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ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., Ste. No. 260 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 - Main (602) 542-1741 - Fax PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 8 Jessica Canevari WIC, BFPC, FMNP and ONEDS SERVICES Effective October 1, 2017, it is mutually agreed that the Contract referenced is amended as follows: Pursuant to the Terms and Conditions, Provision Seven (7), Contract Changes, Item 6.1, Amendments, Purchase Orders and Change Orders, the following has been revised and replaced to with the following: 1. The WIC Price Sheet in Amendment Seven (7) is hereby replaced with the revised WIC Price Sheet of this Amendment Eight (8). The WIC Price Sheet decreased by $1,239,536.00 from $10,140,976.00. The total of the new budget amount for the WIC Price Sheet is: $8,901,440.00. 2. The BFPC Price Sheet in Amendment Seven (7) is hereby replaced with the revised BFPC Price Sheet of this Amendment Eight (8). The BFPC Price Sheet total budget amount remains at: $485,000.00. 3. The WIC Special Projects Price Sheet from Amendment Seven (7) is hereby revised and replaced with the WIC Special Projects Price Sheet of this Amendment Eight (8). The WIC Special Projects Price Sheet decreased by $238,745.00 from $440,171.00. The total budget amount for the WIC Special Projects Price Sheet is: $201,426.00. 4. In ProcureAZ the “Items” Tab of the Master Blanket Purchase Order will be revised to reflect the pricing upon execution of this Amendment Eight (8). 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 was amended to remove the requirement authority granted under the laws of the State of Arizona. 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., Ste. No. 260 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 - Main (602) 542-1741 - Fax PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 8 Jessica Canevari Agency Name: Maricopa County Health Department Agency DUNS number: 602062515 Federal Award Identification Number (FAIN): 187AZAZ7W1003 Federal Award Date: October 1, 2017 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children PRICE SHEET October 1, 2017 to September 30, 2018 Cost Reimbursement Line Item Budget WIC SERVICES WIC Services Amount Account Classification Personnel $4,379,638.00 Employee Related Expenses $1,891,637.00 Professional & Outside Services $36,275.00 Travel Expense $25,000.00 Occupancy Expenses $364,381.00 Other Operating Expenses $46,999.00 Capital Expenditures $1.00 Indirect Cost $1,119,493.00 RD Supplement $1,038,016.00 Total: $8,901,440.00 Federal Award Identification Number (FAIN): 177AZAZ1W5003 Federal Award Date: October 1, 2017 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children BREASTFEEDING PEER COUNSELING SERVICES Account Classification Amount Personnel $259,829.00 Employee Related Expenses $137,771.00 Professional & Outside Services $1.00 Travel Expense $8,550.00 Occupancy Expenses $1.00 Other Operating Expenses $9,800.00 Capital Expenditures $0.00 Indirect Costs $69,048.00 Total: $485,000.00 2 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., Ste. No. 260 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 - Main (602) 542-1741 - Fax PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 8 Jessica Canevari FARMER’S MARKET NUTRITION PROGRAM SERVICES March 1, 2018 to September 30, 2018 Estimated Number of Type of Service Unit Rate Unit of Measure Participants WIC FMNP Check $1.25 WIC Participant AS NEEDED Issuance WIC SPECIAL PROJECTS Account Classification Amount Personnel $46,356.00 Employee Related Expenses $20,319.00 Professional & Outside Services $0.00 Travel Expense $0.00 Occupancy Expenses $105,150.00 Other Operating Expenses $925.00 Capital Expenditures $0.00 Tenant Improvement Costs $0.00 Indirect Costs $28,676.00 Total: $201,426.00 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.) Purchase Order is modified with an official ADHS Procurement Change Order and/or b.) 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. 3 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) 150 N. 18th Ave., Ste. No. 260 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 - Main (602) 542-1741 - Fax PROCUREMENT OFFICER CONTRACT No.: ADHS14-053007 AMENDMENT No.: 8 Jessica Canevari 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 FFY2018 is: 56,200 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. WIC Special Projects: Additional monies up to $500,000.00 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. Monies are provided for WIC Special Projects that will include the following: a. Cover occupancy, security and cleaning services costs for an ADHS WIC computer lab training room housing up to 40 computers at 2737 W Southern Ave, Suite 10, Tempe, AZ 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 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; however, the training room will share the same internet line as the adjacent WIC clinic. ($14,867.00) b. Cover the occupancy, security, cleaning, utilities and copier lease costs for the Thunderbird WIC clinic to keep it open for one year to allow time for the Maricopa County WIC Program to find alternative affordable places for WIC participants in that area to obtain services. In addition, the site supervisor salary and ERE will also be covered for a period of one year. ($186,559.00) ALL OTHER PROVISIONS OF THIS AGREEMENT SHALL REMAIN IN THEIR ENTIRETY. 4