GRANT AGRMT RE HEALTH IMPACT ASSMT WITH PEW CT.PDF

THE E
2005 Market Street, Suite 2800 215 575 9050 Phone
Philadelphia, PA 19103-7077
CFIARITAEll E TRUSTS 901 E Street NW 202 552 2000 Phone
Washington, DC 20004
www.pewtrusts.org
April 8, 2016
Bob England, M.D.
c/o Matt Juan
Director, Chief Health Officer
Maricopa County Department of Public Health
4041 North Central Ave., Suite 1400
Phoenix, AZ 85012
RE: Health Impact Project Grant
Dear Dr. England:
We are pleased to advise your organization (Grantee or you) that The Pew Charitable Trusts
(Pew) has approved the grant described below (Grant).
Attached are the terms and conditions governing the Grant (Agreement). If the Agreement
correctly states your understanding of the terms and conditions of this Grant, please sign and
return a copy to Pew by April 22, 2016, along with a signed copy of the attached Deposit
Agreement Form. Please note that Pew may revoke the Grant if a signed copy of the Agreement
is not received by that date. You are authorized to accept and negotiate grant payments, which
shall be made electronically via the Automated Clearing House (ACH) network for direct
deposits and are conditioned on your acceptance of this Agreement, only after Pew has received a
signed copy of the Agreement. In all events, accepting, depositing or otherwise negotiating or
using a grant payment will constitute acceptance of this Agreement.
GRANTEE: MARICOPA COUNTY BY AND THROUGH ITS DEPARTMENT OF
PUBLIC HEALTH, A POLITICAL SUBDIVISION OF THE STATE OF
ARIZONA
Phoenix, AZ
CONTRACT NUMBER: 00029371
GRANT PURPOSE: To evaluate the process and impact of a health impact assessment that
studied the shared-use of school properties and to disseminate the findings, as set forth in the
Grantee's proposal, over five months.
GRANT PERIOD: Only expenses related to the purpose of this Grant, incurred after January 21,
2016, and fully expended on or before June 30, 2016, may be funded by this Grant.
GRANT AMOUNT: $40,751

Contract ID: 00029371
PEW CONTACTS:
Primary Grants Officer: Rebecca Morley
Director, Health Impact Project
202-540-6974
rmorley@pewtrusts.org
All correspondence and reports should include the contract number and be directed to:
Louise Verstegen
Associate, Grant Contracts Services
215-575-4729
lverstegen@pewtrusts.org
Maricopa County by and through its Department of Public Health Page 2 of 12

Contract ID: 00029371
THE PEW CHARITABLE TRUSTS
Grant Agreement Terms and Conditions
This Agreement is between the Maricopa County by and through its Department of Public Health
(Grantee), a political subdivision of the state of Arizona, and The Pew Charitable Trusts (Pew), a
Pennsylvania not-for-profit corporation, recognized as exempt from income tax as a publicly-
supported charitable organization described in Section 501(c)(3) of the Code. The Grant,
including any interest earned thereon, may be used only for the purpose stated in this Agreement.
The effective date of this Agreement is January 21, 2016 (Effective Date), and it shall terminate
on June 30, 2016 (Termination Date).
Reports and Payment. The narrative reporting requirements (which contain a description of the
work Grantee will carry out in connection with the project funded under this Grant), the reporting
and payment schedule and the financial reporting requirements associated with the Grant are
attached hereto and incorporated herein (including, where appropriate, by reference to Grantee's
proposal). All narrative and financial reports must be submitted to lverstegen@pewtrusts.org or
as otherwise instructed in writing by Pew.
Submission of Work Product. In addition to narrative and financial reports, Grantee must submit
to Pew copies of any original Work Product (as defined below) directly resulting from the Grant
(including, but not limited to, Work Product in printed, electronic or other formats such as
publications, recordings and software programs) promptly after such Work Product is created.
Polls and Surveys. If Grantee completes any polls or surveys funded through this Agreement it
shall comply fully with the Robert Wood Johnson Foundation Guidelines for Funding and
Releasing Polls and Surveys (which are available at
www.rwjf.org/files/guidelinesforpollsandsurveys.pdf).
Grant Budget. The approved budget for this Grant is incorporated herein by reference.
Expense Reallocation. Reallocation of expenses among project budget categories must be
approved by Pew if the reallocation exceeds the greater of five (5) percent of the total Grant
awarded or $5,000.
Indirect Expenses. Expenditures of Grant funds (and any interest earned theron) for Indirect
expenses may not exceed the lesser of $1,917 or ten (10) percent of Salaries and Benefits
expenses allocated to the Grant.
Intellectual Property. "Work product" consists of the process and impact evaluation (Evaluation),
including drafts thereof, prepared by Grantee in connection with the project funded under this
Grant (collectively, Work Product). Grantee hereby grants to Pew, the Robert Wood Johnson
Foundation, and the de Beaumont Foundation, and agrees to obtain from any subcontractors or
subgrantees, a nonexclusive, irrevocable, perpetual, worldwide, royalty-free, transferable and
sub-licensable license for noncommercial purposes to use, display, perform, reproduce, publish,
copy, archive, excerpt, distribute, create derivative works from and otherwise disseminate, in
whole or in part, any or all of the Work Product. This Section shall survive the termination of
this Agreement.
Datasets. Upon Pew's request, Grantee shall provide Pew in a form satisfactory to Pew with a
copy of any and all data, datasets, source documents or other information Grantee used to develop
the Work Product (the Datasets). Grantee hereby grants to Pew, the Robert Wood Johnson
Maricopa County by and through its Department of Public Health Page 3 of 12

Contract ID: 00029371
Foundation, and the de Beaumont Foundation a nonexclusive, irrevocable, perpetual, worldwide,
royalty-free, transferable and sub-licensable license to use the Datasets and agrees, if necessary,
to obtain such licenses for Pew from third parties. If Grantee is unable to obtain such third-party
licenses, Grantee will notify Pew in writing.
Protection of Human Subjects. If research involving human subjects is performed pursuant to
this Agreement, the Grantee shall ensure that it complies with applicable statutes, regulations and
policies concerning the protection of human research subjects. Particularly, the Grantee shall be
responsible for compliance with: (I) the requirements set forth by the Department of Health and
Human Services, at 45 C.F.R. Part 46; FDA regulations (21 C.F.R. Parts 50 and 56), if research
involves investigational new drugs or investigational new devices; and (ii) the Privacy
Regulations in the Health Insurance Portability and Accountability Act of 1996 (45 C.F.R. Parts
160 and 164) for the use and disclosure of protected health information.
Acknowledgment of Pew. Grantee agrees to provide an acknowledgment of Pew's role as the
funder of the Work Product by placing on all final and/or disseminated versions of the Work
Product and derivatives the following language, "This [project, product, report, issue brief, etc.] is
supported by a grant from the Health Impact Project, a collaboration of the Robert Wood Johnson
Foundation and The Pew Charitable Trusts, with support from the de Beaumont Foundation."
Disclaimer. Unless otherwise requested by Pew, for all written Work Product and derivatives
created pursuant to this Agreement and publicly disseminated, Grantee shall include the
following disclaimer (unless Pew provides alternative wording): "The views expressed are those
of the author(s) and do not necessarily reflect the views of the Health Impact Project, The Pew
Charitable Trusts, the Robert Wood Johnson Foundation, or the de Beaumont Foundation."
No Campaign Intervention or Lobbying. No payments under this Agreement may be used (i) to
participate or intervene in (including the publishing or distribution of statements) any political
campaign on behalf of (or in opposition to) any candidate for public office or (ii) to carry on any
lobbying activities within the meaning of Section 501(c)(3) of the Code and the regulations
thereunder and/or as defined under the federal Lobbying Disclosure Act ("LDA"). Grantee
represents that it is not established, financed, maintained, or controlled by a "covered official"
under the LDA.
Replacement of Personnel. The replacement of Grantee's project staff and/or key personnel
would be a material deviation from this Agreement and, thus, cause for termination. Accordingly,
the Grantee agrees to provide Pew with written notification two weeks before replacing such
project staff and/or key personnel, provided, however, that where immediate termination of such
staff or personnel is clearly necessary to protect the interests of the project, Grantee need only
provide Pew with written notification both as soon as possible and before selecting a replacement.
Subcontractors and Subgrantees. Grantee agrees that, if it engages subcontractors or subgrantees
(Subcontractor) to help carry out the project funded by this Grant, it shall use its best efforts to
ensure that such Subcontractors are bound by this Agreement. At a minimum, Grantee shall .
notify Subcontractor in writing of the following requirements: (a) Subcontractor is prohibited
from using names, logos, or other marks owned by or associated with Pew or the Health Impact
Project for any purpose without Pew's prior written consent; (b) if applicable, Subcontractor shall
grant Pew, the Robert Wood Johnson Foundation, and the de Beaumont Foundation a license to
any Work Product it creates (as set forth in "Intellectual Property" above); (c) Subcontractor shall
comply with all applicable laws in the performance of the work related to this Grant; (d)
Subcontractor shall comply with Pew's "No Campaign Intervention or Lobbying" clause; and (e)
Maricopa County by and through its Department of Public Health Page 4 of 12

Contract ID: 00029371
Subcontractor shall not disclose or use information about Pew for purposes other than performing
the work related to this Grant.
Compliance with Laws. Grantee agrees that it and any agents shall comply with all applicable
federal, state and local laws, regulations, and rules and, upon request, shall provide Pew with
documentation of such compliance.
Grantee Status. Grantee represents that it either (a) has been determined by the Internal Revenue
Service to be tax-exempt under Section 501(a) of the Code or (b) is an organization described in
Section 170(c)(1) of the Code.
Evaluation. All activities conducted hereunder are subject to Pew's review and acceptance to
confirm that funds are being spent in accordance with this Agreement and Section 501(c)(3) of
the Code. At its own expense, Pew may monitor and conduct an evaluation of operations under
this Agreement and Grantee will participate in such an evaluation if requested by Pew.
Grantee's Records. Grantee will keep systematic records of all expenditures relating to this Grant.
These records, including bills, invoices, canceled checks and receipts, will be retained by Grantee
for five years after the Termination Date and will be available for Pew's inspection during that
period. Pew may, at its own expense, examine or audit Grantee's records related to activities
supported by this Grant.
Independent Parties. Grantee, its employees, agents, and representatives are independent parties
and are not Pew employees or agents.
Indemnification. Grantee shall indemnify, defend and hold harmless Pew and its officers,
directors, employees, agents, affiliates, and contractors from and against any and all claims,
liabilities, damages, losses, expenses, demands, suits, and judgments, including without limitation
reasonable attorneys' fees and costs, arising from or relating to (a) Grantee's performance of this
Agreement or breach thereof or (b) the intentional misconduct or negligent acts or omissions of
Grantee, its employees, agents, contractors, or consultants in connection with the performance of
its obligations under this Agreement. This provision shall survive the termination of this
Agreement.
Governing Law. The state and federal courts in Philadelphia, Pennsylvania will have exclusive
jurisdiction over any and all disputes arising out of, or in any way related to, this Agreement, and
Grantee shall submit to the personal jurisdiction of those courts. The laws of the Commonwealth
of Pennsylvania shall apply to any such disputes without regard to any conflict of law principles.
Unexpended Funds. Any portion of the payments made under this Agreement not expended at
the completion of the term, must be returned to Pew with a final report.
Pennsylvania Solicitation of Funds for Charitable Purposes Act. Grantee acknowledges that Pew
is located in Pennsylvania and that Grantee may be required to register with the Pennsylvania
Department of State pursuant to the Pennsylvania Solicitation of Funds for Charitable Purposes
Act.
No Use of Pew Name. Grantee agrees not to use the names, logos or any other marks owned by
or associated with Pew, including the Health Impact Project or any other Pew department or
project name, on or in any form of publicity (including in Grantee's publicly distributed client
lists, on Grantee's websites, in Grantee's social media platforms including, but not limited to,
Maricopa County by and through its Department of Public Health Page 5 of 12

Contract ID: 00029371
LinkedIn, Twitter or Facebook, or in any of Grantee's other promotional materials) without
Pew's prior written consent in each instance which consent may be withheld by Pew in its sole
and absolute discretion.
Termination and Postponement.
a. Pew may, in its sole discretion, terminate, postpone or cancel any or all Grant payments
if: (1) Grantee fails to complete and/or make satisfactory progress toward the Grant's
purpose(s) or submit timely reports; (2) Grantee's application or any required report is
inaccurate in any material respect; (3) Grantee substantially fails to perform any of its
duties required by the terms of this Agreement; or (4) Grantee has a substantial
unexpended balance of Grant funds on hand.
b. Grantee agrees to give immediate written notice to Pew and, upon demand, repay all
Grant funds that are within Grantee's control, and Pew may terminate this Agreement
immediately, including canceling all unpaid amounts, if:
1. Grantee ceases to be exempt from federal income tax for any reason or Grantee's
status as an organization described under Section 501(a) or Section 170(c)(1) of the
Code, as the case may be, materially changes; or
2. Grantee fails to timely comply with any of its applicable federal, state, local, or other
registration or tax or information return requirements; or
3. Grantee becomes insolvent or is otherwise unable to meet its financial obligations as
they become due, other than those financial obligations for which the Grant is made.
c. All notices under this Section shall be in writing and shall be delivered personally, or by
confirmed electronic mail, a recognized overnight courier service, or United States mail,
first-class, certified or registered, postage prepaid, return receipt requested, to the other
party at its address set forth below or to such other address as such party may designate
by notice given pursuant to this section:
If to Grantee: Bob England, M.D.
c/o Matt Juan
Director, Chief Health Officer
Maricopa County Department of Public Health
4041 North Central Ave., Suite 1400
Phoenix, AZ 85012
602-506-6601
BobEngland@mail.maricopa.gov
With a copy to: Kenneth Steel
Health Policy Analyst
Maricopa County Department of Public Health
4041 North Central #1400
Phoenix, AZ 85012
Maricopa County by and through its Department of Public Health Page 6 of 12

Contract ID: 00029371
If to Pew: Susan Urahn
Executive Vice President
The Pew Charitable Trusts
901 E Street NW, 10th Floor
Washington, DC 20004
surahn@pewtrusts.org
With a copy to: James McMillan
Senior Vice President, General Counsel and Corporate Secretary
The Pew Charitable Trusts
901 E Street NW, 10th Floor
Washington, DC 20004
Assignment. Pew may, upon giving notice to Grantee, assign all or any part of its right, title, and
interest in this Agreement. Grantee may not assign this Agreement, in whole or in part, without
Pew's prior written consent.
No Third-Party Benefit. The provisions of this Agreement are for the sole benefit of the parties
hereto and confer no rights, benefits, or claims upon any person or entity not a party hereto.
Complete Agreement. This Agreement, including all attachments (which are incorporated by
reference herein) is the parties' final and binding expression of their agreement and the complete
and exclusive statement of its terms. This Agreement cancels, supersedes, and revokes all prior
negotiations, representations, and agreements between the parties, whether oral or written,
relating to the subject matter of this Agreement. No change to this Agreement will be effective
unless signed by both parties.
Severability: No Waiver. If any provision of this Agreement is held to be invalid or
unenforceable for any reason, the remaining provisions will continue in full force without being
impaired or invalidated in any way. The parties agree to replace any invalid provision with a
valid provision that most closely approximates the intent and economic effect of the invalid
provision. The waiver by either party of a breach of any provision of this Agreement will not
operate or be interpreted as a waiver of any other or subsequent breach.
Grantee's Authority. Grantee represents and warrants that (a) it has the corporate, statutory or
other power and authority to enter into this Agreement and to perform its obligations hereunder;
(b) the person who executes this Agreement on its behalf has the necessary authority to bind
Grantee; and (c) neither the execution and delivery of this Agreement, nor the performance of its
obligations hereunder, will constitute a violation of, a default under, or conflict with any term of
any governance documents or other agreements to which it is bound.
Counterparts. This Agreement may be executed in one or more counterparts, each of which shall
be deemed an original and all of which shall be taken together and deemed to be one instrument.
Faxed and PDF counterpart signatures are sufficient to make this Agreement effective.
Maricopa County by and through its Department of Public Health Page 7 of 12

Bob England, M.D., M.P.H.
Department Director

Contract ID: 00029371
NARRATIVE REPORT SUBMISSION
Grantee: Maricopa County by and through its Department Contract#: 00029371
of Public Health
Program Staff: Amber Lenhart Finance Staff: Louise Verstegen
Grant Purpose: To evaluate the process and impact of a health impact assessment that
studied the shared-use of school properties and to disseminate the findings, as set forth in the
Grantee's proposal, over five months.
Report submitted by: Date:
When submitting progress reports at the intervals established in the Agreement, please answer the
following questions:
1. Please describe the progress that you have made toward meeting each of the
organizational priorities or deliverables listed below.
• A video highlighting lessons learned, key findings, and recommendations of the Shared-
Use Roosevelt Health Impact Assessment (SHUR HIA).
• A professionally-formatted summary of lessons learned, key findings, and
recommendations of the SHUR HIA for decision makers from school districts
considering shared-use agreements.
• Two (2) community and stakeholder meetings to share highlights from the SHUR HIA.
)=. A process and impact evaluation of the SHUR HIA.
2. Please describe any unexpected obstacles in your work and/or in the environment within
which you work, their impact on the progress of the Grant, and how you have responded
or plan to respond. What have you learned from these challenges?
3. As a result of any challenges noted above, do you anticipate any changes to the
deliverables? Please briefly explain how and why the deliverables would be modified
(Such modifications would require a written request submitted to your program officer.)
4. Have any organizational issues arisen since your last narrative or financial report that
might have an impact on your ability to achieve the Grant deliverables (e.g., fiscal
management, the ability to raise revenue, or turnover in key managers of the Grant)?
5. Please provide the Grant Contracts Services contact (identified above) copies of any
original work products directly resulting from the Grant (including, but not limited to,
Maricopa County by and through its Department of Public Health Page 9 of 12

Contract ID: 00029371
work products in printed, electronic or computer-based formats such as publications,
photographs, drawings, videotapes, audio tapes and software). Will you be submitting
any of these Grant products to Pew under separate cover?
Yes El No 111
6. Please confirm that you have not used the grant funds for lobbying as defined in this
Agreement.
Report and Payment Schedule
Payment
Schedule
$40,750 on or before 4/30/2016
Final report due date: 8/15/2016
Notwithstanding the payment schedule above, as more fully set forth in the "Termination and
Postponement" clause, Pew may, at its sole option, postpone or cancel any or all payments if the
Grantee has a substantial unexpended balance of grant funds on hand.
APPROVED BUDGET
TOTAL
Revenues:
Pew $ 40,751
TOTAL $ 40,751
Expenses:
Salaries
$ 14,526
Benefits 4,648
Subcontractors 16,750
Travel 260
Other direct costs 2,650
Indirect 1,917
TOTAL $ 40,751
Maricopa County by and through its Department of Public Health Page 10 of 12

Contract ID: 00029371
FINANCIAL REPORT FORM
Date:
Prepared by:
Phone no. of preparer:
Reporting period: from to
Revenues and Expenses as of:
Pew funds received to date:
Pew funds expended to date:
Balance of Pew funds on hand:
Please refer to the Agreement and Approved Budget when completing this form.
Contact the Grant Contracts Services Associate identified above for additional guidance
and information.
(1) (2)
Approved Cumulative
Budget Revenues Actual Revenues
Revenues:
Pew $ 40,751 $
TOTAL $ 40,751 $
(3) (4) (5)
Approved Cumulative Cumulative
Budget Expenses Actual Expenses Actual Pew
Expenses
Expenses:
Salaries $ 14,526 $ $
Benefits 4,648
Subcontractors 16,750
Travel 260
Other direct costs 2,650
Indirect 1,917
TOTAL $ 40,751 $
Maricopa County by and through its Department of Public Health Page 11 of 12

Contract ID: 00029371
Grantee: Maricopa County by and Through Its Department of Public Health,
A Political Subdivision of the State of Arizona
CID: 00029371
VID: 0000019907
Direct Deposit Agreement
I hereby authorize The Pew Charitable Trusts to transfer payment amounts as scheduled
from our agreement and to initiate (if necessary) debit entries and adjustments for any
credit made in error to the account, using the ACH system.
Bank name: _ Macon Green Space
Bank address: 444 Magnolia Blvd.
Macon, GA 40000-0000
Title on bank account: CHECK
Bank account number:
ABA routing number_ 1111111111 00000000000 0000000000000000
Checking Account Savings Account
We agree that this authorization will remain in effect until we provide written notification to The Pew
Charitable Trusts terminating this service. We understand that it is our responsibility to notify The Pew
Charitable Trusts of a change of the account information and authorized personnel. We further understand
that The Pew Charitable Trusts may terminate this service at any time at its discretion and that, if it does so,
it will notify us of the termination.
Authorized Signature (check signer) Date
Print name
Title and E-mail
Institution Officer(s) to notify when deposits or debits are processed
Name/Title:
PLEASE PRINT
Phone and E-mail:
Name/Title:
PLEASE PRINT
Phone and E-mail:
For security purposes, please attach a voided photocopy of a check from the designated
account. For savings accounts without checks, attach a photocopy of a deposit ticket. Verify
that the correct ABA routing number is included above. Contact Louise Verstegen at 215-
575-4729, lverstegen@pewtrusts.org , with questions. Please return to The Pew Charitable
Trusts, One Commerce Square, 2005 Market Street, Suite 2800, Philadelphia, PA 19103-
7017.
Please return this form along with a photocopy of a
voided blank check or deposit ticket.
Maricopa County by and through its Department of Public Health Page 12 of 12

C-86-16-098-3-00 ATTACHED TO AND A PART OF
PEW Charitable Trusts,
Grant Agreement (Contract Number 00029371)
IN WITNESS WHEREOF, the parties agree to enter into this Contract:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date
10