ORAL HEALTH RENEWAL 01.PDF

Maricopa County โ€” Formal (2016-04-06)

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Attachment B
Early Childhood
Grant Renewal Amendment Notification
Development and Health
Grant Renewal/2017 Grant Award Board
14รท (First Things First)
+14 FTF-MULTI-16-0519-02-Y2
FIRST THINGS FIRST East Maricopa, Northwest Maricopa, Phoenix North, 4000 North Central
Phoenix South, Southeast Maricopa, and Southwest Avenue, Suite 800
Maricopa Regional Partnership Councils Phoenix, Arizona 85012
Oral Health (602) 771-5100
GRANTEE:
Maricopa County Department of Public Health
PURPOSE OF AMENDMENT:
1. Pursuant to the RFGA Grant Terms and Conditions, Renewal, for the above referenced grant award, the State of
Arizona hereby exercises its sole option to renew the grant award number referenced above. The renewal award
period is July 1, 2016 through June 30, 2017.
2, Total award amount for the grant period is $ 2,125,000.00
3. Contracted Service Units for FY 2017:
Primary Strategy: Oral Health
Number of fluoride varnishes applied 25,500
Number of participating adults 9,775
Number of participating professionals 425
Number of children receiving oral health screenings 25,500
Number of prenatal women receiving oral health screenings 2 400
4, The grantee is responsible for all updated Standards of Practice located in the First Things First Partner and Grant
Management System (PGMS) under Grantee Resources/Standards of Practice.
5. The current approved budget will be applied to the 2017 grant award and implementation of the grant will continue as
originally proposed for the previous fiscal year.
6, All other terms and conditions remain unchanged and are according to the original award documents, clarification
documents and renewal submission documents.
Grantee hereby acknowledges receipt and understanding of the The above referenced amendment is hereby executed
amendment: effective July 1, 2016 once signed and dated below:
Signature Josh Allen
CFO/C00
Name
Date
Title
Date

For and on Behalf of Maricopa County The above referenced amendment is hereby executed
Contractor hereby acknowledges receipt and understanding of the effective July 1, 2016 once signed and dated below:
contract amendment
Josh Allen
Signature CFO/C00
Clint Hickman
Name Date
Chairman, Board of Supervisors
Title
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date