ADOH AMEND INCREASE LIHEAP REMOVE SWG 10.5.17.PDF

Contract No.: 206-17
Termination Date: June 30, 2018
Amendment No.: 001/002 combined,
AMENDMENT TO A
FUNDING AGREEMENT
Between
ARIZONA DEPARTMENT OF HOUSING
And
MARICOPA COUNTY
This Agreement is made and entered into by and between the Arizona Department of Housing
(AD OH), and Maricopa County (Recipient).
RECITALS
1) ADOH and Recipient have entered into a Contract, stipulating to an award through the State
Housing Fund Program or Community Development Block Grant Programs by ADOH to
Recipient for the purpose as outlined in the above referenced Funding Agreement; and
2) A revision to said Agreement is necessary; and
3) ADOH and Recipient agree that the revision is in the best interest of all parties, including
beneficiary low-income households; ADOH and Recipient hereby agree to amend the subject
agreement as follows:
AGREEMENT
Amendment number 001 Removes Southwest Gas funding, which now has its own contract #203-18.
Amendment number 002 Increases LIHEAP award by $329,758 for a total LIHEAP award of $1,041,077.
Contract expiration remains the same. The additional LIHEAP funding will increase the unit scope of work
for LIHEAP by eight (8) units for 138 total LIHEAP units.
The agreement incorporates the Recital paragraphs set forth above.
The Following Attachments are amended and attached hereto:
Scorw of Work
Amended Performance Report/Schedule of Completion
Budget
Request for Payment
All portions of subject Agreement that are not herein specifically amended shall remain
unchanged.
In Witness Whereof, ADOH and Recipient have executed this Amendment, which shall become
effective when signed by ADOH.
THE ARIZONA, MARICOPA COUNTY
DEPARTMENT OF HOUSING RECIPIENT
BY: BY:
Carol Ditmore
TITLE: Director TITLE: Chairman, Board of Supervisors
DATE: DATE:

Funding Agreement with
State of Arizona, Department of Housing
ATTACHMENT A
SCOPE OF WORK
REVISED
The Arizona Department of Housing Weatherization Assistance Program (ADOH WAP) award will be comprised of
Department of Energy (DOE), and Low Income Home Energy Assistance Program (LIHEAP) funds. Funding will
allow Maricopa County (recipient) to provide installation/repair of energy efficiency measures to dwellings occupied
by low-income households in Maricopa County Arizona outside of the City of Phoenix and the City of Mesa.
This contract award is contingent upon:
A. Assistance is reserved for the following incomes:
a. DOE funds: 200% of Federal Poverty Guidelines as published annually; and
b. LIHEAP funds: 200% of Federal Poverty Guidelines as published annually.
B. The program will prioritize services to the following populations:
a. Elderly;
b. Handicapped; and
c. Families with children under the age of five (5).
C. DOE, LIHEAP and SWG WAP funding requires adherence to the Arizona Weatherization Assistance Program
State Plan (State Plan), Health and Safety Plan (HSD Plan); Arizona Weatherization Policies and Procedures
Handbook, Arizona Weatherization Assistance Program Field Guide; Standard Work Specifications; and WAP
Memorandum 15-10 Quality Management Plan.
D. Maximum investment per unit is as follows:
a. DOE: Average per unit investment over Program Year 2017 (July 1, 2017 to June 30, 2018) is $7,212;
and
b. LIHEAP: Average per unit investment over Program Year 2017 (July 1, 2017 to June 30, 2018) is $7,212,
E. Satisfactory SHP() requirements if applicable must be completed prior to any construction activity or any
expenditure of funds,
F. Maricopa County will be expected to fully expend awarded funds and complete the following number of units
for each funding source:
a. DOE: 41 completed units passing Quality Control Inspection and ADOH WAP monitoring; and
b. LIHEAP: 138 completed units passing final inspection and ADOH WAP monitoring.

1 of
1 Date
Page July
April June Modification schedule
Phoenix 85004 602-372-2292 Maricopa April, from H.
B - -
Date It Jan City Code Fax County of), Yes/No variation through
ATTACHMENT Revision Zip day A.
Oct (last Complete caused section construction?
February that
Date narrative under
December, 7/1/2017 9/30/2017 12/30/2017 3/31/2018 6/30/2018 7/31/2018 occurrences at units
REVISED Contract questions
vseel(a,mail.maricopa.qov trisha.ekertherciaazhousing.pov Include LIHEAP
October,
period. answer of # Title
Department Housing COMPLETION 6/30/2018 August, Finally, E.
Arizona Email Email of month
of to 30th cumulative) cumulative) cumulative) three specific.
OF 7/1/2017 the by this -
be
from Program Due numbers numbers numbers performed Please
Period: Floor 3rd changes. (all (all (all etc. Date
REPORT/SCHEDULE Assistance Ave., Units Units Units Units activities Passed?
County Contract Eken.berg schedule LIHEAP LIHEAP LIHEAP Out of circumstances, QCI QCI?
Weatherization Central Seel or LIHEAP & need construction? complete?
Maricopa 206-17 N. Yvonne 602-506-4842 'Trisha contract 26 63 100 138 Close description complete but Signature
234 and and and and unforeseen 100%
PERFORMANCE Recipient No Activity Address Person Phone Specialist to ; DOE DOE; DOE; DOE; brief 100% complete under units
Contract adherence Schedule Execution 6 of 15 of 31 of 41 of Complete-Contract a plans, units units units Authorized
WEATHERIZATION Recipient Contact Program provide to DOE DOE DOE LJHEAP
ADOH Indicate Contract Contract Completion Completion Completion Completion Project Please changes of # of It of # of # Recipient
A. B. C. D.

C TOTAL SOURCES $1,291,590.00
Attachment 602-372-2292 Maricopa h GRAND ALL 5-2016
Phoenix 85004 REV.
Date No. City Code Fax County Year
Revision Zip g Source Program
.gov Year
REVISED f Source Program
yseelAmail.maricopa.gov trishaekenbercaazhousing Year $0.00
Housing e Source Program
Department
Arizona 6/30/2018 Email Email 33,793.00 10,710.00 996,574.00 $1,041,077.00
to d LIHEAP FY2017
7/1/2017
from Program $ $ $
Period: Floor 3rd 26,519.00 19,253.00 170,367.00 34,374.00 - - $250,513.00
Assistance Ave., c DOE FY2017
County Contract Central Seel Ekenberg $ $ $ $ $ $
Maricopa 206-17 Weatherization N. 234 Yvonne 602-506-4842 Trisha
Recipient No. Activity Address Person Phone Specialist or Assistance Operations
WEATHERLZATION No./File Contact a Item Line No. Costs Technical Operations Safety Audit Insurance Administration Training/TA Program
Contract Recipient Program Activity Administration & and
Budget Budget Training Program Health Financial Liability 'LIHEAP LIHEAP LIHEAP Total

'
D No 26,519.00 19,253.00 170,367.00 34,374.00 - - 33,793.00 10,710.00 996,574.00 1,291,590.00
h New Balance 1-2014
Attachment Yes Phoenix 602-372-2292 Maricopa carried
85004 $ $ $ $ $ $ $ $ $ $ been Date REV.
Date No/Mo Dep City ZIP Fax County this 0.00 0.00 - have necessary. Apprl
2 Req. Wire backup g of Request if
OF Direct Amount contract Administrator
1 Pay other $ address
PAGE and in 26,519.00 19,253.00 170,367.00 34,374.00 - 33,793.00 10,710.00 996,574.00 1,291,590.00 this under mailing Program
REVISED checks, f Balance Account
SHEET $ $ $ $ $ $ $ $ $ $ provided alternate ADOH
yseelAmail.maricooa.00v trishaekenbergazhousing.gov cashed - Use
SUMMARY invoices, e Amount Date to funds Attach ADOH Only
of Total Req. $ Title with submitted. For
Department Housing Email Email copies Year - contractor E
Arizona PAYMENT Include d Source Program the previously Current
of 6/30/2018 Date by INot 'Date
FOR to form. r not
this 33,793.00 10,710.00 996,574.00 1,041,077.00 undertaken if
REQUEST 711/2017 d LIHEAP FY2017 information
from Program Floor accompany processing. $ $ $ $ activities 1
Period: Assistance 3rd must for 26,519.00 19,253.00 170,367.00 34,374.00 - - 250,513.00 all wiring •
HOUSING Ave., 2) c DOE FY2017 that
County Contract of required Attach Current
OF Central Seel Ekenberg 2 $ $ $ $ $ $ $ certifies I
Maricopa Weatherization N. 602-506-4842 (Sheet are b ASAP No. contract. Approval
20647 234 Yvonne Trisha N/A N/A N/A N/A Signature Signatory the
DEPARTMENT Recipient No Activity Address Person Phone Specialist Statement SIGNATURES or TA Safety Audit . Op Draw with Reports Specialist
Contract Item No. Administration & Ops & Ins Draw Admin. Training/FA Program Total Authorized Authorized
WEATHERIZATION Recipient Contact Program Payment a Line Activity Training Program Health Financial Liability Total accordance Performance Program
ARIZONA Itemized documentation. Budget DOE DOE DOE DOE DOE DOE DOE LIHEAP LIHEAP LIHEAP LIklEAP Recipient Recipient in ADOH
1. 2. 3. 4. 5. 6. 7_ 8. 9. 10. 11. Total out

other
of source
2 Name
OF
2
PAGE Date No by
Req. Balance paid other source
Pay
STATEMENT to
Invoice Amount Charged DOE/SWGILEHEAP
PAYMENT Check # Invoice
PO
Date Paid
-ITEMIZED
Department Housing to
Arizona PAYMENT Payable)
of (CAHRA)
FOR (or
Agency Paid
REQUEST
Resources
HOUSING Human of• in to source)
(List
OF Action Description Expense according funding
DEPARTMENT Community.
Recipient No item SWG)
ARIZONA Contract Line LIHEAP, & Job No
F-4 Budget (DOE, Totals