CONTRACT RE NURSE FAM PARTNRSHP WITH SW HUMAN DEV.PDF
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CONTRACT FOR SERVICES MARICOPA COUNTY by and through the DEPARTMENT OF PUBLIC HEALTH 4041 N. Central, Suite 600, Phoenix, Arizona 85012 1. Contract No: 0 -86- 2. Contract Type: Service Agreement 3. Contract Amount: $471,500.43 4. Purpose: Comprehensive Community Health Nursing (Maximum Reimbursable Amount) Services 5. Start Date: 10/01/2017 6. Expiration Date: 09/30/2022 This Contract is entered into by and between Southwest Human Development, referred to hereinafter as the "Contractor," and Maricopa County, by and through the Department of Public Health, referred to hereinafter as the "County." The Contractor and the County are collectively referred to as the "Parties" and individually as a "Party." The Parties, for and in consideration of the covenants and conditions set forth herein, shall provide and perform the services as set forth below. All rights and obligations of the Parties shall be governed by the terms of this Contract, including its Exhibits, Attachments, Appendices, and any Subcontracts or Amendments as set forth herein and in: Section I General Provisions Section LII - Work Statement Section Special Provisions Section IV - Compensation This Contract contains all the terms and conditions agreed to by the Parties. No other understanding, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind the Parties. Nothing in this Contract shall be construed as consent to any lawsuit or waiver of any defense in any lawsuit brought against the State of Arizona, the County, or the Contractori in any State or Federal Court. Legal notice under this Contract shall be given by personal delivery or by registered or certified mail, postage prepaid and return receipt requested, to the addresses set forth below. If the legal notice is personally delivered, it is deemed given and effective upon receipt by the Party to whom it is addressed. If the legal notice is mailed, it is deemed given and effective three (3) days after it is mailed by registered or certified mail. Notice to Contractor: Southwest Human Development, Attn: Mary Tunnev Phone: 602-633-8681q Address: 2850 N 24th Street, Phoenix, AZ 85008 Notice to Department: MCDPH Grants/Contracts Unit Phone: (602) 372-0675 Address: 4041 N. Central Ave., Suite 1400, Phoenix, AZ 85007 IN WITNESS WHEREOF, the Parties enter into this Contract: FOR AND ON BEHALF OF CONTRACTOR: MARICOPA COUNTY BY: BY: Chairman, Board of Supervisors Ginger-Ward, CEO Type Name and Title ATTEST 11/21/2017 Date Clerk of the Board Date APPROVED AS TO FORM: APPROVED AS TO FORM: Attorney for Maricopa County Date Date SECTION I GENERAL PROVISIONS 1. EFFECT To the extent the Special Provisions are in conflict with the General Provisions, the Special Provisions shall control. To the extent the Work Statement(s) and the Special or General Provisions are in conflict, the Work Statement(s) shall control. 2. DEFINITIONS As used throughout this Contract, the following terms shall have the following meanings: A. Contract means this document and all exhibits, attachments, appendices, and amendments to this Contract. B. Contractor means the person, firm, or organization listed on the Cover Page of this Contract. C. County means Maricopa County, Arizona. D. Department means the Maricopa County Department of Public Health (MCDPH). E. Director means the Director of the Department. F. Funding Source means any Federal, State, or Private Agency funding source that may impose conditions on the funding that will be passed on to the Contractor. G. ADHS means Arizona Department of Health Services. 3. GENERAL REQUIREMENTS A. The terms of this Contract shall be construed in accordance with Arizona law. Any lawsuit arising out of this Contract shall be brought in the appropriate court in Maricopa County, Arizona. B. The Contractor shall, without limitation, obtain and maintain all licenses, permits, and authority necessary to do business, render services, and perform work under this Contract, and shall comply with all laws regarding Unemployment Insurance, Disability Insurance, and Workers Compensation. C. The Contractor is an independent Contractor in the performance of work and the provision of services under this Contract and is not to be considered an officer, employee, or agent of the County. 4. AMENDMENTS All Amendments to this Contract shall be in writing and signed by the Parties. ADEQUACY OF RECORDS If the Contractor's books, records, and other documents relevant to this Contract are not sufficient to support and document that allowable services were provided to eligible persons, the Contractor shall reimburse the County for the services not sufficiently supported and documented. 2 SECTION 1 GENERAL PROVISIONS 6. RETENTION OF RECORDS A. This provision applies to all financial and programmatic records, supporting documents, statistical records, and other records of the Contractor, which are reasonably considered as relevant to this Contract. B. The Contractor shall retain all financial books, records, and other documents relevant to this Contract for five (5) years after final payment or until after the resolution of any audit questions, which could take more than five (5) years, whichever is longer. The County, Federal, or State auditors, and any other persons duly authorized by the County, shall have full access to, and the right to examine, copy, and make use of any and all such materials. 7. ASSIGNMENT / SUBCONTRACTING No rights, liability, obligations, or duties under this Contract may be assigned, delegated, or subcontracted without the prior written approval of the County. 8. AUDIT DISALLOWANCES A The Contractor shall, upon written demand therefore, reimburse the County for any payments made under this Contract that are disallowed by a Federal, State, or Maricopa County audit in the amount of the disallowance, as well as all expenses, court costs, and attorney fees the County incurs in connection with any legal action relating to such disallowance. B. If, at any time, the County determines that a cost for which payment has been made is a disallowed cost, the County shall notify the Contractor in writing of the disallowance and the required course of action, which may be, at the option of the County, either to adjust any future claim submitted by the Contractor by the amount of the disallowance or to require repayment of the disallowed amount by the Contractor. 9. CONTRACT COMPLIANCE MONITORING The County shall monitor the Contractor's compliance with, and performance under, the terms and conditions of this Contract. Announced or unannounced on-site visits for Contract compliance monitoring may be made by the County and its grantor agencies at any time during the Contractor's normal business hours. During the visit, the Contractor shall make available for inspection and copying by the County, all records and accounts relating to the work performed or the services provided under this Contract, or for similar work and service provided under other grants and contracts. 10. AVAILABILITY OF FUNDS A. The provisions of this Contract relating to payment for services shall become effective when funds assigned for the purpose of compensating the Contractor, as herein provided, are actually available to the County for disbursement. The Director shall be the sole judge and authority in determining the availability of funds under this Contract and the County shall keep the Contractor fully informed as to the availability of funds. 3 SECTION I GENERAL PROVISIONS B. If any action is taken by any State Agency, Federal Department, or any other agency or instrumentality to suspend, decrease, or terminate its fiscal obligations under or in connection with this Contract, the County may amend, suspend, decrease, or terminate its obligations under or in connection with this Contract. In the event of termination, the County shall be liable for payment only for services rendered prior to the effective date of the termination, provided such services are performed in accordance with the provisions of this Contract. The County shall give at least ten (10) days prior written notice of the effective date of any suspension, amendment, or termination under this section. 11. CONTINGENCY RELATING TO OTHER CONTRACTS AND GRANTS A. The Contractor shall, during the term of this Contract, immediately inform the County in writing of the award of any other contract or grant where the award of such contract or grant may affect either the direct or indirect costs being paid or reimbursed under this Contract. Failure by the Contractor to notify the County of such award shall be considered a material breach of this Contract and the County shall have the right to terminate this Contract without liability. B. The County may request, and the Contractor shall provide within a reasonable time, a copy of any other contract or grant when, in the opinion of the Director, the award of the other contract or grant may affect the costs being paid or reimbursed under this Contract. C. if the County determines that the award to the Contractor of such other Federal or State contract or grant has affected the costs being paid or reimbursed under this Contract, the County shall prepare a Contract Amendment effecting a cost adjustment. If the Contractor protests the proposed cost adjustment, the protest shall be considered a dispute within the meaning of the "Disputes" clause contained herein. 12. NON-APPROPRIATION OF FUNDS Notwithstanding any other provision herein, this Contract may be terminated without liability if the Maricopa County Board of Supervisors does not appropriate sufficient monies for the purpose of maintaining this Contract. 13. DEFAULT The County may suspend, modify, or terminate this Contract immediately upon written notice to the Contractor in the event of a non-performance of stated objectives or other material breach of contractual obligations; or upon the happening of any event that may jeopardize the ability of the Contractor to perform any of its contractual obligations. 14. TERMINATION A. The County or the Contractor may terminate this Contract at any time with at least thirty (30) days prior written notice to the other Party. Such notice shall be given by personal delivery or by Registered or Certified Mail, postage prepaid and return receipt requested. 4 SECTION I GENERAL PROVISIONS B. This Contract may be terminated by mutual written agreement of the Parties specifying the termination date therein. C. The County may terminate this Contract upon twenty-four (24) hours' notice when the County deems the health or welfare of any person is endangered or the Contractor's non-compliance jeopardizes funding source financial participation. If not terminated by one of the methods stated above, this Contract shall terminate on the expiration date of this Contract as stated on the Cover Page. 15. TERMINATION FOR BREACH If either Party defaults under this Contract and the default continues for more than ten (10) days after the effective date of the other Party's written notice stating the specific nature of the default, then the noticing Party may treat the default as a breach of this Contract. Upon a breach, the aggrieved Party may exercise any remedy available under the law, including the termination of this Contract. 16. SEVERABILITY Any provision of this Contract that is determined by a court of competent jurisdiction to be invalid, void, or illegal shall not affect, impair, or invalidate any other provision hereof, and the remaining provisions shall remain in full force and effect, 17. STRICT COMPLIANCE Acceptance by the County of performance not in strict compliance with the terms of this Contract shall not be construed as a waiver of the requirement of strict compliance for all future performance obligations. All changes in performance obligations under this Contract shall be in writing. 18. NON-LIABILITY The County and its officers and employees shall not be liable for any act or omission by the Contractor or any subcontractor, employee, officer, agent, or representative of the Contractor or subcontractors that occurs during the performance of this Contract, nor shall they be liable for any purchases, debts, or agreements made by the Contractor in anticipation of funding hereunder. 19. INDEMNITY The Contractor agrees to indemnify, hold harmless, and defend the County, its officers, employees, boards, and commissions; from and against any and all claims, damages, lawsuits, and proceedings, regardless of the merits, and from any liability, punitive damages, costs, and expense of every type, arising in whole or in part out of or in connection with or by reason of any act or omission of the Contractor or any subcontractors or anyone directly or indirectly employed by either the Contractor or any subcontractors. Contractor and its Subcontractors shall reimburse the County for all expenses, costs, and attorney's fees incurred for the defense of any litigation arising from such claims. The Contractor shall include a clause to this effect in all subcontracts inuring to the benefit of the Contractor or the County. 20. COVENANT AGAINST CONTINGENT FEES 5 SECTION I GENERAL PROVISIONS The Contractor warrants that no person or selling agency has been employed or retained to solicit or secure this Contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee. For breach or violation of this warranty, the County may terminate this Contract without liability. 21. SAFEGUARDING CLIENT INFORMATION The use or disclosure by any Party of any information concerning an eligible person served under this Contract is directly limited to the performance of this Contract. 22. RIGHTS IN DATA The Parties shall have the use of data and reports resulting from this Contract without cost or other restriction, except as may otherwise be provided herein or by law or applicable regulation. Each Party shall supply to the other Party, upon request, any available information known to the supplying Party that is relevant to this Contract and to the performance hereunder. 23. NON-DISCRIMINATION The Contractor, in connection with any service or other activity under this Contract, shall not in any way discriminate against any person on the grounds of race, color, religion, sex, national origin, age, or disability. The Contractor shall include a clause to this effect in all Subcontracts inuring to the benefit of the Contractor or the County. 24. EQUAL EMPLOYMENT OPPORTUNITY The Contractor shall not discriminate against any employee or applicant for employment because of race, age, disability, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, age, disability, color, religion, sex, or national origin. Such action shall include, but is not limited to, the following: employment, upgrading, demotion or transfer, recruitment or recruitment advertising, lay- off or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. The Contractor shall, to the extent such provisions apply, comply with Titles VI and VII of the Federal Civil Rights Act; the Federal Rehabilitation Act; the Age Discrimination in Employment Act; the Immigration Reform and Control Act of 1986 (IRCA); and Arizona Executive Order 2009-09, which mandates that all persons shall have equal access to employment opportunities. The Contractor shall also comply with all applicable provisions of the Americans with Disabilities Act of 1990. 25. RIGHT OF PARTIAL CANCELLATION If more than one activity is funded by this Contract, the County reserves the right to terminate this Contract or any part thereof based on the Contractor's failure to perform any part of this Contract without impairing, invalidating, or canceling the remaining Work Statement obligations. 26. RIGHT TO EXTEND CONTRACT Subject to the availability of funds and acceptable Contractor performance, the Contractor 6 SECTION I GENERAL PROVISIONS hereby acknowledges and agrees that the County shall have the right to extend this Contract for additional one-year periods, not to exceed a total extended term of five (5) years, except that the cost will be subject to renegotiation. Any extension of this Contract shall be in a writing mutually acceptable to the Department and the Contractor and signed by both Parties. 27. CERTIFICATION REGARDING DEBARMENT AND SUSPENSION A. The undersigned (an authorized official signing for the Contractor) certifies to the best of his or her knowledge and beliefT that the Contractor, defined as the primary participant in accordance with 45 CFR Part 76, and its principals: 1) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or agency; 2) have not, within the 3-year period preceding this Contract, been convicted of or had a civil judgment rendered against them for the commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; or violated any Federal or State antitrust statues; or committed embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 3) are not presently indicted or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with the commission of any of the offenses enumerated in paragraph (2) of this certification; and 4) have not, within the 3-year period preceding this Contract, had one or more public transactions (Federal, State, or local) terminated for cause of or default. B. If the Contractor is not able to provide this certification, an explanation as to why shall be attached to this Contract. C. The Contractor shall include, without modification, this clause in all lower tier covered transactions (i.e. transactions with subcontractors) and in all solicitations for lower tier covered transactions related to this Contract. 28. E-VERIFICATION OF EMPLOYEES The Contractor warrants that it is in compliance with A.R.S. § 41-4401 and further acknowledges: A. That the Contractor and its subcontractors, if any, warrant their compliance with all federal immigration laws and regulations that relate to their employees and their compliance with A.R.S. § 23-214, subsection A: after December 31, 2007, every employer, after hiring an employee, shall verify the employment eligibility of the employee through the e-verify program and shall keep a record of the verification 7 SECTION I GENERAL PROVISIONS for the duration of the employee's employment or at least three years, whichever is longer.; B. That a breach of a warranty under subsection A above shall be deemed a material breach of this Contract that entitles the County to, among other things, terminate this Contract without liability; C. That the County retains the right to inspect the papers of the Contractor and any subcontractor employee who works on this Contract to ensure that the Contractor and all subcontractors are complying with the warranty provided under subsection A above, and that the Contractor shall make all papers and employment records of said employee(s) available during normal working hours in order to facilitate such an inspection. D. That nothing herein shall make the Contractor or any subcontractor an agent or employee of the County, 8 SECTION Ii SPECIAL PROVISIONS MEDIATION/ARBITRATION In the event that any dispute arises out of this Contract or involves a recipient of services under the terms of this Contract, the Parties shall meet and confer in an effort to resolve the dispute. In the event that such efforts to resolve the dispute are unsuccessful, the Parties shall resolve the dispute by arbitration pursuant to A.R.S. § 12-1518(A). 2. CHANGES A. The Director may, at any time, by written order, make changes within the scope of this Contract in any one or more of the following areas: 1). Work Statement activities reflecting changes in the scope of services, Funding Source, or County regulations, policies, or requirements. 2). Administrative requirements, such as changes in reporting periods, frequency of reports, or report formats required by funding source, or County regulations, policies, or requirements. 3). Contractor reimbursement schedules and program budgets B. The Director shall not increase or decrease the maximum reimbursable amount to be paid the Contractor without an official amendment to this Contract. Additionally, the Director shall not direct substantive changes in services to be rendered by the Contractor. C. Any dispute or disagreement caused by such written order shall constitute a "Dispute" within the meaning of the Disputes Clause of the Special Provisions of this Contract and shall be administered accordingly. 3. SPECIAL REQUIREMENTS A. if the use of subcontractors is approved by County, the Contractor shall use written subcontracts or consultant agreements that conform to Federal and State laws and regulations, and to the requirements of this Contract appropriate to the service or activity covered by the subcontract. These provisions apply with equal force to the subcontract as if the subcontractor were the Contractor referenced herein. The Contractor is responsible for performing under this Contract whether or not Subcontractors are used. The Contractor shall submit a copy of each Subcontract to the County within fifteen (15) days of its effective date. B. The Contractor shall include in any subcontracts a provision to the effect that the subcontractor agrees that the County shall have access to the subcontractor's facilities and the right to examine any books, documents, and records of the subcontractor involving transactions related to the subcontract and that such books, documents, and records shall not be disposed of except as provided herein. 4. INSURANCE A. The Contractor shall have in effect at all times during the term of this Contract insurance or comparable self-insurance that is adequate to protect the County, its 9 SECTION II SPECIAL PROVISIONS officers, employees, property, and equipment against the losses set forth below. The Contractor shall provide the County with a certificate of insurance or a certified copy of the insurance policy naming the County as an additional insured, or, if the Contractor is self-insured, shall provide the County with a letter indicating that it is self-insured. B. The following types and amounts of insurance are required as minimums: 1,) Workers' Compensation and Unemployment Insurance as required by law. 2.) Unemployment Insurance as required by Arizona Law. 3.) Public liability, bodily injury, and property damage policies that insure against claims for liability for the Contractor's negligence or maintenance of unsafe vehicles, facilities, or equipment brought by clients receiving services pursuant to this Agreement and by lawful visitors of such clients. The limits of the policies shall not be less than $2,000,000 per occurrence and $4,000,000 aggregate. C. Automobile and Truck Liability, Bodily Injury and Property Damages: 1.) General Liability, each occurrence; $1,000,000.00 2.) Property Damage; $1,000,000.00 3.) Combined single limit; $1,000,000.00 D. Standard minimum deductible amounts are allowable. Any losses applied against insurance deductible are the sole responsibility of the Contractor. E. Professional Liability: 1.) Insurance for the Contractor and its Agents, Employees, and other Contractor Staff shall be maintained with coverage limits of one million dollars ($1,000,000) per person, three million dollars ($3,000,000) per occurrence. 2.) The Contractor agrees that in the event it, or any of its Agents, Employees, or other Contractor Staff working under this Contract, is named as a defendant in litigation T or is identified in a written notice of claim wherein professional misconduct is alleged, the Contractor shall promptly notify the Director in writing. The duty to notify under this paragraph applies whether or not the County is claimed to be involved, is named as a party to the matter, or could be potentially liable as a party. F. The Contractor shall immediately inform the Director in writing of any cancellation or its insurance or any decrease in its lines of coverage at least thirty (30) days before such action takes place. 5. STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST 1. 0 SECTION II SPECIAL PROVISIONS Notice is given that pursuant to A.R.S. § 38-511, the County may cancel this Contract without penalty or further obligation within three years after execution of this Contract, if any person significantly involved in initiating, negotiating, securing, drafting, or creating this Contract on behalf of the County is at any time while this Contract or any extension of this Contract is in effect, an employee or agent of any other Party to this Contract in any capacity or consultant to any other Party of this Contract with respect to the subject matter of this Contract. Additionally, pursuant to A.R.S. § 38-511, the County may recoup any fee or commission paid or due to any person significantly involved in initiating, negotiating, securing, drafting, or creating this Contract on behalf of the County from any other Party to this Contract arising as the result of this Contract. This Contract may be cancelled pursuant to A.R.S. § 38-511. 6. LAWS, RULES, AND REGULATIONS The Contractor and the County understand and agree that this Contract is subject to all applicable State and Federal laws, rules, and regulations. A. Neither this Contract, nor any portion thereof, may be assigned to another person by the Department without the written consent of the Contractor's designated representative. Any attempt by the Department to assign any portion of this Contract without the written consent of the Contractor shall constitute a breach of this Contract. B. No assignment shall alter the Department's responsibility to the Contractor to assure that all of the provisions under this Contract are carried out by its assignee. All terms and conditions in this Contract shall be included in the Department's assignments. 7. PROGRAM EVALUATION The Contractor agrees to actively incorporate into its program design process evaluation/assessment implemented by the Arizona Department of Health Services and County to evaluate the effectiveness of Nurse Family Partnership. 8. PROGRAM MARKETING INITIATIVES When issuing statements, press releases and other documents describing projects or programs funded in whole or in part with State money, all grantees receiving State funds shall clearly state (1) the percentage of the total costs of the program or project which will be financed with State money; (2) the dollar amount of funds for the project or program, and (3) percentage and dollar amount of the total costs of the project or program that will be financed by nongovernmental sources. 9. POLICY ON CONFIDENTIALITY The Contractor and the County understand and agree that this Contract is subject to all State and federal laws protecting client confidentiality of medical, behavioral health and drug treatment information. 11 SECTION II SPECIAL PROVISIONS 10. EQUIPMENT A. The title to any and all equipment acquired through the expenditure of funds received from ADHS/County shall remain that of ADHS. The acquisition of any such equipment must be specifically authorized in advance by ADHS/County and for equipment which has a document evidencing title, title shall be acquired in the name of ADHS. Upon termination of this Contract, ADHS may determine the disposition of all such equipment. The purchase of vehicles is not reimbursable under the terms of this contract. B. The Contractor agrees to exercise reasonable control over all equipment purchased with capital outlay expense Contract funds. All equipment lost, stolen, rendered unusable or no longer required for program operation must be reported immediately to County for disposition instructions. The Contractor shall conduct a physical inventory of equipment, using forms supplied by County, within sixty (60) days after the end of the Contract. 11. FINGERPRINT AND CERTIFICATION REQUIREMENTS/JUVENILE SERVICES The Fingerprint and Certification Requirements listed in this section apply to this contract to the extent it pertains to services to juveniles. a. The Contractor shall require that all paid and unpaid personnel who are required or are allowed to provide services directly to juveniles have met all fingerprint and certification requirements of A.R.S. §§36-882 and 36-425.03 prior to providing such services. b. The Contractor shall submit verification of fingerprinting and certification of an employee by the Department of Economic Security, the Department of Corrections or the Arizona Supreme Court to meet this requirement. c. The Contractor shall require and verify that those employees who qualify only for a restricted certification shall be supervised when providing services directly to juveniles. d. The Contractor shall require that all subcontracts for services to juveniles include a provision requiring compliance by the subcontractor with A.R.S. §§36-882 and 36-425.03. e. This Contract may be canceled if the fingerprint certifications or the Certification for Employment required by A.R.S. § 36-425.03 of any employee, including volunteers (whether or not paid) shows that he or she has committed, been convicted of, or is awaiting trial for any offense(s) listed on the Certification for Employment form in this state or similar offenses in another state or jurisdiction. 12. COMMUNICATION The Contractor shall assume primary responsibility for effective, efficient communication with MCDPH staff. 12 SECTION II SPECIAL PROVISIONS 13 ISRAEL BOYCOTT By submitting this Contract the Contractor certifies that they are in compliance with Article 9, A.R.S. Section 35-393 et seq. 14. UNIFORM ADMINISTRATIVE REQUIREMENTS By entering into this Contract the Contractor agrees to comply with all applicable provisions of Title 2, Subtitle A, Chapter II, PART 200—UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS contained in Title 2 C.F.R. § 200 et seq. 13 SECTION 1 II WORK STATEMENT 1. DEFINITIONS: "ADE" refers to the Arizona Department of Education. 1.2. "ADES" refers to the Arizona Department of Economic Security. 1,3. "ADHS" refers to Arizona Department of Health Services. 1.4. "ADHS Evaluators" refers to the internal and external evaluators working for ADHS on the Maternal, Infant, and Early Childhood Home Visiting Program. 1.5. "AZETO" refers to the Arizona Efforts to Outcomes; Efforts to Outcomes in Arizona Coordinated Home Visitation Data Management System. 1.6, "ACA" refers to Affordable Care Act. 1.7. "BWCH" refers to Bureau of Women's and Children's Health. 1.8. "Benchmark" for the purpose of this document means the Benchmarks laid out by Health Resources Service Administration (HRSA) in the Supplemental Information Request and further clarified in the Updated Plan. This definition includes any updates HRSA makes to these Benchmarks. This includes all the constructs which are parts of the Benchmarks. 1.9. "CHAA" refers to Community Health Analysis Area. A geographical unit of measurement identified by the ADHS Bureau of Public Health Statistics for disease surveillance and built from US 2000 Census Block Groups. 1.10. "Capacity" for the purpose of this document is defined by the federal funder as the total number of families that can be served at any point and time by a Local Implementing Agency and is determined by the number of contracted Family Support Specialists or Home Visitors. 1.11. "COI" refers to Continuous Quality Improvement. 1.12. "DHHS" refers to Department of Health and Human Services. 1.13. "FTE" refers to Full Time Equivalent Staffing Positions. 1.14, "HRSA" refers to Health Resources and Services Administration, 1.15. "IALT" Interagency Leadership Team. 1.16. "ITCA" refers to Inter Tribal Council of Arizona. 1.17. "LIA" refers to the Local Implementing Agency (ies) in which the Maricopa County Department of Public Health contracts for the implementation and delivery of services of the Nurse-Family Partnership Program with Maternal, Infant and Early Childhood Home Visiting grant funding. 1.18. "MCDPH" refers to Maricopa County Department of Public Health. 14 SECTION III WORK STATEMENT 1.19. "MIECHV" refers to Maternal, Infant and Early Childhood Home Visiting. 1.20. "Model" refers to the Nurse Family Partnership model as outlined by Nurse-Family Partnership. 1.21, "NFP" refers to Nurse-Family Partnership. 1.22 "Program Manager" refers to the ADHS Maternal, Infant, and Early Childhood Home Visiting Program Manager. 1.23. "Site" refers to a location offering Nurse-Family Partnership under this Agreement. 1.24. "Target CHAAs" are the CHAAs outlined in this Agreement for receiving services and additional CHAAs as approved by the Program Manager and ADHS. 1.25. "Updated Plan" refers to the State Updated Plan and any of its updates. 2. BACKGROUND 2.1. ADHS BWCH supports efforts to improve the health of Arizona women and children. Within BWCH, the Office of Children's Health supports the increased focus within the state and nation on the importance of early childhood programs. It also supports enhanced integration of existing children's programs both within ADHS and among other state and federal agencies and our outside partners. The office of Children's Health within the Bureau administers the ACA M1ECHV federal grant funded by HRSA, The MIECHV program is funded entirely through federal funds. 2.2. The goal of the MIECHV Program is to deliver evidence based home visiting models to communities identified to be at risk through the Needs Assessment developed as a requirement for the grant. HRSA commissioned a study by Mathematic to determine which models of home visiting were considered evidence based. Based on these findings, HRSA determined which models would be eligible for funding. It was then up to the states to determine which of the evidence based models fit their needs. 2.3. In October 2009, the Arizona Early Childhood Development and Health Board, also known as First Things First, along with ADHS, ADES, and ADE and community providers of home visiting services convened an Early Childhood Home Visiting Task Force (Task Force). 2.4. The purpose of the Task Force was to define a system-wide strategy for the future development and delivery of quality home visiting services throughout Arizona. After several focused meetings, the Task Force produced a plan titled, The Vision for Early Childhood Home Visiting Services in Arizona. The plan hoped to provide a pathway for delivery of consistent, high quality home visiting services in the context of Arizona's statewide early childhood development and health system. 2.5. While the Task Force was a start for Arizona, when the ACA MlECHV statute was passed, the ADHS called together the state agencies that provide early childhood 15 SECTION III WORK STATEMENT home visiting to begin work on the grant opportunity. This group includes representation from the Title V agency and the state's Single State Agency for Substance Abuse, which are housed within ADHS, the state's Head Start Collaboration Director, the DES, the state's Title H agency, ADES, which serves as the state's child care and child welfare agency; ITCA and senior management from Arizona's Early Childhood Development and Health Board. This group is now referred to as the IALT. These agencies are Early Childhood Comprehensive System stakeholders as well and several members serve on Project LAUNCH's State Advisory Council. 2.6. The IALT committed to work together on the process of developing a statewide system of evidence based home visiting. This collaborative decision making guided the needs assessment process, the development of the Updated Plan and built on the earlier plan for early childhood home visiting in a concerted effort to best serve the most at risk families of Arizona. This agreement seeks to implement the actions and measures discussed in the Updated Plan and subsequent grant applications. 2.7. The evidence based models chosen for implementation as part of this plan were Healthy Families and NFP. Once a community is selected by the IALT to receive evidence based home visiting, a meeting is held in the local community. At the meeting the community has input and in fact makes the decision on which model will be implemented based on their needs and resources. In the target CHAAs in Maricopa, the local communities chose to implement Healthy Families and NFP. 2.8 Maricopa County Department of Public Health is a recipient of an Intergovernmental Agreement with ADHS for the implementation of the Nurse- Family Partnership. This IGA stipulates that MCDPH partner with other authorized providers of NFP in Maricopa County to implement the program based on the potential volume of women to be enrolled. 2.9 In accordance to the Office Management and Budget (OMB), Title 2, Subtitle A, Chapter II, PART 200—UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS contained in Title 2 C.F.R. § 200; in Subpart C § 200.202: requirement to provide public notice of Federal financial assistance programs; all sub recipients of federal funds will be informed of the CFDA, title and number, award name and number, and the name of federal agency. Thereby monies supporting this contract are funded through Catalog of Federal Domestic Assistance (CFDA) # 93.870. These monies are a pass-through Federal grant, from U. S. Department of Health and Human Services (USDHHS), Health Resources and Service Administration (HRSA), Maternal, Infant and Early Childhood Home Visiting (MIECHV) Grant Program, provided by the Arizona Department of Health Services to Maricopa County by and through its Department of Public Health (MCDPH), Division of Community Health Action, Office of Family Health, All Federal grant regulations for this CFDA number apply to the administration of these funds. OBJECTIVES 3.1 To provide evidence based home visiting services through the Nurse-Family Partnership (NFP) model to eligible women in target areas of Maricopa County, i6 SECTION III WORK STATEMENT and to evaluate the process and outcome of implementation of the model. 4. SCOPE OF SERVICE 4.1 The Contractor shall: 4.1.1 Provide a home visitation program delivering the NFP model to pregnant women and young children in targeted communities; 4.1.2 Collect and report all required data including, but not limited to, the requirements outlined in the Updated State Plan and subsequent Grant applications; 4.1.3 Participate in ongoing evaluation, monitoring, and (Continuous Quality Improvement) COI activities through the ADHS evaluators. 4.2 Target Community Health Analysis Areas (CHAAs) under this agreement may include the following: Camelback East, Alhambra, Central City, Glendale Central, Avondale, Estrella, Glendale North Glendale West, Surprise, and Additional CHAAs can be included under this Agreement when decided upon by ADHS prior to implementation and based on the needs. 5. TASKS 5.1 The Contractor shall: Develop and update the implementation plan annually. The plan shall include, but not limited to, activities or strategies and schedules for: 5.1.1 Working with the national model and developer and a description of the technical assistance and support to be provided through the national model; 5.1.2 Recruiting, hiring, and retaining appropriate staff for all positions including the number of positions to be hired; 5.1.3 Ensuring quality clinical supervision and reflective practice for all home visitors and supervisors; 5.1.4 Obtaining the curriculum or other materials needed to implement the NFP with fidelity; 5.1.5 Providing initial and ongoing training and professional development activities including a description of how and what type of training will be provided by or through the Contractor and//or the model developer; 5.1.6 Identifying, screening, and recruiting participants; 5.1.7 Conducting individualized assessments of participant families including a description of what assessments will be used and how services will be provided in accordance with those individual assessments; 5.1.8 Assuring that client's participation in the services is voluntary; 5.1.9 Assuring that priority will be given to serve eligible participants who fall under one of the following categories: 17 SECTION III WORK STATEMENT 5.1.9.1 Have low incomes, 5.1.9.2 Are pregnant women who have not attained age twenty-one (21) 5.1.9.3 Have a history of child abuse or neglect or have had interactions with child welfare services; 5.1.9.4 Have a history of substance abuse or need substance abuse treatment, 5.1.9.5 Are users of tobacco products in the homes, 5.1.9.6 Are in families that include individual who are serving or have formerly serviced in the armed forces, including families that have members of the armed forces who have had multiple deployments out of the United States; 5.1.10 Estimating and tracking the number of families served monthly and annually; 5.1.11 Minimizing the attrition rates for participants enrolled in the program by maintaining no more than thirty-five percent (35%) attrition; 5.1.12 Estimating a timeline to reach maximum caseload in each location and maintaining program capacity no less than eighty-five percent (85%); 5.1.13 Operationalizing the coordination between the proposed home visiting program(s) and other existing programs and resources in those communities, especially regarding health, mental health, early childhood development, substance abuse, domestic violence prevention, child maltreatment prevention, child welfare, education, and other social and health services; 5.1.14 Estimate a system of referrals for families with identified needs, including follow up to ensure referred services were received; 5.1.15 Developing, maintaining and updating a list of collaborative public and private partners; 5.1.16 Monitoring data for quality; 5.1.17 Measuring family satisfaction with visits; 5.1.18 Participating in the MIECVH CQI committee; 5.1.19 Anticipating challenges to maintaining quality and fidelity, and responding to the issues identified; 18 SECTION III WORK STATEMENT 5.1.20 Describing data collection instruments, data entry, management of case notes, and data quality assurance process; and 5.1.21 Working with ADHS evaluation team in the external evaluation of the MIECHV program in Arizona, 5.2 Implement the NFP model and provide home visits: 5.2.1 Implement the plans referenced above, reporting progress and any changes to ADHS as discussed in the monthly progress and annual report; 5.2.2 Ensure program implementation and set-up period in new areas within ninety (90) days upon approval by ADHS; 5.2.3 Work with the national model developer(s) to ensure fidelity to the model; 5.2.4 Provide NFP in accordance with the specifications of the national model; 5.2.5 Maintain NFP accreditation; 5.2.6 Recruit, hire, train, and retain appropriate staff for all positions; 5.2.7 Ensure high quality clinical supervision and reflective practice for all home visitors and supervisors; 5.2.8 Obtain the curriculum or other materials needed; 5.2.9 Provide initial and ongoing training and professional development activities to the local implementing agencies, or obtained from the national model developer; 5.2.10 Identify and recruit participants, maintaining program goal of no less than eighty-five percent (85%) capacity. Per ADHS direction, caseload capacity total for this Agreement is 75. 5.2.11 Conduct individualized assessments of participant families and provide services in accordance with those individuals' assessments; 5.2.12 Provide services to eligible families on a voluntary basis; 5.2.13 Give priority to serve eligible participants who fall under one of the following categories: 5.2.13.1 Have low incomes, 5.2.13.2 Are pregnant women who have not attained age twenty-one (21); 5.2.13.3 Have a history of child abuse or neglect or have had interactions with child welfare services; 19 SECTION III WORK STATEMENT 5.2.13.4 Have a history of substance abuse or need substance abuse treatment; 5.2.13.5 Are users of tobacco products in the homes; 5.2.13.6 Are in families that include individual who are serving or have formerly serviced in the armed forces, including families that have members of the armed forces who have had multiple deployments out of the United States, 5.2.14 Minimizing the attrition rates for participants enrolled in the program by maintaining no more than thirty-five percent (35%) attrition; 5.2.15 Coordinate NFP and other existing programs and resources in those communities, especially regarding health, mental health, early childhood development, substance abuse, domestic violence prevention, child maltreatment prevention, child welfare, education, and other social and health services; 5.2.16 Develop partnerships with above mentioned entities; 5.2.17 Establish a list of collaborative public and private partners; 5.2.18 Provide referrals to community resources for families with identified needs; 5.2.19 Collect and provide data to ADHS Evaluation team, and participate in CQI including, but not limited to: 5.2.19.1 Entering into a Data Sharing Agreement with ADHS to provide needed data, 5.2,19.2 Tracking the referred services received or document the reasons why the services were not received; 5.2.19.3 Collecting all data as required by ADHS for this program as per the Updated State Plan and any revised plans (including data and evaluation plans developed for the MIECVH program) and submit all data to the ADHS evaluation team, and when applicable to cross site evaluation team; 5.2.19.4 Measuring client satisfaction with home visiting service, 5.2.19.5 Participating win CQI committee, 5.2.19.6 Working with ADHS evaluators to modify data collection forms or provide additional information to capture all rel uired data including benchmarks and demographics required for MIECHV program, and 5.2.19.7 Ensuring that all of the Program forms and visit notes are kept in a locked location and are transported in a locked file. 20 SECTION III WORK STATEMENT 5.3 Meet program and report requirements including, but not limited to: 5.3.1 Be responsive and ensure timely response to ADHS Program Managers and Evaluator to any request for clarification, documentation, reports and /or any questions regarding program implementation and evaluation; 5.3.2 Ensure that all required staff attend ADHS sponsored meetings, trainings, and conference calls and webinars as directed; 5.3.3 Provide additional information and data when requested by the ADHS Program manager or by the Evaluator in the format and medium requested; 5.3.4 Submit invoices for services on a monthly basis; 5.3.5 Submit required reports on a monthly basis (See Deliverables) in compliance with federal reporting requirements; 5.3.6 Work with other home visiting providers in the community to ensure that clients are enrolled in the program that best meets their needs and ensure that there are selection criteria and standardized processes for referring families from one (1) program to another. 5.3.7 Provide a detailed description of the other funded programs, if Contractor/subcontractor has another Contract, Grant, or Subcontract that administers and/or provides a similar home visiting program in the targeted service area or adjoining service areas, including staffing, funding source and clearly identify how the programs will not duplicate services and/or home visiting services to the targeted communities that are being proposed through the ADHS Home Visitation Program. It shall also state how the two (2) separate funding sources will be tracked. 6. DELIVERABLES: 6.1 The Contractor shall deliver the following to 1VICDPH: 6.1.1 Implementation Plan: 6.1.1.1 An updated implementation plan is due by the end of the first forty-five (45) days of Agreement execution; and 6.1.1.2 Report any changes to the implementation plan prior to implementing revised plan, 6.1.2 Monthly Invoices 6.1.2.1 Monthly Invoices are due within fifteen (15) calendar days following the end of each month, 6.1.2.2 Include all information on invoices. For staff training beyond what is required by the model, documentation of attendance shall be provided including a Certificate of Attendance and written pre-approval from ADHS. 21 SECTION III WORK STATEMENT 6.1.3 Monthly Progress 6.1.3.1 Monthly progress reports that shall include a brief narrative of key achievements and any issues with funding sites. The monthly report shall outline successes and challenges including, but not limited to: 6.1,3.1.1 Current number of active families, 6.1.3.1.2 Current number of outreach families, 6.1.3.1.3 Number of new families enrolled during the reporting month, 6.1.3.1.4 Number of families to disengage in service during the reporting month, 6.1.3.1.5 Total number of home visits, 6.1.3.1,6 Number of MIECHV funded FTE home visitors, supervisors, and other staff currently employed, and number of vacancies, 6.1.3.1.7 Reason for families to disengage in services, 6.1.3.1.8 Sources referrals are received from and conversion to enrollment, 6.1.3.1.9 Referral to other community services, and 6.1.3.1.10 Narratives on: 6.1.3.1.10.1 Family recruitment and retention success and challenges; 6.1.3.1.10.2 Staff recruitment; 6.1.3.1.10.3 Staff straining and supervision; and 6.1.3.1.10.4 Community Collaboration and Outreach, 6.1.4. The name, phone numbers, and resume of program staff if replaced, within twenty-one (21) days of hire, 6.1.5. Programmatic Quality Assurance 6.1.51 Submit complete and accurate monthly reports 6.1.5.2 Provide high quality clinical supervision and reflective practice for home visitors and supervisors in accordance with model requirements, 6.1.5.3 Ensure home visitors are receiving model-specific initial and ongoing training as required by the national model developers, 22 SECTION III WORK STATEMENT 6.1.5.4 Ensure enrolled clients are appropriately identified, screened, and consent forms, if applicable, are signed and on file, 6.1.5.5 Participate in statewide CQ1 committee meetings including monthly meetings, reporting, and projects. 6.1 .6 Administrative Quality Assurance 6.1.6.1 Complete annual inventory with items reported to ADHS, 6.1.6.2 Save 1-9 forms on file for all program staff, 6.1.6.3 Enter and clean data in accordance with this Agreement, 6.1.6.4 Obtain pre-approval from ADHS for trainings that paid with MIECHV funds, 6.1.6.5 Obtain approval from ADHS prior to production of materials created utilizing MIECHV funding and they shall include ADHS and Strong Families AZ Logos, and funded language accordingly, and 6.1.6.6 Provide pandemic plan in writing; 6.1.7 Fiscal Quality Assurance 6.1.7.1 Audit expenditures incurred during a quarter of the federal fiscal year to ensure all purchases are allowable in accordance to the MIECHV grant, 6.1.7.2 Submit a copy of the report to MIECHV Program Manager on an annual basis, 6.1.7.3 Submit back up documentation for invoices provided, and 6.1.7.4 Submit invoices timely; 6.1.8 Participate in bi-annual monitoring and compliance meetings with MCDPH and/or ADHS. 6.1.9 Annual Reports: 6.1.9.1 An annual report at the time specified in the reporting plan shall include: 6.1.9.1.1 Update on work-to-date with national model develop and a description of the technical assistance and support provided to —date through the national model, 6.1.9.1.2 Based on the timeline provided in Updated State Plan, an update on securing curriculum and other materials needed for the home visiting program, 23 SECTION III WORK STATEMENT 6.1.9.1.3 Update on training and professional development activities obtained from the national model developer, or provided by the State or the implementing local agencies, 6.1.9.1.4 Update on staff recruitment, hiring, training, and retention for all positions including subcontracts, 6.1.9.1.5 Update on participant recruitment and retention efforts, 6.1.9.1.6 Family satisfaction with visit information, 6.1.9.1.7 Status of home visiting program caseload within each at- risk community, 6.1.9.1.8 Update on the coordination between home visiting programs and other existing program and resources in those communities including, but not limited to: 6.1.9.1.8.1 Health, 6.1.9.1.8.2 Mental health, 6.1.9.1.8.3 Early childhood development, 6.1.9.1.8.4 Substance abuse, 6.1.9.1.8.5 Domestic violence prevention; 6.1.9.1.8.6 Child maltreatment prevention; 6.1.9.1.8.7 Child welfare, education, and 6.1.9.1.8.8 Other social and health services, 6.1.9.1.9 A discussion of challenges, both experience and anticipated, to maintain quality and fidelity of each home visiting program, and the response to the issues identified, 6.1.10 Data: 6.1.10.1 Provide data to the ADHS evaluator and any cross site evaluation team within the timeframe outlined in the data and evaluation plans and latest revisions thereof. This includes all individual-level benchmarks, demographic and service —utilization data on the participants in the program, which shall at least meet the federal requirements for individual-level data including, but not limited to: 6.1.10.1.1 Family's participation rate in the home visiting program including, but not limited to, number of sessions/number of possible sessions and duration of sessions, 6.1.10.1.2 Demographic data for the participant child, pregnant woman, expectant father, parents, or primary caregivers receiving home visiting services including: child's gender, age of all (including age in month for child) at each data collection point and racial and ethnic background of all participants in the family, 6.1.10.1.3 Participant child's exposure to languages other than English, and family linguistic isolation, 6.1.10.1.4 Which, if any priority populations the child or family 24 SECTION III WORK STATEMENT belongs to, 6.1.10.1.5 Family social economic indicators including, but not limited to, family income and employment status, 6.1.10.1.6 Referrals made, 6.1.10.1.7 Referred services were received and, if not, what was the barrier and what are the next steps, 6.1.10.1.8 Information required and identified in the benchmark section of the Updated Plan and latest revisions thereof, the data and evaluation plans, and federal reporting requirements, and 6.1.10.1.9 Additional information as requested by the federal funder; 6.1.10.2 Supply data to the Arizona Efforts to Outcomes (AZETO) within two (2) weeks of data collection; and 6.1.10.3 Clean data in accordance with the most current cleaning schedule, 7. REQUIRMENTS: 7.1 Maintain NFP accreditation 7.2 Meet all requirements of NFP to implement the model with fidelity and maintain fidelity to the model, 7.3 if the Contractor/subcontractor has another Contract, Grant, or Subcontract that administers and/or provides a similar home visiting program in the targeted service area or adjoining service areas, provide a detailed description of the other funded programs, if including staffing, funding source and clearly identify how the programs will not duplicate services and/or home visiting services to the targeted communities that are being proposed through the ADHS Home Vising Program. State how the two (2) separate funding sources will be tracked; 7.4 This program is fully funded by Federal funds so the DHHS Appropriation Act requirements shall be followed. The DHHS Appropriations Act requires that when issuing statements, press releases, requests for proposals, bid solicitations, and other documents describing projects or programs funded in whole or in part with Federal money, all grantees receiving Federal funds including, but not limited to, State and local governments, shall clearly state the percentage of the total costs of the program or project which will be finance with Federal money, the dollar amount of Federal funds for the project or program and percentage and a dollar amount of the total costs of the project or program that will be financed by non- governmental sources. 8. APPROVALS: 8,1 The following items require review and approval by MCDPH 8.1.1 Monthly Contractor's Expenditure Report (I nvoice/CER) prior to payment; 8.1.2 Monthly Report; 25 SECTION III WORK STATEMENT 8.2 The following items require review and approval by ADHS: 8.2.1 All marketing or educational materials, and promotional items, media or forms including, but not limited to, brochures, posters, publications or journal articles developed using funds awarded under this Agreement prior to printing. 8.2.1.1 All marketing or educational materials shall bear the following: "Funded in part by the Bureau of Women's and Children's Health as made available through the Arizona Department of Health Services, through the Department of Health and Human Services, Maternal, Infant and Early Childhood Home Visiting program."; 8.2.2 Before expansion to any new sites or expansion of existing sites. 9. REFERENCE DOCUMENTS: 9.1 The following documents are available from ADHS: 9.1.1 Supplemental Information Report; 9.1.2 Arizona's Maternal, Infant and Early Childhood Updated Plan; 9.1.3 Data Plan; 9.1.4 Forms (data and report forms as referenced above upon completion by ADDHS, subject to updating). 26 SECTION IV COMPENSATION 1. COMPENSATION A. Subject to the availability of funds, the County shall pay the Contractor for the services described herein for a sum not to exceed the contract budget amount listed on Attachment A: Itemized Service Budget of this contract. 2. METHOD OF PAYMENT A. Contractor shall submit a payment request. This payment request must be on Contractor letterhead and contain the following: • Signature authorizing the request • Invoice number • Description • Amount • Date B. The Contractor must maintain and have available upon request supporting documents for each monthly reimbursement request, including invoices of costs incurred and expenditure reports. Subject to the availability of funds, the County will, within thirty (30) working days from the date of receipt of documents enumerated herein, process and remit to the Contractor a warrant for payment up to the maximum total allowable for services provided. Should the County make a disallowance in the claim, the claim shall be processed for the reduced amount. If the Contractor protests the amount or the reason for a disallowance, the protest shall be construed as a dispute concerning a question of fact within the meaning of the "Disputes" clause of the Special Provisions of this Agreement. D. The Contractor understands and agrees that the County will not honor any claim for payment submitted six (6) months after the date of service, The Contractor understands and agrees that the County will not process any claim for payment for services rendered prior to the expiration date that is submitted sixty (45) days after the expiration date without approval of the County. E. Payments made by the County to the Contractor are conditioned upon the timely receipt of applicable, accurate, and complete invoices submitted by the Contractor. The Contractor forfeits the right to reimbursement for costs incurred in any month for which it fails to meet the deadline for submitting the monthly reports, except if such failure is beyond the reasonable control of the Contractor, The Contractor also forfeits its right to reimbursement for costs incurred in which a paid invoice or proof of expenditure is non-existent. F. The Contractor shall submit invoices to: Maricopa County Department of Public Health Attn: Denise Voiles 4041 N. Central Ave, Ste 700 Phoenix, AZ 85012 Email: denisevoilesRrnail,maricopa.qov 27 SECTION IV COMPENSATION 3. PAYMENTS Payments shall be sent to the following addresses: Attn: Bill McClung, Director of Finance Southwest Human Development 2850 N. 24th Street Phoenix, AZ 85008 4. NOTICE Any notice given under this Agreement shall be sent to the attention of the following: Department Contractor Maricopa County Department of Public Health Southwest Human Development Office of Family Health Attn: Mary Tunney, RN, Senior Attn: Denise Voiles, Nurse Supervisor Manager, Services for Children 4041 N. Central Ave, Suite 700 2850 N. 24th Street Phoenix, AZ 85012 Phoenix, AZ 85008 Telephone: 602-506-6782 Telephone: 602-633-8681 Fax: 602-506-6896 Fax: 602-633-8789 Email: denisevoiles@mail.maricopa.gov Email: Public Health Grants and Contracts Unit Attn: Grants Administrator 4041 N Central Ave, Suite 1400 Phoenix, AZ 85012 28 Attachment A: Itemized Service Budget Southwest Human Development — (October 1, 2017 — October 30, 2017) 1. Personnel FTE% Position/Title Name of Employee Total Salary for % Allocated Management & Administrative Staff .075 Director Trudi Norman Murch 794.00 .637 Program Manager Mary Tunney 4,291.00 .063 Sr. Program Manager Rose Phillips 443.00 .5 Administrative Assistant Cynthia Beas Avarello 1,565.00 .1 Financial Analyst Gretchen Miller 436.00 Program Staff 1 Nurse Home Visitor Catherine Brooks 5,246.00 1 Nurse Home Visitor Evette Teran 5,088.00 1 Nurse Home Visitor Katherine Walters 5,437.00 1 Nurse Home Visitor Marissa Rodriguez 5,190.00 .25 Office Assistant Maribel Quinanar 581.00 0.1 Outreach Specialist Kara Bloomquist 344.00 Vacancy Savings Program Staff (875.00) TOTAL 28,540.00 2, Employee Related Expenses Item Basis FICA 7.37% 2,103.40 Unemployment Insurance 0.76% 216.90 Worker's Compensation 0.81% 231.17 Health/Life insurance 14.03% 4,004.16 Retirement 4.03% 1,150.16 TOTAL 7,705.80 3. Professional and Outside Services Item Basis Nurse Consultations $15,000 annually /12 months 1,250.00 TOTAL 1,250.00 4. Travel Expenses Item Basis In-State Travel 702.43 miles X .445 per mile X 1 month 312.58 Travel to NFP NSO $1,565/12 months 130.42 TOTAL $ 443.00 5. Occupancy Expenses Item Basis Rent $1,000 mo. X 1 month 1,000.00 Telephones/ Communications Cellular-$30.00 X 5.725 FTE X 1 month $ 171.75 Telephones/ Communications Local- $50 x 5.725 FTE X 1 month 286.25 TOTAL 1,458.00 6. Other Operating Expenses 29 SECTION IV COMPENSATION Item Basis General Office Supplies $100 monthly X 1 month $ 100.00 Postage $100 monthly X 1 month $ 100.00 Printing/Copying $166.67 monthly x 1 month $ 166.67 Professional Development $62.50 mo x 4 FTE x 1 month $ 250.00 Program Incentives $684.67 monthly x 1 month $ 684.67 Program Materials $416.67 monthly x 1 month $ 416.67 TOTAL $ 1,718.01 7. Other Item Basis 3 Laptops, Cases & Bags at $1,250 Equipment each/12 $ 312.50 TOTAL 312.50 8. Indirect 10% 4,142.73 TOTAL $ 4,142.73 GRAND TOTAL 45,570.04 Southwest Human Development — (November 1, 2017 — September 30, 2018) 1. Personnel FTE% Position/Title Name of Employee Total Salary for % Allocated Management & Administrative Staff .075 Director Trudi Norman Murch 8,804.00 .637 Program Manager Mary Tunney 47,603.00 .063 Sr. Program Manager Rose Phillips 4,910.00 .5 Administrative Assistant Cynthia Beas Avarello 17,360.00 .1 Financial Analyst Gretchen Miller 4,836.00 Program Staff 1 Nurse Home Visitor Evette Teran 56,439.00 1 Nurse Home Visitor Katherine Walters 60,311.00 1 Nurse Home Visitor Marissa Rodriguez 57,567.00 .25 Office Assistant Maribel Quinanar 6,440.00 0.1 Outreach Specialist Kara Bloornquist 3,816.00 vdCauL\ c iiL..s 'Program Staff $ (7,383.00) TOTAL 260,703.00 2. Employee Related Expenses Item Basis RCA 7.37% 19,213.81 Unemployment Insurance 0.76% 1,981.34 Worker's Compensation 0.81% 2,111.69 Health/Life Insurance 14.03% 36,576.63 Retirement 4.03% 10,506.33 30 SECTION IV COMPENSATION TOTAL 70,389.81 3. Professional and Outside Services Item Basis $15,000 annually less $1,250 from Nurse Consultations October 2017 (1) mo. budget 13,750.00 TOTAL 13,750.00 4. Travel Expenses Item Basis 702.44 miles X .445 per mile X In-State Travel months $ 3,438.44 Out of State Travel to Zero $1,565 less $130.42 from October 2017 to 3 Conference (1) month budget $ 1,434.58 TOTAL 4,87302 5. Occupancy Expenses Item Basis Rent $1,000 am. X 11 months $ 11,000.00 Telephones/ Cellular-$30.00 X 4.725 FTE X 11 Communications months $ 1,559.25 Telephones/ Communications Local- $50 x 4.725 FTE X 11 months $ 2,598.75 TOTAL $ 15,158.00 6. Other Operating Expenses Item Basis General Office Supplies $100 monthly X 11 months $ 1,100.00 Postage $100 monthly X 11 months $ 1,100.00 Printing/Copying $166.67 monthly x 11 months $ 1,833.37 Professional Development $62.50 mo x 4 FTE x 11 months $ 2,750.00 Program Incentives $684.67 monthly x 11 months $ 7,531.37 Program Materials $416.67 monthly x 11 months $ 4,583.37 TOTAL $ 18,898.11 7. Other 0 eratin Ex enses Item Basis Equipment 3 Laptops, Cases/Bags at $1,250 ea less $ 3,437.50 $312.50 from Oct 2017 (1) mo budget TOTAL $ 3,437.50 8. Indirect 10% TOTAL $ 38,720.94 GRAND TOTAL 425,930.39 COMBINED GRAND TOTAL .47:1„.500.43J 31