GRANT AWARD RE AZNN SNAP-ED LIS WITH ADHS.PDF

Division for Planning and Operations
Office of Procurement
Arizona 1740 West Adams Street, Room 303 DOUGLAS A DUCEY, GOVERNOR
Phoenix, Arizona 85007.2670 CARA M. CHRIST, MD, DIRECTOR
Department of (602) 542-1040
Health Services (602) 542-1741 Fax
August 28, 2015
Maricopa County Department of Public Health
Attn: Bob England, MD, Director
4041 N. Central Avenue, Ste 1400
Phoenix, Arizona 85012
RE: Request for Grant Application (RFGA) No. ADIIS15-00004836, for AzNN, SNAP-Ed,
Local Implementation Services
Dear Mr England,
Maricopa County Department of Public Health (Grantee) has been awarded a Grant pursuant to the
Arizona Department of Health Services (ADHS) RFGA fiADHS15-00004836 to provide AzNN, Snap-
Ed, Local Implementation Services effective October. I, 2015 for FFY16. The budgeted amount for
FFY16 is $2,213,178,00, The Program Manager may be contacting you to discuss revisions to the
Budget and Application to match this amount of available funding. Enclosed is a copy of the executed
Acceptance of Application and Grant Award,
This Grant requires verification of insurance to be provided to ADHS, A Certificate of Insurance (C01)
must be submitted to ADHS within five (5) days of receipt of this correspondence.. The COI must
exactly match the requirements and language provided in the RFGA Terms and Conditions, Provision
27, Risk and Liability, Item 27.3, Insurance Requirements.
The Grantee must not begin work pursuant to the enclosed award notice until the ADHS Procurement
Officer assigned to your Grant issues a written notice to proceed or a Purchase Order is executed. Such
notice may be provided by email.
Thank you for doing business with the ADHS. If you have any questions, please contact me at 602-542-
loll,.
Tracey
Senior Procurement Specialist
Enclosure
cc: Procurement File
Health and Wellness for all Arizonans

Page 1 of 2
ARIZONA STATE CONTRACT
MASTER CONTRACT - TERM
Purchase Order No.: ADHS16-106547
Organizational Reference No.:
Effective Date: 10/01/2015
Valid Through: 09/30/2018
Vendor Number: 000010983 Arizona Department of Health Services
Maricopa County Public Health Public Health Prevention
4041 N. Central Avenue, #1400 1740W, Adams
Phoenix, AZ 85012 Phoenix, AZ 85007
Contract No.: ADHS16-106547
Title: AzNN SNAP-Ed Local Implementation Services
The following documents make up the Contract
and are incorporated herein by reference.
Blanket Instructions
Attachment H_FFY2016 Nutrition Education arid Obesity Prevention
Template_Signed TERMS AND CONDITIONS set forth in our Bid, Quotation, or Purchase Order
Exhibit 1 Needs Assessment-FINAL.pdf are incorporated herein by reference and become a part of this order.
Attachment E_FFY2016 AzNN Nutrition Education and Obesity
Prevention Plan Temple
Attachment F_FFY2016 AzNN Nutrition Education and Obesity
Prevention Plan Temple
Attachment G_FFY2016 AzNN Nutrition Education and Obesity
Prevention Plan Temple
Please refer to the electronic order in Procure.AZ.gov for the
complete list of attachments
Account Code: Payment Terms: Net 30
Shipping Terms:
Solicitation (Bid) No,: Delivery Calendar Day(s) A.R.O.: 0
Item Description I Requisition .,, Quantity Unit Unit Price Total
Class-Item 952-26
1 1.00 YR $ 983,325.00 $ 983,325,00
Personnel/Salary
Class-Item 952-26
2 1.00 YR $ 380,005.00 $ 380,005.00
Fringe Benefits
Class-Item 952-26
3 1.00 YR $ 537,672,00 $ 537,672.00
Contracts, Grants and Agreements

Page 2 of 2
ARIZONA STATE CONTRACT
MASTER CONTRACT - TERM
Class-Item 952-26
4 1,00 YR $ 33,236.00 $ 33,236.00
Non Capital Equipment/Supplies
Class-Item 952-26
5 1.00 YR $ 21,930.00 $ 21,930.00
Materials
Class-Item 952-26
6 1.00 YR $ 8,625.00 $ 8,625.00
Travel
Class-Item 952-26
7 1.00 YR $ 15,425.00 $ 15,425.00
Building Space
Class-Item 952-26
8 1.00 YR $ 3,960,00 $ 3,960.00
Maintenance
Class-Item 952-26
9 1.00 YR $ 0.00 $ 0.00
Equipment and Other Capital
Class-Item 952-26
10 1.00 YR $ 229,000.00 $ 229,000.00
Indirect Costs
TOTAL: $ 2,213,178.00
Approved By: Tracey Thomas
Phone No.: (602) 542-1011

C-86-16 ATTACHED TO AND A PART OF
Purchase Order ADHS16-106547
Contract No. ADHS16-106547
AzNN SNAP-Ed Local Implementation
Services
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

ATTACHMENT A Arizona Department of
GRANT APPLICATION 1740W Heafth Adams, SenrIces Room 303
RFGA NO, ADHS15-00004836 Phoenix, Arizona 85007
(602)542-1040
(602) 642-1741 Fax
The Undersigned hereby applies and agrees to furnish the materials, service(s) or construction in compliance with all the terms,
conditions, specifications, an y amendments In the Request and any written exceptions in the Application
Applicant's Arizona Transaction (Sales) Privilege Tax License Number:
Applicant's Federal Emplo yer identification Numb anct r: S La 66D —g
,1e,r\ cDpE, Caufkii3 1 0
ilk a, ,•
Ap.licant's Vsykr Name of Person Auth ed to Si gn Application
(Please type or print)
4b4) Geirri-r61 .:ZiLter.421(
Street Address 11tie o ut op ' d fb r n
q\AD`eifl Z5oi 0 G-A/Z0/5-
City Stake Zip Code Signature Authorized Person Date
Telephone Number toiaal_21 Facsimile Number: LADD ‘ a* .bitg's
E-Mail Address: AlleablAer_lcAlaffailip,f3b))
Acknowledgement of Amendment(s): Amendment No. Date
(Applicant acknowledges receipt of amend-
ment(s) to the Request for Grant Application
and related documents numbered and dated
(For State of Anzcna Use Qjily)
Your Application, dated 517 /2-C..9/STTs hereby accepted as described In the Notice of Award You are now bound to
perform based upon the RFGA and your Application, as accepted by the State
This Grant will henceforth be referred to as Grant Number:
You are hereby cautioned not to commence an y billable work or provide an y material or service under this Grant until you
receive an executed purchase order, Grant release document, or written notice to proceed, if applicable
State of Arizona
Awarded this WI' day of Aff,4001_,, 2015
State Government Administrator
25

409 1., Attachment B
Arizona Department
C T "'-'1.71:4111 )
Designation of Confidential, Trade Secret & of Health Services
4.41300 I4•10 Proprietary Information Division for
PAGE Planning and Operations
Solicitation No: ADHS15-00004836 26 Office of Procurement
1740W. Adams St., RM 303
Description: AzNN SNAP-Ed Local Implementation OF Phoenix, AZ 85007
28
All materials submitted as part of a response to a solicitation are subject to Arizona public records law and will be disclosed if
there Is an appropriate public records request at the time of or after the award of the contract. Recognizing there may be
materials included In a solicitation response that is proprietary or a trade secret, a process is set out in A.A.C. R2-7-103
(attached) that will allow qualifying materials to be designated as confidential and excluded from disclosure. For purposes of this
process the definition of 'trade secret" will be the same as that set out In A.A,C, R2-7-101(52).
This form must be completed and returned with the response to the solicitation and any supporting information to assist the
State in making its determination as to whether any of the materials submitted as part of the solicitation response should be
designated confidential because the material is proprietary or a trade secret and therefore not subject to disclosure.
All offerors must select one of the following:
My response does not contain proprietary or trade secret information. I understand that my entire response will
becbrne public record in accordance with A.A.C. R2-7-C317.
My response does contain trade secret information because it contains information that:
Is a formula, pattern, compilation, program, device, method, technique or process, AND
2, Derives independent economic value, actual or potential, from not being generally known to, and not being readily
ascertainable by proper means by, other persons who can obtain economic value from Its disclosure or use; AND
3, Is the subject of efforts by myself or my organization that are reasonable under the circumstances io maintain its
secrecy.
Please note that failure to attach an explanation may result in a determination that the information does not meet the
statutory trade secret definition. All information that does not meet the definition of trade secret as defined by A.A.C.
R2-7-101(52) will become public in accordance with A.A.C. R2-7-0317. The State reserves the right to make its own
determination of Proposers trade secret materials through a written determination in accordance with A.A.C. R2-7-103.
If the State agrees with the proposers designation of trade secret or confidentiality and the determination is challenged, the
undersigned hereby agrees to cooperate and support the defense of the determination with all interested parties, Including legal
counsel or other necessary assistance.
By submitting this response, proposer agrees that the entire offer, including confidential, trade secret and proprietary information
may be shared with an evaluation committee and technical advisors during the evaluation process. Proposer agrees to
indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State's
withholding of information based upon reliance on the above representations, Including the payment of all costs and attorney
fees incurred by the State in defending such an action.
t-i16(t o D t kii rb 4 P4 011 ( \
Companyne
Ac 1 N ef e A kY6L PItep- k46D 4 4
r?i\Deoi).6 grCDND--
City State Zip Title
26

0,034,4, Attachment B
Arizona Department
-- 71111,00, (0 Designation of Confidential, Trade Secret & of Health Services
-411-110117. Proprietary Information Division for
PAGE Planning and Operations
Solicitation No.: ADHS15-00004835 27 Office of Procurement
1740 W. Adams St., RM 303
Description: AzNN SNAP-Ed Local Implementation OF Phoenix, AZ 85007
25
R2-7-10. Confidential Information
A. If a person wants to assert that a person's offer, specification, or protest contains a trade secret or other proprietary
information, a person shall include with the submission a statement supporting this assertion. A person shall clearly
designate any trade secret and other proprietary information, using the term "confidential", Contract terms and conditions,
pricing, and nformation generally available to the public are not considered confidential information under this Section.
S. Until a final determination is made under subsection (C), an agency chief procurement officer shall not disclose information
designated as confidential under subsection (A) except to those individuals deemed by an agency chief procurement officer
to have a legitimate state Interest
C. Upon receipt of a submission, an agendy chief procurement officer shall make one of the following written determinations:
1. The designated Information is confidential and the agency chief procurement officer shall not disclose the information
except to those individuals deemed by the agency chief procurement officer to have a legitimate state interest;
2. The designated information is not confidential; or
3. Additional information Is required before a final confidentiality determination can be made.
ID. If an agency chief procurement officer determines that information submitted is not confidential, a person who made the
submission shall be notified in writing. The notice shall include a time period for requesting a review of the determination by
the state procurement administrator,
E. An agency chief procurement officer may release information designated as confidential under subsection (A) if:
1. A request for review is not received by the state procurement administrator within the time period specified in the notice;
or
2. The state procurement administrator, after review, makes a written determination that the designated information is not
confidential,
27

RFGA NO. ADHS15-0001:14836
Notices, Correspondence, Reports and Payments to the Grantee
shall be sent to:
(Print and complete the information below and attach to your Application In the "Attachments Tab" in ProcureAZ)
Grantee:
Attention: 560t)tl-er--
Address: qt)4) t1 Cen-b1 Pogy -wke_
Address:
City, State, Zip: --- Den‘l e g501
Telephone:
28

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
1. Grant Term. The initial term of this Grant shall commence upon award of and signature by the State
Government Administrator, and shall remain in effect for three (3) years unless terminated, canceled, or
extended as otherwise provided herein.
2. Option to Renew Grant. This Grant shall not bind nor purport to bind ADHS and the Grantee for any Grant
commitment in excess of the original Grant Term. ADHS shall have the right, at its sole option, to renew the
Grant, in two additional one (1)-year increments, not to exceed a total Grant term of five (%) years. If ADHS
exercises such rights, all terms, conditions and provisions of the original Grant shall remain the same and apply
during the option terms.
3. Grant Reimbursement: Payment shall be made on a Cost Reimbursement basis.
4. Grant Amendments. Any change in this Grant, including the Scope of Work, shall only be accomplished by a
formal, written Grant amendment, signed by the State Government Administrator. Any such amendment shall
be within the scope of the Grant and shall specify the change; any increase or decrease in Grant amount and
the effective date of the change. The Grantee expressly and explicitly understands and agrees that no other
method and/or no other document, including correspondence, acts and oral communications by or from any
person, shall be used or construed as an amendment to this Grant.
5. Commencement of Work. All work to be performed under this Grant must commence within ninety (90) days
of award. Work shall not be performed without a Purchase Order.
6. Key Personnel. It is essential the Grantee provide an adequate staff of experienced personnel, capable of and
devoted to the successful accomplishment of work performed under this Grant. The Grantee must assign
specific individuals to key positions of responsibility (Attachment F). Once assigned to work under this Grant,
Key Personnel shall not be removed or replaced without prior notification to the ADHS Program Manager.
7. Availability of Funds for the Next Fiscal Year. Funds may not presently be available for performance under
this Grant beyond the current fiscal year. No legal liability on the part of the State for any payment may arise
under this Grant beyond the current fiscal year until funds are made available for performance of this Grant.
The State shall make reasonable efforts to secure such funds.
8. Audit. Pursuant to A.R.S. §35-214, at any time during the term of this Grant and five (5) years thereafter, the
Grantee's or any subcontractor's books and records shall be subject to audit by the State and, where
applicable, the Federal Government, to the extent that the books and records relate to the performance of the
Grant.
9. Information Disclosure. The Grantee shall establish and maintain procedures and controls that are
acceptable to the State for the purpose of assuring that no information contained in its records or obtained from
the State or from others in carrying out its functions under the Grant shall be used or disclosed by it, its agents,
officers, or employees, except as required to efficiently perform duties under the Grant. Persons requesting
such information should be referred to the State. The Grantee also agrees that any information pertaining to
individual persons shall not be divulged other than to employees or officers of Grantee as needed for the
performance of duties under the Grant, unless otherwise agreed to in writing by the State.
10. Accounting Requirements. All financial records shall be maintained and expenditures made in accordance
with the Generally Accepted Accounting Principles to permit accurate tracking of funds to a level of expenditure
adequate to ensure proper use of funds.
11. Financial Management. For all Grants, the practices, procedures, and standards specified in and required by
the Accounting and Auditing Procedures Manual for the Arizona Department of Health Services funded
programs shall be used by the Grantee in the management of Grant funds and by the Department when
performing a Grant audit. Funds collected by the Grantee in the form of fees, donations and/or charges for the
delivery of these Grant services shall be accounted for in a separate fund.
13

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
Federal Funding. Grantees receiving Federal funds under this Grant shall comply with the certified finance and
compliance audit provision of the Office of Management and Budget (OMB) Circular A-133, if applicable.
State Funding. Grantees receiving State funds under this Grant shall comply with the certified Compliance
provisions of A.R.S. §35-181.03.
12. Grant Restrictions. Applicants will provide a copy of all printed or broadcast media or any other educational
materials developed using funds awarded under this Grant to the ADHS Program Manager for approval. Media
and/or printed educational materials will adhere to the required wording as follows: "Funded in part by the
Bureau of Nutrition and Physical Activity as made available through the Arizona Department of Health
Services."
13. Payment. The Grantee shall submit to ADHS a monthly statement of charges in a form to be provided by
ADHS prior to the commencement of services. This form, known as a Contractor's Expenditure Report (CER),
shall be submitted for the work completed under an approved program manager in conformance with the price
sheet/fee schedule of this Grant.
14. Arizona Substitute/IRS W-9 Form. In order to receive payment the Grantee shall have a current Arizona
Substitute W-9 Form on file with the State of Arizona, unless not required by law.
15. Subcontracts. The Grantee shall not enter into any subcontract under this Grant for the performance of this
Grant without the advance written approval of the ADHS Program Manager and the State Government
Administrator. The Grantee shall clearly list any proposed subcontractors and the subcontractor's proposed
responsibilities. The subcontract shall incorporate by reference the terms and conditions of this Grant.
16. Licenses. Grantee shall maintain, in current status, all Federal, State and local licenses and permits required
for the operation of the business conducted by the Grantee.
17. Federal Procurement Suspension/Debarment. All Applicants, upon submittal and signature of their
Application, hereby attest and certify that the company has not been debarred or suspended from Federal
procurements.
18. Health Insurance Portability and Accountability Act of 1996 (HIPAA) Compliance. The Grantee warrants
that it is familiar with the requirements of HIPAA, as amended by the Health Information Technology for
Economic and Clinical Health Act (HITECH Act) of 2009, and accompanying regulations and will comply with all
applicable HIPAA requirements in the course of this Grant. Grantee warrants that it will cooperate with the
Arizona Department of Health Services (ADHS) in the course of performance of the Grant so that both ADHS
and Grantee will be in compliance with HIPAA, including cooperation and coordination with the Arizona
Department of Administration-Arizona Strategic Enterprise Technology (ADOA-ASET) Office, the ADOA-ASET
Arizona State Chief Information Security Officer and HIPAA Coordinator and other compliance officials required
by HPAA and its regulations. Grantee will sign any documents that are reasonably necessary to keep ADHS
and Grantee in compliance with HIPAA, including, but not limited to, business associate agreements.
If requested by the ADHS Procurement Office, Grantee agrees to sign a "Pledge To Protect Confidential
Information" and to abide by the statements addressing the creation, use and disclosure of confidential
information, including information designated as protected health information and all other confidential or
sensitive information as defined in policy. In addition, if requested, Grantee agrees to attend or participate in
HIPAA training offered by ADHS or to provide written verification that the Grantee has attended or participated
in job related HIPAA training that is: (1) intended to make the Grantee proficient in H1PAA for purposes of
performing the services required and (2) presented by a HIPAA Privacy Officer or other person or program
knowledgeable and experienced in HIPAA and who has been approved by the ADOA-ASET Arizona State
Chief Information Security Officer and HIPAA Coordinator
14

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
19. Offshore Performance of Work Prohibited: Any services that are described in the specifications or scope of
work that directly serve the State of Arizona or its clients and involve access to secure or sensitive data or
personal client data shall be performed within the defined territories of the United States. Unless specifically
stated otherwise in the specifications, this paragraph does not apply to indirect or 'overhead' services,
redundant back-up services or services that are incidental to the performance of the Grant. This provision
applies to work performed by subcontractors at all tiers.
20. Arbitration: The parties to this Grant agree to resolve all disputes arising out of or relating to this Grant
through arbitration, after exhausting applicable administrative review, to the extent required by A.R.S. § 12-
1518, except as may be required by other applicable statutes (Title 41).
21. Purchase Orders: The Grantee shall, in accordance with all terms and conditions of the Grant, fully perform
and shall be obligated to comply with all Purchase Orders received by the Grantee prior to the expiration or
termination hereof, unless otherwise directed in writing by the ADHS Administrator, including, without limitation,
all Purchase Orders received prior to but not fully performed and satisfied at the expiration or termination of this
Grant.
22. Pandemic Contractual Performance:
22.1. The State shall require a written plan that illustrates how the Grantee shall perform up to contractual
standards in the event of a pandemic. The State may require a copy of the plan at anytime prior or
post award of a Grant. At a minimum, the pandemic performance plan shall include:
22.1.1. Key succession and performance planning if there is a sudden significant decrease in
Grantee's workforce.
22.1.2. Alternative methods to ensure there are products in the supply chain.
22.1.3. An up to date list of company contacts and organizational chart.
22.2. In the event of a pandemic, as declared the Governor of Arizona, U.S. Government or the World Health
Organization, which makes performance of any term under this Grant impossible or impracticable, the
State shall have the following rights:
22.2.1. After the official declaration of a pandemic, the State may temporarily void the Grant(s) in
whole or specific sections, if the Grantee cannot perform to the standards agreed upon in the
initial terms.
22.2.2. The State shall not incur any liability if a pandemic is declared and emergency procurements
are authorized by the Director as per A.R.S. 41-2537 of the Arizona Procurement Code.
22.2.3. Once the pandemic is officially declared over and/or the Grantee can demonstrate the ability to
perform, the State, at is sole discretion, may reinstate the temporarily voided Grant(s).
22.3. The State, at any time, may request to see a copy of the written plan from the Grantee. The Grantee
shall produce the written plan within seventy-two (72) hours of the request
23. Grant Termination:
23.1. Cancellation for Conflict of Interest. Pursuant to A.R.S. § 38-511, the State may cancel this Grant within
three (3) years after Grant execution without penalty or further obligation if any person significantly
involved in initiating, negotiating, securing, drafting or creating the Grant on behalf of the State is or
becomes at any time while the Grant or an extension of the Grant is in effect an employee of or a
consultant to any other party to this Grant with respect to the subject matter of the Grant. The
cancellation shall be effective when the Grantee receives written notice of the cancellation unless the
notice specifies a later time. If the Grantee is a political subdivision of the State, it may also cancel this
15

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
Grant as provided in A.R.S. § 38-511.
23.2. Gratuities. The State may, by written notice, terminate this Grant, in whole or in part, if the State
determines that employment or a Gratuity was Offered or made by the Grantee or a representative of
the Grantee to any officer or employee of the State for the purpose of influencing the outcome of the
procurement or securing the Grant, an amendment to the Grant, or favorable treatment concerning the
Grant, including the making of any determination or decision about Grant performance. The State, in
addition to any other rights or remedies, shall be entitled to recover exemplary damages in the amount
of three times the value of the Gratuity Offered by the Grantee.
23.3. Termination for Convenience. The State reserves the right to terminate the Grant, in whole or in part at
any time, when in the best interests of the State without penalty or recourse. Upon receipt of the written
notice, the Grantee shall stop all work, as directed in the notice, notify all subcontractors of the effective
date of the termination and minimize all further costs to the State. In the event of termination under this
paragraph, all documents, data and reports prepared by the Grantee under the Grant shall become the
property of and be delivered to the State upon demand. The Grantee shall be entitled to receive just
and equitable compensation for work in progress, work completed and materials accepted before the
effective date of the termination. The cost principles and procedures provided in A.A.C. R2-7-701 shall
apply.
23.4. Termination for Default.
23.4.1. In addition to the rights reserved in the Grant, the State may terminate the Grant in whole or in
part due to the failure of the Grantee to comply with any term or condition of the Grant, to
acquire and maintain all required insurance policies, bonds, licenses and permits, or to make
satisfactory progress in performing the Grant. The Procurement Officer shall provide written
notice of the termination and the reasons for it to the Grantee.
23.4.2. Upon termination under this paragraph, all goods, materials, documents, data and reports
prepared by the Grantee under the Grant shall become the property of and be delivered to the
State on demand.
23.4.3. The State may, upon termination of this Grant, procure, on terms and in the manner that it
deems appropriate, materials or services to replace those under this Grant. The Grantee shall
be liable to the State for any excess costs incurred by the State in procuring materials or
services in substitution for those due from the Grantee.
23.5. Continuation of Performance through Termination. The Grantee shall continue to perform, in
accordance with the requirements of the Grant, up to the date of termination, as directed in the
termination notice.
24. Non-Discrimination: The Grantee shall comply with State Executive Order No. 2009-09 and all other
applicable Federal and State laws, rules and regulations, including the Americans with Disabilities Act.
25. Federal Immigration and Nationality Act: The Grantee shall comply with all federal, state and local
immigration laws and regulations relating to the immigration status of their employees during the term of the
Grant. Further, the Grantee shall flow down this requirement to all subcontractors utilized during the term of the
Grant. The State shall retain the right to perform random audits of Grantee and subcontractor records or to
inspect papers of any employee thereof to ensure compliance. Should the State determine that the Grantee
and/or any subcontractors be found noncompliant, the State may pursue all remedies allowed by law, including,
but not limited to; suspension of work, termination of the Grant for default and suspension and/or debarment of
the Grantee.
26. E-Verify Requirements: In accordance with A.R.S. § 41-4401, Contractor warrants compliance with all
Federal immigration laws and regulations relating to employees and warrants its compliance with Section
A.R.S. § 23-214, Subsection A.
16

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
27. Risk and Liability.
27.1. To the extent allowed by law, Grantee shall defend, indemnify, and hold harmless the State of Arizona,
and its departments, agencies, boards, commissions, universities, officers, officials, agents, and
employees (hereinafter referred to as "Indemnitee") from and against any and all claims, actions,
liabilities, damages, losses, or expenses (including court costs, attorneys' fees, and costs of claim
processing, investigation and litigation) (hereinafter referred to as "Claims") for bodily injury or personal
injury (including death), or loss or damage to tangible or intangible property caused, or alleged to be
caused, in whole or in part, by the negligent or willful acts or omissions of Grantee or any of its owners,
officers, directors, agents, employees or subgrantees. This indemnity includes any claim or amount
arising out of, or recovered under, the Workers' Compensation Law or arising out of the failure of such
Grantee to conform to any federal, state or local law, statute, ordinance, rule, regulation or court
decree. It is the specific intention of the parties that the Indemnitee shall, in all instances, except for
Claims arising solely from the negligent or willful acts or omissions of the I ndemnitee, be indemnified by
Grantee from and against any and all claims. It is agreed that Grantee will be responsible for primary
loss investigation, defense and judgment costs where this indemnification is applicable. In
consideration of the award of this contract, the Grantee agrees to waive all rights of subrogation
against the State of Arizona, its officers, officials, agents and employees for losses arising from the
work performed by the Contractor for the State of Arizona.
27.2. This indemnity shall not apply if the Grantee or sub-grantee(s) is/are an agency, board, commission or
university of the State of Arizona.
27.3. Insurance Requirements:
27.3.1. Grantees and subgrantees shall procure and maintain until all of their obligations have been
discharged, including any warranty periods under this Grant, are satisfied, insurance against
claims for injury to persons or damage to property which may arise from or in connection with
the performance of the work hereunder by the Grantee, his agents, representatives,
employees or subgrantees.
27.3.2. The insurance requirements herein are minimum requirements for this Grant and in no way
limit the indemnity covenants contained in this Grant. The State of Arizona in no way
warrants that the minimum limits contained herein are sufficient to protect the Grantee from
liabilities that might arise out of the performance of the work under this Grant by the Grantee,
its agents, representatives, employees or Subgrantees, and Grantee is free to purchase
additional insurance.
27.3.3. MINIMUM SCOPE AND LIMITS OF INSURANCE: Grantee shall provide coverage with
limits of liability not less than those stated below.
27.3.3.1. Commercial General Liability — Policy shall include bodily injury, property
damage, personal injury and broad form contractual liability coverage.
General Aggregate $2,000,000
Products — Completed Operations Aggregate $1,000,000
Personal and Advertising Injury $1,000,000
Blanket Contractual Liability — Written and Oral $1,000,000
Fire Legal Liability $ 50,000
Each Occurrence $1,000,000
17

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
27.3.3.2. The policy shall be endorsed (Blanket Endorsements are not acceptable) to
include the following additional insured language: "The State of Arizona, its
departments, agencies, boards, commissions, universities and its officers, officials,
agents, and employees shall be named as additional insureds with respect to
liability arising out of the activities performed by or on behalf of the Grantee."
27.3.3.3. Policy shall contain a waiver of subrogation endorsement (Blanket Endorsements
are not acceptable) in favor of the "State of Arizona, its departments, agencies,
boards, commissions, universities and its officers, officials, agents, and
employees" for losses arising from work performed by or on behalf of the Grantee.
27.3.3.4. Worker's Compensation and Employers' Liability
Workers' Compensation Statutory
Employers Liability
Each Accident $ 1,000,000
Disease — Each Employee $ 1,000,000
Disease — Policy Limit $ 1,000,000
27.3.3.5, Policy shall contain a waiver of subrogation endorsement (Blanket Endorsements
are not acceptable) in favor of the 'State of Arizona, its departments, agencies,
boards, commissions, universities and its officers, officials, agents, and
employees" for losses arising from work performed by or on behalf of the Grantee.
27.3.3.6. This requirement shall not apply to: Separately, EACH Grant or Grantee exempt
under A.R.S. 23-901, and when such Grant or Subgrantee executes the
appropriate waiver (Sole Proprietor/Independent Contractor) form.
27.3,4. ADDITIONAL INSURANCE REQUIREMENTS: The policies shall include, or be endorsed
(Blanket Endorsements are not acceptable) to include, the following provisions:
27.3.4.1. The Grantee's policies shall stipulate that the insurance afforded the Grantee shall
be primary insurance and that any insurance carried by the Department, its agents,
officials employees or the State of Arizona shall be excess and not contributory
insurance, as provided by A.R.S. § 41-621 (E).
27.3.4.2. Coverage provided by the Grantee shall not be limited to the liability assumed
under the indemnification provisions of this Agreement.
27.3.5. NOTICE OF CANCELLATION: Each insurance policy required by the insurance provisions
of this Agreement shall provide the required coverage and shall not be suspended, voided,
canceled, or reduced in coverage or in limits except after thirty (30) days prior written notice
has been given to the State of Arizona. Such notice shall be sent directly to Arizona
Department of Health Services, 1740 W Adams St., Room 303, Phoenix, AZ 85007) and
shall be sent by certified mail, return receipt requested.
27.3.6. ACCEPTABILITY OF INSURERS: Grantees insurance shall be placed with companies
licensed in the State of Arizona or hold approved non-admitted status on the Arizona
Department of Insurance List of Qualified Unauthorized Insurers. Insurers shall have an
"A.M. Best" rating of not less than A- VII. The State of Arizona in no way warrants that the
above-required minimum insurer rating is sufficient to protect the Contractor from potential
insurer insolvency.
18

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
27.3.7. VERIFICATION OF COVERAGE: Grantee shall furnish the State of Arizona with certificates
of insurance (ACORD form or equivalent approved by the State of Arizona) as required by
this Agreement. The certificates for each insurance policy are to be signed by a person
authorized by that insurer to bind coverage on its behalf.
All certificates and endorsements (Blanket Endorsements are not acceptable) are to be
received and approved by the State of Arizona before work commences. Each insurance
policy required by this Agreement must be in effect at or prior to commencement of work
under this Agreement and remain in effect for the duration of the project. Failure to maintain
the insurance policies as required by this Agreement, or to provide evidence of renewal, is a
material breach of the Grant.
All certificates required by this Grant shall be sent directly to Arizona Department of Health
Services, Office of Procurement, 1740 W Adams Si, Room 303, Phoenix, AZ 85007. The
State of Arizona project/Agreement number and project description shall be noted on the
certificate of insurance. The State of Arizona reserves the right to require complete, certified
copies of all insurance policies required by this Grant at any time. DO NOT SEND
CERTIFICATES OF INSURANCE TO THE STATE OF ARIZONA'S RISK MANAGEMENT
SECTION.
27.3.8. SUBGRANTEES: Grantee's certificate(s) shall include all subgrantees as insureds under its
policies or Grantee shall furnish to the State of Arizona separate certificates and
endorsements for each subcontractor. All coverages for subgrantees shall be subject to the
minimum requirements identified above.
27.3.9. APPROVAL; Any modification or variation from the insurance requirements in this Grant
shall be made by the contracting agency in consultation with the Department of
Administration, Risk Management Division. Such action will not require a formal Contract
amendment, but may be made by administrative action.
27.3,10. EXCEPTIONS: In the event the Grantee or sub-grantee(s) is/are a public entity, then the
Insurance Requirements shall not apply. Such public entity shall provide a Certificate of Self-
Insurance. if the contractor or sub-contractor(s) is/are a State of Arizona agency, board,
commission, or university, none of the above shall apply.
27.4. Force Majeure.
27.4.1. Except for payment of sums due, neither party shall be liable to the other nor deemed in
default under this Grant if and to the extent that such party's performance of this Grant is
prevented by reason of force majeure. The term 'force majeure" means an occurrence
that is beyond the control of the party affected and occurs without its fault or negligence.
Without limiting the foregoing, force majeure includes acts of God; acts of the public
enemy; war; riots; strikes; mobilization; labor disputes; civil disorders; fire; flood; lockouts;
injunctions-intervention-acts; or failures or refusals to act by government authority; and
other similar occurrences beyond the control of the party declaring force majeure which
such party is unable to prevent by exercising reasonable diligence.
27.4.2. Force Majeure shall not include the following occurrences:
27.4.2.1. Late delivery of equipment or materials caused by congestion at a
manufacturer's plant or elsewhere, or an oversold condition of the market;
27.4.2.2. Late performance by a Subgrantee unless the delay arises out of a force
majeure occurrence in accordance with this force majeure term and condition;
or
19

TERMS AND CONDITIONS
RFGA NO. ADHS15-00004836
27.4.2.3. Inability of either the Grantee or any Subgrantee to acquire or maintain any
required insurance, bonds, licenses or permits.
27.4.3. If either party is delayed at any time in the progress of the work by force majeure, the
delayed party shall notify the other party in writing of such delay, as soon as is practicable
and no later than the following working day, of the commencement thereof and shall
specify the causes of such delay in such notice. Such notice shall be delivered or mailed
certified-return receipt and shall make a specific reference to this article, thereby invoking
its provisions. The delayed party shall cause such delay to cease as soon as practicable
and shall notify the other party in writing when it has done so. The time of completion shall
be extended by an Amendment for a period of time equal to the time that results or effects
of such delay prevent the delayed party from performing in accordance with this
Agreement.
27.4.4. Any delay or failure in performance by either party hereto shall not constitute default
hereunder or give rise to any claim for damages or loss of anticipated profits if, and to the
extent that such delay or failure is caused by force majeure.
20

SCOPE OF WORK
RFGA NO. ADHS15-00004836
AzNN SNAP-Ed Local Implementation
1. Introduction and Background
The Arizona Department of Health Services (ADHS), Bureau of Nutrition and Physical Activity (BNPA) with the
Arizona Department of Economic Security (DES), Family Assistance Administration (FAA), provides a program
called the Supplemental Nutrition Assistance Program Education (SNAP-Ed) — also known as the Arizona Nutrition
Network (AzNN). The purpose of the AzNN is to provide nutrition education and obesity prevention programs to
Arizona's Supplemental Nutrition Assistance Program (SNAP) participants and those who are eligible (eligibles) in
an effort to improve healthy lifestyle choices and reduce the risk of chronic disease.
In late 2010 congress passed the Healthy Hunger Free Kids Act (HHFK) which transitioned the AzNN from a
nutrition education program to an obesity prevention program which includes education on nutrition and physical
activity as well as PSE strategies to facilitate broad, population level effects at multiple levels of the Social
Ecological Model (see Figure 1).
O QC: it.I.V:Vgit
• -P. 1.4
* RcetA.a krialY, CW.15: Sy:got-h.: •
54t§ . 7, • A,-,.,trt•-f.',;Ot.-r
.• hbt5,luisa
• • .e,":4".a.cytest6:11, P5.5og-14 aeitl &did!) .
* -.1.teii—.2.11. krte: • * Fi.suttlAtisiena
Fti.tatAviltimerth
110 ctl.ta!-!
raevtwf.t.t
•
• .
•starx.i- •
:Kri.,24,6.44u
.4
•
Source: Dietary Guidelines for Americans, 2010. Adapted from: (1) Centers tbr Disease Control and Prevention. Division of Nutrition, Physical Activity, and Obesity. State
Nutrition, Physical Activity and Obesity (NPAO) Program: Technical Assistance Manual. January 2008, page 36. Accessed April 21, 2010. littp://www.cdc,govicibesity/
downloadsiTA_Manual 1_31_08.pdf. (2) Institute of Medicine. Preventing Childhood Obesity: Health in the Balance, Washington (DC); The National Academies Press.; 2005, page
85. (3) Story M, ICaphingst KM, Robinson-O'Brien R, (liaise K. Creating healthy food and eating environments: Policy and environmental approaches. Anon Rev Public Health
2008;29:253-272,
The AzNN hired an outside consultant in FFY2014 to identify best practices among other SNAP-Ed Implementing
Agencies and to engage local stakeholders in discussions around the future direction of the SNAP-Ed program
including program strategies, materials, and funding options.
21

SCOPE OF WORK
RFGA NO. ADFIS15-00004836
2. Purpose of the Grant
The purpose of this grant is to develop and implement comprehensive nutrition and physical activity programs.
These comprehensive programs will address local needs related to nutrition, physical activity, and obesity
prevention utilizing evidence-based strategies and resources as outlined in the AzNN Obesity Prevention
Resource Guide (Exhibit 4). In addition to direct education, grantees must select one or more PSE strategies
from at least two (2) focus areas. Direct Education is required and must compliment the selected PSE
strategies.
3. Geographic Services Area
Applicants may apply to provide services statewide, regionally, or at a county level. The selected geographic
area for each program must be identified in the application as well as the specific communities the applicant
intends to serve. Eligible applicants include community-based organizations (private or public), non-profits,
government agencies, and tribal agencies.
4. Grant Focus Areas and Strategies
4.1. Applicants will submit one proposal regardless of the number of strategies or number of counties
included in the application. Separate budgets and work plans will be required for each county jurisdiction
included in the application.
4.2. Grantees are required to provide a comprehensive approach by utilizing direct education with
complementary PSE strategies. Applicants must select the direct education strategy as well as one or
more PSE strategies from a minimum of two focus areas. Focus Areas include: (a) Food Systems, (b)
Active Living, (c) School Health, and (d) Early Childhood.
Ta le 1: Strate List isal. ,eis
FEY20 6 S,
Policy, Systems, and Environmental Change
Food Systems (access to nutritious foods) 1 - -
Food Access
Strategy 1: Increase availability of healthy food retail, including mobile vendors, farmers' markets, corner/country
stores, and grocery stores.
Strategy 2: Encourage participation in community, home, school, and child care gardens.
Strategy 3: Start and expand Farm to School, Farm to Child Care, or Farm to Worksite programs.
Food Security
Strategy 4: Support implementation and promotion of the Summer Food Service Program (SFSP).
Strategy 5: Encourage use of farmers' market with SNAP and WIC access at key community outlets.
Active Living (acces.s , la physical actillty)
Strategy 6: Build capacity to implement active living policy at the community level and by community
organizations.
Strategy 7: Promote participation in and use of area physical activity resources, including partnerships with parks
and trails organizations, and other community organizations.
Strategy 8: Support family-friendly physical activity opportunities throughout the year, throughout the community.
Strategy 9: Use point-of-decision prompts to encourage use of stairs.
School Health
22

SCOPE OF WORK
RFGA NO. ADHS15-00004836
Strategy 10: Support the development, implementation, and evaluation of nutrition and physical activity Local
Wellness Policies in collaboration with Local Education Agencies (LEAs).
Strategy 11: Improve student, teacher, and staff access to nutrition information through menu labeling and
classroom curriculum to improve student understanding of nutrition information.
Strategy 12: Support comprehensive school physical activity programming.
Early Childhood
Strategy 13: Support development, implementation, and evaluation of food and beverage policies and physical
activity policies and environments consistent with the Empower standards.
Strategy 14: Improve capacity of child care providers and food service staff in nutrition education and healthy meal
planning and food preparation.
Strategy 15: Improve capacity of child care providers to provide children with opportunities for physical activity
throughout the day, including outside play when possible.
Direct Education2
Strategy 16: Provide evidence-based healthy eating and active living education in support of policy, system, and
environmental change strategies to eligible audiences in eligible community sites to promote consumption of
healthy foods and beverages and active lifestyles.
All applicants selecting Food Systems strategies must include both Food Access und Food Security
2 Direct Education is required for all applications and must compliment the selected PSE strategies
5. Tasks and Responsibilities
The Grantee shall:
5.1. Have an approved AzNN Nutrition Education and Obesity Prevention Plan on file with ADHS prior to
Grant award. An approved application includes:
5.1.1. AzNN Nutrition Education and Obesity Prevention Plan Template Project Narrative (Attachment
D);
5.1.2. AzNN Nutrition Education and Obesity Prevention Plan Template Project Work Plan (per county
jurisdiction) (Attachment E),
5.1.3. AzNN Nutrition Education and Obesity Prevention Plan Template Budget (per county jurisdiction)
(Attachment F),
5.1.4. AzNN Nutrition Education and Obesity Prevention Plan Template Site Listing (Attachment G),
and
5.1.5. AzNN Nutrition Education and Obesity Prevention Plan Template Signed Assurances
(Attachment H);
5.2. Attend and participate in AzNN trainings and Partner Meetings;
5.3. Implement the activities approved in the work plan;
5.4. Coordinate with AzNN staff for all marketing and research projects, even if prior approved;
5.5. Abide by the most current AzNN Policies and Procedures Manual;
5.6. Utilize materials and messages as identified by the AzNN;
23

SCOPE OF WORK
RFGA NO. ADFISI5-00004836
5.7. Staffing requirements (contracted or on staff) include: Program Director, Registered Dietitian, and
Physical Activity degreed/experienced professional;
5.8. Follow the current USDA Dietary Guidelines for Americans and the USDA Food Guidance System
available from the USDA website; and
5.9. Follow the current Physical Activity Guidelines for Americans available on the Office of Disease
Prevention and Health Promotion website.
6. Requirements:
The Grantee requirements shall include, but not be limited to the following:
6.1. Providing documentation of collaborative partnerships prior to award, including but not limited to:
contracts, letters of agreement/support, memoranda of understanding/agreement, or other
documentation to support the collaboration/partnership;
6.2. Providing a current and accurate Certificate of Insurance (COI) within five (5) days of Grant award that
exactly matches the language provided in the Terms of the Grant. A Master Blanket Purchase Order
Release will not be provided without a valid COI on file at ADHS. Grantees shall not provide any
services without the issuance of a Master Blanket Purchase Order Release.
7. Reference Documents
7.1. SNAP-Ed Guidance; http://snalinal.usda.clovinational-snap-ai/snao-ed-plan-cluidance-and-templates
7.2. AzNN P&P: http://www.eatwellbewell.org/contractors/housekeeping/policies-and-procedures
7.3. Dietary Guidelines:
http://wvvw.cnpp.usda.govisitesidefaultifiles/dietary guidelines for americans/Policyboc,pdf
7.4. Physical Activity Guidelines: http://www.health.gov/paguidelines/pdf/paguide.pdf
8. STATE PROVIDED ITEMS
ADHS will provide the following items:
8,1 AzNN Annual Nutrition Education and Obesity Prevention Plan;
8.2. Nutrition Education and Obesity Prevention Plan instructions;
8.3. List of links for site with data needed to prove eligibility of service sites;
8.4. The Arizona Nutrition Network Policies and Procedures Manual;
8.5. List of allowable materials to be utilized within the program activities;
8.6. Some education materials created, published, or purchased through the AzNN, such as brochures,
posters, etc;
8.7. Training sessions and meetings sponsored by the AzNN and BNPA; and
8.8. Financial and program reporting templates.
9. APPROVALS
24

SCOPE OF WORK
RFGA NO. ADHS15-00004836
The Grantee shall receive approval from ADHS for the following:
9.1. Annual AzNN Nutrition Education and Obesity Prevention Plan;
9.2. Nutrition Education and Obesity Prevention Plan Revisions;
9.3. Monthly CERs;
9.4. Monthly Reports;
9.5. Quarterly Narrative Reports; and
9.6. Quarterly Evaluation Reports.
10. DELIVERABLES
The Grantee shall submit to ADHS:
10.1. An AzNN approved Nutrition Education and Obesity Prevention Plan;
10.2. All revisions to the Nutrition Education and Obesity Prevention Plan prior to implementation of the
proposed revisions;
10.3. Prepare and submit a Contractor Expenditure Report (CER) utilizing the standard reporting form issued
by the ADHS AzNN as provided in the current AzNN Policies and Procedures Manual. All expenses
requested for reimbursement must adhere to the allowable/unallowable guidelines outlined in the
Federal SNAP-Ed Guidance and AzNN Policies and Procedures Manual. Final CERs are due in
accordance with the current AzNN Policies and Procedures Manual;
10.4. Prepare and submit a Monthly Report utilizing the standard reporting form issued by the AzNN as
provided in the current AzNN Policies and Procedures Manual;
10.5. Prepare and submit a Quarterly Narrative report for the first three (3) quarters, utilizing the form
provided in the current AzNN Policies and Procedures Manual;
10.6. Prepare and submit a Quarterly Evaluation report, utilizing the form issued by the AzNN as provided in
the current AzNN Policies and Procedures Manual. Accompanying data or evaluation instruments
should be submitted at this time;
10.7. Prepare and submit a Fourth (4 T") Quarter Narrative report which summarizes the year's program
activities, any results from both quantitative and qualitative evaluations conducted, and any other
relevant program information utilizing the form issued by the AzNN as provided in the current AzNN
Policies and Procedures Manual;
11. NOTICES, CORRESPONDENCE, REPORTS AND INVOICES:
11.1. Notices, Correspondence, Reports and Invoices from the Grantee to the ADHS shall be sent to:
Arizona Department of Health Services
Bureau of Nutrition and Physical Activity
Nutrition Network Manager
150N 18th Ave, Suite 310
Phoenix, AZ 85007
Telephone: 602.542.1886
Facsimile: 602.542.1890
25

Project Overview
Applicant Name: Maricopa County Department of Public Health Office of
Nutrition and Physical Activity
Related State Objectives
Complete the table below by listing each program objective, from the project work plan, in the SMART
format, and indicate which state goal it supports. Add additional rows as needed. Please keep objectives
in the same order as listed in the project work plan.
State Goal #1: By September 30, 2018, increase the proportion of SNAP recipients and eligibles ages 2
years and older who meet dietary recommendations for fruit and vegetable consumption.
State Goal #2: By September 30, 2018, increase the proportion of SNAP recipients and eligibles ages 2
years and older who meet dietary recommendations for calcium by consuming low fat or fat free dairy.
State Goal #3: By September 30, 2018, increase the proportion of SNAP recipients and eligibles ages 2
years and older who consume half their grains as whole grains.
State Goal #4: By September 30, 2018, increase the proportion of SNAP recipients and eligible children
who participate in cumulative intermittent physical activity for 60 minutes a day.
State Goal #5: By September 30, 2018, increase the proportion of SNAP recipients and eligible adults
who engage regularly, preferably daily, in moderate or vigorous physical activity.
Objective SG #1 SG #2 SG #3 SG #4 SG #5
By September 30 2018, increase the availability and X X -- X
promotion of healthful foods through at least 15
community food:sites.
2. By September 30, 2018, support the USDA Summer
Food Service Program in at least 20 sites.
3.. By September.30, 2018, participate in at least three (3)
community level initiatives to increase the availability
of local, fresh foods.
4. By September 30, 2018, formulate and implement a
Farm-to-School initiative in at least six (6) school sites
and four (4) early care sites.
By September. 30, 2018, formulate and implement a
Farm-to -School initiative in at least six (6) school sites
and four (4) early care sites.
6. By September 30, 2018, promote physical activity
opportunities throughout the day in at least 40 school,
childcare, and community sites to increase the number
of users engaging in physical activity by 20%.
By September 30, 2018, support the advancement of
the Grand Canalscape project along the Grand Canal for

pedestrian and bicycle use to increase the number of
users engaging in physical activity by 20%.
8. By September 30, 2018, increase physical activity X
opportunities throughout the day in at least 2 cities to
increase the number of users engaging in physical
activity by 20%.
By September 30, 2018 expand assistance to 15 SNAP-
Ed qualifying school districts in the development,
implementation and evaluation 'of the iLocal Wellness
'Policy and practices to improve the capacity for healthy
eating and physical activity.
10. By September 30, 2018 promote understanding of
nutrition information and menu labeling by providing
comprehensive multilevel evidenced based AzNN-
approved curriculum and resources to students,
teachers and staff in 15 SNAP-Ed qualifying school
districts.
11:. By. September 30,.2018 implement evidenced based
physical activity interventions to improve the
opportunities for at least 60 minutes of physical activity -
in 15 SNAP-Ed qualifying school districts.
12. By September 2018, support the assessment,
development, implementation, and evaluation of
food/beverage and physical activity policies and
environment (consistent with Empower Standards) in at
least 15 ECE sites.
13. By September 2018, improve capacity of ECE .providers
and food service staff in nutrition education and
healthy meal planning / food preparation in at least 15
ECEsites. •
14. By September 2018, improve the capacity of ECE
providers to provide children with opportunities for
physical activity throughout the day, including inside
and outside play when possible in at least 15 [CE sites.
Audience
Write a brief narrative describing the target audience for the proposed SNAP-Ed activities. This narrative
should be specific to the target audience and target communities, not the general population of the state
or county. Demographic data should be included in the narrative (e.g. age, gender, race/ethnicity, etc.).
Examples of audience characteristics include but are not limited to: (a) family composition, (b) education,
(c) income, (d) geographic location, (e) incidence or prevalence of nutrition health risks, if) nutrition
related behavioral and lifestyle characteristics. Include information about how the project will focus on
the SNAP target audience.

MCDPH-ONPA and its subcontractors identified one "high impact" area within Maricopa County to
implement the four policies, systems, and environmental (PSE) focus areas and to provide direct
education in a coordinated and comprehensive manner. The "high impact" area includes the school
district boundaries of Baisz Elementary School District, Creighton Elementary School District, Madison
Elementary School District, Washington Elementary School District, and Tempe Elementary School
District (refer to attached maps). The total population living within this area is 521,656. Approximately
22% of the population has an income below the poverty level, 14% received SNAP benefits in the last 12
months and 7% are unemployed. Thirty-two percent of the population is Hispanic or Latino, 78% are
non-Hispanic White, 6% are Black or African American, and 3% are American Indian or Alaska Native.
Approximately 29% of the total population over the age of three is enrolled in school. However, 10% of
the adults have less than a high school education and 7% have less than a 9th grade education. Only
17% have earned a bachelor's degree. Fifty-nine percent speak a language other than English,
predominantly Spanish, at home. Forty-five percent of adults rent their home and 11% do not own a
vehicle.
Within the "high impact" area there are 115 early care centers, 57 schools, 53 parks, 9 food deserts, 60
grocery stores and/or food markets, and 6 canal pathways. According to the Arizona State Department
of Health Services website, there are four primary care areas located in the "high impact" area: North
Mountain Village, Alhambra Village, Camelback East Village, and Central City Village. Of those four,
Camelback East Village experiences the highest incidence of uncontrolled diabetes at 70/100,000 and
diabetes mortality at 82.4/100,000. Alhambra Village has the second highest rates at 20/100,000 for
uncontrolled diabetes and 32/100,000 for diabetes mortality. The other two experience uncontrolled
diabetes incidence at 19/100,000 and diabetes mortality at 26/100,000. These compare to uncontrolled
diabetes and diabetes mortality incidence for the county at 17/100,000 and 23/100,000 respectively,
which are lower than rates in the primary care areas. Statewide, Arizona incidence is also lower:
20/100,000 for uncontrolled diabetes and 24/100,000 for diabetes mortality.
MCDPH-ONPA and its subcontractors will concentrate on SNAP-approved efforts that increase access to
healthy eating and active living through PSF strategies and direct education. The group will engage the
SNAP-eligible targeted audience within SNAP-eligible schools, early care centers, and communities.
As part of the Schools focus area, MCDPH-ONPA will work with school districts to review, revise,
implement, and evaluate their Local Wellness Policies. In alignment with this process, the program will
work with the schools to increase access to healthy food and physical activity through Farm to School
initiatives, Coordinated Approach to Child Health (CATCH) training, promotion of the Summer Food
Service Program, after school programming, promotion of nearby physical activity opportunities, and
promotion of healthy food options. The Early Childhood Education efforts will focus on working with
centers to establish Farm to Preschool initiatives, to develop and implement policies that reflect the
Empower Standards, and to increase physical activity opportunities. In addition to working in schools
and early care centers, the Food Systems team will focus on initiating community gardens and healthy
retail projects. The Active Living team will focus its support on efforts within the schools and early care
centers as well as working on the promotion of physical activity opportunities, such as use of local parks,
the canal pathway, and collaborating with the City of Phoenix and City of Tempe to implement health-

related aspects of the City General Plan into the "high impact" area. By concentrating all four PSE efforts
and direct education in this "high impact" area, MCDPH-ONPA expects to see marked improvements in
the health indicators after the three-year grant cycle.
In addition to the "high impact" area, MCDPH-ONPA will also be working in other communities. Specific
Food System efforts will include work in Maryvale, Avondale, Garfield Historical District, and the
ReinventPHX Districts of Solana, and Eastlake-Garfield. Furthermore, MCDPH-ONPA will collaborate with
other community partners such as farmers' markets, the Southwest Autism Research and Resource
Center (SARRC), and county-wide food coalitions. Specific efforts in these communities include direct
education in support of community, school, and early childcare center gardens; Farm to School and
Farm to Preschool initiatives; healthy corner store and healthy grocery store initiatives; and
participation and support of efforts related to the Maricopa County Food System Coalition. Limited
health and demographic data is available for all the specified communities. However, within the Solano
and Eastlake-Garfield districts, 80% of the population earns less than 200% of the Federal Poverty Level
and only 20% eat 3 or more serving of vegetables each day. Specific Active Living focus will support and
promote physical activity opportunities and provide direct education within all 24 school districts served
by MCDPH-ONPA. In addition, they will collaborate with the City of Phoenix and the City of Tempe to
implement various aspects of their general plans including bicycle and pedestrian plans within SNAP-
eligible communities. Efforts will also be made to support the Grand Canalscape project and promote
the use of the completed project within SNAP-eligible communities. The Schools focus will work in the
24 school districts that MCDPH-ONPA currently serves. The total student population for these districts is
333,683. There are 216 schools within the districts that are SNAP-qualified schools, indicating that they
experience high rates of poverty and free/reduced meal rates. Forty-four percent of the students are
White, 38% are Hispanic, 7% are Black, and 2% are American Indian/Native Alaskan. The Early
Childhood Education focus will continue to support the centers where work was initiated during the
2015 grant cycle and will concentrate new outreach efforts within the "high impact" area.
Upon approval, MCDPH-ONPA intends to partner with 3 sub-contractors including the City of Phoenix
Parks and Recreation Department, the City of Tempe Kids Zone, and Desert Mission Food Bank: John C.
Lincoln Health Network. The collaborative efforts of these organizations will offer the communities
served consistent, evidence-based messaging and services.
Our partnership with the City of Phoenix Parks and Recreation Department includes two programs, the
Nutrition Education and Training (NEAT) and the City of Phoenix Afterschool Center (PAC) program. The
NEAT program primarily targets youth and their families in the City of Phoenix afterschool and summer
recreation programs. The PAC program serves SNAP-Ed eligible afterschool participants in school sites
that qualify with more than 50% free and reduced lunch programs, and the NEAT program serves
participants in afterschool populations that are in districts with 70% to 96% free and reduced lunch
program rates. Parks and Recreation Centers and park summer sites that NEAT provides direct
programming services to consist of participants aged 6-17, live in ACS Data Tract < 185% Federal
Poverty Level and are in the Summer Feeding Program. In Legislative District 24 Phoenix, Central and
East, 46% of children live in poverty and 34% of women who gave birth did not have a high school
education (Children's Action Alliance 2014). In addition, Downtown Phoenix, Sky Harbor International

Airport, Ma ryvale, and South Phoenix have food deserts where access to healthy, fresh produce is more
than 1 mile away and the average family's income is less than $22,350 per year (St. Luke's Health
Initiatives 2015).
The City of Phoenix Parks and Recreation Department will implement direct education and PSE
strategies in 26 after school sites located within 10 school districts in addition to 9 summer parks and
recreation settings. They will conduct evidenced-based nutrition education programs, CATCH trainings,
direct education and implementation strategies related to physical activity, initiate healthy food policies
at park concessions, coordinate a "Healthy Food Day" at the Marc Atkinson Recreation Center once a
year, and participate in the Summer Food Service Program.
The City of Tempe Kids Zone will provide direct education, afterschool programming, and PSE support
through 19 schools, 3 community centers, 2 Head Start programs, and 3 other sites within the City of
Tempe. Within the Tempe Elementary School District, nearly 53% of the student population is Hispanic,
10% Black, and 7% American Indian/Alaskan Native. Thirty-six percent of the children aged 5-17 live in
poverty, and 72% qualify for free/reduced meals. Within the City of Tempe, 11% of adults over 25 do not
have their high school diploma, and 26% of women giving birth in the last 12 months did not have a high
school education. Thirty-two percent of households headed by females live below the poverty line
according to the Community Needs Assessment Workshop by Tempe Community Council.
Some of the SNAP-Ed strategies that Tempe Kids Zone will implement include conducting at least two 4-
6 week series of adult classes each year at 3 community centers (Escalante, Northside, Westside),
teaching at least one 4-6 week healthy eating class per year to parents of preschoolers in at least four
approved school site locations, educating parents of Kid Zone participants on the benefits of healthy
eating and physical activity, and supporting the Summer Food Service Program. They will also work with
at least five Title I elementary schools and five Title I after school programs in the Tempe Elementary
School District to implement a school garden.
The Desert Mission Food Bank: John C. Lincoln Health Network program strives to ensure food security
for members of the surrounding community. Desert Mission Food Bank (DM) served 41,510
unduplicated individuals in 2014. Of those served last year, 90% were returning clients; 38% were
children; 61% were minorities, primarily Hispanic; 27% of adults were high school graduates; 39% had a
high school degree or general equivalency diploma (GED); 32% of households had annual incomes of less
than $5,000; and 15% of households had an annual income of $5,000-59,999. All resided in the DM
service area, with 53% residing in the core zip codes of 85020, 85021, and 85029. The 2007-2011 Census
indicates 62.4% of households are below 185% of poverty level.
SNAP related activities target the most vulnerable segments of Desert Mission's client base by
encouraging healthy food choice, utilization of local farmers' markets that accept SNAP and WIC
benefits, and promoting food security through the use of community and home gardens. Nutrition
education, food preparation, and gardening are taught on-site at the warehouse and in the community
during nutrition outreach events. As evidence continues to demonstrate the correlation between
wellness and access to healthy food, DM has made concerted effort to include fresh produce and

protein with food boxes as often as possible. SNAP recipients are also encouraged to purchase protein
bargain baskets at greatly reduced prices using SNAP benefits. To help families make the most of the
food they receive at the food bank, a Nutrition Outreach Specialist prepares healthy food right in the
warehouse, offers samples to clients, shares healthful recipes, and is available to answer questions
about food preparation. Food demonstrations are done with the same ingredients being made available
to clients in their food box. This encourages families to eat better and prevents donated food from going
to waste.
Food and Activity Environments
Describe how the project will reflect the audience's awareness and access to healthy foods and
beverages, and places to be physically active.
MCDP1-1 -0NPA designed a workplan that includes nutrition and physical activity education as well as
policy, systems, and environmental strategies that will improve the SNAP-eligible population's
awareness and access to healthy and affordable foods, beverages, and active living. An overarching
philosophy to address health disparities and poverty will guide the work performed by MCDPH-ONPA
and its sub-contractors. The ONPA staff will continue to research data and outcomes related to local
health disparities and poverty, participate in the annual Health Equity conference, and review evidence-
based and emerging practices that address health disparities in an effort to identify areas for improving
program implementation strategies. Care and attention will be given to address the various languages,
cultures and diversities of the audience as well. The goal is to implement strategies that will increase the
ability of the SNAP-eligible population to access and choose healthy and affordable food, beverages and
active living opportunities. Evidence shows that the most effective interventions provide impact at all
four levels of the Socio Ecological Model, so ONPA and its subcontractors developed action steps that
ensure a comprehensive approach. The program also selected evidence-based strategies outlined in the
Arizona Nutrition Network Obesity Prevention Resource Guide known to positively impact outcomes
with the targeted population. There is no single method or approach to reaching all those impacted;
therefore, a variety of methods will be employed to address this winnable battle against obesity and
achieve improved health outcomes.
To identify the local voice and needs in programming, MCDPH is conducting focus groups during the
FFY15 grant cycle and will also utilize past research. For example, during 2014, ASU students conducted
a literature review for ONPA on SNAP Use in Famers Markets. The review indicated that all economic
levels frequently use technology to access information but for those that are less educated, it becomes
challenging to identify and use websites effectively to garner information. MCDPH-ONPA will use
technology in several of its strategies and will engage community members in a continuous
improvement process. Alternative communication methods will also be used to engage the community
including face-to-face and peer-to-peer outreach. As stated by Donna Beegle, we want "a shift that
moves us beyond stereotypes and judgment to a deeper understanding of the causes of poverty and its
impact on human beings" (http://www.combarriers.com/) . MCDPH-ONPA would like to learn from the
expertise that Donna Beegle offers, therefore, we will work with the County and other community

partners to bring Donna Beegle to Arizona to teach her Poverty Institute and Coaching Institute
curriculum in order to effectively reach the low-income community.
Another method for identifying strategies was to review the Community Health Survey findings from the
2012 MCDPH Community Health Assessment (CHA) of more than 1,000 residents, health professionals,
and community partners asking respondents about the factors that would improve his/her quality of life
in the community. CHA results identified a need for focus on healthy behaviors, parks and recreation
access, and access to outdoor sports. The CHA also included a Forces of Change Assessment, an
environmental scan, to determine the factors influencing the health and quality of life in the community.
Focus group findings from this assessment indicated that the target audience is aware of their lack of
access to grocery stores and their ability to get healthy foods. The MCDPH SNAP-Ed strategies and
specific partner collaborations were selected in response to these priority findings. The MCDPH
approach will be centered on building awareness of, and linkages to, existing resources among the
target audience and building collaborations among decision-makers across systems and environments to
address healthy eating and active living. MCDPH-ONPA will partner with three sub-contractors; City of
Phoenix Parks and Recreation, City of Tempe Kid Zone, and Desert Mission: John C Lincoln North
Mountain. Each of the sub-contractors was selected for their expertise in conducting outreach to
specific SNAP-participants and eligibles within Maricopa County. As a group, MCDPH-ONPA and its sub-
contractors will reach the target population in schools, after school programs, housing, early child
education programs, retail stores, parks, community gardens, and other related sites. As a whole, the
group will coordinate its efforts and provide complementary experience that adds to the comprehensive
nature of the project.
Project Description and Educational Strategies
Write a brief narrative describing how you will implement your project within each policy, systems, or
environmental change (PSE) Focus Area. The narrative must include all of the following for each
proposed focus area: (a) selected strategies and communities- how and where it will be delivered, (b) the
project duration, (c) the frequency and number of contacts, (d) the projected number of participants, and
(e) the key messages. Include descriptions of the comprehensive approach(s) being used. Describe how
the PSE strategies will support and enhance the direct education proposed within the same communities.
Provide definition/boundaries for selected communities.

Food Systems
IVICDPH & Subcontractor MCDPH & Subcontractor
Coordinated PSE Coordinated Direct Education
5F.m Fax.toi
-
linwronmental
InfiveAce
IsIgirrns 24. Values
Each community strategy will be accomplished through a blend of coordinated direct education and
coordinated PSE work. MCDPH-ONPA and its subcontractors will coordinate the work so that both PSE
and direct education are accomplished, and that each entity will provide a mix of both direct education
and PSE. Not every partner will contribute to every strategy, but they will provide direct education and
PSE support where applicable. MCDPH-ONPA, its subcontractors, and partners will coordinate efforts to
ensure the key behavior-focused nutrition and physical activity messages are consistent across the
community.
Overarching Food Systems Goal: The goal of MCDPH-ONPA and its subcontractors is to increase the
access to healthful and affordable foods within the selected SNAP-eligible communities.
(a) SNAP-Ed Strategies Selected and Community
• Strategy 1, 2, 3, 4, and 16 (Direct Education)
MCDPH-ONPA and its subcontractors will work collaboratively within the high impact area to implement
the identified strategies. The high impact area encompasses the school district boundaries for Balsz
Elementary School District, Creighton Elementary School District, Madison Elementary School District,
Washington Elementary School District, and Tempe Elementary School District. (Refer to the Audience
section of this document and to the "District Maps" attachment.) There will be some additional school
garden related work within the other approved 19 school districts (refer to school listing) and some
healthy retail and community garden work within Avondale.
(b) Project Duration
The overall PSE strategies and objectives will be implemented throughout the three-year grant
cycle. However, specific activities that lead to the PSE strategies may only occur within a one or
two year time period.
(c) Frequency & Number of Contacts (subsequent interactions — direct education)

• MCDPH-ONPA monthly farmers' market promotions will occur at WIC, DES, libraries, and other
SNAP-eligible venues to approximately 5600 contacts
• Tempe Kid Zone will hand out educational flyers three times each month to 1350 participants
• Desert Mission anticipates 240 parent contacts for their early care interventions
• Conduct 12 evidenced-based nutrition education programs (3 times yearly) on the dietary
recommendations for calcium by consuming low fat or fat free dairy and 6 evidenced-based
nutrition education programs (2 times yearly) on the consumption of whole grains for
participants in 26 after school sites in 10 school districts and 9 summer parks and recreation
settings reaching approximately 5400 students
• Desert Mission food demonstrations occur 12 times a month with a projected reach of 23,325
• Tempe Kid Zone Summer Food Service Program estimated reach of 1200
• MCDPH-ONPA community garden education twice a year estimated contacts 120
(d) Projected Number of Participants (First time in fiscal year — direct education)
• Desert Mission projects 34,875 first time contacts will be made each year
• City of Phoenix Summer Food Service Program direct education will be provided to
approximately 1200 participants
• MCDPH-ONPA Early Care Education anticipates approximately 750 children will receive direct
education
• Desert Mission Early Care anticipates 50 children receiving direct education each year and 60
parents
• Desert Mission Gardening classes estimate 60 per year
• City of Phoenix's Healthy Food Day is an annual event and will reach approximately 200 people
(e) Key Messages
Key messages promoted by MCDPH-ONPA and its subcontractors include:
Message A: Eating a diet rich in fruits and vegetables can be affordable.
Message B: Farmers' markets are convenient sources for local, fresh produce.
Message C: Maricopa County is rich with accessible, affordable physical activity opportunities.
- Additional Key messaging may include:
- Fruits and Veggies-More Matters and MyPlate.
- Half of your plate should be fruits and vegetables
- Half of your grains should be whole grains
Consume fat-free or low fat dairy products
- Be physically active everyday as part of a healthy lifestyle
Maintain an appropriate calorie balance.
MCDPH-ONPA will coordinate with its subcontractors and with AzNN to ensure these messages are
delivered in a consistent yet audience-appropriate way across the project. For example, MCDPH-
ONPA will promote the message that "farmers' markets are convenient sources for local, fresh
produce" (Message B) by coordinating PSE efforts and community efforts to increase the number of
farmers' markets that accept SNAP benefits. Simultaneously, Tempe Kid Zone, City of Phoenix Parks

and Recreation, and Desert Mission will promote this message by providing direct nutrition
education to participants in their programs and promoting the use of nearby SNAP-eligible farmers'
markets with brochures and maps. This combination of PSE work and direct education within
MCDPH-ONPA's targeted area will ensure a strategic spectrum of support for its key messages.
The following table provides some examples of the coordinated work that will be accomplished by
MCDPH-ONPA and its subcontractors. Details for all projects are provided on the workplan.
Project PSE Coordination Direct Education Coordination
Encourage Aligning with the CDC 1305 Grant MCDPH-ONPA, DM, other
SNAP, FMNP activity being conducted in MCDPH- subcontractors, and partners
and WIC ONPA to install EBT machines in such as UANN-MCCE will
clients to shop farmers' markets coordinate key behavior-
at farmers' focused nutrition education
markets Desert Mission (DM) Food Bank will messaging across communities
become a distribution site for CSFP to SNAP-eligible participants in
farmers market vouchers WIC offices, DES sites, schools,
afterschool programs,
MCDPH Policy Analyst will provide community sites, and other
technical assistance to key qualifying sites (including a
community stakeholders about PSE promotional campaign)
initiatives that support farmers'
markets Flyers and outreach related to
farmers' markets will be shared
and coordinated among
subcontractors and partners
such a WIC, DES offices, schools,
afterschool programs,
community sites, and other
venues
Increase the Implement a healthy corner store Educate retailers about the
number of initiative benefits of providing healthy
healthy food foods and training on selecting,
retailers Implement healthy supermarket storing, and maintaining fresh
and/or grocery store initiatives such foods
as a healthy grocery cart initiative
Provide AzNN approved
MCDPH-ONPA will participate on the nutrition education material and
Maricopa County Food System recipes that align with store
Coalition and support PSE strategies offerings and are culturally
related to healthy food retailers appropriate
Provide nutrition education
using AzNN approved curricula
and resources to promote
healthy eating within the store
or community where the

initiative is being implemented
Subcontractors will provide
direct nutrition education to the
participants in their programs
and their families in support of
healthy corner stores and/or
grocery store initiatives
occurring within their
community
Encourage MCDPH-ONPA and City of Phoenix City of Phoenix Parks and Rec
healthy food Parks and Recreation will and City of Tempe Kid Zone will
policies, collaborate on a healthy vending provide AzNN approved
systems, and policy at City of Phoenix Parks behavior focused nutrition
environments education to their participants
in community Coordinate efforts with FitPHX PSE and families
settings such strategies
as parks and Common key messages will be
community City of Tempe Kid Zone and MCDPH- shared among key community
centers ONPA will collaborate with City of partners in support of healthy
Tempe's Let's Move! efforts to food in community settings
implement PSE strategies related to
healthy eating such as Model Food
Service, MyPlate, MyPlace
Increase the MCDPH-ONPA, subcontractors, and MCDPH-ONPA, subcontractors,
number of partners will: and partners will collaborate on
school • work with school districts to key behavior focused messages
gardens implement their Local Wellness related to healthful eating and
Policies provide consistent messaging in
• work with schools to add all venues to the SNAP-eligible
gardens to their schools population including schools and
• assist schools in obtaining the afterschool programs for
garden sanitation certification students, staff, and parents
AzNN approved garden
curriculum will be provided to
schools and afterschool
programs with gardens to
students, staff, and parents
MCDPH-ONPA and UANN-MCCE
will provide a workshop on key
gardening and nutrition
concepts for SNAP-Ed qualified
school sites, staff, and parents
Increase the DM Food Bank will change their MCDPH-ONPA and
consumption nutrition guidelines to increase the subcontractors will provide food

of healthful distribution of healthful food by 20% demonstrations and classes for
foods food bank clients
Implement a plant a row program to
encourage owners of homes and MCDPH-ONPA and
community gardens to donate a subcontractors will provide
portion of food grown to food bank SNAP-approved behavior
focused nutrition education to
clients
Support the MCDPH-ONPA and Tempe Kid Zone MCDPH-ONPA, City of Phoenix
Summer Food will collaborate with the Tempe Let's Parks and Recreation, City of
Service Move! initiative to increase the Tempe Kid Zone, and partners
Program number of qualified summer will coordinate to provide direct
(SFSP) programs that participate in the nutrition education to
SFSP participants and their families of
the SFSP
City of Phoenix Parks and Recreation
will continue to participate in the
SFSP program
Participation Participate on the Maricop a County MCDPH-ONPA, its
in Community Food System Coalition and the subcontractors, and partners
Level Healthy Local Food Systems Working will coordinate key behavior
Initiatives to Group to support PSE effor ts that focused messaging to educate
increase the align with SNAP-Ed initiatives SNAP-eligible families about
availability of healthful eating and the
local, fresh Support the formation of a importance of having access to
foods Maricopa County food hub fresh, affordable foods
Support the Southwest Autism MCDPH-ONPA and its
Research and Resource Center's subcontractors will educate
(SARRC) CSA initiative local stakeholders and ensure
the voice of the SNAP-Ed
Coordinate with city general plans population is heard as it relates
that focus on PSE strategies that will to developing PSE strategies
increase access to fresh, affordable related to access and availability
foods of fresh foods within the
community
Implement MCDPH-ONPA, its subcontractors MCDPH-ONPA and its
Farm to and partners will collaborate to subcontractors will provide
School assist schools/districts with nutrition education in schools
initiatives implementing Farm to School and afterschool programs to
initiatives support Farm to School
initiatives
MCDPH-ONPA and its subcontractor
DM will initiate Farm to Preschool Consistent key messages will be
programs including getting approval used to educate students, staff,
to serve garden produce in meals and parents through displays,
flyers, brochures, and

educational materials
Increase MCDPH-ONPA, its subcontractors, MCDPH-ONPA will collaborate
access to and and partners will work with the City with UANN-MCCE to support the
consumption of Avondale, DM Food Bank, and Avondale Youth Advisory
of healthy SARRC to support PSI work related Commission providing SNAP-Ed
foods through to community gardens approved nutrition education to
community them and to the SNAP-eligible
garden community
initiatives
MCDPH-ONPA and Desert
Mission will collaborate to
provide gardening demos and
related SNAP-Ed approved
nutrition education to
participants
MCDPH-ONPA will collaborate
with SARRC to provide SNAP-Ed
approved nutrition education in
support of their community
garden efforts.
Active Living
Each community strategy will be accomplished through a blend of coordinated direct education and
coordinated PSE work. MCDPH and its subcontractors coordinate the work so that both PSE and direct
education are accomplished, and that each entity will provide a mix of both direct education and PSE.
Not every partner will contribute to every strategy, but they will provide direct education and PSE
support where applicable. MCDPH-ONPA, its subcontractors, and partners will coordinate efforts to
ensure the key behavior-focused nutrition and physical activity messages are consistent across the
community.
Overarching Active Living Goal: To promote physical activity by influencing the conditions that support
active lifestyles.
(a) SNAP-Ed Strategies Selected and Community
• Strategy 6,7,8, 16 (Direct Education)
MCDPH-ONPA and its subcontractors will work collaboratively within the high impact area to implement
the identified strategies. The high impact area encompasses the school district boundaries for Balsz
Elementary School District, Creighton Elementary School District, Madison Elementary School District,
Washington Elementary School District and Tempe Elementary School District. (Refer to the Audience
section of this document and to the "District Maps" attachment.)

(b) Project Duration
The overall PSE strategies and objectives will be implemented throughout the three-year grant
cycle. However, specific activities that lead to the PSE strategies may only occur in one or two
year implementation phases.
(c) Frequency & Number of Contacts (subsequent interactions — direct education)
• MCDPH-ONPA will support and promote family-friendly physical activities through dissemination
of newsletters, calendars and flyers at SNAP-Ed eligible libraries, farmers' markets, community
centers, parks, special events, WIC offices, and DES offices to approximately 43,000
• City of Phoenix will conduct daily evidence-based active living education with approximately
5400 participants in 26 after school sites located in 10 school districts
• Conduct 24 evidence-based CATCH Kids Club physical activity programs (8 times yearly) to
approximately 2000 children
(d) Projected Number of Participants (First time in fiscal year — direct education)
• The anticipated number of unduplicated participants in the first fiscal year is 1,500. (This is
based on monthly reports of non-duplicated direct education between our office, the City of
Phoenix and Tempe KidsZone)
• City of Phoenix Saturday program one time per year with approximately 450 participants
• City of Phoenix will conduct nine evidenced-based CATCH Kids Club physical activity programs (3
times per year) in their afterschool programs and in their Summer Recreation and Park sites
with 450 participants
• Promote and support completed canal trails once a year to encourage use in collaboration with
ONPA Education Team and nearby SNAP-eligible schools and provide direct education to
approximately 3000
(e) Key Messages
Key messages promoted by MCDPH-ONPA and its subcontractors include:
- (Message A) Maricopa County is rich with accessible, affordable physical activity opportunities.
(Message B) Be physically active everyday as part of a healthy lifestyle
MCDPH-ONPA will coordinate with its subcontractors and with AzNN to ensure that these messages
are delivered in a consistent yet audience-appropriate way across the project. For example, MCDPH-
ONPA will promote accessible, affordable physical activity opportunities (Message A) by
coordinating PSE efforts with community efforts to transform canal environments into experience-
rich environments for pedestrians, cyclists, and families. Simultaneously, Tempe Kid Zone will
promote this message by hosting family nights that demonstrate use of recreational areas that are
free and open to the public. This combination of PSE work and direct education within MCDPH-
ONPA's targeted area will ensure a strategic spectrum of support for its key messages.

The following table provides some examples of the coordinated work that will be accomplished by
MCDPH-ONPA and its subcontractors. Details for all projects are provided on the workplan.
Project PSE Coordination Direct Education Coordination
Promote MCDPH-ONPA will conduct CATCH MCDPH-ONPA will collaborate
physical Kids Club train-the-trainer for with City of Phoenix and City of
activity educators, afterschool staff and Tempe to provide evidence-
opportunities recreation center staff at Cities of based CATCH Kids Club physical
throughout Phoenix and Tempe. activity programing within
the day in at afterschool and summer
least 40 MCDPH-ONPA, in collaboration with programs.
school, community partners and the Cities
childcare, and of Phoenix and Tempe, will conduct MCDPH-ONPA will work through
community assessment of school and city parks, community partners to
sites and resident identified barriers and disseminate information and
challenges to physical activity. education to residents on
available physical activity
MCDPH-ONPA will collaborate to opportunities, including the
advance Let's Move! in both the City parks and trails.
of Phoenix and City of Tempe.
MCDPH-ONPA will work with
community partners to promote the
Farmers' Market/Physical Activity
crossover computer application.
Support the In collaboration with the Ca nalScape Disseminate effective
advancement Committee, conduct assessments of educational materials through
of the Grand canal trails; promote development community partners that
Ca nalScape to support SNAP-eligible promote use of canal trails.
project communities and neighborhoods;
identify opportunities to inform,
educate and encourage use of
canals for active living; and develop
promotional materials that target
SNAP eligible populations.
Increase MCDPH-ONPA will collaborate with MCDPH-ONPA will collaborate
physical the City of Tempe and the City of with the City of Phoenix and the
activity Phoenix to advance Let's Move! City of Tempe, and among
opportunities community partners to provide
throughout MCDPH-ONPA will attend City of education and information to
the day in at Tempe and City of Phoenix Parks & residents of new and developing
least two Recreation Commission meetings; physical activity assets.
cities and monitor and support General
Plan and Complete Streets MCDPH-ONPA will work with
implementation. schools to implement Safe
Routes to School and provide

MCDPH-ONPA will actively education and information to
participate and provide leadership students and families.
to the Arizona Alliance for Livable
Communities to advance health
impact assessments and advocacy
for healthy community design and
active living.
Capitalizing on the MCDPH-Ied
Roosevelt School District Shared-Use
Health Impact Assessment, advance
Shared-Use Agreements among
school districts in the high impact
areas.
Conduct park assessments,
walkability audits and related
surveys and use data in
collaboration with community
partners to advance healthy
community design and active living.
MCDPH-ONPA will administer Safe
Routes to Schools and promote SRTS
opportunities with other schools
within the high impact areas.
School Health
Each community strategy will be accomplished through a blend of coordinated direct education and
coordinated PSE work. MCDPH and its subcontractors coordinate the work so that both PSE and direct
education are accomplished, and that each entity will provide a mix of both direct education and PSE.
Not every partner will contribute to every strategy, but they will provide direct education and PSE
support where applicable. MCDPH-ONPA, its subcontractors, and partners will coordinate efforts to
ensure the key behavior-focused nutrition and physical activity messages are consistent across the
community.
Overarching Schools Systems Goal: The goal of MCDPH-ONPA and its subcontractor's is to support the
implementation of Local School Wellness policies that increase access to healthful eating and active
living for school-aged children
(a) SNAP-Ed Strategies Selected and Community
• Strategies 10,11,12, and 16 (Direct Education)
MCDPH-ONPA and its subcontractors will work collaboratively within the high impact area to implement
the identified strategies. The high impact area encompasses the school district boundaries for Balsz

Elementary School District, Creighton Elementary School District, Madison Elementary School District,
Washington Elementary School District and Tempe Elementary School District. (Refer to the Audience
section of this document and to the "District Maps" attachment.) There will be some additional school
garden related work within the other approved 19 school districts (Refer to school listing) and some
healthy retail and community garden work within Avondale.
(b) Project Duration
The overall PSE strategies and objectives will be implemented throughout the three-year grant
cycle. However, specific activities that lead to the PSE strategies may only occur in one or two
year implementation phases.
(c) Frequency & Number of Contacts (subsequent interactions — direct education)
• The anticipated number of contacts is 166, 815. This number reflects the total number of
student at all of our SNAP-Ed qualifying schools.
(d) Projected Number of Participants (First time in fiscal year direct education)
• The anticipated number of unduplicated participants in the first fiscal year is 1,500. This number
is based on monthly reports of non-duplicated direct education between our office City of
Phoenix, Tempe Kid Zone and the anticipated number of direct classroom education requests in
SNAP-Ed qualifying partnering school districts.
(e) Key Messages
Key messages promoted by MCDPH-ONPA and its subcontractors include:
Message A: Eating a diet rich in fruits and vegetables can be affordable.
Message B: Farmers' markets are convenient sources for local, fresh produce.
Message C: Maricopa County is rich with accessible, affordable physical activity opportunities.
Additional Key messaging will include
(a) Fruits and Veggies More Matters and MyPlate.
- (b) Half of your plate should be fruits and vegetables
- (c) Half of your grains should be whole grains
- (d) Consume fat-free or low fat dairy products
- (e) Be physically active everyday as part of a healthy lifestyle
- (0 Maintain an appropriate calorie balance
MCDPH-ONPA will coordinate with its subcontractors and with AzNN to ensure that these messages
are delivered in a consistent yet audience-appropriate way across the project. For example, MCDPH-
ONPA will promote being physically active everyday as part of a healthy lifestyle (Message "e") by
coordinating PSE efforts through school district Local Wellness Policies. Simultaneously, Tempe Kid
Zone will also assist working with the Tempe Elementary School District on their Local Wellness
Policy as well as incorporating CATCH training into their afterschool programs. The City of Phoenix
Parks and Recreation will also provide CATCH training in their afterschool programming and
participate in FitPHX PSE initiatives to support access to affordable and safe active living spaces. This

combination of PSE work and direct education within MCDPH-ONPA's targeted area will ensure a
strategic spectrum of support for its key messages.
The following table provides some examples of the coordinated work that will be accomplished by
MCDPH-ONPA and its subcontractors. Details for all projects are provided on the workplan.
Project PSE Coordination Direct Education Coordination
Assist SNAP-Ed MCDPH-ONPA and its MCDPH-ONPA and its
qualifying subcontractors will provide subcontractors will combine
school districts assistance to qualifying school school health strategies and
in the districts with implementation of interventions with AZNN
development, their current wellness policy and approved evidence-based
implementation further development of a more healthy eating and physical
and evaluation comprehensive Local Wellness activity education to support the
of the Local Policy (LWP). LWP and practices to create a
Wellness Policy healthier school environment in
and practices to MCDPH-ONPA and its identified school districts
improve the subcontractors will collaborate with magnifying the impact of SNAP-
capacity for administrators, staff, teachers, Ed.
healthy eating parents, students, School Health
and physical Advisory Councils (SHACs), other
activity. MCDPH programs and external
partners to increase their awareness
about the importance of a
comprehensive LWP.
MCDPH-ONPA and its
subcontractors will develop an
action plan that identifies the roles
and responsibilities for MCDPH-
ONPA and subcontractor staff and
school representatives to leverage
activities and resources in the
implementation of the LWP.
Promote MCDPH-ONPA and its MCDPH-ONPA and its
understanding subcontractors will provide subcontractors will support and
of nutrition assistance with AZNN- approved maintain strategy efforts in
information lunchroom-focused menu labeling qualifying SNAP-Ed partnering
and menu and nutrition-based education and school districts through
labeling initiatives that coordinate with approved lunchroom focused
nutrition goals in Local Wellness menu labeling and nutrition-
policy to promote healthful eating. based direct education,
resources, tools, and evaluation.
MCDPH-ONPA and its
subcontractors will build
relationships with the school district
school administrators, staff,

teachers, parents, School Health
Advisory Councils (SHACs), other
MCDPH programs, and external
partners to establish strong school
nutrition education programs and
policies.
Implement MCDPH-ONPA and its MCDPH-ONPA and its
evidenced subcontractors will provide subcontractors will support and
based physical assistance with physical activity maintain strategy efforts in
activity based education and initiatives that qualifying SNAP-Ed partnering
interventions to coordinate with physical activity school districts through
improve the goals in Local Wellness policy, approved evidenced physical
opportunities activity education direct
MCDPH-ONPA and its education, resources, tools, and
subcontractors will build evaluation.
relationships with school
administrators, staff, teachers,
parents, students, School Health
Advisory Councils (SHACs), other
MCDPH programs and external
partners to support student
participation in physical education,
recess, and walking and bicycling to
school
Early Childhood
Over this three-year grant cycle, MCDPH-ONPA will implement three main action steps. Initial
implementation will be in the identified "high impact" area as described in the "Audience" section of
this document and as visually described by the "District Maps" attachment. The high impact area
encompasses the school district boundaries for Balsz Elementary School District, Creighton Elementary
School District, Madison Elementary School District, Washington Elementary School District, and Tempe
Elementary School District.
Each community strategy will be accomplished through a blend of coordinated direct education and
coordinated PSE work. MCDPH and its subcontractors coordinate the work so that both PSE and direct
education are accomplished, and that each entity will provide a mix of both direct education and PSE.
Not every partner will contribute to every strategy, but they will provide direct education and PSE
support where applicable. MCDPH-ONPA, its subcontractors, and partners will coordinate efforts to
ensure the key behavior-focused nutrition and physical activity messages are consistent across the
community.

Overarching Early Care Education Goal: The goal of MCDPH-ONPA and its subcontractor's is to increase
the access to healthful foods and active living for children and their families who attend SNAP-eligible
early care centers.
(a) SNAP-Ed Strategies Selected and Community
• Strategies 12,13,14, and 16 (Direct Education)
MCDPH-ONPA and its subcontractors will work collaboratively within the high impact area to implement
the identified strategies. The high impact area encompasses the school district boundaries for Balsz
Elementary School District, Creighton Elementary School District, Madison Elementary School District,
Washington Elementary School District and Tempe Elementary School District. (Refer to the Audience
section of this document and to the "District Maps" attachment.) There will be some additional school
garden related work within the other approved 19 school districts (Refer to school listing) and some
healthy retail and community garden work within Avondale.
(b) Project Duration
The overall PSE strategies and objectives will be implemented throughout the three-year grant
cycle. However, specific activities that lead to the PSE strategies may only occur in one or two
year implementation phases.
(c) Frequency & Number of Contacts (subsequent interactions — direct education)
• The four ECE strategies will be done in at least 15 ECE sites over the 3-year grant cycle.
• We anticipate reaching 750 contacts over the 3-year grant cycle; (however is dependent upon
the size of the ECE centers participating).
• The frequency of contacts with each ECE center will depend on the center's individual needs,
however we expect to contact each center at least monthly.
(d) Projected Number of Participants (First time in fiscal year — direct education)
• MCDPH-ONPA ECE will have approximately 250 participants per year
(e) Key Messages
Key messages promoted by MCDPH-ONPA and its subcontractors include:
- Message A: Eating a diet rich in fruits and vegetables can be affordable.
Message B: Farmers' markets are convenient sources for local, fresh produce.
Message C: Maricopa County is rich with accessible, affordable physical activity opportunities.
- Additional Key messaging will include
Fruits and Veggies More Matters and MyPlate.
- Half of your plate should be fruits and vegetables
- Half of your grains should be whole grains
- Consume fat-free or low fat dairy products
Be physically active everyday as part of a healthy lifestyle

- Maintain an appropriate calorie balance.
MCDPH-ONPA will coordinate with its subcontractors and with AzNN to ensure that these messages
are delivered in a consistent yet audience-appropriate way across the project. For example, MCDPH-
ONPA will promote Fruits and Veggies More Matter by coordinating PSE efforts such as
implementing Farm to Preschool initiatives. MCDPH-ONPA will work with ECE's to implement a
garden and assist the center in obtaining their garden sanitation certification. Simultaneously, they
will provide direct nutrition education to the staff, parents, and children. In addition, Desert Mission
will also be working with an [CE to support garden efforts and provide direct nutrition education.
This combination of PSE work and direct education within MCDPH-ONPA's targeted area will ensure
a strategic spectrum of support for its key messages.
The following table provides some examples of the coordinated work that will be accomplished by
MCDPH-ONPA and its subcontractors. Details for all projects are provided on the work plan.
Project PSE Coordination Direct Education Coordination
Support the • Identify evidence-based strategies • Training on best practices in
assessment, supporting ECE efforts to meet and food/beverage, physical activity
development, implement the Empower Standards practices and policies
implementation • Collaborate with ADHS [CE staff to • Staff training on connecting ECE
and evaluation of enhance empower standards and best practice with parents to
food/beverage identify what fully implemented extend practices into the home
and physical Empower Standards look like in setting
activity policies practice in ECE centers. • Guidance and training on
and environments • Collaborate with Active Living and providing nutrition and physical
(consistent with Food Systems teams on initiating Farm activity learning experiences for
Empower to Preschool and Shared Use programs the children in the [CE centers
Standards)
Improve capacity • Collaborate with MCDPH and ADHS • ECE staff training on healthy meal
of [CE providers ECE staff to identify healthy meal planning and food preparation
and food service planning/food preparation best best practices
staff in nutrition practices on which to base staff • Development of a text or social
education and training; including possibility of media campaign to provide
healthy meal enhancing Empower Standards educational reinforcement to [CE
planning/food • Assist individual ECE centers in writing staff who received prior training
preparation comprehensive detailed policies on
meal planning and food preparation
Improve the • Investigate possibility of enhancing • ECE staff training on physical
capacity of [CE Empower Standards to include the activity best practices including
providers to addition of physical activity learning indoor and outdoor play; teacher-
provide children experiences for the children in the ECE led and free-play
with opportunities settings • Guidance and training on how to
for physical • Assist ECE centers in writing involve families and bring best
activity comprehensive detailed policies on practices into the home setting
throughout the the amount of physical activity (both

day, including teacher-led and free-play) children in
inside and outside their care engage in which will meet
play the best practice minimums.
• Collaborate with the Community Team
to investigate expanding local shared
use agreements or Safe Routes to
School programs into the ECE
environments.
Direct Education
MCDPH -ONPA will incorporate direct education into all focus areas as required by the grant and as part
of the comprehensive approach to implementing the strategies. The frequency and number of
participants involved in direct education will depend on the program. Many times, MCDPH-ONPA will
conduct the direct education; however, they will also partner with other organizations such as UANN-
MCCE to conduct the direct education.
In the Food Systems focus area approximately 6700 individuals will receive direct education that will
take place at:
• Farmers markets through a collaboration with UANN-MCCE
• Community, school, and early care gardens
• Healthy food retail at Healthy Corner Stores and Grocery Stores
• School Garden workshop in collaboration with UANN-MCCE
• Nutrition education at Summer Food Service Programs
In the Active Living focus area, approximately 720 individuals will receive direct education will take place
at:
• Collaborate with external partners and other ONPA teams to incorporate physical activities into
parks, trails, special events, farmers' markets, schools, [CE sites and other identified sites.
Activities may include but are not limited to wayfinding, geocaching, fitness tracks/activities and
physical activity demonstrations
• Direct education within SNAP-eligible communities about use of canal trails for physical activity
• Assist the SRTS team with providing direct education at schools about nutrition, active living and
active transportation
• Collaborate with the schools team to offer CATCH trainings
In the Schools focus area, it is anticipated that about 4300 non-duplicated participants will be reached
with a 3-year reach of 13,000. Direct education will take place at:
• Nutrition education classes taught in school
• CATCH trainings
• School gardens

In the Early Child focus area, about 750 children and parents will receive direct education and will take
place at:
• Early care gardens
• Nutrition education in classrooms
• Physical activity education
• Nutrition and physical activity education for parents
City of Phoenix Parks and Recreation
The NEAT program provides direct SNAP education to twenty-six afterschool sites during the school year
and 9 parks and recreation summer sites during the summer. Fall, winter and spring programming takes
place 4 to 5 days a week at an average of 6 to 8 sites per week with each site being visited 2 to 3 times
monthly. Exceptions are fall, winter and spring break. NEAT also provides SNAP-Ed booths and activities
at large and small scale events in a 500 square mile radius within the City of Phoenix. Events are in areas
that qualify as food deserts, low income, qualifying school sites and Health Fairs offering community
resources. Up to 2000 qualifying SNAP-Ed participants will be in the NEAT program. NEAT will conduct:
12 evidence-based nutrition education programs (3 times yearly) about dietary recommendations for
calcium by consuming low fat or fat free dairy, 6 evidenced-based nutrition education programs (2 times
yearly) about consumption of whole grains, 24 evidenced-based CATCH Kids Club physical activity/
nutrition education programs (8 times yearly), 24 evidenced-based CATCH Kids Club physical activity/
nutrition education programs (8 times yearly). PAC and summer site youth will participate in moderate
to vigorous physical activity 5 times weekly for 20, 30 or 60 minute increments culminating to 60 +
minutes of physical activity daily. Participants will learn different activities in 20, 30 or 60 minute
settings accumulating to a minimum of 60 minutes of daily physical activity. A distribution of materials
about local parks and amenities, mountain preserves, trails and will include physical activities from
CATCH Kids Club, Fit Bits, Arizona Nutrition Network, University of Arizona Nutrition Network, and
Maricopa County Department of Public Health Nutrition Network. The NEAT program will attend and
promote large and small scale community events and health events to promote SNAP-Ed by providing
information, materials and physical activities.
City of Tempe Kid Zone will conduct direct education with staff, Kid Zone participants, and parents. Staff
working with youth and at least two AZNN grant approved Community Centers in Tempe will receive
training and access to curriculum regarding appropriate nutrition education to offer to participating
youth and/or healthy meal planning and food preparation training. They will also receive training and
access to curriculum on appropriate physical activity opportunities to offer to participating youth. Kid
Zone parents will receive education on the benefits of fruits, vegetables, low fat dairy, whole grains, lean
proteins and physical activity. Youth participants will receive direct education on the benefits of at least
60 minutes per day of physical activity and will be provided regular opportunities to be physically active
at Kid Zone by participating in planned active games, sports, running clubs, and other activities in the Kid
Zone setting. They will be participate in independent learning centers and group lessons, attend food

demonstrations, and receive newsletters, recipe cards, and incentive items on the benefits of fruit and
vegetable, whole grains, and fat free/low fat dairy and lean protein consumption at qualifying Kid Zone
sites during the school year and summer. They will also be taught lessons on the benefits of consuming
fruits and vegetables, low fat dairy, whole grains, and lean protein in the classroom during the school
year upon the request of the teacher.
Desert Mission has three objectives that entail direct education. The first objective is to conduct simple,
healthy cooking demonstrations in the food bank 12 times a month, demonstrating how to use TEFAP,
CSFP commodities, and in-season fruits and vegetables. The Nutrition Outreach team will develop and
maintain a recipe database, including recipes specific to seasonal produce and TEFAP, CSFP, and CSA box
contents. Cooking demonstrations that utilize the food clients receive at the food bank will encourage
healthy meal preparation for families who have limited resources or access to additional ingredients
beyond the food bank offerings. Offering 12 cooking demos per month, we estimate that 7,775
participants will be reached each grant year, totaling 23,325 participants for the 3-year grant period.
Supplemental to the cooking demonstrations in the food bank, Desert Mission will also establish
ongoing nutrition education programming at partner sites twice per month, which would equate to 72
sessions among the 6 sites. The Nutrition Outreach Representative will establish new partnerships with
Head Start, the Acacia Library, Sunnyslope Youth Center and Sunnyslope Senior Center to offer cooking
demonstrations and nutrition education to these sites as requested. Partnering community agencies
have annual events such as Spring Fling, Food Day, and the Fall Festival in which they've asked Desert
Mission to provide nutrition education and food demonstrations. The Nutrition Outreach team will
continue to participate in these annual events providing outreach. The projected reach for this
objective is 1,500 participants per year or 4,500 in 3 years.
Enter the projected reach (unduplicated participant counts) for each Focus Area. Note: the projected
reach must match the reach reported in the project work plan.
Active Living: 106,274
School Health: 174638
Early. Childhood: 750
Direct Education: 42,735
Evidence Base
Provide a brief summary of the evidence base, either research- or practice-based, supporting the
feasibility and effectiveness of the proposed project. Citations are required for this section and should
follow APA style. Note: Curricula identified in the application should not be addressed in this section.
MCDPH-ONPA and its sub-contractors developed a comprehensive approach that incorporates direct
education with policy, systems and environmental approaches across several settings using multiple
interventions. Individual strategies and action steps were selected using the Arizona Nutrition Network's
2015 Obesity Prevention Resource Guide which lists evidence-based programs "that complement the

healthy eating recommendations of the Dietary Guidelines for Americans and messages from USDA's
nutrition assistance programs such as WIC, Child and Adult Care Food Program and the School Meals
Program, as well as SNAP" (p. 7). The following is a list of evidence-based interventions included in the
workplan. Support and citations that accompany the list were taken directly from the website, County
Health Rankings and Road Maps: Building a Culture of Health County by County located at
http://www.countyhealthrankings.org/policies
Interventions that increase and enhance places for physical activity in local environments such as
walking trails, facilities, and parks accompanied by education.
There is strong evidence that improving access to places for physical activity increases physical activity
and improves physical fitness (CG-Physical activity, Wolch, 2011; CDC MMWR-Khan, 2009; CETFtT, TRB,
2005; Cohen, 2012). Access itself is also strongly associated with high levels of physical activity
(Brownson, 2006) and lower obesity rates among adolescents (Dunton, 2009).
Brownson 2006* - Brownson RC, Haire-Joshu D, Luke DA. Shaping the context of health: A review of
environmental and policy approaches in the prevention of chronic diseases. Annual Review of Public
Health. 2006;27:341-70.
CG-Physical activity - The Guide to Community Preventive Services (The Community Guide). Increasing
physical activity.
CDC MMWR-Khan 2009 - Khan LK, Sobush K, Keener D, et al. Recommended community strategies and
measurements to prevent obesity in the United States. Morbidity and Mortality Weekly Report
(MMWR). 2009;58(RR-07):1-26.
CETRT - Center of Excellence for Training and Research Translation (CETRT). Find interventions. UNC
Center for Health Promotion and Disease Prevention (HPDP).
Cohen 2012 - Cohen DA, Marsh T, Williamson S. Golinelli 0, McKenzie TL. Impact and cost-effectiveness
of family fitness zones: A natural experiment in urban public parks. Health & Place. 2012;18(1):39-
45.
Dunton 2009 - Dunton GF, Kaplan J, Wolch J, Jerrett M, Reynolds KD. Physical environmental correlates
of childhood obesity: A systematic review. Obesity Reviews. 2009;10(4):393-402.
TRB 2005 - Committee on Physical Activity, Health, Transportation, and Land Use. Does the built
environment influence physical activity? Examining the evidence. Washington, DC: Transportation
Research Board (TRB), Institute of Medicine (IOM), National Academy of Sciences; 2005: TRB Special
Report 282.
Wolch 2011* - Wolch 1, Jerrett M, Reynolds K, et al. Childhood obesity and proximity to urban
parks and recreational resources: A longitudinal cohort study. Health & Place. 2011;17(1):207-14.
Interventions that expand and enhance school-based physical education.
There is strong evidence that enhancing school-based physical education increases physical activity and
physical fitness among school-aged children (CG-Physical activity, Demetriou, 2012; Cawley, 2013; Story,
2009). Enhancing/expanding PE classes as part of a multicomponent school-based obesity prevention
intervention has also been shown to increase physical activity and improve health (Nixon, 2012;
Cochrane-Waters, 2011; Cochrane-Dobbins, 2013).
CG-Physical activity - The Guide to Community Preventive Services (The Community Guide). Increasing
physical activity.
Demetriou 2012* - Demetriou Y, HOner 0. Physical activity interventions in the school setting: A
systematic review. Psychology of Sport and Exercise. 2012;13(2):186-96.

Cochrane-Dobbins 2013* - Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity
programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.
Cochrane Database of Systematic Reviews. 2013;(2):CD007651.
Nixon 2012 - Nixon CA, Moore Hi, Douthwaite W, et al. Identifying effective behavioural models and
behaviour change strategies underpinning preschool- and school-based obesity prevention
interventions aimed at 4-6-year-olds: A systematic review. Obesity Reviews. 2012;13(5uppl 1):106-
17.
Cochrane-Waters 2011* - Waters E, de Silva-Sanigorski A, Burford BJ, et al. Interventions for preventing
obesity in children. Cochrane Database of Systematic Reviews. 2011;(12):CD001871.
Cawley 2013* - Cawley J, Frisvold D, Meyerhoefer C. The impact of physical education on obesity among
elementary school children. Journal of Health Economics. 2013;32(4):743-55.
Story 2009 - Story M, Nanney MS, Schwartz MB. Schools and obesity prevention: Creating school
environments and policies to promote healthy eating and physical activity. Milbank Quarterly.
2009;87(1):71-100.
Conducting fitness programs in a variety of community settings such as senior centers and community
centers.
There is strong evidence that fitness and exercise programs offered in community settings increase
physical activity levels and improve physical fitness for participating adults and older adults (Holland,
2005; Cruz-Ferreira, 2011), particularly when these activities are offered with social support
interventions (CG-Physical activity).
CG-Physical activity - The Guide to Community Preventive Services (The Community Guide). Increasing
physical activity.
Cochrane-Priest 20082* - Priest N, Armstrong R, Doyle J, Waters E. Interventions implemented through
sporting organisations for increasing participation in sport. Cochrane Database of Systematic
Reviews. 2008;(3): CD004812.
Holland 2005* - Holland SK, Greenberg J, Tidwell L, et al. Community-based health coaching, exercise,
and health service utilization. Journal of Aging and Health. 2005;17(6):697-716.
Cruz-Ferreira 2011 - Cruz-Ferreira A, Fernandes 1, Laranjo L, Bernardo LM, Silva A. A systematic review of
the effects of pilates method of exercise in healthy people. Archives of Physical Medicine and
Rehabilitation. 2011;92(12):2071-81.
Lee 2009* - Lee M, Lee EN, Ernst E. Is tai chi beneficial for improving aerobic capacity? A systematic
review. British Journal of Sports Medicine. 2009;43(8):569-73.
Taylor-Piliae 2004* - Taylor-Piliae RE, Froelicher ES. The effectiveness of Tai Chi exercise in improving
aerobic capacity: An updated meta-analysis. Journal of Cardiovascular Nursing. 2004;19(1):48-57.
Windle 2010 - Windle G, Hughes D, Linck P, Russell I, Woods B. Is exercise effective in promoting mental
well-being in older age? A systematic review. Aging & Mental Health. 201044(6):652-69.
George 2012* - George ES, Kolt GS, Duncan MJ, et al. A review of the effectiveness of physical activity
interventions for adult males. Sports Medicine. 2012;42(4):281-300.
Latimer 2010 - Latimer AE, Brawley LR, Bassett RL. A systematic review of three approaches for
constructing physical activity messages: What messages work and what improvements are needed?
International Journal of Behavioral Nutrition and Physical Activity. 2010;7:36.
Lopez-Minarro 2010* - Lopez-Miliarro PA, Muyor Rodriguez JM. Heart rate and overall ratings of
perceived exertion during Spinning© cycle indoor session in novice adults. Science gt. Sports.
2010;25(5):238-44.
Carla 2007* - Caria MA, Tangianu F, Concu A, Crisafulli A, Mameli 0. Quantification of spinning bike
performance during a standard 50-minute class. Journal of Sports Sciences. 2007;25(4):421-9.

Battista 2008* - Battista RA, Foster C, Andrew J, et al. Physiologic responses during indoor cycling.
Journal of Strength and Conditioning Research. 2008;22(4):1236-41.
Otto 2011* - Otto RM, Maniguet E, Peters A, et al. The energy cost of Zumba exercise: 1923: Board #118
June 2 8:00AM - 9:30AM. Medicine & Science in Sports & Exercise. 2011;43(5):480.
Rixon 2006- Rixon KP, Rehor PR, Bemben MG. Analysis of the assessment of caloric expenditure in four
modes of aerobic dance. Journal of Strength and Conditioning Research. 2006;20(3):593-6.
Improvements to streetscape design can include increased street lighting, enhanced street
landscaping, increased sidewalk coverage and connectivity of pedestrian walkways, street crossing
safety features, and traffic calming measures. Streetscape design improvement projects typically
include elements from more than one of these categories.
There is strong evidence that improvements to streetscape design increase physical activity, particularly
when implemented as part of a multi-component intervention (CG-Physical activity, Brownson, 2006;
CETRT, CDC MMWR-Khan, 2009). Street crossing safety features and traffic calming measures, often
components of streetscape design improvements, have also been shown to reduce traffic speed and
increase pedestrian and cyclist safety (Cochrane-Bunn, 2003; Morrison, 2003; Retting, 2003).
Living in neighborhoods with greater street connectivity, more streetlights and bike paths, and related
environmental characteristics is associated with higher levels of walking, increased physical activity, and
lower rates of overweight and obesity (Wilson, 2011a; Reynolds, 2010; Lee, 2012b). Traffic calming
measures have also been shown to increase walking and bicycling (Winters, 2010; Morrison, 2004).
Street-scale urban design projects can provide a safer, more inviting environment for outdoor physical
activities (CG-Physical activity).
Brownson 2006* - Brownson RC, Haire-Joshu D, Luke DA. Shaping the context of health: A review of
environmental and policy approaches in the prevention of chronic diseases. Annual Review of Public
Health. 2006;27:341-70.
Retting 2003 - Retting RA, Ferguson SA, McCartt AT. A review of evidence-based traffic engineering
measures designed to reduce pedestrian-motor vehicle crashes. American Journal of Public Health.
2003;93(9):1456-63.
CG-Physical activity The Guide to Community Preventive Services (The Community Guide). Increasing
physical activity.
CETRT - Center of Excellence for Training and Research Translation (CETRT). Find interventions. UNC
Center for Health Promotion and Disease Prevention (HPDP).
CDC MMWR-Khan 2009 - Khan LK, Sobush K, Keener D, et al. Recommended community strategies and
measurements to prevent obesity in the United States. Morbidity and Mortality Weekly Report
(MMWR). 2009;58(RR-07):1-26.
Reynolds 2010 - Reynolds CCO, Winters M, Ries FJ, Gouge B. Active transportation in urban areas:
Exploring health benefits and risks. Vancouver: National Collaborating Centre for Environmental
Health (NCCEH); 2010.
Wilson 2011a* - Wilson LA, Giles-Corti B, Burton NW, et al. The association between objectively
measured neighborhood features and walking in middle-aged adults. American Journal of Health
Promotion. 2011;25(4):e12-21
Cochrane-Bunn 2003* - Bunn F, Collier T, Frost C, et al. Area-wide traffic calming for preventing traffic
related injuries. Cochrane Database of Systematic Reviews. 2003;(1):CD003110.
Morrison 2004 - Morrison DS, Thomson H, Petticrew M. Evaluation of the health effects of a
neighbourhood traffic calming scheme. Journal of Epidemiology and Community Health.
2004;58(10):837-40.

Winters 2010 - Winters M, Brauer M, Setton EM, Teschke K. Built environment influences on healthy
transportation choices: Bicycling versus driving. Journal of Urban Health. 2010;87(6):969-93.
Lee 2012b - Lee RE, Mama SK, Medina A V, Ho A, Adamus Hi. Neighborhood factors influence physical
activity among African American and Hispanic or Latina women. Health & Place. 2012;18(1):63-70.
Multi-component interventions that include a combination of educational, environmental, and
behavioral activities such as: nutrition education, aerobic/strength training and exercise sessions,
training in behavioral techniques, and specific dietary prescriptions (CG-Obesity).
There is strong evidence that multi-component interventions increase physical activity (Kriernler, 2011;
Katz, 2008; Kamath, 2008; Cochrane-Waters, 2011; van Sluijs, 2007) and weight loss for children and
adolescents (Brown, 2009; De Bourdeaudhuij, 2011; Katz, 2008; Kelly, 2008; Seo, 2010). Workplace-
based multi-component interventions have been shown to improve weight status and self-confidence
among participating employees (CG-Obesity, Lombard, 2009).
Multi-component interventions increase fruit and vegetable intake among younger children (Van
Cauwenberghe, 2012). Such interventions have demonstrated positive effects on child and adolescent
weight status (Kelly, 2008; Brown, 2009; Katz, 2008), possibly in the long-term (Brown, 2009; Katz,
2008).
Multi-component interventions appear to be more effective than single component efforts (Kriemler,
2011; De Bourdeaudhuij, 2011; Seo, 2010; Kamath, 2008). Interventions that include culturally-tailored
or lifestyle specific components have been shown to be most effective for minority students (Seo, 2010).
van Sluijs 2007 - van Sluijs EMF, McMinn AM, Griffin Si. Effectiveness of interventions to promote
physical activity in children and adolescents: Systematic review of controlled trials. BMJ.
2007;335(7622):703.
Brown 2009 - Brown T, Summerbell C. Systematic review of school-based interventions that focus on
changing dietary intake and physical activity levels to prevent childhood obesity: An update to the
obesity guidance produced by the National Institute for Health and Clinical Excellence. Obesity
Reviews. 2009;10(1):110-41.
De Bourdeaudhuij 2011* - De Bourdeaudhuij I, Van Cauwenberghe E, Spittaels H, et al. School-based
interventions promoting both physical activity and healthy eating in Europe: A systematic review
within the HOPE project. Obesity Reviews. 2011;12(3):205-16.
Kamath 2008 - Kamath CC, Vickers KS, Ehrlich A, et al. Behavioral interventions to prevent childhood
obesity: A systematic review and meta-analyses of randomized trials. Journal of Endocrinology and
Metabolism. 2008;93(12):4606-15.
Katz 2008* - Katz D, O'Connell M, Njike V, Yeh M-C, Nawaz H. Strategies for the prevention and control
of obesity in the school setting: Systematic review and meta-analysis. International Journal of
Obesity. 2008;32(12):1780-9.
Kelly 2008 - Kelly SA, Melnyk BM. Systematic review of multicomponent interventions with overweight
middle adolescents: Implications for clinical practice and research. Worldviews on Evidence-Based
Nursing. 2008;5(3):113-35.
Kriemler 2011 - Kriemler S, Meyer U, Martin E, et al. Effect of school-based interventions on physical
activity and fitness in children and adolescents: A review of reviews and systematic update. British
Journal of Sports Medicine. 2011;45(11):923-30.
Lombard 2009 - Lombard CB, Deeks AA, Teede HI A systematic review of interventions aimed at the
prevention of weight gain in adults. Public Health Nutrition. 2009;12(11):2236-46.
Seo 2010* - Seo D-C, Sa J. A meta-analysis of obesity interventions among US minority children. Journal
of Adolescent Health. 2010;46(4):309-23.

Van Cauwenberghe 2012 - Van Cauwenberghe E, Maes L, Spittaels H, et al. Effectiveness of school-based
interventions in Europe to promote healthy nutrition in children and adolescents: Systematic review
of published and "grey" literature. British Journal of Nutrition. 2010403(6):781-97.
Cochrane-Waters 2011* - Waters E, de Silva-Sanigorski A, Burford BJ, et al. Interventions for preventing
obesity in children. Cochrane Database of Systematic Reviews. 2011;(12):CD001871.
CG-Obesity - The Guide to Community Preventive Services (The Community Guide). Obesity prevention
and control.
Nutrition interventions that include guidelines or policies governing the food children eat in preschool
or child care. Physical activity programs directly guide children to increase their physical activity,
whereas policy changes include devoting more time to physical activity, increasing activity in daily
curricula, playground improvements, physical activity requirements, or restrictions on screen time.
There is strong evidence that nutrition interventions in preschool and child care improve children's diets
(Larson, 2011) and that physical activity interventions improve their activity levels (Larson, 2011; Ward,
2010).
Adhering to nutrition guidelines in preschool and child care can decrease children's fat intake and
increase fruit and vegetable intake (Jaime, 2008), while implementing physical activity interventions can
increase participant's fitness and motor skills (Ward, 2010). Physical activity interventions have been
shown to reduce participating children's weight or body fat in some circumstances (Bluford, 2007).
However, there is insufficient evidence to determine if nutrition (Jaime, 2008) or physical activity
interventions reduce children's risk of overweight (Ward, 2010).
Policy and environmental interventions can also make preschool and child care more conducive to
physical activity. Researchers recommend that centers train teachers in integrating physical activity into
learning in order to most effectively increase children's physical activity (Ward, 2010).
Larson 2011* - Larson N, Ward DS, Neelon SB, Story M. What role can child-care settings play in obesity
prevention? A review of the evidence and call for research efforts. Journal of the American Dietetic
Association. 2011;111(9):1343-62.
Ward 2010* - Ward DS, Vaughn A, McWilliams C, Hales D. Interventions for increasing physical activity
at child care. Medicine & Science in Sports & Exercise. 2010;42(3):526-34.
Jaime 2008* - Jaime PC, Lock K. Do school based food and nutrition policies improve diet and reduce
obesity? Preventive Medicine. 2009;48(1):45-53.
Bluford 2007 - Bluford DA, Sherry B, Scanlon KS. Interventions to prevent or treat obesity in preschool
children: A review of evaluated programs. Obesity. 2007;15(6):1356-72.
Safe Routes to Schools (SRTS) is a federally supported program that promotes walking and biking to
school through education and incentives. The program also targets city planning and legislation to
make walking and biking safer and provides resources and activities to help communities build
sidewalks, bicycle paths, and other pedestrian-friendly infrastructure.
There is strong evidence that Safe Routes to Schools (SRTS) increases the number of students walking or
biking to school (Chillon, 2011; SRTSNP-Hubsmith, 2007; Orenstein, 2007; Boarnet, 2005; NCSRTS, 2012;
Wendel, 2009). Establishing SRTS is a suggested strategy to increase physical activity among students
(US GAO-Siggerud, 2008; ALBD, WIPAN-Schools).
Active travel to school is associated with healthier body composition and cardio fitness levels (Lubans,
2011). SRTS has a small positive effect on active travel among children (Chillon, 2011; Wendel, 2009). By
improving walking and bicycling routes, SRTS projects in urban areas may also increase physical activity

levels for adults (Watson, 2008). SRTS has been shown to reduce the incidence of pedestrian crashes
(Dumbaugh, 2007).
SRTSNP-Hubsmith 2007 - Hubsmith D, Ping R, Gutowsky N. Safe Routes to School: 2007 State of the
states report. Fairfax: Safe Routes to School National Partnership (SRTSNP); 2007.
WIPAN-Schools - Wisconsin Nutrition and Physical Activity Program (WIPAN). What works in schools.
ALBD - Active Living by Design (ALBD). Increasing physical activity and healthy eating through community
design.
US GAO-Siggerud 2008 - Siggerud K. Safe Routes to School: Progress in implementing the program, but a
comprehensive plan to evaluate program outcomes is needed. Washington, DC: US Government
Accountability Office (US GAO); 2008: GA0-08-789.
RAND-Sorenson 2008 - Sorenson P, Wachs M, Min EY, et al. Moving Los Angeles: Short-term policy
options for improving transportation. Santa Monica: RAND Corporation; 2008: Monograph Report
748.
Wendel 2009* - Wendel AM, Dannenberg AL. Reversing declines in walking and bicycling to school.
Preventive Medicine. 2009;48(6):513-5.
Orenstein 2007 - Orenstein MR, Gutierrez N, Rice TM, Cooper JF, Ragland DR. Safe routes to school
safety and mobility analysis. Berkeley: UC Berkeley, Traffic Safety Center, California Department of
Transportation (Ca!trans); 2007.
Boarnet 2005- Boarnet MG, Anderson CL, Day K, McMillan T, Alfonzo M. Evaluation of the California
safe routes to school legislation: Urban form changes and children's active transportation to school.
American Journal of Preventive Medicine. 2005;28(2 Suppl 2):134-40.
NCSRTS 2012 - National Center for Safe Routes to School (NCSRTS). Shifting modes: A comparative
analysis of Safe Routes to School Program elements and travel mode outcomes. Chapel Hill: National
Center for Safe Routes to School (NCSRTS); 2012.
Lubans 2011 - Lubans DR, Boreham CA, Kelly P, Foster CE. The relationship between active travel to
school and health-related fitness in children and adolescents: A systematic review. International
Journal of Behavioral Nutrition and Physical Activity. 2011;8:5.
Chilton 2011 - Chilton P. Evenson KR, Vaughn A, Ward DS. A systematic review of interventions for
promoting active transportation to school. International Journal of Behavioral Nutrition and Physical
Activity. 2011;8:10.
Watson 2008 - Watson M, Dannenberg AL. Investment in Safe Routes to School projects: Public health
benefits for the larger community. Preventing Chronic Disease. 2008;5(3).
Dumbaugh 2007* - Dumbaugh E, Frank L. Traffic safety and safe routes to schools: Synthesizing the
empirical evidence. Transportation Research Record: Journal of Transportation Research Board.
2007;2009(1):89-97.
McDonald 2009 - McDonald NC, Aalborg AE. Why parents drive children to school: Implications for Safe
Routes to School programs. Journal of the American Planning Association. 2009;75(3):331-42.
Salon 2012* - Salon D, Boarnet MG, Handy 5, Spears S. Tal G. How do local actions affect VMT? A critical
review of the empirical evidence. Transportation Research Part D: Transport and Environment.
2012;17(7):495-508.
School gardens allow students to garden during school or non-school hours with school staff guidance.
School gardens are typically accompanied by nutrition education, food preparation lessons, and fruit
and vegetable tasting opportunities. School gardens can also provide students with hands-on learning
opportunities in subjects like science, math, health, and environmental studies.
There is strong evidence that school gardens increase participating children's vegetable consumption
and willingness to try new vegetables (Langellotto, 2012; Scherr, 2013; Ratcliffe, 2011; Parmer, 2009;

McAleese, 2007; Rauzon, 2010). Establishing school gardens is a recommended strategy to promote
healthy eating, improve nutrition, and reduce obesity (CDC-School-based obesity prevention, CDC
MMWR-School health guidelines, 2011; CDC-Fruits and vegetables, 2011; 10M-Government obesity
prevention, 2009).
Gardening increases vegetable consumption in children; research suggests this may be because it
increases access to vegetables and decreases children's reluctance to try new foods (Langellotto, 2012;
Scherr, 2013; McAleese, 2007; Rauzon, 2010; Ratcliffe, 2011; Parmer, 2009). Garden-based nutrition
intervention programs have also been shown to increase health-related knowledge, willingness to taste,
and preference for fruits and vegetables in schools around the country (Cotugna, 2012; Robinson-
Obrien, 2009; Blair, 2009; Ozer, 2007; Koch, 2006; Morris, 2001; Morris, 2002; Morgan, 2010; Gatto,
2012; Jaenke, 2012; Dirks, 2005).
10M-Government obesity prevention 2009 - Institute of Medicine (IOM), National Research Council
(NRC), Committee on Childhood Obesity Prevention Actions for Local Governments. Local
government actions to prevent childhood obesity. (Parker L, Burns AC, Sanchez E, eds.). Washington,
DC: National Academies Press; 2009.
CDC MMWR-School health guidelines 2011 - National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP), Division of Adolescent and School Health (DASH). School health guidelines to
promote healthy eating and physical activity. Morbidity and Mortality Weekly Report (MMWR).
2011:60(RR-05) 1-71.
Robinson-OBrien 2009* - Robinson-O'Brien R, Story M, Heim S. Impact of garden-based youth nutrition
intervention programs: A review. Journal of the American Dietetic Association. 2009;109(2):273-80.
Ozer 2007* - Ozer EJ. The effects of school gardens on students and schools: Conceptualization and
considerations for maximizing healthy development. Health Education & Behavior. 2007;34(6):846-
63.
Blair 2009* - Blair D. The child in the garden: An evaluative review of the benefits of school gardening.
Journal of Environmental Education. 2009;40(2):15-38.
Ratcliffe 2011* - Ratcliffe MM, Merrigan KA, Rogers BL, Goldberg JP. The effects of school garden
experiences on middle school-aged students' knowledge, attitudes, and behaviors associated with
vegetable consumption. Health Promotion Practice. 2011;12(1):36-43.
Parmer 2009* - Parmer SM, Salisbury-Glennon J, Shannon D, Struempler B. School gardens: An
experiential learning approach for a nutrition education program to increase fruit and vegetable
knowledge, preference, and consumption among second-grade students. Journal of Nutrition
Education and Behavior. 2009;41(3):212-7.
Graham 2005* - Graham H, Beall DL, Lussier M, McLaughlin P, Zidenberg-Cherr S. Use of school gardens
in academic instruction. Journal of Nutrition Education and Behavior. 2005;37(3):147-51.
Graham 2005a* - Graham H, Zidenberg-Cherr S. California teachers perceive school gardens as an
effective nutritional tool to promote healthful eating habits. Journal of the American Dietetic
Association. 2005;105(11):1797-1800.
CDC-School-based obesity prevention - National Center for Chronic Disease Prevention and Health
Promotion (NCCDPHP), Division of Adolescent and School Health (DASH). School-based obesity
prevention strategies for state policymakers. Atlanta: Centers for Disease Control and Prevention
(CDC).
CDC-Fruits and vegetables 2011 - Centers for Disease Control and Prevention (CDC). Strategies to
prevent obesity and other chronic diseases: The CDC guide to strategies to increase the
consumption of fruits and vegetables. Atlanta: US Department of Health and Human Services (US
DHHS); 2011.

Lange!lotto 2012* - Langellotto GA, Gupta A. Gardening increases vegetable consumption in school-aged
children: A meta-analytical synthesis. HortTechnology. 2012;22(4):430-45.
Scherr 2013 - Scherr RE, Cox RJ, Feenstra G, Zidenberg-Cherr S. Integrating local agriculture into
nutrition programs can benefit children's health. California Agriculture. 2013;67(1):30-7.
Cotugna 2012* - Cotugna N, Manning CK, DiDomenico J. impact of the use of produce grown in an
elementary school garden on consumption of vegetable at school lunch. Journal of Hunger &
Environmental Nutrition. 2012;7(1):11-19.
Koch 2006 - Koch S. Waliczek TM, Zajicek JM. The effect of a summer garden program on the nutritional
knowledge, attitudes, and behaviors of children. HortTechnology. 2006;16(4):620-4.
McAleese 2007* - McAleese JD, Rankin LL. Garden-based nutrition education affects fruit and vegetable
consumption in sixth-grade adolescents. Journal of the American Dietetic Association.
2007;107(4):662-5.
Morris 2001 - Morris JL, Neustadter A, Zidenberg-Cherr S. First-grade gardeners more likely to taste
vegetables. California Agriculture. 2001;55(1):43-6.
Morgan 2010 - Morgan PJ, Warren JM, Lubans DR, et al. The impact of nutrition education with and
without a school garden on knowledge, vegetable intake and preferences and quality of school life
among primary-school students. Public Health Nutrition. 2010 .,13(11):1931-40.
Klemmer 2005 - Klemmer CD, Waliczek TM, Zajicek 1M. Growing minds: The effect of a school gardening
program on the science achievement of elementary students. HortTechnology. 2005;15(3):448-52.
Rauzon 2010- Rauzon 5, Wang M, Studer N, et al. An evaluation of the school lunch initiative final
report: Changing students' knowledge, attitudes and behavior in relation to food. University of
California Berkeley: Dr. Robert C. and Veronica Atkins Center for Weight and Health; 2010.
Morris 2002* - Morris JL, Zidenberg-Cherr S. Garden-enhanced nutrition curriculum improves fourth-
grade school children's knowledge of nutrition and preferences for some vegetables. Journal of the
American Dietetic Association. 2002;102(1):91-3.
O'Brien 2006 - O'Brien SA, Shoemaker CA. An after-school gardening club to promote fruit and vegetable
consumption: The assessment of social cognitive theory constructs. HortTechnology. 2006;16(1}:24-
9.
Poston 2005 - Poston SA, Shoemaker CA, Dzewaltowski DA. A comparison of a gardening and nutrition
program with a standard nutrition program in an out-of-school setting. HortTechnology.
2005;15(3):463-7.
Gatto 2012* - Gatto NM, Ventura EE, Cook LT, Gyllenhammer LE, Davis IN. LA Sprouts: A garden-based
nutrition intervention pilot program influences motivation and preferences for fruits and vegetables
in Latino youth. Journal of the Academy of Nutrition and Dietetics. 2012;112(6):913-20.
Dirks 2005- Dirks AE, Orvis K. An evaluation of the junior master gardener program in third grade
classrooms. HortTechnology. 2005;15(3):443-7.
Evans 2012a* - Evans A, Ranjit N, Rutledge R, et al. Exposure to multiple components of a garden-based
intervention for middle school students increases fruit and vegetable consumption. Health
Promotion Practice. 2012;13(5):608-16.
Jaenke 2012* -Jaenke RL, Collins CE, Morgan Pi, et al. The impact of a school garden and cooking
program on boys' and girls' fruit and vegetable preferences, taste rating, and intake. Health
Education & Behavior. 2012;39(2):131-41.
Pigg 2006 - Pigg AE, Waliczek TM, Zajicek .1M. Effects of a gardening program on the academic progress
of third, fourth, and fifth grade math and science students. HortTechnology. 200646(2):262-4.
Additional Sub-contractor References

Summer Feeding Program sites are places in the community where children receive meals and safe
supervised environment (USDA). By promoting the Summer Feeding Program and recruiting and
monitoring sites participation numbers, City of Phoenix Nutrition Education and Training Team can
increase participation.
The objectives under Strategy 1 require the establishment of strong community partnerships with
organizations and retailers within the local food system. Collaboration and community partnerships
within the local food system provides greater access to healthy food, specifically produce. In 2010 a
three-year pilot program in New England, called the Food Co-ops and Health Food Access Project
sought to increase access to healthy food, expand participation of low income individuals and
communities, and raise the profile of food co-ops as a solution to the challenge of healthy food
access. Through collaborative efforts with partner organizations, including anti-hunger agencies, the
co-op saw an 80 percent increase in participants using SNAP and WIC vouchers, after only the first
two years (Hudspeth and Josephy, 2013).
Food banks that have adopted policies that decline unhealthy food donations found greater success
implementing these policies when they focused donation efforts on healthier foods that were
difficult for clients to access. The Food Bank of Central New York launched their nutrition guidelines,
which included a No Soda, No Candy donation policy, after three years of consistently educating
their donor base, community agencies, and retailers about the meeting the nutritional needs versus
caloric needs of the population they serve (Powers, Snow, and Babb, 2013). Similarly, Desert Mission
will focus efforts on increasing healthy food donations in the first two years of the project period,
working to replace the unhealthy food donations prior to the implementation of new nutrition
guidelines.
Desert Mission's objectives under Strategy 2 and Strategy 16 rely heavily on demonstrations as food
demonstrations are a relevant vehicle for nutrition education. This educational activity allows
participants to try new foods and ingredients and to share with their peers their experiences and
challenges with cooking. Research supports the importance of observational (which occurs when
one person performs a behavior, while others look and learn from it) and experiential learning
(which occurs when one person mimics what is being demonstrated by another to learn a skill). A
report by Why Hunger reports, "One of the best ways to learn is through participation. Many
organizations fall under this category of experiential learning for nutrition education. Organizations
that implement hands-on activities do so to engage their targeted audience and to further facilitate
learning processes or concepts that may be difficult to articulate." (Pascual, 2012)
Environmental Supports
Provide a brief summary of the specific strategies you will use to influence environmental supports in the
same setting where nutrition and physical activity education is provided.
MCDPH -ONPA developed comprehensive strategies to address all four PSE focus areas; environmental
supports are part of that comprehensive approach.

Under Food System strategy one, the program outlined action steps that include increasing the
availability of healthy food retail. The activities that directly address environmental supports under
strategy one are healthy corner store initiatives, healthy grocery store initiatives, installing EBT
machines at farmers' markets, and forming a regional food hub. The healthy corner store initiative
involves the development of a healthy corner store to increase access to healthy foods. It involves
changing the environment in the community by adding the healthy options and changing the
environment in the store to showcase the healthy food options. For the healthy grocery store initiative,
MCDPH-ONPA will work with grocery outlets to change the environment within the store. This includes
the addition of signage and shelf-talkers. The program also intends to pilot a healthy grocery cart
initiative. This initiative involves signage and sectioning carts to visually show customers what the
suggested amount of fruit and vegetables looks like in their cart. At the farmers markets, the program
will continue to work with market managers and sellers so they can accept EBT payments at markets
and, once implemented, add appropriate signage and marketing to attract SNAP beneficiaries. Finally,
the formation of a food hub will be an impactful environmental change that will allow farmers to bring
produce to one location for cleaning, packaging, and distribution. This hub will also allow local buyers to
connect with local growers in one place and access food supplies, thus breaking down the barriers to
buy and sell local produce.
Strategies two and three are linked in many ways, and the associated environmental supports are
intertwined. The program will encourage participation in community, home, school, and childcare
gardens and in doing so will impact the environment by assisting with the formation of new gardens.
One aspect of Farm to School and Farm to Childcare is assisting sites with being able to serve the food
that is grown in their garden at the site. This may involve issues related to growing, preparing and
serving the food.
Under strategy four, the main environmental change that MCDPH-ONPA will implement is supporting
some of the Summer Food Service Program sites with nutrition and physical activities. There may also be
opportunities to post nutrition signage at settings and implement Smarter Lunchroom Design type
strategies as appropriate.
Active Living strategies will incorporate environmental changes such as working with cities to implement
health policies outlined in their general plan, including bicycle and pedestrian plans thus changing the
environment to make active transportation safer and more accessible. MCDPH-ONPA will also provide
recommendations to organizations to incorporate environmental features like signage, wayfinding, and
physical activity tracks. In addition, they will collaborate with community partners to offer organized
physical activities at the parks. The Community Team will partner with the Safe Routes to School
program to support environmental changes that encourage children to walk and bike to school.
The Schools team is implementing strategies ten, eleven, and twelve. In support of local wellness
policies, the team will work with schools to make environmental changes associated with nutrition and
physical activity. They will partner with the Food Systems team to increase the number of school
gardens and the number of schools that incorporate the food from their school gardens into the
cafeteria. This will change the environment so children consider being surrounded by fresh, local

produce as a normal facet of their environmental. The Schools team will also support environmental
changes in the cafeteria that increase the number of students eating healthy foods. This will include
signage, prominent displays of healthy foods, partnering with the nutrition director on the food menus
to offer healthy foods, inclusion of water jets in cafeteria, and other appropriate environmental
changes. They will continue to offer CATCH trainings and kits to schools to provide environmental
supports for physical activity. They will provide assistance to teachers about potential environmental
changes that increase physical activity during class, recess, and before/after school.
Early Childhood Education will incorporate environmental changes into strategies thirteen through
fifteen. They will collaborate with the Food Systems team to increase the number of early care centers
that have gardens. They will also work with the center staff to incorporate the food grown in the garden
into the food served to the children. Other action steps will include providing resources to centers on
how to access funding that will improve the indoor and outdoor play areas.
The City of Phoenix Parks and Recreation identified action steps that include environmental changes
related to nutrition and physical activity within the after school programs and within the City of Phoenix.
As part of the efforts to increase the number of participants in the Summer Feeding Program, the
Phoenix Afterschool Center (PAC) will meet with parks, recreation centers, and housing sites to assist
them in filling out the paper work and becoming trained to pass out breakfast and/or snack and/or
dinner. For the active living strategies, the staff will utilize the CATCH program to train educators and
recreation staff to use the program with the youth. CATCH Kids Club boxes are at all 26 afterschool sites.
The Parks and Recreation Department has a unique advantage in providing environmental changes for
active living in the community. The department covers over a 500 mile radius that consists of 10
mountain preserves that are used by thousands of people every day. To increase the usage of these
resources, the department will partner with FitPHX, a city-wide program, the University of Arizona Pre-
Med Program, Phoenix Children's Hospital, Natural Resources Division and Maricopa County
Department of Public Health to implement environmental changes including signage.
The City of Tempe Kids Zone will support environmental changes associated with supporting and
installing gardens at schools and after school programs. The program will also encourage schools within
the Tempe Elementary School District to participate in the Summer Food Service Program (SFSP) to
increase the number of SFSP sites. As the program works with each of its sites to develop and
implement wellness policies, they will identify specific environmental changes that need to be
implemented in support of the policies.
Desert Mission Food Bank is leveraging its position as an Emergency Food Provider with direct
education and collaborative partnership approaches to influence environmental and policy changes.
Desert Mission will implement supports described in the strategies listed below.
Food Systems — Establishing nutritional guidelines to support healthy food distribution to food bank
clients impacts both policy and environmental change. Over the three-year grant period, Desert Mission
intends to increase the amount of healthy food and produce donated through "Plant a Row" programs
and targeted healthy food drives with donation sites. By dramatically increasing the amount of quality

food donations, implementing limits on processed food and soda donations will not have a negative
impact on the food bank's reported donated poundage of food, which is a pivotal measure in
operations. Increasing the amount of produce and healthy food distributed at the food bank aims to
impact the larger issue of obesity among the most food insecure and vulnerable members of our
community. Having nutrition guidelines that outline acceptable and appropriate food donations greatly
affects those that rely on emergency food as a staple. They will reap the benefits of more healthful,
nutritious offerings as opposed to the calorie-dense foods commonly included in emergency food boxes.
Desert Mission will collaborate with existing and new partners to establish Desert Mission/John C.
Lincoln North Mountain as a CSA/food co-op pick-up site. The CSA/food co-op will accept SNAP and WIC
vouchers. Collaborating with CSAs and food co-ops not only creates greater accessibility of healthy, local
grown food among low income communities, but it helps build the local economy as local growers offer
their food to communities classified as "food deserts" or areas with a scarcity of affordable nutritious
food access.
Direct Education —The use of cooking healthy demonstrations, specific to contents of the emergency
food boxes, provides access to relevant nutrition education for members of the community identified as
food insecure. Gardening demonstrations provide the knowledge and tools to allow that segment of the
community to improve upon their food security through growing some of their own food. Both support
mechanisms that emphasize the utilization and consumption of healthy foods to meet nutritional needs
which aligns with the initiatives to reduce obesity rates among the food insecure.
Coordination Efforts
Describe efforts to coordinate, complement, and collaborate with other programs in order to deliver
consistent behavior-focused nutrition and/or physical activity messages, comprehensive multi-level
interventions, and community-based and public health approaches. State the purpose of the
coordination and SNAP-Ed's role. Describe how the project will avoid duplication of services. Submit
copies of partnership agreements (e.g. Memorandum of Agreements, Letters of Support, Letter of intent,
contracts, etc.) as applicable.
Applicants are encouraged to work collaboratively within their service area to minimize duplication prior
to application submission. The work completed under strategy 15 (direct) and the work completed under
a combination of strategies 1-15 (PSE) should be closely coordinated to maximize effectiveness.
Documentation of such coordination/collaboration should be described here as well as supported with
supplemental attachments (e.g. MOU/MOA, etc.) if multiple agencies will be working in the same
community. Applicants will define 'community" in the project description and work plan. If duplication
exists after submission, AD/-IS will determine which contractor will serve the site/organization within the
community through SNAP-Ed.
Overview

MCDPH-ONPA developed an implementation plan that coordinates efforts with its subcontractors: the
City of Phoenix Parks and Recreation, the City of Tempe Kid Zone, and Desert Mission: John C. Lincoln
North Mountain. Each sub-contractor submitted a Letter of Intent which is included in this grant
application. Each of the subcontractors was selected for their ability to create broad-scale change and
provide relevant direct education to support those impacted by complementary P5E-level changes.
To ensure consistency across the project, MCDPH will coordinate efforts with subcontractors through
effective communication methods including but not limited to:
• Email and phone communication
• Quarterly reporting
• Quarterly in-person meetings
• Capacity-building trainings as needed to ensure adequate subcontractor skills and knowledge
for successful implementation of PSE strategies and related direct education
• Coordination of key AzNN approved behavior focused nutrition and physical activity messages to
reach SNAP-eligible populations
• Coordination of community outreach and partnership development to support and implement
identified PSE strategies
• Coordination of assessment, evaluation, and implementation tools
• Sharing of relevant data as appropriate
As a group, MCDPH-ONPA and its sub-contractors will reach the target population in schools, after
school programs, housing, early child education programs, retail stores, parks, community gardens,
neighborhoods and streets, and other related sites within the identified high impact area. The group will
coordinate its efforts and provide complementary experience that adds to the comprehensive nature of
the project to implement interventions that are evidence-based and listed in the Arizona Nutrition
Network Obesity Prevention Resource Guide. In addition, the group will utilize resources, tools, and
information from the Arizona Nutrition Network (AzNN).
MCDPH-ONPA will also collaborate with University of Arizona Nutrition Network — Maricopa County
Cooperative Extension (UANN-MCCE). Included in the grant application is a document that outlines the
specific areas in which each contractor will work and how each group will coordinate efforts so that key
AzNN approved messages are shared and the agencies do not duplicate services. MCDPH-ONPA and
UANN-MCCE will meet quarterly in-person to collaborate on PSE and related direct education strategies.
In addition, the two organizations will communicate through email and phone on a regular basis.
Comprehensive Impact
Combined, MCDPH-ONPA, its subcontractors, and its partners will have a comprehensive impact on
Maricopa County's SNAP-eligible population. The workplan is designed to address all levels of the Socio-
Ecological Model (SEM): individual factors, environmental settings, sectors of influence, and social and
cultural norms and values. There are action steps for each PSE focus area and for each level of the SEM.
Included in this application, as attachments, are visual depictions of how various action steps fit into the

SEM and display the comprehensive approach to this grant application. The direct education efforts will
directly support the PSE efforts in all focus areas.
To enhance the comprehensive and coordinated requirement of this application, MCDPH-ONPA and its
subcontractors are focusing their efforts within the high impact area. This concentrated effort allows the
group to "deliver consistent behavior-focused nutrition and/or physical activity messages,
comprehensive multi-level interventions, and community-based and public health approaches." The
primary high impact area is driven by five school district boundaries: Washington Elementary School
District, Madison Elementary School District, Tempe Elementary School District, Balsz Elementary School
District, and Creighton Elementary School District. Policy, Systems, and Environmental and related direct
education will be implemented within the SNAP-eligible schools, early care centers, afterschool
programs, the built environment, food retail, and more throughout the surrounding communities in that
high impact area. With this approach, there will be a synergistic effect with complementary efforts in
the surrounding community that support one another.
Below are two examples of this coordinated approach. This same type of approach drives the workplan
for all project areas.
Example 1: Garden Initiative
• (PSE) MCDPH -ONPA and Tempe Kid Zone (Tempe KZ) will work with SNAP-eligible school
districts on their Local Wellness Policy to ensure that they include the USDA minimum
requirements and provide implementation support for increasing healthy eating and physical
activity at the environmental and systems levels.
• (PSE) MCDPH-ONPA and Tempe KZ will work with the SNAP-eligible schools to develop and
implement school gardens and afterschool gardens through coordination of meetings with
school administration and other key stakeholders and partners to enhance the environment.
• (PSE) MCDPH-ONPA and Tempe KZ will collaborate with ADHS to assist schools in developing
systems that will support their efforts to obtain the garden sanitation certification.
• (Direct Ed) MCDPH-ONPA and Tempe KZ will work in SNAP-eligible schools and afterschool
programs to provide related behavior focused direct nutrition and physical activity education
associated with the school garden.
• (Direct Ed) MCDPH-ONPA and Tempe KZ will coordinate key messages that will be used in the
direct education with students, staff, and parents.
• (PSE) MCDPH-ONPA will work with Early Care Centers within the same school district boundary
on healthy eating and active living policies and initiatives associated with the Empower
Standards, including developing gardens.
• (PSE) MCDPH-ONPA will collaborate with ADHS to assist Early Care Centers in developing and
implementing the systems needed to obtain the garden sanitation certification.
• (Direct Ed) MCDPH-ONPA will provide behavior focused related direct nutrition and physical
activity education to staff, students, and parents at the early care center related to the garden.
• (Direct Ed) MCDPH-ONPA will coordinate key messages for [CE's that will be used in the direct
education with students, staff, and parents.

• (PSE/Direct Education) MCDPH-ONPA, subcontractors, and partners will collaborate on
additional related community work surrounding SNAP-eligible farmers' markets, healthy retail,
and other initiatives ensuring that key messages associated with healthy eating are consistent
throughout the community.
Example 2: City General Plans and Complete Streets
• (PSE) MCDPH-ONPA will work with the City of Phoenix and the City of Tempe on implementation
of their general plans including bicycle and pedestrian plans for the built environment.
• (PSE/Direct Education) MCDPH-ONPA's Safe Routes to School program will provide safe walking
and bicycling education to SNAP-eligible schools and apply for Safe Routes to School
Infrastructure grants to support environmental change within the high impact area.
• (PSE) City of Phoenix Parks and Recreation will collaborate with FitPhx and the City of Phoenix to
support active living PSE strategies.
• (Direct Ed) MCDPH-ONPA, the City of Phoenix Parks and Recreation, and the City of Tempe Kid
Zone will collaborate on using consistent key behavior focused messages throughout their
programs, communities, and in their direct education.
• (Direct Ed) City of Phoenix Parks and Recreation will provide SNAP-approved physical
activity/active living education to the youth and their families participating in their afterschool
and summer programs.
• (PSE) City of Tempe Kid Zone will collaborate with the City of Tempe Let's Move! initiative to
implement PSE strategies related to active living.
• (Direct Ed) City of Tempe Kid Zone will provide SNAP-approved physical activity/active living
education to the youth and families participating in their afterschool and summer programs.
Every effort has been made to coordinate a comprehensive approach by implementing PSE strategies
accompanied by related direct education across the social-ecological model.
Additional collaborative efforts will be enhanced by the established partnerships of each organization.
These key partnerships are listed below for each organization.
MCDPH Partnerships
In addition to the subcontractors, MCDPH-ONPA will partner with several community partners to
leverage and align efforts to create a greater overall impact on the target audience. Several Letters of
Support and Partnership Agreements are attached to this grant application. Below are some examples of
community partnerships:
• University of Arizona Nutrition Network-Maricopa County Cooperative Extension (UANN-
MCCE) and MCDPH-ONPA have successfully collaborated on implementing the SNAP-Ed
grant for several years. The two organizations plan to continue this mutually beneficial
relationship throughout the next grant cycle. The UANN-MCCE and MCDPH-ONPA drafted a
Collaboration Agreement (attached) that outlines the specific sites and responsibilities of

each partner. The two organizations plan to meet in-person at least once each quarter to
ensure that there is no duplication of services.
• MCDPH-ONPA will continue to work with the 24 school districts currently engaged with the
program to help assess and implement Local Wellness Policies and promote healthful eating
and physical activity.
• Arizona Community of Farmers' Markets will impact access to healthy and affordable food
by collaborating with MCDPH-ONPA to install EBT machines and promote the use of farmers
markets by SNAP participants.
• St. Luke's Health Initiatives will collaborate on projects like the Maricopa County Food
System Coalition to increase access to healthy and affordable food.
• Native Health will collaborate on promoting the Summer Food Service Program and offering
fun nutrition and physical activity education and activities at sites.
• Arizona Alliance for Livable Communities (AALC) will collaborate on increasing access to
active living opportunities and supporting efforts with implementation of city general plans
and complete streets. Further AALC collaboration will advance heath impact assessments.
• ASU School of Sustainability will collaborate on projects that offer research and support for
evidence-based and emerging practices.
• Pinnacle Prevention will collaborate on the Arizona Childhood Obesity Prevention Coalition
that may foster a synergistic effect of collaborating with many other community partners to
prevent and reduce childhood obesity.
School Nutrition Association of Arizona will collaborate on providing healthy food to
children in school. The School Nutrition Association of Arizona and their alliance of over
1000 school nutrition advocates will collaborate on providing resources necessary to
improve the health and wellness of all students through school nutrition programs.
• Healthy Local Food Systems Working Group will support increased access to healthy and
affordable food through sharing of information and coordinating efforts such as the
Maricopa County Food System Coalition and the formation of a regional food hub.
• Southwest Autism Research and Resource Center will increase access to healthy and
affordable food for those served by the center and surrounding community.
MCDPH-ONPA will also collaborate with several programs within the County Public Health Department
to share key messaging, support SNAP-Ed programs, and expand outreach to the target population.
Partnering programs include WIC, Parent Ambassadors, Safe Routes to School, Office of Community
Empowerment, Office of Community Engagement, Office of Tobacco and Chronic Disease, Office
Community Health Nursing School Program, Office of Oral Health School Program, Epidemiology,
Department of Parks and Recreation, Children and Youth with Special Needs, the Office of Public Health
Policy, and the Health Improvement Partnership of Maricopa County (HIPMC).
At all levels of the partnerships, the role of SNAP-Ed is to implement SNAP-approved efforts that
increase access to healthy foods and active living opportunities through PSE strategies and direct
education. MCDPH-ONPA, its subcontractors, and community partners are in a unique position to offer

consistent messaging and evidence-based strategies to SNAP participants, and eligibles across a variety
of sectors, service areas, neighborhoods, communities, age groups, and racial and ethnic groups.
Subcontractor Expertise:
Each of MCDPH's proposed subcontractors will strengthen the project through their expertise and
additional partnerships.
Subcontractor: City of Phoenix Parks and Recreation Department
The Nutrition Education and Training (NEAT) program is part of the City of Phoenix Parks and
Recreation Department and collaborates with other City programs to assist in delivering consistent
behavior-focused and/or nutrition based messages to SNAP-Ed eligible participants. Multiple divisions
within the department will support SNAP-Ed activities.
• Phoenix Afterschool Center (PAC) provides out of school time recreation and enrichment
activities for school-aged children throughout Phoenix. The PAC is committed to providing
snacks and meals in afterschool settings and summer feeding to ensure that low income (SNAP
eligible) children 18 and under continue to receive nutritious snacks and meals at SNAP-Ed
qualifying parks and recreation sites when school is not in session.
• FitPhx is a citywide healthy-living initiative. The goal is to create programs and utilize existing
resources to improve health and wellness in the region and make Phoenix one of the healthiest
cities in the nation.
• The Latino Institute, an alliance of individuals, government agencies, businesses, and community
organizations dedicated to ensuring the quality of life for all. Through a unique design that
includes various special events and community outreach, the Institute seeks to present lectures,
panels, workshops, and/or multimedia presentations that will actively engage participants of all
age groups and socioeconomic backgrounds in meaningful dialogue that contributes to the
heart and health of our community. NEAT supports these opportunities for SNAP eligible
participants at SNAP-Ed qualifying sites.
• City of Phoenix Parks and Recreation's Natural Resources Division: Phoenix is home to tens of
thousands of acres of untouched desert and is one of National Geographic's best hiking cities.
With five barrier-free trails and 10 mountain parks and preserves, there are many accessible
trails at various levels throughout the entire city. Park Rangers are available to work with the
NEAT program to provide information and activities in mountain park settings.
• The University of Arizona Pre-Med Program is a program in Verde Park dedicated to teach youth
about health, nutrition, medicine, and opportunities in the medical field. The NEAT program
supports these opportunities for SNAP-eligible participants at SNAP-Ed qualifying sites with
program materials and information. The Pre-Med program is housed in downtown Phoenix and
works with three recreation centers; Verde Park, University Park, and Hermoso Park Recreation
Centers. All of these sites participate in the NEAT program. Verde and University are part of the
Downtown Division - Verde and University are located in food deserts.

• Phoenix Children's Hospital (PCH): Teaching a child to make exercise a daily part of life will build
healthy habits that last a lifetime. The Kohl's Fit program at PCH makes exercise fun, encourages
healthy behaviors, and brings groups together to work toward an activity goal. Afterschool sites
track mileage of the SNAP-Ed eligible participant's walk or run, motivating them to stay active.
The PCH collaborates with the Kohl's Fit program to track walking and physical activity.
• St. Mary's Food Bank is a collaboration that provides food for demonstrations and snacks for
afterschool and summer programs. This program is provided to SNAP-Ed participants in
afterschool and summer park settings. The food bank also inspects the kitchen at La Pradera to
keep the NEAT kitchen in compliance with the County and State.
• Arizona Game and Fish's Fishing Program (Protein in Parks) is a fishing program provided by
Parks and Recreation that teaches basic fishing skills, how to prepare fish, and the importance of
protein in our diets. The NEAT program supports these opportunities for SNAP-eligible
participants at SNAP-Ed qualifying sites.
Subcontractor: Desert Mission Food Bank
Collaboration is the foundation of Desert Mission's service delivery to its community. Below is a list of
the partnerships Desert Mission (DM) will leverage to execute its proposed responsibilities.
• Lincoln Learning Center: The Lincoln Learning Center provides excellent child care and school
readiness programming to the surrounding community. Incorporating gardening into the
curriculum has created a need for a nutrition component as well. Collaborating with Lincoln
Learning Center to enhance the gardening program with nutritional education for both children
and parents ensures that children will be receiving the same messages about healthy food
choice at home and at school.
• Farmers' Markets: DM will partner with local farmers' markets that accept SNAP, and WIC
vouchers to help ensure local produce is available to the eligible population. There will be no
duplication of services, as the target markets that will be promoted to DM clients are within
close proximity to the DM site.
• Maricopa County Master Gardeners will collaborate directly with the Nutrition Outreach team
to develop relevant gardening demonstration activities and support the food bank community
garden projects. Their knowledge and experience will help ensure the success of our programs
and presentations specific to gardening in Arizona.
• Community agencies (Various)—DM has long-standing relationships with community agencies in
the Sunnyslope area, including the Sunnyslope Senior Center, John C. Lincoln North Mountain
Hospital Wellness Department, and Washington Elementary School District (Snack Pac program).
Desert Mission will continue its collaborative efforts within the community and expand its
efforts in the community with newer partnerships that include the Acacia Library, Head Start,
Sunnyslope Manor, Phoenix Paradise Valley Senior Center, and the Sunnyslope Youth Center. As
the emergency food provider in this service area, these partners look to Desert Mission to
provide emergency food assistance as well as nutrition education and information on food
security-related topics. Desert Mission has repeatedly been requested to participate in

community events in an effort to bring nutrition education to larger segments of this
community. This has allowed for outreach in the community extending beyond just food bank
clients. In an effort to avoid duplication of services, DM does not provide SNAP-Ed services in
the surrounding school districts, where other agencies have been designated to provide SNAP-
Ed services. The Washington School District and Head Start focus their nutrition education
efforts in the classroom with students, whereas Desert Mission will provide nutrition education
to parents.
• Collaboration among their Neighborhood Renewal programs.
Subcontractor: City of Tempe Kid Zone
The City of Tempe Kid Zone (KZ) program will coordinate with partners on several projects.
• The City of Tempe is one of only 12 cities, towns and counties in the state of Arizona that is
participating in the National League of Cities Let's Move! Cities, Towns and Counties (LMCTC)
initiative in partnership with the U.S. Department of Health and Human Services, and with the
support of the U.S. Department of Agriculture. The LMCTC program is dedicated to developing
long-term, sustainable and holistic PSE strategies to promote improved nutrition and increased
physical activity in their communities. Tempe KZ participates as part of the Let's Move! Council
to coordinate and implement the PSE strategies and incorporate SNAP-Ed approved direct
education in the KZ program to support the PSE initiatives.
• Tempe Community Action Agency offers classes for seniors and gardening classes for the
students at Escalante Community Garden.
• Tempe Community Council provides Parent/Child interactive classes on healthy eating for
parents and their children ages 2 1/i -5. They will be providing Family Resource Center staff,
snacks, class promotion, handling all registrations etc. KZ will provide qualified instructors.
• Tempe Kiwanis Tennis Center: Tempe KZ will collaborate with the Tempe Kiwanis Tennis Center
to provide nutrition education material to qualifying participants to support SNAP-Ed nutrition
and physical activity initiatives.
• Tempe Recreation Department sponsors Play Day in the Park each year and KZ has helped
expand activities and promote it in the community. Tempe KZ will continue to partner annually.
The Recreation Department plans to initiate a sponsorship of a second similar event for
community members with special needs that KZ will assist with as well.
• Tempe Human Services Department: KZ plans to work with staff to offer nutrition education
classes and support for special events for seniors in the community.
• Escalante Community Center: KZ offers their staff training each summer for those involved in
programs servicing school-age and teen youth. The KZ attends their "Back to School" event
each year and provides nutrition information. The KZ plans to work with their preschool staff
during the school year to offer training and curriculum in nutrition education and physical
activity.
• Tempe Elementary School District (TESD)

o TESD Nutrition Services Department: KZ serves as a community member on their
Coordinated School Health Committee. The plan for the upcoming year is for TESD to
develop a survey measurement tool for each school to use with nutrition, physical
activity and health standards listed. Their staff also attends KZ's nutrition instructor
meetings/trainings at least once a year to explain many of their activities and projects
like what the school district is doing to serve healthy foods (e.g. whole grains, lean
proteins, fruits and veggies etc., locally grown foods, foods that kids like and foods from
different cultures.)
o PE Department: For the last three years, KZ has attended their back to school training
and offered training and resource assistance on incorporating nutritional messages into
their physical activity lessons. KZ also supports school special events and activities
through mascot appearances, incentive items, and handouts.
o Individual schools in the district: KZ offers in-service trainings, technical assistance, and
guest lessons to teachers at their request as well as support for special events such as
harvest festivals, multi-cultural festivals, and Trunk or Treat.
o This past year TK worked with TESD Nutrition Services Department and the Arizona
Department of Education (ADE) Farm to School Coordinator by piloting a Farm to School
Healthy Harvest for Arizona Schools program through cafeteria taste test, surveying of
student and parents and education and marketing of local Arizona produce in KZ
programs. The TK will continue their partnership with ADE Farm to School Coordinator
and TESD Nutrition Services Director.
Curricula
Indicate all curricula to be utilized with the proposed project and whether the curricula will be purchased.
Provide a justification for the need and cost as necessary. Note: Full descriptions and details on each
curriculum can be found in the AzNN Obesity Prevention Resource Guide.
Name Cost Justification Y/N
Activity and Eating Click here to enter text. No
Building a Healthy Mel FREE Cost limited to copying and Yes
printing charges
CATCH Kids Club 5-8 MCDPH-ONPA and City of Phoenix will Yes
use CKC as an afterschool program
that contributes to the effectiveness
of positive changes in eating and
physical activity behaviors. The CKC
costs and would include grades 5 — 8
CKC boxes and manuals and cost of
printing.
CATCH Kids Clib K-5 MCDPH-ONPA and City of Phoenix will Yes
use CKC as an afterschool program
that contributes to the effectiveness

of positive changes in eating and
physical activity behaviors. The CKC
costs and would include grades K-5
CKC boxes and manuals and cost of
printing.
Color Me Healthy MCDPH-ONPA will purchase to use in Yes
early care settings to teach about
nutrition and physical activity. In
addition to the cost of curricula, there
will be printing and paper costs.
Cooking Matters for Chefs and Kids FREE Cost limited to copying and Yes
printing charges
Dig In! FREE Cost limited to copying and Yes
printing charges
Discover MyPlate FREE Cost limited to copying and Yes
printing charges
Eat Healthy, Be Active FREE Cost limited to copying and Yes
printing charges
Eat Play Grow FREE Cost limited to copying and Yes
printing charges
Eat Smart, Live Strong FREE Cost limited to copying and Yes
printing charges
Eat Together, Be Better FREE Cost limited to copying and Yes
printing charges
Eat Well Play Hard in Childcare Settings FREE Cost limited to copying and Yes
printing charges
Eating Smart, Being Active City of Tempe Kid Zone will purchase Yes
curricula to teach families with young
children about healthy lifestyle
choices. Additional paper and printing
costs.
Exercise Your Options FREE Cost limited to copying and Yes
printing charges
Fit Bits Fit Bits reinforces basic nutrition Yes
messages with thirty or more activities
in each book. Costs would include Fit
Bit Books grades K,1, 2, 3,4,5. Paper
and printing costs.
The Great Garden Detective FREE Cost limited to copying and Yes
printing charges
Grow It, Try It, Like Itl FREE Cost limited to copying and Yes
printing charges
Growing Healthy Habits Click here to enter text. No
Health Through Literacy Makes Reading Fun MCDPH-ONPA will purchase 1 book Yes
bag to review and assess for pilot
project.
Healthy Choices Healthy Me (1 5' Grade) Click here to enter text. No

Healthy Choices Healthy Me (2 hd Grade) Click here to enter text. No
Health Classrooms Healthy Schools Will support nutrition and physical Yes
activity education. Cost includes paper
and printing costs in addition to the
cost of the curricula.
Junior Master Gardener Will support the school garden Yes
initiatives outlined in the workplan.
Kid Quest City of Tempe Kid Zone will support Yes
nutrition and physical activity in
grades 5 and 6. In addition to the cost
of the curricula, there will be paper
and printing costs.
Media Smart Youth FREE Cost limited to copying and Yes
printing
Mylplate for My Family FREE Cost limited to copying and Yes
printing
Nutrition Pathfinders (4 th Grade) Click here to enter text. No
Nutrition Pathfinders (5 th Grade) Click here to enter text. No
Nutrition to Grow ON FREE Cost limited to copying and Yes
printing
Nutrition Voyage — The Quest to Be our FREE Cost limited to copying and Yes
Best printing
Serving Up MyPlate a Yummy Curriculum FREE Cost limited to copying and Yes
printing
Shaping Up My Choices Click here to enter text. No
Super Tracker FREE Cost limited to copying and Yes
printing
We Can! Energize Families FREE Cost limited to copying and ' Yes
printing

Maricopa County
Department of Public Health
Administrative Offices WeArePublicHealth.arg
4041 N Central Ave, #1400 • Phoenix, Arizona 85012 twitter. coin/Ma rice pahea ith
Phone: (602) 506-6900 • Fax: (602) 506-6885 fac,oboo 1<.com/MCDPH
July 9, 2015
Mr. Tracey Thomas
Senior Procurement Specialist
Office of Procurement
Arizona Division of Health Services
1740 West Adams Street, Room 303
Phoenix, AZ 85007-2670
Dear Mr. Thomas:
Thank you for the opportunity to submit revisions to our original application.
Below, we have outlined how we have addressed the comments listed in your letter dated June 25,
2015, as well as where further detail can be found in the revised submission documents. Please note,
when you review MCDPH-ONPA's revised documents, the work plan has highlights that notate where
significant revisions were made. The Narrative was significantly changed in three sections: the Audience,
the Project Descriptions and Educational Strategies (all focus areas except Direct Education), and the
Coordination of Efforts section.
Comment Category 1: Overall Approach and Program Design
Comment 1.1: MCDPH did not consistently provide frequency/number of contacts for each focus area.
For example, pages fourteen (14) through sixteen (16) of the Project Narrative, Active Living focus area
describes providing nutrition and physical education but does not explain frequency and number of
contacts to be served. MCDPH should review its project description for all focus areas.
Revision: MCDPH has reviewed and revised frequency and number of contacts for each focus area as
seen throughout the workplan and revised the Narrative Project Description section with the
requested information.
Comment 1.2: MCDPH did not identify key messages for each focus area as required in the RFGA. For
example, Active Living focus area does not address key messages.
Revision: Key messages for the overall program are listed in the Project Description section of the
narrative. Each focus area will address one or more of those key messages, as well as those central
to Arizona Nutrition Network campaigns as they are promoted.
Comment 1.3: MCDPH doesn't demonstrate a coordinated approach utilizing Policy, Systems, and
Environmental Change (PSE) strategies and direct education with its subcontractors because not all
service areas overlap between Maricopa County and its subcontractors; e.g., how does MCDPH Office of
Nutrition and Physical Activity (ONPA) High Impact Area efforts integrate with Mercy Housing, City of

Tempe, and Helping Families in Need when they are only direct education and their service areas are
outside of ONPA High Impact Area?
MCDPH should revise its Narrative to integrate its subcontractors to demonstrate a coordinated
approach utilizing PSE strategies and direct education especially with the aforementioned
subcontractors not in the High Impact Areas. If can't be integrated they must be removed.
Revision: MCDPH-ONPA has expanded its High Impact Area slightly to include parts of the City of
Tempe (refer to revised "District Maps" attachment for additional detail) and removed Mercy
Housing and Helping Families in Need as subcontractors.
The narrative and the workplan have been revised to demonstrate PSE efforts that will be
conducted by MCDPH-ONPA and each of its subcontractors, as well as how direct
education will support each of those efforts. Those revisions are featured in the
Audience, Description of Programs, and Coordination of Efforts sections of the narrative
and highlighted with a PSE icon (shown at right) on the workplan.
Comment 1.4: MCDPH doesn't demonstrate a balance between PSE strategies and direct education with
its subcontractors because not all service areas overlap between Maricopa County and its
subcontractors. ONPA is mainly PSE with adequate direct education and its subcontractors are mainly
direct education and with some all direct education; e.g., how does ONPA High Impact Area efforts
integrate with Mercy Housing, City of Tempe, and Helping Families in Need when they are only direct
education and their service areas are outside of ONPA High Impact Area? MCDPH should revise its
Narrative to integrate its subcontractors to demonstrate a coordinated approach utilizing PSE strategies
and direct education especially with the aforementioned subcontractors not in the High Impact Areas. If
can't be integrated they must be removed.
Revision: The High Impact Area has been expanded to include parts of the City of Tempe so that all
subcontractors fall within the High Impact Area. Justification for what has been added can be found
in the Audience and Coordination of Efforts section of the Narrative. Mercy Housing and Helping
Families in Need have been removed as subcontractors. The narrative and workplan have been
updated to detail how MCDPH-ONPA and each of its subcontractors provide coordinated PSE efforts
and direct education.
Comment 1.5: MCDPH describes a comprehensive approach in the Food and Activity environment
section however, there is disconnect between direct and PSE efforts with its subcontractors mentioned
in 1.3 and 1.4 does not demonstrate an understanding of the importance of a comprehensive approach
with direct education and PSE strategies.
Revision: The narrative and workplan provide additional detail on the PSE work that each
subcontractor will be doing, how it is supported by direct education, and how subcontractor work
will be coordinated with MCDPH to ensure a comprehensive approach. This information can be
found in the Project Description and Coordination of Efforts sections of the Narrative and
throughout the workplan.
Comment 1.5: MCDPH did not describe how PSE strategies will support direct education outside the
High Impact Area.
Revision: MCDPH has revised the High Impact Area to include parts of the City of Tempe, and has
removed subcontractors that are outside the new boundaries of the High Impact Area. The

workplan shows what PSE strategies and direct education will be provided in the High Impact Area,
how PSE and direct education will support each other, and how they promote reaching each stated
objective.
Comment 1.7: MCDPH did not describe an appropriate balance between direct and PSE strategies
outside of its High Impact Area. There are not enough PSE strategies to justify the direct education
component outside this area. Additionally, the missing info about frequency makes the balance hard to
determine balance.
Revision: All direct education and PSE strategies will be conducted within the High Impact Area.
Information about frequency has been revised in the Project Description of the Narrative.
Comment 1.8: MCDPH's Action step 1D, 1E, and 1F are not appropriate for the objective because they
don't support the objective.
Revision: The objective states that MCDPH will "increase the availability and promotion of healthful
foods!' Action steps 1D, 1E, and 1F have been revised and/or removed. Some sections have been
moved into other objectives of the workplan.
Comment 1.9: MCDPH's WP does not demonstrate a coordinated/comprehensive approach with direct
education and PSE strategies within communities of its subcontractors
Revision: MCDPH's workplan has been revised to more clearly integrate the subcontractors' work
into the objectives, rather than calling out their action steps separately.
Comment 1.10: Unallowable activities due to lack of balance between PSE and direct education: all
action steps of Mercy Housing, City of Tempe, and Helping Families in Need. Actions Steps 3F is
unallowable because it is medical nutrition therapy; MCDPH can't develop evaluation tools.
Revision: Mercy Housing and Helping Families in Need have been removed as subcontractors. City of
Tempe has added PSE work to action steps. Action step 3F has been removed entirely.
Comment 1.11: Action Step 4D supports the garden strategy not the farm to school strategy.
Revision: Action steps under 4D specifically tied to gardening (1, 2, 3, 4, 6, and 7) have been moved
to the garden strategy. Action steps 5, 8, 9, and 10 under 4D have been left under the farm to school
strategy and clarified to show how they support Farm to Preschool and how support will be
provided to use the produce from the garden in meals provided by the sites mentioned, such as
following sanitation procedures and receiving approval to use produce in the site's kitchen. The
revisions to the Farm to Preschool strategy can be seen on page 17 of the workplan, and the other
action steps that were moved to support the gardening strategy can be seen on page 9 of the
workplan.
Comment 1.12: MCDPH did not use appropriate qualifying site data
Revision: The site listing was updated using appropriate qualifying site data. Please see the revised
document, Attachment G: Site Listing.
Comment 1.12.1: Other Youth Education Sites cannot be qualified using NSLP data. Other qualifying data
(with an exception justification request if necessary) must be used. Lines 21,22,23,24)

Revision: Lines 21, 22, and 24 were removed from the site listing, and line 23 was updated with ACS
data tract information.
Comment 1.12.2: Head Start Site Types lines 79 Qualifying data must be "Head Start Participants" not
ACS data Participant Data is 100%. If any are school sites, they should be listed only as schools to qualify.
Revision: These sites were removed from the site listing.
Comment 1.12.3: Farmers Market sites lines 52-56 are inappropriately qualified as SNAP Participants
Revision: These sites were removed from the site listing.
Comment 1.12.4: Public Housing sites lines 58-68 are inappropriately qualified as SNAP participants
Revision: These sites were removed from the site listing.
Comment 1.12.5: Elderly Service Center line 80 inappropriately qualifying source used to qualify
Revision: This site was removed from the site listing.
Comment 1.12.6: Community Center sites lines 109-111 are inappropriately qualified as SNAP
Participants
Revision: These sites were removed from the site listing.
Comment Category 2: Coordination and Collaboration
Comment 2.1: MCDPH's described coordination does not ensure SNAP-Ed participants receive consistent
behavior-focused nutrition and/or physical activity messages because the MCDPH did not integrate
subcontractors in its collaboration.
Revision: The narrative and workplan have been revised to demonstrate how MCDPH and its
subcontractors will collaborate to ensure consistent messaging across the project.
Comment Category 3: Budget
Comment 3.1: MCDPH's personnel costs are not necessary.
Revision: Please see responses below that address each specific comment.
Comment 3.1.1: Tempe Kid Zone—site staff thirty (30) is not a reasonable or necessary cost.
Contribution is minimal and should be in-kind.
Revision: Tempe Kid Zone's staff budget has been revised to cover 6.52 full-time equivalents that
will provide a combination of PSE and direct education. Please see the Personnel Budget
Justification tab of Attachment F Budget-City of Tempe.
Comment 3.1.2: Mercy this is their SNAP Outreach budget which is unallowable.

Revision: Mercy Housing has been removed as a subcontractor.
Comment 3.1.3: Desert Mission—should expand PSE efforts.
Revision: Desert Mission's PSE efforts have been expanded to include work such as establishing
nutrition guidelines to increase the distribution of healthful food by 20% at Desert Mission Food
Bank and implement PSE strategies at the ECE center. Further detail can be found in the Food
Systems Project Description of the narrative and pages 11, and 18-20 of the workplan.
Comment 3.2: MCDPH's management/direct hour distribution is inconsistent.
Revision: Please see responses below for revisions based on specific comments.
Comment 3.2.1: Mercy—SNAP Ed position description is inconsistent.
Revision: Mercy Housing has been removed as a subcontractor.
Comment 3.2.2: City of Phoenix (COP) —The two year round rec leaders have the same position
descriptions but different management/direct distributions; must correct.
Revision: The distributions have been corrected. City of Phoenix's two Recreation Leaders will
perform office work which directly applies to programming and preparation, thus all SNAP-Ed hours
are distributed under Direct hours.
Comment 3.3: MCDPH did not complete all fields on the personnel budget justification.
Revision: See the response to the specific comment below.
Comment 3.3.1: Desert Mission — please confirm no fringe benefits.
Revision: Confirmed: Desert Mission will not assess fringe benefits.
Comment 3.4: MCDPH did not include a budget description for each budgeted line.
Revision: Please see the responses below to specific comments.
Comment 3.4.1: ONPA —no budget description for the indirect line item and no indirect cost allocation
plan attached.
Revision: ONPA has added an indirect line item in the Budget Description and attached the MCDPH
Indirect Cost Allocation plan.
Comment 3.5: MCDPH did not include detailed calculations.
Revision: Please see the responses below to specific comments.
Comment 3.5.1: ONPA- Building Space; indirect cost/line.
Revision: ONPA has added detailed calculations for Building Space and Indirect Cost in the Budget
Calculation column.

Comment 3.5.2: Desert Mission — provide detailed calculations for travel.
Revision: Detailed calculations for travel have been added for Desert Mission in the Budget
Calculation column. Please see Attachment F — Budget FINAL Desert Mission.
Comment 3.6: MCDPH's math is incorrect in budget lines:
Revision: Please see the responses below to specific comments.
Comment 3.6.1: Tempe — Supplemental attachments, math is incorrect for price per student. Budget for
SNAP-Ed storage unit is inconsistent between budget description and budget details columns.
Revision: The price per student has been corrected, as shown on Attachment F — Budget FINAL City
of Tempe Kid Zone Supplemental. SNAP-Ed storage unit is now consistent in Budget Description and
Budget Details columns.
Comment 3.6.2: Desert Mission — Did not calculate travel correctly.
Revision: Desert Mission's travel mileage has been corrected on Attachment F — Budget FINAL
Desert Mission,
Comment 3.7: MCDPH did not prorate correctly:
Revision: Please see responses to specific comments below.
Comment 3.7.1: ONPA— building space, cell phone, and Qualtrics license not prorated correctly
Revision: ONPA has revised the budget to prorate building space, cell phone, and Qualtrics license.
Comment 3.7.2: Helping Families in Need — mileage not calculated correctly; the following items need to
be prorated: continuing education, laptop, printer, cell phone and service, Internet card, and phone
insurance.
Revision: Helping Families in Need has been removed as a subcontractor.
Comment 3.7.3: City of Phoenix — need to prorate the chirpers and show justification.
Revision: The City of Phoenix's chirpers have been prorated. The cell phone and chirpers are used to
maintain contact between nutrition staff, sites that are visited, and each other. The chirpers are
similar to two-way radios, and NEAT staff chirpers do not have phone capabilities. The Recreation
Coordinator's cell phone is a chirper and a phone. As part of Phoenix Activity City (PAC), chirpers are
a necessary form of communication for NEAT staff members. It is a direct form of communication
between NEAT staff, afterschool sites, PAC Recreation Coordinators and their Direct Supervisor
(Recreation Coordinator III). All PAC coordinators and site leaders use chirpers as communication.
Comment 3.8: MCDPH budgeted unreasonable/unnecessary costs.
Revision: Please see the responses below to specific comments.

Comment 3.8.1: Tempe —Tucson travel will not apply because the meeting will be held in Phoenix.
Contracts line Entrance fees are not reasonable or necessary. Onsite presentations require justification,
Registered Dietitian not necessary because should use ONPA's Newspaper Ad for instruction. Non
Capital equipment and supplies: recommendation: KZ School Year Food demo and KZ Summer Site Food
remove; KZ Food demo supplies cut in half; Extra postage, Consumable supplies, cabinets needs to be
removed. Materials, staff shirts should be removed; books to support approved material remove all
except Grow it, Try it, Like it; My plate stickers removed; Posters should be cut in half.
Revision: City of Tempe —Travel: Tucson conference was removed. Contract: entrance fees, online
presentations, newspaper ad fees were removed. Non-Capital Equipment and Supplies: KZ School
Year food demo and KZ Summer Site food were removed; KZ Food demo supplies were cut in half;
Postage, Consumable supplies, cabinets were removed. Materials: staff shirts and all books to
support approved material except 'Grow It, Try It, Like It,' were removed; MyPlate stickers were
removed; Posters were cut in half.
Comment 3.8.2: City of Phoenix — Must provide justification for cell phone and chirper,
Revision: Please see response to comment 3.7,3.
Comment 3.8.3: Desert Mission —tablets not reasonable/necessary and must be removed
Revision: Tablets were removed from the Desert Mission Budget.
Comment 3.9: MCDPH budgeted unallowable costs:
Revision: Please see the responses below to specific comments.
Comment 3.9.1: ONPA — Education and Reinforcement items need to be removed; Park Signs with OR
Codes need to provide detail in Work Plan and Narrative
Revision: Education and reinforcement items were removed. Park signs with OR codes were added
to the workplan on page 21.
Comment 3.9.2: Tempe — subcontractor total budget is not allowed due to lack of PSE, if program
approach is redesigned to support then all unallowable and reasonable/necessary cost outlined in this
document must still be removed; education reinforcement items must be removed
Revision: Tempe Kid Zone provides PSE work, which has been described in the Project Description
section of the narrative and on pages 6-7, 9, 13-14, 32-33 and others in the workplan. Additionally,
education reinforcement items have been removed, as shown in Attachment F: Budget - Tempe.
Comment 3.9.3: Mercy — subcontractor total budget is not allowed due to lack of PSE, if program
approach is redesigned to support them all unallowable and reasonable/necessary costs outlined in this
document musts still be removed. Also all described activities are SNAP outreach.
Revision: Mercy Housing has been removed as a subcontractor.
Comment 3.9.4: HFIN — subcontractor total budget is not allowed due to lack of PSE, if program
approach is redesigned to support than all unallowable and reasonable/necessary cost outlined in this
document must still be removed

Revision: Helping Families in Need has been removed as a subcontractor.
Comment 3.9.5: COP — all items in material lines is unallowable
Revision: All items in material lines have been removed. Please see Attachment F: Budget —Tempe.
Comment 3.9.6: Desert Mission — roasting pan and raffle basket incentives and nutrition care packages
are not allowable and must be removed
Revision: The roasting pan and raffle basket incentives and nutrition care packages have been
removed from Desert Mission's budget.
Comment 3.10: MCDPH budget is not in line with the materials list.
Revision: Please see the response below to specific comments.
Comment 3.10.1: HFIN — must provide more detail
Revision: Helping Families in Need has been removed as a subcontractor.
Comment Category 4: MCDPH Capability
Comment 4.1: Mercy only describes SNAP outreach. Additionally, without PSE integration by MCDPH
City of Tempe, Mercy, and HFIN are all unallowable per SNAP-Ed guidelines
Revision: Mercy Housing has been removed as a subcontractor. City of Tempe's integration of PSE in
their proposed services, as detailed in the Project Description of the narrative and pages 6-7, 9, 13-
14, 32-33 and others in the workplan. Helping Families in Need has been removed as a
subcontractor.
Comment Category 5: Conformance to the Requirements of the RFGA
Comment 5.1: Several sites have incorrect ACS census tracts or inaccurate qualifying % but do still
qualify. Those sites will need to be approved.
Revision: Site lines 52-56 farmers' market sites have been corrected on the site document.
Comment 5.2: School sites lines 218-219 could not be qualified under NSLP 2013-2014 data provided.
Revision: These two sites are listed under the wrong code, which cannot be changed by MCDPH;
Tempe Elementary School District's Food Service Director has provided letters to confirm
qualification based on most recent free and reduced reports, which are uploaded. Please see
attachments Getz e-rate Letter.pdf and Fuller ADE application.pdf.
Comment 5.3: Sites lines 12 (duplicate with line 16), 91 and 96 could not be located using ACS data.
Other qualifying data (with an exception justification request if necessary) must be used
Revision: The site on line 12 remains and its duplicate on line 16 has been removed. Lines 91 and 96
were also removed.

Comment 5.4: MCDPH did not qualify all proposed sites. Lines do not qualify under the Low Income
Documentation and age group provided for the site type
Revision: All sites have been updated with appropriate qualifying data or have been removed. See
comments on individual bullet points.
Comment 5.5: Other Youth Education Sites cannot be qualified using NSLP data. Other qualifying data
(with an exception justification requests if necessary) must be used (Lines 21,22,23,24)
Revision: Lines 21, 22, and 24 have been removed. Line 23 has been updated with ACS data.
Comment 5.6: These sites do not qualify because appropriate qualifying data was not used:
Revision: Please see responses below to specific comments.
Comment 5.6.1: Farmers Market sites lines 52-56
Revision: These site lines have been corrected. Please see Attachment G: Site Listing.
Comment 5.6.2: Public Housing sites lines 58-68
Revision: These site lines have been corrected. Please see Attachment G: Site Listing.
Comment 5.6.3: Elderly Service Center line 80
Revision: This site has been removed. Please see Attachment G: Site Listing.
Comment 5.6.4: Community Center sites lines 109-111
Revision: These site lines have been corrected. Please see Attachment G: Site Listing.
Comment 5.7: Lines 76, 77, 78, 87, 99, 102, 103 do not qualify using accurate census tracts and age
groups. Many sites are qualified using specific ages groups (ex. lines 107 & 108) those are the only age
groups approved for those sites
Revision: These site lines have been corrected or removed as appropriate. Please see Attachment G:
Site Listing.
Comment 5.8: MCDPH did not complete all fields for each site Line 18 did not provide reach data.
Revision: This site has been removed. Please see Attachment G: Site Listing.
As you will see, our narrative and workplan connect the PSE strategies with direct education proposed
throughout the project and with each of our subcontractors. We are looking forward to the impact we
will have, both at the individual level and at the broader PSE level, on promoting nutrition and physical
activity education in our High Impact Area.
On behalf of MCDPH and ONPA, I hope that these revisions satisfy your concerns. If you have any
questions or would like any additional information, please contact me directly.

Thank you,
Julie Scholer
Program Supervisor
Office of Nutrition & Physical Activity

Arizona Nutrition Network
Budget Justification
Organization Name; Maricopa County Department of Public Health, Office of Nutrition and Physical Activity (MCDPH ONPA)
Budet Budget Description Budget Calculation Details Expenses Annual
Category
A. Personnel Costs/Salary $983,325
B, Fringe Benefits $380,005
Sub-Contractors: • CPPRD Total Personnel Expenditures = $160,485
• City of Phoenix Parks and Recreation Department (CPPRD) ; • CTKZEP Total Personnel Expenditures = $256,114
• City of Tempe Kids Zone Enrichment Program (CTKZEP); t DMFB Total Personnel Expenditures = $24,960
i Desert Mission Food Bank (DMFB); • Subcontractor Contracts = $700
• Translation Services is to provide collateral materials In SNAP-Ed • Subcontractor Non-Capital Equipment & Supplies= $48,601
C, Contracts, Grants, & participants native languages and use as effective tool in conveying • Subcontractor Materials= $18,428 $537,672
Agreements information about nutrition, physical activiy and use of SNAP-Ed benefits to • Subcontractor Travel In- State=$4,321
recipients. • Subcontractor Building Space415,960
• Subcontractor Maintenance-Facilities= $5,243
'Translation Services= $2,860
Total = $537,672
Office Supplies (paper, pens, notepads, folders, print cartridges, laminating • Office supplies $200/mo. x 12 months = $2,400
material, flash drives); Printing (copier, newsletters, county print shop- • Toner cartridges and transfer kits at $2,498 x 2 = $4,996
booklets, posters, tear pads); Continuing Education conferences and i Printing and reprographics at $1,200/ma, x 12 months = $14,400
trairfings registration of SNAP-Ed staff which relates to Nutrition Education • Nutrition-related Continuing Education (5 staff x 3 trainings at $100) -
and Physical Activity; for Software subscriptions and updates; Professional $1,500
organizations and institution memberships. • ESHA Food Processor Software License FeO $700
D . Non ca - pital • Adobe Creative Cloud Subscription $600 $33,236
Equipment/Supplies • Qualtrics with 10 SNAP-Ed users 1 license x 95,000 = $5,000
• Qualtrics °Mils apt:, Pilot program 5 tablets x $400 = $2,000
• AASBO Membership $140
• SNEB Membership $1,500
Total = $33,236
Compilation of materials to support strategies aligned with Live, Learn, • Early Care Education & Breastfeeding Team Materials - Color Me
Work and Play including: early care and education materials, school Healthy $80 x 5 kits= $400; Fit Bits $50 x 5 centers= $250; Kiddie Garden
toolkits, gardening tools and supplies, farmers' marketfrult and veggie Tools $18 x 75 sets= $1,350; Garden seeds $3,95 x 50 packets= $198;
promotion toolkits, worksite breastfeeding promotion toolkits; and Garden soil $8.99 x 80 bags= $719; Indoor and Outdoor Physical Activity
community design toolkits, Equipment with Infant Developmental Toys $9.99 x 50 sets= $500; Dr.
Diane Craft's Active Playbook $39 x 5 centers= $195; Children's Healthy
Food and Physical Activity Books $9,99 x 25 books= $250; Breastfeeding
promotional posters and signage $15 x 20 sets= $300; MyPlate bulletin
board kits, handouts, banners and posters= $2,0901 Family Dining sets
$93,75 x 5 centers4469 Total = $6,250
• Education Team Materials - Fit Bits $50 x 50 schools= $2,5001 Handouts
and MyPlate tablets $10 x 100 schools= $1,000; Health Through Literacy
Makes Learning Fun bookbags $150 x 20 schools- $3,000; Total $6,500 $21,930
E. Materials • Food Systems Materials - School Garden workshops $103.53 x 2
workshops= $2071 Jr. Master Gardener Teacher Guide $45 x 2 gardens=
$901 Jr. Master Gardener Student Handbooks $15 x 60 students= $900;
Garden materials starter plants $2.99 x 50= $150; Garden soil $8,99 x 20
bags= $180; Seeds $3,10 x 90 packets= $279; Promotion of Healthy
Corner Stare $54.99 x 1 sign= $55; Total $1,860
• Healthy Community Design Team Materials - Physical Activity Handouts
$10 x 200= $2,000; Physical Activity Display Health FdCo $320 x 1
display= $320; Park signs with QR codes $100 x 50= $5,000; Total $7,320
In-state travel required to implement SNAP-Ed programs. • Mileage at $0,575 per mile x 15,000 estimated miles
Ft Travel - In-State Total = $8,625 $8,625
F2. Travel - Out-of-State $0
$8,625
F3. --- Total
Leased office-cubicle space for SNAP-Ed staff and facility storage space • 844 sq. ft. at 4041 N. Central, Suite 700 x $1.357/sq.ft. x 12 months=
for SNAP-Ed materials. $13,745; $15,425
G. Building Space • 20 pallets at 2125 W. Fillmore St. Phoenix, x $7 x 12 months = $1.680;
Copy machine (cost-shared), SNAP-Ed related vehicle maintenance and • Copy machine $100 a month x 12 months total = $1,200
fuel and wireless service. Wireless service includes cellphones used by 3 • Tires, oil change, inspection, fuel for one van (used only for SNAP-Ed
SNAP-Ed staff that are primarily assigned in the field. Cellphones are purposes) total =i $600;
HI. Maintenance - Utilities utilized to be able to stay in contact with the SNAP-Ed team during work • Wireless service for 3 SNAP-Ed staff at $60 per month s 12 months total $3,960
hours and when performing 50% of the work away from the office- during = $2,160.
offsite meetings, sub-contractors site visits, conferences and other SNAP-
Ed related duties,
H2. Maintenance - Factilltlos $0
$3,960
F13. --- Total
I. Equipment & Other capital $0
MCDPH FYI 6 Indirect Rate 15.80% (Indirect Cost Allocation plan Direct Operating costs less Passthru- Sub-contractors x 15.8%, $229,000
J. Indirect Costs attached) ($1,984,178 - $534,812) = $1,449,366 x 15.80% = $229,000
TOTAL EXPENSES $2,213,178
''^(ou must ineinde a copy of your Indirent Cost Allocation Plan if you inceide indirect Goers in your tcdget
Arizona Nutrition Network 1 of 1 Budget Justification
FY16 Budget Template