADHS14-053007 AMENDMENT No.: 9 JESSICA CANEVARI
OCTOBER 1, 2017 TO SEPTEMBER 30, 2018
WOMEN, INFANTS AND CHILDREN (WIC) SPECIAL PROJECTS
LINE ITEM BUDGET AMOUNT
PERSONNEL COSTS/SALARY EXPENSES $119,156.00
EMPLOYEE RELATED EXPENSES $20,319.00
PROFESSIONAL & OUTSIDE Services $0.00
TRAVEL EXPENSES $0.00
OCCUPANCY EXPENSES $139,927.00
OTHER OPERATING EXPENSES $925.00
CAPITAL OUTLAY EXPENSES $0.00
TENANT IMPROVEMENT COSTS $0.00
INDIRECT COST EXPENSES (IF AUTHORIZED) $46,534.00
TOTAL: $326,861.00
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., Ste. No. 260
AMENDMENT Phoenix, AZ 85007
602.542.2934 - Main
602.542.1741 - Fax
PROCUREMENT OFFICER
CONTRACT No.: ADHS14-053007 AMENDMENT No.: 9 JESSICA CANEVARI
Additional Terms and Conditions:
With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of
ten percent (10%) of the total budget amount between funded line items except for Registered Dietitian Expenses.
Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-
funded line item shall require an amendment. The Registered Dietitian line item is meant to fund additional
Registered Dietitian position(s) to meet high risk counseling requirements.
Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase
Order that is signed by an authorized agent. The Purchase Order will indicate the Contract number and the dollar
amount of funds authorized. The Contractor shall only be authorized to perform services up to the amount on the
Purchase Order. ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on
the Purchase Order. No further obligation for payment shall exist on behalf of ADHS unless; a.) Purchase Order is
modified with an official ADHS Procurement Change Order and/or b.) additional Purchase Order is issued for
purchase of services under this Contract.
ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received.
Adjustments will be at the discretion of ADHS.
Additional WIC Program:
Should additional administrative monies become available through state or Federal Grants, ADHS may increase the
Purchase Order to increase the number of participants served and increase the total of this contract.
The assigned caseload for FFY2018 is: 56,200
Additional Breastfeeding Peer Counseling Program:
Allowable costs for the Peer Counseling Program include compensation for peer counselors and designated peer
counselor managers/coordinators and related costs such as training and training materials; telephone expenses for
participant contacts (including pager, cell phones and answering machines); travel for training and home and hospital
visits; recruitment of peer counseling staff and the purchase of demonstration materials (e.g., breast pumps for
demonstration purposes, videos). Out of State travel must be pre-approved by ADHS. Items and materials for
distribution to WIC participants (e.g. breast pumps, breastfeeding aids, written materials) are not allowable costs.
Farmer’s Market Nutrition Program:
If funding for additional FMNP checks becomes available and the Contract budget (as shown on the Contract Price
Sheet) has been fully expended; Contractor may choose whether or not to distribute the additional checks with no
increase in the Contract budget.
WIC Special Projects:
Additional monies up to $500,000.00 may be awarded under this Contract for WIC Special Projects related
to, but not limited to, infrastructure, breastfeeding promotion, nutrition services, information system
enhancement efforts and client retention efforts.
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