IGA WITH TOWN OF GILA BEND.PDF

INTERGOVERNMENTAL AGREEMENT
BETWEEN
MARICOPA COUNTY
ADMINISTERED BY ITS
HUMAN SERVICES DEPARTMENT
AND
TOWN OF GILA BEND
Contract Number: _________________________
Contract Amount: $ 35,000
Contract Start Date: July 1, 2016
Contract Termination Date: June 30, 2017
DUNS Number: _086483542
This Intergovernmental Agreement (IGA) for Services (“Agreement”) is entered into by and between Town
of Gila Bend (hereinafter referred to as the “Contractor”), and Maricopa County, administered by its Human
Services Department, (hereinafter referred to as the “County”). The Contractor and County are collectively
referred to herein as the “Parties” and individually as a “Party.”
WHEREAS, the County is empowered by Arizona Revised Statutes §§ 11-251 and 11-952 et seq. to enter
into this Agreement and has delegated the undersigned the authority to execute this Agreement on behalf of
the County.
WHEREAS, the Contractor is empowered by Arizona Revised Statutes §§ 9-240, 9-500.11, 11-952 and 46-
241 et seq. to enter into this Agreement, and has by resolution, delegated the undersigned the authority to
execute this Agreement on behalf of the Contractor.
The Contractor, for and in consideration of the covenants and conditions set forth in this Agreement, shall
provide and perform the services set forth herein. All rights and obligations of the Parties shall be governed
by the terms of this Agreement, its Exhibits, Attachments, and Appendices, including any Subcontracts,
Amendments, or Change Orders as set forth herein and in:
Section I – General Provisions
Section II – Special Provisions
Section III – Work Statement
Section IV – Compensation
Section V – Attachments
Section VI – Exhibits
Contractor Rep: Michael Celaya, Town Manager
Phone: 928-683-2255
Address: P.O. Box A
City/Town State & Zip Gila Bend, AZ 85337
E-Mail: mcelaya@gilabendaz.org
Maricopa County: Sandra Mendez, Assistant Director
Phone: 602-506-2316
Address: 234 North Central, Suite 3000, Phoenix, AZ 85004
E-Mail: mendezs002@mail.maricopa.gov
Notices under this Agreement shall be given by personal delivery or by registered or certified mail postage
prepaid and return receipt requested, to the persons at the addresses set forth above and shall be effective
three (3) days after being mailed, unless otherwise indicated in the notice.
1

This Agreement contains all the terms and conditions agreed to by the Parties. No other understanding, oral
or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or to bind either Party
hereto. Nothing in this Agreement shall be construed as consent to any lawsuit or waiver of any defense in
any lawsuit brought against the State of Arizona, the County, or the Contractor in any State or federal court.
IN WITNESS THEREOF, the Parties have signed this Agreement:
Approved By: Approved By:
TOWN OF GILA BEND MARICOPA COUNTY
______________________________________ _____________________________________
Mayor Chairman, Board of Supervisors
______________________________________ _____________________________________
Date Date
Attested to: Attested to:
_____________________________________ ______________________________________
Town Clerk Date Clerk, Board of Supervisors Date
In accordance with A.R.S. §§ 11-952, 11-201, and 11-251, this agreement has been reviewed by the
undersigned attorney(s) who has determined that this Agreement is in proper form and within the power and
authority granted under the laws of the state of Arizona.
APPROVED AS TO FORM: APPROVED AS TO FORM:
_____________________________________ _____________________________________
Town Attorney Date Deputy County Attorney Date
2

SECTION I
GENERAL PROVISIONS
Maricopa County
Human Services Department
3

Section I General Provisions
A. PURPOSE
The purpose of this Agreement is to provide cash reimbursement to the City/Town for funds
expended on the provision of Community Action Program services to include Crisis Case Management
and Financial Assistance Services in the Community Service Area (CSA) more fully described in
Attachment E. Services eligible for reimbursement are the services identified Section III, Work
Statement.
B. EFFECT
To the extent that the Special Provisions are in conflict with the General Provisions, the Special
Provisions shall control. To the extent that the Work Statement is in conflict with the General
Provisions or the Special Provisions, the Work Statement shall control. To the extent that the
Compensation Provisions are in conflict with the General Provisions, Special Provisions, or Work
Statement, the Compensation Provisions shall control. Nothing herein shall operate to increase the
Operating Budget without a written amendment thereto.
C. DEFINITIONS
As used throughout this Agreement, the following words and terms shall have the following
meanings:
1. ADES means Arizona Department of Economic Security
2. Assistant Director means the means the Assistant Director of the Community Services
Division of the Maricopa County Human Services Department.
3. Department means the Maricopa County Human Services Department.
4. Director means the Director of the Maricopa County Human Services Department.
5. Division means the Community Services Division (CSD) of the Maricopa County Human
Services Department.
6. Equipment means all vehicle, furniture, machinery, electronic data processing (EDP)
equipment, software and all other equipment costing $5,000 or more, including all normal and
necessary expenses incurred to make the equipment ready for its intended use (e.g., taxes,
freight, installation, assembly and testing charges, etc.), and with a useful life of greater than
one year. Equipment as used herein does not include real property (e.g., land, building,
structures, or facilities’ improvement).
7. Handbook means the Maricopa County Human Services Department/Community Services
Division Policy & Procedure Handbook
8. Subcontract means any contract entered into by the Contractor with a third party for
performance of any of the work or the provision of any of the services under this Agreement.
9. Subcontractor means an entity employed by or funded through the Contractor to perform
any of the work or provide any of the services under this Agreement.
10. Vulnerable Adult means an individual who is eighteen years of age or older and who is unable
to protect himself from abuse, neglect or exploitation by others because of a physical or mental
impairment. Vulnerable adult includes an incapacitated person as defined in A.R.S. 14-5101.
11. Work Statement means Section III of this Agreement which describes the services to be
delivered under this Agreement.
D. GENERAL REQUIREMENTS
1. The terms of this Agreement shall be construed in accordance with Arizona law. Any lawsuit
arising out of this Agreement shall be brought in the appropriate court in Maricopa County,
Arizona.
2. Contractor shall, without limitation, obtain and maintain all licenses, permits and authority
necessary to do business, render services and perform work under this Agreement, and shall
comply with all laws regarding unemployment insurance, disability insurance, and workers’
compensation.
4

Section I General Provisions
3. Contractor is an independent contractor in the performance of all work and the provision of
all services under this Agreement and Contractor shall not be considered an officer, employee,
representative, or agent of the County.
4. Contractor shall not make any payments, either directly or indirectly, to any person,
partnership, corporation, trust or other organization that has a substantial interest in
Contractor's organization or with which Contractor (or any of its directors, officers, owners,
trust certificate holders or a relative thereof) has a substantial interest, unless Contractor has
made full written disclosure of the proposed payments to the County and has received written
approval therefore.
5. For purposes of this provision, the terms "substantial interest" and "relative" shall have the
meanings prescribed by A.R.S. § 38-502.
E. TERM/EFFECTIVE DATE/RENEWAL LIFE OF THE AGREEMENT
1. The term of this is Agreement is from July 1, 2016 to June 30, 2017. The Agreement is
effective when executed by all of the parties. The Agreement may be extended for three (3)
additional one-year terms, upon written agreement of the parties.
2. The Contractor shall not provide services prior to Agreement term commencing or after the
end date of the Agreement. (No billable activity outside of the effective dates).
3. Upon execution of this Agreement and incurring allowable expenses within the Agreement
term, the Contractor shall invoice the County per Section IV, Compensation, under this
Agreement.
F. AMENDMENTS
All Amendments to this Agreement shall be in writing and signed by the Parties.
G. SUBCONTRACTING
No right, liability, obligation or duty under this Agreement may be assigned, delegated or
subcontracted, in whole or in part, without the prior written approval of the County. Contractor shall
bear all liability under this Agreement, even if it is assigned, delegated, or subcontracted, in whole or
in part, unless the County agrees otherwise.
H. AVAILABILITY OF FUNDS
1. The provisions of this Agreement relating to the payment for services shall become effective
when funds assigned for the purpose of compensating the Contractor, as provided herein, are
actually available to the County for disbursement. The Director shall be the sole authority in
determining the availability of funds under this Agreement and the County shall keep the
Contractor fully informed as to the availability of funds.
2. If any action is taken by any State agency, federal department or any other agency or
instrumentality to suspend, decrease or terminate its fiscal obligation under, or in connection
with this Agreement, the Board of Supervisors may amend, suspend, decrease or terminate its
obligations under or in connection with this Agreement. In the event of termination, the
County shall be liable for payment only for services rendered prior to the effective date of the
termination, provided that such services performed are in accordance with the provisions of
this Agreement. The County shall give written notice of the effective date of any suspension,
amendment, or termination under this section at least ten (10) calendar days in advance.
I. NON-APPROPRIATION OF FUNDS
Notwithstanding any other provision herein, this Agreement may be terminated without liability if
the County does not appropriate sufficient monies for the purpose of maintaining this Agreement.
J. BUDGET ADJUSTMENTS
5

Section I General Provisions
Any requests for reasonable budget adjustments shall be submitted ninety (90) days prior to the
expiration date of this Agreement. Requests for financial adjustments to this Agreement shall be
supported by appropriate documentation. If the County agrees to the budget adjustments, the County
shall follow section D of this Agreement to amend this Agreement.
K. DISPUTES
In the event that any dispute arises out of this Agreement or involves a recipient of services under
the terms of this Agreement the Parties shall meet and confer in an effort to resolve the dispute. In
the event that such efforts to resolve the dispute are unsuccessful, the Parties shall resolve the
dispute by arbitration pursuant to A.R.S. § 12-1518(A).
L. DUNS NUMBER AND SYSTEM FOR AWARD MANAGEMENT REGISTRATION
Funding for activities under this Agreement are provided through Federal Health and Human Services.
All Contractors that receive federal funding must obtain a Data Universal Numbering System (DUNS)
number through http://fedgov.dnb.com/webform. Contractor must also be register and remain
current with the System for Award Management (SAM) www.sam.gov a database of basic business
information for contractors that receive federal funds. All contractors shall provide their DUNS
Number with proposal submittal. For additional information regarding SAM visit this website:
https://www.sam.gov/sam/transcript/Quick_Guide_for_Grants_Registrations.pdf
M. TERMINATION
1. Either Party may terminate this Agreement at any time by giving the other Party at least sixty
(60) calendar days prior notice in writing (unless terminated by the Board of Supervisors
under the Availability of Funds provision). The notice shall be given by personal delivery or
by registered or certified mail, postage prepaid and return receipt requested, to the persons at
the addresses set forth on Page One of this Agreement.
2. This Agreement may be terminated by mutual written agreement of the Parties specifying
the termination date therein.
3. The County has the right to terminate this Agreement upon twenty-four (24) hour notice
when the County deems the health or welfare of the service recipients are endangered or the
Contractor’s non-compliance jeopardizes funding source financial participation. If not
terminated by one of the above methods, this Agreement will terminate upon the expiration
of the term of this Agreement stated on Page One of this Agreement.
N. TERMINATION FOR DEFAULT
The County may, by written notice of default to the Contractor, terminate this contract in whole or
in part if the Contractor fails to:
1. Deliver the supplies or to perform the services within the time specified in this contract or
any extension;
2. Make progress, so as to endanger performance of this contract; or
3. Perform any of the other provisions of this contract.
4. The County’s right to terminate this contract under these subparagraph may be exercised if
the Contractor does not cure such failure within 10 days (or more if authorized in writing by
the County) after receipt of the notice from the Procurement Officer specifying the failure.
O. STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST
Notice is given that pursuant to A.R.S. § 38-511 the County may cancel any Contract without penalty or
further obligation within three years after execution of the contract, if any person significantly involved
in initiating, negotiating, securing, drafting or creating the contract on behalf of the County is at any
time while the Contract or any extension of the Contract is in effect, an employee or agent of any other
party to the Contract in any capacity or consultant to any other party of the Contract with respect to the
subject matter of the Contract. Additionally, pursuant to A.R.S § 38-511 the County may recoup any
6

Section I General Provisions
fee or commission paid or due to any person significantly involved in initiating, negotiating, securing,
drafting or creating the contract on behalf of the County from any other party to the contract arising as
the result of the Contract.
P. SEVERABILITY
Any provision of this Agreement that is determined to be invalid, void or illegal by a court shall in no
way affect, impair or invalidate any other provision hereof, and the remaining provisions shall remain in
full force and effect.
Q. STRICT COMPLIANCE
The County’s acceptance of Contractor’s performance that is not in strict compliance with the terms of
this Agreement shall not be deemed to waive the requirements of strict compliance for all future
performance. All changes in performance obligations under this Agreement shall be in writing and
signed by both Parties.
R. NON-LIABILITY
The County, its officers, representatives, agents and employees shall not be liable for any act or
omission by Contractor, or any Subcontractor or any officer, representative, agent, or employee of the
Contractor or any Subcontractor that relates to this Agreement, and shall not be liable for any
purchases or contracts made by Contractor, any Subcontractor, or any officer, representative, agent, or
employee of Contractor or any Subcontractor, in connection with this Agreement.
S. INDEMNIFICATION
1. Each Party (as "indemnitor") agrees to indemnify, defend, and hold harmless the other Party
(as "indemnitee") from and against any and all claims, losses, liability, costs, or expenses
(including reasonable attorney's fees) (hereinafter collectively referred to as "claims") arising
out of the negligent performance of this Agreement, but only to the extent that such claims
which result in vicarious/derivative liability to the indemnitee are caused by the act,
omission, negligence, misconduct, or other fault of the indemnitor, its officers, officials,
agents, employees, or volunteers.
2. .The amount and type of insurance coverage requirements set forth herein will in no way be
construed as limiting the scope of the indemnity in this paragraph.
3. The scope of this indemnification does not extend to the sole negligence of County.
T. INSURANCE REQUIREMENTS
1. Contractor, shall purchase and maintain the herein stipulated minimum insurance from a
company or companies duly licensed by the State of Arizona and possessing a current A.M.
Best, Inc. rating of B++6. In lieu of State of Arizona licensing, the stipulated insurance may
be purchased from a company or companies who are authorized to do business in the State
of Arizona, provided that said insurance companies meet the approval of County. The form
of any insurance policies and forms must be acceptable to County.
2. All insurance required herein shall be maintained in full force and effect until all work or
service required to be performed under the terms of the Agreement is satisfactorily
completed and formally accepted. Failure to do so may, at the sole discretion of County,
constitute a material breach of this Agreement.
3. Contractor’s insurance shall be primary insurance as respects County, and any insurance or
self-insurance maintained by County shall not contribute to it.
4. Any failure to comply with the claim reporting provisions of the insurance policies or any
breach of an insurance policy warranty shall not affect coverage afforded under the
insurance policies to protect County.
5. The insurance policies may provide coverage that contains deductibles or self-insured
retentions. Such deductible and/or self-insured retentions shall not be applicable with
7

Section I General Provisions
respect to the coverage provided to County under such policies. Contractor shall be solely
responsible for the deductible and/or self-insured retention and County, at its option, may
require Contractor to secure payment of such deductibles or self-insured retentions by a
surety bond or an irrevocable and unconditional letter of credit.
6. County reserves the right to request and to receive, within 10 working days, certified copies
of any or all of the herein required insurance certificates. County shall not be obligated to
review policies and/or endorsements or to advise Contractor of any deficiencies in such
policies and endorsements, and such receipt shall not relieve Contractor from, or be deemed
a waiver of County’s right to insist on strict fulfillment of Contractor’s obligations under this
Agreement.
7. The insurance policies required by this Agreement, except Workers’ Compensation, shall
name County, its agents, representatives, officers, directors, officials and employees as
Additional Insured’s.
8. The policies required hereunder, except Workers’ Compensation, shall contain a waiver of
transfer of rights of recovery (subrogation) against County, its agents, representatives,
officers, directors, officials and employees for any claims arising out of Contractor’s work or
service.
9. The Contractor’s policies shall stipulate that the insurance afforded the Contractor shall be
primary insurance and that any insurance carried by the County, its agents, officials,
employees or the State of Arizona shall be excess and not contributory insurance, as
provided by A.R.S. § 41-621 (E).
10. Coverage provided by the Contractor shall not be limited to the liability assumed under the
indemnification provisions of this Agreement.
11. Commercial General Liability:
a. Commercial General Liability insurance and, if necessary, Commercial Umbrella
insurance with a limit of not less than $2,000,000 for each occurrence, $2,000,000
Products/Completed Operations Aggregate, and $4,000,000 General Aggregate Limit.
The policy shall include coverage for premises liability, bodily injury, broad form
property damage, personal injury, products and completed operations and blanket
contractual coverage, and shall not contain any provisions which would serve to limit
third party action over claims. There shall be no endorsement or modifications of the
CGL limiting the scope of coverage for liability arising from explosion, collapse, or
underground property damage.
12. Workers’ Compensation:
a. Workers’ Compensation insurance to cover obligations imposed by federal and state
statutes having jurisdiction of Contractor’s employees engaged in the performance of
the work or services under this Agreement; and Employer’s Liability insurance of not
less than $1,000,000 for each accident, $1,000,000 disease for each employee, and
$1,000,000 disease policy limit.
b. Contractor waives all rights against County and its agents, officers, directors and
employees for recovery of damages to the extent these damages are covered by the
Workers’ Compensation and Employer’s Liability or commercial umbrella liability
insurance obtained by Contractor pursuant to this Agreement.
13. Sexual Molestation And Physical Abuse:
a. When services involve working with these groups of individuals, the insurance
requirements in the Agreement need to be revised to include coverage for "sexual
molestation and physical abuse". Coverage for this type of claim, or allegation, is
excluded from standard general liability policies. Therefore, Contractor whose services
include working with and/or caring for children/elderly and disabled persons should
have their policies specifically endorsed to include this coverage.
14. Commercial General Liability – Occurrence Form:
8

Section I General Provisions
Policy shall include bodily injury, property damage and broad form contractual liability
coverage.
15. The policy shall be endorsed to include coverage for physical/sexual abuse and
molestation.
16. The policy shall be endorsed to include the following additional insured language:
"(Maricopa County), its subsidiary, parent, associated and/or affiliated entities, successors, or
assigns, its elected officials, trustees, employees, agents, and volunteers shall be named as
additional insureds with respect to liability arising out of the activities performed by, or on
behalf of the Contractor".
Minimum Limits:
General Aggregate $4,000,000
Each Occurrence Limit $2,000,000
Sexual Abuse/Molestation $2,000,000
17. Certificates of Insurance:
a. Upon Agreement execution, Contractor shall furnish the County with valid and
complete certificates of insurance or formal endorsements as required by the
Agreement, issued by Contractor’s insurer(s), as evidence that policies providing the
required coverage, conditions and limits required by this Agreement are in full force and
effect. Such certificates shall identify this Agreement number and title.
b. Prior to commencing work or services under this Agreement, Contractor shall have
insurance in effect as required by the Agreement in the form provided by the County,
issued by Contractor’s insurer(s), as evidence that policies providing the required
coverage, conditions and limits required by this Agreement are in full force and effect.
Such certificates shall be made available to the County upon ten (10) business days. By
signing the agreement page the Contractor agrees to this requirement and failure to meet
this requirement will result in cancellation of agreement.
c. In the event any insurance policy(ies) required by this Agreement is (are) written on a
“claims made” basis, coverage shall extend for two years past completion and
acceptance of Contractor’s work or services and as evidenced by annual Certificates of
Insurance.
d. If a policy does expire during the life of the Agreement, a renewal certificate must be
sent to County fifteen (15) days prior to the expiration date.
18. Cancellation and Expiration Notice:
a. Insurance required herein shall not be permitted to expire, be canceled, or materially
changed without thirty (30) days prior written notice to the County.
b. If the Contractor provides professional or semi-professional personal services under this
agreement for which malpractice or professional liability coverage is available, such as
medical, psychiatric, or legal services, Contractor shall carry minimum liability coverage
of $2,000,000 each occurrence and provide the County with proof of coverage.
19. Subcontractors:
Contractor’s certificate(s) shall include all subcontractors as insureds under its policies or
Contractor shall furnish to the State of Arizona separate certificates for each subcontractor.
All coverages for subcontractors shall be subject to the minimum requirements identified
above.
20. Approval:
Any modification or variation from the insurance requirements in any Agreement must have
prior approval from the County whose decision shall be final. Such action will not require a
formal Agreement amendment, but may be made by administrative action.
21. EXCEPTION: In the event the Contractor(s) is a public entity, then the Insurance
Requirements shall not apply. Such public entity shall provide a Certificate of Self-Insurance.
9

Section I General Provisions
U. SINGLE AUDIT ACT REQUIREMENTS
Contractors in receipt of federal funds through the County are subject to the federal audit requirements
of the Single Audit Act of 1984, as amended (Pub. L. No. 98-502) (codified at 31 U.S.C. §§ 7501, et seq.).
Contractor shall comply with 2 CFR 200 Subpart F. Upon completion, such audits shall be made
available for public inspection. Audits shall be submitted to the County within the twelve (12) months
following the close of the fiscal year. Contractor shall take corrective actions within six (6) months of
the date of receipt of the reports. The County shall consider sanctions as described in 2 CFR 200.505
for Contractor’s not in compliance with the audit requirements.
V. AUDIT DISALLOWANCES
If at any time, County determines that a cost for which payment has been made is a disallowed cost,
such as overpayment, County shall notify the Contractor in writing of the disallowance. The County
shall also state the means of correction, which may be but shall not be limited to adjustment of any
future claim submitted by the Contractor by the amount of the disallowance, or to require repayment of
the disallowed amount by the Contractor.
W. LOBBYING
1. No federal appropriated funds have been paid or will be paid by or on behalf of the Contractor
to any person for influencing or attempting to influence an officer or employee of any agency,
a member of Congress, an officer or employee of Congress, or an employee of a member of
Congress in connection with the awarding of any federal contract, the making of any federal
grant, the making of any federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any federal contract, grant,
loan, or cooperative agreement.
2. If any funds, other than federal appropriated funds, have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
member of Congress, an officer or employee of Congress, or an employee of a member of
Congress in connection with any federal contract, grant, loan or cooperative agreement, the
Contractor shall complete and submit OMB Form-LLL, titled "Disclosure of Lobbying
Activities," in accordance with its instructions and 31 U.S.C. § 1352.
X. RELIGIOUS ACTIVITIES
Contractor warrants that none of its costs and none of the costs incurred by any of its Subcontractors
will include any expense for any religious activity.
Y. POLITICAL ACTIVITY PROHIBITED
None of the funds, materials, property or services contributed by the County or Contractor under this
Agreement shall be used for any partisan political activity, or to further the election or defeat of any
candidate for public office.
Z. COVENANT AGAINST CONTINGENT FEES
Contractor warrants that no person or entity has been employed or retained by it to solicit or secure
this Agreement upon an agreement or understanding for a commission, percentage, brokerage or
contingent fee. For breach or violation of this warranty, the County may immediately terminate this
Agreement without liability.
AA. SAFEGUARDING OF PARTICIPANT INFORMATION
1. The Contractor shall observe and abide by all applicable State and federal statues, rules and
regulations regarding the use or disclosure of information including, but not limited to,
information concerning applicants for and recipients of contracted services. To the extent
permitted by law, the Contractor shall release information to the County, Department, Arizona
10

Section I General Provisions
Department of Economic Security (ADES), and to the Attorney’s General’s Office as required
by the terms of this Agreement, by law or upon their request.
2. The Contractor shall comply with the requirements of the Arizona Address Confidentiality
Program, A.R.S. § 41-161 et. seq. the Department will advise the Contractor as to applicable
policies and procedures ADES has adopted for such compliance.
BB. RIGHTS IN DATA
The County shall have the use of data and reports resulting from this Agreement without cost or other
restriction, except as otherwise provided by law or applicable regulation. Each Party shall supply to the
other Party, upon request, any available information that is relevant to this Agreement and to the
performance hereunder.
CC. COPYRIGHTS
If this Agreement results in a book or other written material, the author is free to copyright the work,
but the County reserves a royalty-free, nonexclusive, perpetual and irrevocable license to reproduce,
publish, and otherwise use and to authorize others to use, all copyrighted material and all material that
may be copyrighted as a result of this Agreement.
DD. PATENTS
Any discovery or invention arising out of, or developed in the course of, work under this Agreement
shall be promptly and fully reported to the County for determination as to whether patent protection
on such invention or discovery shall be sought and how the rights in the invention or discovery,
including rights under any patent issued thereon, shall be disposed of and administered, in order to
protect the public interest.
EE. WARRANTY OF SERVICES
1. The Contractor warrants that all services provided hereunder will conform to the requirements
of the Agreement, including all descriptions, specifications and attachments made a part of this
Agreement. County’s acceptance of services or goods provided by the Contractor shall not
relieve the Contractor from its obligations under this warranty.
2. In addition to its other remedies, County may, at the Contractor's expense, require prompt
correction of any services failing to meet the Contractor's warranty herein. Services corrected
by the Contractor shall be subject to all the provisions of this Agreement in the manner and to
the same extent as services originally furnished hereunder.
FF. CONTINGENCY RELATING TO OTHER CONTRACTS AND GRANTS
1. Contractor shall, during the term of this Agreement, immediately inform the Assistant Director
in writing of the award of any other agreement or grant, including any other agreement or
grant awarded by the County, where the award may affect either the direct or indirect costs
being paid or reimbursed under this Agreement. Contractor’s failure to notify the County of
any such agreement shall be a breach of this Agreement and the County may immediately
terminate this Agreement without liability.
2. The Assistant Director may request, and Contractor shall provide within a reasonable time,
which shall not exceed ten (10) working days, a copy of all such other agreements or grants,
when, in the opinion of the Assistant Director, the award of the agreement or grant may affect
the costs being paid or reimbursed under this Agreement.
3. If the Assistant Director determines that the award to Contractor of such other agreement or
grant has affected the costs being paid or reimbursed under this Agreement, the Assistant
Director shall prepare an amendment to this Agreement effecting a cost adjustment. If the
Contractor disputes the proposed cost adjustment, the dispute shall be resolved pursuant to
the "Disputes" section of this Agreement.
11

Section I General Provisions
GG. CONTRACT COMPLIANCE MONITORING
1. The County shall monitor Contractor's compliance with, and performance under, the terms of
this Agreement. On-site visits for compliance monitoring may be made by the County and/or
its grantor agencies at any time during Contractor's normal business hours, announced or
unannounced.
2. The Contractor shall make available for inspection and/or copying by the County's monitors,
all records and accounts relating to the work performed or the services provided under this
Agreement, or for similar work and/or service provided under other grants and Contracts.
HH. MINIMUM WAGE REQUIREMENTS
The Contractor warrants that it shall pay all its employees who are performing work or providing
services under this Agreement not less than the minimum wage specified under Section 206(a)(1) of the
Fair Labor Standards Act of 1938, as amended (29 U.S.C. §§ 201, et seq.) by law, regulation or
Executive Order 13658.
II. OFFSHORE PERFORMANCE OF WORK PROHIBITED
Due to security and identity protection concerns, direct services under this Agreement shall be
performed within the borders of the United States. Any services that are described in the specifications
or scope of work that directly serve the State of Arizona or its clients and may involve access to secure
or sensitive data or personal client data or development or modification of software for the State shall
be performed within the borders of the United States. Unless specifically stated otherwise in the
specifications, this definition does not apply to indirect or “overhead” services, redundant back-up
services or services that are incidental to the performance of the Contract. The provision applies to
work performed by subcontractors at all tiers.
JJ. GRIEVANCE PROCEDURE
Contractor shall establish a system through which applicants for and recipients of services may present
grievances and may take appeals about eligibility and other aspects of Contractor's work under this
Agreement. The grievance procedure shall include provisions for notifying the applicants for and
recipients of services of their eligibility or ineligibility for service and their right to appeal to the County
if the grievance is not satisfied by Contractor.
KK. NON-DISCRIMINATION
The Contractor, in connection with any service or other activity under this Agreement, shall not in any
way, discriminate against any person on the grounds of race, color, religion, sex, national origin, age,
disability, political affiliation or belief. The Contractor shall include this clause in all of its Subcontracts.
LL. EQUAL EMPLOYMENT OPPORTUNITY
The Contractor shall not discriminate against any employee or applicant for employment because of
race, age, disability, color, religion, sex sexual identity, gender identity, or national origin. The
Contractor shall take affirmative action to ensure that applicants are employed and that employees are
treated during employment without regard to their race, age, disability, color, religion, sex, sexual
identity, gender identity or national origin. Such action shall include, but is not limited to, the following:
employment, upgrading, demotion or transfer, recruitment or recruitment advertising, lay-off or
termination, rates of pay or other forms of compensation, and selection for training, including
apprenticeship. The Contractor shall, to the extent such provisions apply, comply with Title VI and VII
of the Civil Rights Act of 1964, as amended (42 U.S.C. §§ 2000a, et seq.); the Rehabilitation Act of
1973, as amended (29 U.S.C. §§ 701, et seq.); the Age Discrimination in Employment Act of 1967, as
amended (29 U.S.C. §§ 621, et seq.); the Americans With Disabilities Act of 1990 (42 U.S.C. §§ 12101,
et seq.); and Executive Orders 11375 amending Executive Order 11246 and implementing regulations
at 41 CFR part 60, as well as, Arizona Executive Order 99-4, which mandates that all persons shall
have equal access to employment opportunities.
12

Section I General Provisions
MM. FINANCIAL MANAGEMENT
Contractor shall establish and maintain a separate, interest-bearing bank account for money provided
under this Agreement, or shall establish an accounting system that assures the safeguarding and
accountability of all money and assets provided under this Agreement. No part of the money deposited
in the bank account shall be commingled with other funds or money belonging to Contractor. All
interest earned on the account shall be disbursed in a manner specified by the County in accordance
with applicable State and federal regulations. Contractor shall provide a signed bank account agreement
authorizing the County to obtain information about the account. If an accounting system is used, it
shall be in accordance with generally accepted accounting principles.
NN. RETENTION OF RECORDS
1. This provision applies to all financial and programmatic records, supporting documents,
statistical records and other records of Contractor that relate to this Agreement.
2. Contractor shall retain all records related to this Agreement for six (6) years after final payment
or until after the resolution of any audit questions, which could be more than six (6) years,
whichever is longer. The County, federal and State auditors, and any other persons duly
authorized by the County shall have full access to and the right to examine, copy and make use
of any and all of the records.
OO. ADEQUACY OF RECORDS
If Contractor’s books, records and other documents related to this Agreement are not sufficient to
support and document that allowable services were provided to eligible participants, Contractor shall
reimburse the County for the services not supported and documented.
PP. EQUIPMENT PURCHASES
Procurement of equipment with funds received under this Agreement, and for a cost equal to or greater
than $1000, is prohibited under this Agreement.
QQ. MATERIAL AND SUPPLIES
1. Material means all property, including equipment, supplies, printing, insurance, and leases of
property but does not include land, a permanent interest in land or real property or leasing
space.
2. Procurement of equipment with a cost less than $1000 is considered materials and supplies.
3. Individual procurements, purchased with funds provided under this Agreement, of less than
$300 require oral price quotations from two (2) or more vendors. The Contractor shall keep
and maintain a record of the vendors’ verbal quotations.
4. Individual procurements equal to or in excess of $300 but less than $1000, purchased with
funds provided under this Agreement, are subject to a system of written quotes. Contractor
shall keep and maintain a record of the vendors’ written quotations.
5. Contractor shall take affirmative steps to provide an opportunity for minorities, women, and
small businesses to compete in the procurement of equipment and supplies under this
Agreement.
RR. PROPERTY
1. Any County property furnished or purchased pursuant to the terms of this Agreement shall be
utilized, maintained, repaired, and accounted for in accordance with instructions furnished by
the County, and title to all such property shall revert to the County upon the expiration or
termination of this Agreement The costs to repair such property are the responsibility of
Contractor within the limits budgeted herein.
13

Section I General Provisions
2. Any Contractor property furnished or purchased pursuant to the terms of the Contract shall be
utilized, maintained, repaired and accounted for by the Contractor. Repair costs of such
property shall be the responsibility of the Contractor.
SS. IMMIGRATION LAWS AND REGULATIONS
1. Federal Immigration and Nationality Act
a. The Parties understand and acknowledge the applicability of the Immigration Reform and
Control Act of 1986 (IRCA). The Parties agree to comply with the IRCA in performing
under this Agreement and to permit the other Party to inspect personnel records to verify
such compliance.
b. By entering into this Agreement, both Parties warrant compliance with the Federal
Immigration and Nationality Act (FINA) and all other Federal immigration laws and
regulations related to the immigration status of its employees. Both Parties shall obtain
statements from their subcontractors certifying compliance and shall furnish the
statements to the Procurement Officer upon request. These warranties shall remain in
effect through the term of the Agreement. Both Parties and their subcontractors shall
also maintain Employment Eligibility Verification forms (I-9) as required by the U.S.
Department of Labor’s Immigration and Control Act for all employees performing work
under the Agreement. I-9 forms are available for download at USCIS.GOV.
c. The Parties may request verification of compliance for any employee or subcontractor
performing work under the Agreement. Should either Party suspect or find that the
other Party or any of its subcontractors are not in compliance, then the Party may
pursue any and all remedies allowed by law, including, but not limited to: suspension of
work, termination of the Agreement for default, and suspension and/or debarment of
the other Party. All costs necessary to verify compliance are the responsibility of the
Contractor or its subcontractor.
2. Arizona Law: The Contractor warrants that it is in compliance with A.R.S. § 41-4401 (e-verify
requirements) and further acknowledges:
a. That Contractor and its Vendors, if any, warrant their compliance with all federal
immigration laws and regulations that relate to their employees and their compliance with
A.R.S. § 23-214;
b. That a breach of a warranty under subsection 1 above, shall be deemed a material breach
of this Agreement and the County may immediately terminate this Agreement without
liability;
c. That the County and any contracting government entity retains the legal right to inspect
the papers and employment records of any Contractor or Vendors employee who works
on this Agreement to ensure that the Contractor or Vendors is complying with the
warranty provided under subsection 1 above and that the Contractor agrees to make all
papers and employment records of said employee(s) available during normal working
hours in order to facilitate such an inspection.
TT. DRUG FREE WORKPLACE ACT
Contractor shall comply with the Drug-Free Workplace Act of 1988 (41 U.S.C. §§ 701, et seq.), which
requires that Contractors and grantees of federal funds must certify that they will provide drug-free
workplaces. This certification is a precondition to receiving a grant or entering into this Agreement.
UU. GOVERNOR’S EXECUTIVE ORDER NO. 88-26
Contractor shall use the Arizona Taxonomy of Human Services for reporting and contracting purposes.
VV. EMPLOYMENT DISCLAIMER
1. This Agreement is not intended to constitute, create, give rise to, or otherwise recognize a joint
venture agreement, partnership, or other business association or organization of any kind
14

Section I General Provisions
between the Parties, and the rights and obligations of the Parties shall be only those expressly
set forth in this Agreement.
2. The Contractor agrees that no individual performing under this Agreement on behalf of
Contractor may be considered a County agent, employee, or representative and that no rights
of County civil service, County retirement, or County personnel rules shall accrue to or apply
to any such individual. Contractor shall have total responsibility for all salaries, wages, bonuses,
retirement, withholdings, workers’ compensation, occupational disease compensation,
unemployment compensation, other employee benefits, and all taxes and premiums
appurtenant thereto concerning such individuals and Contractor shall indemnify, defend and
hold harmless the County with respect thereto.
WW. CERTIFICATION REGARDING DEBARMENT, SUSPENSION INELIGIBILITY AND
VOLUNTARY EXCLUSION
1. The undersigned, by signing this Agreement, represents that he/she has the authority to bind
Contractor to the terms of this Certification. Contractor, as the primary participant in
accordance with 45 C.F.R. Part 76, certifies to the best of its knowledge and belief that it and
its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any federal department or agency;
b. Have not within a 3-year period preceding the Start Date of this Agreement, been
convicted of or had a civil judgment rendered against them for (1) the commission of
fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (federal, State, or local) transaction or contract under a public
transaction; (2) the violation of any federal or State antitrust statutes or (3) the commission
of embezzlement, theft, forgery, bribery, falsification or destruction of records, making
false statements, or receiving stolen property;
c. Are not presently indicted or otherwise criminally or civilly charged by a governmental
entity (federal, State, or local) with the commission of any of the offenses enumerated in
subparagraph 2 above; and
d. Have not, within a three-year period preceding this Start Date of this Agreement, had one
or more public transactions (federal, State, or local) terminated for cause or default.
2. The Contractor agrees to include, without modification, this clause in all lower tier covered
transactions (i.e. transactions with subcontractors) and in all solicitations for lower tier covered
transactions related to this Agreement.
XX. CERTIFICATION REGARDING DEBARMENT, SUSPENSION INELIGIBILITY AND
VOLUNTARY EXCLUSION
The undersigned by signing and submitting this Agreement has the authority to certify the Contractor
to the terms, representations and/or warrants of this Certification. The Contractor, defined as the
primary participant in accordance with 45 C.F.R. Part 76, certifies to the best of its knowledge and
belief that it and its principals:
1. are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any federal department or agency;
2. have not within a three-year period preceding this Agreement been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense 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;
3. are not presently indicted or otherwise criminally or civilly charged by a governmental entity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (2)
of this certification; and
15

Section I General Provisions
4. have not within a three-year period preceding this Agreement had one or more public
transactions (Federal, State, or local) terminated for cause or default.
5. shall immediately notify the County if, at any time during the term of this Agreement, it is
debarred, suspended, declared ineligible, or voluntarily excluded from participation, The
County may pursue available remedies in the event of such occurrence, including immediate
termination of this Agreement.
6. shall not enter into a subcontract with a person or organization that is debarred, suspended,
declared ineligible, or voluntarily excluded from participation. The County may pursue
available remedies in the event of such occurrence, including immediate termination of this
Agreement.
The Contractor shall include without modification this Certification’s language, entitled “Certification
Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion – Lower Tier Covered
Transactions,” with all subgrantees or other contractors; in all lower tier covered transactions and in all
solicitations for lower tier covered transactions in accordance with 45 C.F.R. Part 76.
Should the Contractor not be able to provide this Certification, an explanation as to why shall be
immediately provided to the County, Attention: Community Services Assistant Director, 234 N. Central
Ave., Third Floor, Phoenix, AZ 85004.
YY. VERIFICATION REGARDING COMPLIANCE WITH ARIZONA REVISED STATUTES § 41-
4401 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS
1. By entering into this Agreement, Contractor represents and warrants that it is in compliance
with the Immigration and Nationality Act (INA using e-verify.) and all other federal and State
immigration laws and regulations related to the immigration status of its employees and A.R.S.
§23-214(A). Contractor shall obtain statements from its Subcontractors certifying such
compliance and shall furnish the statements to the County upon request. These representations
and warranties shall remain in effect throughout the term of this Agreement. Contractor and
its Subcontractors shall also maintain Employment Eligibility Verification forms (I-9), as
required by the U.S. Department of Labor’s Immigration Reform and Control Act of 1986, as
amended from time to time, for all employees performing work under the Contract and verify
employee compliance using the E-verify system and shall keep a record of the verification for
the duration of the employee’s employment or at least three years, whichever is longer. I-9
forms are available for download at USCIS.GOV.
2. The County retains the legal right to inspect contractor and subcontractor employee
documents performing work under this Agreement to verify compliance with this Section.
Contractor and subcontractor shall be given reasonable notice of the County’s intent to inspect
and shall make the documents available at the time and date specified. Should the County
suspect or find that the Contractor or any of its subcontractors are not in compliance, the
County will consider this a material breach of the contract and may pursue any and all
remedies allowed by law, including, but not limited to: suspension of work, termination of the
Contract for default, and suspension and/or debarment of the Contractor. All costs necessary
to verify compliance are the responsibility of the Contractor.
ZZ. CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO
INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS
1. The Contractor agrees that this Agreement and employees working on this Agreement will be
subject to the whistleblower rights and remedies in the pilot program on contractor employee
whistleblower protections established at 41 U.S.C. § 4712 by section 828 of the National
Defense Authorization Act for Fiscal Year 2013 (Pub. L. 112–239) and section 3.908 of the
Federal Acquisition Regulation;
16

Section I General Provisions
2. Contractor shall inform its employees in writing, in the predominant language of the
workforce, of employee whistleblower rights and protections under 41 U.S.C. § 4712, as
described in section 3.908 of the Federal Acquisition Regulation. Documentation of such
employee notification must be kept on file by Contractor and copies provided to County upon
request; and
3. Contractor shall insert the substance of this clause, including this paragraph (3), in all
subcontracts over the simplified acquisition threshold ($150,000 as of September 2013).
17

SECTION II
SPECIAL PROVISIONS
Maricopa County
Human Services Department
18

Section II Special Provisions
A. STANDARDS
Contractor shall perform the work and provide the services as identified in Section III, the Work
Statement, and shall immediately notify the County whenever the Contractor is unable to, or
anticipates an inability to, perform any of the work or provide any of the services required by the
terms of this Agreement.
B. FEES AND PROGRAM INCOME
Unless specifically authorized in the Agreement, the Contractor shall not impose fees or charges of any
kind upon recipient for contracted services.
C. COMPLIANCE WITH LAWS, RULES & REGULATIONS
Contractor shall comply with all applicable laws, rules, and regulations, without limitation, to those
designated within this Agreement.
D. IT 508 COMPLIANCE
Unless specifically authorized in the Contract, any electronic or information technology offered to the
County under this Agreement shall comply with A.R.S.§ 41-3531 and § 41-3532 as may be amended,
and Section 508 of the Rehabilitation Act of 1973, which requires the employees and members of the
public shall have access to use of information technology that is comparable to the access and use by
employees and members of the public who are not individuals with disabilities.
E. BACKGROUND CHECKS FOR EMPLOYMENT THROUGH CENTRAL REGISTRY
If providing direct services to children or vulnerable adults, the following shall apply:
1. The provisions of A.R.S. § 8-804 (as may be amended) are hereby incorporated in its entirety
as provisions of this Agreement.
2. Department will request ADES to conduct Central Registry Background Checks on behalf
of the Contractor. The information contained in the Central Registry will be used as a factor
to determine qualifications for positions that provide direct service to juveniles or vulnerable
adults as follows:
a. Any person, their employees or volunteers who apply for a contract with the County; or
b. All employees of the Contractor; or
c. A subcontractor of the Contractor and the subcontractor’s employees; and
d. Prospective employees of the Contractor or its subcontractor at the request of the
prospective employer.
3. Volunteers who provide direct services to children or vulnerable adults shall have a Central
Registry Background Check which is to be used as a factor to determine qualifications for
volunteer positions.
a. A person who is disqualified because of a Central Registry Background Check may apply
to the Board of Fingerprinting for a Central Registry exception pursuant to A.R.S. § 41-
619.57. A person who is granted a Central Registry exception pursuant to A.R.S. § 41-
619.57 is not entitled to a contract, employment, licensure, certification or other benefit
because the person has been granted a Central Registry exception.
b. Before being employed or volunteering in a position that provides direct services to
children or vulnerable adults under this Agreement, persons shall certify on forms
provided by ADES whether an allegation of abuse or neglect was made against them
and was substantiated. The completed forms are to be maintained as confidential.
4. A person awaiting receipt of the Central Registry Background Check may provide direct
services to clients after completion and submittal of the Direct Service Position certification
form if the certification states:
a. The person is not currently the subject of an investigation of child abuse or neglect in
Arizona or another state or jurisdiction; and
19

Section II Special Provisions
b. The person has not been the subject of an investigation of child abuse or neglect in
Arizona, or another state or jurisdiction, which resulted in a substantiated finding. The
Certification for Direct Service Position is located at:
www.azdes.gov/InternetFiles/InternetProgrammaticForms/doc/DDD-
1727AFORFF.doc - 2015-08-05
c. If the Central Registry Background Check specifies any disqualifying act and the person
does not have a Central Registry exception, the person shall be prohibited from
providing direct services to County clients.
5. The Contractor shall maintain the Central Registry Background Check results and any
related forms or documents in a confidential file for five (5) years after termination of the
Contract. The Request for Search of Central Registry for Background Check form is located
at https://www.azdes.gov/opac .
F. FINGERPRINTING
1. Contractor shall comply with, and shall ensure that all Contractor’s employees, independent
contractor, subcontractors, volunteers and other agents comply with, all applicable (current
and future) legal requirements relating to fingerprinting, fingerprinting clearance cards,
certification regarding pending or past criminal matters, and criminal records checks that
relate to contract performance.
2. Applicable legal requirements relating to fingerprinting, certification, and criminal
background checks may include, but not limited, to the following: A.R.S. §§ 36-594.01, 36-
3008, 41-1964, and 46-141. All applicable legal requirements relating to fingerprinting,
fingerprint clearance cards, certification regarding pending or past criminal matters, and
criminal records checks are hereby incorporated in their entirety as provisions of this
Agreement. The Contractor is responsible for knowing which legal requirements relating to
fingerprinting, fingerprint clearance cards, certifications regarding pending or past criminal
matters, and criminal records checks relate to contract performance.
3. To the extent A.R.S. §§ 46-141 is applicable to contract performance or the services
provided under this Agreement, the following provisions apply:
a. Personnel who are employed by the Contractor, whether paid or not, and who are
required or allowed to provide services directly to juveniles or vulnerable adults shall
have a valid fingerprint clearance card or shall apply for a fingerprint clearance card
within (7) seven working days of employment.
b. Except as provided in A.R.S. § 46-141, this Agreement may be cancelled or terminated
immediately if a person employed by the Contractor and who has contact with juveniles
certifies pursuant to the provisions of A.R.S § 46-141 (as may be amended) that the
person is awaiting trial or has been convicted of any of the offenses listed therein in the
State, or of acts committed in another state that would be offenses in this State, or if the
person does not possess or is denied issuance of a valid fingerprint clearance card.
G. CONTRACTOR CHANGES
The Contractor is required to notify the Department, in writing, within fifteen (15) calendar days, of
any changes in the following:
1. The number of staff or the identity of staff funded with this Agreement
2. Agency authorized signatory
3. Agency address, phone, fax or email addresses
4. Person to whom Agreement notices should be sent
5. Any variation of insurance required by this Agreement
H. REALLOCATION OF FUNDING
Should additional funds become available during the term of the contract period, the County reserves
the right to allocate these funds and proportionate services in this Agreement. Allocations may be
20

Section II Special Provisions
adjusted based on documented client need, census determinations, or over, under or non-
performance by the Contractor.
I. COUNTY DETERMINATIONS
The County reserves the right to increase or decrease Contractor’s budget or Work Statement
described herein. Such changes will be through a formal Amendment.
J. CHANGES ORIGINATED BY THE DEPARTMENT
1. Budget Adjustments: If changes do not result in an increase or reduction of the total contract
budget amount and result in more than a 10% change in a budget category, changes will take
place with budget Change Orders to be executed, approved and signed by both the
Department Director and Contractor.
2. Changes that result in an increase or decrease in the total Agreement budget will require a
formal amendment pursuant to Section F of the General Provisions.
3. The Department Director may, at any time, make changes to the general scope of this
Agreement via a written Change Order for any of the following reasons:
a. Specific program rules, regulations, application procedures; and
b. Minor work statement revision; and
c. Administrative requirements such as reporting criteria.
4. Any dispute or disagreement resulting from such written changes or budget Change Orders
shall constitute a dispute within the meaning of the dispute clause of the Agreement’s General
Provisions and shall be adjusted accordingly.
K. STAFF AND VOLUNTEER TRAINING
The County may make available to Contractor the opportunity to participate in any applicable
training activities conducted by the County.
L. EVALUATION
1. The County may evaluate, and the Contractor shall cooperate in the evaluation of, contract
services. Evaluation may assess the quality and impact of contract services, either in isolation
or in comparison with other similar services, and assess the Contractor’s progress and/or
success in achieving the goals, objectives and deliverables set forth in this Agreement.
2. As requested by the County, the Contractor shall participate in program evaluations relative to
contract impact in support of County goals.
M. COOPERATION IN TRAINING, STRATEGIC PLANNING, NEEDS ASSESSMENT,
OUTCOME MEASUREMENT INITIATIVES
The Contractor will be required to cooperate in needs assessments, strategic planning, training required
by Department and outcome measurement initiatives.
N. DISALLOWED COSTS
The cost principles set forth in the Code of Federal Regulations, 48 CFR, Chapter 1, Subchapter e,
Part 31, (October 1, 1991), including later amendments and editions on file with the Arizona
Secretary of State and incorporated by this reference, shall be used to determine the allow ability of
incurred costs for the purpose of reimbursing costs under contract provisions that provide for the
reimbursement of costs. Those costs which are specifically defined as unallowable therein will not be
submitted for reimbursement by the Contractor and may not be reimbursed with County funds. In
addition, the Contractor shall comply with the following publications (including subsequent
revisions), as applicable:
1. OMB Circular A-87 for State, local, and Indian Tribal Governments.
O. PAYMENT RECOUPMENT
21

Section II Special Provisions
The Contractor shall reimburse the County upon demand, or the County may deduct from future
payments, the following:
1. Any amounts received by the Contractor from the County for contract services which have
been inaccurately reported or are found to be unsubstantiated.
2. Any amounts paid by the Contractor to a subcontractor not authorized in writing by the
County.
3. Any amount or benefit paid directly or indirectly to an individual or organization not in
accordance with the Substantial Interest section of these terms and conditions.
4. Any duplicate amounts paid by the County for services covered or reimbursed by other
specific grants, contracts, or payments.
5. Any amounts expended for items or purposes determined unallowable by the County upon
reimbursement by the County of such costs to the Contractor; see the “Unallowable Costs”
clause of these Special Provisions.
6. Any amounts paid by the County for which the Contractor’s books, records, and other
documents are not sufficient to clearly substantiate that those amounts were used by the
Contractor to perform contract services.
7. Any amounts received by the Contractor from the County which are identified as a financial
audit exception.
8. Any amounts paid or reimbursed in excess of the Agreement or service reimbursement
ceiling.
9. Any payments made for services rendered before the Agreement begin date or after the
Agreement termination date.
P. RESPONSIBILITY FOR REPAYMENT OF DIRECT SERVICE FUNDS
Should program monitoring or application quality assurance review result in findings related to direct
service funds being paid for ineligible individuals or in amounts above allowable program limits, the
Contractor shall repay those funds to the County upon written notification by the Assistant Director.
Q. OFFSET FOR DAMAGES
In addition to all other remedies at Law or Equity, the County may offset from any money due to the
Contractor any amounts Contractor owes to the County for damages resulting from breach or
deficiencies in performance of the contract.
R. RECOGNITION OF COUNTY SUPPORT
Contractor shall give recognition to the County, and the funding source for their support when the
Contractor publishes materials or releases public information that is paid for in whole or in part with
funds received by Contractor under this Agreement.
S. PUBLICATIONS
The following shall be included in all publications, forms, flyers, etc. that are distributed to recipients of
contract services:
“Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI and VII) and the American with
Disabilities Act of 1990 (ADA) Section 504 of the Rehabilitation Act of 1973 and the Age
Discrimination Act of 1975, (insert Contractor name here) prohibits discrimination in admissions,
programs, services, activities or employment based on race, color, religion, sex, national origin, age, and
disability. The (insert Contractor name here) must make reasonable accommodation to allow a person
with a disability to take part in a program, service, or activity. Auxiliary aids and services are available
upon request to individuals with disabilities. For example, this means that if necessary, the (insert
Contractor name here) must provide sign language interpreters for people who are deaf, a wheelchair
accessible location, or enlarged print materials. It also means that the (insert Contractor name here) will
take any other reasonable action that allows you to take part in and understand a program or activity,
including making reasonable changes to an activity. If you believe that you will not be able to
22

Section II Special Provisions
understand or take part in a program or activity because of your disability, please let us know of your
disability needs in advance if at all possible. To request this document in alternative format or for
further information about this policy please contact: (insert Contractor contact person and phone
number here)” Para obtener este document en otro formato u obtener informacion adicional sobre esta
politica, (insert Contractor contact person and phone number here)”
T. COMPUTER SOFTWARE POLICY
The contractor shall comply with Federal copyright laws applicable to software licenses. In addition, all
policies and agreements between the County and the Contractor related to contract equipment,
software, internet accessible database system, and access shall be implemented and monitored.
Annually, contractors will be required to submit an inventory of all county provided hardware and
software to the Assistant Director.
U. CLEAN AIR ACT & CLEAN WATER ACT
Contractor must be in compliance with all applicable standards, orders, or requirements issued under
section 306 of the Clean Air Act (42 U.S.C.1857(h),section 508 of the Clean Water Act (33 U.S.C. 1368)
Executive Order 11738, and Environmental Protection Agency regulations (40 CFR part 15).
V. SUBSTANTIAL INTEREST DISCLOSURE
1. Contractor shall not make any payments, either directly or indirectly, to any person,
partnership, corporation, trust, or any other organization which has a substantial interest in
Contractor's organization or with which Contractor (or one of its directors, officers, owners,
trust certificate holders or a relative thereof) has a substantial interest, unless Contractor has
made a full written disclosure of the proposed payments, including amounts, to the County.
2. Leases or rental agreements of property shall be in writing and accompanied by an
independent commercial appraisal of fair market rental, lease, or purchase value, as
appropriate.
3. For the purpose of this Section, "relative" shall have the same meaning as in A.R.S. §38-502
as may be amended.
W. RESPONSIBILITY FOR PAYMENTS INDEMNIFICATION
The Contractor shall be responsible for issuing payment for services performed by the Contractor’s
employees, subcontractors, suppliers, or any other third party incurrent in the furtherance of the
performance or the arising out of the Contract and will indemnify and save the County harmless for
all claims whatsoever out of the lawful demands of such parties. The Contractor shall, at the
County’s request, furnish satisfactory evidence that all obligations of the nature designated above
have been paid, discharged or waived.
23

SECTION III
WORK STATEMENT
Maricopa County
Human Services Department
24

Section III Work Statement
WORK STATEMENT
FOR
CRISIS CASE MANAGEMENT
AND
FINANCIAL ASSISTANCE SERVICES
A. SERVICE DESCRIPTION
The Contractor shall provide Crisis Case Management and Financial Assistance services to eligible
residents in the Community Service Area (CSA) more fully described in Attachment A. Services shall
be provided as described in this section.
1. Crisis Case Management Services are provided to individuals and/or families in order to
enhance their self-sufficiency and/or involvement in the community, and through which the
needs and eligibility of the individuals applying for/receiving financial services are
determined. For those individuals eligible, appropriate services are identified, obtained or
provided, and recorded. Information and referral services will be provided as appropriate.
2. Financial Assistance Services are provided to stabilize the immediate and emergent needs of
the client including basic needs. Financial services may include, but are not limited to:
temporary emergency shelter, emergency rent and mortgage assistance, first month’s rent
and rental deposit assistance, utility payment assistance, utility deposit assistance, food boxes,
and other needs as identifies by applicant.
B. TRAINING
The Department shall provide training to Contractor to assist Contractor in determining program
eligibility, regulations, and policies. Contractor is fully responsible for ensuring all employees providing
services under this Agreement attend Department training.
C. STANDARDS/LICENSURE/PROGRAM INFORMATION
1. Crisis case management is the process by which eligibility for financial assistance with basic
and emergent needs is determined and provided to income eligible individuals.
Available resources are categorized as follows:
a. Financial Assistance (e.g. rent, utility, mortgage assistance);
b. Information and Referrals;
c. Utility Discount Programs (enrollment);
d. Goods and materials (e.g. food boxes, clothing);
e. Home Repair/Weatherization (e.g. referral to home repair programs i.e.
f. Weatherization Program); and
g. Non-Financial Assistance (e.g. case management, energy conservation education,
assistance with completing forms i.e. AHCCCS applications, Food Stamps applications)
2. Contractor will be required to use the Maricopa County Human Services Department/Community
Services Division Policy & Procedure Handbook (the “Handbook”), as amended, in the provision of
services. The Handbook provides detailed information on services, client eligibility,
regulations and guidelines, application and documentation procedures and service dollar
limits for County funded financial assistance.
3. Contractor shall use the HSD Online Client Data System to document and record all
services provided and supported by County funds. This includes financial assistance services
and non-financial services provided by Contractor staff/volunteers supported with County
funds.
4. Contractor shall comply with all applicable federal, state, and county regulations, laws, and
rules related to specific funding sources used, including but not limited to:
a. Federal Low Income Home Energy Assistance Program regulation as well as the State
of Arizona Low Income Home Energy Assistance Program State Plan. Title XXVI-
25

Section III Work Statement
Low Income Home Energy Assistance Program Omnibus Budget Reconciliation Act of
1981;
b. Federal Social Services Block Grant;
c. Federal Emergency Solutions Grant;
d. Federal Community Services Block Grant;
e. Utility, Repair, Replacement and Deposit Assistance Guidelines;
f. State Short Term Crisis Services Program;
g. Federal Temporary Assistance to Needy Families (TANF) as related to the provision of
Emergency Assistance;
h. State and Federal Client Confidentiality Laws and Regulations;
i. Maricopa County ;
j. The Handbook;
k. Community Services Block Grant Legislation, as amended;
l. Stewart B. McKinney Homeless Assistance Act;
m. COATES Human Services Reauthorization Act of 1998;
n. Personal Responsibility and Work Opportunity Reconciliation Act of 1996;
o. Neighbors Helping Neighbors (ARS §46-741);
p. Verification of Identity and Citizenship and/or Immigration Status (ARS); and
q. Eligibility for Federal and State or Local Public Benefits (ARS §1-501 - 1-502).
5. Contractor shall maintain documentation that key staff have received appropriate training or
hold appropriate certification/licensure in accordance with their job description.
6. Contractor shall maintain documentation that case management staff have received training
on the requirements of ARS §46-140.01 and ARS §1-501 and ARS §1-502 regarding
eligibility for State and local benefits.
D. CODE OF CONDUCT
The Contractor shall avoid any action that might create or result in the appearance of:
1. Inappropriate use or divulging of information gathered or discovered pursuant to the
performance of its duties under this Agreement.
2. Acted on behalf of the County without appropriate authorization.
3. Provided favorable or unfavorable treatment to anyone.
4. Made a decision on behalf of the County that exceeded its authority, could result in
partiality, or have a political consequence for the County.
5. Misrepresent or otherwise impeded the efficiency, authority, actions, policies, or adversely
affect the confidence of the public or integrity of the County.
6. Loss of impartiality when advising the County.
E. PERSONNEL
1. The Contractor shall notify the Department of staff changes and vacant positions within
three (3) business days of changes. The Contractor shall fill vacancies to ensure service
availability and clients are not turned away due to lack of staff. The County may assist in the
selection of the replacement candidate.
2. The County reserves the right to immediately remove access to any data/reporting systems if
it is determined any Contractor personnel is a risk to the County operations such as but not
limited to:
a. Approving clients for services they are not eligible for;
b. Denying eligible clients for services; and
c. Accessing the HSD Online Client Data System for any purpose other than areas of
responsibility.
F. LEVEL OF SERVICES
26

Section III Work Statement
i. If the Contractor determines service recipient eligibility, the Contractor shall maintain and
regulate the units or services set forth in this Agreement to ensure continuity and availability
of services to eligible persons during the term of this Agreement and during any transition to
a subsequent Contractor.
ii. The County makes no guarantee to purchase specific quantities of goods or services or to
refer eligible persons as may be identified or specified herein. Further, it is understood and
agreed that this Agreement is for the sole convenience of the County and that the County
reserves the right to obtain like goods or services from its sources when such need is
determined necessary by the County.
iii. Services under this Agreement may be moved or expanded to other site locations within the
geographic area awarded only by a written amendment.
G. LIMITED ENGLISH PROFICIENCY
The Contractor shall ensure that all services provided are culturally relevant and linguistically
appropriate to the population to be served following the ADES Policy, Limited English Proficiency;
DES 1-01-34 Exhibit 1.
H. DATA COLLECTION AND MANAGEMENT
Eligibility determination and documentation shall be completed for each applicants/clients and
appropriate household members receiving services through this Agreement. The Contractor shall be
responsible for adhering to the Handbook when determining eligibility and entering client information
into the HSD Online Client Data System.
I. SERVICE GOALS
Contractor shall ensure service delivery that meet the CSBG Service Goals for Community Action
Programs as follows:
1. To assist low income individuals or households reduce or eliminate barriers to initial or
continuous employment.
2. To reduce homelessness and help families move from unaffordable or unsafe housing by
assisting with first month rent, rental security deposits and/or utility deposits.
3. To prevent homelessness by assisting families with eviction prevention rent assistance,
mortgage foreclosure assistance and/or utility assistance.
4. To assist low-income families in accessing or maintaining telephone service through
enrollment in telephone discount programs.
5. To ensure that individuals know about and can access other community resources and
programs through provision of community information and referral.
6. To reduce immediate hunger by providing food boxes or referrals to sources of immediate
food.
7. To assist low-income energy burdened households maintain self-sufficiency through
enrollment in various utility discount programs.
8. To support households in maintaining or achieving self-sufficiency through crisis case
management to meet the household’s immediate and basic needs.
9. To assist low-income individuals and/or households in achieving an increase in financial
assets and/or financial skills to achieve or maintain self-sufficiency.
J. SERVICE REQUIREMENTS
Contractor shall adhere to the following service requirements:
1. Provide personnel, supervision, staff training, equipment, materials and supplies necessary to
perform and provide crisis case management and financial assistance services;
2. Provide services that are appropriate to the language and culture of the target population in
the geographic service area;
3. Provide on-site financial assistance services at a location(s) within the specified service area;
27

Section III Work Statement
4. Maintain client-focused facility which offers sufficient space for program applicants waiting
to be seen or waiting rooms which provide adequate seating, and accessible in all permanent
facility locations;
5. Ensure adequate space is available for conducting eligibility determination where confidential
information cannot be overheard;
6. Assure that staff members and volunteers do not have conflicts of interest in the provision
of services and management of programs;
7. Maintain client/recipient information confidential and in a secure location; and
8. Conduct quality assurance review of each application that is funded by County funds, prior
to submission to County for payment authorization; and
9. Ensure that completed applications for financial assistance are submitted to County within
five days of application intake.
K. REPORTING REQUIREMENTS
1. Unless otherwise provided in this Agreement, reporting shall adhere to the following
schedule: no later than the 10th working day following each month during the contract term,
the Contractor shall submit programmatic and financial reports to the County in the form
set forth in this Agreement. Failure to submit accurate and complete reports by the 10th
working day following the end of a month may result, at the option of the County, in
retention of payment. Failure to provide such report within 45 calendar days following the
end of a month may result, at the option of the County, in a forfeiture of such payment.
2. Contractor shall submit to the County all final program and fiscal reports no later than the
designated date, to be determined by the County, following the termination of this
Agreement. Failure to submit final program and fiscal reports within the designated time
period may result, at the option of the County, in forfeiture of final payment.
L. ADMINISTRATIVE
Contractor shall adhere to the following administrative requirements:
1. Policies and Procedures for training staff and/or volunteers and documentation of when
training occurred for the following:
a. Confidentiality of clients’ information;
b. Grievance/Problem solving procedures;
c. Non-Discrimination policies;
d. Equal access to programs and services for individuals with disabilities and reasonable
accommodations and compliance with Americans with Disabilities Act;
e. Providing services to individuals who are non-English speaking, hearing impaired, and
vision impaired; and
f. Providing services that are language and culturally appropriate to the target population in
the geographic service area;
2. Agency Policies shall address:
a. Staff and/or volunteers will not provide direct services to clients until all appropriate
Background Checks and Fingerprint clearance have been completed with satisfactory
results and procedures if results are unsatisfactory and how information will be
maintained;
b. Process for ensuring services and financial assistance are available for a twelve (12)
month period;
c. Policy for providing services when County Direct Service funds are depleted;
3. Contractor shall provide In-Kind/Cash Match value of 25% other than County provided
funds to support administration and operating program costs.
28

Section III Work Statement
4. Contractor shall describe sources of agency funding and amounts from entities other than
County provided funds to support administration and operating costs of the agency
including the value of in-kind/cash match contributions.
5. Contractor shall ensure that no direct services, utilizing County operations or financial
assistance funds, will be provided to clients by agency staff and/or volunteers until all
appropriate background checks for employment through Central Registry have been
conducted and satisfactory results are received by the County.
M. PROCEDURES FOR CRISIS CASE MANAGEMENT AND FINANCIAL ASSISTANCE
SERVICES
1. Contractor shall adhere to the following Crisis Case Management and Financial Assistance
requirements and shall respond to how requirements will be met.
2. Contractor Policies and Procedures shall address the following:
a. Scheduling application intake to include: scheduling for individuals in crisis situations,
homeless and about to become homeless, impending utility shutoff and priority processes;
b. Scheduling appointments for clients outside of regular business hours;
c. Scheduling appointments for individuals that are homebound;
d. Documenting client crisis reasons, needs, services requested and services provided, staff time
spent providing services, documenting in HSD Online Data System; and
e. Obtaining all client verification and maintaining documentation in client files.
N. COUNTY FUNDED FINANCIAL ASSISTANCE
1. Contractor shall adhere to policies and procedures for administration of County funded
financial assistance and shall respond to how requirements will be met.
2. Contractor policies procedures shall address the following:
a. Notifying applicants of their rights, responsibilities, the agency’s grievance/problem
solving procedures, including the provision of the approval/denial/appeal process for
services;
b. Completing quality assurance on client applications submitted to Department to include
the staff position responsible for conducting the quality assurance;
c. Responding to Department when notified of required clarification and/or corrections
required on clients’ applications or data entry, to include the staff position responsible
for responding to the requests;
d. Securing, completing and issuing County Financial Assistance Vouchers as these
vouchers shall be treated as currency and must be kept secure at all times;
e. Process shall include the staff position authorized to sign vouchers;
f. If a utility vendor agrees to wait for payment or accepts a guarantee, documentation of
arrangement is required. Documenting and Guaranteeing Utility Assistance to Utility
Companies consistent with the following criteria:
i. Assistance provided within 48 hours after application and deemed eligible
ii. Assistance is provided within 18 hours after application, deemed eligible and a life
threatening situation exists;
g. Provision of energy conversation education to all eligible applicants receiving utility
assistance;
h. 50% of clients that receive LIHEAP-funded utility assistance receive targeted energy-
savings activities education, an Energy Savers Brochure and is document in client files
and HSD Online Client Data System.
3. Direct Financial Assistance Funds will not be included in awarded Contracts. These funds
will be retained by County and will be made available to Contractors through the HSD
Online Client Data System. Applications for funded financial assistance must be completed
via the HSD Online Client Data System. County will make payments directly to vendors (i.e.
utility companies, landlords, mortgage companies, etc.) upon authorization by County.
29

Section III Work Statement
4. The allocation of Direct Financial Assistance Funds for each service area is determined
through the use of a funding formula recommended and approved by the Maricopa County
Community Services (MCCS) Commission.
5. For State Fiscal Year (SFY) 2017, the following financial assistance fund amounts are
anticipated for this Agreement indicated below (allocations are subject to change, based
upon the availability of funds):
Service Low Income Home Short Term Crisis Total Allocation of
Area Energy Assistance Services Assistance for Direct Financial
(LIHEAP) Needy Families (TANF) Assistance Funds
Funds Minimum Funds Minimum Total Total
Available Number of Available Number of Funds Number of
Households Households Available Households
Gila Bend $9,826 15 $1,684 1 $11,510 16
Service
Area
Buckeye $80,451 126 $13,787 9 $94,238 135
Service
Area
6. Contractor is required to provide community funds to be leveraged for use for Financial
Assistance. Contractor shall demonstrate the amount of community funds to be leveraged
for Financial Assistance.
7. Contractor will ensure service delivery is available for a period of no less than (12) twelve
months.
8. Contractor shall provide Department an expenditure plan that includes the amount of local
dollars that will be leveraged in the twelve (12) month period.
O. INFORMATION & REFERRAL
1. Contractor shall adhere to policies and procedures for provision of Information & Referral
services and shall respond to how requirements will be met.
2. Agency procedures shall address the following:
a. Providing information and referrals to clients, facilitating or coordinating referrals with
agencies and documenting in client files and in HSD Online Client Data System;
b. Providing referrals to clients for weatherization services and or the repair/replacement
of utility-related appliance programs;
c. Enrolling eligible clients in appropriate utility and phone discount programs (i.e.
Southwest Gas Discount Program (LIRA), APS E-3 Discount Program, SRP Economy
Price Plan Discount and the Lifeline);
d. Assisting individuals with completion of forms for federal and state social service
programs such as AHCCCS or SNAP (supplemental nutrition assistance program,
formerly food stamps)
P. GRIEVANCE PROCEDURE
Contractor shall establish a system through which applicants for, and recipients of, services may
present grievances and may take appeals about eligibility and other aspects of the Contractor’s work
under this Award. The grievance procedure shall include provisions for notifying the applicants for,
and recipients of, services of their eligibility or ineligibility for service and their right to appeal to the
County if the grievance is not satisfied at the Contractor’s level.
Q. SERVICES PROVIDED BY COUNTY
30

Section III Work Statement
To ensure successful program service delivery, County will provide/conduct:
1. Training and technical assistance on:
a. The Handbook;
b. County funded crisis case management and financial assistance services;
c. County Financial Assistance Vouchers;
d. Use of the HSD Online Client Data System
e. Results Oriented Management and Accountability (ROMA);
f. Required Reports and Forms; and
g. Other forms as necessary.
2. Fiscal monitoring, program monitoring and client file review; and
3. Training and Technical assistance as needed/required.
R. REPORTING REQUIREMENTS
The County reserves the right to add, remove, or revise reporting requirements to meet program
goals.
1. Contractor shall submit the following to the Department:
a. Results Oriented Management and Accountability (ROMA) data and/or reports no later
than the 10th business day after the end of each quarter of the fiscal year.
b. Submit other reports as required by the Department.
2. Reports will be submitted to:
Maricopa County Human Services Department
Community Services Division
234 N. Central Avenue, Suite 3000
Phoenix, AZ 85004
3. Unless otherwise provided in this contract, reporting shall adhere to the following:
a. No later than the 10th working day following each month during the contract term.
b. The Contractor shall submit programmatic and financial reports to the Department in
the form set forth in the Agreement.
c. Failure to provide such report within 45 calendar days following the end of a month
may result, at the option of the County, in a forfeiture of such payment.
3. No later than the designated date, to be determined by the Department, following the
termination of the Agreement, Contractor shall submit to the Department final program and
fiscal reports. Failure to submit final program and fiscal reports within the designated time
period may result, at the option of the County, in forfeiture of final payment.
S. PANDEMIC AWARD PERFORMANCE
1. Contractor shall provide a written plan that illustrates how the Contractor shall perform up
to Award standards in the event of a pandemic. At a minimum, the pandemic performance
plan shall include:
a. Key succession and performance planning if there is a sudden significant decrease in
Contractor’s workforce.
b. Alternative methods to ensure services are available.
c. An up to date list of agency contacts and organizational chart.
2. In the event of a pandemic, as declared by the Governor of Arizona, U.S. Government or
the World Health Organization, which makes performance of any term under this Award
impossible or impracticable, the Department shall have the following rights:
a. After the official declaration of a pandemic, the Department may temporally void the
Award in whole or specific sections if the Awardee cannot perform to the standards
agreed upon in the initial terms.
3. The Department shall not incur any liability if a pandemic is declared, and emergency
procurements are authorized by the Director of the Arizona Department of Administration
per A.R.S. § 41-2537 as may be amended of the Arizona Procurement Code.
31

Section III Work Statement
4. Once the pandemic is officially declared over and/or the Awardee can demonstrate the
ability to perform, the Department, at its sole discretion may reinstate the temporarily voided
Award.
32

SECTION IV
COMPENSATION
Maricopa County
Human Services
33

Section IV Compensation
A. COMPENSATION
Subject to the availability and authorization of funds for the explicit purposes set forth in this
Agreement, County shall pay the Contractor compensation for services rendered.
B. REIMBURSEMENT
1. Effective July, 2016 through June 30, 2017, Contractor shall be reimbursed as set forth
under this Agreement.
2. During the term of this Agreement, the maximum amount of compensation due to the
Contractor from the County, for any and all services performed by the Contractor for the
obligations and duties herein, shall not exceed the amount(s) in Attachment B.
C. COST REIMBURSEMENT AND MATCH REQUIREMENTS
1. Contracts awarded under this solicitation will be on a cost reimbursement basis.
2. Contractors shall be required to provide a minimum of In-Kind/Cash Match value of 25%
other than County provided funds to support administration and operating program costs:
a. Cash match shall not include federal funds or funds used to match another federal
program.
b. In-kind support may include but is not limited to: office space, personnel time,
equipment, material and supplies
D. FUNDING
1. Funding for this Agreement is provided through an Intergovernmental Agreement with
Arizona Department of Economic Security from the U.S. Department of Health and
Human Services Office: Administration for Children and Families and Maricopa County for
Community Action Program activities.
2. Funding allocations are based on a funding formula as accepted by the Human Services
Department Community Services Commission.
3. The Catalog of Federal Domestic Assistance (CFDA) is a government-wide collection of
Federal programs, projects, services, and activities that provide assistance or benefits to the
American public. The Catalog contains financial and nonfinancial assistance programs
administered by departments and establishments of the Federal government.
4. Activities and Programs to be administered under this Agreement shall be funded through
the following CFDA funds:
93-667 Social Services Block Grant (SSBG)
93-569 Community Services Block Grant (CSBG)
93-558 Temporary Assistance for Needy Families (TANF)
93-568 Low Income Home Energy Assistance Program (LIHEAP)
5. Subject to the availability and authorization of funds, the anticipated funding for this
Agreement is $35,000
E. METHOD OF PAYMENT
Subject to receipt of a proper invoice and upon approval by the County during the term of this
Agreement, County shall pay the Contractor no more than monthly and based on performance of
the duties described herein by the Contractor as follows:
1. Subject to the availability of funds, the County shall reimburse the Contractor for all
allowable costs associated with the performance of work and the provision of services under
this Agreement. Reimbursement for this Agreement shall be limited to the total amount of
the Contract award and per Attachment B Operating Budget.
2. On or before the tenth (10th) working day of the month following a month of service
delivery by the Contractor, the Contractor shall submit to the County , a Financial Claim
Form (Claim) as the Contractor’s invoice for allowable costs incurred during the billing
period. A template Claim form shall be provided by the County to the Contractor for its use.
34

Section IV Compensation
Sufficient backup shall also be attached to this Claim, such as a General Ledger excerpt or
detailed Expenditure Report, with the included charges circled or highlighted.
3. The Financial Claim and backup will be submitted to County before payment(s) can be made
by the County as provided for under this Agreement.
4. Provided that the maximum reimbursable amount is not exceeded, the Contractor may
deviate, plus or minus 10% from the amounts identified in the Contract operating service
budget category subtotals.
5. Changes exceeding the above stated deviation from operating service budget category
subtotals will require a Change Order as specified in Special Provisions’ Section H, Changes
Originated by the Department clause, or a formal Amendment, as specified in General
Provisions’ Section F, Amendments, of this Agreement.
6. Should the County make a disallowance in the claim, the claim shall be processed for the
reduced amount. If the Contractor protests the amount or the reasons for a disallowance,
the protest shall be construed as a dispute concerning a question of fact within the meaning
of General Provisions’ Section I, Disputes, of this Agreement.
35

SECTION V
ATTACHMENTS
Maricopa County
Human Services Department
36

Section V Attachments
ATTACHMENT A
SERVICE REQUIREMENTS
Respondents shall provide methodology that will ensure services requirements are met. Respondents shall
submit complete information on how agency will provide service delivery for the following components:
1.0 Service Goals
1.1 To assist low income individuals or households reduce or eliminate barriers to initial or
continuous employment:
Weekly job listing are posted in the CAP office, which is housed inside the Gila Bend
Family Resource Center. Laptops are available to clients to search for jobs online, apply
online, or work on resumes. CAP staff also provide assistance in the completing of resumes
and referrals to employment training centers. To improve employment attainment and
retention, the Gila Bend CAP hosts a hiring event twice a year for local employers to
review resumes and interview applicants on the spot. Prior to each event, a soft-skills
training is held to help potential hires understand how to best present themselves during an
interview and how, to craft the best resume.
1.2 To reduce homelessness and help families move from unaffordable or unsafe housing by
assisting with first month rent, rental security deposits and/or utility deposits:
CAP staff assist low-income families by reviewing available options, ensuring client is
eligible for fund-specific assistance, completing application, reviewing application for
quality, submitting application, and conveying result to client. Assisting client in accessing
other services if not eligible for MCHSD assistance.
1.3 To prevent homelessness by assisting families with eviction prevention rent assistance,
mortgage foreclosure assistance and/or utility assistance:
CAP staff assist low-income families by reviewing available options, ensuring client is
eligible for fund-specific assistance, completing application, reviewing application for
quality, submitting application, and conveying result to client. Assisting client in accessing
other services if not eligible for MCHSD assistance.
1.4 To assist low-income families in accessing or maintaining telephone service through
enrollment in telephone discount programs:
CAP staff assist low-income families by reviewing available options and assisting through
the enrollment process.
1.5 To ensure that individuals know about and can access other community resources and
programs through provision of community information and referral:
The Gila Bend CAP and the Gila Bend Family Resource Center (FRC) are housed in the
same location. Clients can call or walk-in to receive information and resources including
housing, parenting, nutrition, heathy relationships, counseling services, employment
services, social service programs, transportation, immigration, legal services, English
language acquisition, and GED/high school diploma.
1.6 To reduce immediate hunger by providing food boxes or referrals to sources of immediate
food:
Through its relationship with St. Mary’s Food Bank, emergency food boxes are available
on-site. In addition, emergency food is prepared and available for free at the Gila Bend
Community Center M-F from 3:30-4pm.
37

Section V Attachments
1.7 To assist low-income energy burdened households maintain self-sufficiency through
enrollment in various utility discount programs:
CAP staff assist low-income families by reviewing available options and assisting through
the enrollment process.
2.0 SERVICE REQUIREMENTS
2.1 Services are provided in appropriate language(s) and culture(s) to the target population in the
geographic location :
Both the Case Manager and the Director are bilingual Spanish speakers. Spanish is the
second language spoken in this region. Translated materials are used with Spanish-speaking
clients.
2.2 On-site financial assistance services at location(s) within the specified service area:
Clients are provided valuable tools to assist them in developing and maintaining a budget.
Staff also provides and reviews money management tips, including spending habits, public
transportation options, food programs, and tax-related breaks.
2.3 Provide information on personnel, supervision, staff training, equipment, materials and
supplies necessary to perform and provide services required:
All CAP staff receive MCHSD training during the orientation period, as well as semi-
annually. Staff attend trainings and workshops, including those provided by MCHSD,
ACAA, First Things First, and St. Mary’s Food Bank.
2.4 Processes for ensuring that applications for MCHSD funded assistance are reviewed for
quality assurance prior to submission to MCHSD for payment authorization:
All applications are reviewed in a two-step process. The first step is a review by the Case
Manager. The Director is then responsible for reviewing the application prior to
submission using the standards outlined in the MCHSD Policies and Procedures Manual.
2.5 Ensure that completed applications for financial assistance are submitted to MCHSD within
five days of application intake:
Staff members are all trained with this deadline in mind for submission. Schedules are
adjusted accordingly to comply with this hard deadline.
3.0 ADMINISTRATIVE
3.1 Describe the agency’s policies, procedures and training for staff and/or volunteers in regards
to the confidentiality of clients and client related information. Include how and when the
training occurs and where the training is documented.
All new staff are required to attend an orientation concerning the policies and procedures
concerning confidentiality. The attendees are required to sign a statement of understanding
concerning the policy that is kept in the personnel file of each employee.
3.2 Describe the agency’s training of staff and volunteers in regards to the agency
grievance/problem solving procedures of the agency.
All staff members are trained on the grievance procedure at the annual June staff meeting.
New staff members are trained during the orientation period. Staff members understand
that the procedure is to be explained to clients during the interview process. The grievance
38

Section V Attachments
procedure is posted in the office and available to all clients.
3.3 Describe the training of staff on the agency’s non-discrimination policy.
The non-discrimination policy is also a component of the June staff training and during
staff orientation. The policy is also listed in the employee handbook and requires strict
adherence.
3.4 Describe the procedure that ensures equal access to programs and services for individuals
with disabilities, and the reasonable accommodations that ensure compliance with the
Americans with Disabilities Act.
Clients with disabilities are have equal access to programs and services, with staff members
making reasonable accommodations based on the specific needs of the individual. Home
visits and flexible hours are examples of reasonable accommodation. The building that
houses the CAP office is ADA compliant.
3.5 Describe how the agency will ensure that services are available to non-English speaking,
hearing impaired, and vision impaired individuals and how services are appropriate to the
language, culture, and geographic location of the target population.
All staff members are trained on the importance of complying with equal accessibility
regulations which require that all persons with disabilities have equal access to service
provision. Staff my need to arrange for a trained interpreter or alternative material for the
visually and hearing impaired. Staff members are fluent in Spanish and able to
accommodate Spanish-speaking clients.
3.6 Indicate and describe sources of agency funding and amounts from entities other than
MCHSD that support administration and operating costs of the agency including the
value of in-kind/cash match contributions.
ENTITY FUNDING IN- IN-KIND/CASH
AMOUNT KIND/CASH MATCH TYPE
MATCH
$ VALUE
Town of Gila Bend $51,173 (FY16) $17,600 Rent
$ $
$ $
3.7 Describe how the agency will ensure that no direct services, utilizing MCHSD operations or
financial assistance funds, will be provided to clients by agency staff and/or volunteers until
all appropriate background checks for employment through Central Registry have been
conducted and satisfactory results are received by the County.
Upon hire, the Central Registry check is conducted for new employees. The Town of Gila
Bend HR Department knows that this check must be completed in a timely manner so the
employee can begin direct services.
4.0 PROCEDURES FOR CRISIS CASE MANAGEMENT AND FINANCIAL ASSISTANCE
SERVICES
4.1 Describe agency procedures for how clients are scheduled for application intake ensuring
that people in crisis situations, including those who are homeless, about to become
homeless, or have impending utility shutoff, are given priority in the scheduling process.
39

Section V Attachments
Referrals from outside agencies such as Adult Protective Services, Arizona Public Service,
and Senior Centers, and other human services agencies, are highly prioritized especially
when verification has been made that a crisis exists. It has been the procedure for the
Agency to prioritize and provide appointments to such as soon as possible. Those that are
homeless or are about to be homeless are screened and are scheduled first where funding
can be allocated.
The agency has a great partnership with Arizona Public Service that allows the ability to
extend utility shutoff dates and even restore the electricity when it’s been shut off. This has
been an enormous relief for clients and for the Agency alike.
4.2 Describe how the agency accommodates clients who require an appointment outside of
regular business hours.
Staff is permitted flexibility with their work day hours. Clients may require appointments
outside the agency’s regular business hours, for example working families. Staff can come
in later to work if they know beforehand that they’ll be working late or vice versa without
incurring overtime.
4.3 Describe how agency ensures program access for persons who are homebound.
Home visits are provided to those who are homebound. The Agency’s Case Manager has
access to Town vehicles and is encouraged to perform home visits where necessary. Case
Manager also has access to a portable copy machine to take to the client’s home to take
copies of necessary documentation.
4.4 Describe the services in place to assist individuals when MCHSD financial assistance service
funds have been depleted.
Individuals are referred to other agencies when MCHSD funds have been depleted. Gila
Bend CAP manages the Salvation Army program. Individuals are referred to Salvation
Army in Gila Bend run by Gila Bend and Buckeye residents are referred to the Buckeye
Salvation Army. St Vincent de Paul in Buckeye also assists with rent and utilities towards
individuals and families when the agency makes referrals to them. A good relationship
between the parties makes smooth transitions. Referrals are also accepted from these
parties to the CAP program, especially those in crisis or homeless situations.
4.5 Describe the process for documenting client crisis reason, needs, service(s) requested,
services provided, and staff time spent with or on behalf of the client into the HSD Online
Client Data System.
Before the agency obtains any verification/documentation, all applicants are provided with
the document “Client’s Rights & Responsibilities” in their preferred language. The Case
Manager speaks both English and Spanish fluently – the predominant languages in the
service area. This is provided to all clients before the start of their interview, before copies
of any documents made, usually while the client is sitting in the waiting room, awaiting their
appointment. They’re given 5 – 10 minutes alone to read and sign. Those that need help
reading are offered the appropriate assistance. The documents, supplied by MCHSD,
advise the client of their rights, responsibilities, grievance procedures, along with the
approval/denial/appeal provision, also provided by MCHSD. The client must sign the
document before any verification and documentation is obtained.
40

Section V Attachments
4.6 Describe agency process and procedures for obtaining and retaining all required client
verification and documentation in client file.
Applications are taken only when all required documentation had been presented to the
Case Manager. Copies of the proper documentation is copied and placed in the client file.
Verifications are documented in the case file as visually verified, collateral copy, or hard
copy. All documentation and verifications are subject to the MCHSD Policies and
Procedures Manual, as required. All client files and information pertaining to the files are
kept in a locked storage for no less than six years as required by MCHSD.
5.0 MCHSD FUNDED FINANCIAL ASSISTANCE
5.1 Describe agency process and procedures for notifying and advising all applicants of their
rights, responsibilities, the agency grievance/problem solving procedures, including the
provision to each client the approval/denial/appeal for services form provided by MCHSD.
Before the agency obtains any verification/documentation, all applicants are provided with
the document “Client’s Rights & Responsibilities” in their preferred language. The Case
Manager speaks both English and Spanish fluently – the predominant languages in the
service area. This is provided to all clients before the start of their interview, before copies
of any documents made, usually while the client is sitting in the waiting room, awaiting their
appointment. They’re given 5 – 10 minutes alone to read and sign. Those that need help
reading are offered the appropriate assistance. The documents, supplied by MCHSD,
advise the client of their rights, responsibilities, grievance procedures, along with the
approval/denial/appeal provision, also provided by MCHSD. The client must sign the
document before any verification and documentation is obtained.
5.2 Describe the agency application quality assurance review process and the staff position(s)
responsible for application quality assurance review prior to submittal to MCHSD.
Both the Case Manager and Director regularly attend MCHSD trainings to keep current
with MCHSD mandates and requirements. The Case Manager who does the application
double-checks their own work. The Director is then responsible for separate quality
assurance prior to submittal.
5.3 Describe agency process and procedure for responding in a timely manner to MCHSD when
notified to clarify and/or correct client application or data entry errors. Include staff
position(s) responsible for responding to these requests.
The agency process is to respond as soon as possible, striving to respond within the same
business day or at the latest, up to the deadline set by MCHSD, usually set at 2 – 3 business
days. The Director of the Agency, receives the notifications; the Case Manager, is carbon-
copied (Cc’d) and tasked with responding to these requests. The Case Manager, upon
seeing the notification, responds to the clarifications/corrections/data entries and carbon-
copies the Director with the response in a timely manner. The Director is actively
monitoring that requests from MCHSD are responded to by the deadline.
5.4 Describe agency process and procedures for the appropriate security, completion and
issuance of MCHSD Financial Assistance Vouchers. MCHSD Financial Assistance Vouchers
shall be treated as currency and kept secure. The agency shall determine which staffs are
authorized to sign completed vouchers, and provide MCHSD with the list of authorized
staff, and update as needed.
MCHSD Financial Assistance Vouchers are treated as currency and kept in a secure file, in
41

Section V Attachments
a locked office, in a secure building with an alarm system installed. The vouchers are
removed only by authorized staff and only when an application has been completed with all
the verification/documentation in place and when the client signature is required. At this
moment the voucher is completed in front of the client and then is asked to sign. A
voucher log is kept with vouchers and is appropriately noted which voucher was issued.
The Director and Case Manager are the only staff authorized to sign and complete the
vouchers. MCHSD is provided with an actualized list of authorized staff and updated as
needed.
5.5 Describe agency procedures for making and documenting utility assistance guarantees
consistent with the criteria below:
5.5.1 Crisis assistance is provided within 48 hours after a household applies, if the
household is eligible for such assistance;
If the household has been determined eligible and all the documentation/verification has
been obtained, the application fully completed, all signatures in place, then, whether it is
crisis assistance or not, by the end of the work day, all the guarantees are entered. This
ensures that all crisis assistances are entered within 48 hours; most are entered within 8 at
our agency. The Case Manager is authorized to perform such guarantees.
5.5.2 Crisis assistance is provided within 18 hours after a household applies, if a life-
threatening situation exists and the household is determined eligible for such
assistance.
(If a utility vendor agrees to wait for payment or accepts a guarantee, this will
address the criteria above. Documentation of arrangement or guarantee is
required.)
If a life-threatening situation exists and the household has been determined eligible and all
the documentation/verification has been obtained, the application fully completed, all
signatures in place, then, immediately after the completion of the application, a guarantee is
placed. This has been the norm at the Agency. The Case Manager is authorized to
perform such guarantees.
5.6 Describe agency process or procedure for the provision of energy conservation education to
all applicants receiving utility assistance.
Before the agency obtains any verification/documentation, all applicants are provided with
an energy conservation education booklet, Energy Savers Brochure, in their preferred
language. The Case Manager is fluent in English and Spanish. This is provided to all
clients before the start of their interview, before copies of any documents made, usually
while the client is sitting in the waiting room, awaiting their appointment. They’re given 5
– 10 minutes alone to read. Those that need help reading are provided with assistance.
During the interview, the Case Manager studies the client’s utility bill and makes energy-
saving suggestions found in the booklet. Tips include on what setting to set the thermostat
in the summer and winter. Checks are made to see if client receives the low-income energy
discount and if they’re on an energy plan with peak hours – and if so, how to utilize it to
lower their energy bill.
5.7 Describe agency process to ensure all clients receive energy education, and that at least 50%
of clients receiving LIHEAP-funded utility assistance receive targeted energy-saving
activities education, an Energy Savers Brochure, and is documented as required in the HSD
Online Client Data System.
Agency’s process to ensure that all clients receive energy education and meet the criteria of
LIHEAP, is to provide 100% of all clients with an Energy Savers Brochure, and that
during the interview, 100% of all clients receive energy-saving activities education. This
42

Section V Attachments
energy education is documented in HSD Online Client Data System on the first page, page
4, and on the Client Notes section.
6.0 INFORMATION & REFERRAL
6.1 Describe agency process or procedure for providing community information and referral to
clients, facilitating or coordinating those referrals with agencies, and documenting, as
appropriate and required, in the HSD Online Client Data System.
Clients who call or visit in person and request community information and referrals are
provided with an accurate and timely response. If the information/referral is readily
available and accurate, then it is dispensed to the client immediately. If it is not readily
available or the Agency is unsure of the accuracy, contact information is taken from the
client to provide accurate information at a later, but timely, date/time.
6.2 Describe agency process or procedure for the referral of individuals to the weatherization
program and the repair/replacement of utility-related appliances program.
Individuals interested in the weatherization program and the repair/replacement of utility-
related appliances program is referred to an inquiry form found at the County website:
www.hsd.maricopa.gov/mchip.aspx. If the client needs assistance going online, the Agency
Case Manager can log the information in for the client. Usually within 24 hours the client
is contacted back and told what steps to take. Sometimes the County refers potential
applicants back to the agency.
6.3 Describe agency process or procedure for the enrollment of eligible individuals in
appropriate utility and telephone discount programs, such as the Telephone Assistance
Program (TAP), Southwest Gas Discount Program (LIRA), APS E-3 Discount Program,
SRP Economy Price Plan Discount and the Lifeline Telephone Assistance Program.
Priority is given to individuals interested in the Telephone Assistance Program (TAP) and
the Lifeline Telephone Assistance Program. TAP & LTAP requests to the Agency have a
frequency of about once a quarter. Thus, setting up an appointment for TAP and/or
LTPA is never difficult.
All clients are screened for the APS E-3 Discount Program upon arrival to their designated
appointment for services. All clients are requested to bring their APS utility bills which
facilitate the verification if they’re on the E-3 program. If they don’t have their bill, the
Case Manager has access to the client’s account (after signing an APS account form) and
can view the APS E-3 status. Those that are not enrolled and are eligible for the program
are automatically enrolled when the Case Manager guarantees the account. There’s a check
box that asks if you’d like to enroll the client in the E-3 program
Southwest Gas utility customers are also screened to see if they’re receiving the discount.
If not, and the customer is eligible, they’re given the application or the website. Those that
need help filling out the form are assisted.
The SRP Economy Price Plan Discount does not apply because they’re out of the service
area.
6.4 Describe agency process for assisting individuals with completion of forms for federal and
state social service programs such as AHCCCS or SNAP (supplemental nutrition assistance
program, formerly food stamps).
All clients are asked about all household members if they have health insurance (AHCCCS
43

Section V Attachments
included) and if they receive SNAP. If not, they’re referred to the Helping Families In
Need (H-FIN) Agency. H-FIN is subcontracted by the Town of Gila Bend and is housed
in the Gila Bend Family Resource Center making it a one-stop location. HFIN staff have
been trained accordingly and assist with the completion of forms for federal and state social
service programs. Buckeye residents are referred to the H-FIN office in Buckeye for
assistance in completion of the governmental forms.
7.0 Grievance Procedure
7.1 The Respondent shall establish a system through which applicants for, and recipients of,
services may present grievances and may take appeals about eligibility and other aspects of the
Respondent’s work under this Award. The grievance procedure shall include provisions for
notifying the applicants for, and recipients of, services of their eligibility or ineligibility for
service and their right to appeal to the Department if the grievance is not satisfied at the
Respondent’s level.
Clients are advised of their rights and responsibilities and grievance/problem procedure
during their application. In the event a complaint is stated by the client, prior to taking an
application, the Director is notified of the situation and the Director will provide the above
information to the client immediately. A denial/approval letter is then issued to all financial
assistance applications.
8.0 Pandemic Award Performance
8.1 The Respondent shall provide a written plan that illustrates how the Respondent shall
perform up to Award standards in the event of a pandemic. At a minimum, the pandemic
performance plan shall include:
8.1.1 Key succession and performance planning if there is a sudden significant decrease in
Respondent’s workforce.
8.1.2 Alternative methods to ensure services are available.
8.1.3 An up to date list of agency contacts and organizational chart.
8.2 In the event of a pandemic, as declared by the Governor of Arizona, U.S. Government or
the World Health Organization, which makes performance of any term under this Award
impossible or impracticable, the Department shall have the following rights:
8.2.1 After the official declaration of a pandemic, the Department may temporally void
the Award in whole or specific sections if the Awardee cannot perform to the
standards agreed upon in the initial terms.
8.3 The Department shall not incur any liability if a pandemic is declared, and emergency
procurements are authorized by the Director of the Arizona Department of Administration
per A.R.S. § 41-2537 as may be amended of the Arizona Procurement Code.
8.4 Once the pandemic is officially declared over and/or the Awardee can demonstrate the
ability to perform, the Department, at its sole discretion may reinstate the temporarily voided
Award.
With a total of two CAP staff members, a pandemic may affect service delivery. Clients
would be given a list with alternate resources to access (e.g. Salvation Army Red Cross,
local churches). MCHSD would be notified immediately if service delivery was impacted
significantly.
44

Section V Attachments
ATTACHMENT B - OPERATING BUDGET for SFY17
Contract Operating Budget -County June 1, 2016 to June 30, 2017
CONTRACTOR: Town of Gila Bend
Service: Crisis Case Management and Financial Assistance Services
Revenue Sources
Maricopa County* 35,000
In Kind Rent Cost 17,500
Town of Gila Bend 63,900
Total Revenues 116,400
Budget Categories
Personnel / ERE 35,000
Total Expenses 35,000
*Funding will be allocated internally on a monthly basis by
Maricopa County Human Services Department/Financial
Services.
Based on fund availability, funds utilized may include, but are not
limited to:
SSBG, TANF, LIHEAP, County Funds and CSBG
45

Section V Attachments
ATTACHMENT C-1
GILA BEND VOUCHER EXPENDITURE PLAN
Gila Bend SFY17 Voucher Expenditure Plan
Local Funding
% of Total Expended/
LIHEAP $ Expended HH's
Served Expended Planned Utility Source Amount
Assistance
Jul-16 $786 2 8%
Aug-16 $884 3 9% Jul-16 SA $440
Sep-16 $1,081 3 11% Aug-16 SA $440
Oct-16 $983 3 10% Sep-16 SA $440
Nov-16 $884 3 9% Oct-16 SA $440
Dec-16 $786 2 8% Nov-16 SA $440
Jan-17 $786 2 8% Dec-16 SA $440
Feb-17 $688 2 7% Jan-17 SA $440
Mar-17 $590 2 6% Feb-17 SA $440
Apr-17 $688 2 7% Mar-17 SA $440
May-17 $786 2 8% Apr-17 SA $440
Jun-17 $884 3 9% May-17 SA $440
TOTALS $9,826 31 100.00% Jun-17 SA $440
TOTALS SA $440
Local Funding
STCS/ % of Total
$ HH's Expended/
TANF Expended
Expended* Served Planned Rental Source Amount
Jul-16 $561 1 33% Assistance
Aug-16 Jul-16 none $0.00
Sep-16 Aug-16
Oct-16 Sep-16
Nov-16 $561 1 33% Oct-16
Dec-15 Nov-16
Jan-17 Dec-16
Feb-17 Jan-17
Mar-17 $562 1 33% Feb-17
Apr-17 Mar-17
May-17 Apr-17
Jun-17 May-17
TOTALS $1,684 Jun-17
TOTALS
*STCS Rents/Mortgages ONLY
46

Section V Attachments
ATTACHMENT C-2
BUCKEYE VOUCHER EXPENDITURE PLAN
Buckeye FY17 Voucher Expenditure Plan
% of Total Local Funding
LIHEA $ HH's Expended/Planned
P Expended Served Expended Utility Assistance Source Amount
Jul-16 6436.08 11 8% Jul-16 none $0.00
Aug-16 7240.59 13 9% Aug-16
Sep-16 8849.61 15 11% Sep-16
Oct-16 8045.1 14 10% Oct-16
Nov-16 7240.59 13 9% Nov-16
Dec-16 6436.08 11 8% Dec-16
Jan-17 6436.08 11 8% Jan-17
Feb-17 5631.57 10 7% Feb-17
Mar-17 4827.06 8 6% Mar-17
Apr-17 5631.57 10 7% Apr-17
May-17 6436.08 11 8% May-17
Jun-17 7240.59 13 9% Jun-17
TOTALS $80,451 141 100.00% TOTALS
Local Funding
STC $ HH's % of Total Expended/Planned -
S/ Expended* Served Expended Rental Assistance Source Amount
Jul-16 TAN $1,149 1 8% Jul-16 none $0.00
Aug-16 $1,149 1 8% Aug-16
Sep-16 $1,149 1 8% Sep-16
Oct-16 $1,149 1 8% Oct-16
Nov-16 $1,149 1 8% Nov-16
Dec-15 $1,149 1 8% Dec-16
Jan-17 $1,149 1 8% Jan-17
Feb-17 $1,149 1 8% Feb-17
Mar-17 $1,149 1 8% Mar-17
Apr-17 $1,149 1 8% Apr-17
May-17 $1,149 1 8% May-17
Jun-17 $1,148 1 8% Jun-17
TOTALS $13,787 12 100% TOTALS
*STCS Rents/Mortgages ONLY
47

Section V Attachments
ATTACHMENT D – FACILITY LOCATION CHART
Contract Services shall be delivered only at the facilities and locations specified below and will be available during the hours of operation indicated.
NAME OF FACILITY, ADDRESS,
DAYS & HOURS OF DESCRIPTION OF THE
PHONE AND FAX NO. WHERE CONTRACT SERVICE(S) SUB
OPERATION COMMUNITY SERVICE AREA
SERVICE(S) WILL BE PROVIDED
Service Location(s)/Office(s)
Care 1st Gila Bend Resource Center Crisis Case Management and Monday – Friday Gila Bend Community Service Area as
303 E. Pima St. Financial Assistance Services 8:00 a.m. to 4:30pm indicated in map Attachment E-1, and
Gila Bend, Arizona 85337 N/A Buckeye Community Service area as
indicated in map Attachment E-2
Gila Bend Community Center Crisis Case Management and Monday – Friday
202 N. Euclid Financial Assistance Services 8:00 a.m. to 4:30pm
Gila Bend, Arizona 85337
Buckeye Community Center Crisis Case Management and 2nd, 3rd & 4th
201 E. Centre Ave. Financial Assistance Services Wednesday of each
Buckeye, Arizona 85326 month – 8:30 a.m. –
All phone calls and faxes: 4:00 p.m.
(928) 683-6502 phone
(928) 683-6511 fax
Administrative Office Monday thru
Town of Gila Bend Thursday
640 W. Pima St. 7:00 a.m.-6:00 p.m.
Gila Bend, Arizona 85337
(928) 683-2255 phone
(928) 683-6430 fax
The facility(s) listed above will not be open on those holidays marked below (darken box for applicable holiday):
New Year’s Day Washington’s birthday Memorial Day Rosh Hashanah Veteran’s Day
Martin Luther King JR’s President’s Day Independence Day Yom Kippur Thanksgiving
Birthday Day
Lincoln’s birthday Good Friday Labor Day Columbus Day Christmas Day
OTHER HOLIDAYS:
Day After Thanksgiving Floating Holiday – Day Before Cesar Chavez (specify)
Christmas Birthday
48

Section V Attachments
ATTACHMENT E-1 – COMMUNITY SERVICE AREA
49

Section V Attachments
ATTACHMENT E-2 – COMMUNITY SERVICE AREA
50

SECTION VI
EXHIBIT
Maricopa County
Human Services Department
51

EXHIBIT 1
LIMITED ENGLISH PROFICIENCY
INTENTIONALLY LEFT BLANK
52