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ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., No. 280 AMENDMENT Phoenix, AZ 85007 (602) 542-1040 MAIN (602) 542-1741 FAX PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 7 Jessica Canevari WIC, BFPC, FMNP and ONEDS SERVICES Effective upon signature, it is mutually agreed that the Contract referenced is amended as follows: 1. Pursuant to the Terms and Conditions, Provision Six (6), Contract Changes, Item 6.1, Amendments, Purchase Orders and Change Orders, the following has been revised and replaced to add the following: ADDITIONAL WIC PROGRAM is revised and replaced with the following : WIC SPECIAL PROJECTS: Additional monies up to $500,000 may be awarded under this Contract for WIC Special Projects related to, but not limited to, infrastructure, breastfeeding promotion, nutrition services, information system enhancement efforts and client retention efforts. Additional monies are provided to Maricopa County for WIC Special Projects that will include the following: 1.1 Provide a Bachelor degreed nutrition graduate to facilitate majority of WIC online classes of intervention clinics and coordinate WIC online outreach and referrals outlined in the agreed upon job description document. 1.2 Provide a Master’s Level Social Worker or Licensed Clinical Social Worker to implement the Enhanced WIC Services pilot as outlined and agreed upon in the Enhanced WIC Services proposal document. CONTINUED ON NEXT PAGE CONTRACTOR SIGNATURE MARICOPA COUNTY By and Through its, MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH Contractor Name Contractor Authorized Signature 4041 NORTH CENTRAL AVENUE, STE. 1400 Denny Barney Address Printed Name PHOENIX AZ 85012 Chairman, Maricopa County Board of Supervisors City State Zip Title CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective the Pursuant to A.R.S. § 11-952, the undersigned public agency attorney date indicated. The Public Agency is hereby cautioned not to commence has determined that this Intergovernmental Agreement is in proper any billable work or provide any material, service or construction under form and is within the powers and authority granted under the laws of this IGA until the IGA has been executed by an authorized ADHS the State of Arizona. signatory. State of Arizona Signed this ______ day of _______________________ 20_______ Signature Date Printed Name Procurement Officer Attorney General Contract No. P0012014000078, which is an RESERVED FOR USE BY THE SECRETARY OF STATE Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney General, who Under House Bill 2011, A.R.S. § 11-952 has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona. was amended to remove the requirement that Intergovernmental Agreements be filed with the Secretary of State. Signature Date Assistant Attorney General Printed Name: ATTEST: _______________________________________________ Clerk of the Board Date ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., No. 280 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 MAIN (602) 542-1741 FAX PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 7 Jessica Canevari 1.3 Cover occupancy, security, and cleaning services costs for an ADHS WIC computer lab training room housing up to forty (40) computers at 2737 West Southern Ave, Suite 10, Tempe, Arizona 85282. The WIC computer lab training room will be for the priority use of the Arizona State WIC Program and be made available to other Arizona WIC local agencies’. ADHS Information Technology (ITS) staff will be responsible for installation and maintenance of computer and networking hardware and software. The training room computers will not be connected to the Maricopa internal network, but the training room will share the same internet line as the adjacent WIC clinic. 1.4 Cover tenant improvement costs for an ADHS WIC computer lab training room housing up to forty (40) computers at 2737 West Southern Ave, Suite 10, Tempe, Arizona 85282. 1.5 Maricopa County is awarded a WIC Infrastructure Grant for $262,294.00 for the purpose of creating community partnerships for WIC which includes creating a co-location with strategic community partners to decrease property costs for WIC and to recruit and retain participants. The Grant Funds awarded must be spent by September 30, 2018. 2. The Price Sheet from Amendment Six (6) is hereby replaced with the WIC Special Projects Price Sheet of this Amendment Seven (7). The total budget amount for the WIC Special Projects Price Sheet is: $440,171.00. 3. In ProcureAZ the “Items” Tab of the Master Blanket Purchase Order will be revised to reflect the pricing upon execution of this Amendment Seven (7). 2 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., No. 280 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 MAIN (602) 542-1741 FAX PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 7 Jessica Canevari REVISED PRICE SHEET OCTOBER 1, 2016 TO SEPTEMBER 30, 2017 WOMEN, INFANTS, AND CHILDREN (WIC) LINE ITEM BUDGET AMOUNT PERSONNEL COSTS/SALARY EXPENSES $4,823,376.00 EMPLOYEE RELATED EXPENSES $2,387,875.00 PROFESSIONAL & OUTSIDE EXPENSES $17,000.00 TRAVEL EXPENSES $10,000.00 OCCUPANCY EXPENSES $625,742.00 OTHER OPERATING EXPENSES $44,748.00 CAPITAL OUTLAY EXPENSES $1.00 INDIRECT COST EXPENSES (IF AUTHORIZED) $1,194,220.00 RD SUPPLEMENT $1,038,014.00 TOTAL $10,140,976.00 OCTOBER 1, 2016 TO SEPTEMBER 30, 2017 BREASTFEEDING PEER COUNSELING SERVICES (BFPC) LINE ITEM BUDGET AMOUNT PERSONNEL COSTS/SALARY EXPENSES $268,702.00 EMPLOYEE RELATED EXPENSES $144,528.00 PROFESSIONAL & OUTSIDE EXPENSES $1.00 TRAVEL EXPENSES $2,700.00 OCCUPANCY EXPENSES $1.00 OTHER OPERATING EXPENSES $5,441.00 CAPITAL OUTLAY EXPENSES $0.00 INDIRECT COST EXPENSES (IF AUTHORIZED) $63,627.00 TOTAL $485,000.00 MARCH 1, 2017 TO SEPTEMBER 30, 2017 FARMER'S MARKET NUTRITION PROGRAM (FMNP) UNIT OF ESTIMATED NUMBER TYPE OF SERVICE UNIT RATE MEASURE OF PARTICIPANTS WIC FMNP CHECK ISSUANCE $1.25 WIC Participant AS NEEDED 3 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., No. 280 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 MAIN (602) 542-1741 FAX PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 7 Jessica Canevari REVISED PRICE SHEET WIC SPECIAL PROJECTS LINE ITEM BUDGET AMOUNT PERSONNEL COSTS/SALARY EXPENSES $33,700.00 EMPLOYEE RELATED EXPENSES $17,847.00 PROFESSIONAL & OUTSIDE EXPENSES $86,880.00 TRAVEL EXPENSES $0.00 OCCUPANCY EXPENSES $12,300.00 OTHER OPERATING EXPENSES $0.00 CAPITAL OUTLAY EXPENSES $0.00 TENANT IMPROVEMENT COSTS $4,434.00 INDIRECT COST EXPENSES (IF AUTHORIZED) $22,716.00 WIC INFRASTRUCTURE $262,294.00 TOTAL $440,171.00 4 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., No. 280 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 MAIN (602) 542-1741 FAX PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 7 Jessica Canevari ADDITIONAL TERMS AND CONDITIONS: With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between funded line items except for Registered Dietitian Expenses. Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an Amendment. The Registered Dietitian line item is meant to fund additional Registered Dietitian position(s) to meet high-risk counseling requirements. Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase Order that is signed by an authorized agent. The Purchase Order will indicate the Contract number and the dollar amount of funds authorized. The Contractor shall only be authorized to perform services up to the amount on the Purchase Order. ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on the Purchase Order. No further obligation for payment shall exist on behalf of ADHS unless a.) the Purchase Order is modified with an official ADHS Procurement Change Order and/or b.) an additional Purchase Order is issued for purchase of services under this Contract. ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received. Adjustments will be at the discretion of ADHS. ADDITIONAL WIC PROGRAM: Should additional administrative monies become available through State or Federal Grants, ADHS may increase the purchase order to increase the number of participants served and increase the total of this contract. The assigned caseload for FFY 2017 is: 65,000 Additional administrative monies are provided to the Contractor to assist in their participation in the Online Nutrition Education Discussion Sessions (ONEDS). The Contractor shall perform all work required to support the WIC Special Grant ONEDS project ensuring that all ONEDS-related activities required of the intervention and control clinics are performed on a timely basis. These activities include but are not limited to staff attendance in required trainings, recruitment of participants to the study and ensure completion of evaluation and questionnaires by both participants and staff. WIC SPECIAL PROJECTS: Monies are provided for WIC Special Projects that will include the following: Provide a Bachelor degreed nutrition graduate to facilitate majority of WIC online classes of intervention clinics and coordinate WIC online outreach and referrals outlined in the agreed upon job description document. Provide a Master’s Level Social Worker or Licensed Clinical Social Worker to implement the Enhanced WIC Services pilot as outlined and agreed upon in the Enhanced WIC Services proposal document. Cover occupancy, security and cleaning services costs for an ADHS WIC computer lab training room housing up to forty (40) computers at 2737 West Southern Ave, Suite 10, Tempe, Arizona 85282. The WIC computer lab training room will be for the priority use of the Arizona State WIC Program and be made available to other Arizona WIC local agencies’. ADHS Information Technology (ITS) staff will be responsible for installation and maintenance of computer and networking hardware and software. The training room computers will not be connected to the Maricopa internal network, but the training room will share the same internet line as the adjacent WIC clinic. Cover tenant improvement costs for an ADHS WIC computer lab training room housing up to forty (40) computers at 2737 West Southern Ave, Suite 10, Tempe, Arizona 85282. 5 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., No. 280 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 MAIN (602) 542-1741 FAX PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 7 Jessica Canevari ADDITIONAL BREASTFEEDING PEER COUNSELING PROGRAM: Allowable costs for the Peer Counseling Program include compensation for peer counselors and designated peer counselor managers/coordinators and related costs such as training and training materials; telephone expenses for participant contacts (including pager, cell phones and answering machines); travel for training and home and hospital visits; recruitment of peer counseling staff; and the purchase of demonstration materials (e.g., breast pumps for demonstration purposes, videos). Out of state travel must be pre-approved by ADHS. Items and materials for distribution to WIC participants (e.g. breast pumps, breastfeeding aids, written materials) are not allowable costs. FARMER’S MARKET NUTRITION PROGRAM: If funding for additional FMNP checks becomes available and the contract budget (as shown on the Contract Price Sheet) has been fully expended, Contractor may choose whether or not to distribute the additional checks with no increase in the Contract budget. ALL OTHER PROVISIONS OF THIS AGREEMENT SHALL REMAIN IN THEIR ENTIRETY. 6