NOA FOR PERINATAL DISPARITIES WITH HRSA.PDF

C-86-02-165-2-30
1. DATE ISSUED: 2. PROGRAM CFDA: 93.926
01/27/2016
3. SUPERSEDES AWARD NOTICE dated: 10/26/2015
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT
6 H49MC00174­15­01 H49MC00174 NO.: NOTICE OF AWARD
H49MC00154 AUTHORIZATION (Legislation/Regulation)
Public Health Service Act, Section 751
6. PROJECT PERIOD:
Public Health Service Act: Title III, Part D, Section 330H ; 42 U.SC.
FROM: 06/01/2002 THROUGH: 03/31/2019
254c­8
Public Health Service Act, Title III, Part D, § 330H (42 U.S.C. 254c­
7. BUDGET PERIOD: 8), as amended by the Healthy Start Reauthorization Act of 2007
FROM: 11/01/2015 THROUGH: 10/31/2016 (P.L. 110­339)
8. TITLE OF PROJECT (OR PROGRAM): HSI: ELIMINATING DISPARITIES IN PERINATAL HEALTH
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL
MARICOPA COUNTY DEPARTMENT OF HEALTH INVESTIGATOR)
4041 N Central Ave Lisa L Derrick M. Ed
Phoenix, AZ 85012­3314 MARICOPA COUNTY DEPARTMENT OF HEALTH
DUNS NUMBER: 2737 W Southern Ave
602062515 Tempe, AZ 85282­4244
11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X] Grant Funds Only a. Authorized Financial Assistance This Period $1,798,463.00
[ ] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget
Periods
a . Salaries and Wages : $877,586.00
i. Additional Authority $0.00
b . Fringe Benefits : $321,281.00
ii. Offset $0.00
c . Total Personnel Costs : $1,198,867.00
c. Unawarded Balance of Current Year's Funds $0.00
d . Consultant Costs : $0.00
d. Less Cumulative Prior Awards(s) This Budget $353,758.00
e . Equipment : $0.00 Period
f . Supplies : $36,770.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $1,444,705.00
ACTION
g . Travel : $24,489.00
13. RECOMMENDED FUTURE SUPPORT: (Subject to the
h . Construction/Alteration and Renovation : $0.00
availability of funds and satisfactory progress of project)
i . Other : $59,309.00 YEAR TOTAL COSTS
j . Consortium/Contractual Costs : $270,943.00 16 $1,799,005.00
17 $1,799,791.00
k . Trainee Related Expenses : $0.00
18 $749,630.00
l . Trainee Stipends : $0.00
m Trainee Tuition and Fees : $0.00 14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
.
a. Amount of Direct Assistance $0.00
n . Trainee Travel : $0.00
b. Less Unawarded Balance of Current Year's Funds $0.00
o . TOTAL DIRECT COSTS : $1,590,378.00
c. Less Cumulative Prior Awards(s) This Budget Period $0.00
p . INDIRECT COSTS (Rate: % of S&W/TADC) : $208,085.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
q . TOTAL APPROVED BUDGET : $1,798,463.00
i. Less Non­Federal Share: $0.00
ii. Federal Share: $1,798,463.00
15. PROGRAM INCOME SUBJECT TO 45 CFR 75.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES:
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A ]
Estimated Program Income: $0.00
16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a. The grant program legislation cited above. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any, noted below under REMARKS. d. 45 CFR Part 75 as
applicable. In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant terms and conditions is
acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ ]No)
Electronically signed by Shonda Gosnell , Grants Management Officer on : 01/27/2016
17. OBJ. CLASS: 41.51 18. CRS­EIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $0.00
SUB
SUB PROGRAM
FY­CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. ACCOUNT
CODE
CODE
16 ­ 3898020 93.926 15H49MC00174 $1,444,705.00 $0.00 15­HIS­ERED
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information, please contact HRSA contact center at 877-464-4772, 8 am to 8 pm ET, weekdays.

NOTICE OF AWARD (Continuation Sheet) Date Issued: 1/27/2016 9:38:46 AM
Award Number: 6 H49MC00174-15-01
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not
already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each
organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10 ­digit grant number from box
4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct
grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of
noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses,
updating email addresses and submitting certain deliverables electronically. Visit
https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system. Additional help is available online
and/or from the HRSA Call Center at 877 ­Go4­HRSA/877­464­4772.
Terms and Conditions
Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Term(s)
1 . This revised Notice of Award is issued to provide the remaining FY16 funding whichmust be used to support approved FY16 Healthy Start
activities. These fundshave been proportionately allocated across approved budget categories,therefore a revised budget is not
necessary. Grant funds totaling 25% or moreof the approved authorized amount must receive prior approval before beingreallocated.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Lisa L Derrick M. Ed Program Director lisaderrick@mail.maricopa.gov
Celeste D Bautista Business Official celestebautista@mail.maricopa.gov
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Madelyn Reyes at:
HRSA/MCHB/DPSWH
5600 Fishers Ln
Rockville, MD, 20852­1750
Email: mreyes1@hrsa.gov
Phone: (301) 443 ­9991
Fax: (301) 594 ­0186
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Tonya Randall at:
MailStop Code: 10W09A
HRSA/OFAM/DGMO/GSFB
5600 Fishers Ln
Rockville, MD, 20857­1750
Email: trandall@hrsa.gov
Phone: (301) 594 ­4259
Fax: (301) 443 ­6343
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ATTACHED TO AND A PART OF: C-86-02-165-2-30
Notice of Award # H49MC00174-15-01
US Department of Health and Human Services
Health Resources and Services Administration
Healthy Start Initiative (HIS): Eliminating
Disparities in Perinatal Health
IN WITNESS WHEREOF, the parties agree to enter into this Agreement and its Amendments:
FOR AND ON BEHALF
OF MARICOPA COUNTY
By_____________________________
Chairman, Board of Supervisors
_______________________________
Date
ATTEST:
_______________________________
Clerk of the Board
_______________________________
Date
APPROVED AS TO FORM:
_______________________________
Attorney for Maricopa County
_______________________________
Date
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