NOA 46 RE HEATHCARE FOR THE HOMELESS WITH HRSA.PDF

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1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 v,s. natant I:414011W Warn Writ
09/21/2015
3. SUPERSEDES AWARD NOTICE dated: 08/13/2015 RSA
exeopt Mat lirly addlii00 or rattrICliont p evlOusly IMpOsed roMeln in effect t/nlass specineally rescinded.
4a. AWARD NO,: 4b, GRANT NO.: 5, FORMER GRANT Heillh Emmet and SerrIcesAdmin/strellos
6 H800800044-14-07 H800800044 NO.: NOTICE OF AWARD
H66CS00469 AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD: Public Health Service Act, Title III, Section 330
FROM: 11/01/2001 THROUGH: 12431/2017 Public Health Service Act, Section 330,42 U.S.C. 254b
Affordable Care Act, Section 10603
Public Health Service Act, Section 330, 42 U.S.C. 254, as
amended.
7. BUDGET PERIOD: Authority: Public Health Service Act, Section 330, 42 U.S.C. 264b,
FROM; 11/0112014 THROUGH: 12/3112015 as amended
Public Health Service Act, Section 330, 42 U.S.C. 254b, as
amended
3. TITLE OF PROJECT (OR PROGRAM): HEALTH CENTER CLUSTER
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL
IVIARICOPA COUNTY PUBLIC FILTH SERVS DEPT INVESTIGATOR)
220 S 12th Ave Corinne Velasquez
Phoenix, AZ 85007-3101 MARICOPA COUNTY PUBLIC FILTH SEFiVS DEPT
DUNS NUMBER: Division Line; Maricopa County Dept. Public Health, Health Care for
145454000 the Homeless
SHOWS # 090750 220 S 12th Ave
Phoenix, AZ 85007-3101
11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[ ] Grant Funds Only a. Authorized Financial Assistance This Period $3,650,471,00
• [X] Total project costs including ... . .. grant funds . and . an ... other .. . financial .. . .. participation ... . . .... b. Less Unoblfgated Balance from Prior Budget
Periods
a , Salaries and Wages : $1,534,328,00
I, Additional Authority $0.00
b. Fringe Benelits : $550,494.00
ii. Offset $0.00
c. Total Personnel Costs : $2,084,822.00
e, Unawardeci Balance of Current Years Funds $0.00
d. Consultant Costs : $0.00
el. Less Cumulative Prior Awards(s) This Budget $3,534,139.00
e, Equipment : $33,000-00 Period
I'. Supplies : $102,764.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $116,332.00
g . Travel : $20,000.00 ACTION
h , Construction/Alteration and Renovation : $0.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the
availability of funds and satisfactory .progress of project) ,
I . Other : $693,264.00 YAR --tow30.0-gp . -L- 00.$0e4X.:ligt
j, Consortiurn/Contractual Costs : $608,035.00 15 $3,056,819.00
k, Trainee Related Expenses : $0.00 16 $3,056,819.00
I . Trainee Stipends : $0.00 14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
m Trainee Tuition and Fees : $0,00 a, Amount of Direct Assistance $0.00
b. Less Unawarded Balance of Current Year's Funds $0.00
it , Trainee Travel : $0.00
c. Less Cumulative Prior Awards(s) This Budget Period $0.00
o , TOTAL DIRECT COSTS: $3,641,886.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
p. INDIRECT COSTS (Rate: % of S&W/TADC) : $408,586.00
q . TOTAL APPROVED BUDGET: $3,960,471.00
I. Less Non-Federal Share: $300,000.00
it. Federal Share: $3,650,471.00
15, PROGRAM INCOME SUBJECT TO 46 CFR 75.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES:
A=Addition BaDeduction 0=00s1 Sharing or Matching D=Other P ]
Estimated Program income: $300,000.00
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 cIteri above. b. The grant program regulation OW above, c. This award nuke Including terms and condlliene, If any. noted below under REMARKS. cl, 45CFR Part 15 is
applicable. In the event there are conllIcling or otherwise inconeleleni policies appliceble to the grant, ihe above order ol precedence shell prevail. Acceptance of Me grant terms and oondillons Is
acknowledged by the WIWI, when kinds ere drown or othenehre obtained from the grant payment system,
REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ ]No)
Electronically signed by Angela Wade, Grants Management Officer on : 09/21/2015
-17. OBJ, CLASS: 41.6 18. CRS-EIN: 1868000472A2 19. FUTURE RECOMMENDED FUNDING: $0,00
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 9/21/2015 8:51;34 AM
Award Number: 6 1-180CS00044-14-01
1 16 - 398679E I 9.627 1 161-1600800044 I $116,332.00 i $0.00 1 HON I HealtheareCenters_16 I

NOTICE OF AWARD (Continuation Sheet) Date Issued; 9/21/2015 8:51:34 AM
Award Number: 6 H80CS00044-14-07
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/connmon/accesscontrol/login.aspx to use the system. Additional help is available online
and/or from the HRSA Call Center at 877-0o4-HR3A/877-464-4772.
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 Notice of Award (WA) provides funds for an Increase to the grantee's annual ongoing base funding In accordance with statutory
requirements and, as applicable, new and/or continued patient centered medical home recognition for one or more health center sites, The
Increase in annual base funding has been added to the OTHER Category within the Federal Object Class Budget Category breakdown as
reflected on the NoA. Health centers may reallocate these federal funds as appropriate for their budgetary needs. Prior approval is required
from HRSA ONLY when proposing to shift federal funds among object class budget categories in amounts that exceed the specified
threshold prescribed in 45 CFR 75. In addition, health centers are reminded of the requirement to track expenditures of federal funds and
should consult Policy Information Notice (PIN) 2013-01: Health Center Budgeting and Accounting Requirements for further guidance.
All prior terms and conditions remain In effect unless specifically removed,
Contacts
NoA Email Address(es):
RP le* 6r:4,--4* -4-t-t, tfilittegatal-AMOOgraRbzWWk,,-,,.,4
Corinne Velasquez Program Director corinnevelasquez@maii.maricopa.gov
Note: NoA smelled to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Stephanie McCoy at:
MailStop Code: 160-26
HRSA/BPHC
5600 Fishers Ln
Rockville, MD, 20657-1750
Email: smccoy@hrsa.gov
Phone: (301) 443-1848
Fax: (301) 594-0161
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Clare Oscar at:
MailStop Code: 10SVVH03
OFAM/DGMO/HCB
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: coscar@hrsa.gov
Phone: (301) 443-8862

C-86-02-073-2-45 ATTACHED TO AND A PART OF
Notice of Award, U. S. Department of Health
and Human Services
Health Resources and Services Administration
Health Center Cluster
Notice of Award No. H80CS00044-14-07
IN WITNESS WHEREOF, the parties agree to enter into this Contract:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date