NOA AMD 43 RE HEALTH CTR CLUSTERS WITH HRSA.PDF

1. DATE ISSUED: 2. PROGRAM CFDA: 93.224
07/07/2015
3. SUPERSEDES AWARD NOTICE dated: 05/20/2015
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT
6 H80CS00044­14­04 H80CS00044 NO.: NOTICE OF AWARD
H66CS00459 AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD: Public Health Service Act, Title III, Section 330
FROM: 11/01/2001 THROUGH: 12/31/2017 Public Health Service Act, Section 330, 42 U.S.C. 254b
Affordable Care Act, Section 10503
Public Health Service Act, Section 330, 42 U.S.C. 254, as amended.
Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b,
7. BUDGET PERIOD: as amended
FROM: 11/01/2014 THROUGH: 12/31/2015 Public Health Service Act, Section 330, 42 U.S.C. 254b, as
amended
8. TITLE OF PROJECT (OR PROGRAM): HEALTH CENTER CLUSTER
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL
MARICOPA COUNTY PUBLIC HLTH SERVS DEPT INVESTIGATOR)
220 S 12th Ave Corinne Velasquez
Phoenix, AZ 85007­3101 MARICOPA COUNTY PUBLIC HLTH SERVS DEPT
DUNS NUMBER: Division Line: Maricopa County Dept. Public Health, Health Care for
145454000 the Homeless
BHCMIS # 090750 220 S 12th Ave
Phoenix, AZ 85007­3101
11.APPROVED BUDGET: (Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[ ] Grant Funds Only a. Authorized Financial Assistance This Period $3,496,344.00
[X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget
Periods
a . Salaries and Wages : $1,534,328.00
i. Additional Authority $0.00
b .Fringe Benefits : $550,494.00
ii. Offset $0.00
c . Total Personnel Costs : $2,084,822.00
c. Unawarded Balance of Current Year's Funds $0.00
d . Consultant Costs: $0.00
d. Less Cumulative Prior Awards(s) This Budget $3,226,638.00
e . Equipment: $33,000.00 Period
f . Supplies: $102,764.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $269,706.00
g . Travel : $20,000.00 ACTION
13. RECOMMENDED FUTURE SUPPORT: (Subject to the
h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project)
i . Other: $539,137.00 YEAR TOTAL COSTS
j . Consortium/Contractual Costs : $608,035.00 15 $2,940,487.00
16 $2,940,487.00
k . Trainee Related Expenses : $0.00
l . Trainee Stipends: $0.00 14. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)
a. Amount of Direct Assistance $0.00
m . Trainee Tuition and Fees : $0.00
b. Less Unawarded Balance of Current Year's Funds $0.00
n . Trainee Travel : $0.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00
o . TOTAL DIRECT COSTS: $3,387,758.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
p . INDIRECT COSTS (Rate: % of S&W/TADC) : $408,586.00
q . TOTAL APPROVED BUDGET: $3,796,344.00
i. Less Non ­Federal Share: $300,000.00
ii. Federal Share: $3,496,344.00
15. PROGRAM INCOME SUBJECT TO 45 CFR 75.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES:
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [D ]
Estimated Program Income: $300,000.00
16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a. The grant program legislation cited above. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any, noted below under REMARKS. d. 45 CFR Part 75 as
applicable. In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant terms and conditions is acknowledged
by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ ]No)
Prior Approval Request Tracking Number PA ­00046079. Prior Approval Request Type: Carryover
Electronically signed by Sarah Hammond, Grants Management Officer on : 07/07/2015
17. OBJ. CLASS: 41.51 18. CRS­EIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $0.00
SUB SUB ACCOUNT
FY­CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. PROGRAM CODE
CODE
14 ­ 3980879 93.224 15H80CS00044 $269,706.00 $0.00 HCH HealthCareCenters_15
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 7/7/2015 7:28:34 AM
Award Number: 6 H80CS00044-14-04
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not
already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each
organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10 ­digit grant number from box
4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct
grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of
noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses,
updating email addresses and submitting certain deliverables electronically. Visit
https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system. Additional help is available online
and/or from the HRSA Call Center at 877 ­Go4­HRSA/877­464­4772.
Terms and Conditions
Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Term(s)
1. This Notice of Award authorizes the carryover of an unobligated balance in the amount of $269,706 from budget period 11/1/2013 to
10/31/2014 into the current budget period. These funds can only be used for the purposes stated in your Prior Approval request. Please be
advised that if the final resolution of the audit determines that the unobligated balance of Federal Funds requested for the carryover is
incorrect, HRSA is not obligated to make additional Federal Funds available to cover the shortfall.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Corinne Velasquez Program Director corinnevelasquez@mail.maricopa.gov
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Stephanie McCoy at:
MailStop Code: 16C ­26
HRSA/BPHC
5600 Fishers Ln
Rockville, MD, 20857­1750
Email: smccoy@hrsa.gov
Phone: (301) 443 ­1848
Fax: (301) 594 ­0161
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Clare Oscar at:
MailStop Code: 10SWH03
OFAM/DGMO/HCB
5600 Fishers Ln
Rockville, MD, 20852­1750
Email: coscar@hrsa.gov
Phone: (301) 443 ­8862
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C-86-02-073-2-42 ATTACHED TO AND A PART OF
Notice of Award, U. S. Department of Health and
Human Services,
Health Resources and Services Administration
Health Center Cluster
Notice of Award No. H8OCS00044-14-04
IN WITNESS WHEREOF, the parties agree to enter into this Contract and its
Amendments:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date