AMD RE TEEN PREG PREV PRGM WITH TOUCHSTONE HS.PDF

CONTRACT NO: C-86-16-008-3-01 AMENDMENT NO: 1
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
TOUCHSTONE BEHAVIORAL HEALTH
dba
TOUCHSTONE HEALTH SERVICES
I. The above named contract is hereby amended as specified below:
A. Coversheet, 3. Agreement amount is increased by $125,314.00 for the period July 1,
2016 through June 30, 2017, for an aggregate total not-to-exceed amount of $250,628.
B. Section III, Work Statement, 3. Responsibilities of the Contractor, is updated with
modified verbiage in attached Addendum A, B. Section III, Work Statement, 3.
Responsibilities of the Contractor;
C. Section IV, Compensation, D. “….sixty (45)….” replace with “…sixty (60)…”.
D. Attachment A, Budget, has been replaced with Addendum A, Attachment A, Budget
(07/01/2016 – 06/30/2017)
II. All other terms and conditions of the original contract and its amendments shall remain in full
force and effect.
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IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MARICOPA COUNTY TOUCHSTONE BEHAVIORAL HEALTH dba
TOUCHSTONE HEALTH SERVICES
By: By:
Chairman, Board of Supervisors
06/13/2016
Date Date
ATTEST ATTEST
Clerk of the Board
Date Date
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for Maricopa County
Date Date
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ADDENDUM A:
Agreement No: C-86-16-008-3-00
Cost-Reimbursement Contract
Purpose: Teen Pregnancy Prevention Program
Amount: $125,314.00
Maricopa County Department of Public Health and Touchstone Behavioral Health dba
Touchstone Health Services
Start Date: 7/1/2016
Expire Date: 6/30/2017
Amendment 1
The purpose of this Amendment is to modify the Provisions of the Agreement as follows:
A. Coversheet, 3. Agreement amount is increased by $125,314.00 for period of July 1, 2016
through June 30, 2017
B. Section III, Work Statement, 3. Responsibilities of the Contractor is modified to replace
current statements with following verbiage:
A. Touchstone (THS) Prevention Director, Program Manager, and Project Lead (PL) will
meet with MCDPH monthly or as needed to stay abreast of project progress. THS will attend
project team meetings with MCDPH staff 1-2 times per month. PL will maintain
communication (via meetings, phone calls or emails) twice a month with MCDPH Project
Director.
B. THS will provide MCDPH Project Director with meeting minutes, assessment results,
action plans and other status reports. THS will work with MCDPH to complete all Office of
Adolescent Health (OAH) required reports such as the biannual progress report, the
continuation application, and annual progress report.
C. Prevention Director and Program Manager will secure and manage a Memorandum of
Understanding (MOU) with each Capacity Building Assistance (CBA) organization
(Pendergast Elementary School District (PESD) and 1N10), including scopes of work and
budgets. MOUs will be signed annually and include goals, objectives, and expectations for
THS and the CBA organization. During the time of the MOU review, THS will also have a
discussion of previous performance and an assessment of progress towards sustainability
with the CBA organization. Within 30 days of signature of the MOU, THS will provide
budgeted stipend funds to the CBA organizations to offset capacity building costs.
D. THS will conduct the OAH Organizational Capacity Assessment with the leadership of
the Capacity Building Assistance (CBA) organizations every six months and use results to
inform program administration and design required plans, such as action plans and
sustainability plans.
E. THS will work with each CBA organization to review and revise their CBA action plans
to include goals, objectives and timelines that meet desired project outcomes and follow
OAH requirements.
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ADDENDUM A:
F. THS will work in conjunction with MCDPH to provide four professional development
trainings for each CBA organization throughout the year. THS will coordinate a Training of
Educators (TOE) with PESD and a Training of Trainers (TOT) with 1N10 and PESD in their
respective selected curriculum. In conjunction with MCDPH and the CBA organization, THS
will coordinate and co-facilitate additional TOE’s
G. THS will work with each CBA organization to schedule and pilot selected curriculum
workshops. THS will support the CBA organizations by providing technical assistance and
feedback, observing implementation intermittently, monitoring implementation progress,
coaching and training in the facilitation of the workshops, and support with data entry. THS
will work with MCDPH to provide additional capacity building opportunities to the CBA
organizations, including the Community Advisory Board and annual Adolescent Summit.
Following the pilot, THS will debrief with each CBA organization to make necessary
adjustments prior to full implementation
H. THS will work with each CBA organization to complete full implementation, which will
be an on-going process. THS will support the CBA organizations by providing technical
assistance and feedback, observing implementation intermittently, monitoring
implementation progress, coaching and training in the facilitation of the workshops, and
support with data entry.
I. Throughout the pilot and full implementation, THS will work with the contracted project
evaluator, Arizona State University Southwest Interdisciplinary Research Center (SIRC) to
log adaptations as required by OAH. PL will use SIRC reports regarding Fidelity Monitoring
Logs (FMLs) to provide coaching, determine training needs, and offer resources to increase
the effectiveness of curriculum implementation. PL will work with each CBA organization
to ensure that FMLs are being completed in an accurate and timely manner.
J. THS will work with each CBA organization to develop a sustainability plan for teen
pregnancy prevention programming using the OAH Framework.
K. THS will work with each CBA organization to complete annual medical accuracy,
LGBTQ inclusivity, age-appropriateness, positive youth development, cultural and linguistic
appropriateness, trauma informed care reviews and complete OAH assessment tools.
L. THS will work with MCDPH to ensure CBA organizations have the training, capacity,
and knowledge to make linkages to youth friendly health care services and will develop their
own referral process.
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ADDENDUM A:
Attachment A: Budget (7/1/2016-6/30/2017)
Personnel Description Yearly Cost
Prevention Director (PD), Erica PD will be responsible for contracts,
Chavez at 10% FTE, Prevention budget, and grant requirements as
Manager (PM), Lydia Cruz at 10% well as provide oversight into
FTE, and Program Lead (PL), Amy community relations, capacity
Fernandez at 100% FTE building technical assistance, and
maintain the relationship with
MCDPH. PM will be responsible for
providing day to day supervision of
the PL, reviewing documentation,
and providing support to the PL. The
PL will be responsible for
implementing the action planning
steps and working directly with the
CBA organizations. $ 48,434
Fringe Benefits Rate Yearly Cost
7.65% of personnel salaries (agency
FICA rate) $ 3,705
Insurance (TBH offers medical,
dental, vision, life retirement,
and career development benefits 20% of personnel salaries (agency
to employees) rate) $ 9,687
$ 13,392
Other Description Yearly Cost
500 miles x 12 months traveled by
THS staff at $.505/mile
Mileage $ 3,030
upkeep for PL’s computer, software,
Computer data systems, etc. $ 2500
Monthly data plans for
Internet/Technology devices for
TPPP staff ($80/mo. x 12 mos. x 1
Cell Phone staff) $ 960
Office space, facility, maintenance,
etc.
Occupancy $ 6,600
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ADDENDUM A:
Training and conference 1,807
opportunities for PL
Professional Development
Liability insurance, Supplies, etc
Other Operating Costs $ 1,200
$ 16,097
Contractual Description Yearly Cost
Mini Grants for partners ($15000
for 1n10, $21000 to PESD)
PESD and 1n10 $ 36,000
Administrative Overhead Description Yearly Cost
Administrative Overhead Financial, Accounting, billing, HR,
Allocations - 10% Training $ 11,391
Total $ 125,314
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