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C-86-02-073-2-51 1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 08/09/2017 3. SUPERSEDES AWARD NOTICE dated: 07/25/2017 except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT 6 H80CS000441611 H80CS00044 NO.: NOTICE OF AWARD H66CS00459 AUTHORIZATION (Legislation/Regulation) Public Health Service Act, Title III, Section 330 6. PROJECT PERIOD: Public Health Service Act, Section 330, 42 U.S.C. 254b FROM: 11/01/2001 THROUGH: 12/31/2017 Affordable Care Act, Section 10503 Public Health Service Act, Section 330, 42 U.S.C. 254, as amended. 7. BUDGET PERIOD: Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b, FROM: 01/01/2017 THROUGH: 12/31/2017 as amended Public Health Service Act, Section 330, 42 U.S.C. 254b, as amended 8. TITLE OF PROJECT (OR PROGRAM): HEALTH CENTER CLUSTER 9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL MARICOPA COUNTY PUBLIC HLTH SERVS DEPT INVESTIGATOR) 220 S 12th Ave Corinne Velasquez Phoenix, AZ 850073101 MARICOPA COUNTY PUBLIC HLTH SERVS DEPT DUNS NUMBER: Division Line: Clinical Services/Dept of Public Health 145454000 1645 E Roosevelt St BHCMIS # 090750 Phoenix, AZ 850063638 11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE: [ ] Grant Funds Only a. Authorized Financial Assistance This Period $3,066,513.00 [X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget Periods a . Salaries and Wages : $1,680,977.00 i. Additional Authority $0.00 b . Fringe Benefits : $674,681.00 ii. Offset $0.00 c . Total Personnel Costs : $2,355,658.00 c. Unawarded Balance of Current Year's Funds $0.00 d . Consultant Costs : $0.00 d. Less Cumulative Prior Awards(s) This Budget $3,056,819.00 e . Equipment : $0.00 Period f . Supplies : $95,121.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $9,694.00 ACTION g . Travel : $25,000.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project) i . Other : $86,463.00 YEAR TOTAL COSTS j . Consortium/Contractual Costs : $614,680.00 Not applicable k . Trainee Related Expenses : $0.00 14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash) l . Trainee Stipends : $0.00 a. Amount of Direct Assistance $0.00 m Trainee Tuition and Fees : $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00 . c. Less Cumulative Prior Awards(s) This Budget Period $0.00 n . Trainee Travel : $0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00 o . TOTAL DIRECT COSTS : $3,176,922.00 p . INDIRECT COSTS (Rate: % of S&W/TADC) : $454,091.00 q . TOTAL APPROVED BUDGET : $3,631,013.00 i. Less NonFederal Share: $564,500.00 ii. Federal Share: $3,066,513.00 15. PROGRAM INCOME SUBJECT TO 45 CFR 75.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES: A=Addition B=Deduction C=Cost Sharing or Matching D=Other [D ] Estimated Program Income: $564,500.00 16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING: a. The grant program legislation cited above. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any, noted below under REMARKS. d. 45 CFR Part 75 as applicable. In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant terms and conditions is acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system. REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ ]No) Electronically signed by Angela Stokes , Grants Management Officer on : 08/09/2017 17. OBJ. CLASS: 41.51 18. CRSEIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $3,056,819.00 SUB SUB ACCOUNT FYCAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. PROGRAM CODE CODE 17 398879G 93.527 15H80CS00044 $9,694.00 $0.00 HCH HealthCareCenters_15 Page 1 A printer version document only. The document may contain some accessibility challenges for the screen reader users. To access same information, a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks. If you need more information, please contact HRSA contact center at 877-464-4772, 8 am to 8 pm ET, weekdays. NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/9/2017 12:19:09 PM Award Number: 6 H80CS00044-16-11 HRSA Electronic Handbooks (EHBs) Registration Requirements The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10 digit grant number from box 4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses, updating email addresses and submitting certain deliverables electronically. Visit https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system. Additional help is available online and/or from the HRSA Call Center at 877 Go4HRSA/8774644772. Terms and Conditions Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed on your Payment Management System account or denial of future funding. Grant Specific Term(s) 1. Funds may not be used for fundraising, lobbying, incentives (gift cards, food), construction/renovation, facility or land purchases, or vehicle purchases. Pursuant to existing law and consistent with Executive Order 13535 (75 FR 15599), health centers are prohibited from using federal funds to provide abortion services (except in cases of rape or incest, or when the life of the woman would be endangered). This is consistent with past practice and longstanding requirements applicable to grant awards to health centers. Funds must be used consistent with all federal cost principles as noted in 45 CFR Part 75. In addition, this supplemental funding may not be used to: • Supplant existing resources. • Support bonuses or other staff incentives. 2. The purpose of the Fiscal Year (FY) 2017 Health Center Quality Improvement (QI) one time grant supplement is to support health centers that displayed high levels of quality performance in Calendar Year 2016 Uniform Data System reporting to continue to strengthen quality improvement activities, including achieving new and/or maintaining existing patient centered medical home recognition. 3. This award provides one time funding that will be available for use through the end of your FY 2018 budget period but should be used within 12 months of receipt. To use this funding in the FY 2018 budget period, the appropriate amount must be shown as un obligated (UOB) on line 10.h of the Annual Federal Financial Report (FFR), SF 425, and you must submit a Prior Approval Request to carry over these funds through EHB immediately following the FFR submission. Please consult your Grants Management Specialist for questions regarding submission of the FFR and/or Prior Approval Requests to carry over UOB funds. 4. You will be required to provide information on the QI activities supported through this one time supplement via their FY 2019 Budget Period Progress Report (BPR). More information will be provided in the FY 2019 BPR instructions. Reporting Requirement(s) 1. Due Date: Within 30 Days of Budget End Date The grantee must submit an itemized list, including purchase price, of all equipment items purchased with grant funds. The grantee is required to report acquired equipment, (including information technology systems), with an acquisition cost of $5,000 or more per item/system for which HRSA has reserved the right to transfer title. If no equipment purchases were made using funding provided through this award, submit a letter of verification from your organization’s financial officer. Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions. All prior terms and conditions remain in effect unless specifically removed. Contacts NoA Email Address(es): Name Role Email Corinne Velasquez Program Director corinnevelasquez@mail.maricopa.gov Jane E Cochrane Business Official janecochrane@mail.maricopa.gov Note: NoA emailed to these address(es) Program Contact: Page 2 NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/9/2017 12:19:09 PM Award Number: 6 H80CS00044-16-11 For assistance on programmatic issues, please contact Yolanda Joyner at: MailStop Code: 16105 Southwest Division 5600 Fishers Ln Rockville, MD, 208521750 Email: yjoyner@hrsa.gov Phone: (301) 443 1495 Division of Grants Management Operations: For assistance on grant administration issues, please contact Clare Oscar at: MailStop Code: 10SWH03 OFAM/DGMO/HCB 5600 Fishers Ln Rockville, MD, 208521750 Email: coscar@hrsa.gov Phone: (301) 443 8862 Page 3 C-86-02-073-2-51 ATTACHED TO AND A PART OF Grant No. H80CS00044 Notice of Award U. S. Department of Health and Human Services Health Resources and Services Administration Health Center Cluster Notice of Award No. H80CS00044-16-11 IN WITNESS WHEREOF, the parties agree to enter into this Contract and its Amendments: FOR AND ON BEHALF OF MARICOPA COUNTY By Denny Barney Chairman, Board of Supervisors Date ATTEST: Clerk of the Board Date APPROVED AS TO FORM: Attorney for Maricopa County Date Page 4