UPDATED VERSION 10-31-2016 EXPERIENCEMATTERSPROGAGREEMENT.DOCX

Intel Encore Fellow
Host Organization Program Agreement
Date November 3, 2016
Host Organization Name: Maricopa County
Encore Fellow Name: Mitzi Smith
Experience Matters (Program Operator) is a non-profit agency which places older workers in
fellowships with non-profits and local governmental entities that need the assistance of
experienced workers. Program Operator has approved Maricopa County (Program Participant),
a political subdivision for participation in the Encore Fellowships Program. The placement will
be sponsored by Intel which shall pay all funds directly to Program Operator. This letter is a
legally binding agreement (Agreement) and is effective upon our receipt of an original of this
Agreement, signed by an authorized representative of your organization.
The following are the Terms and Conditions of this Agreement including the program reporting
requirements. Please read and initial or sign where indicated.
TERMS AND CONDITIONS
Purpose: To support the Program Participant on the Interpreter Services
– Business Analyst project as described in their application.
Encore Fellow Name: Mitzi Smith
Fellowship Period: November 7, 2016 – November 7, 2017
Conditions: Program Participant will (please initial):
Designate a lead staff person who will be responsible for
reporting and communicating with the Program Operator.
Attend an Encore Fellow Program Orientation with your Encore
Fellow hosted by Program Operator.
Deliver a jointly authored project Statement of Work within the
first 30 days of the fellowship Start Date.
Provide the necessary support that allows the Encore Fellow to
accomplish the goals and expected outcomes as outlined in the
Statement of Work

Conditions (cont.): Program Participant will (please initial):
Submit Surveys and Project Report in a timely manner as
outlined in the Report Schedule section of the Agreement.
Attend periodic Host Organization Community of Practice
meetings hosted by Program Operator to share experiences,
best practices and provide feedback on the program.
Notify Experience Matters when issues arise that are
impeding progress towards achieving the goals outlined in
the Statement of Work.
Conditions: Program Operator will:
• Support the project by providing match consulting,
coaching, and mentoring as required.
• Partner to resolve any issues that may arise during the
engagement.
 Provide Nonprofit Education, Networking and Mentoring to
the Fellow through periodic cohort meetings as well as
additional opportunities.
Conditions: Program Operator shall ensure that Encore Fellow executes the
Maricopa County Experience Matters Encore Fellowship Program
Acknowledgement Form (Attachment A) acknowledging and
agreeing to the terms of this Agreement prior to commencing the
Encore Fellowship. By this Agreement, Program Operator and the
Program Participant agree that to be eligible for reimbursement as
set forth below, the Encore Fellow shall also:
• Commit to approximately 1000 hours to the Program
Participant over the fellowship engagement period.
• Complete the project as outlined in the Statement of Work.
 Adhere to all Program Participant’s policies and procedures
including but not restricted to confidentiality, fingerprinting
and background checks.
Publicity, Name Use: All publicity (e.g., press releases, media events, etc.) will be
coordinated with Experience Matters prior to release.
Payment Obligations: Program Operator will:
Pay $25,000 to the Encore Fellow in equal monthly installments
at a rate of approximately $2,084 per month beginning in
November 2016 and ending in November 2017.

Report Schedule: Program Participant shall file Statement of Work Goals and
Objectives updates and Narrative summaries and the final end-of-
year report for the full grant period in a timely manner according to
the following schedule:
Report (please initial): Due Date:
Statement of Work December 7, 2016
4-Month Online Survey April 7, 2017
Mid-Term Report June 7, 2017
Final Online Survey November 7, 2017
Final Report November 7, 2017
Report templates will be provided during the Encore Fellow Program Orientation session. All
reports should be submitted to Gloria Aksentowitz, Match Quality Manager by email at
gaksentowitz@emaz.org.
Termination: This Agreement is effective November 7, 2016 through November
7, 2017. The Program Operator or the Program Participant may
terminate this Agreement without cause and without intervention
of the courts upon thirty (30) days written notice to the other
party. If the Program Participant should breach any material
provision of this Agreement, the Program Operator may terminate
this Agreement if the Program Participant fails to cure such breach
within thirty (30) days after receiving written notice of such breach.
Indemnification: To the fullest extent permitted by law, each party shall defend,
indemnify, and hold harmless the other party, its agents,
representatives, officers, directors, officials, and employees for,
from and against all claims, damages, losses and expenses,
including, but not limited to, attorneys’ fees, court costs, expert
witness fees, and the cost of appellate proceedings, relating to,
arising out of, or alleged to have resulted from the negligent acts,
errors, omissions or mistakes relating to the performance of this
Agreement. Each party’s duty to defend, indemnify and hold
harmless the other party, its agents, representatives, officers,
directors, officials, and employees shall arise in connection with any
claim, damage, loss or expense that is attributable to bodily injury,
sickness, disease, death, or injury to, impairment, or destruction of
property, including loss of use resulting therefrom, caused by any
negligent acts, errors, omissions or mistakes in the party’s
performance of this Agreement including any person for whose

acts, errors, omissions or mistakes a party may be legally liable.
Insurance: Both parties shall maintain insurance or funded self-insurance as
follows: (i) commercial general liability insurance coverage with
minimum limits of $1,000,000 per occurrence and $3,000,000
annual aggregate; (ii) professional liability insurance coverage with
minimum limits of $1,000,000 per occurrence and $3,000,000
annual aggregate; and (iii) workers’ compensation insurance to
cover obligations imposed by federal and state statutes applicable
to the respective party’s employees engaged in the Program. Upon
written request, a party shall provide to the other party a certificate
of insurance evidencing such insurance coverage. Each party shall
endeavor to provide thirty (30) calendar days prior written notice
to the other party of any modification or termination of required
insurance.
Please direct all future communications concerning this agreement to Gloria Aksentowitz,
Match Quality Manager by email at gaksentowitz@emaz.org. On behalf of our staff, let me
express how delighted we are to support your organization’s work.
Sincerely,
Name: Sally Clifford
Title: Experience Matters Program Director
Date:
Accepted on behalf of Maricopa County
AUTHORIZED SIGNATURE
Name: Address:
Title:
Date:

ATTACHMENT A
MARICOPA COUNTY EXPERIENCE MATTERS
ENCORE FELLOWSHIP PROGRAM ACKNOWLEDGMENT FORM
By signing this form I, __________________________________________, acknowledge the following:
1. The Maricopa County Encore Fellowship Program (the “Program”) is approximately 12 months, for a minimum
of 1000 hours per year (not to exceed 24 hours per week), beginning November 7, 2016 and concluding
November 7, 2017.
2. I have reviewed the terms and conditions of the Intel Encore Fellow Host Organization Agreement and agree
to be bound by the terms and conditions stated therein.
3. In order to successfully complete the Program, I am required to participate for the duration of the term of the
Program.
4. I have been notified of where I can view Maricopa County policies. If I fail to comply with any rules,
regulations, policies, or procedures of the County, such failure may result in disciplinary action, up to and
including dismissal from the Program.
5. Transportation to and from the Program is my sole responsibility, and shall not be the responsibility of the
County.
6. I am responsible for maintaining my own health insurance throughout the entire term of my participation in
the Program. In the event I am injured while on Maricopa County property, I will immediately notify my
assigned Program supervisor. I understand and agree that Maricopa County is under no obligation to provide
me medical services or transportation to obtain medical services.
7. I understand I have the responsibility to act professionally and appropriately at all times while participating in
the Program. If at any time I feel I am being treated unprofessionally or inappropriately, I have the right and
responsibility to report this directly to the Department of Human Resources.
8. I am not an employee of the County and therefore I will not be entitled any benefits normally associated with
employment with the County, such as, but not limited to, wellness programs, paid leave accrual, commuter
benefits, and health, behavioral health, pharmacy, vision, dental, life, and short term disability insurance
programs. Also, I will not be entitled to enroll in the Arizona State Retirement System or the County’s
deferred compensation retirement plan as a result of my participation in the Program.
9. I am not entitled to any wages from the County and I will not be eligible for unemployment compensation
benefits when my fellowship ends, even if the County terminates my services.
10. My fellowship is at will, terminable at any time, and participation in or completion of the Program does not
entitle me to a job with the County or any of the protections afforded by A.R.S. § 11-351 et seq. (Arizona laws
governing county employee merit systems) or the Maricopa County Employee Merit System.
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ATTACHMENT A
MARICOPA COUNTY EXPERIENCE MATTERS
ENCORE FELLOWSHIP PROGRAM ACKNOWLEDGMENT FORM
11. I understand that I may be exposed to confidential information while participating in the Program and I agree
to respect the confidential nature of all information whether in hardcopy or electronic form which may be
revealed to me in any manner. I also agree not to remove such information via copies or by other recording
means from County work locations.
12. Experience Matters and Maricopa County may exchange personal information about me, including
information from resume, in connection with my placement and participation in the Program.
13. I understand that there are certain dangers, hazards and risks associated with my participation in the Program.
I further understand that all risks cannot be prevented. I have considered the risks associated with
participating in the Program and knowingly and voluntarily assume all said risks. On behalf of myself, and my
family, heirs, assigns, and personal representatives, I hereby agree to indemnify, hold harmless, release from
liability and waive any legal action against Maricopa County, its governing board, officers, agents and
employees (collectively, “the Released Parties”) for any personal injury, death, or property damage I may
suffer, due to any cause, including but not limited to the negligence of the Released Parties, arising out of or in
any way connected to my participation in the Program or while in transit to or from the site location(s) of the
Program.
I understand that by signing this document I am representing that I have read and understand all of its terms and
conditions and that I fully intend to be bound by the same. I also understand that I may consult with an attorney
prior to signing this document.
Signature: _______________________________________________ Date: ____________________
Print Name: ______________________________________________
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