2016 GRIC APPLICATIONS 4.PDF

Created: 12/21/2015
Last updated: 03/08/2016
Page 1
General information
Organization Maricopa County Air Quality Department
Contact First name Patience
Contact Last name Monroe
Contact e-mail patiencemonroe@mail.maricopa.gov
Contact phone number 602-506-5043
Address
Street 1001 N Central Avenue #125
City Phoenix
State Arizona
ZIP Code 85004
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
472,218
The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this
project or program from the Gila River Indian Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian Community Grants Only) 157,406
Year 2 (Gila River Indian Community Grants Only) 157,406
Year 3 (Gila River Indian Community Grants Only) 157,406
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
1 of 1


Gila River Indian Community Grant Application
Grant Cycle 2016
Cover Sheet
Municipality Information
1. Date of Application: 2/29/2016 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Andy Kunasek, Clink Hickman, &
Steve Gallardo
4. Mailing Address: 1001 N. Central Avenue, Suite 125
5. City: Phoenix State: Arizona Zip Code: 85004
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name: Amanda Nash Signature:
Applicant Information
7. Department/Organization Name: Air Quality Department
8. Is this a non-profit 501c(3) Organization? No Yes If yes, attach IRS Determination
Letter
9. Application Contact Person: Patience Monroe Title: Grant Writer/Coordinator Air Quality Dept.
10. Phone Number: 602.506.5043
11. Mailing Address: 1001 N. Central Avenue, Suite 125
12. City: Phoenix State: Arizona Zip Code: 85004
13. Email Address: patiencemonroe@mail.marciopa.gov Website Address: www.maricopa.gov/aq/
Project Information
14. Project Name: Fireplace Conversion Program
15. Purpose of Grant: The Department proposes to develop a two phase Fireplace Conversion Pilot Program
that would replace existing wood burning fireplaces with cleaner-burning devices to reduce both residential
wood burning smoke and the exposure of contaminants to county residents.
16. Priority Funding Area Public Safety
17. Annual amount requested $157,406
18. Number of years that funding is requested 3
For Office Use Only:
Data Entry
Receipt
Evaluation

Gila River Indian Community Grant Application
Grant Cycle 2016
19. Total amount requested (annual amount x # of $472,218
years)
20. Has your organization received past funding No
from GRIC? If yes, list each year and amount
The Department intends to first direct the Pilot
Program to areas of Maricopa County that air quality
21. Geographic area served
monitoring indicates are currently most impacted by
PM2.5 from wood burning: South and West Phoenix.

Gila River Indian Community Grant Application
Grant Cycle 2016
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s mission, history and goals.
Mission and Vision
The mission of the Maricopa County Air Quality Department (Department) is to provide clean air to
Maricopa County residents and visitors so they can live, work and play in a healthy environment. Our
vision is to be powered by dedicated staff, guided by integrity and service, to provide clean air for our
citizens.
History
Maricopa County is located in Central Arizona and is home to four million plus residents, including 19
million overnight tourists and winter-only residents (Arizona Office of Tourism, 2014). The County
includes 42 cities, towns, and communities, including Phoenix.
For over 55 years, the Department has monitored air quality throughout the greater Phoenix, Arizona
metropolitan area. The Department originated as a Bureau within the County’s Environmental Services
Department. In 2004, the Department was established as a regulatory unit of county government and
separated from Environmental Services. The Department is a regulatory agency whose goal is to ensure
federal clean air standards are achieved and maintained, regulating over 6,000 businesses through the
enforcement of air quality regulations.
The Department is governed by the Maricopa County Board of Supervisors and executes air quality
standards as defined in the federal Clean Air Act. The Department has direct statutory authority for air
quality programs in Arizona Revised Statutes (ARS) §49-402(B), §49-473 and §49-582. The
Department receives direct approval for its Title V permit program from the U.S. Environmental
Protection Agency (EPA). In addition, the Department holds responsibility through formal agreements
with the Arizona Department of Environmental Quality (ADEQ) and the Maricopa Association of
Governments (MAG) for emission inventories, air quality monitoring data and the Travel Reduction
Program.
The Department is primarily funded through permit fees and federal grants. Secondarily, the
Department receives money through the County General Fund and penalties levied on businesses. The
Department’s Fiscal Year (FY) 2016 operating budget was approximately $19 million. The Department
also manages approximately $4 million in grant awards annually.
In addition to several support functions, the Department maintains five major divisions: Air Monitoring,
Compliance and Enforcement, Permit Engineering, Planning and Analysis and Travel Reduction and
Outreach. The Department currently employs 136 full-time positions.
Goals

Gila River Indian Community Grant Application
Grant Cycle 2016
The Maricopa County Strategic Plan details two Department-specific goals:
• By December 31, 2018, 100% of air quality monitors are in compliance with the federal health
standards.
• By June 30, 2018, 90% of Air Quality Department regulated entities indicate they are satisfied or
more than satisfied with their interactions with the Department (as measured by customer
satisfaction surveys).
The Department’s specific goals tie directly to the Maricopa County Strategic Plan and include:
• By June 30, 2018, the compliance rate of permitted sources to rules and regulations will increase
from 91% to 99%, as a result of effective and efficient service delivery by the Air Quality
Department.
• By June 30, 2018, the percentage of citizens being adequately informed of air pollution issues
with increase to 80% and making clean air choices will increase by 10% from baseline year as
reported in a Maricopa County Citizens’ Satisfaction Survey.
The Department’s proposed Fireplace Conversion Pilot Program is linked directly with our mission to
improve air quality and our goal to increase citizen awareness of air pollution issues. The installation of
cleaner-burning devices will help reduce particulate matter emissions and will improve the air quality
for our citizens.
2. If the organization is a non-profit 501c(3), please describe your relationship with the municipality
including past and present support, whether it be through partnerships, collaborations, in-kind
contributions, grants, tax-based funding or other. If the organization is a municipality governmental
sub-division please enter the text “Not applicable.”
N/A
3. Describe the proposed project and planned goals and activities.
Brief Problem Statement
During the winter months when wood burning is most common, contaminants such as Particulate Matter
2.5 (PM2.5, particles up to 2.5 microns in size) are emitted into the air from residents using wood burning
fireplaces for ambiance or as a primary source of heat in homes. Winter weather conditions create
temperature inversions that trap pollutants close to the ground. Exposure to these contaminants is linked
to serious health effects such as premature mortality, acute and chronic bronchitis, asthma attacks, heart
disease, stroke, and upper respiratory illnesses. These exposures also lead to increased emergency room
visits and work and school absenteeism.
Purpose of Grant Request

Gila River Indian Community Grant Application
Grant Cycle 2016
The Department proposes to develop a two phase Fireplace Conversion Pilot Program that would
replace existing wood burning fireplaces with cleaner-burning devices to reduce both residential wood
burning smoke and the exposure of contaminants to county residents.
The Department intends to first direct the Pilot Program to areas of Maricopa County that air quality
monitoring indicates are currently most impacted by PM2.5 from wood burning: South and West Phoenix.
Description, Goals and Activities
Phase One – Develop the Pilot
In Phase One of the pilot, the Department will research and design the necessary elements for pilot
execution in Phase Two. Ideally, the Department will formally partner with an existing non-profit
organization to carry out various aspects of the Program Pilot on behalf of the Department. Phase One
will be used to benchmark successful fireplace conversion programs in other states, and to research the
benefits of working directly with an outside organization for pilot project implementation. The
Department also intends to begin many of the research planning elements during the grant consideration
period and prior to the grant award. Major program activities in Phase One will include:
• Hire One Program Coordinator Full-Time Employee (FTE)
o A Program Coordinator will develop pilot components and oversee implementation in
Phase Two.
• Benchmark Best Practices of Existing Successful Replacement Programs
• Develop Fireplace Conversion Plan
o Program Coordinator in conjunction with other Department staff will develop a Fireplace
Conversion Plan that will include a Concept of Operations, Program Policies, Outreach
Plan, Program Evaluation, and Plan Maintenance components. The Plan will include
detailed action steps on how to execute the plan components.
• Develop Outreach Plan
o Program Coordinator in conjunction with other Department staff will develop a detailed
outreach plan to illustrate how outreach will be conducted in the marketing/advertising
stage, community meetings/outreach events, and canvassing neighborhoods.
• Develop Program Evaluation
o Program Coordinator in conjunction with other Department staff will develop program
evaluation metrics for the pilot. This includes researching and creating systems to track,
store, and evaluate the data collected. The Program Coordinator will also develop
surveys, establish desired outcomes (e.g. quantify air quality improvements and/or
pollution avoidance), and gather baseline data.
• Establish Partners
o Program Coordinator in conjunction with other Department staff will research
appropriate partners to assist with marketing and advertising, community outreach, and
program development.
o Program Coordinator will work to develop relationships with and vet these partners and
organizations.
• Develop Request for Proposal (RFP) for Fireplace Device Retailers/Vendors OR Community-
Based Non-Profit

Gila River Indian Community Grant Application
Grant Cycle 2016
o Program Coordinator in conjunction with other Department staff will develop an RFP to
solicit retailers/vendors OR for a community-based non-profit organization to execute the
pilot program.
• Develop Contracts for Fireplace Device Retailers/Vendors OR Community-Based Non-Profit
o Program Coordinator in conjunction with other Department staff will develop a contract
template including the appropriate Terms and Conditions to execute the pilot program.
o Terms and Conditions would vary but may include community outreach and education,
canvassing neighborhoods to obtain customers, arranging for installation of device, and
coordinating all other conversion components (utility coordination, if applicable).
• Develop Project Materials
o Program Coordinator will develop all project-related materials including the homeowner
application, forms, guidance materials, brochures, website landing page design and text,
etc.
Phase Two – Implement the Pilot
In Phase Two of the pilot program, the Department will test and execute the Fireplace Conversion Plan.
Interested, targeted residents will be engaged in community discussions and one-on-one consultations
with retailers/vendors or the selected non-profit community-based organization. Once conversions have
been completed, the Department will evaluate the pilot to determine its effectiveness and community
acceptance and to determine program continuation utilizing other funding sources. Major program
activities in Phase Two will include:
• Conduct Outreach, Marketing, and Canvas Neighborhoods
o Community outreach will be conducted to gauge community interest within the project
area and to educate residents about general air quality issues. This may include
community meetings, fliers, door hangers, etc. This may include canvassing
neighborhoods to sign up interested homeowners, assist with application submittal, etc.
• Execute Conversions
o Program Coordinator will process applications, validate submittals, verify funds, and
issue vouchers to the program participants.
o The retailers/vendors or the selected community-based non-profit will coordinate and
execute the installation of the new device.
o Once installations are completed and verified, the Department will arrange for payment
or reimbursement to the retailer/vendor or the selected community-based non-profit.
• Pilot Program Evaluation
o The Department will carry out the program evaluation action items as detailed in the
Fireplace Conversion Plan. These may include pre- and post-surveys of fireplace use,
quantitative and qualitative analysis of program partnerships (retailers/vendors and non-
profits), and customer satisfaction surveys.
o The Department will evaluate the pilot program to determine best practices and lessons
learned and make changes to the Fireplace Conversion Plan as necessary.
o Depending on available funding, the Department will determine whether to expand the
program into other areas within the county or continue to engage the existing community
area.
o The Department will establish Phase Two metrics such as number of residents reached,
number of conversions, etc.

Gila River Indian Community Grant Application
Grant Cycle 2016
o The Department will prepare an Annual Report detailing the pilot program scope, lessons
learned, best practices, and metrics.
o Provided that the Fireplace Conversion Program is slated to continue, the Department
will research, vet and obtain additional funding to sustain future conversions.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
The proposed project directly satisfies the Public Safety Priority Funding Area identified by the Gila
River Indian Community. Specifically, the Fireplace Conversion Pilot Program goals are to reduce
“environmental hazards” and enhance “environmental protection or quality”. Converting traditional
wood burning fireplaces into cleaner-burning devices will not only decrease PM2.5 and other air
pollutants, but will reduce the exposure of these contaminants to county residents. This direct reduction
of air pollutants may also improve localized air pollution conditions, leading to increased compliance
with the federal health standards. Secondarily, the proposed project may satisfy the Healthcare Priority
Funding Area, specifically “disease prevention”. While there are many factors that affect one’s health,
below are some key facts to support the project’s association with this Funding Area:
• Studies link ambient levels of PM2.5 exposure with excess pulmonary function decrements,
asthma, respiratory symptoms, hospital and emergency department admissions and mortality
(Dimitrova et al. 2012).
• Particulate pollution can directly damage lung tissue, trigger asthma attacks, and exacerbate heart
and lung diseases. This is why, starting with the Air Pollution Control Act of 1967 and
continuing into present day, the United States Congress has required the establishment and
enforcement of health-based National Ambient Air Quality Standards for this pollutant.
• According to ADEQ, wood burning can contribute up to 40% of particulate pollution in
neighborhoods during winter temperature inversions. Conventional fireplaces emit an average of
256 grams per hour of carbon monoxide and 47 grams per hour of particulates. Newer fireplaces
emit up to 70% less per hour.
• Research shows a link between reduced lung function impairment and particulate matter
exposure in children. Long-term improvements in air quality are associated with statistically- and
clinically-significant positive effects on lung function growth in children (Gauderman et al.
2015).
• People with diseases that affect the heart or lung (including asthma), older adults, children and
people living in lower socioeconomic conditions are at greatest risk from PM2.5 exposure.
Research indicates that pregnant women, newborns, and people with certain health conditions
such as obesity or diabetes, may also be at increased risk. (US EPA 2013)
• EPA estimates that if all of the wood burning devices in the U.S. were replaced with cleaner-
burning hearth appliances, an estimated $56-126 billion in health care benefits per year would be
realized. (US EPA 2013)

Gila River Indian Community Grant Application
Grant Cycle 2016
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
Identify the Problem
In Phoenix, Arizona, asthma is a major public health issue among children of age 0-19; 21% of young
people and 15% of adults were diagnosed with asthma in 2009. Recent studies have linked an
association with ambient levels of PM2.5 exposure with excess pulmonary function decrements, asthma,
respiratory symptoms, hospital and emergency department admissions and mortality (Dimitrova et al.
2012). Exposure to PM2.5 can cause short-term health effects such as eye, nose, throat and lung
irritation, coughing, sneezing, runny nose and shortness of breath. People with breathing and heart
problems, children and the elderly may be particularly sensitive to PM2.5.
PM2.5 consists of particles up to 2.5 microns in size. These
smaller particles come primarily from combustion, including
fires of all kinds and of organic materials including grass and
wood, car and truck tailpipes, hand-held gasoline powered
equipment, construction equipment, power plants and
industrial smoke stacks. These particles are capable of going
deep into the lungs and cannot be intercepted or expelled.
Some are even capable of going through the air sac membranes in
the lungs and entering the bloodstream. As such, they are more
effective at causing and contributing to heart and lung health
problems.
Compliance with the national air quality standard for PM2.5 has become a major concern because of an
upward trend in concentrations in recent years. While PM2.5 concentrations may occasionally exceed the
National Ambient Air Quality Standard (NAAQS), compliance with the standard has been achieved.
During the winter, however, concentrations are regularly elevated in certain parts of Maricopa County,
particularly South and West Phoenix. In Maricopa County, wood burning fireplaces and devices are the
primary culprits in creating smoke during the winter-holiday season especially with pre-existing
inversion conditions. Additionally, PM2.5 creates a thick blanket of haze over the entire Valley, from the
Salt River to the Gila River basins.
One of the most alarming trends is an increase in PM2.5 during the Christmas and New Year’s holidays.
Since daily monitoring for PM2.5 started in 2003, the only exceptions to exceedances of the 24-hour
average PM2.5 NAAQS on Christmas and New Year’s days have been when weather systems bring wind
and rain. Further, the NAAQS are frequently exceeded on the eve of those holidays. Research
conducted by the County and Centers for Disease Control and Prevention (CDC) (pending publication)
shows significant increases in asthma-related hospital visits after the holiday exceedances.
Absent any evidence to the contrary, it is clear that wood burning is the most important contributor to
high concentrations of PM2.5 during the entire winter season. Although exceedances of the standard

Gila River Indian Community Grant Application
Grant Cycle 2016
typically occur around the holidays, air pollution is created all winter from residential wood burning.
Programs specifically aimed at reducing particulate matter have been in place for approximately 20
years. State statutes require counties and cities in particulate matter nonattainment areas to have
ordinances that limit construction of housing with fireplaces (ARS §§ 9-500.16 and 11-875). State
statutes also require the County to prohibit wood burning on days when pollution forecasts predict
concentrations are likely to approach or exceed the health standards for particulate pollution (ARS §11-
871).
In partnership with ADEQ, the Department has established an enhanced outreach program for improving
awareness among the general public of pollution forecasts and no-burn days, and provide notices when
no-burn days are announced. While by most measures this outreach campaign has been successful, it and
the other restrictions are not sufficient to prevent federal standards exceedances and the adverse health
impacts caused by wood smoke. Further, the residential fireplace construction restrictions have no
impact on outdoor wood burning, including bonfires, fire pits, chimineas, or indoor fireplaces
constructed before the restrictions were effective.
Impacts from wood smoke are a widespread concern. The U.S. EPA recommends establishing a
voluntary fireplace replacement program in addition to air monitoring, education and outreach,
compliance and public notification on air quality to help protect public health and improve air quality.
Other states such as California and Oregon have developed and established successful voluntary
fireplace replacement programs for their residents. Such programs provide residential incentives to
replace wood burning devices (fireplaces and stoves) for less polluting fireplace devices that burn
gaseous fuels (natural and propane), electric fireplace inserts or electric logs to improve air quality and
protect public health.
Identify the Community, Population, and Number Served
The Department maintains nine PM2.5 monitors, three of which are located in the targeted South and
West Phoenix Pilot Project area. These air monitors frequently experience high levels of pollution,
including PM2.5, with residential wood burning as a major source.
The map below displays the Pilot Project area and associated air monitors.

Gila River Indian Community Grant Application
Grant Cycle 2016

Gila River Indian Community Grant Application
Grant Cycle 2016
The Project Boundary Area includes all homes built prior to 1998 (prior to bans on construction of new
fireplaces) located within the boundaries of Northern Avenue to the North, 16th Street to the East,
Baseline Road to the South and 59th Avenue to the West. Located within the Project Boundary Area,
there are 85,142 residential parcels that were constructed prior to 1998. Any pre-1998 home within the
Project Boundary Area is eligible to participate in the conversion program.
6. Define the project as a new or continuing program.
This is a new program.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
This timeline is flexible.
Start Date End Date
Maricopa County Air Quality Fireplace Conversion 11/01/16 12/31/19
Phase One 11/01/16 07/01/17
Post Award Internal Process 11/01/16 11/28/16
Recruit and Hire Program Coordinator 11/07/16 01/30/17
Research Existing Replacement Programs 02/01/17 03/01/17
Develop Fireplace Conversion Plan 02/01/17 04/01/17
Develop Outreach Plan 02/01/17 04/01/17
Develop Program Evaluation 02/01/17 04/01/17
Establish Partners 11/01/16 04/01/17
Develop and Carry Out Request for Proposal (RFP) Process 04/01/17 06/01/17
Develop Contracts 06/01/17 07/01/17
Develop Project Materials 02/01/17 07/01/17
Submit Phase One Report to Grantor 07/01/17 08/01/17
Phase Two 08/01/17 10/31/19
Conduct Outreach, Marketing, & Canvas Neighborhoods 09/01/17 11/01/17
Execute Conversions 11/01/17 08/01/19
Program Evaluation 08/01/19 10/01/19
Submit Final Project Report to Grantor 10/31/19 12/31/19
8. Identify other organizations, partners or funders participating in the project and their roles.
The identification, vetting, and relationship building with project partners will begin in Phase One of the
grant period. The Department has identified possible partners to assist with marketing/advertising.

Gila River Indian Community Grant Application
Grant Cycle 2016
These partners include the Arizona Asthma Coalition, American Lung Association of the Southwest,
Breathe Easy Arizona/Healthy Living for Healthy Lungs Coalition, and the Arizona Hearth, Patio &
Barbecue Association.
9. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
Yes
10. Describe your plan for project sustainability beyond the grant period. If this is a program/project
previously funded by the Gila River Indian Community describe efforts made towards the previously
described sustainability plan.
Upon completing a successful pilot program, the Department intends to expand the project area to
benefit all areas and residents within Maricopa County. The Department is investigating Supplement
Environmental Projects (SEPs) funds from enforcement penalties and other sources of available revenue
to sustain the program. The Department will pursue partnerships in addition to the Gila River Indian
Community grant to support program expansion. Accumulating and articulating best practices and
lessons learned from the pilot program will be critical in identifying and securing future partners.
11. Describe your plan to document progress and results.
The Department will produce quarterly reports to document incremental deliverable execution, program
progress, program evaluation measurements, etc. The Department will also produce end of Phase
reports, including a final summary and analysis including budgeting details after the completion of
Phase Two. The final report will be submitted within 60 days of the end of the project period. Included
in the Department’s reporting will be the project’s supporting documents such as Fireplace Conversion
Plan, Outreach Plan, promotional brochures/materials, website landing page narratives, forms,
application, invoices, example contracts, etc.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project. If this information is included in a separate
attachment, please indicate that here.
N/A

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget
Budget Period: November 1, 2016 through October 31, 2019
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
requested from requested or contributions
(list each budget item) GRIC secured from
other funders
1. Personnel $79,866 $0 $144,841 $224,707
2. Personnel Fringe @ 36% $28,752 $0 $52,142 $80,894
3. Supplies, Printing, Office $20,100 $0 $0 $20,100
Supplies and Equipment, Surveys
4. Travel Round Trip $2,500 $0 $0 $2,500
5. Capital Equipment Fireplace $225,000 $0 $0 $225,000
Conversions
6. Contracts - Sub Awardee for $5,000 $0 $0 $5,000
Program Outreach Website
7. Contracts - Sub Awardee to $111,000 $0 $0 $111,000
Oversee Marketing, Outreach &
Conversions
8. Maricopa County Indirects $0 $0 $44,518 $44,518
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $472,218 $0 $241,501 $713,719

Gila River Indian Community Grant Application
Grant Cycle 2016

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Personnel costs are estimated for a full three years for a total of $305,600 of which $79,866 is requested
from GRIC to fund 50% of personnel hours for a fulltime Program Coordinator to oversee the project.
$144,841 is an estimated in-kind contribution for professional staff to support the program coordinator and the
success of the program: Outreach Supervisor (1,248 hours ) to support and guide the program and supervise the
program coordinator and pilot project; Various Inspectors (468 hours) to assist with program outreach,
verification of residences and inspections of conversions; Media Specialist to support creation of media related
work (390 Hours); and a Grants Coordinator (156 hours) to monitor the finances, and ensure compliance and
reporting requirements.
2. Fringe Benefits $80,894 calculated at 36% which is Maricopa County Air Quality Department’s FY16
Fringe rate that includes a county-wide fixed benefit cost per FTE for premiums on medical, dental, vision, and
life insurance premiums, as well as a variable rate for FICA, Arizona State Retirement System pension
contributions, transit pass use, and cost of leave. $28,752 is for 50% of the program coordinators fringe;
$52,142 is an estimated in-kind contribution for the professional support staff.
3. Supplies $20,100 includes postage, office supplies and equipment for program coordinator’s work, printing,
surveys, rent, etc. Estimated surveys $6,675, brochures and handouts printing and design $7,500, general items
postage, printing, rent, phone, office supplies and equipment $5,925.00.
4. Travel $2,500 to trips out of state to evaluate and review successful fireplace programs relevant to this pilot
project. Two roundtrip plane tickets at $373 x 2 = $746.00, ground transportation $160 per trip x 2 = $320, 2
trips @ 3 nights hotel accommodations at $165 per night x 6 nights = $990, Daily per Diem using Sacramento
as example $74 per day x 6 days = $444.
5. Capital Equipment $225,000 for 150 fireplace conversions and installation at $1,500.00 per unit x 150 =
$225,000
6. Contracts (items 6 & 7) $116,000 Contractors to assist with website development, design and
implementation of community outreach, participant recruitment, marketing and conversion program
implementation this includes direct door-to-door outreach, designing and placing media advertisements, radio

Gila River Indian Community Grant Application
Grant Cycle 2016
ads, online ads, hosting community meetings and supplies necessary for meetings, as well as administrative and
staffing costs to assist with coordination of conversions at the direct community level.
7. See #6 Above
8. Indirects $44,518 MCAQD In-kind Contribution $44,518 or 22.6% of Total Personal, Fringe and
Supplies, there are no indirects on Capital Equipment. Maricopa County indirect costs are reviewed and
certified annually by the Assistant County Manager. All costs included in the fiscal year certification to
establish billing or indirect costs rates are allowable in accordance with the requirements of the Federal
award(s) to which they apply and 2 CFR Part 225, Cost Principles for State, Local and Indian Tribal
Governments (OMB Circular A-87). Maricopa County Air Quality Department allocated costs include a county-
wide cost allocation according to OMB Circular A-87 Cost Allocation Plan. These county-wide costs are
allocated to Air Quality’s Air Quality Control non-grant funded section and the Grants administrative services
section. All Air Quality grants are grouped together in order to calculate one indirect cost rate for the
department. The Air Quality Grants Indirect Cost Plan for FY2016 is 22.6%.
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Created: 02/06/2016
Last updated: 02/10/2016
Page 1
General information
Organization Maricopa County - New River Kiwanis Community Park
Contact First name Ann
Contact Last name Hutchinson
Contact e-mail behomes@q.com
Contact phone number 623-293-8628
Address
Street 201 W. Circle Mountain Rd.
City New River
State Arizona
ZIP Code 85087
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
30000
The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this
project or program from the Gila River Indian Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian Community Grants Only)
Year 2 (Gila River Indian Community Grants Only)
Year 3 (Gila River Indian Community Grants Only)
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
1 of 1

Kiwanis Club of New River
48412 North Black Canyon Hwy #122, New River, Arizona 85087
http://www.newriverkiwanis.org
February 29, 2015
Re: IRS Status - Kiwanis Club of New River
Required for REQUEST FOR PROPOSAL - Gaming Distribution Tohono O'odham Nation
To whom it concerns.
Kiwanis Club of New River’s IRS status is covered under the Southwest District Kiwanis
Foundation group exemption (23-7393201); see the attached letter for that Foundation. The
mission of that organization is to operate and maintain a youth camp in New Mexico; to provide
scholarships and support for youth education programs; and to maintain group exemptions for
Kiwanis Clubs in the Southwest District of Kiwanis International
Kiwanis Club of New River’s subordinate number within the Southwest District Kiwanis Foundation
74-2565260.
Attached document has :
1. The most current EX 990-N that is for Fiscal Year 2013 990; the Club’s fiscal year ended
September 30, 2014. It also shows that this is Southwest District Kiwanis Foundation
doing business as (d.b.a.) Kiwanis Club of New River
2. Important Information explaining more about the group coverage
3. Southwest District Kiwanis Foundation group exemption (23-7393201) with the subordinates
that include Kiwanis Club of New River group number 74-2565260 -
We thank you for the opportunity and your consideration.
Regards,
Ann Hutchinson
Kiwanis Club of New River
623-293-8628






Gila River Indian Community Grant Application
Grant Cycle 2016
Cover Sheet
Municipality Information
1. Date of Application: 2/29/2016 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Clint Hickman, Chairman, District 4
4. Mailing Address: 301 W. Jefferson, 10th Floor
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name: Signature:
Applicant Information
7. Department/Organization Name: Kiwanis Club of New River
8. Is this a non-profit 501c(3) Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Ann Hutchinson Title: Member - Grant Chair
10. Phone Number: 623-293-8628
11. Mailing Address: 201 W. Circle Mountain Rd.
12. City: New River State: Arizona Zip Code: 85087
13. Email Address: behomes@q.com Website Address: http://www.newriverkiwanis.org
Project Information
14. Project Name: County Park Improvement for Community Health and Wellness
15. Purpose of Grant: Increase the capacity of the Maricopa County Kiwanis Park of New River to provide more
community based recreational and wellness activities that will improve the health of our residents.
16. Priority Funding Area Healthcare
17. Annual amount requested $30,000.00
18. Number of years that funding is requested 1
19. Total amount requested (annual amount x # $30,000
of years)
20. Has your organization received past funding No
from GRIC? If yes, list each year and amount
21. Geographic area served Maricopa County - unincorpated area in the north valley.
For Office Use Only:
Data Entry Receipt Evaluation

Gila River Indian Community Grant Application
Grant Cycle 2016
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative in
paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s mission, history and goals.
Kiwanis Club of New River was incorporated in 1988 to serve the rural communities of New River and
Desert Hills Communities Goal in unincorporated Maricopa County. The Kiwanis member-volunteers are
dedicated to the Kiwanis mission to change the world, one child and one community at a time. The club
strives to ensure that each child has the potential to become a healthy, productive, and educated member of
society. Our club’s programs empower elementary school students, teens, and young adults to make an
impact through service and leadership. Additionally, the Club supports the vision of strong, healthy, and
connected families and communities.
The Club’s founders saw a great need in our rural area for a community park with activities in which
families could participate in health and leadership programs. Working with Maricopa County, the Club
became the Maricopa County Parks and Recreation managers/custodians for the county park is located at
48606 N 17th Avenue, New River, AZ 85087. That park is named the New River Kiwanis Community
Park.
As one of our first Park projects, we developed three baseball diamonds (fields). Since then, the Club has
grown steadily and made improvements at the Park. Improvements have included the addition of an
equestrian arena, a playground, and a shaded community event area. Other improvements have been made
to improve existing structures such as the pathway improvements and the recent bathroom and snack bar
renovations. The park provides meeting space for community meetings since there are no other public
facilities. The park also provides facilities for Girl Scouts, Boy Scouts, and Cub Scouts for camping and
meetings.
We have a partnership with the Arizona Agency on Aging to provide the utilities for the Senior Center on
the Park grounds.
Other community projects include:
• Helping less fortunate families during the holidays
• Scholarships for advanced and specialty schools
• Playground equipment for the local elementary school
• Safe swim program
• Curriculum and equipment for a music program in the area
• Host Maricopa County wide field and track event
• New River – Desert Hills Community Association recycling events

Gila River Indian Community Grant Application
Grant Cycle 2016
2. If the organization is a non-profit 501c(3), please describe your relationship with the municipality including past
and present support, whether it be through partnerships, collaborations, in-kind contributions, grants, tax-based
funding or other. If the organization is a municipality governmental sub-division please enter the text “Not
applicable.”
Since 1988, Kiwanis New River has been managing the Park for Maricopa County’s Park and
Recreation Department. Then in 2008, Maricopa County converted their lease of the Kiwanis
Community Park of New River with the Bureau of Land Manager to a patent pursuant to the Recreation
and Purposes Act. To ensure the park would serve the community, the County and the Kiwanis Club of
New River entered into a Management Agreement in 2008 for the purpose of development,
management, maintenance, and operation of a park for public recreational purposes in the New River
area. The Club provides this management with no county funding. See attached file:
“Maricopa County - Kiwanis Club of New River Relationship Documents”. This file contains two
legal documents that show that the Kiwanis Club of New River manages the park for the County and
that Maricopa County owns the park. “Management Agreement Maricopa County - Kiwanis 5-6-
2009” showing the agreement that the County to have the Kiwanis Club of New River develop, manage,
maintain, and operation the park. “County Park - Kiwanis 2004 Deed” that shows the park is deeded
to the Maricopa County Parks and Recreation.
3. Describe the proposed project and planned goals and activities.
It this proposal is funded, the Club plans to promote the improvements with the goal to increase
recreational and wellness activities for our community. The shade structure over the playground
equipment will offer a safer and cooler area for the youngest children to play in while their older siblings
play ball or other organized sporting events (T-Ball, Little League, Soccer, track and field, etc.). We
will promote the play area as a safe place for families to connect during weekends, holidays, and
community events. It will provide activities and network opportunities for physically and mentally
challenged children and adults in our communities so that they will be able to participate and contribute
to the community.
The tables and chairs will also make it feasible to have more community events for the whole family where
the children can play in the adjacent playground area (no need to hire a baby sitter to go to the community
event).
If funded, we planned to expand our activities to include the following that we cannot currently offer:
• Special Olympic events

Gila River Indian Community Grant Application
Grant Cycle 2016
• Community Health Education presentations and forums
See attached file: “Location, Project Items, and Community Support” that includes the following
sections:
• “Kiwanis Community Park Location and Project Area” that shows where the park is located and
where on the park the project items will be placed.
• “Project Items Pictures and Pricing” that show the items described above.
• “Support letter - NR-DHCA” showing the support and commitment of the local community
association.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
Having the shade structure for key exercise equipment (fort, slides, and swings) in our Children’s
Playground area will encourage our youth to participate in recreational activities that promote physical
fitness. The playground equipment currently has no shade and is therefore too hot for the children to use
during the day; which is when they would be using it. A shade structure would block much of the sun's
harmful UV rays and keep playground temperatures at a tolerable level. The shade will help us encourage
outdoor play that is essential to the development of all children and the continued well-being of all ages. It
will also be used by scout groups during their campouts. Furthermore, having a shade structure will
mitigate the UV damage to the equipment and therefore increase the longevity of the playground equipment.
For our community event area, we need tables, chairs, and the equipment to move them to the area that they
will be used. We have none now. We would like to have more events for our communities that support our
goals to help our youth become healthy, productive, and educated members of society. To have an event
(e.g. education, fund raising, and social gatherings), we must borrow or lease the necessary tables and chairs
from businesses located six to twenty miles away. That requires finding someone with a truck and
volunteers to load / unload. Often, we cannot find an available truck and/or volunteers on the same time
frame that we need to transport the tables/chairs to and from the park. As a result, Kiwanis Club or the
Community groups are not able hold as many events as they would like to.
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
Having children play more outdoors will address obesity issues, build social skills, and develop an
appreciation for being outdoors. Families with toddlers and school age children need a shade structure over
the Children’s Playground fort, slides, and swings to ensure the area is useable year-around... Having shade
will encourage more use and mitigate potential damage from UV rays and heat exposure.

Gila River Indian Community Grant Application
Grant Cycle 2016
There are no free or readily available meeting facilities in the New River area; we are a rural residential
area. Children in our area, and those served by Kiwanis International, will benefit from our having readily
available chairs and tables for events that promote Kiwanis values and programs. Events help families and
other community members to connect with others—and get involved in projects that change lives. Kiwanis
is all about making friends—and making an impact—in our local community.
Our New River Kiwanis Park is in a residential rural setting with no other public parks, downtown area,
civic auditorium, or community centers within 20 miles (excluding Anthem Community which is closed to
non-Anthem residents). About 30,000 residents live in the unincorporated Maricopa County area of New
River and Desert Hills; they live within an eight (8) mile radius of the park and about 25% of this population
is under the age of 18 years old.
6. Define the project as a new or continuing program.
This project is part of a continuous program to improve our park to be more user-friendly and enable us to
offer more wellness programs to the community.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
If we are granted the funds for this project, we expect we would have the contract for the materials within
two months and fully installed within 2 months after the contract is signed. This timeline is flexible as it
will depend on how long it takes to get the permits needed for the shade structures and the availability of
volunteer time.
8. Identify other organizations, partners or funders participating in the project and their roles.
No addition funding will be needed but several other groups will be providing in-kind assistance.
• Maricopa County - advisory and oversights
• New River - Desert Hills Community Association – volunteers committed to provide 50 hours but
may offer more as needed for installation
• Foothills Focus – local newspaper coverage
• Teen Challenge – volunteers as needed
• Boy Scouts and Club Scouts – volunteers and possible Eagle Scout project to enhance the park.
• Jake Rice Foundation – provides funds from their annual rodeo event held at the park.
9. Would you be able to implement the proposed plan if your organization received partial funding for this project?
We would not be able to implement the entire project but since there are two parts for the project, the
greatest impact to our goals would to be have the funding for the shade structure over the play area.
10. Describe your plan for project sustainability beyond the grant period. If this is a program/project previously
funded by the Gila River Indian Community describe efforts made towards the previously described
sustainability plan.

Gila River Indian Community Grant Application
Grant Cycle 2016
For the shade area, we will monitor the wear and tear but fully expect this to last over 10 years. We will be
advertising the improvements and plan more activities in the play area to increase awareness of its
availability.
For the tables and chairs, we plan to improve the storage area; the current area keeps the equipment out of
the elements and secure from theft but it is an aging facility that will need replacement. We have
relationship with volunteers and Home Depot to facilitate this improvement over the next couple of years.
11. Describe your plan to document progress and results.
We will document the progress the before, during, and after installation of items with pictures and receipts.
We will also submit articles to the local press and community e-news.
Upon completion, we will have a “Grand Completion” event to which the community, press, Maricopa
County, and the Gila River Indian Community grantors would be invited.
Following the installation of the items, we plan to monitor, document, and report the increase in activities at
the park.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state
shared revenues for this and any other project. If this information is included in a separate attachment, please
indicate that here.
We have never received any awards by a tribe for state shared revenues for this and any other projects.

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget
Budget Period: Click here to enter text.
For each budget item listed here please provide a narrative description on the following Project Budget Detail page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. 2 shaded structures 30 x 30 x 14 $14,000 $0 $0 $14,000
2. Engineering for shaded structures $5,000 $0 $0 $5,000
3. Permits and fees for shaded $5,000 $0 $0 $5,000
structures
4. 5 Vertical Storage Folding Chairs $850 $0 $0 $850
Dollies - 35 chair capacity
5. 3 Folding Table Dollies $600 $0 $0 $600
6. 30 Folding Tables - 30” x 72” L $1,950 $0 $0 $1,950
Height adjustable
7. 200 Folding Chairs $2,000 $0 $0 $2,000
8. Shipping and Handling fees for items $600 $0 $0 $600
4, 5, 6, and 7.
9. 50 volunteer hours provide by $0 $0 50 hours free $0
Kiwanis Club of New River
10. 50 volunteer hours provided by the $0 $0 50 hours free $0
NR-DHCA
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $0 $0 $0 30,000

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include the
dollar figure and how it was derived.
1. For items 1 (Shade Structure), item 2 (engineering for the Shade Structure) and item 3 (permitting and
Fees for the Shade Structure, we contacted two companies (Phoenix Tent and Awning Company and AZ
Shades) for the Shade structure including the shades engineering, permitting, and fees. Phoenix Tent and
Awning Company had the better price for the awnings, permitting and installation. Each shade is $7000 plus
$2,500 for engineering and $2,500 for permitting and fees so that the total price for 2 shades is $14,000 with a
minimum of a 10 year warranty. They will hold this price until the grant awards are announced. The shade
construction has a high quality, heavy duty knitted shade cloth specifically developed as a very strong and
stable outdoor fabric for use in tension structures, shade sails, and any application where shade is required. This
fabric offers the ultimate combination of maximum sun protection plus strength and durability. See attached
file: Location, Project Items, and Community Support” that includes the pictures of the shade and the
location where the shades structures will be installed.
2. Item 4 - 5 Vertical Storage Folding Chairs Dollies. Each dolly is $170 so the total price for 5 chair dollies
is $850 based on an extensive web search. This price was the average at this time; we’ll select the company
with the closest price if we are provided the funding. Each dolly is capable of holding 35 folding chairs in an
upright position. It has three tubular handles for added control and stability when in motion. Each dolly is
constructed of .125” thick, L-shaped steel and has dual support braces at each wheel set to ensure durability.
See attached file: Location, Project Items, and Community Support” to see the picture of the item and
location where the item will be used.
3. Item 5 - 3 Folding Table Dollies. Each dolly is $200 so the total price for 3 table dollies is $600 based on an
extensive web search. This price was the average at this time; we’ll select the company with the closest price if
we are provided the funding... Each dolly accommodates up to 12 folding tables and has a carpeted deck to
protect the tables from damage. Each dolly uses a powder coated, 14 gauge welded steel frame with 4"
polyurethane casters. See attached file: Location, Project Items, and Community Support” to see the picture
of the item and location where the item will be used.
4. Item 6 - 30 Folding Tables. Each table is $65 so the total price for thirty tables is 1,950 based on an
extensive web search. This price was the average at this time; we’ll select the company with the closest price if

Gila River Indian Community Grant Application
Grant Cycle 2016
we are provided the funding... Each table is 30 inches wide but 72 inches (6 feet) long with an adjustable height
to accommodate youth to adults activities. The table legs fold under the table to make storage more convenient
and for better portability. The durable top is low maintenance and cleans easily. This table is commercial grade
to withstand everyday use. See attached file: Location, Project Items, and Community Support” to see the
picture of the item and location where the item will be used.
5. Item 7 - 200 Folding Chairs. Each chair is $10 so the total price for 200 chairs is $2,000 based on an
extensive web search. This price was the average at this time; we’ll select the company with the closest price if
we are provided the funding. Plastic folding chairs are the choice of many event planners for their lightweight
design, ease of cleaning, and versatility among events. The textured seat ensures safe and comfortable seating.
Drain holes in the seat assist in drying when chair is used outdoors. After an event you can stack them on top of
each other or in a row. See attached file: Location, Project Items, and Community Support” to see the
picture of the item and location where the item will be used.
6. Item 8 - Shipping and Handling fees for items 4, 5, 6, and 7. This covers the shipping of the chairs, tables,
chair dollies, and table dollies based on an extensive web search. This price was the average at this time; we’ll
select the company with the closest price if we are provided the funding.
7. Item 9 - 50 volunteer hours provide by Kiwanis Club of New River. These hours will provide at no cost
to the project but is certainly a cost savings. They will be managing the vendors and managing the work. They
will also be cleaning the area for the shade structure. They will be moving the chairs, tables, chair dollies, and
table dollies into the storage area.
8. Item 10 - 50 volunteer hours provided by NR-DHCA. These hours will provide at no cost to the project
but is certainly a cost savings. They will be cleaning the area for the shade structure. They will be moving the
chairs, tables, chair dollies, and table dollies into the storage area. See attached file: “Location, Project Items,
and Community Support” for the letter of support and commitment from the New River -Desert Hills
Community Association.
9. Click here to enter text.
10. Click here to enter text.
11. Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2016
12. Click here to enter text.
13. Click here to enter text.
14. Click here to enter text.
15. Click here to enter text.
16. Click here to enter text.
17. Click here to enter text.
Other explanation: See attached file: “Location, Project Items, and Community Support” to see picture of the
items and locations where the items will be used. Thank you for the opportunity to apply for this Grant.

Kiwanis Club of New River
48412 North Black Canyon Hwy #122, New River, Arizona 85087
http://www.newriverkiwanis.org
Budget Of Requested Funds With The Total Amount Requested Notated.
The total amount requested is thirty thousand dollars ($30,000.00) for the two projects as
the detail below show.
Note: No budget amount was given for the volunteer hours; it will provided free including a
commitment for 50 hours from the Kiwanis Club of New River members and 50 hours from
the New River-Desert Hills Community Association.
Shade Canopy over the Children’s Playground Fort, Slides, and Swings
Item Notes/ Picture Cost/Unit Total
2 shaded structures 30 x 30 x 14 Fabricated and installed $7,000.00 $14,000,00
Similar to
2 Engineering $2,500.00 $5,000.00
2 Permits and Fees $2,500.00 $5,000.00
Total Project 1 Costs $24,000.00
Community Event Area tables, chairs and moving equipment
Item Notes/ Picture Cost/Unit Total
5 Vertical Storage Folding Chairs $170.00 $850.00
Dollies - 35 chair capacity
3 Folding Table Dollies $200.00 $600.00
30 Folding Tables - 30” x 72” L $65.00 $1,950.00
Height adjustable
200 Folding Chairs $10.00 $2,000.00
Shipping $600.00
Total Project 2 Costs $6,000.00
Total Amount Requested $30,000.00

c, 3 {: .c ct.tab .J.c t)
AMENDMENT THREE
TO
MT NAGEMENT AGREEMENT
BETWEEN
MARICOPA COUNT'T
AND
KIWI,NIS CLUB OF NEW I1IVER
RECITALS
Maricopa County (County) r'ntered into a lease agreement (Serial A-18077) on
March 16. 1984, pursuant to the Recreation and Public: Purposes Act of Juntr 14, 1926,
as amended (43 U.S.C. B69; BOg-1) with the Bureau of Land Management ([]LM), for a
parcel of land in the New River, Arizona area for the purpose of developmr,:nt of park
facilities and a community center: and
County and the Kiwanis Club of New River (Kiwanis) entered into a Marnagement
Agreement on April 4, 19BB for th,) purpose of developntent, management, marintenance
and operation of a park for publir: recreational purposes in the New River area for the
period April 4, 1988 through April 3,2008 with an oprtion to renew for an additional
twenty (20) years, subject to the rr utual consent of both Parlies; and
County and the Bureau of Land Managernent converted the lease agreerTrent into a
patent agreement (Patent No. 0:l-2003-005), pursuant to the Recreation a rd Public
Purposes Act of June 14, 1926, a:; amended (43 U.S.C. 869; 869-1)with the iJureau of
Land lVlanagement on June 11, :003, for the same oarcel of land in the N rw River,
Arizona area for the purpose of dtrvelopment of park facilities and a community center;
and
Amerndment One (C-30-03-01'7 -B-00) to the Management Agreement, datt:d March
5, 2003, was intended to satisfy corrditions imposed upon the County and the K wanis by
the BLM for purposes of the approval of the patent agreement (Patent No. 02-2(f03-005);
c l l l u
Amendment Two (C-30-05-A52 0-00) to the Managernent Agreement, daterj August
10, 2005, was for the purpose o' Arizona Public Service (APS) to secure a utility
easement across the property for a lew senior citizens' community center; and
Ttre Agreernent was erroneou:;ly titled "New River Community Park" inr;tead of
'l{iwanis Club of New River"; howev lr, they are one in the same; and
Required administrative action tr) csrr! out the spirit and intent of the Agrecment is
given to the Department Director of Varicopa County Parl,<s and Recreation Dep artmerrt
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on ilehalf of the County, whether or not specifir; authority is grantecl in an,, provision of
the Agreement. I
THEREFORE, Maricopa County, hereinafter referred to as "County", antl gre Kiwanis
Cfutl of New River, hereinafter referred to as "Kiwanis", desire Amendm tnt Three in
order to execute the remaining twenty (20) year renewal optron so that thg term of the
original Agreement will be from April 4, 19BB through April 3,2028 with zerc, (0) renewal
option remaining with the understanding that all other provisions of the Agreement
rem;,rin in full force and effect.
AMENDMENT
l, Delete Paragraph 2, Term, of this Agreemelnt in its entirety and repla ce with the
following.
2. TERM:
The term of this Agreenrent shall be for a period of twenty (20) y:rars with a
renewal option for a perir:d of twenty (20 years subject to the mutua consent of
both Parties. Total term of the Agreernent is from April 4, 19BB thro rgh April 3,
2028. There are no rene\val options remaining.
At the time of renewal, Scctions of the New River Cornmunity Park Mi:nagement
Agreement may be char ged subject to iihe written mutual ?gre€rfl,ini of both
Parties.
It is specifically conveyec that this Agreenrent does not convey any ownership
interest in the described lz nd.
ll. Delete Paragraph 6, Insuranc:, of this Agreement in its entirety and repla:;e with the
following:
6. INSURANCE:
The Kiwanis will maintain ()oncession Site specific;
4o f . I Public liability cover age, including bodily injury/property daniage, auto
liability, Concession Site liability, proclucts and completed rperations
liability, bailee legal iabiitty and contractual liability, providing li'nits of no
less than one million dollars ($1,000,000) combined single limit lor injuries
or darnage received c,r sustained by aily person(s) or property as a result of
any one occurrence c r incident.
6.2 Worker's Compensaticn for the statutcry llmits.
6.3 Additional Requireme rt:
Copies of the current Cerlificate of lnsurance will be furnished a rnually to
the County. The Cour ty will be given ttrirty (30) days advance writ.en notice
of cancellation of policy, non-renewal, or change in coverage limits.
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6.4 Upon justificatiorl o the Kiwanis, the County reserves the righito revise the
minimum requiren ents during the term of the Agreement.
lll. Delete Paragraph B, Recorcs, in its entiretyeind replace with the followirrg:
i}. RECORDS:
Kiwanis will maintain an accounting system which conforms io generally
accepted accounting pr nciples and which accurately reflect the rilsults of the
entire operation of the lacility. These financial records shall be rt'iained for a
seven (7) year rolling period from the current Contract Year The fir',al seven (7)
years of records shall a so be retained lor five (5) years beyond tl e expiration
date of this Agreement. These financial records shall be made ilvailable for
inspection and audit by t re County, Federal or State Government, thr;ir agents or
empioyees at least, but r of more than once per Contract Year.
Within ninety (90) days after the end of each Fiscal Year (Oc ober 1st
September 30th), Kiwarris will prepare, at its own expense, in:;preadsheet
format, a report reflecting the income and expenses as well as balan;e sheet for
the eniire operation for the Fiscal Year just completed.
lV, Add the following paragraph n its entirety.
13. IvIAINTENANCE:
13.1 The Kiwanis wili mirke such repairs as deemed necessary to itll new and
existing roadways lccated within the Concession Site.
i3.2 Throughout the Concession Site, the Kiwanrs wrll be responsible: for pick-up
and removal of trasi .
13.3 The Kiwanis agree , to a high level of physical maintenarce of the
Concession Site to g uard against obsolescence and disrepair.
13.4 The Kiwanis will commit to the installation of such barriers needed to
minimize impact up )n archeological features located on the ()oncession
Site as outlined in Section 4 Cultural and Natural Resour;es of the
Agreement and as r:quired for Bl-M patent approval (Patent Nc.. 02-2003-
0os).
13.5 The Kiwanis will provide or obtain funding necessary, without asr;istance or
supporl from the Mrrricopa County Parks and Recreation Dep,:trtment, in
event additional mc nres are required to correct deficiencies noted in
regards to maintenance or improvements of the facilities or nronies and
equipment needed to construct barriers necessary to pre ierve the
archeological featur,rs outlined in Section 4 Cultural ar,C Natural
Resources of the A Sreement and as required for BLM paten approval
(Patent No 02-2003- 105).
DATED tris C/fh day of M 20r19.
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MARIGOPA COUNTY
KIWANIS CLUB OF NEW RIVEI1
BOARD OF SUPERVISORS
414-
Paa<iDa
UAY 06 m9
Approved as to Form;
Deputy .QsuntyAttbmey Date
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- s J ^ ^




Location of the New River Kiwanis Community Park
North to
Black Canyon City
New River
Kiwanis
Community Park
Anthem
Desert Hills
South to
Phoenix
Event Area
Playground

Location of the Project Areas
Event Area
Needing Tables/Chairs
and related equipment
Playground
Needing a Shade
Structure

Kiwanis Club of New River
48412 North Black Canyon Hwy #122, New River, Arizona 85087
http://www.newriverkiwanis.org
Project Items Pictures and Pricing
The total amount requested is thirty thousand dollars ($30,000.00) for the two projects as the
detail below show.
Note: No budget amount was given for the volunteer hours; it will provided free including a
commitment for 50 hours from the Kiwanis Club of New River members and 50 hours from the
New River-Desert Hills Community Association.
Shade Canopy over the Children’s Playground Fort, Slides, and Swings
Item Notes/ Picture Cost/Unit Total
2 shaded structures 30 x 30 x 14 Similar location shown $7,000.00 $14,000,00
fabricated and installed
2 Engineering $2,500.00 $5,000.00
2 Permits and Fees $2,500.00 $5,000.00
Total Project 1 Costs $24,000.00
Community Event Area tables, chairs and moving equipment
Item Notes/ Picture Cost/Unit Total
5 Vertical Storage Folding Chairs $170.00 $850.00
Dollies - 35 chair capacity
3 Folding Table Dollies $200.00 $600.00
30 Folding Tables - 30” x 72” L $65.00 $1,950.00
Height adjustable
200 Folding Chairs $10.00 $2,000.00
Shipping $600.00
Total Project 2 Costs $6,000.00
Total Amount Requested $30,000.00

New River/Desert Hills Community Association, Inc.
PO Box 75068
Phoenix, AZ 85087-1000
Phone 602-432-2800
Fax: 623-465-1177
Website: www.NRDHCA.ORG
President’s email: Alan@NRDHCA.com
February 25, 2016
RE: Gila River Indian Community Office of Special Funding 2016 Grants
Dear Grants Coordinator:
New River/Desert Hills Community Association supports the Kiwanis of New River grant application for the
Gila River Indian Community.
The Community Association is pleased to support this “County Park Improvement for Community Health
and Wellness” project, which would build on the progress that Kiwanis of New River Club has made to
promote recreational activities. This would encourage and support physical fitness programs that assist in
improving the overall health of our community. As part of our mission, the Community Association works
to connect people in our communities and to preserve our rural lifestyle. This is another excellent
opportunity to collaborate with the Kiwanis Club of New River as we have on numerous other community
projects.
As part of our support for this project, we have committed a minimum of fifty (50) hours of volunteer
assistance as needed to clean up before and after the installation of the shades; pick up items and
supplies, promote the new capabilities of the park, and other chores as needed.
Respectfully,
Alan Muller, President
New River/Desert Hills Community Association

Created: 02/08/2016
Last updated: 03/09/2016
Page 1
General information
Organization Maricopa County Department of Transportation
Contact First name Gail
Contact Last name Chimel
Contact e-mail gailchimel@mail.maricopa.gov
Contact phone number 602-506-1795
Address
Street 2901 W. Durango Street
City Phoenix
State Arizona
ZIP Code 85009
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
348,206
The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this
project or program from the Gila River Indian Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian Community Grants Only) 174,103
Year 2 (Gila River Indian Community Grants Only) 174,103
Year 3 (Gila River Indian Community Grants Only)
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
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Gila River Indian Community Grant Application
Grant Cycle 2016
Cover Sheet
Municipality Information
1. Date of Application: 2/29/2016 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Clint Hickman, Chairman
4. Mailing Address: 2901 W. Durango Street
5. City: Phoenix State: Arizona Zip Code: 85009
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name: Click here to enter text. Signature:
Applicant Information
7. Department/Organization Name: Maricopa County Department of Transportation
8. Is this a non-profit 501c(3) Organization? No Yes If yes, attach IRS Determination
Letter
9. Application Contact Person: Gail H. Chimel Title: Intergovernmental Coordinator
10. Phone Number: 602-506-1795
11. Mailing Address: 2901 W. Durango Street
12. City: Phoenix State: Arizona Zip Code: 85009
13. Email Address: gailchimel@mail.maricopa.gov Website Address: http://www.mcdot.maricopa.gov/
Project Information
14. Project Name: Installation of 51st Avenue Bus Pullouts
15. Purpose of Grant: Final Design and Construction
16. Priority Funding Area Public Safety
17. Annual amount requested $174,103
18. Number of years that funding is requested 2
19. Total amount requested (annual amount x # of $348,206
years)
20. Has your organization received past funding Yes, thank you! 12/2011 award of $365,750 for road
from GRIC? If yes, list each year and amount paving; and 12/2014 award of $37,000 for Pozos de
For Office Use Only:
Data Entry
Receipt
Evaluation

Gila River Indian Community Grant Application
Grant Cycle 2016
Sonoqui archaeology final technical report.
21. Geographic area served Maricopa County, Arizona

Gila River Indian Community Grant Application
Grant Cycle 2016
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s mission, history and goals.
The Maricopa County DOT (MCDOT) plans, designs, builds, maintains and operates the County
roadway system. We started as the Maricopa County Highway Department in 1874, with the first two
roads were created as a joint venture with the Arizona Territorial Government for a thoroughfare
between Phoenix and Prescott. In 1919, the Maricopa County Board of Supervisors created its first
County Highway Commission, and two years later, started (as described by the Arizona Highways
magazine) “the most ambitious county paving undertaking in the United States.” Once the State began
taxing gasoline and collecting registration fees in 1921, and the Federal Highway Act was passed, this
significantly helped the Department’s activities. Eventually, the Department changed its name to the
current title. We have the 4th most populous county in the U.S. with more than 9,000 square miles
(larger than 7 different states). We are responsible for the operation and maintenance of approx. 2,500
miles of roadway, and more than 80 bridges, 325 culvert crossings, 160 signalized intersections and
nearly 35,000 traffic signs. MCDOT’s Core Purpose is “providing connections that improve people’s
lives,” along with the goal of excellence in regional planning and continued safety and maintenance of
the Maricopa County transportation system.
2. If the organization is a non-profit 501c(3), please describe your relationship with the municipality
including past and present support, whether it be through partnerships, collaborations, in-kind
contributions, grants, tax-based funding or other. If the organization is a municipality governmental
sub-division please enter the text “Not applicable.”
Not applicable.
3. Describe the proposed project and planned goals and activities.
The proposed improvements will be along 51st Avenue, near the intersections of Judum Street and
Tashquinth Drive, including northbound and southbound bus bays at each intersection. Project features
include four new bus bays with adjoining 5’ sidewalk and accessory pads. Lifecycle costs are
considered negligible, as bus bays are maintained routinely as part of roadway maintenance. The
goals are to provide a safer road environment for people to access needed bus transit service and to
provide a safer roadway. This is accomplished by removing stopped buses from the through travel
lanes. Pedestrians, transit riders and motorists all benefit from enhanced safety.

Gila River Indian Community Grant Application
Grant Cycle 2016
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
In addition to public safety to be provided with this project, additional bus traffic and transportation has
been generated in the vicinity due to the GRIC Vee Quiva Hotel and Casino. Public transit commuters
along 51st Ave will definitely benefit in both priority funding areas of safety and transportation, allowing
the bus to stop in a safe, designated area outside of traffic lanes.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
One of the challenges is the environmental impacts of this project to the surrounding area being
currently unknown. The environmental clearance would include coordination with the Tribe regarding
any archaeological/historical resources. However, our staff are experts and prepared to properly
handle this and any species protection issues that may arise, in addition to other aspects of the design
& construction processes. Average daily traffic count from 2013 was 8,892. Maricopa Association of
Government’s demographic data was accessed for capturing north of Judum Street and south of
Tashquinth Drive, plus on both sides of 51st Avenue a couple of miles. This returned demographics
within 104 square miles and total population of 6,494 people. Of this number, 42% of the 1,683
households within this population have an annual income of less than $25,000 or live in poverty. These
nearby residents could likely be bus riders, in addition to including the existing route 251 bus riders
going to and from Phoenix and Gila River (covering 51st Avenue in both locations). Valley Metro’s
Ridership Report for 2015 indicated a 34.5% increase in ridership from 2014, particularly through Gila
River. This bus route accounted for 38,188 boardings in 2015, so this and the local residents would be
the target population.
6. Define the project as a new or continuing program.
New project; Scoping Letter was completed in May, 2014.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
Our flexible timeline, if awarded Dec. 2016, includes: final design completed Aug. 2017; sealed Plans,
Specifications & Estimate (PS&E) by Oct. 2017 (all standard clearances done); start construction Dec.
2017 and complete approximately March 2018.
8. Identify other organizations, partners or funders participating in the project and their roles.

Gila River Indian Community Grant Application
Grant Cycle 2016
GRIC and MCDOT are the primary project partners. A Letter of Agreement will be developed between
these partners prior to final design. Additional stakeholders will be Valley Metro, public school
transportation, public transit users and Valley area motorists.
9. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
MCDOT has been looking for a funding partnership and would proceed if a reasonable contribution was
received, i.e. 50% or more of MCDOT’s total estimated costs.
10. Describe your plan for project sustainability beyond the grant period. If this is a program/project
previously funded by the Gila River Indian Community describe efforts made towards the previously
described sustainability plan.
Lifecycle costs are minimal, as bus bays are typically maintained as part of MCDOT’snormal roadway
maintenance activities. 51st Avenue is currently in MCDOT’s maintenance system. Adequate funding
will therefore be budgeted for roadway maintenance, which will include pavement markings, traffic
signs, crosswalk flashers, intersection lighting and signals for 51st Ave through GRIC. GRIC, however,
would continue to provide the electrical power (and any service for that) for the signal and lighting in the
corridor. The crosswalk flashers are solar powered.
11. Describe your plan to document progress and results.
Our Job Order Contractors are selected based on qualifications and prior results. MCDOT Project
Management, Construction and Finance staff are highly-qualified to document all project activities and
costs. All project and financial data are reported promptly to MCDOT by the Contractor, in addition to
on-site reviews and approvals being done by a MCDOT Resident Engineer. MCDOT’s Construction
Management consultant will also be responsible for on-site inspections, interviews and maintaining
daily diaries of construction activities, plus scheduling additional testing and inspection requirements
with MCDOT personnel. After the project is completed, MCDOT will monitor roadway traffic volumes,
impacts on traffic congestion at the intersections, pedestrian/transit rider behavior and service, any
applicable crashes and the overall performance of the project. MCDOT will also coordinate with Valley
Metro to determine their view of project performance. In addition, MCDOT will gain input from the
surrounding community concerning the project.

Gila River Indian Community Grant Application
Grant Cycle 2016
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project. If this information is included in a separate
attachment, please indicate that here.
None for this project; prior GRIC awards indicated above. No other awards have been made.

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget
Budget Period: January, 2017 – March, 2018 (FY17 and FY18)
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
requested from requested or contributions
(list each budget item) GRIC secured from
other funders
1. Final Design $ 75,000 $0 $0 $ 75,000
2. Construction $206,106 $0 $0 $206,106
3. Geotechnical Investigation $ 4,400 $0 $0 $ 4,400
4. Construction Management $ 20,900 $0 $0 $ 20,900
5. Administration $ 41,800 $0 $0 $ 41,800
6. Click here to enter text. $0 $0 $0 $0
7. Click here to enter text. $0 $0 $0 $0
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $0 $0 $0 $348,206

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Final Design takes the Scoping Letter (Assessment) completed in May 2014 to the next level of pre-final and
final levels. MCDOT will be following both RPTA/Valley Metro and MCDOT Standards. Coordination with
GRIC for elements that GRIC will maintain, such as traffic signs/pavement markings, traffic signals and lighting
will be required. The project does not contain any critical or unique design issues if the preferred bus bay
locations (in Scoping Letter) are used in final design. Additional components include drainage and utility
design and coordination, plus potholing for utility confirmation, plus standard Design-related Clearances.
2. Construction costs were increased by 10% from the estimates used for the Scoping Letter to accommodate
anticipated material price increases. The construction duration to install all four new bus bay pullouts is
anticipated to be three months.
3. Geotechnical Investigation: Additional geotechnical investigations should be performed during Final Design
in association with development of the final pavement design for the bus bay pullouts. The pavement section
used for cost estimating purposes in the Scoping Letter is the MAG Detail 252 pavement, i.e. 9” thick Class A
concrete over compacted subgrade with separately poured concrete bearing pads under the bus bay
transverse joints. Total pavement depth is 8”. All mixes should be gyratory type for high traffic condition (MAG
710).
4. Construction Management: A MCDOT consultant would provide oversight to the contract’s activities and
progress. This involves daily diaries of the construction activities and any challenges, oversight of records
regarding construction deliveries and costs, and scheduling inspection and materials’ testing with MCDOT
staff.
5. Administration: This represents internal MCDOT labor to implement and monitor the design and construction
activities. This can include project managers, utility, survey and environmental professionals, plus a Resident
Engineer to coordinate with (and provide oversight to) the construction management consultant and contractor.
6. Click here to enter text.
7. Click here to enter text.
8. Click here to enter text.
9. Click here to enter text.

Gila River Indian Community Grant Application
Grant Cycle 2016
10. Click here to enter text.
11. Click here to enter text.
12. Click here to enter text.
13. Click here to enter text.
14. Click here to enter text.
15. Click here to enter text.
16. Click here to enter text.
17. Click here to enter text.
Other explanation: None; MCDOT welcome any questions or concerns regarding this application and would
look forward to a funding partnership with GRIC, while providing this much-needed project.

Created: 02/12/2016
Last updated: 03/09/2016
Page 1
General information
Organization Maricopa Community Colleges Foundat
Contact First name Mary
Contact Last name O'Connor
Contact e-mail mary.oconnor@domail.maricopa.edu
Contact phone number 4807318403
Address
Street 2419 W. 14th Street
City Tempe
State Arizona
ZIP Code 85281
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
600,000
The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this
project or program from the Gila River Indian Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian Community Grants Only) 300,000
Year 2 (Gila River Indian Community Grants Only) 300,000
Year 3 (Gila River Indian Community Grants Only)
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
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Last updated: 02/12/2016
Page 1
General information
Organization Maricopa County Department of Public Health
Contact First name Cheryl
Contact Last name Rentscheler
Contact e-mail cherylrentscheler@mail.maricopa.gov
Contact phone number 602-506-6886
Address
Street 4041 North Central Avenue, Suite 1400
City Phoenix
State Az
ZIP Code 85012
From what tribe is the organization requesting the grant?
Gila River Indian Community
Total grant amount request
20000
The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this
project or program from the Gila River Indian Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian Community Grants Only)
Year 2 (Gila River Indian Community Grants Only)
Year 3 (Gila River Indian Community Grants Only)
Year 4 (Gila River Indian Community Grants Only)
Year 5 (Gila River Indian Community Grants Only)
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Gila River Indian Community Grant Application
Grant Cycle 2016
Cover Sheet
Municipality Information
1. Date of Application: 2/29/2016 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Clint L. Hickman
4. Mailing Address: 4041 N. Central, Suite 700
5. City: Phoenix State: Arizona Zip Code: 85012
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name: Click here to enter text. Signature:
Applicant Information
7. Department/Organization Name: Maricopa County Department of Public Health
8. Is this a non-profit 501c(3) Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Julie Scholer Title: Supervisor, Office of Community Health Innovation
10. Phone Number: 602-506-9325
11. Mailing Address: 4041 N Central Ave Ste 700
12. City: Phoenix State: Arizona Zip Code: 85012
13. Email Address: juliescholer@mail.maricopa.gov Website Address: http://www.maricopa.gov/publichealth/
Project Information
14. Project Name: Healthy Corner Store Toolkit
15. Purpose of Grant: To increase access of healthy food options in low-income, low food access areas.
16. Priority Funding Area Healthcare
17. Annual amount requested $10,000
18. Number of years that funding is requested 2
19. Total amount requested (annual amount x # $20,000
of years)
20. Has your organization received past funding Yes, please see table under number 12 of the grant narrative.
from GRIC? If yes, list each year and amount
21. Geographic area served Maricopa County
For Office Use Only:
Data Entry Receipt Evaluation

Gila River Indian Community Grant Application
Grant Cycle 2016
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative in
paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s mission, history and goals.
Maricopa County Department of Public Health (MCDPH) was established in 1930. Its mission is “to protect and
promote the health and well-being of Maricopa County residents and visitors.” MCDPH is the third largest local
public health jurisdiction in the United States, with more than 4.08 million residents (2014 census: Maricopa
County encompasses over 9,200 square miles, roughly the size of the state of Massachusetts, composed of a mix
of urban, suburban, and rural areas including the whole or parts of five sovereign American Indian Reservations
and is home to the City of Phoenix, the nation’s sixth larget city (population 1,537,058).
This grant is requested on behalf of the Office of Community Health Innovation (OCHI), a program of the
Community Transformation Division within MCDPH. The mission of the office is “to enable healthy eating and
active living in Maricopa County through evidence-based programs and policy, systems and environmental
initiatives for wellness and disease prevention.” OCHI and its staff of registered dietitians, health educators,
health professionals and community food system coordinators provide education and resources to achieve that
mission. In addition to providing nutrition education in schools and the local community, OCHI supports school
and community garden efforts, promotes farm-to-school initiatives, and is working to increase access to healthy
foods in underserved areas. A primary focus in this fiscal year has been the start of a healthy corner store
initiative. The goal of this project is to work with local corner store owners to increase accessibility to nutritious
food options in areas where there is limited or no access to healthy foods.
2. If the organization is a non-profit 501c(3), please describe your relationship with the municipality including past
and present support, whether it be through partnerships, collaborations, in-kind contributions, grants, tax-based
funding or other. If the organization is a municipality governmental sub-division please enter the text “Not
applicable.”
Not applicable.
3. Describe the proposed project and planned goals and activities.
MCDPH OCHI, respectfully submits this request to the Gila River Indian Community for consideration for funding
$20,000 over a period of two years ($10,000 for year one; $10,000 for year two) to fund the development and
placement of the components of Healthy Corner Store Retail Toolkits in four (4) targeted neighborhood corner
stores located in low-income, underserved areas. The Toolkit will help provide these small businesses with the
resources they need to provide healthier food choices to residents in the selected communities. The Toolkits will
support the MCDPH OCHI healthy corner store initiative. Each Toolkit will include: food storage equipment for

Gila River Indian Community Grant Application
Grant Cycle 2016
perishable items like fresh produce and low-fat dairy products, display racks to make items more aesthetically
appealing to customers, advertisement and signage to promote healthy products in the store, evaluation
support, and a monthly stipend for twelve (12) months for each store. The stipend will assist storeowners with
the purchase of healthy options to enhance current inventory. The Toolkit will also include a Healthy Foods
Buying Guide, based on the Delridge Healthy Corner Store Project. The Guide contains lists of acceptable
purchases and provides tips on how to display and market healthy items in the store. The project will be
administered by MCDPH OCHI staff. By providing the necessary resources to help corner stores transition to
carrying healthier foods, the program will result in improved community health and build a basis for expanding
the model into other communities.
Project Goals:
1. Organize, obtain, and create Toolkit components in order to equip storeowners so they are able to
successfully sell more nutritious, affordable food to underserved communities in the Phoenix metropolitan
area.
2. Increase awareness among neighborhood residents that healthier food options are available among
participating stores in their communities through advertising, on-site marketing techniques, and store
displays.
Project Activities Year 1:
1. Partner with two stores to participate in a project based on limited food accessibility and census tract data
showing at least 50% of the population at or below 185% of the Federal Poverty Level.
2. Implement components of Toolkit in stages based on store readiness and best practices.
3. Under the direction of OCHI communications staff, signage, flyers, posters, and logos will be created.
4. Food storage and display equipment and remaining Toolkit items will be delivered to participating stores.
5. Scheduling will be coordinated with participating stores for on-site marketing, signage placement and
support for merchandising the healthy food items. These activities, with the support of the corner store
owner and/or manager will include all or some of the following: placement of marketing materials (hanging
flyers, posters, shelf signs, arranging food displays, etc.), clean-up of storefront area if needed.
6. Support will be provided to connect store owners and/or managers to healthy food procurement sources
beyond their normal distribution contacts.
7. MCDPH OCHI team will inventory each store to determine which items from the Healthy Foods Buying Guide
are available pre– and post–implementation.

Gila River Indian Community Grant Application
Grant Cycle 2016
8. Train store owners on record keeping and reporting procedures to verify use of stipend to purchase
approved items from the Healthy Foods Buying Guide.
9. MCDPH OCHI team will conduct five (5) informal site visits within the first four (4) months following Toolkit
distribution to provide support, encouragement, and any additional help store owners and/or managers
may need to ensure the success of the program.
Project Activities Year 2:
1. Partner with two additional stores to participate in project based on limited food accessibility and census
tract data showing at least 50% or more of the population is at or below 185% of the Federal Poverty Level.
2. Implement components of Toolkit in stages based on store readiness and best practices.
3. Update or revise materials as needed and provide Toolkit components to additional stores.
4. As in year one (1), schedule for implementation will be coordinated with participating stores for on-site
marketing, signage placing and support for merchandising the healthy food items.
5. MCDPH OCHI will provide support to connect store owners to healthy food procurement sources beyond
their normal distribution contacts.
6. MCDPH OCHI team will inventory each store to determine which items from the Healthy Foods Buying Guide
are available pre– and post–implementation.
7. Train store owners on record keeping and reporting procedures to verify use of stipend to purchase
approved items from the Healthy Foods Buying Guide.
8. MCDPH OCHI team will conduct five (5) informal site visits within the first four (4) months following Toolkit
distribution to provide support, encouragement, and any additional help store owners and/or managers
may need to ensure the success of the program. Follow up visits will continue as needed with partnering
stores for 24 months following implementation.
9. Complete a two-year project evaluation and report that will make this initiative available to be replicated in
additional communities.
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River
Indian Community.
The Healthy Corner Store Retail Toolkit is in alignment with two of the priority funding areas of the GRIC:
healthcare and economic development.
Healthcare - to provide programs and projects that further: health promotion, disease prevention, wellness
activities, recreational activities that promote physical fitness, nutrition, and other programs that may assist in
improving the overall health of participants or the community.

Gila River Indian Community Grant Application
Grant Cycle 2016
The Institute of Medicine, Centers for Disease Control and Prevention, and the American Heart Assocation
specifically identify improving access to healthy foods as a primary strategy for obesity control and prevention,
especially in low-income and low food access communities.1 The Healthy Corner Store Retail Tookit will help
overcome some of the barriers identified by store owners and managers by providing ways to store, display,
and market healthier foods, especially produce. The desired outcome is improved community health, more
equitable food environments, and a reduction in preventable chronic disease and health disparities.
Economic Development - programs and projects that promote and assist with economic security, in particular,
for local small corner store owners.
The Toolkit program will support small business owners in underserved areas of the Phoenix metropolitan area
where there is a need for greater access to healthy and affordable food. The basic equipment and support
provided to store owners through this grant will increase their capacity to sell healthy food options, improve
merchandising and marketing of these foods, and promote healthy eating in their neighborhood. Promotion of
the store’s healthy changes within the store and surrounding community will likely attract new customers and
increase store profits. The GRIC’s support of the Toolkit will also increase income streams for local distributors
and food producers who supply these small businesses, while increasing access to healthy foods among low-
income communities.
5. Identify the needs/problems to be addressed, target population and number of people to be served by the
project.
According to the 2013 Census Bureau and Feeding America’s Map the Meal Gap Report, 16.7 percent of
Maricopa County residents live in poverty and 15.9 percent are food insecure. 2,3 Low-income, low food access
areas are prevalent and widespread in Maricopa County, as 139,000 individuals are estimated to be low-income
and have low access to food retail such as supermarkets or full-service grocery stores, and 11,000 individuals are
estimated to have no car and low access to food retail. 4 These individuals may be dependent on their
neighborhood corner stores for food purchases. However, these stores are typically stocked with packaged
snacks and processed foods, sugar-sweetened beverages, candy and energy drinks, and offer limited, if any,
healthy options. 1 As a result, residents of these areas - disproportionately low-income and racial and ethnic
minority groups - often suffer from poor dietary intakes.5,6 These groups also contend with higher rates of
overweight, obesity, and their comorbidities.1,7
Maricopa County has 980 convenience/corner stores throughout the city that are frequented daily by its
residents. 4 Corner stores have the potential to serve as valuable community assets for improving healthy food

Gila River Indian Community Grant Application
Grant Cycle 2016
access in underserved neighborhoods. However, corner store owners face certain barriers that prevent them
from providing foods of higher nutritional value. Store size, storage space, lack of advertisement, and cost are
some of the primary barriers identified by Maricopa County corner store owners to stocking healthier food items
such as fresh fruits and vegetables, whole grains, and low-fat dairy products. 8 Creating a partnership between
corner store owners and the MCDPH OCHI through the Healthy Corner Store Retail Toolkit will help provide
these small business owners with the basic resources and support needed to offer healthier choices to Phoenix
residents.
Target population: Independent corner store owners currently operating in underserved areas of the Phoenix
metropolitan area, as well as residents living in the surrounding low-income communities.
Number of people to be served: This program will serve two (2) stores in year one and two (2) stores in year
two and their corresponding customer base. Lessons learned from this project could go on to shape future
healthy retail initiatives and affect all 139,000 low income and low access individuals in Maricopa County.
6. Define the project as a new or continuing program.
The Healthy Corner Store Retail Toolkit will be introduced as a new program within the continuing SNAP-Ed
healthy corner store initiative. While the SNAP-Ed grant supports nutrition education and policy, systems, and
environmental change, this grant will complement and bolster those efforts by providing the tangible items
store owners need to offer healthier selections to Maricopa County residents in designated communities. The
program will last for a period of two years in conjunction with the SNAP-Ed grant.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
The timeline is flexible.
Project Timeline:
Partner with two corner stores located in the targeted By Jan 2017 or within 90 days of receiving funding; Year 2
income demographic census tracts and conduct baseline stores by Oct. 2017
inventory and create report for each store.
Create and print signage, posters, collateral and logos. By March 2017; Update for Year 2 by Oct. 2017
Deliver Toolkit items, including vendor contact lists. By April 2017; for Year 2 by Oct. 2017
Schedule on-site marketing and demonstration events, By May 2017; for Year 2 by Nov. 2017
signage placing and support for merchandising the healthy
food items.
Formal evaluation consisting of inventory and survey of Semi-annually
customer knowledge.
Conduct five (5) informal visits to provide support, April – July 2017 - within the first four months of Toolkits
encouragement, and any additional help storeowners may being distributed; For Year 2 October 2017 – February
need to ensure success of program. 2018
Conduct post-implementation inventory and create report After 12 months of implementation
for each store.
Complete a project evaluation and report that will make By Dec. 2018

Gila River Indian Community Grant Application
Grant Cycle 2016
this initiative available to be replicated in additional
communities.
8. Identify other organizations, partners or funders participating in the project and their roles.
The OCHI SNAP-Ed program will be supporting this program. The SNAP-Ed objectives include a healthy corner
store initiative. Participating corner stores will receive SNAP-Ed nutrition materials. OCHI staff will also host
interactive events (if feasible, food demonstrations and taste tests using new food items available in the store as
well as nutrition education) to assist in the promotion of healthy food purchases. OCHI in collaboration with
Arizona State University (ASU) will conduct pre- and post-inventories to assess the store food environment
before and after implementation of the initative to monitor progress using a validated, ASU-developed, Short
form Corner store Audit Tool (SCAT). Additionally, OCHI will survey the community around the participating
corner stores to identify community food preferences.
9. Would you be able to implement the proposed plan if your organization received partial funding for this project?
The number of Healthy Corner Store Tookits would be revised if partial funding is awarded.
10. Describe your plan for project sustainability beyond the grant period. If this is a program/project previously
funded by the Gila River Indian Community describe efforts made towards the previously described
sustainability plan.
MCDPH’s SNAP-Ed program was first awarded in 1997 and has been awarded every year since that time. A
primary focus of the SNAP-Ed program is increasing access to healthy foods in low-income, underserved areas.
Following the implementation of the Healthy Corner Store Toolkits, SNAP-Ed activities will continue to support
the healthy corner store initiative for 24 months following implementation. Support will include nutrition
education materials and interactive events (if feasible, food demonstrations and taste testing) for the promotion
of healthy food options available in the store.
11. Describe your plan to document progress and results.
The plan to document progress and results of The Healthy Corner Store Retail Toolkit program is encompassed
within its evaluation plan. The evaluation plan includes informal site visits to monitor progress as well as product
inventories. Specifically, community organizers, which can be MCDPH staff members, interns through the
department, or MCDPH partners, will visit the stores five (5) times within the first four months to conduct check‐
ins with storeowners. These informal visits will not only help assess the project’s progress, but also continue to
strengthen the relationship with the storeowner and the goals of the program. Formal evaluations on a semi-
annual basis will be conducted to determine store progress based on healthy food inventory and also the level

Gila River Indian Community Grant Application
Grant Cycle 2016
of shopper knowledge that healthy options are now available. Storeowners will be responsible for tracking their
healthy food purchases and a community organizer will assist in administering surveys to evaluate customer
knowledge at participating stores. Intercept survey administration will take place in-time, on electronic tablets.
Ultimately, those stores that implemented the program in year one will be given a survey and inventory at the
end of year two to measure true sustainability, given they would not continue to receive the stipend past the
first 12 months of implementation.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state
shared revenues for this and any other project. If this information is included in a separate attachment, please
indicate that here.
FY 2015 Gila River Indian Community Grant Applications
Organization Program Amount
Maricopa County Public Health Services ONPA $ 164,945.16
FY 2014 Gila River Indian Community Grant Applications
Organization Program Amount
Maricopa County Public Health Services Parent Ambassadors $ 50,000.00
FY 2014 Tohono O'odham Nation Grant Applications
Organization Program Amount
Maricopa County Public Health Services Parent Ambassadors $ 50,000.00
FY 2012 Tohono O'odham Nation Grant Applications
Organization Program Amount
Maricopa County Public Health Parent Ambassadors $ 50,000.00
FY 2011 Gila River Indian Community Grant Applications
Organization Program Amount
Maricopa County Public Health Mobile STD Services $ 150,000.00
References:
1. Gittelsohn J, Laska MN, Karpyn A, Klinger K, Ayala GX. Lessons learned from small store programs to increase healthy food access.
Am J Health Behav. 2014; 38(2):307-15.
2. U.S. Census Bureau: State and County QuickFacts. Last revised Dec 2015. Available at:
http://quickfacts.census.gov/qfd/states/04/04013.html.

Gila River Indian Community Grant Application
Grant Cycle 2016
3. Gundersen C, Satoh A, Dewey A, Kato M, Engelhard E. Map the Meal Gap 2015: Food Insecurity and Child Food Insecurity
Estimates at the County Level. Feeding America, 2015.
4. Economic Research Service (ERS), U.S. Department of Agriculture (USDA). Food Access Research Atlas. Available at:
http://www.ers.usda.gov/data-products/food-access-research-atlas.aspx.
5. Franco M, Diez Roux AV, Nettleton JA, et al. Availability of healthy foods and dietary patterns: the Multi-Ethnic Study of
Atherosclerosis. Am J Clin Nutr. 2009;89(3):897-904.
6. Hilmers A, Hilmers DC, Dave J. Neighborhood disparities in access to healthy foods and their effects on environmental justice. Am
J Public Health. 2012;102(9):1644-54.
7. Drewnowski A. Obesity, diets, and social inequalities. Nutr Rev. 2009;67 Suppl 1:S36-9.
8. WestGroup Research. Corner Store Focus Groups: Prepared for the Maricopa County Department of Public Health on September
16th, 2015.

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget
Budget Period: October 2016 through September 2018; Two (2) years
For each budget item listed here please provide a narrative description on the following Project Budget Detail page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Produce, Dairy and Healthy Food $8,400.00 $0 $0 $8,400.00
Display Equipment – 4 stores
2. Healthy Retail Promotional $3,200.00 $0 $0 $3,200.00
Materials
3. Stipend for Healthy Food Purchases $8,400.00 $0 $0 $8,400.00
– 4 stores
4. County OCHI Admin Support $0 $0 $6,098.76 $6,098.76
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17. Click here to enter text. $0 $0 $0 $0
Total Budget $20,000 $0 $6,098.76 $26,098.76

Gila River Indian Community Grant Application
Grant Cycle 2016
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include the
dollar figure and how it was derived.
1. Produce, Dairy and Healthy Food Display Equipment: Each Toolkit will include merchandise display racks, shelving,
basket stands and/or a produce / dairy cooler if needed for the purpose of displaying products and maintaining
temperature control to ensure availability of healthy foods in the store. The equipment provided will be based on
enhancing equipment that the store already has. Year One: 2 Stores, @$2,100 each. Year Two: 2 Stores, @$2,100 each.
Sub-total Store Equipment: $8,400.
2. Healthy Retail Promotional Items: Each Toolkit will include - two (2) large standardized posters with the Toolkit logo.
Storeowners will be able to display posters in the storefront windows or wherever they deem appropriate; two
thousand (2,000) 8 ½ x 11” flyers will be printed for distribution for each store to announce the project initiation and in
the middle of the year to notify community members of new items. Five thousand (5,000) quarter page flyers will be
created and distributed to make community members aware of quarterly events held at each store each year. Up to 5
vinyl floor signs will be produced for each store to direct customers toward the healthier food items. Other signage
provided in the Toolkit may include: colorful ceiling hangers, shelf talkers to merchandise healthy products and provide
nutrition messages and food safety tips, an erasable black board to promote produce specials, and a sandwich board/a-
frame sign that informs the public about the store’s participation in the program. The posters and a-frame will carry the
GRIC logo. Year One: 2 Stores, @ $800 each. Year Two: 2 Stores, @ $800 each. Sub-total Healthy Retail Promotional
Items: $3,200.
3. Stipend for Healthy Food Purchases: Each Toolkit will include a stipend carefully tracked and monitored by OCHI to
assist storeowners with procurement of healthy food items during their first year of participation in the program. In
areas where this program is successful, store owners have been relatively unfamiliar with stocking healthy foods, and in
addition to infrastructure support, have needed financial help to bring in new options and keep them at affordable
prices for their customers until the demand for the items is built. The stipend will amount to $175/month for 12 months
for each store to purchase items from the designated healthy foods list. Year One: 2 Stores, @$2,100 each. Year Two: 2
Stores, @$2,100 each. Sub-total Stipend: $8,400.
4. ***MCDPH OCHI Admin Support: To implement the program, create, develop and support partnerships with the
participating store owners, provide marketing and communication expertise and evaluate the success of the project.
This includes: a) Implementing components of Toolkit in stages based on store readiness and best practices; b)
Creating, distributing and updating signage, flyers, posters, and logos; c) Delivering Toolkit items, including food storage

Gila River Indian Community Grant Application
Grant Cycle 2016
and display equipment to participating stores; d) Training store owners on record keeping and reporting procedures to
verify use of stipend to purchase approved healthy food options; e) Conducting five (5) informal site visits to each store
within the first four (4) months following Toolkit distribution to provide support, encouragement, and any additional
help store owners and/or managers may need to ensure the success of the program. Follow up visits will continue as
needed with partnering stores for 24 months following implementation; f) Completing a two-year project evaluation and
report that will make this initiative available to be replicated in additional communities. In-kind salary each year:
$2,154.95; In-kind benefits: $894.43 annually. (3% of Community Dietitian time; 1% of Program Evaluator’s time; 1% of
Communications Specialist time.) ***In-kind Contribution Year One Salary + Benefits: $3,049.38; In-kind Contribution
Year Two Salary + benefits: $ 3,049.38; Sub-total In-Kind Contribution MCDPH OCHI Admin Support*** $6,098.76
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