DES AMENDMENT 4 FOR WIOA SFY17 ALLOCATION.PDF

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DEPARTMENT OF ECONOMIC SECURITY
Your Partner For A Stronger Arizona
Intergovernmental Agreement
CONTRACT AMENDMENT
1. CONTRACTOR (Name and address) 2. CONTRACT ID NUMBER
Maricopa County DI16-002124
234 North Central Ave, Suite 3000
Phoenix, Arizona 85004 3. AMENDMENT NUMBER
4
4. THE PARTIES AGREE TO THE FOLLOWING AMENDMENT
Pursuant to Section 6.0 Manner of Financing, Paragraph 6.2 the purpose of this amendment is to increase fund
balances for the following Program Year (PY) and Fiscal Year (FY):
PY 2016 AD Admin $49,651
PY 2016 YT Admin $427,131
PY 2016 DW Admin $98,385
FY 2017 AD Adm in $340,266
FY 2017 DW Admin $524,218
PY 2016 Youth $3,844,184
PY 2016 Adult $446,865
FY 2017 Adult $3,062,398
PY 2016 DW $885,469
FY 2017 OW $4,717,959
PY 2016 RR $118,063
FY 2017 RR $629,061
This is an increase of $15,143,650
The reimbursement ceiling is increased from $25,108,269 to $40,251,919
Attachment B, Allocation by Program and Fiscal Year, updated 6/17/2016 is revised and attached and reflects all
current totals by Program and Fiscal Year.
Pursuant to Section 4.0 Amendments or Modification, the following Term is added.
Debarment and Suspension (Executive Orders 12549 and 12689)—A contract award (see 2 CFR 180.220) must not be
made to parties listed on the government wide exclusions in the System for Award Management (SAM), in accordance
with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and
12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties
debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or
regulatory authority other than Executive Order 12549.
The Department may, by written notice to the Contractor, immediately terminate this Contract if ADES determines that
the Contractor has been debarred, suspended, or otherwise lawfully prohibited from participating in any public
procurement activity, including but not limited to, being disapproved as a subcontractor of any public procurement unit
or other governmental body. If the contractor becomes suspended or debarred, the Contractor shall immediately notify
ADES. Contractors must not make any award or permit any award (sub-recipient or vendor) at any tier to any party
which is debarred or suspended or is otherwise excluded from or ineligible for participation in Federal assistance
programs under Executive order 12549 and 12689.

The Contractor certifies to the best of its knowledge and belief, that it and it's sub-recipients:
a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
by any Federal department or agency;
b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment
rendered against them for commission of fraud or a criminal office in connection with obtaining, attempting
to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, or receiving stolen property;
c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal,
State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification;
and
d) Have not within a three-year period preceding this application/proposal had one or more public transactions
(Federal, State or local) terminated for cause of default,
5. EXCEPT AS PROVIDED HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT AS HERETOFORE CHANGED AND/OR
AMENDED REMAIN UNCHANGED AND IN FULL FORCE AND EFFECT. THE AMENDMENT SHALL BECOME EFFECTIVE ON THE DATE
OF LAST SIGNATURE UNLESS OTHERWISE SPECIFIED HEREIN. BY SIGNING THIS FORM ON BEHALF OF THE CONTRACTOR, THE
SIGNATORY CERTIFIES HE/SHE HAS THE AUTHORITY TO BIND THE CONTRACTOR TO THIS CONTRACT.
6, 7. NAME OF CONTRACTOR
ARIZONA DEPARTMENT OF ECONOMIC SECURITY Maricopa County
SIGNATURE OF AUTHORIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL
TYPED NAME TYPED NAME
TITLE TITLE
DATE DATE
IN ACCORDANCE WITH ARS §11-952 THIS CONTRACT AMENDMENT HAS BEEN REVIEWED BY THE UNDERSIGNED WHO HAVE DETERMINED THAT THIS
CONTRACT AMENDMENT IS IN APPROPRIATE FORM AND WITHIN THE POWERS AND AUTHORITY GRANTED TO EACH RESPECTIVE PUBLIC BODY.
ARIZONA ATTORNEY GENERAL'S OFFICE
BY: BY:
ASSISTANT ATTORNEY GENERAL PUBLIC AGENCY LEGAL COUNSEL
DATE: DATE:
DI16-002124 A4

Attachment B - WIOA Allocation by Program and Fiscal Year Vendor Name: Maricopa County
Updated: 6/17/2016 Contract if DI16-002124
Note : The final close out packet for the PY15/FY16 allocation Is due to DES on or before 8/01/2018
'PY/FY Year Program Amount Begin Date End Date Final Expenditure / Cash Report Submission Date
PY 2015 AD Admin $ 33,079 07/01/15 06/30/17 August 15, 2017
PY 2015 YT Admin $ 423,199 04/01/15 06/30/17 August 15, 2017
PY 2015 DW Admin $ 91,865 07/01/15 06/30/17 August 15, 2017
FY 2016 AD Admin $ 362,725 10/01/15 06/30/17 August 15, 2017
FY 2016 DW Admin $ 506,311 10/01/15 06/30/17 August 15, 2017
PY 2015 Youth $ 3,808,793 04/01/15 06/30/17 August 15, 2017
PY 2015 Adult 297,712 07/01/15 06/30/17 August 15, 2017
FY 2016 Adult $ 3,264,529 10/01/15 06/30/17 August 15, 2017
pY 2015 OW $ 826,786 07/01/15 06/30/17 August 15, 2017
FY 2016 OW $ 4,556,800 10/01/15 06/30/17 August 15, 2017
PY 2015 RR $ 103,348 07/01/15 06/30/17 August 15, 2017
FY 2016 RR $ 569,600 10/01/15 06/30/17 August 15, 2017
TOTAL ..,114;844;747.
Funding provided by U.S Department of Labor
Attachment B - WIOA Allocation by Program and Fiscal Year
DI16-002124 A3
Note : The final close out packet for the PY14/FY15 allocation is due to DES on or before 8/01/2017
PY/FY Year Program Amount Begin Date End Date Final Expenditure / Cash Report Submission Date
PY 2014 AD Admin $ 23,676 07/01/14 06/30/16 August 15, 2016
PY 2014 YT Admin $ 275,026 04/01/14 06/30/16 August 15, 2016
PY 2014 DW Admin $ 67,656 07/01/14 06/30/16 August 15, 2016
FY 2015 AD Admin $ 246,587 10/01/14 06/30/16 August 15, 2016
FY 2015 DW Admin $ 126,043 10/01/14 06/30/16 August 15, 2016
PY 2014 Youth $ 3,117,120 04/01/14 06/30/16 August 15, 2016
PY 2014 Adult $ 136,085 07/01/14 06/30/16 August 15, 2016
FY 2015 Adult $ 1,421,737 10/01/14 06/30/16 August 15, 2016
PY 2014 DW $ 589,512 07/01/14 06/30/16 August 15, 2016
FY 2015 DW $ 1,768,500 10/01/14 06/30/16 August 15, 2016
FY 2015 DW to Adult $ 1,913,954 10/01/14 06/30/16 August 15, 2016
PY 2014 RR 76,010 07/01/14 06/30/16 August 15, 2016
FY 2015 RR $ 469,973 10/01/14 06/30/16 August 15, 2016
FY 2015 DW NAT RES $ 31,643 10/01/15 06/30/16 August 15, 2016
TOTAL -=-10,263,527 -
DI16-002124 A4
Note : The final close out packet for the PY16/FY17 allocation is due to DES on or before 8/01/2019
PY/FY Year Program Amount Begin Date End Date Final Expenditure / Cash Report Submission Date
PY 2016 AD Admin $ 49,651 07/01/16 06/30/18 August 15, 2018
PY 2016 Yr Admin 427,131 04/01/16 06/30/18 August 15, 2018
PY 2016 DW Admin $ 98,385 07/01/16 06/30/18 August 15, 2018
Pt 2017 AD Admin $ 340,266 10/01/16 06/30/18 August 15, 2018
FY 2017 DW Adrnin $ 524,218 10/01/16 06/30/18 August 15, 2018
PY 2016 Youth $ 3,844,184 04/01/16 06/30/18 August 15, 2018
PY 2016 Adult $ 446,865 07/01/16 06/30/18 August 15, 2018
FY 2017 Adult $ 3,062,398 10/01/16 06/30/18 August 15, 2018
PY 2016 DW $ 885,469 07/01/16 06/30/18 August 15, 2018
FY 2017 OW $ 4,717,959 10/01/16 06/30/18 August 15, 2018
PY 2016 RR $ 118,063 07/01/16 06/30/18 August 15, 2018
FY 2017 RR $ 629,061 10/01/16 06/30/18 August 15, 2018
_
TOTAL • - 15,143,550 .