NOA RE HEALTHY START INITIATIVE WITH HRSA.PDF
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1. DATE ISSUED: 2. PROGRAM CFDA: 93.926 10/26/2015 3. SUPERSEDES AWARD NOTICE dated: except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT 5 H49MC001741500 H49MC00174 NO.: NOTICE OF AWARD H49MC00154 AUTHORIZATION (Legislation/Regulation) 6. PROJECT PERIOD: Public Health Service Act, Section 751 FROM: 06/01/2002 THROUGH: 03/31/2019 Public Health Service Act: Title III, Part D, Section 330H ; 42 U.SC. 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 $353,758.00 [ ] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget Periods a . Salaries and Wages : $172,621.00 i. Additional Authority $0.00 b . Fringe Benefits : $63,196.00 ii. Offset $0.00 c . Total Personnel Costs : $235,817.00 c. Unawarded Balance of Current Year's Funds $0.00 d . Consultant Costs : $0.00 d. Less Cumulative Prior Awards(s) This Budget $0.00 e . Equipment : $0.00 Period f . Supplies : $7,233.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $353,758.00 ACTION g . Travel : $4,817.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project) i . Other : $11,666.00 YEAR TOTAL COSTS j . Consortium/Contractual Costs : $53,295.00 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 14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash) Trainee Tuition and Fees : $0.00 . 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 : $312,828.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00 p . INDIRECT COSTS (Rate: % of S&W/TADC) : $40,930.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00 q . TOTAL APPROVED BUDGET : $353,758.00 i. Less NonFederal Share: $0.00 ii. Federal Share: $353,758.00 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 Stephannie Young , Grants Management Officer on : 10/26/2015 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 $252,958.00 $0.00 15HISERED 14 3898020 93.926 15H49MC00174 $100,800.00 $0.00 N/A 15HISERED Page 1 NOTICE OF AWARD (Continuation Sheet) Date Issued: 10/26/2015 8:33:16 AM Award Number: 5 H49MC00174-15-00 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 10digit 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 877Go4HRSA/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. Effective December 26, 2014, all references to OMB Circulars for the administrative and audit requirements and the cost principles that govern Federal monies associated with this award are superseded by the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. 2. Healthy Start funds may not be used for entertainment costs. Trips and/or activities for Healthy Start clients must relate to both the goal of reducing infant mortality and the approved project objectives 3. Fund raising costs are unallowable. Healthy Start funds, e.g., staff salary, contract personnel, consultants or costs for items to be sold or raffled, may not be used for fund raising activities. 4. The replacement of, or significant change in the responsibilities of senior project staff, including the project director, project manager, and chief financial officer, must have prior approval from the Grants Management Officer . The grantee must obtain prior approval from the awarding office for changes in scope, direction, type of service delivery or training, and rebudgeting of Healthy Start funds. 5. This Notice of Award is issued based on HRSA’s approval of the NonCompeting Continuation (NCC) Progress Report. All postaward requests, such as significant budget revisions or a change in scope, must be submitted as a Prior Approval action via the Electronic Handbooks (EHBs) and approved by HRSA prior to implementation. Grantees under “Expanded Authority,” as noted in the Remarks section of the Notice of Award, have different prior approval requirements. See “PriorApproval Requirements” in the DHHS Grants Policy Statement: http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf 6. The funds for this award are subaccounted in the Payment Management System (PMS) and will be in a P type (sub accounted) account. This type of account allows recipients to specifically identify the individual grant for which they are drawing funds and will assist HRSA in monitoring the award. If your organization previously received a grant under this program, it was in a G type (cash pooled) account designated by a PMS Account Number ending in G or G1. Now that this grant is sub accounted the PMS Account Number will be changed to reflect either P or P1. For example, if the prior year grant was in payee account number 2AAG it will now be in 2AAP. Similarly, if the prior year grant was in payee account 2AAG1, the grant will be in payee account 2AAP1. The P sub account number and the sub account code (provided on page 1 of this Notice of Award) are both needed when requesting grant funds. You may use your existing PMS username and password to check your organizations P account access. If you do not have access, complete a PMS Access Form (PMS/FFR Form) found at: http://www.dpm.psc.gov/grant_recipient/grantee_forms.aspx and send it to the fax number indicated on the bottom of the form. If you have any questions about accessing PMS, contact the PMS Liaison Accountant as identified at: http://www.dpm.psc.gov/contacts/contacts.aspx. 7. Grantees must use the data system developed by the Division of Healthy Start and Perinatal Services. 8. HRSA will reserve the right to reduce base awards for grantees that consistently maintain a large unobligated balance. 9. Grantees are required to participate in the National Evaluation of Healthy Start Programs and respond to request for information from the Division and the supporting HS performance project. 10. HRSA reserves the right to reduce funding if, after receiving Technical Assistance the grantee does not fulfill the requirements as outlined in the FOA – i.e.… Benchmarks, number of pregnant women and total participants served. 11. Grantees are required to budget for 10 person trips (5 people per meeting; 2 meetings per year) to attend the mandatory regional meetings and the mandatory Healthy Start convention. Page 2 NOTICE OF AWARD (Continuation Sheet) Date Issued: 10/26/2015 8:33:16 AM Award Number: 5 H49MC00174-15-00 12. This Notice of Award (NoA) reflects partial funding of the FY 2016 Healthy Start Grant Program, as authorized under the Continuing Resolution, P.L. 11453. Rebudgeting of 25% or less of grant funds within approved categories does not require prior approval. 13. Equipment is any article of tangible, nonexpendable, personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. Items identified in the budget that do not meet the Federal definition have been allocated to the "Supplies" category. 14. This Notice of Award provides the offset of an unobligated balance in the amount of $100,800.00 from the 2/1/14 10/31/14 budget period to the current budget period. Please be advised that if the final resolution of the audit determines that the unobligated balance of Federal Funds is incorrect, HRSA is not obligated to make additional Federal Funds available to cover the shortfall. Program Specific Term(s) 1. The management Team, including key personnel, must reflect the cultural diversity of the Community to be served. 2. Each project is expected to establish a plan to recover, to the maximum extent feasible, third party revenues to which it is entitled for services provided; garner all other available Federal, state, local, and private funds; and charge beneficiaries according to their ability to pay for services without creating a barrier to those services. Where thirdparty payors, including Government agencies, are authorized or are under legal obligation to pay all or a portion of charges for health care services, "all such sources must be billed for covered services, and every effort must be made to obtain payment. Each service provider receiving Federal funds, either directly or indirectly, must have a procedure to identify all persons served who are eligible for thirdparty reimbursement." 3. All MCHB discretionary grant projects are expected to incorporate a carefully designed and wellplanned evaluation protocol capable of demonstrating and documenting measurable progress toward achieving the stated goals. The measurement of progress toward goals should focus on systems, health and performance indicators, rather than solely on the intermediate process measures. 4. In accordance with the requirements of the “Government Performance and Results Act (GPRA) of 1993” (Public Law 10362), MCHB has established measurable goals for Federal programs that can be reported as part of the budgetary process, thus linking funding decisions with performance. Performance measures and data elements for all MCHBfunded grant programs including Healthy Start have been finalized. As previously communicated all Healthy Start projects are expected to participate in the MCHB reporting requirements system. Standard Term(s) 1. Recipients must comply with all terms and conditions outlined in their grant award, including grant policy terms and conditions outlined in applicable Department of Health and Human Services (HHS) Grants Policy Statements, and requirements imposed by program statutes and regulations and HHS grant administration regulations, as applicable; as well as any requirements or limitations in any applicable appropriations acts. 2. All discretionary awards issued by HRSA on or after October 1, 2006, are subject to the HHS Grants Policy Statement (HHS GPS) unless otherwise noted in the Notice of Award (NoA). Parts I through III of the HHS GPS are currently available at http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf. Please note that the Terms and Conditions explicitly noted in the award and the HHS GPS are in effect. 3. HRSA requires grantees to use the following acknowledgement and disclaimer on all products produced by HRSA grant funds: “This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number and title for grant amount (specify grant number, title, total award amount and percentage financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.” Grantees are required to use this language when issuing statements, press releases, requests for proposals, bid solicitations, and other HRSA supported publications and forums describing projects or programs funded in whole or in part with HRSA funding. Examples of HRSAsupported publications include, but are not limited to, manuals, toolkits, resource guides, case studies and issues briefs. 4. Recipients and subrecipients of Federal funds are subject to the strictures of the Medicare and Medicaid antikickback statute (42 U.S.C. 1320a 7b(b) and should be cognizant of the risk of criminal and administrative liability under this statute, specifically under 42 U.S.C. 1320 7b(b) Illegal remunerations which states, in part, that whoever knowingly and willfully: (A) Solicits or receives (or offers or pays) any remuneration (including kickback, bribe, or rebate) directly or indirectly, overtly or covertly, in cash or in kind, in return for referring (or to induce such person to refer) an individual to a person for the furnishing or arranging for the furnishing of any item or service, OR (B) In return for purchasing, leasing, ordering, or recommending purchasing, leasing, or ordering, or to purchase, lease, or order, any goods, facility, services, or item ....For which payment may be made in whole or in part under subchapter XIII of this chapter or a State health care program, Page 3 NOTICE OF AWARD (Continuation Sheet) Date Issued: 10/26/2015 8:33:16 AM Award Number: 5 H49MC00174-15-00 shall be guilty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for not more than five years, or both. 5. Items that require prior approval from the awarding office as indicated in 45 CFR Part 75 [Note: 75 (d) HRSA has not waived costrelated or administrative prior approvals for recipients unless specifically stated on this Notice of Award] or 45 CFR Part 75 must be submitted in writing to the Grants Management Officer (GMO). Only responses to prior approval requests signed by the GMO are considered valid. Grantees who take action on the basis of responses from other officials do so at their own risk. Such responses will not be considered binding by or upon the HRSA. In addition to the prior approval requirements identified in Part 75, HRSA requires grantees to seek prior approval for significant rebudgeting of project costs. Significant rebudgeting occurs when, under a grant where the Federal share exceeds $100,000, cumulative transfers among direct cost budget categories for the current budget period exceed 25 percent of the total approved budget (inclusive of direct and indirect costs and Federal funds and required matching or cost sharing) for that budget period or $250,000, whichever is less. For example, under a grant in which the Federal share for a budget period is $200,000, if the total approved budget is $300,000, cumulative changes within that budget period exceeding $75,000 would require prior approval). For recipients subject to 45 CFR Part 75, this requirement is in lieu of that in 45 CFR 75 which permits an agency to require prior approval for specified cumulative transfers within a grantee's approved budget. [Note, even if a grantee's proposed rebudgeting of costs falls below the significant rebudgeting threshold identified above, grantees are still required to request prior approval, if some or all of the rebudgeting reflects either a change in scope, a proposed purchase of a unit of equipment exceeding $25,000 (if not included in the approved application) or other prior approval action identified in Part 75 unless HRSA has specifically exempted the grantee from the requirement(s).] 6. Payments under this award will be made available through the DHHS Payment Management System (PMS). PMS is administered by the Division of Payment Management, Financial Management Services, Program Support Center, which will forward instructions for obtaining payments. Inquiries regarding payments should be directed to: ONEDHHS Help Desk for PMS Support at 18776145533 or PMSSupport@psc.hhs.gov. For additional information please visit the Division of Payment Management Website at www.DPM.PSC.GOV. 7. The DHHS Inspector General maintains a tollfree hotline for receiving information concerning fraud, waste, or abuse under grants and cooperative agreements. Such reports are kept confidential and callers may decline to give their names if they choose to remain anonymous. Contact: Office of Inspector General, Department of Health and Human Services, Attention: HOTLINE, 330 Independence Avenue Southwest, Cohen Building, Room 5140, Washington, D. C. 20201, Email: Htips@os.dhhs.gov or Telephone: 18004478477 (1800HHSTIPS). 8. Submit audits, if required, in accordance with 45 CFR Part 75, to: Federal Audit Clearinghouse Bureau of the Census 1201 East 10th Street Jefferson, IN 47132 PHONE: (310) 4571551(310) 4571551, (800)2530696(800)2530696 toll free http://harvester.census.gov/sac/facconta.htm 9. EO 13166, August 11, 2000, requires recipients receiving Federal financial assistance to take steps to ensure that people with limited English proficiency can meaningfully access health and social services. A program of language assistance should provide for effective communication between the service provider and the person with limited English proficiency to facilitate participation in, and meaningful access to, services. The obligations of recipients are explained on the OCR website at http://www.hhs.gov/ocr/lep/revisedlep.html. 10. This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000,as amended (22 U.S.C. 7104). For the full text of the award term, go to http://www.hrsa.gov/grants/trafficking.htm. If you are unable to access this link, please contact the Grants Management Specialist identified in this Notice of Award to obtain a copy of the Term. 11. The Consolidated Appropriations and Further Continuing Appropriations 2015 (P.L. 113235) enacted December 16, 2014, limits the salary amount that may be awarded and charged to HRSA grants and cooperative agreements. HRSA funds may not be used to pay the salary of an individual at a rate in excess of $183,300 The Executive Level II of the Federal Executive Pay Scale salary is currently set at $183,300, effective January 11, 2015. This amount reflects an individual’s base salary exclusive of fringe and any income that an individual may be permitted to earn outside of the duties to the applicant organization. This salary limitation also applies to subawards/subcontracts for substantive work under a HRSA grant or cooperative agreement. The salary limitation does not apply to payments made to consultants under this award although, as with all costs, those payments must meet the test of reasonableness and be consistent with institutional policy. Your award amount will not necessarily be recalculated to adjust for necessary reductions in salaries included in your proposal. However, none of the funds in this award shall be used to pay the salary of an individual at a rate in excess of the salary limitation. [It is important to note that an individual's base salary, per se, is NOT constrained by the legislative provision for a limitation of salary. The rate limitation simply limits the amount that may be awarded and charged to HRSA grants and cooperative agreements.] 12. To serve persons most in need and to comply with Federal law, services must be widely accessible. Services must not discriminate on the basis of age, disability, sex, race, color, national origin or religion. The HHS Office for Civil Rights provides guidance to grant and cooperative agreement recipients on complying with civil rights laws that prohibit discrimination on these bases. Please see http://www.hhs.gov/ocr/civilrights/understanding/index.html. HHS also provides specific guidance for recipients on meeting their legal obligation under Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race, color or national origin in programs and activities that receive Federal financial assistance (P. L. 88‐352, as amended and 45 CFR Part 75). In some instances a recipient’s failure to provide language assistance services may have the effect of discriminating against persons on the Page 4 NOTICE OF AWARD (Continuation Sheet) Date Issued: 10/26/2015 8:33:16 AM Award Number: 5 H49MC00174-15-00 basis of their national origin. Please see http://www.hhs.gov/ocr/civilrights/resources/laws/revisedlep.html to learn more about the Title VI requirement for grant and cooperative agreement recipients to take reasonable steps to provide meaningful access to their programs and activities by persons with limited English proficiency. 13. Important Notice: The Central Contractor registry (CCR) has been replaced. The General Services Administration has moved the CCR to the System for Award Management (SAM) on July 30, 2012. To learn more about SAM please visit https://www.sam.gov. It is incumbent that you, as the recipient, maintain the accuracy/currency of your information in the SAM at all times during which your entity has an active award or an application or plan under consideration by HRSA, unless your entity is exempt from this requirement under 2 CFR 25.110. Additionally, this term requires your entity to review and update the information at least annually after the initial registration, and more frequently if required by changes in your information. This requirement flows down to subrecipients. Note: SAM information must be updated at least every 12 months to remain active (for both grantees and subrecipients). Grants.gov will reject submissions from applicants with expired registrations. It is advisable that you do not wait until the last minute to register in SAM or update your information. According to the SAM Quick Guide for Grantees (https://www.sam.gov/sam/transcript/SAM_Quick_Guide_Grants_Registrationsv1.6.pdf), an entity’s registration will become active after 35 days. Therefore, check for active registration well before the application deadline. 14. In any grantrelated activity in which family, marital, or household considerations are, by statute or regulation, relevant for purposes of determining beneficiary eligibility or participation, grantees must treat samesex spouses, marriages, and households on the same terms as oppositesex spouses, marriages, and households, respectively. By "samesex spouses," HHS means individuals of the same sex who have entered into marriages that are valid in the jurisdiction where performed, including any of the 50 states, the District of Columbia, or a U.S. territory or in a foreign country, regardless of whether or not the couple resides in a jurisdiction that recognizes samesex marriage. By "same sex marriages," HHS means marriages between two individuals validly entered into in the jurisdiction where performed, including any of the 50 states, the District of Columbia, or a U.S. territory or in a foreign country, regardless of whether or not the couple resides in a jurisdiction that recognizes samesex marriage. By "marriage," HHS does not mean registered domestic partnerships, civil unions or similar formal relationships recognized under the law of the jurisdiction of celebration as something other than a marriage. This term applies to all grant programs except block grants governed by 45 CFR part 96 or 45 CFR Part 98, or grant awards made under titles IVA, XIX, and XXI of the Social Security Act; and grant programs with approved deviations. Reporting Requirement(s) 1. Due Date: Within 90 Days of Award Issue Date The grantee must submit a Performance Report within 90 days after receipt of the NoA. This report should include completing the financial forms, project abstract, grant summary and performance measures. The performance report must be submitted using the Electronic Handbook (EHB). 2. Due Date: Annually (Budget Period) Beginning: Budget Start Date Ending: Budget End Date, due Quarter End Date after 90 days of reporting period. The grantee must submit an annual Federal Financial Report (FFR). The report should reflect cumulative reporting within the project period and must be submitted using the Electronic Handbooks (EHBs). The FFR due dates have been aligned with the Payment Management System quarterly report due dates, and will be due 90, 120, or 150 days after the budget period end date. Please refer to the chart below for the specific due date for your FFR: Budget Period ends August – October: FFR due January 30 Budget Period ends November – January: FFR due April 30 Budget Period ends February – April: FFR due July 30 Budget Period ends May – July: FFR due October 30 Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions. Contacts NoA Email Address(es): Name Role Email Bob England Authorizing Official bobengland@mail.maricopa.gov 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 Page 5 NOTICE OF AWARD (Continuation Sheet) Date Issued: 10/26/2015 8:33:16 AM Award Number: 5 H49MC00174-15-00 5600 Fishers Ln Rockville, MD, 208521750 Email: mreyes1@hrsa.gov Phone: (301) 4439991 Fax: (301) 5940186 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) 5944259 Fax: (301) 4436343 Page 6 ATTACHED TO AND A PART OF: C-86-02-165- Notice of Award # H49MC00174-15-00 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 Page 7