TOUCHSTONE AMD 3 WITH OCE (04).PDF

CONTRACT NO: C-86-16-008-3-04 AMENDMENT NO: 3
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
TOUCHSTONE HEALTH SERVICES
I. The above named contract is hereby amended as specified below:
A. Coversheet, 3. Contract Amount is increased by $205,000 for the period July 1,
2017 through June 30, 2018, for an aggregate total not-to-exceed amount of
$526,401.
B. Section III, Work Statement, 1. Background is replaced with an updated
Addendum A, Section III, Work Statement, 1. Background;
C. Section III, Work Statement, 3. Responsibilities of the Contractor, is replaced with
an updated Addendum B, Section III, Work Statement, 3. Responsibilities of the
Contractor;
D. Attachment A, Budget, is replaced with, Addendum C, Budget (effective July 1,
2017 through June 30, 2018).
II. All other terms and conditions of the original contract and its amendments shall
remain in full force and effect.
1

IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MARICOPA COUNTY
TOUCHSTONE HEALTH SERVICES
By: By:
Denny Barney, Chairman
Board of Supervisors
Date Date
ATTEST ATTEST
Clerk of the Board
Date Date
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for Maricopa County
Date Date
2

ADDENDUM A
SECTION III, WORK STATEMENT, 1. BACKGROUND:
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) # 93.297. These monies are a pass-
through Federal grant, U. S. Department of Health and Human Services, Public Health Service,
Office of the Assistant Secretary of Health (OASH), Office of Grants Management, Office of
Adolescent Health (OAH), 1 TP1AH000129-01-00, Maricopa County Teen Pregnancy Prevention
Capacity Building (Tier 1 A), provided to Maricopa County by and through its Department of Public
Health (MCDPH), Community Transformation Division, Office of Collective for Adolescent Well-
Being. All Federal grant regulations for this CFDA number apply to the administration of these
funds.
3

ADDENDUM B:
SECTION III, WORK STATEMENT, 3. The contractor shall provide the following:
A. Touchstone (THS) will meet with MCDPH as needed to stay abreast of project progress and complete
contract/grant deliverables. In addition to scheduled meetings, THS will maintain effective communication (via
meetings, phone calls or emails) with MCDPH Project Director.
B. THS will provide MCDPH Project Director with assessment results, action plans and other status reports. THS
will work with MCDPH to complete all Office of Adolescent Health (OAH) required reports such as the biannual
progress report, and annual progress report.
C. THS will secure and manage a Memorandum of Understanding (MOU) with Pendergast Elementary School
District (PESD) and 1N10 including scopes of work and budgets.
D. THS will work with each CBA organization to assess organizational capacity via the OAH Organizational
Capacity Assessment with the leadership of the Capacity Building Assistance (CBA) organizations and use results
to revise action plans and sustainability plans.
E. THS will work with each CBA organization to review and revise their CBA action plans to include goals,
objectives and timelines that meet desired project outcomes and follow OAH requirements.
F. As needed, THS will work in conjunction with MCDPH in coordinating an additional Training of Trainers (TOT)
with CBA organizations in their respective selected curriculum to ensure sustainability of selected program. THS
and MCDPH will support the CBA organizations to design, schedule, coordinate and co-facilitate additional TOEs if
needed.
G. In conjunction with MCDPH and the contracted project evaluator, Arizona State University’s Southwest
Interdisciplinary Research Center (SIRC), THS will review evaluation data from the TOEs and utilize subsequent
data to provide additional trainings and other resources as needed to increase the effectiveness of full
implementation. THS will work with the CBA organizations to determine trainings and professional development
opportunities needed. THS will work with MCDPH to share the needs of the CBA organizations and share MCDPH
professional development opportunities with the CBA organizations.
H. THS will work with each CBA organization to plan roll-out of implementation and complete full implementation,
which will be an on-going process. THS will support the CBA organizations by providing technical assistance and
feedback, observing implementation intermittently, monitoring implementation progress, coaching and training in
the facilitation of the workshops. Following the pilot, THS will debrief with each CBA organization to make
necessary adjustments prior to full implementation.
I. Throughout implementation, in conjunction with SIRC, THS will work to complete adaptation requests as
needed, prepare documents for approved adaptations and log adaptations as required by OAH. THS will use SIRC
reports regarding Fidelity Monitoring Logs (FMLs) to provide coaching, determine training needs, and offer training
and resources to increase the effectiveness of curriculum implementation. THS will assist SIRC if needed to
ensure that FMLs and other required performance measures are being completed in an accurate and timely
manner.
J. THS will work with each CBA organization to develop and finalize a sustainability plan for teen pregnancy
prevention programming using the OAH Framework.
K. THS will work with each CBA organization to continue their referral process for establishing and maintaining
linkages to youth-friendly health care services by developing protocols for making referrals, training key staff on
protocols, and tracking referrals for required OAH performance measures. MCDPH will identify, recruit and assess
the orgs to see whether they meet CDC youth-friendly standards and develop and disseminate a resource guide
for the CBA organizations.
L. THS will work with CBA Organizations to identify their needs (trainings, materials, etc.), in order to successfully
sustain their teen pregnancy prevention programming within their organizations.
4

ADDENDUM C
Budget Summary Report
Annual Budget- Year 3
Personnel FTE Yearly Cost
Personnel costs- Erica Chavez, Director 10%, Lydia
Cossio Assistant Director 10%, Amy Fernandez and
FTE TBD
$ 84,900
Fringe Benefits Rate Yearly Cost
FICA 7.65% of personnel salaries (agency rate) $ 6,495
Insurance (TBH offers medical, dental, vision, life
retirement, and career development benefits to
employees) 20% of personnel salaries (agency rate) $ 16,980
$ 23,475
Other Description Yearly Cost
1000 miles x 12 months traveled by THS
staff at $.505/mile
Mileage $ 6,060

upkeep, software, server etc
Computer/technology $ 500
Monthly data plans for Internet/Technology
devices for TPPP staff
Cell Phone $ 2,400
Office space, facility, maintenance, etc.
Occupancy $ 12,760
Supplies, materials, etc
Operating Supplies $ 1028
Liability & Professional Insurances
General Insurances $ 913
Supplemental professional development
(Training of Trainers, etc.), additional
curriculum, supplies, expenditures to help
CBA Organizations support sustainability $15000
$38661

Contractual Description Yearly Cost
Mini Grants for partners ($15000 for 1n10, $21000 to
PESD) PESD, 1n10 $ 36000
$ 36000
Administrative Overhead Description Yearly Cost
Administrative Overhead Allocations - 12% Financial, Accounting, billing, HR, Training $ 21964
$ 21964
Total Costs Description Yearly Cost
$ 205000