CTR062177 - MARICOPA COUNTY - A2.PDF

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
COVID-19 Vaccinations
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:
1. Pursuant to the Terms and Conditions, Provision Four (4) Contract Administration and Operation, Section 4.2.
Contract Renewal, the following changes are made under this Amendment Two (2):
1.1. The Agreement is hereby extended through 06/30/2025.
2. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, Section 6.1. Amendments, Purchase Orders
and Change Orders, the following changes are made under this Amendment Two (2):
2.1. The Scope of Work is hereby revised and replaced;
2.2. The Price Sheet is hereby revised and replaced;
2.3. Exhibit A is hereby revised and replaced;
2.4. Exhibit B is hereby revised and replaced;
2.5. Exhibit C is hereby revised and replaced;
2.6. Exhibit D is hereby revised and replaced;
2.7. Exhibit E is hereby revised and replaced; and
2.8. Exhibit F is added.
ALL CHANGES ARE MARKED BELOW IN RED
All other provisions of this agreement remain unchanged.
Maricopa County Public Health Department
Contractor Name: County Authorized Signature
4041 N. Central Avenue, Suite 1400
Address: Print Name
Phoenix AZ 85012
City State Zip Title and Date
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined This Intergovernmental Agreement Amendment shall be
that this Intergovernmental Agreement is in proper form and is within the powers and effective the date indicated. The Public Agency is hereby
authority granted under the laws of Arizona cautioned not to commence any billable work or provide any
material, service or construction under this IGA until the IGA has
1

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Procurement Officer
Contract No.: CTR062177 IGA Amendment No.: Two (2)
Nathaniel Thomas
been executed by an authorized ADHS signatory.
State of Arizona
Signature Date
Signed this day of 2024.
Print Name
Procurement Officer
Contract No.: CTR062177, which is an Agreement between public agencies, has been
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has
determined that it is in proper form and is within the powers and authority granted
under the laws of the State of Arizona.
Signature Date
Assistant Attorney General
Print Name
2

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Scope of Work
1. Background
The Arizona Immunization Program Office (AIPO) has contracted with County Health Departments (Contractor)
since 1993 to provide immunization-related services. The Scope of Services reflects activities necessary to
reach the national immunization goals and objectives outlined by the Centers for Disease Control and
Prevention (CDC) and the U.S. Department of Health and Human Services Healthy People website. All
objectives and related activities identified in this Scope of Services include the Contractor as well as all public
health entities involved with immunizations within the Contractor's jurisdiction.
2. Objective
2.1 Enhance program stewardship and accountability for all publicly-purchased vaccine in support of the
Vaccines for Children Program (VFC) and the Vaccines for Adults Program (VFA);
2.1 Provide vaccines to children and adults in accordance with recommendations of the CDC Advisory Committee
on Immunization Practices (ACIP);
2.2 Assess and improve immunization coverage levels for children and adults;
2.3 Assure access to vaccines for eligible populations in Arizona; and
2.4 Prevent and control Vaccine-Preventable Diseases (VPD).
3. Scope of Service
The services shall be provided throughout the Contractor's jurisdiction. The tasks described herein are provided
to outline the services required and shall not be considered to be either comprehensive or restrictive to
innovation or creativity on the part of the Contractor in the preparation of the work plan. The tasks, activities
and deliverables shall be performed according to the state fiscal funding year of July - June.
4. Tasks
The Contractor shall provide:
4.1 Activity One (1) - VPD Outbreak and Pandemic Preparedness
4.1.1 The Contractor shall assist in VPD outbreaks and pandemic responses in coordination with
equivalent county public health preparedness programs and other relevant partners. Immunization
staff will contribute, when asked, to the development or revision of county public health
preparedness program response plans. Preparedness activities may include mass vaccination
exercises, identification of priority groups and hard-to-reach populations for immunization, and
identification of critical infrastructure personnel,
4.1.2 Provide Supplemental Adult Flu activities as defined by the County Health Department and
approved by the Immunization Program Office, to increase the flu vaccination rates for adults,
especially high-risk adults, within the county. These efforts are intended to help keep
hospitalization rates for flu down during the COVID-19 pandemic,
3

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
4.1.3 Improve vaccine cold storage capacity to include purchase of storage units (refrigerator, freezer
[NOT ultra-cold freezer]), generators, portable refrigeration units. These efforts are intended to help
keep vaccines viable during the COVID-19 pandemic,
4.1.4 Increase capacity for data entry and reminder recall activities, to include but not limited to additional
staffing, or purchase of hardware and software equipment to accomplish this task. These efforts
are intended to help track immunization data during the COVID-19 pandemic,
4.1.5 Enhance COVID-19 vaccination capability (or capacity). Funds can be utilized for staffing,
materials/supplies, equipment, and travel related to efforts to successfully vaccinate adults and
children within the community,
4.1.6 Enhance COVID-19 vaccination capability (or capacity) and throughput. The COVID-19
Vaccination Supplemental Funding (SUP Funds) can be utilized for but is not limited to the
following: staffing, materials/supplies, equipment, and travel related to efforts to successfully
vaccinate adults within the community, and
4.1.7 To improve vaccine equity within local jurisdictions local health departments serving racial and
ethnic communities at increased risk of COVID-19 will implement their plans (previously provided
to AIPO), to collaborate with other (non-immunization focused) programs within the local health
departments or local government that have established community engagement programs,
initiatives, or reach into those communities. Additionally, local health departments will hire a
Vaccine Equity Coordinator who will coordinate efforts within the county. The COVID-19
Vaccination Equity Funding (EQUITY Funds) can also be utilized for but not limited to: staffing,
materials/supplies, travel and general operating costs (capital outlay not allowed with this funding).
4.1.8 Enhance COVID-19 vaccination capability (or capacity). The Bridge Access Program funds can be
utilized for but is not limited to the following: staffing, materials/supplies, equipment, and travel
related to efforts to successfully vaccinate uninsured adults within the community.
5. Requirements
The activities in this Agreement shall be performed by the Contractor, or its partners, for the purpose of
increasing immunization coverage levels of children zero through eighteen (0–18) years of age and adults nineteen
(19) years of age and older in both the public and private sectors of health care. Funds shall be used for
immunization- related services and activities and in accordance with any federal and state regulations.
6. Deliverables
Complete and submit, within thirty (30) days (but no later than forty-five (45) days) of the end of each quarter, a
quarterly Contractor’s Expenditure Report (CER), with supporting documentation, listing all immunization
activities and reports for which reimbursement is due (refer to Exhibit One, Scheduled Reports Delivery) The
Contractor is expected to use the funds received from the CER for immunization-related services and activities
and in accordance with federal and state regulations;
4

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
7. Notices, Correspondence, and Reports
7.1. Notices, correspondence, reports and invoices/CERs from the contractor to ADHS shall be sent to:
David Reyman, Contract Management Specialist
Immunization Program Office
Arizona Department of Health Services
150 N. 18th Avenue, Suite 260
Phoenix AZ 85007
Telephone: (602) 364-3626
Fax: (602) 364-3285
David.reyman@azdhs.gov
7.2. Notices, correspondence, and reports (and payments if sent to same address) from ADHS to the contractor
shall be sent to:
Lori Rehder,
Maricopa County Public Health Department
Attn: Immunization Coordinator
4041 N. Central Ave., Suite 1400
Phoenix, AZ 85012
Phone: 602-506-6934
Email: lori.rehder@maricopa.gov
5

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Price Sheet
Activity Frequency Unit Rate Unit of Measure Total
Total Personnel/ERE;
Salary/Fringe – May claim only
salary and fringe benefits for Yearly N/A Total UP TO
immunization program staff/other $31,111,264.00
staff who work to meet contract
requirements
Not to exceed
allocation=
Supplemental flu vaccination As needed by N/A Total $1,005,000.00
activities. (SAIF Funds) June 30, 2025 (minus any payout
from previous
contract)
Improve vaccine cold storage Not to exceed
capacity; increase capacity for As needed by allocation=
data entry and reminder recall June 30, 2025 N/A Total $125,000.00 (minus
activities (IDEAS Funds) any payout from
previous contract)
Not to exceed
allocation=
Enhance VFC/COVID-19 As needed by N/A Total $1,216,200.00
activities (VIP Funds) June 30, 2025 (minus any payout
from previous
contract)
Not to exceed
IZCOVIDSUP (SUP Funds) allocation=
Enhance COVID-19 activities As needed by N/A Total $10,000,000.00
and throughput June 30, 2025 (minus any payout
from previous
contract)
Not to exceed
IZCOVID4 COVID-19 allocation=
Vaccination Equity Funding As needed by N/A Total $16,000,000.00
(Equity Funds) June 30, 2025 (minus any payout
from previous
contract)
Bridge Access Program As needed by Not to exceed
Administration Fee and December 31, N/A Total allocation=
operating costs for COVID-19 2024 $2,765,064.00
Vaccine to uninsured adults (specific to county)
*Prices may be reviewed and adjusted annually over the term of the Agreement
6

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Exhibit A
Exhibit A - 2 CFR 200.332 (Health Equity)
"§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information
at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward
modification. When some of this information is not available, the pass-through entity must provide the best information
available to describe the Federal award and subaward.
Prime Awardee: Arizona Department of Health Services
UEI # QMWUG1AMYF65
Federal Award Identification (Grant Number): 6 NH23IP922599-02-04
Subrecipient name (which must match the name
associated with its unique entity identifier): Maricopa County
Subrecipient's unique entity identifier (UEI #): LM85MG1513K5
Federal Award Identification Number (FAIN, sometimes
it’s the same as the Grant Number): NH23IP922599
Federal Award Date (see the definition of Federal award
date in § 200.1 of this part) of award to the recipient by
the Federal agency; 03/31/2021
Subaward Period of Performance Start and End Date; 07/01/2019 – 06/30/2025
Subaward Budget Period Start and End Date: 07/01/2020 – 06/30/2025
Amount of Federal Funds Obligated by this action by the
pass-through entity to the subrecipient (this is normally
the contract amount): $16,000,000.00
Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current financial obligation (how much is available for
contracts): $11,298,059.00
7

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity $147,085,219.00
Federal award project description, as required to be
responsive to the Federal Funding Accountability and CDC-RFA-IP19-1901 Immunizations and
Transparency Act (FFATA) Vaccines for Children
Name of Federal awarding agency, pass-through entity,
and contact information for awarding official of the Pass- Centers for Disease Control and
through entity Prevention
Assistance Listings number and Title; the pass-through
entity must identify the dollar amount made available
under each Federal award and the Assistance Listings 93.268 Immunization Cooperative
Number at time of disbursement: Agreement
Identification of whether the award is R&D No
Indirect cost rate for the Federal award (including if the
de minimis rate is charged) per § 200.414 10%
8

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Exhibit B
Exhibit B - 2 CFR 200.332 (Maricopa IDEAS)
"§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information
at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward
modification. When some of this information is not available, the pass-through entity must provide the best information
available to describe the Federal award and subaward.
Prime Awardee: Arizona Department of Health Services
UEI # QMWUG1AMYF65
Federal Award Identification (Grant Number): 6 NH23IP922599-02-01
Subrecipient name (which must match the name
associated with its unique entity identifier): Maricopa County
Subrecipient's unique entity identifier (UEI #): LM85MG1513K5
Federal Award Identification Number (FAIN, sometimes
it’s the same as the Grant Number): NH23IP922599
Federal Award Date (see the definition of Federal award
date in § 200.1 of this part) of award to the recipient by
the Federal agency; 09/30/2020
Subaward Period of Performance Start and End Date; 07/01/2019 – 06/30/2025
Subaward Budget Period Start and End Date: 07/01/2020 – 06/30/2025
Amount of Federal Funds Obligated by this action by the
pass-through entity to the subrecipient (this is normally
the contract amount): $125,000.00
9

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current financial obligation (how much is available for
contracts): $8,992,059.00
Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity $12,181,923.00
Federal award project description, as required to be
responsive to the Federal Funding Accountability and CDC-RFA-IP19-1901 Immunizations and
Transparency Act (FFATA) Vaccines for Children
Name of Federal awarding agency, pass-through entity,
and contact information for awarding official of the Pass- Centers for Disease Control and
through entity Prevention
Assistance Listings number and Title; the pass-through
entity must identify the dollar amount made available
under each Federal award and the Assistance Listings 93.268 Immunization Cooperative
Number at time of disbursement: Agreement
Identification of whether the award is R&D
Indirect cost rate for the Federal award (including if the
de minimis rate is charged) per § 200.414
10

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Exhibit C
Exhibit C - 2 CFR 200.332 (Maricopa SAIF)
"§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information
at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward
modification. When some of this information is not available, the pass-through entity must provide the best information
available to describe the Federal award and subaward.
Prime Awardee: Arizona Department of Health Services
UEI # QMWUG1AMYF65
Federal Award Identification (Grant Number): 6 NH23IP922599-02-01
Subrecipient name (which must match the name
associated with its unique entity identifier): Maricopa County
Subrecipient's unique entity identifier (UEI #): LM85MG1513K5
Federal Award Identification Number (FAIN, sometimes
it’s the same as the Grant Number): NH23IP922599
Federal Award Date (see the definition of Federal award
date in § 200.1 of this part) of award to the recipient by
the Federal agency; 06/04/2020
Subaward Period of Performance Start and End Date; 07/01/2019 – 06/30/2025
Subaward Budget Period Start and End Date: 07/01/2020 – 06/30/2025
Amount of Federal Funds Obligated by this action by the
pass-through entity to the subrecipient (this is normally
the contract amount): $1,005,000.00
11

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current financial obligation (how much is available for
contracts): $4,718,951.00
Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity $10,903,078.00
Federal award project description, as required to be
responsive to the Federal Funding Accountability and CDC-RFA-IP19-1901 Immunization and
Transparency Act (FFATA) Vaccines for Children
Name of Federal awarding agency, pass-through entity,
and contact information for awarding official of the Pass- Centers for Disease Control and
through entity Prevention (CDC)
Assistance Listings number and Title; the pass-through
entity must identify the dollar amount made available
under each Federal award and the Assistance Listings 93.268 Immunization Cooperative
Number at time of disbursement: Agreement
Identification of whether the award is R&D No
Indirect cost rate for the Federal award (including if the
de minimis rate is charged) per § 200.414 0%
12

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Exhibit D
Exhibit D - 2 CFR 200.332 (Maricopa SUP)
"§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information
at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward
modification. When some of this information is not available, the pass-through entity must provide the best information
available to describe the Federal award and subaward.
Prime Awardee: Arizona Department of Health Services
UEI # QMWUG1AMYF65
Federal Award Identification (Grant Number): 6 NH23IP922599-02-03
Subrecipient name (which must match the name
associated with its unique entity identifier): Maricopa County
Subrecipient's unique entity identifier (UEI #): LM85MG1513K5
Federal Award Identification Number (FAIN, sometimes
it’s the same as the Grant Number): NH23IP922599
Federal Award Date (see the definition of Federal award
date in § 200.1 of this part) of award to the recipient by
the Federal agency; 01/15/2021
Subaward Period of Performance Start and End Date; 07/01/2019 – 06/30/2025
Subaward Budget Period Start and End Date: 07/01/2020 – 06/30/2025
Amount of Federal Funds Obligated by this action by the
pass-through entity to the subrecipient (this is normally
the contract amount): $10,000,000.00
13

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current financial obligation (how much is available for
contracts): $11,298,059.00
Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity $81,315,802.00
Federal award project description, as required to be
responsive to the Federal Funding Accountability and CDC-RFA-IP19-1901 Immunizations and
Transparency Act (FFATA) Vaccines for Children
Name of Federal awarding agency, pass-through entity,
and contact information for awarding official of the Pass- Centers for Disease Control and
through entity Prevention
Assistance Listings number and Title; the pass-through
entity must identify the dollar amount made available
under each Federal award and the Assistance Listings 93.268 Immunization Cooperative
Number at time of disbursement: Agreement
Identification of whether the award is R&D No
Indirect cost rate for the Federal award (including if the
de minimis rate is charged) per § 200.414 10%
14

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Exhibit E
Exhibit E - 2 CFR 200.332 (Maricopa VIP)
"§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information
at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward
modification. When some of this information is not available, the pass-through entity must provide the best information
available to describe the Federal award and subaward.
Prime Awardee: Arizona Department of Health Services
DUNS # QMWUG1AMYF65
Federal Award Identification (Grant Number): 6 NH23IP922599-02-02
Subrecipient name (which must match the name
associated with its unique entity identifier): Maricopa County
Subrecipient's unique entity identifier (DUNS #): LM85MG1513K5
Federal Award Identification Number (FAIN, sometimes
it’s the same as the Grant Number): NH23IP922599
Federal Award Date (see the definition of Federal award
date in § 200.1 of this part) of award to the recipient by
the Federal agency; 09/23/2020
Subaward Period of Performance Start and End Date; 07/01/2019 – 06/30/2025
Subaward Budget Period Start and End Date: 07/01/2020 – 06/30/2025
Amount of Federal Funds Obligated by this action by the
pass-through entity to the subrecipient (this is normally
the contract amount): $1,216,200.00
15

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current financial obligation (how much is available for
contracts): $11,298,059.00
Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity $15,546,386.00
Federal award project description, as required to be
responsive to the Federal Funding Accountability and CDC-RFA-IP19-1901 Immunization and
Transparency Act (FFATA) Vaccines for Children
Name of Federal awarding agency, pass-through entity,
and contact information for awarding official of the Pass- Centers for Disease Control and
through entity Prevention (CDC)
Assistance Listings number and Title; the pass-through
entity must identify the dollar amount made available
under each Federal award and the Assistance Listings 93.268 Immunization Cooperative
Number at time of disbursement: Agreement
Identification of whether the award is R&D No
Indirect cost rate for the Federal award (including if the
de minimis rate is charged) per § 200.414 0%
16

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Exhibit F
Exhibit F - 2 CFR 200.332
"§ 200.332
Requirements for pass-through entities.
All pass-through entities must:
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information
at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward
modification. When some of this information is not available, the pass-through entity must provide the best information
available to describe the Federal award and subaward.
Prime Awardee: Arizona Department of Health Services
UEI # QMWUG1AMYF65
Federal Award Identification (Grant Number): 6 NH23IP922599-05-01
Subrecipient name (which must match the name
associated with its unique entity identifier): Maricopa County
Subrecipient's unique entity identifier (DUNS #): LM85MG1513K5
Federal Award Identification Number (FAIN, sometimes
it’s the same as the Grant Number): NH23IP922599
Federal Award Date (see the definition of Federal award
date in § 200.1 of this part) of award to the recipient by
the Federal agency; 08/01/2023
Subaward Period of Performance Start and End Date; 07/01/2019 – 12/31/2024
Subaward Budget Period Start and End Date: 08/29/2023 – 12/31/2024
Amount of Federal Funds Obligated by this action by the
pass-through entity to the subrecipient (this is normally
the contract amount): $2,765,064.00
Total Amount of Federal Funds Obligated to the
subrecipient by the pass-through entity including the
current financial obligation (how much is available for
contracts): $8,426,507.00
17

ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES
150 18th Ave Suite 530
Amendment Phoenix, Arizona 85007
Contract No.: CTR062177 IGA Amendment No.: Two (2) Procurement Officer
Nathaniel Thomas
Total Amount of the Federal Award committed to the
subrecipient by the pass-through entity $8,426,507.00
Federal award project description, as required to be
responsive to the Federal Funding Accountability and CDC-RFA-IP19-1901 Immunizations
Transparency Act (FFATA) Vaccines for Children
Name of Federal awarding agency, pass-through entity,
and contact information for awarding official of the Pass- Centers for Disease Control and
through entity Prevention
Assistance Listings number and Title; the pass-through
entity must identify the dollar amount made available
under each Federal award and the Assistance Listings 93.268 Immunization Cooperative
Number at time of disbursement: Agreement
Identification of whether the award is R&D NO
Indirect cost rate for the Federal award (including if the
de minimis rate is charged) per § 200.414 10%
18