AMENDMENT NO. 7 RE WORKSITE WELLNESS WITH ARIZONA SMALL BUSINESS ASSOCIATION.DOC

Maricopa County — Formal (2015-04-22)

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CONTRACT NO: C86-XXXXXX (860-12-033) AMENDMENT NO: 7
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
Arizona Small Business Association
I. The above named contract is hereby amended as specified below:
A. Exhibit A, Total Amount on the Pricing/Compensation page of the original
contract, shall be changed to $511,735 which adds an additional $30,000 for the
new contract period.
B. Page 2 of Exhibit A of the original contract shall be deleted and replaced with the
revised Page 2 of Exhibit A beginning on Page 2 of this amendment.
D. Exhibit B of the original contract shall be deleted and replaced with the revised
Exhibit B beginning on Page 3 of this amendment.
II. All other terms and conditions of the original contract shall remain in full force and
effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
MARICOPA COUNTY
By: By:
Chairman, Board of Supervisors
Date Date
ATTEST ATTEST
Clerk of the Board
Date Date
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for Maricopa County
Date Date
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Exhibit A – Page 2
HAWP Budget for 4/01/15 through 6/30/15
Price Sheet
Training and Technical Assistance $26,000
Administrative & Reporting $ 4,000
$30,000
2

Exhibit B
Arizona Small Business Association
SCOPE OF WORK
Training and Technical Assistance
Working with MCDPH-approved partners and in partnership with MCDPH, ASBA will:
 Train Arizona employers to implement worksite wellness initiatives through in-person trainings, webinars
and events. Training topics will include worksite health 101 and other related topics which will be
approved by MCDPH prior to implementation. Trainings, technical assistance and resources will be
structured to ensure that participating employers are eligible to receive the Healthy Arizona Worksite
Award.
 Provide assistance in offering worksite wellness events that aim to convene employers, create peer-to-peer
networking opportunities, and to provide programming that will help employers implement worksite
wellness initiatives and learn from each other. Content and speakers to be approved by MCDPH.
 Incorporate ADHS and MCDPH public health efforts into Healthy Arizona Worksites Program (HAWP)
implementation.
 Provide worksite wellness technical assistance to Arizona employers. Technical assistance may include but
is not limited to assistance in the following areas: Completing the CDC Worksite Health ScoreCard,
creating a worksite health improvement plan, implementation of evidence-based worksite wellness
initiatives in specific worksite settings, evaluation of worksite wellness efforts, applying for the Healthy
Arizona Worksite Award, and evaluating award applications
 Provide assistance in soliciting employer and/or employee feedback and building resources on worksite
wellness, total worker health, and/or Healthy Arizona Worksites Program components and offerings.
Administrative and Reporting
ASBA and/or its MCDPH-approved partners will:
 Assist in managing logistical aspects related to HAWP trainings, events and other related-activities
including but not limited to space, materials, scheduling, refreshments, enrollment, sign-in, and travel.
 Record the following HAWP outreach activities in MCDPH’s database:
o Types of outreach, technical assistance, dates contacted, interest areas, and other relevant
information related to employers participating in HAWP and the Healthy Arizona Worksite Award
recognition program.
 Provide monthly reports to MCDPH on contract activities, budget and staffing updates.
 Maintain effective and regular communications with MCDPH including providing updates on budget,
staffing, contract and sub-contractor activities.
 Assist in providing follow-up contact to employers interested in the Healthy Arizona Worksites Program
and the Healthy Arizona Worksite Award recognition program.
 Keep MCDPH aware of any work with partner agencies and employers. MCDPH approval is required
before outreach to potential partners occurs.
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