EARLY HEAD START AGREEMENT WITH CATHOLIC CHARITIES.PDF

CONTRACT
FOR SERVICES
BETWEEN
MARICOPA COUNTY
ADMINISTERED BY ITS
HUMAN SERVICES DEPARTMENT
AND
CATHOLIC CHARITIES COMMUNITY SERVICES
Agreement Amount: $352,310
Agreement Start Date: June 10, 2015
Agreement Termination Date: June 30, 2016
______________________________________________________________________________
This Agreement is entered into by and between Catholic Charities Community Services (hereinafter
referred to as the “Contractor”), and Maricopa County, administered by its Human Services Department,
(hereinafter referred to as the “County” or the “Department”). The Contractor and Department are
collectively referred to herein as the “Parties” and individually as “Party.” The Contractor, for and in
consideration of the covenants and conditions set forth in this Agreement, shall provide and perform the
services set forth herein. All rights and obligations of the Parties shall be governed by the terms of this
Agreement, its exhibits, attachments, and appendices, including any Subcontracts, Amendments, or
Change Orders as set forth herein and in:
Section I – General Provisions
Section II – Special Provisions
Section III – Work Statement
Section IV – Compensation
______________________________________________________________________________
Contractor Representative: Larry Campbell Phone: 623-486-9868 ext 55018
Email: lcampbell@cc-az.org
Address: 7400 W. Olive Avenue, Suite #10, Peoria, AZ 85345
County Representative: Bruce Liggett, Department Director Phone: 602-506-5911
Email: liggettb@mail.maricopa.gov
Address: 234 N. Central, Suite #3201, Phoenix, AZ 85004
Notice under this Agreement shall be given by personal delivery or by registered or certified mail,
postage prepaid and return receipt requested, to the persons at the addresses set forth above and shall be
effective three (3) days after being mailed unless otherwise indicated in the notice.
This Agreement contains all the terms and conditions agreed to by the Parties. No other understanding,
oral or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or to bind any
Party hereto. Nothing in this Agreement shall be construed as consent to any lawsuit or waiver of any
defense in a lawsuit brought against the State of Arizona, County, or the State or federal court.

IN WITNESS THEREOF, the Parties have signed this Agreement:
Approved By: Approved By:
CONTRACTOR MARICOPA COUNTY
_____________________________________
______________________________________
Chairman, Board of Supervisors
Authorized Signature
___________________
___________________
DATE
DATE
Attested to:
______________________________________
Clerk, Board of Supervisors
___________________
DATE
IN ACCORDANCE WITH A.R.S. §§ 11-201 AND 11-251 11-952 THIS AGREEMENT HAS BEEN
REVIEWED BY THE UNDERSIGNED DEPUTY COUNTY ATTORNEY WHO HAS DETERMINED
THAT THIS AGREEMENT IS PROPER IN FORM AND WITHIN THE POWER AND AUTHORITY
GRANTED UNDER THE LAWS OF THE STATE OF ARIZONA.
This Agreement has been reviewed by the undersigned
Ronald M. Stoll, who: (a) is an attorney licensed to
practice in Arizona; (b) is acting as the attorney for
the Contractor; and (c) has determined for the
benefit of the Contractor that this amendment is
within the power and authority of the Contractor
based solely on his review of the articles of
incorporation of the Contractor which were
available on the website of the Arizona Corporation
APPROVED AS TO FORM:
Commission on April 28, 2015 and copies of the
bylaws of the Contractor which the Contractor
______________________________________
provided to him. The undersigned has not made
Deputy County Attorney
any determination as to the validity or
enforceability of this Amendment by or against any
person or that this Agreement memorializes the
___________________
Agreements of the parties in regards to its subject
DATE
matter; and the undersigned's approval of the
Agreement's shall not be deemed approval of its
contents.
Approved as to Form:
Attorney for the Contractor Date

SECTION I
GENERAL PROVISIONS
Maricopa County
Human Services Department

Section I General Provisions Page 1
A. EFFECT
To the extent that the Special Provisions are in conflict with the General Provisions, the Special
Provisions shall control. To the extent that the Work Statement is in conflict with the General
Provisions or the Special Provisions, the Work Statement shall control. To the extent that the
Compensation Provisions are in conflict with the General Provisions, Special Provisions, or Work
Statement, the Compensation Provisions shall control. Nothing herein shall operate to increase the
operating Budget without a written amendment thereto.
B. DEFINITIONS
As used throughout this agreement, the following words and terms shall have the following
meanings:
1. Agreement means this Contract between Maricopa County, administered by its Human
Services Department, and the Contractor.
2. Assistant Director means the Director of a specific Division within the Human Services
Department.
3. Board of Supervisors means the Maricopa County Board of Supervisors.
4. Contract Administrator means the person administering this agreement on behalf of the
Department.
5. Contractor means the person, firm or organization listed on the cover page of this agreement.
6. Contract Specialist means the liaison between the Department and the Contractor. The
Contract Specialist is responsible for monitoring this agreement and providing technical
assistance to the Parties.
7. County means Maricopa County, a political subdivision of the State of Arizona.
8. Department means the Maricopa County Human Services Department.
9. Director means the Director of the Maricopa County Human Services Department.
10. Division means a section of the Human Services Department.
11. Fidelity Bond means a bond to indemnify the Contractor against losses resulting from fraud or
lack of integrity, honesty or fidelity of one or more employees, officers or other persons holding
a position of trust.
12. Juvenile means any person under the age of eighteen (18).
13. Payment Bond means a bond executed to ensure payment as required by law of all persons
performing work or providing materials in the execution of work provided under this
agreement.
14. Performance Bond means a bond executed to secure fulfillment of all of the Contractor's
obligations under this agreement.
15. Program Manager means the Assistant Director of a Division of Human Services.
16. Provider means the Contractor and any Subcontractor providing services under this agreement.
17. Public Agency has the meaning prescribed by A.R.S. § 11-951.
18. Subcontract means any contract entered into by the Contractor with a third party for
performance of any of the work or the provision of any of the services under this agreement.
19. Subcontractor means an entity employed by or funded through the Contractor to perform any
of the work or provide any of the services under this agreement.
20. Sub-recipient means the Contractor when the County is the recipient of grant funding.
21. Work Statement means Section III of this agreement which describes the services to be
delivered under this agreement.
C. GENERAL REQUIREMENTS
1. The terms of this agreement shall be construed in accordance with Arizona law. Any lawsuit
arising out of this agreement shall be brought in the appropriate court in Maricopa County,
Arizona.

Section I General Provisions Page 2
2. Contractor shall, without limitation, obtain and maintain all licenses, permits and authority
necessary to do business, render services and perform work under this agreement, and shall
comply with all laws regarding unemployment insurance, disability insurance, and workers’
compensation.
3. Contractor is an independent contractor in the performance of all work and the provision of all
services under this agreement and Contractor shall not be considered an officer, employee,
representative, or agent of the County.
4. Contractor shall not make any payments, either directly or indirectly, to any person, partnership,
corporation, trust or other organization that has a substantial interest in Contractor's
organization or with which Contractor (or any of its directors, officers, owners, trust certificate
holders or a relative thereof) has a substantial interest, unless Contractor has made full written
disclosure of the proposed payments to the Department and has received written approval
therefore.
5. For purposes of this provision, the terms "substantial interest" and "relative" shall have the
meanings prescribed by A.R.S. § 38-502.
D. AMENDMENTS
All amendments to this agreement shall be in writing and signed by authorized signers for both
Parties.
E. ASSIGNMENT AND SUBCONTRACTING
No right, liability, obligation or duty under this agreement may be assigned, delegated or
subcontracted, in whole or in part, by Contractor without the prior written approval of the Contract
Administrator. Contractor shall bear all liability under this agreement, even if it is assigned,
delegated, or subcontracted, in whole or in part, unless the Department agrees otherwise.
F. AVAILABILITY OF FUNDS
1. The provisions of this agreement relating to the payment for services shall become effective
when funds assigned for the purpose of compensating the Contractor, as provided herein, are
actually available to the Department for disbursement. The Director shall be the sole authority
in determining the availability of funds under this agreement and the Department shall keep
the Contractor fully informed as to the availability of funds.
2. If any action is taken by any State agency, federal department or any other agency or
instrumentality to suspend, decrease or terminate its fiscal obligation under, or in connection
with this agreement, the Board of Supervisors may amend, suspend, decrease or terminate its
obligations under or in connection with this agreement. In the event of termination, the County
shall be liable for payment only for services rendered prior to the effective date of the
termination, provided that such services performed are in accordance with the provisions of
this agreement. The Department shall give written notice of the effective date of any
suspension, amendment, or termination under this section at least ten (10) calendar days in
advance.
G. BUDGET ADJUSTMENTS
Any requests for reasonable budget adjustments shall be submitted ninety (90) days prior to the
expiration date of this agreement. Requests for financial adjustments to this agreement shall be
supported by appropriate documentation. If the County agrees to the budget adjustments, the
County shall follow section D of this agreement to amend this agreement.
H. DISPUTES
1. Except as may otherwise be provided for in this agreement, any dispute arising out of this
agreement that is not resolved between the Parties within a reasonable period of time, which

Section I General Provisions Page 3
shall not exceed one hundred twenty (120) days, shall be submitted in accordance with the
following dispute resolution process.
2. Notice of the specific grounds of a dispute shall be in writing and filed with the Contract
Administrator, if one has been appointed, or, if not, with the County Procurement Officer
within ten (10) working days from the date Contractor knew or should have known of the basis
of the dispute. The Contract Administrator or County Procurement Officer, as applicable, shall
respond in writing to Contractor within fourteen (14) working days. The decision of the
Contract Administrator or County Procurement Officer shall be final and conclusive unless,
within seven (7) working days from the date Contractor is served with the decision, Contractor
files a written notice of appeal with the County’s Chief Procurement Officer, who shall provide
Contractor with a written response within fourteen (14) working days following receipt of
Contractor’s notice of appeal. The decision of the County’s Chief Procurement Officer shall be
final and not appealable.
3. Pending a final decision of the County’s Chief Procurement Officer, the Contractor shall
proceed diligently with its performance of this agreement in accordance with the Contract
Administrator or County Procurement Officer’s decision.
I. INFLUENCE
As prescribed in MC1-1202 of the Maricopa County Procurement Code, any effort to influence
an employee or agent to breach the Maricopa County Ethical Code of Conduct or any ethical
conduct may be grounds for Disbarment or Suspension under MC1-902.
An attempt to influence includes, but is not limited to:
A Person offering or providing a gratuity, gift, tip, present, donation, money, entertainment or
educational passes or tickets, or any type valuable contribution or subsidy,
That is offered or given with the intent to influence a decision, obtain a contract, garner favorable
treatment, or gain favorable consideration of any kind.
If a Person attempts to influence any employee or agent of Maricopa County, the Chief
Procurement Officer, or his designee, reserves the right to seek any remedy provided by the
Maricopa County Procurement Code, any remedy in equity or in the law, or any remedy provided
by this contract.
J. DEFAULT
This agreement may be immediately terminated by the County if Contractor fails to perform any
objective or breaches any obligation under this agreement, or any event occurs that jeopardizes
Contractor’s ability to perform any of its obligations under this agreement. The County reserves the
right to have services provided by persons other than Contractor if Contractor is unable or fails to
provide required services with the specified time frame.
K. TERM:
This agreement is effective June 6, 2015 through June 30, 2016. The agreement may be renewed
upon agreement of the parties for (3) additional one year terms thru June 30, 2019.
L. TERMINATION
1. This agreement is subject to cancellation by the County in accordance with the provisions of
A.R.S. § 38-511.
2. Either Party may terminate this agreement at any time by giving the other Party at least sixty
(60) calendar days prior notice in writing (unless terminated by the Board of Supervisors under
the Availability of Funds provision). The notice shall be given by personal delivery or by

Section I General Provisions Page 4
registered or certified mail, postage prepaid and return receipt requested, to the persons at the
addresses set forth on the cover page of this agreement.
3. This agreement may be terminated by mutual written agreement of the Parties specifying the
termination date therein.
4. The County has the right to terminate this agreement upon twenty-four (24) hour notice when
the County determines that the health or welfare of the service recipients are endangered or the
Contractor’s non-compliance jeopardizes funding source financial participation. If not
terminated by one of the above methods, this agreement shall terminate upon the expiration of
the term of this agreement stated on the cover page of this agreement.
M. SEVERABILITY
Any provision of this agreement that is determined to be invalid, void or illegal by a court shall in
no way affect, impair or invalidate any other provision hereof, and the remaining provisions shall
remain in full force and effect.
N. STRICT COMPLIANCE
The Department’s acceptance of Contractor’s performance that is not in strict compliance with the
terms of this agreement shall not be deemed to waive the requirements of strict compliance for all
future performance. All changes in performance obligations under this agreement shall be in writing
and signed by both Parties.
O. NON-LIABILITY
The County, its officers, representatives, agents and employees shall not be liable for any act or
omission by Contractor, or any Subcontractor or any officer, representative, agent, or employee of
the Contractor or any Subcontractor that relates to this agreement, and shall not be liable for any
purchases or contracts made by Contractor, any Subcontractor, or any officer, representative, agent,
or employee of Contractor or any Subcontractor, in connection with this agreement.
P. RECIPROCAL INDEMNIFICATION
Each Party (as “Indemnitor”) agrees to indemnify, defend, and hold harmless the other Party (as
“Indemnitee”) from and against all claims, losses, liability, costs, or expenses (including reasonable
attorneys’ fees, expert witnesses’ fees and other litigation costs) (hereinafter collectively referred to
as “Claims”) arising out of bodily injury (including death) of any person or property damage, but
only to the extent that such claims, which result in vicarious liability to the Indemnitee, are caused
by the act, omission, negligence, misconduct, or other fault of the Indemnitor, its officers, officials,
agents, employees, or volunteers.
Q. TECHNICAL ASSISTANCE
The Department shall provide reasonable technical assistance to Contractor to assist Contractor in
complying with state and federal laws, regulations, and accountability for diligent performance and
compliance with the terms of this agreement and all applicable laws, regulations and standards.
However, this assistance shall not relieve Contractor of full liability, responsibility and
accountability for its actions and performance to comply with the terms of this agreement.
R. SINGLE AUDIT ACT REQUIREMENTS
Contractors in receipt of federal funds through the Department are subject to the federal audit
requirements of the Single Audit Act of 1984, as amended (Pub. L. No. 98-502) (codified at 31
U.S.C. §§ 7501, et seq.). Contractor shall comply with OMB Circular A-133. Upon completion,
such audits shall be made available for public inspection. Audits shall be submitted within the
twelve (12) months following the close of the fiscal year. Contractor shall take corrective actions

Section I General Provisions Page 5
within six (6) months of the date of receipt of the reports. The Department shall consider sanctions
as described in OMB Circular A-133 if Contractor does not comply with the audit requirements.
S. AUDIT DISALLOWANCES
1. Contractor shall, upon written notice thereof, reimburse the County for any payments made
under this agreement that are disallowed by a federal, state, or county audit in the amount of the
disallowance, as well as all court costs and attorney’s fees the County spends to pursue legal
action relating to a disallowance. Court costs and attorney’s fees incurred shall be specifically
identified as applicable to the recovery of the disallowed costs in question.
2. If the County determines that a cost for which payment has been made is a disallowed cost, the
Department shall notify the Contractor in writing of the disallowance and the required course of
action, which shall be at the option of the Department to either adjust any future claim
submitted by Contractor by the amount of the disallowance or to require immediate repayment
of the disallowed amount by the Contractor issuing a check payable to the County.
T. STAFF AND VOLUNTEER TRAINING
The Department may make available to Contractor the opportunity to participate in any applicable
training activities conducted by the Department.
U. CLEAN AIR ACT
If the total face value of this agreement exceeds $100,000, Contractor shall comply with all
regulations, standards and orders issued pursuant to the Clean Air Act of 1970, as amended (42
U.S.C. §§ 7401, et seq.), to the extent any are applicable by reason of performance under this
agreement.
V. LOBBYING
1. No federal appropriated funds have been paid or will be paid by or on behalf of Contractor to
any person for influencing or attempting to influence an officer or employee of any agency, a
member of Congress, an officer or employee of Congress, or an employee of a member of
Congress in connection with the awarding of any federal contract, the making of any federal
grant, the making of any federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any federal contract, grant,
loan, or cooperative agreement.
2. If any funds, other than federal appropriated funds, have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a member of
Congress, an officer or employee of Congress, or an employee of a member of Congress in
connection with any federal contract, grant, loan or cooperative agreement, the Contractor shall
complete and submit OMB Form-LLL, titled "Disclosure of Lobbying Activities," in
accordance with its instructions and 31 U.S.C. § 1352.
W. RELIGIOUS ACTIVITIES
Contractor warrants that none of its costs and none of the costs incurred by any of its Subcontractors
will include any expense for any religious activity.
X. POLITICAL ACTIVITY PROHIBITED
None of the funds, materials, property or services contributed by the County or Contractor under
this agreement shall be used for any partisan political activity, or to further the election or defeat of
any candidate for public office.
Y. COVENANT AGAINST CONTINGENT FEES

Section I General Provisions Page 6
Contractor warrants that no person or entity has been employed or retained by it to solicit or secure
this agreement upon an agreement or understanding for a commission, percentage, brokerage or
contingent fee. For breach or violation of this warranty, the County may immediately terminate this
agreement without liability.
Z. SAFEGUARDING OF PARTICIPANT INFORMATION
The use or disclosure by Contractor of any information concerning an applicant for, or recipient of,
services under this agreement is directly limited to the conduct of this agreement. Contractor and its
agents shall safeguard the confidentiality of this information, just as Contractor would safeguard its
own confidential information. Contractor shall include a clause to this effect in all Subcontracts
related to this agreement.
The Contractor shall comply with the requirements of the Arizona Address Confidentiality
Program, A.R.S. § 41-161 et.seq.
AA. RIGHTS IN DATA
The Parties shall have the use of data and reports resulting from this agreement without cost or other
restriction, except as otherwise provided by law or applicable regulation. Each Party shall supply to
the other Party, upon request, any available information that is relevant to this agreement and to the
performance hereunder.
BB. COPYRIGHTS
If this agreement results in a book or other written material, the author is free to copyright the work,
but the County reserves a royalty-free, nonexclusive, perpetual and irrevocable license to reproduce,
publish, and otherwise use and to authorize others to use, all copyrighted material and all material
that may be copyrighted as a result of this agreement.
CC. PATENTS
Any discovery or invention arising out of, or developed in the course of, work under this agreement
shall be promptly and fully reported to the Department for determination as to whether patent
protection on such invention or discovery shall be sought and how the rights in the invention or
discovery, including rights under any patent issued thereon, shall be disposed of and administered,
in order to protect the public interest.
DD. AGREEMENT COMPLIANCE MONITORING
The Department shall monitor Contractor's compliance with, and performance under, the terms of
this agreement. On-site visits for compliance monitoring may be made by the Department and/or its
grantor agencies at any time during Contractor's normal business hours, announced or
unannounced. During an on-site visit, Contractor shall make all of its records and accounts related
to work performed and services provided under this agreement available to the Department for
inspection and copying.
EE. CONTINGENCY RELATING TO OTHER CONTRACTS AND GRANTS
1. Contractor shall, during the term of this agreement, immediately inform the Contract
Administrator in writing of the award of any other agreement or grant, including any other
agreement or grant awarded by the County, where the award may affect either the direct or
indirect costs being paid or reimbursed under this agreement. Contractor’s failure to notify the
Department of any such agreement shall be a breach of this agreement and the County may
immediately terminate this agreement without liability.
2. The Contract Administrator may request, and Contractor shall provide within a reasonable time,
which shall not exceed ten (10) working days, a copy of all such other agreements or grants,

Section I General Provisions Page 7
when, in the opinion of the Contract Administrator, the award of the agreement or grant may
affect the costs being paid or reimbursed under this agreement.
3. If the Contract Administrator determines that the award to Contractor of such other agreement
or grant has affected the costs being paid or reimbursed under this agreement, the Contract
Administrator shall prepare an amendment to this agreement effecting a cost adjustment. If the
Contractor disputes the proposed cost adjustment, the dispute shall be resolved pursuant to the
"Disputes" section of this agreement.
FF. MINIMUM WAGE REQUIREMENTS
Contractor warrants that it shall pay all its employees who are performing work or providing
services under this agreement not less than the minimum wage specified under Section 206(a)(1) of
the Fair Labor Standards Act of 1938, as amended (29 U.S.C. §§ 201, et seq.).
GG. RECOGNITION OF DEPARTMENT SUPPORT
Contractor shall give recognition to the Department, the County, and the funding source for their
support when the Contractor publishes materials or releases public information that is paid for in
whole or in part with funds received by Contractor under this agreement.
HH. INSURANCE
Contractor, shall purchase and maintain the herein stipulated minimum insurance from a
company or companies duly licensed by the State of Arizona and possessing a current A.M. Best,
Inc. rating of B++6. In lieu of State of Arizona licensing, the stipulated insurance may be
purchased from a company or companies who are authorized to do business in the State of
Arizona, provided that said insurance companies meet the approval of County. The form of any
insurance policies and forms must be acceptable to County. Contractor may be reimbursed by the
County for insuring Early Head Start classrooms only.
All insurance required herein shall be maintained in full force and effect until all work or service
required to be performed under the terms of the Contract is satisfactorily completed and formally
accepted. Failure to do so may, at the sole discretion of County, constitute a material breach of
this Contract.
Contractor’s insurance shall be primary insurance as respects County, and any insurance or self-
insurance maintained by County shall not contribute to it.
Any failure to comply with the claim reporting provisions of the insurance policies or any breach
of an insurance policy warranty shall not affect coverage afforded under the insurance policies to
protect County.
The insurance policies may provide coverage that contains deductibles or self-insured retentions.
Such deductible and/or self-insured retentions shall not be applicable with respect to the coverage
provided to County under such policies. Contractor shall be solely responsible for the deductible
and/or self-insured retention and County, at its option, may require Contractor to secure payment
of such deductibles or self-insured retentions by a surety bond or an irrevocable and
unconditional letter of credit.
County reserves the right to request and to receive, within 10 working days, certified copies of
any or all of the herein required insurance certificates. County shall not be obligated to review
policies and/or endorsements or to advise Contractor of any deficiencies in such policies and
endorsements, and such receipt shall not relieve Contractor from, or be deemed a waiver of
County’s right to insist on strict fulfillment of Contractor’s obligations under this Contract.

Section I General Provisions Page 8
The insurance policies required by this Contract, except Workers’ Compensation, shall name
County, its agents, representatives, officers, directors, officials and employees as Additional
Insured’s.
The policies required hereunder, except Workers’ Compensation, shall contain a waiver of
transfer of rights of recovery (subrogation) against County, its agents, representatives, officers,
directors, officials and employees for any claims arising out of Contractor’s work or service.
The Contractor's policies shall stipulate that the insurance afforded the Contractor 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).
Coverage provided by the Contractor shall not be limited to the liability assumed under the
indemnification provisions of this Contract.
Commercial General Liability:
Commercial General Liability insurance and, if necessary, Commercial Umbrella insurance with
a limit of not less than $1,000,000 for each occurrence, $1,000,000 Products/Completed
Operations Aggregate, and $2,000,000 General Aggregate Limit. The policy shall include
coverage for premises liability, bodily injury, broad form property damage, personal injury,
products and completed operations and blanket contractual coverage, and shall not contain any
provisions which would serve to limit third party action over claims. There shall be no
endorsement or modifications of the CGL limiting the scope of coverage for liability arising from
explosion, collapse, or underground property damage.
Workers’ Compensation:
Workers’ Compensation insurance to cover obligations imposed by federal and state statutes
having jurisdiction of Contractor’s employees engaged in the performance of the work or services
under this Contract; and Employer’s Liability insurance of not less than $1,000,000 for each
accident, $1,000,000 disease for each employee, and $1,000,000 disease policy limit.
Contractor waives all rights against County and its agents, officers, directors and employees for
recovery of damages to the extent these damages are covered by the Workers’ Compensation and
Employer’s Liability or commercial umbrella liability insurance obtained by Contractor pursuant
to this Contract.
Sexual Molestation And Physical Abuse:
When services involve working with these groups of individuals, the insurance requirements in
the contract need to be revised to include coverage for "sexual molestation and physical abuse".
Coverage for this type of claim, or allegation, is excluded from standard general liability policies.
Therefore, contractors whose services include working with and/or caring for children/elderly and
disabled persons should have their policies specifically endorsed to include this coverage.
Commercial General Liability – Occurrence Form:
Policy shall include bodily injury, property damage and broad form contractual liability coverage.
The policy shall be endorsed to include coverage for physical/sexual abuse and molestation.
The policy shall be endorsed to include the following additional insured language: "(Maricopa
County), its subsidiary, parent, associated and/or affiliated entities, successors, or assigns, its

Section I General Provisions Page 9
elected officials, trustees, employees, agents, and volunteers shall be named as additional insureds
with respect to liability arising out of the activities performed by, or on behalf of the Contractor".
Minimum Limits:
General Aggregate $2,000,000
Products/Completed Operations Aggregate $1,000,000
Each Occurrence Limit $1,000,000
Sexual Abuse/Molestation $1,000,000
Certificates of Insurance:
Upon Contract execution, Contractor shall furnish the County with valid and complete certificates
of insurance, or formal endorsements as required by the Contract, issued by Contractor’s
insurer(s), as evidence that policies providing the required coverage, conditions and limits
required by this Contract are in full force and effect. Such certificates shall identify this contract
number and title.
In the event any insurance policy (ies) required by this contract is (are) written on a “claims
made” basis, coverage shall extend for two years past completion and acceptance of Contractor’s
work or services and as evidenced by annual Certificates of Insurance.
If a policy does expire during the life of the Contract, a renewal certificate must be sent to County
fifteen (15) days prior to the expiration date.
Cancellation and Expiration Notice:
Insurance required herein shall not be permitted to expire, be canceled, or materially changed
without thirty (30) days prior written notice to the County.
II. GRIEVANCE PROCEDURE
Contractor shall establish a system through which applicants for and recipients of services may
present grievances and may take appeals about eligibility and other aspects of Contractor's work
under this agreement. The grievance procedure shall include provisions for notifying the applicants
for and recipients of services of their eligibility or ineligibility for service and their right to appeal to
the Department if the grievance is not satisfied by Contractor.
JJ. NONDISCRIMINATION
Contractor, in connection with any service or other activity under this agreement, shall not in any
way discriminate against any person on the grounds of race, color, religion, sex, national origin,
age, disability, political affiliation, or belief. Contractor shall include this clause in all of its
Subcontracts related to this agreement.
KK. EQUAL EMPLOYMENT OPPORTUNITY
Contractor shall not discriminate against any employee or applicant for employment because of
race, age, disability, color, religion, sex or national origin. Contractor shall take affirmative action to
ensure that applicants are employed and that employees are treated during employment without
regard to their race, age, disability, color, religion, sex or national origin. Such action shall include,
but is not limited to, the following: employment, upgrading, demotion or transfer, recruitment or
recruitment advertising, lay-off or termination, rates of pay or other forms of compensation, and
selection for training, including apprenticeship. Contractor shall, to the extent such provisions
apply, comply with Title VI and VII of the Civil Rights Act of 1964, as amended (42 U.S.C. §§
2000a, et seq.); the Rehabilitation Act of 1973, as amended (29 U.S.C. §§ 701, et seq.); the Age
Discrimination in Employment Act of 1967, as amended (29 U.S.C. §§ 621, et seq.); the Americans

Section I General Provisions Page 10
With Disabilities Act of 1990 (42 U.S.C. §§ 12101, et seq.); and Arizona Executive Order 2009-09,
which mandates that all persons shall have equal access to employment opportunities.
LL. FINANCIAL MANAGEMENT
Contractor shall establish and maintain a separate, interest-bearing bank account for money
provided under this agreement, or shall establish an accounting system that assures the safeguarding
and accountability of all money and assets provided under this agreement. No part of the money
deposited in the bank account shall be commingled with other funds or money belonging to
Contractor. All interest earned on the account shall be disbursed in a manner specified by the
County in accordance with applicable State and federal regulations. Contractor shall provide a
signed bank account agreement authorizing the County to obtain information about the account. If
an accounting system is used, it shall be in accordance with generally accepted accounting
principles.
MM. RETENTION OF RECORDS
1. This provision applies to all financial and programmatic records, supporting documents,
statistical records and other records of Contractor that relate to this agreement.
2. Contractor shall retain all records related to this agreement for six (6) years after final payment
or until after the resolution of any audit questions, which could be more than six (6) years,
whichever is longer. The Department, federal and state auditors, and any other persons duly
authorized by the Department shall have full access to and the right to examine, copy and make
use of any and all of the records.
NN. ADEQUACY OF RECORDS
If Contractor’s books, records and other documents related to this agreement are not sufficient to
support and document that allowable services were provided to eligible participants, Contractor
shall reimburse the County for the services not supported and documented.
OO. COMPETITIVE BID REQUIREMENTS
1. Equipment
If this agreement is with other than a Public Agency, Contractor shall obtain all equipment to be
utilized under this Agreement and purchased with funds provided under this Agreement at the
lowest practical cost pursuant to the following competitive bidding system:
a. Procurements in excess of $300, but less than $1,000, require oral price quotations from
two (2) or more vendors. Contractor shall keep and maintain a record of the vendors’ verbal
quotations. Contractor’s award shall be made to the lowest bidder meeting specification
requirements concerning price, conformity to specifications, and other purchasing factors.
b. Procurements exceeding an aggregate amount of $1,000 shall be approved by the Contract
Administrator. At least three (3) bidders shall be solicited to submit written quotations.
Contractor shall solicit written quotations by issuing a Request for Quotation to at least
three (3) vendors. The award shall be made to the lowest bidder meeting specification
requirements concerning price, conformity to specifications, and other purchasing factors.
2. Supplies
If this Agreement is with other than a Public Agency, Contractor shall obtain all supplies to be
utilized under this Agreement and purchased with funds provided under this Agreement at the
lowest practical cost and pursuant to a system of written quotes whenever the price is expected
to be greater than $300, unless the Contractor obtains the Contract Administrator’s prior written
approval to purchase supplies by an alternate method.
3. Minority, Women and Small Business Enterprises

Section I General Provisions Page 11
Contractor shall take affirmative steps to provide an opportunity for minorities, women, and
small businesses to compete in the procurement of equipment and supplies under this
Agreement.
4. If Contractor is a Public Agency, Contractor's own bidding procedures shall govern.
5. Funding source requirements relating to competitive bid procedures may supersede any or all
subparts of this clause and will be specified in the Special Provisions Section of this
Agreement.
PP. PROPERTY
Any property furnished or purchased pursuant to the terms of this Agreement shall be utilized,
maintained, repaired, and accounted for in accordance with instructions furnished by the
Department, and title to all such property shall revert to the County upon the expiration or
termination of this Agreement, unless the Contract Administrator determines otherwise. The costs
to repair such property are the responsibility of Contractor within the limits budgeted herein. Repair
costs beyond the budgeted amount shall be approved by the Contract Administrator.
QQ. IMMIGRATION REFORM AND CONTROL COMPLIANCE
Contractor understands and acknowledges that the Immigration Reform and Control Act of 1986
(Pub. L. No.99-603) (“IRCA”) applies to this Agreement. Contractor shall comply with the IRCA
in performing under this Agreement and shall grant the County access to inspect its personnel
records to verify such compliance.
RR. DRUG FREE WORKPLACE ACT
Contractor shall comply with the Drug-Free Workplace Act of 1988 (41 U.S.C. §§ 701, et seq.),
which requires that Contractors and grantees of federal funds must certify that they will provide
drug-free workplaces. This certification is a precondition to receiving a grant or entering into this
Agreement.
SS. GOVERNOR’S EXECUTIVE ORDER NO. 88-26
Contractor shall use the Arizona Taxonomy of Human Services for reporting and contracting
purposes.
TT. EMPLOYMENT DISCLAIMER
This Agreement is not intended to constitute, create, give rise to, or otherwise recognize a joint
venture agreement, partnership, or other business association or organization of any kind between
the Parties, and the rights and obligations of the Parties shall be only those expressly set forth in this
Agreement.
The Parties agree that no individual performing under this Agreement on behalf of Contractor may
be considered a County agent, employee, or representative and that no rights of County civil
service, County retirement, or County personnel rules shall accrue to or apply to any such
individual. Contractor shall have total responsibility for all salaries, wages, bonuses, retirement,
withholdings, workers’ compensation, occupational disease compensation, unemployment
compensation, other employee benefits, and all taxes and premiums appurtenant thereto concerning
such individuals and Contractor shall indemnify, defend and hold harmless the County with respect
thereto.
UU. CERTIFICATION REGARDING DEBARMENT, SUSPENSION INELIGIBILITY AND
VOLUNTARY EXCLUSION

Section I General Provisions Page 12
The undersigned, by signing this Agreement, represents that he/she has the authority to bind
Contractor to the terms of this Certification. Contractor, as the primary participant in accordance
with 45 C.F.R. Part 76, certifies to the best of its knowledge and belief that it and its principals:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any federal department or agency;
2. Have not within a 3-year period preceding the Start Date of this Agreement, been convicted of
or had a civil judgment rendered against them for (1) the commission of fraud or a criminal
offense in connection with obtaining, attempting to obtain, or performing a public (federal,
State, or local) transaction or contract under a public transaction; (2) the violation of any federal
or State antitrust statutes or (3) the commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, or receiving stolen property;
3. Are not presently indicted or otherwise criminally or civilly charged by a governmental entity
(federal, State, or local) with the commission of any of the offenses enumerated in
subparagraph 2 above;
4. Have not, within a three-year period preceding this Start Date of this Agreement, had one or
more public transactions (federal, State, or local) terminated for cause or default;
5. Shall immediately notify the Department if, at any time during the term of this Agreement, it is
debarred, suspended, declared ineligible, or voluntarily excluded from participation. The
Department may pursue available remedies in the event of such occurrence, including
immediate termination of this Agreement without liability; and
6. Shall not enter into a subcontract or sub-recipient agreement with any person or organization
that is debarred, suspended, declared ineligible, or voluntarily excluded from participation. The
Department may pursue available remedies in the event of such occurrence, including
immediate termination of this Agreement without liability.
Contractor shall include, without modification, the language of this Certification, in all agreements
with all sub-recipients and other subcontractors; in all lower tier covered transactions, and in all
solicitations for lower tier covered transactions in accordance with 45 C.F.R. Part 76.
If Contractor is not able to provide this Certification, an explanation as to why shall be immediately
provided to the Department Representative at the address set forth on the Cover Page of this
Agreement.
VV. VERIFICATION REGARDING COMPLIANCE WITH ARIZONA REVISED STATUTES
§ 23-214 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS
By entering into this Agreement, Contractor represents and warrants that it is in compliance with
the Immigration and Nationality Act (8 U.S.C. §§ 1101, et seq.) and all other federal and State
immigration laws and regulations related to the immigration status of its employees. Contractor
shall obtain statements from its Subcontractors certifying such compliance and shall furnish the
statements to the Department upon request. These representations and warranties shall remain in
effect throughout the term of this Agreement. Contractor and its Subcontractors shall also maintain
Employment Eligibility Verification forms (I-9), as required by the U.S. Department of Labor’s
Immigration Reform and Control Act of 1986 (Pub. L. No. 99-603), for all employees performing
work under this Agreement. I-9 forms are available for download at USCIS.GOV. Contractor
agrees to verify employee compliance using the E-verify system and shall keep a record of the
verification for the duration of the employee’s employment or at least three years, whichever is
longer.
Contractor warrants that it is in compliance with A.R.S. § 41-4401 (e-verify requirements) and
further represents:

Section I General Provisions Page 13
1. That Contractor and its Subcontractors, if any, warrant their compliance with all federal
immigration laws and regulations that relate to their employees and their compliance with
A.R.S. § 23-214;
2. That breach of the warranty under subparagraph 1 above shall be deemed a material breach of
this Agreement and the County may immediately terminate this Agreement without liability;
and
3. That the County and any contracting government entity retains the legal right to inspect the
papers and employment records of any Contractor or Subcontractor employee who works under
this Agreement to ensure that the Contractor and its Subcontractor are complying with the
warranty provided under subsection 1 above, and that Contractor agrees to make all papers and
employment records of said employee(s) available to the County during normal working hours
in order to facilitate such an inspection.
WW. CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO
INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS
1. The Parties agree that this Contract and employees working on this Contract will be subject to
the whistleblower rights and remedies in the pilot program on Contractor employee
whistleblower protections established at 41 U.S.C. § 4712 by section 828 of the National
Defense Authorization Act for Fiscal Year 2013 (Pub. L. 112–239) and section 3.908 of the
Federal Acquisition Regulation;
2. Contractor shall inform its employees in writing, in the predominant language of the
workforce, of employee whistleblower rights and protections under 41 U.S.C. § 4712, as
described in section 3.908 of the Federal Acquisition Regulation. Documentation of such
employee notification must be kept on file by Contractor and copies provided to County upon
request; and
3. Contractor shall insert the substance of this clause, including this paragraph (3), in all
subcontracts over the simplified acquisition threshold ($150,000 as of September 2013).

SECTION II
SPECIAL PROVISIONS
Maricopa County
Human Services Department

Section II Special Provisions Page 1
A. STANDARDS
The Contractor shall perform the work and provide the services identified in the Work Statement
and shall immediately notify the Contract Administrator whenever the Contractor is unable to, or
anticipates an inability to, perform any of the work; or provide any of the services required by the
terms of this Agreement.
B. CHANGES
1. The Director may, at any time, by a written Change Order, make changes within the general
scope of this Agreement in any one or more of the following areas:
a. Work Statement activities reflecting changes in a funding source or the Department’s
regulations, policies, or requirements.
b. Reallocation of budget line item amounts in accordance with funding sources or the
Department’s regulations, policies, and requirements, or whenever any budget line item
increases or decreases by ten percent (10%) or one hundred dollars ($100), whichever is
greater, during the term of this Agreement. Change Orders may be issued quarterly.
c. Administrative requirements, such as reporting format quality and/or quantity, as required
by the funding source or the Department’s regulations, policies, or requirements.
2. Change Orders shall not increase or decrease the Operating Budget total (Agreement
Amount) without written approval of the Parties. Change Orders shall substantively change
the services to be rendered by the Contractor without the prior written agreement of the
Parties.
3. Any dispute or disagreement arising out of a Change Order shall constitute a “dispute” under
the Dispute Clause of the General Provisions of this Agreement and shall be administered
accordingly.
C. COMPLIANCE WITH LAWS, RULES & REGULATIONS
The Contractor shall comply with all applicable federal, State, and local laws, rules, and
regulations, including, without limitation, those referred to in this Agreement.
H. AGREEMENT RENEWAL
This Agreement may be extended by a written amendment for a term agreed upon by both parties.
I. CRIMINAL BACKGROUND CHECKS
1. Personnel who are employed by Contractor, whether paid or not, shall have a Level One
Arizona Department of Public Safety Fingerprint Clearance Card as a condition of employment.
Personnel, whether paid or not, may begin work without this Fingerprint Clearance Card
provided a statewide criminal background check was completed and showed no convictions of
any criminal offense listed in A.R.S. § 41-1758.07(B), and an application for a Fingerprint
Clearance Card has been submitted to the Arizona Department of Public Safety. Volunteers are
defined for the purposes of this section as unpaid personnel.
2. Contractor shall assume the costs of Fingerprint Clearance Cards and may charge these costs to
its personnel. The Department may allow all or part of the costs of Fingerprint Clearance Cards
to be included as an allowable cost under this Agreement.
3. Personnel who are employed by the Contractor, whether paid or not, and who are required or
allowed to provide services directly to juveniles shall complete and sign the Criminal History
Affidavit Form (CCL Form 285) provided by the Arizona Department of Health
Services/Office of Child Care Licensing stating whether:
a. They are awaiting trial on or have ever been convicted of any criminal offense listed in
A.R.S. § 41-1758.07(B), in Arizona or any similar offense in another state or
jurisdiction prior to the performance of any job duties by the Contractor that require or
allow the employee to provide services directly to juveniles.

Section II Special Provisions Page 2
b. They have not been denied or had revoked a certificate to operate a child care group
home or a license to operate a child care facility in Arizona or any other state.
c. They have not been denied or had revoked a certification to work in a child care facility
or child care group home.
4. This Agreement may be cancelled or terminated if the Fingerprint Clearance Card is denied or
revoked or the affidavit provided by any person, who is employed by the Contractor, whether
paid or not, and who is required or allowed to provide services directly to juveniles, discloses
that a person has committed any criminal offense listed in A.R.S. §41-1758.07 (B), or has not
received an interim approval from the Board of Fingerprinting pursuant to A.R.S § 41-619.55
(I).
5. Contractor may avoid cancellation or termination of this Agreement, if the person whose
Fingerprint Clearance Card is denied or revoked or affidavit shows that he or she has been
convicted of or is awaiting trial on any offense listed in A.R.S. § 13-705(B) by immediately
prohibiting that person from employment or service in any capacity requiring or allowing
contact with juveniles.
6. Parents, including foster parents and guardians, who are not employees of the Contractor and
who participate in the activities with their children under the supervision of and in the presence
Contractor’s personnel, are exempt from the requirements of this section.
J. CONTRACTOR CHANGES
The Contractor is required to notify the Department Director, in writing, within fifteen (15)
calendar days, of any changes in the following:
 Agency staff funded with this contract
 Agency authorized signatory
 Agency address, phone, fax or email addresses
 Person to whom Agreement notices should be sent
 any variation of insurance requirements as indicated in this Agreement
K. COMPUTER SOFTWARE POLICY
The contractor shall comply with Federal copyright laws applicable to software licenses. In
addition, all policies and agreements between the Department and the Contractor related to contract
equipment, software, internet accessible database system, and access shall be implemented and
monitored. Contractor will be required to submit an inventory of all county provided hardware and
software to the Head Start Assistant Director.
L. DATA COLLECTION AND MANAGEMENT
Eligibility determination and documentation shall be completed for all applicants/clients and
appropriate household members receiving services through this contract. The Contractor is
responsible for adhering to data entry requirements and for the timely, accurate data entry of
information.
M. REPORTING REQUIREMENTS
Unless otherwise provided in this contract, reporting shall adhere to the following schedule: no
later than the 10th working day following each month during the contract term, the Contractor
shall submit programmatic and financial reports to the Department in the form set forth in this
Agreement. Failure to submit accurate and complete reports by the 10th working day following
the end of a month may result, at the option of the Department, in retention of payment. Failure to
provide such report within 45 calendar days following the end of a month may result, at the
option of the Department, in a forfeiture of such payment.

Section II Special Provisions Page 3
Contractor shall submit to the Department all final program and fiscal reports no later than the
designated date, to be determined by the Department, following the termination of this contract.
Failure to submit final program and fiscal reports within the designated time period may result, at
the option of the Department, in forfeiture of final payment.
N. PERSONNEL
The Contractor's personnel working under this Agreement shall be qualified to carry out all duties
and requirements set forth in this Agreement. Contractor shall ensure services are provided as
reflected in Section III Work Statement as set forth in this Agreement.
O. UNALLOWABLE COSTS
The cost principles set forth in the Code of Federal Regulations, 48 CFR, Chapter 1, Subchapter
e, Part 31, (October 1, 1991), including later amendments and editions on file with the Arizona
Secretary of State and incorporated by this reference, shall be used to determine the allow ability
of incurred costs for the purpose of reimbursing costs under contract provisions that provide for
the reimbursement of costs. Those costs which are specifically defined as unallowable therein
will not be submitted for reimbursement by the Contractor and may not be reimbursed with
Department funds. In addition, the Contractor shall comply with the following publications
(including subsequent revisions), as applicable:
1. OMB Circular A-122 (now relocated to 2 CFR, Part 230) for private non-profit organizations
other than institutions of higher education, hospitals or others specified in A-122.
2. OMB Circular A-133 for audits of institutions of higher education and other non-profit
institutions.
P. SAFEGUARDING OF PARTICIPANT INFORMATION
The use or disclosure by Contractor of any information concerning an applicant for, or recipient of,
services under this Agreement is directly limited to the conduct of this Agreement. Contractor and
its agents shall safeguard the confidentiality of this information, just as Contractor would safeguard
its own confidential information. Contractor shall include a clause to this effect in all Subcontracts
related to this Agreement.
The Contractor shall comply with the requirements of the Arizona Address Confidentiality
Program, A.R.S. § 41-161 et. seq.
Q. FORCE MAJEURE:
Neither party shall be liable for failure of performance, nor incur any liability to the other party on
account of any loss or damage resulting from any delay or failure to perform all or any part of this
Contract if such delay or failure is caused by events, occurrences, or causes beyond the reasonable
control and without negligence of the parties. Such events, occurrences, or causes will include Acts
of God/Nature (including fire, flood, earthquake, storm, hurricane or other natural disaster), war,
invasion, act of foreign enemies, hostilities (whether war is declared or not), civil war, riots,
rebellion, revolution, insurrection, military or usurped power or confiscation, terrorist activities,
nationalization, government sanction, lockout, blockage, embargo, labor dispute, strike, interruption
or failure of electricity or telecommunication service.
1. Each party, as applicable, shall give the other party notice of its inability to perform and
particulars in reasonable detail of the cause of the inability. Each party must use best efforts to
remedy the situation and remove, as soon as practicable, the cause of its inability to perform or
comply.
2. The party asserting Force Majeure as a cause for non-performance shall have the burden of
proving that reasonable steps were taken to minimize delay or damages caused by foreseeable
events, that all non-excused obligations were substantially fulfilled, and that the other party was

Section II Special Provisions Page 4
timely notified of the likelihood or actual occurrence which would justify such an assertion, so
that other prudent precautions could be contemplated.
3. The County shall reserve the right to terminate this Contract and/or any applicable order or
contract release purchase order upon non-performance by Contractor. The County shall reserve
the right to extend the Contract and time for performance at its discretion.
R. RELATIONSHIPS:
Notwithstanding any other terms of the this agreement, in the performance of the services
described herein, the Contractor shall act solely as an independent contractor, and nothing herein
or implied herein shall at any time be construed as to create the relationship of employer and
employee, co-employee, partnership, principal and agent, or joint venture between the County
and the Contractor.

SECTION III
WORK STATEMENT
Maricopa County
Human Services Department

Section III Work Statement Page 3
A. PURPOSE
The purpose of this Agreement is to establish the terms and conditions governing the services for
the improvement of early child care and education for children from birth to age three in regulated
center-based child care programs. Contractor shall work with contracted Center-Based Child Care
Providers in Western Maricopa County to improve service delivery to children whose families are
experiencing poverty; homelessness; involvement with child welfare; children with disabilities;
and parents who are engaged in employment training funded by the Workforce Investment Act.
Contractor shall assist child care centers in enrolling eligible program participants in the Early
Head Start program. Contractor will work collectively with child care centers in conducting
outreach, completing enrollment documentation and submitting program activity reports.
The Contractor shall perform the work and provide the services identified in the Work Statement
and shall immediately notify the Contract Administrator whenever the Contractor is unable to, or
anticipates an inability to, perform any of the work or provide any of the services required by the
terms of this Agreement.
B. CONTRACTOR RESPONSIBILITIES
Contractor shall provide oversight of education and child development services. Contractor shall
provide training to child care caregivers, directors, and other contractors to meet the individual
needs of children, ensuring comprehensive services are provided and assure linkages between
caregivers and Early Head Start staff members.
Oversight shall ensure continuity of care and relational learning that supports children and their
families and fosters school readiness.
Contractor shall be responsible for:
 Outreach to community partners
 Enroll program participants
 Complete program enrollment documentation
 Review participants Immunization records and health records and ensure all are up to date
before placement in a Child Care Center
 On site monitoring of classrooms
 Completion of reports
Contractor shall support families by:
 Working with parents to overcome barriers
 Assisting to identify strengths, priorities, and resources
 Assisting with setting goals to improve family well-being
 Providing social service and medical referrals as needed
 Works with the child’s parents, health provider, caregivers to complete an Individualized
Health Plan (IHP) for the child with health needs following the guidance of the children’s
primary care physician.
 Providing referrals to General Education Development(GED), English as a Second
Language (ESL) and Job Training programs
 Providing referrals to Parenting classes
 Ensuring children retain services regardless of subsidy status
 Conducting home visits for each enrolled child
 Engaging parents in program decision making through involvement as members of Parent
Committees
 Maintaining relationships with community programs and agencies to support the
provision of comprehensive services in the defined communities
 Connecting parents with services to improve or maintain good health

Section III Work Statement Page 4
 Contractor shall provide training to Child Care Centers staff on the following:
 Provide professional development, coaching, and supervision for all teachers with
emphasis on continuity of care and relational learning that supports children and their
families and fosters school readiness;
 Head Start Performance Standards and Licensing requirements
 Compliance with all applicable regulations, including state and/or local child care licensing
 Training on providing services to children with disabilities
 Nutrition related training
 Hygiene and safety standards
 Monitoring of and adherence of supervision strategies including regular head counts of
children and posting of the number of children present each day
Contractor shall ensure Child Care Centers:
 Provide comprehensive services, including health, mental health, oral health, nutrition,
and education to program participants and families
 Meet facilities and environmental Head Start Program Performance Standards, including
requirements for square footage, health and safety, and appropriate crib and sleep spacing
and arrangements
 Support the inclusion and delivery of services to children with disabilities;
 Responsible for on-site monitoring, ensure creation improvement plans when instances of
non-compliance or concerns arise through monitoring.
 Available to participate in the Special Education transition process
C. COMPLIANCE WITH APPROVED PROGRAM
1. All activities authorized by this Agreement shall be performed in accordance with the
Contractor’s approved Early Head Start Grant Plan Application; grant conditions; the Head
Start Act, Head Start Performance Standards and Head Start Program Memoranda; other
applicable Federal regulations, Child and Adult Care Food Program; Arizona Childcare
Licensing requirements; and other relevant government/city ordinances and relevant HHS
directives.
If a non-compliance or misappropriation on the part of the Contractor or the Contractor’s
representative(s) or employee(s) result in the Department having to reimburse HHS, then the
Contractor is obligated and agrees to reimburse the Department for the loss of funds and any
reasonable legal expenses incurred by the Department due to the non-compliance or
misappropriation.
2. Contractor shall make available, upon request, to Department or HHS, any or all records,
files, staff, classrooms, and or other information as required to conduct monitoring activities
to ensure compliance with program requirements and to complete program reports.
3. Areas of non-compliance identified during the course of monitoring shall be discussed with
Contractor staff and reported in writing to the Contractor’s Head Start Director, Executive
Director, Policy Committee Chairperson and Chairperson of the Board of Directors within 60
days after completion of monitoring. This written notice shall identify the time period for
correcting said areas of non-compliance. With respect to each area of non-compliance,
Contractor shall be required to:
a. Correct the non-compliance immediately if Department determined the non-
compliance threatens the health or safety of program participants or staff or poses a
threat to the integrity of Federal funds;
b. Correct the non-compliance not later than 90 days after the identification of the non-
compliance if the Department finds, in the discretion of the Department, that such a 90-
day period is reasonable, in light of the nature and magnitude of the non-compliance;
or,
c. In the discretion of the Department, taking into consideration the seriousness of the
non-compliance and the time reasonably required to correct the non-compliance,

Section III Work Statement Page 5
Contractor may be required to develop and implement a Quality Improvement Plan
that is approved by the Department as outlined in Item 4 below.
d. Submit a letter signed by the Chairperson of the Board of Directors certifying that
each area of non-compliance is corrected at the end of the time period specified for
correction.
4. If Department determines Contractor to be in Deficiency status, Contractor shall be required
to develop a Quality Improvement Plan and submit this for approval by Department. Within
30 days after receiving Contractor’s Quality Improvement Plan, Department shall either
approve the plan or specify the reasons why the plan cannot be approved. Department shall
provide training and technical assistance to Contractor with respect to the development or
implementation of a quality improvement plan, upon request of the Contractor and as feasible
and appropriate given available funding.
a. Contractor shall eliminate each deficiency not later than the date for elimination of
such deficiency specified in the Quality Improvement Plan, which may not be later
than one year after the date Contractor received notice of deficiency.
b. In accordance with the Head Start Act, Department shall conduct monthly monitoring
of Contractor until such time as all deficiencies are corrected.

SECTION IV
COMPENSATION
Maricopa County
Human Services

Section IV Compensation Page 1
A. COMPENSATION
Funding for this Agreement is through Federal Funding Awards from the Department of Human Services
Head Start (HS), Early Head Start (EHS) grants, which provide funds through the Catalog of Federal
Domestic Assistance (CFDA) number 93.600.
Payments may only be made after the Contractor submits a monthly invoice and back-up documentation to
substantiate the Contractor’s expenditures.
B. OPERATING BUDGET DEFINITIONS
1. Accrual means obligations that are incurred for goods or services that have been received or performed,
but for which a cash outlay has not yet been recorded.
2. Allowable Costs means costs commonly incurred by a grant recipient and meet cost principles prescribed
in of 45 C.F.R. Part 74.27.
3. Cost Allocation Plan means the documentation identifying, accumulating, and allocating or developing
billing rates based on the allowable costs of services provided by unit on a centralized basis to its
departments and agencies. The costs of these services may be allocated or billed to users.
4. Contractual means costs of all contracts including: (1) procurement contracts (except those that belong in
other categories, such as equipment, supplies, etc.) and (2) contracts with organizations for the provision
of training or technical assistance, if not funded through supplemental training and technical assistance
funds.
5. ERE means the Employee Related expenses (including fringe benefits) of those persons who are salaried
program staff members, in whole or in part, in support of this Agreement.
6. Equipment means tangible, non-expendable personal property, which are reasonably necessary to
accomplish the Work Statement, that have an acquisition cost of five thousand dollars ($5,000) or more
per unit and have a useful life of more than one (1) year; and includes lease of office equipment or other
equipment designated for use in the Work Statement. Prior approval from the Contract Administrator is
required to purchase or lease equipment as defined in this paragraph, or to expend more than what was
previously approved. Prior approval from the Region IX HHS Office is also required to purchase or lease
equipment costing more than twenty-five thousand dollars ($25,000), or to expend more than what was
previously approved on equipment costing more than twenty-five thousand dollars ($25,000).
7. Incidental Alterations and Renovations means improvements to facilities that do not meet the definition
of major renovation.
8. Indirect Costs mean those costs of a Head Start agency, as approved by the agency that has authority to
set Contractor’s indirect cost rate, that are not readily identifiable with a particular project or program but
nevertheless are necessary to the general operation of the agency and the conduct of its activities.
9. Major Renovation means a structural change to the foundation, roof, floor, exterior, or load-bearing
walls of a facility, or extension of an existing facility to increase its floor area. Major renovation also
means extensive alteration of an existing facility, such as to significantly change its function or
purpose, even if such renovation does not include any structural change to the facility. Major
renovation also includes a renovation of any kind that has a cost exceeding the lesser of two hundred
thousand dollars ($200,000), adjusted annually to reflect the percentage change in the Consumer Price
Index for All Urban Consumers (issued by the Bureau of Labor Statistics) beginning one (1) year after
June 2, 2003, or twenty-five percent (25%) of the approved total annual direct costs.
10. Maintenance and Repair means necessary maintenance, repair, or upkeep of buildings and equipment
that neither adds to the permanent value of the property nor appreciably prolongs its intended life, but
keeps it in an efficient operating condition. Costs incurred for improvements that add to the permanent
value of the buildings and equipment or appreciably prolong their intended life shall be treated as
capital expenditures.
11. Non-Federal Share means, for the purpose of this Agreement, a twenty-five percent (25%) match against
the federally funded portion of the amount that must be provided by Contractor. Non-federal share shall
be provided through non-federal funds or through donated in-kind goods and services. All non-federal
shares shall meet the requirements of Head Start and other federal regulations governing matching funds
and in-kind contributions.
12. Other means all other direct grant costs not included in the other categories.

Section IV Compensation Page 2
13. Personnel means all staff members, in whole or in part, who are directly involved in the delivery of
services under this Agreement.
14. Supplies mean office, classroom, kitchen, and maintenance supplies, such as pencils, paper, forms, and
postage.
15. Training means training and technical assistance and is restricted to the cost of training program staff and
parents. Allowable costs include personal service contracts with outside consultants or organizations,
travel and per diem expenses associated with assembling program staff in one or more locations for the
purpose of instruction, and acquisition of training equipment such as audio/visual equipment and
demonstration devices.
16. Travel means the cost of program-related out-of-county travel for the delivery of Work Statement
services. No foreign travel is permitted without approval of the Agreement Administrator and the Region
IX HHS Office.
17. Unliquidated Obligations means obligations for goods or services that have not been received or
performed and for which no cash outlay has been made.
C. BUDGET
1. As consideration for performance of the duties described herein, County shall reimburse the Contractor
not-to-exceed the amount of $352,310 for the following:
a. $282,000 Staff
1 Child Care Coach;
2 Family Support Specialists; and
1 Infant/Toddler Specialist
b. $46,000 Start-up costs as follows:
2 Vehicles at $23,000 per vehicle
c. $2,000 Supplies
d. $14,990 Technology:
Computers, Lap Tops and Printers, Cell Phones
e. $2,320 Office Furniture
f. $5,000 Training and Technical Assistance
2. Payment shall be made upon the County’s receipt of a properly completed invoice (See Exhibit 1).
D. COMPENSATION
1. Funding under this Agreement, or any modifications or amendments to this Agreement, is subject to
availability and shall be the amount allocated by the United States Department of Health and Human
Services as specified in the Maricopa County Head Start Grant Plan and Federal Funding Award.
Department shall issue a Maricopa County Human Services Department Financial Assistance Award to
Contractor once funding becomes available.
2. Subject to the availability of funds, the Department shall reimburse the Contractor for all allowable costs
associated with the performance of work and the provisions of services under this Agreement. Total
reimbursement for this Agreement shall be limited to the amount approved by the Department as listed on
the Maricopa County Human Services Department Financial Assistance Award.
3. Reimbursement for indirect costs will not be made until such time as the Contractor has submitted, and
the Department has approved, a cost allocation plan or the Contractor has submitted, and the Department
has accepted, a negotiated indirect cost rate granted by a cognizant Federal agency.
4. The Assistant Director, Maricopa County Human Services Department, Education Division shall be sole
determiner of the amount of funds available to Catholic Charities Community Services, Inc. consistent
with the approved Agreement.
5. The Contractor will submit a detailed cost allocation plan with the annual budget. The cost allocation
plan shall include a provision of services of all funding sources according to 45 CFR Part 74 and other
authoritative guidelines.
6. The Contractor allowable costs for developing and administering the Head Start program may not exceed
15 percent (15%) of the total approved costs during the fiscal year.

Section IV Compensation Page 3
E. METHOD OF PAYMENT
Subject to ongoing review and possible modifications during the term of this Agreement, County shall pay
the Contractor based on services actually delivered in the following manner:
1. The Contractor will claim (invoice) reimbursement of actual allowable costs on a monthly cycle or on a
bi-monthly cycle as agreed upon by the Contractor and the Contractor Administrator.
2. If invoicing on a monthly cycle, Contractor shall submit to the Contract Administrator a claim (invoice)
for allowable costs incurred during the billing period on or before the tenth (10th) working day of the
month following a month of service delivery or work performance. If invoicing on a bi-monthly cycle,
Contractor shall submit to the Contract Administrator a claim (invoice) for allowable costs incurred
during the billing period on the tenth (10th) working day of the month following a month of service
delivery or work performance and a second invoice on the twenty-fifth (25th) working day of the month
of service delivery or work performance. Claims shall report all collected non-federal share.
3. Subject to the availability of funds, the Department will, within five (5) working days from the date of
receipt of the claim for allowable costs incurred during the billing period, process and remit to the
Contractor, a warrant for payment equal to the allowable costs claimed. Should the Contract
Administrator make a disallowance in the claim, the claim shall be processed for the reduced amount. If
the Contractor protests the amount or the reason for a disallowance, the protest shall be construed as a
dispute concerning a question of fact within the meaning of the "Disputes" clause of the General
Provisions of this Agreement.
4. Subject to the availability of funds, the Department shall reimburse the Contractor for all allowable costs
associated with the performance of work and the provision of services under this Agreement up to the
maximum authorized by the Maricopa County Human Services Department Financial Assistance Award.
5. The Contractor understands and agrees that the June claim for payment and a listing of unliquidated
obligations is due the third (3) Wednesday of July. The listing of unliquidated obligations will include
vendor name and amount, and conform to expense categories on the claim. The listing of unliquidated
obligations shall be noted as an attachment to the claim in the NOTES section of the claim form.
6. The Contractor understands and agrees that the Final Claim will be submitted by 5 PM, August 13, 2016,
unless an extension is approved. If a Final Claim extension is approved, Interim Claims may be submitted
each month by the 10th working day following the end of each month, until the Final Claim is submitted.
The Final Claim will mirror all expenses paid after the previously submitted Interim Claim and final
adjustments to expenses previously reported. The County will not reimburse any additional costs not
submitted with the final claim.
F. REIMBURSEMENT
1. Effective upon approval of the Agreement and through 6/30/2016, Contractor will be reimbursed as
described above.
2. During the term of this Agreement, the maximum amount of compensation due Contractor from the
County for any and all services performed and the obligations and duties hereunder shall not exceed
$352,310.

SECTION V
ATTACHMENTS & EXHIBITS
Maricopa County
Human Services

Section V Attachment & Exhibits Page 2
CATHOLIC CHARITIES COMMUNITY SERVICES
Head Start and Early Head Start
Attachment A
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
COMPENDIUM OF REQUIRED CERTIFICATIONS AND
ASSURANCES
SF 424B
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please
contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to
additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability
(including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management
and completion of the project described in this application.
2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State,
through any authorized representative, access to and the right to examine all records, books, papers, or documents
related to the award; and will establish a proper accounting system in accordance with generally accepted
accounting standards or agency directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or
presents the appearance of personal or organizational conflict of interest, or personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding
agency.
5. Will comply with the intergovernmental Personnel Act of 1970 (42 U.S.C. 4278-4763) relating to prescribed
standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in
Appendix A of OPM=s Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F).
6. Will comply with all Federal statutes relating to non-discrimination. These include but are not limited to: (a)
Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the bases of race, color or
national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-
1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as
amended (29 U.S.C. 794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act
of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse
Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to non-discrimination on the basis of drug
abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970
(P.L. 91-616), as amended, relating to non-discrimination on the bases of alcohol abuse or alcoholism; (g) 523 and
527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to
confidentiality of the alcohol and drug abuse patient records; (h) Title VII of the Civil Rights Act of 1968 (42 U.S.C.
3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (I) any other
non-discrimination provisions in the specific statute(s) under which application for Federal assistance is being
made; and (j) the requirements of any other non-discrimination statute(s) which may apply to the application.

Section V Attachment & Exhibits Page 3
7. Will comply, or has already complies, with the requirements of Titles II and III of the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable
treatment of persons displaced or whose property is acquired as a result of Federal or Federally assisted programs.
These requirements apply to all interests in real property acquired for project purposes regardless of Federal
participation in purchases.
8. Will comply with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328) which limit the political
activities of employees whose principal employment activities are funded in whole or in part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. 276a to 276a-7), the Copeland
Act (40 U.S.C. 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-
333), regarding labor standards for Federally assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster
Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or
more.
11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and
Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands
pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance
of project consistency with the approved State management program developed under the Coastal Zone
Management Act of 1972 (16 U.S.C. 1451 et seq.); (f) conformity of Federal actions to State (Clear Air)
Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g)
protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L.
93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-
205)
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to protecting
components or potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation
Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the
Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development,
and related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.)
pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other
activities supported by this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.) which prohibits the
use of lead based paint in the construction or rehabilitation of residence structures.
17. Will cause to be performed the required financial and compliance audits in accordance with the single Audit
Act of 1984.
18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and
policies governing this program.
DRUG-FREE WORKPLACE REQUIREMENTS
GRANTEES OTHER THAN INDIVIDUALS

Section V Attachment & Exhibits Page 4
By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out
below.
This certification is required by regulations implementing the Drug-Free Workplace Act of 1988, 45 CFR, Part 76,
Subpart F. The regulations published in the January 31, 1989 Federal Register, require certification by grantees
that they will maintain a drug-free workplace. The certification set out below is a material representation of fact
upon which reliance will be placed when HHS determines to award the grant. False certification or violation of the
certification shall be grounds for suspension of payments, suspension or termination of grants, or government-wide
suspension or debarment.
Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known,
they may be identified in the grant application. If the grantee does not identify the workplaces at the time of
application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file
in its office and make the information available for Federal inspection. Failure to identify all known workplaces
constitutes a violation of the grantee's drug-free workplace requirements.
Workplace identifications must include the actual address of buildings (or parts of building) or other sites where
work under the grant takes place. Categorical descriptions may be used (e.g. all vehicles of a mass transit authority
of State highway department while in operation, State employees in each local unemployment office, performers in
concert halls or radio studios).
If the workplace identified to HHS changes during the performance of the grant, the grantee shall inform the agency
of the change(s), it previously identified the workplaces in question (see above).
Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace
common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from
these rules:
"Controlled substance" means a controlled substance in Schedules I through V of the Controlled Substances Act (21
USC 812) and as further defined by regulations (21 CFR, 1308.11 through 1308.15). "Conviction" means a finding
of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with
the responsibility to determine violations of the Federal of State criminal drug statutes; "Criminal drug statute"
means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing use, or
possession of any controlled substance; "Employee" means the employee of a grantee directly engaged in the
performance of work under a grant including: (i) All "direct charge" employees; (ii) all "indirect charge" employees
unless their impact of involvement is insignificant to the performance of the grant; and (iii) temporary personnel
and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's
payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to
meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of
subrecipients or subcontractors in covered workplaces).
The grantee certifies that it will provide a drug-free workplace by:
a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace
and specifying the actions that will be taken against employees for violation of such prohibition;
b) Establishing a drug-free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring
in the workplace;

Section V Attachment & Exhibits Page 5
c) Making it a requirement that each employee to be engaged in the performance of the grant be
given a copy of the statement required by paragraph (a);
d) Notifying the employee in the statement required by paragraph (a) that as a condition of
employment under the grant, the employee will:
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for a violation occurring in
the workplace no later than five days after such conviction;
e) Notifying the agency in writing within ten days after receiving notice under subparagraph (d)(2),
from an employee or otherwise receiving actual notice of such conviction. Employers of convicted
employees must provide notice, including position title, to every grant officer or other designee on
whose grant the convicted employee was working, unless the Federal agency has designated a
central point for the receipt of such notices. Notice shall include the identification number(s) of
each affected grant;
f) Taking one of the following actions within 30 days of receiving notice under subparagraph (d)(2),
with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local health,
law enforcement, or other appropriate agency.
g) Making a good faith effort to continue to maintain a drug-free workplace through implementation
of paragraphs (a) through (f).
CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE
Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in
any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for
the provision of health, day care, early childhood development services, education or library services to children
under the age of 18, if the services are funded by Federal program either directly or through State or local
governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children's services that
are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law
does not apply to children's services provided in private residences; portions of facilities used for inpatient drug or
alcohol treatment; service providers whose sole source of applicable Federal funds in Medicare of Medicaid; or
facilities where WIC coupons are redeemed. Failure to comply with the provisions of the law may result in the
imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative
compliance order on the responsible entity.
By signing this certification, the offeror/contractor (for acquisitions) or applicant/grantee (for grants) certifies that
the submitting organization will comply with the requirements of the Act and will not allow smoking within any
portion of any indoor facility used for the provision of services for children as defined by the Act.
The submitting organization agrees that it will require that the language of this certification be included in any
subawards which subrecipients shall certify accordingly.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER
RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS

Section V Attachment & Exhibits Page 6
By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45
CFR Part 76 certifies to the best of his or her knowledge and believe that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded
from covered transaction by any Federal Department or agency;
(b) have not within a 3-year period preceding this proposal been convicted or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection with obtaining, attempting to
obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction:
violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statement, or receiving stolen property;
(c) are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal,
State or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification;
and
(d) have not within a 3-year period preceding this application/proposal had one or more public transaction
(Federal, State or local) terminated for cause or default.
The inability of a person to provide the certification required above will not necessarily result in denial of
participation in this covered transaction. If necessary, the prospective participant shall submit an explanation of
why it cannot provide the certification. The Department of Health and Human Services' (HHS) determination
whether to enter into this transaction. However, failure of the prospective primary participant to furnish a
certification or an explanation shall disqualify such person from participation in this transaction.
The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered
Transactions," provided below without modification in all lower tier covered transactions.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS
(TO BE SUPPLIED TO LOWER TIER PARTICIPANTS)
By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR,
Part 76, certifies to the best of its knowledge and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency.
(b) where the prospective lower tier participant is unable to certify to any of the above, such prospective
participant shall attach an explanation to this proposal.
The prospective lower tier participant further agrees by submitting this proposal that it will include this clause
entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier
Covered Transactions," without modification in all lower tier covered transactions and in all solicitations for lower
tier covered transactions.

Section V Attachment & Exhibits Page 7
CERTIFICATION REGARDING LOBBYING
FOR CONTRACTS, GRANTS, LOANS
AND COOPERATIVE AGREEMENTS
The undersigned certifies to the best of his or her knowledge and belief, that:
(1) No Federal appropriate funds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of any agency, a member of
congress, an officer or employee of congress, or an employee of a member of congress in connection with
the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan,
the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or
modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person
influencing or attempting to influence an officer or employee or an agency, a member of congress, an
officer or employee of congress, or an employee of a member of congress in connection with this Federal
contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form
LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents
for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction
imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject
to a civil penalty or not less than $10,000 and not more than $100,000 for each such failure.
I hereby agree to the above certifications and assurances.
Signature of Certifying Official Date
Title
Organization Name

Section V Attachment & Exhibits Page 8
EXHIBIT 1
Maricopa County
Head Start Division
Contract Claim Invoice
TIME STAMP ABOVE
y
Subcontractor: Services Service Mo/Yr:
Address: 4747 N 7th Ave Contract #:
City/State/Zip: Phoenix, AZ 85013 Contract Start Date:
Contact Person: Heather Kennedy Contract End Date:
Phone Number: 602-650-4849 Date Submitted:
Fax Number: 602-650-4849 Purpose: EHS-CC Partnership - Westside
Email Address: HKennedy@cc-az.org FY15 Claim Bi-Monthly
A. Contract Budget B. Previous Claim C. Amount of this D. New YTD E. New Balance
Line Item Expenditure
Amount YTD Amount Request Amount (B+C) Available (A-D)
HS SERVICES Personnel
HS SERVICES ERE
HS SERVICES Equipment Note 1
HS SERVICES Material & Supply
HS SERVICES Contractors
HS SERVICES Construction
HS SERVICES Other
HS SERVICES Other -Incidental
Alterations & Renovations Note 1
HS SERVICES Indirect Cost
HS SERVICES TOTALS:
HS TRAINING Travel Note 2
HS TRAINING Other Note 2
HS TRAINING TOTALS:
TOTALS:
SUBTRACT ADVANCE
BALANCE DUE 0.00
IN-KIND Material & Supply
IN-KIND Other Support
In-Kind TOTALS:
Controller
Authorized Signature Title Date
Note 1-Prior approval required to exceed this line item budget Note 2-T&TA budget restricted for T&TA use only
Request for Payment Requirements: Recipient's signature certifies that all activities undertaken by the grantee with funds provided under this
contract have to the best of their knowledge, been carried out in accordance with the contract. An incomplete
MCHSD/HEAD START USE ONLY
Assistant Director, Head Start Date
Sr. Grant Accountant, Head Start Date