AMD RE TEEN PREGNANCY PREV WITH TOUCHSTONE HS.PDF

CONTRACT NO: C-86-16-008-3-02 AMENDMENT NO: 2
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
TOUCHSTONE BEHAVIORAL HEALTH
dba
TOUCHSTONE HEALTH SERVICES
I. The above named contract is hereby amended as specified below:
A. Coversheet, 3. Contract Amount is increased for an additional $70,773 (effective January
1, 2017 through June 30, 2017), bringing the new total Contract Amount from $125,314
to $196,087, for the contract period July 1, 2016 through June 30, 2017, for an aggregate
total not-to-exceed amount of $321,401.
B. Section II, Special Provision, the following paragraphs will be added:
7. ISRAEL BOYCOTT
By submitting this Contract the Contractor certifies that they are in compliance with
Article 9, A.R.S. Section 35-393 et seq.
8. UNIFORM ADMINISTRATIVE REQUIREMENTS
By entering into this Contract the Contractor agrees to comply with all applicable
provisions of 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 et seq.
C. Section III, Work Statement, 3. Responsibilities of the Contractor, is updated with
Attachment A, Section III, Work Statement, 3. Responsibilities of the Contractor;
D. Attachment A, Budget, has been replaced with, Attachment B, Modified Budget (effective
January 1, 2017 through June 30, 2017)
II. All other terms and conditions of the original contract and its amendments shall remain in full
force and effect.
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IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MARICOPA COUNTY TOUCHSTONE BEHAVIORAL HEALTH dba
TOUCHSTONE HEALTH SERVICES
By: By:
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
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ATTACHMENT A:
Section III, Work Statement, 3. RESPONSIBILITIES OF THE CONTRACTOR
The contractor shall provide the following:
A. Touchstone (THS) will meet with MCDPH monthly and 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 meeting minutes, 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, the continuation application, and annual progress
report.
C. THS Prevention Director and Program Manager 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 conduct the OAH Organizational Capacity Assessment with the leadership of the Capacity
Building Assistance (CBA) organizations every six months and use results to inform program
administration and design required plans, such as 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. THS will work in conjunction with MCDPH to provide four professional development trainings for both
CBA organizations throughout the year. As needed, THS will coordinate a Training of Educators (TOE)
and a Training of Trainers (TOT) with CBA organizations in their respective selected curriculum. If
possible, THS and MCDPH project team members will become certified TOE’s and TOT’s in respective
curricula.
G. In conjunction with MCDPH and the CBA organization, THS will design, schedule, coordinate and co-
facilitate additional TOEs. In conjunction with MCDPH and the contracted project evaluator, Arizona
State University’s Southwest Interdisciplinary Research Center (SIRC), THS will administer evaluations
and utilize subsequent data to provide refresher trainings and other resources as needed to increase
the effectiveness of full implementation.
H. THS will work with each CBA organization to schedule and pilot selected curriculum workshops. 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, and support with data entry. THS will work with MCDPH to provide
additional capacity building opportunities to the CBA organizations, including the Collective STEP for
Youth Coalition, professional development and annual Adolescent Summit. Following the pilot, THS will
debrief with each CBA organization to make necessary adjustments prior to full implementation and
provide Project Director with a pilot report.
I. 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, and support with data entry.
J. Throughout the pilot and full 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
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coaching, determine training needs, and offer training and resources to increase the effectiveness of
curriculum implementation. THS will work with each CBA organization to ensure that FMLs and other
required performance measures are being completed in an accurate and timely manner.
K. THS will work with each CBA organization to develop a sustainability plan for teen pregnancy
prevention programming using the OAH Framework.
L. THS will work with each CBA organization to select an OAH approved evidence based intervention
and complete annual medical accuracy, LGBTQ inclusivity, age-appropriateness, positive youth
development, cultural and linguistic appropriateness, trauma informed care reviews and complete OAH
assessment tools.
M. THS will work with each CBA organization to develop a 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.
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ATTACHMENT B: MODIFIED BUDGET (Increase effective: January 1, 2017 through June 30, 2017)
Full Time Addition Proposal
Personnel Description Yearly Cost
PD will be responsible for contracts, budget, and
grant requirements as well as provide oversight
into community relations, capacity building
technical assistance, and maintain the
relationship with MCDPH. PM will be
responsible for providing day to day supervision
of the PL, reviewing documentation, and
providing support to the PL. The PL will be
responsible for implementing the action planning
Prevention Director, Erica Chavez at 10%, Prevention steps and working directly with the CBA
Program Manager, Lydia Cruz at 10%, Program Lead, organizations. The CBL will be responsible for
Amy Fernandez at 100%, Capacity Building Liaison at supporting the PL, aiding with documentation
100%- New Salary costs indicate salary adjustments for and coaching the CBA organizations and
current staff as well assisting with the third CBA organization.
$ 83,404
Fringe Benefits Rate Yearly Cost
FICA 7.65% of personnel salaries (agency rate) $ 6,380
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ATTACHMENT B: MODIFIED BUDGET (Increase effective: January 1, 2017 through June 30, 2017)
Insurance (TBH offers medical, dental, vision, life
retirement, and career development benefits to
employees) 20% of personnel salaries (agency rate) $ 16,681
$ 23,062
Other Description Yearly Cost
900 miles x 12 months traveled by THS staff
at $.505/mile
Mileage $ 5,454
upkeep, software, server etc
Computer/technology $ 5,000
Monthly data plans for Internet/Technology
devices for TPPP staff
Cell Phone $ 2,015
Office space, facility, maintenance, etc.
Occupancy $ 12,760
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ATTACHMENT B: MODIFIED BUDGET (Increase effective: January 1, 2017 through June 30, 2017)
Training and conference opportunities for
PL
Professional Development $ 3,500
Supplies, furniture, etc
Operating Supplies $ 2,970
Liability & Professional Insurances
General Insurances $ 913
$ 32,612
Contractual Description Yearly Cost
Mini Grants for partners ($15000 for 1n10, $21000 to
PESD) PESD and 1n10 $ 36,000
$ 36,000
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ATTACHMENT B: MODIFIED BUDGET (Increase effective: January 1, 2017 through June 30, 2017)
Administrative Overhead Description Yearly Cost
Administrative Overhead Allocations - 12% Financial, Accounting, billing, HR, Training $ 21,009
$ 21,009
Total Costs Description Yearly Cost
$ 196,087
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