GOVS OFFICE SWG AMENDMENT 4.PDF

Maricopa County — Formal (2015-07-22)

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AMENDMENT #4
for
WEATHERIZATION LOW-INCOME ASSISTANCE AGREEMENT
#SW-ESA-12-2182-O3
BETWEEN
THE STATE OF ARIZONA
GOVERNOR'S OFFICE OF ENERGY POLICY
and
MARICOPA COUNTY
WHEREAS, this contract was awarded under the authority of the Governor's Office of Energy Policy
(OEP) and the OEP functions have been transferred to the Arizona Department of Administration —
Office of Grants and Federal Resources (GFR), As a result, the contracts administered by OEP are
transferred to GFR.
WHEREAS, A.R.S. § 41-703(7) authorizes the Director of the Arizona Department of Administration
(ADOA) to execute and administer contracts.
NOW THEREFORE, pursuant to Section XXIII, AMENDMENT OR MODIFICATION, all references in
the Agreement to OEP are amended to refer to GFR, and the following sections of the above referenced
Weatherization Low-Income Assistance Agreement are hereby amended as follows:
Section II, TERM OF CONTRACT
This amendment provides a new contract award amount for a period of twelve months. The contract
renewal period shall be effective July 1,2015 through June 30, 2016.
Section IV, CONTRACT BUDGET
Pursuant to Terms and Conditions, "Contract Budget," of the above referenced contract, the GFR hereby
exercises its option to amend this contract to provide up to $126,603 as a reimbursement ceiling for
FY16, inclusive of administrative, health & safety, and program operation funds.
Section V. SCOPE OF WORK
D. REPORTS
5. Report Submittal Requirements
d. The following forms and all other forms developed by GFR must be submitted as
required.
1. Field Waiver
2. Client File Checklist
3. Calibration Verification Form
4. Client Evaluation Forms
5. Employee Certification Form
6. Field Guide Verification of Receipt
7. Health and Safety Waiver
8. Job Cost Submittal Form
9. T&TA Waiver
10. QCI Form

E. SUBMITTAL ADDRESS
All Payment Request Forms and Report Forms must be directed to:
Arizona Department of Administration, Office of Grants and Federal Resources
100 N. 15th Avenue, Suite 202
Phoenix, Arizona 85007
Section XIV, CLIENT FILE REQUIREMENTS
D. Rental Properties
All single family and multifamily rental properties must be weatherized under the terms of this
AGREEMENT. Prior written approval is required by GFR for all rental properties of five
(5) or more units. Written permission to perform itemized services must be obtained from
the owner of the rental unit or the owner's authorized agent. Said written permission is to be
retained along with such other agreements between the Contractor and the rental
owner/agent, as part of the job record and client job file.
Section XLVII, NOTICES
All notices, demands, and communications provided for herein or made hereunder shall be delivered, or
sent by certified mail, return receipt requested, addressed in each case as follows, until some other
address shall have been designated in a written notice to the other party hereto given in like manner:
If to CONTRACTOR: If to GFR:
Maricopa County ADOA — Office of Grants and Federal
Human Services Department Resources
Community Development Division 100 N. 151h Avenue, Suite 202
234 N. Central, 3rd Floor Phoenix, AZ 85007
Phoenix AZ 85004
Contractual/Financial Contact Contractual/Financial Contact
Amy Jacobson Evelyn Billings
Assistant Director Grants Administrator
PHONE 602-372-1528 PHONE 602-771-1141
FAX 602-372-2292 EMAIL evelvn.billinosazdoa.gov
EMAIL JacobsonA@mail.maricopa.qov
Proqram/Technical Contact Program/Technical Contact
Yvonne Russey-Seel GFR Assigned Auditor
Weatherization Program Coordinator
PHONE 602-506-4842
FAX 602-506-2613
EMAIL vseelamail.maricopa.qov
Each notice shall be deemed to have been given or made when so delivered or mailed. Notification of
change shall be delivered to the GFR and Contractor within ten (10) days of any change affecting this
provision.
Except as specifically stated herein, all other terms and conditions of this Weatherization Low-Income
Assistance Agreement remain unchanged.
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In Witness Whereof, the parties hereto agree to execute this Amendment.
MARICOPA COUNTY OFFICE OF GRANTS AND
FEDERAL RESOURCES
Board of Supervisors Date Matthew Hanson Date
Chairman Statewide Grants Administrator
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