AMENDMENT 9 RE EMERGENCY PREPAREDNESS WITH ADHS.PDF

ARIZONA DEPARTMENT OF
"ON HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
11 *rrir;r00, ' 77) (602) 542-1040
( 602) 542-1741 Fax
• Procurement Officer:
Contract No: ADHS12-007891 Amendment No. 9 Lorraine Ball-Schwarzwald
Emergency Preparedness Program
Effective upon signature of both parties, it is mutually agreed that the Intergovernmental Agreement (IGA)
referenced is amended as follows:
1. Attachment A is revised to add Section 10 for activities related to Ebola virus disease (EVD) investigation as
outlined on page two (2) and three (3) of this Amendment.
2. Replace Amendment No. Eight (8) Price Sheet with the Price Sheet, Page four (4), of Amendment No. Nine (9).
This Price Sheet reflects the added funding to cover the addition of EVD investigation activities.
Continued on next page.
CONTRACTOR SIGNATURE
Maricopa County by and through its
Maricopa County Department of Public Health
Contractor Name Contractor Authorized Signature
4041 N. Central Ave. Suite 1400
Address Printed Name
Phoenix AZ 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 20
Signature Date
Printed Name Procurement Officer
Attorney General Contract No. P00120143000078, which is an Reserved for use by the Secretary of State
Agreement between public agencies, has been reviewed pursuant to
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 Under House Bill 2011, A.R.S. § 11-952
authority granted under the laws of the State of Arizona,
was amended to remove the requirement
that Intergovernmental Agreements be filed
Signature Date with the Secretary of State.
Assistant Attorney General
Printed Name:
Page 1 of 4

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740W. Adams, Room 303
AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Procurement Officer:
Contract No: ADHS12-007891 Amendment No. 9 Lorraine Ball-Schwarzwald
10. Ebola virus disease (EVD) investigation guidelines and an Ebola Response Plan
Arizona Department of Health Services (ADHS) has collaborated with the County Public Health Departments to
develop Ebola virus disease (EVD) investigation guidelines and an Ebola Response Plan as a framework for
State and County Public Health epidemiologic response. Routine calls with County Health Departments ensure
coordination and information sharing between State and County Public Health partners.
10.1. Requirements
The Maricopa County Department of Public Health shall:
10.1.1. Follow any person, with a risk of EVD from one of the Ebola-affected countries through
active monitoring (if low risk) or direct active monitoring (if some or high risk);
10.1.2. Implement a combination of direct active monitoring, travel restrictions, and/or isolation and
quarantine, in case of a high risk traveler;
10.1.3. Conduct daily follow up with each high or low risk person;
10.1.4. Arrange an evaluation at the individual's home or at a pre-identified designated medical
facility in case a person develops a fever or symptoms consistent with EVD;
10.1.5. Conduct an initial phone screening for low, but not zero risk individuals or an in-person visit
for all some or high risk individuals;
10.1.6. Provide communication instructions for the duration of monitoring, including directions to
contact the County Public Health Department immediately if symptoms develop;
10.1.7. Conduct subsequent follow-up of some and high risk travelers by virtual direct observation or
in-home direct observation depending on the scenarios;
10.1.8. Coordinate safe transport to the designated medical facility in case a monitored individual
develops symptoms;
10.1.9. Prevent exposure to healthcare workers and other patients at the facility by giving the
designated medical facility advanced notice about arrival of suspect case; and
10.1.10. Notify Centers for Disease Control (CDC) if a monitored individual is being considered for
EVD testing.
Page 2 of 4

ARIZONA DEPARTMENT OF
4.. INTERGOVERNMENTAL AGREEMENT (IGA) 1740 HEALTH W. Adams, SERVICES Room 303
EiciaagEn AMENDMENT Phoenix, Arizona 85007
vf4,- tr (602) 542-1040
. -s. (602) 542-1741 Fax
Procurement Officer:
Contract No: ADHS12-007891 Amendment No. 9 Lorraine Ball-Schwarzwald
10.2. Tasks
The Maricopa County Department of Public Health shall:
10.2.1. Submit Plans to ensure daily contact with people under active monitoring, along with specific
methods of contact (if applicable);
10.2.2. Provide a description of methods used to have daily face-to-face contact with people under
direct active monitoring (can be via electronic methods such as Skype or Face Time);
10.2.3. Ensure that the County Health Department is in compliance with daily and weekly monitoring
reports and provide further details regarding lost follow-up with all, some, or high risk
individuals
10.2.4. Provide a description of what actions the County Health Department will take with regard to
those who have not been contacted within twenty-four (24) hours (i.e. how will those lost in
follow-up be handled?);
10.2.5. Provide a description of what actions the County Health Department will take if contacts refuse
to comply with monitoring measures prescribed by jurisdiction.
10.2,6. Ensure that the monitoring process includes a discussion with people under monitoring, in
regards to the plan for care if the person exhibits symptoms consistent with EVD, including
identification in advance, the evaluation hospital, possible EVD testing and clinical
management for up to ninety-six (96) hours; and
10.2.7. Ensure that the County Health Department and State Health Department has developed
emergency medical services (EMS) plans to assure safe transport of a person under
investigation to the nearest appointed hospital, in accordance with the State's Ebola treatment
plan and that EMS has been trained on personal protective equipment (PPE) use.
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ARIZONA DEPARTMENT OF
HEALTH SERVICES
.. INTERGOVERNMENTAL AGREEMENT (IGA) 1740 W. Adams, Room 303
ExPg213 AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
kbuiL:___;040 (602) 542-1741 Fax
Procurement Officer:
Contract No: ADHS12-007891 Amendment No. 9 Lorraine Ball -Schwarzwald
PRICE SHEET
Fixed Price July 1, 2014 — June 30, 2015
No. Description UOM Amount
CDC Deliverables for Public Health Emergency YR $1,937,925.21
Preparedness - PHEP
2 Less charges for CEFO YR - $203,000.00
3 Cities Response Initiative (CRI) YR $1,002,226.00
Total $2,737,151.21
EVD PRICE SHEET
Actively Related to Ebola
Upon Execution of Amendment
No. Description UOM Amount
Ebola Virus Disease Investigation Guidelines and an Ebola EA. $50,912,60
1 Response Plan
..
Total $50,912.60
ProcureAZ, Items Tab will be updated upon execution of this Amendment No. Nine (9).
All other provisions shall remain in their entirety.
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