AMD RE WIC ONLINE NUTRITION ED DISCUSSION SESS WITH ADHS.PDF

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-053007 Amendment No. 2 Procurement Specialist
Jacqueline Ortega-Avila
BNPA – WIC, BFPC and FMNP
Effective upon signature, it is mutually agreed that the Intergovernmental Agreement referenced is amended as
follows:
1. Pursuant to Terms and Conditions, Section 6, Contract Changes, Item 6.1, Amendments, Purchase Orders and
Change Orders, the following numbering has been revised and replaced with the following:
Scope of Services, Section 2, Breastfeeding Peer Counseling (BFPC) is now Section 1.1.2; and
Scope of Services, Section 3, Farmer’s Market Nutrition Program (FMNP) is now Section 1.1.3.
2. Scope of Services, Section 1 Background, is amended to add the following:
1.1.4, Online Nutrition Education Discussion Sessions (ONEDS) Project
In 2014, ADHS WIC was awarded a USDA Special Project Grant with a focus on retention of eligible children. This
project will implement and evaluate a new and innovative method of service delivery by providing ONEDS to WIC
participants. Presently, many WIC participants have online access or have access to devices that allow them to
connect with others. Social media has been growing among the millennial generation and they have a desire to
connect with WIC online. Therefore, this project proposes meeting the changing needs of the new generation of WIC
participants.
Continued on next page
CONTRACTOR SIGNATURE
Maricopa County Department of Public Health
Contractor Name Contractor Authorized Signature
4041 North Central Avenue, Suite 1400
Address Printed Name
Phoenix Arizona 85012
City State Zip Title
CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective the
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney date indicated. The Public Agency is hereby cautioned not to commence
has determined that this Intergovernmental Agreement is in proper any billable work or provide any material, service or construction under
form and is within the powers and authority granted under the laws of this IGA until the IGA has been executed by an authorized ADHS
the State of Arizona. signatory.
State of Arizona
Signed this ______ day of _______________________ 2015
Signature Date
Printed Name Procurement Officer
RESERVED FOR USE BY THE SECRETARY OF STATE
Attorney General Contract No. P0012014000078, which is an
Agreement between public agencies, has been reviewed pursuant to Under House Bill 2011, A.R.S. § 11-952
A.R.S. § 11-952 by the undersigned Assistant Attorney General, who
has determined that it is in proper form and is within the powers and was amended to remove the requirement
authority granted under the laws of the State of Arizona. that Intergovernmental Agreements be filed
with the Secretary of State.
Signature Date
Assistant Attorney General
Printed Name:
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-053007 Amendment No. 2 Sr. Procurement Specialist
Mr. Tracey Thomas/JOA
3. Scope of Services, Section 4, Objective, is amended and replaced with the following:
At a minimum, to provide WIC services while allowing each Local Agency to provide, at their discretion,
Breastfeeding Peer Counseling Services, Farmers’ Market Nutrition Program Services and/or Online Nutrition
Education Discussion Sesions.
4. Scope of Services, Section 5, Scope of Work, is amended to add the following:
5.4, Online Nutrition Education Discussion Sessions:
The WIC ONEDS Contractor, under direction of the ADHS ONEDS project lead, shall perform all work required to
support the 2014 WIC Special Grant ONEDS project throughout the State of Arizona.
5. Scope of Services, Section 6, Tasks and Requirements, is amended to add the following:
6.17 Additional ONEDS Service Delivery tasks:
6.17.1 The Contractor shall:
6.17.1.1 Coordinate the pilot, intervention, and control clinics in all ONEDS related activities;
6.17.1.2 Provide technical support for clinics participating in the ONEDS project;
6.17.1.3 Assist with supervision of ONEDS implementation at clinics throughout the State of Arizona;
and
6.17.1.4 Perform other grant related tasks as assigned.
6.18 Additional ONEDS Staffing:
6.18.1 The Contractor shall:
6.18.1.1 Provide 0.5 FTE support for the ONEDS Project.
6.19 Additional ONEDS Staff Training:
6.19.1 The Contractor shall:
6.19.1.1 Assist with training logistics and ensure that local agencies are able to connect to online
trainings remotely.
6.20 Additional ONEDS Administrative Services:
6.20.1 The Contractor shall:
6.20.1.1 Serve as the point of contact for Maricopa County clinics participating in the ONEDS study;
6.20.1.2 Inform local agency directors and key personnel, including clinic supervisors, about relevant
in person and online informational meetings and trainings;
6.20.1.3 Record minutes of ONEDS meetings;
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-053007 Amendment No. 2 Sr. Procurement Specialist
Mr. Tracey Thomas/JOA
6.20.1.4 Follow-up with appropriate staff on relevant project deadlines; and
6.20.1.5 Collect feedback from local agencies and submit to project lead.
6. Scope of Services, Section 9, Deliverables, is amended to replace with the following:
If applicable, any work plan or other documentation submitted to and accepted by ADHS regarding participation in
WIC, BFPC, FMNP, or ONEDS shall be incorporated into this Agreement. Furthermore, any policy or procedure that
deviates from those set forth in the Arizona WIC Program and / or Arizona Farmers' Market Nutrition Program
Policies and Procedures Manuals requires approval from ADHS prior to implementation.
7. The Price Sheet from Amendment One (1) is hereby replaced with the Price Sheet of this Amendment Two (2) by
adding The ONEDS Project total of $25,986.00.
All other provisions of this agreement remain unchanged.
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Contract No: ADHS14-053007 Amendment No. 2 Sr. Procurement Specialist
Mr. Tracey Thomas/JOA
PRICE SHEET
October 1, 2014 to September 30, 2015
WIC Services
WIC Services Amount
Account Classification
Personnel $5,093,411.00
Employee Related Expenses $2,247,905.00
Professional & Outside Services $32,000.00
Travel Expense $35,900.00
Occupancy Expenses $674,593.00
Other Operating Expenses $141,035.00
Capital Expenditures $1.00
Indirect Cost $1,232,778.00
RD Supplement $917,162.00
Total $10,374,785.00
Breastfeeding Peer Counseling Services
Account Classification Amount
Personnel $264,860.00
Employee Related Expenses $131,281.00
Professional & Outside Services $1.00
Travel Expense $11,820.00
Occupancy Expenses $0.00
Other Operating Expenses $5,800.00
Capital Expenditures $1.00
Indirect Costs $61,237.00
Total $475,000.00
Farmer’s Market Nutrition Program Services
March 1, 2015 to September 30, 2015
Estimated Number
Type of Service Unit Rate Unit of Measure
of Participants
WIC FMNP Check
$1.25 WIC Participant AS NEEDED
Issuance
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Sr. Procurement Specialist
Contract No: ADHS14-053007 Amendment No. 2 Mr. Tracey Thomas/JOA
Online Nutrition Education Discussion Sessions (ONEDS)
Account Classification Amount
Personnel $15,450.00
Employee Related Expenses $5,856.00
Professional & Outside Services $0.00
Travel Expense $1,330.00
Occupancy Expenses $0.00
Other Operating Expenses $0.00
Capital Expenditures $0.00
Indirect Costs $3,350.00
Total $25,986.00
Additional Terms and Conditions:
With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent
(10%) of the total budget amount between funded line items except for Registered Dietitian Expenses. Transfers of funds are
only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an
amendment. The Registered Dietitian line item is meant to fund additional Registered Dietitian position(s) to meet high risk
counseling requirements.
Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase Order that is
signed by an authorized agent. The Purchase Order will indicate the Contract number and the dollar amount of funds
authorized. The Contractor shall only be authorized to perform services up to the amount on the Purchase Order. ADHS shall
not have any legal obligation to pay for services in excess of the amount indicated on the Purchase Order. No further
obligation for payment shall exist on behalf of ADHS unless a.) the Purchase Order is modified with an official ADHS
Procurement Change Order, and/or b.) an additional Purchase Order is issued for purchase of services under this Contract.
ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received. Adjustments will be
at the discretion of ADHS.
Additional WIC Program:
Should additional administrative monies become available through state or federal grants, ADHS may increase the purchase
order to increase the number of participants served and increase the total of this contract.
The assigned caseload for FFY 2015 is: 68,500
Additional Breastfeeding Peer Counseling Program:
Allowable costs for the Peer Counseling Program include compensation for peer counselors and designated peer counselor
managers/coordinators, and related costs such as training and training materials; telephone expenses for participant contacts
(including pager, cell phones and answering machines); travel for training and home and hospital visits; recruitment of peer
counseling staff; and the purchase of demonstration materials (e.g., breast pumps for demonstration purposes, videos). Out of
state travel must be pre-approved by ADHS. Items and materials for distribution to WIC participants (e.g. breast pumps,
breastfeeding aids, written materials) are not allowable costs.
Farmer’s Market Nutrition Program:
If funding for additional FMNP checks becomes available and the contract budget (as shown on the Contract Price Sheet) has
been fully expended, Contractor may choose whether or not to distribute the additional checks with no increase in the contract
budget.
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