AMENDMENT 4 RE SNAP ED WITH ADHS.PDF
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ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas BNPA – AzNN, SNAP-Ed, LIA Effective October 1, 2014, it is mutually agreed that the Grant referenced is amended as follows: 1. Replace Price Sheet in Amendment Two (2) with the revised Price Sheet in Amendment Four (4). The revised Price Sheet is the Approved Federal Share Budget by USDA. The pricing shall be updated in the ProcureAZ Items Tab upon execution of this Amendment Four (4) to reflect the following line item changes: Item 1. Personnel shall be increased by $373,124.00; Item 2. Fringe Benefits shall be increased by $121,380.00; Item 3. Contracts, Grants, and Agreements shall be decreased by $26,504.00; Item 4. Non-capital Equipment/Supplies shall be decreased by $13,832.00.00; Item 5. Materials shall be decreased by $500,603.00; Item 6. Travel Expenses shall be decreased by $308.00.00; Item 7. Building Space shall be decreased by $803.00; Item 8. Maintenance – Utilities shall be increased by $2,346.00; and Item 9. Indirect Costs shall be increased by $3,198.00. Contractor hereby acknowledges receipt and acceptance of The above referenced Contract Amendment is hereby above amendment and that a signed copy must be filed with executed this _______ day of _____________, 201_ at the Procurement Office before the effective date. Phoenix, Arizona Signature / Date Authorized Signatory’s Name and Title: Procurement Officer Contractor’s Name: Maricopa County Department of Public Health, Office of Nutrition and Physical Activity 1 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 1. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision A, Background is hereby revised and replaced with the following language: The Arizona Department of Health Services (ADHS), Bureau of Nutrition and Physical Activity (BNPA) with the Arizona Department of Economic Security (DES), Family Assistance Administration (FAA) provide a program called the Arizona Nutrition Network (AzNN) The purpose of the AzNN is to provide nutrition education to Arizona’s Supplemental Nutrition Assistance Program (SNAP) participants and those who are eligible (eligibles) in an effort to improve healthy lifestyle choices. The AzNN is funded with Supplemental Nutrition Assistance Program Education Program (SNAP–Ed) dollars through the United States Department of Agriculture (USDA). USDA, DES, ADHS, and AzNN work together by focusing this funding to encourage healthful food and lifestyle choices among SNAP participants and eligibles. The AzNN will contract with a group of public and private organizations committed to working together to improve the nutrition education, physical activity and obesity prevention of people living in Arizona. In late 2010 congress passed the Healthy Hunger Free Kids Act (HHFK). The provision moved AzNN into the Nutrition Education and Obesity Prevention (NEOP) Grant program. NEOP maintains the USDA’s commitment to providing SNAP-Ed to low-income populations, while providing a focus for the program on the issue of obesity. The four (4) key aspects of the provision are: 1. Promotion of healthy food choices and consistency with the most recent Dietary Guidelines for Americans. 2. Provision of coordinated services to participants in all the Federal food assistance programs and other low- income persons. 3. Coordination and collaboration among Federal agencies and stakeholders, including the public health community. 4. Requirement that activities be evidence-based and outcome driven, providing for accountability and transparency through state plans and collaboration among stakeholders. The AzNN will provide grants with individual agencies to provide nutrition education and obesity prevention programming within their communities. Each Grantee will implement a specific component(s) of the AzNN plan based on their ability to provide services and the needs of their community. Although all activities must follow the Supplemental Nutrition Assistance Program Education (SNAP-Ed) Plan Guidance, not all programs will perform the same activities or functions. Nutrition messages used by the Grantees reflect the current USDA Dietary Guidelines for Americans and the USDA Food Guidance System. Grantees are required to utilize nutrition education curriculum/materials selected for this program by the AzNN. 2. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision B, Objective is hereby revised and replaced with the following language: The USDA, Food and Nutrition Service (FNS) provide guidance to States that encourages the use of the most effective nutrition education tools and strategies available. The SNAP-Ed Guidance also helps States develop a clear, comprehensive document for implementing its State plan. FNS encourages States to focus on the following three (3) key SNAP-Ed behavioral outcomes when assessing needs, developing objectives and outcomes: 1. Make half your plate fruits and vegetables, at least half your grains whole grains, and switch to fat-free or low-fat milk and milk products; 2. Increase physical activity and reduce time spent in sedentary behaviors as part of a healthy lifestyle; and 2 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 3. Maintain appropriate calorie balance during each stage of life --- childhood, adolescence, adulthood, pregnancy and breastfeeding, and older age. 3. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision C, Menu of Strategies AzNN Where Arizonans’ Live, Learn, Work and Play is hereby added with the following language: The FFY2015 scope of work will address a variety of evidence-based strategies designed to impact policy, system, and environmental change (public health approaches) at the individual, interpersonal, organizational, community, and policy levels in order to promote state-wide health changes to maximize collective public health outcomes around healthy eating and active living. AzNN Grantees are expected to implement at multiple levels in accordance with local community needs and should emphasize complementary policy, environmental, programmatic, and infrastructure activities that integrate and build on each other to optimize health improvements. The menu of strategies includes the following options for direct education and public health approaches where Arizona SNAP recipients live, learn, work, and play: 1. Live 1.1. Direct Education 1.1.1. Provide healthy eating and active living education in collaboration with DES sites, public housing sites, or other public health service sites. 1.2. Public Health Approaches 1.2.1. Encourage the development and adoption of healthy eating food and beverage and active living household policies and child-feeding practices consistent with Empower Home Visiting standards; 1.2.2. Support development, implementation, and evaluation of healthy eating and active living policies/standards for community venues; 1.2.3. Encourage use of farmers’ market with SNAP and WIC access at key community outlets; 1.2.4. Encourage participation in community and home gardens; 1.2.5. Support family-friendly cooking demonstrations and taste-testings throughout low-income residential communities; 1.2.6. Increase availability of healthy food retail, including mobile vendors, farmers’ markets, corner/country stores, and grocery stores in low-income residential communities; 1.2.7. Provide technical assistance to support the implementation of federal menu labeling regulations (e.g. posting calories); 1.2.8. Support structured family-friendly physical activity opportunities throughout the year and throughout the community; 1.2.9. Assess current active living and healthy eating policies (such as sidewalks, commercial buildings, bike lanes, shared-use paths, greenways and recreational facilities policies) at the community level and provide recommendations to key stakeholders; 3 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 1.2.10. Build capacity to implement active living policy (such as sidewalks, commercial buildings, bike lanes, shard use paths, greenways and recreational facilities policies) at the community level and by community organizations; 1.2.11. Encourage drinking water access and limitation of sugar-sweetened beverages (SSB); and 1.2.12. Collaborate with hospitals to support breastfeeding policies consistent with Arizona Baby Steps to Breastfeeding Success or Baby-Friendly USA (BFHI). 2. Learn 2.1. Direct Education 2.1.1. Early Childhood Education (ECE)/Child Care: Provide parent education through the setting; and 2.1.2. Kindergarten – High School: Provide education on healthy eating and active living to staff and students in the classroom setting. 2.2. Public Health Approaches 2.2.1. ECE/Child Care 2.2.1.1. Support breastfeeding in child care consistent with ADHS breastfeeding-friendly child care centers and homes initiative; 2.2.1.2. Support development, implementation, and evaluation of food and beverage policies for child care settings consistent with the Empower standards; 2.2.1.3. Improve capacity of child care providers and food service staff in nutrition education and healthy meal planning, family-style meal service and food preparation; 2.2.1.4. Support development, implementation, and evaluation of child care gardens; 2.2.1.5. Start and expand Farm to child care programs; 2.2.1.6. Establish strong child care wellness programs and policies consistent with Empower, including the development of child care wellness councils; 2.2.1.7. Support development, implementation, and evaluation of physical activity policies and environments that meet Empower Physical Activity Standards; and 2.2.1.8. Improve capacity of child care providers to provide children with opportunities for physical activity throughout the day, including teacher-led and free play opportunities consistent with Empower. 2.2.2. Kindergarten – High School: 2.2.2.1. Support the development, implementation, and evaluation of nutrition and physical activity local wellness policies in collaboration with Local Education Agencies (LEAs); 4 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 2.2.2.2. Support development, implementation, and evaluation of cafeteria point of purchase prompts; 2.2.2.3. Support development, implementation, and evaluation of cafeteria design supporting healthier food purchasing and consumption; 2.2.2.4. Support development, implementation, and evaluation of healthy school vending policies; 2.2.2.5. Encourage drinking water access and limitation of sugar-sweetened beverages (SSB); 2.2.2.6. Limit advertisements of less healthy foods and beverages; 2.2.2.7. Start and expand Farm to School programs increasing purchases and use of foods from local farms; 2.2.2.8. Improve student, teacher, and staff access to nutrition information through menu labeling and classroom curriculum to improve student understanding of nutrition information; 2.2.2.9. Promote intersections between garden and classroom curriculum with creation of sustainable school gardens; 2.2.2.10. Support development, implementation, and evaluation of physical activity policies that address the five components of comprehensive school physical activity programming; and 2.2.2.11. Support student participation in comprehensive school physical activity programming, including physical education, recess, walking and bicycling to school, and joint use agreements. 3. Work 3.1. Direct Education 3.1.1. Provide healthy eating and active living education in collaboration with worksites. 3.2. Public Health Approaches 3.2.1. Establish incentive programs, such as flex time, rewarding and/or recognizing employee healthy behaviors; 3.2.2. Encourage point-of-purchase prompts for healthy foods and beverages at area food retail outlets and food service institutions at/or near worksites; 3.2.3. Promote availability of healthy restaurants and food vendors at/or near worksites; 3.2.4. Provide technical assistance to support the implementation of federal menu labeling regulations (e.g. posting calories); 3.2.5. Use point-of-decision prompts to encourage use of stairs; 5 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 3.2.6. Promote participation in and use of area physical activity resources, including partnerships with parks and trails organizations; and 3.2.7. Support access to and compliance with worksite breastfeeding accommodation policies. 4. Play 4.1. Direct Education 4.1.1. Provide healthy eating and active living education in collaboration with community organizations. 4.2. Public Health Approaches 4.2.1. Support development, implementation, and evaluation of healthy eating and active living standards for community venues; 4.2.2. Assess current active living and healthy eating policies (such as sidewalks, commercial buildings, bike lanes, shared-use paths, greenways and recreational facilities policies) at the community level and provide recommendations to key stakeholders; 4.2.3. Build capacity to implement active living policy (such as sidewalks, commercial buildings, bike lanes, shared-use paths, greenways and recreational facilities policies) at the community level and by community organizations; 4.2.4. Work with local coalitions and Food Policy Councils to promote healthy eating and active living; 4.2.5. Encourage point-of-purchase prompts for healthy foods and beverages at area food retail outlets and food service institutions (e.g., parks and municipal buildings); 4.2.6. Promote availability of healthy restaurants and food vendors; 4.2.7. Provide technical assistance to support the implementation of federal menu labeling regulations (e.g. posting calories); and 4.2.8. Promote participation in and use of free area physical activity resources, including partnerships with parks and trails organizations, and other community organizations 4. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision C, Scope of Services is hereby revised by becoming Provision D, and replaced with the following language: The Grantee shall submit a completed AzNN Application and Work plan. The Application includes detailed information about service sites, work plan/specific activities, personnel and budgets for the Region - Maricopa County. The Grantee shall submit a justification for their choice of strategy(s) and demonstrate that it has the potential for broad reach and impact of a magnitude achievable with an evidence based strategy. Additionally, it should be consistent with local health needs as determined through their community health assessment process. The AzNN has identified five (5) settings to receive SNAP–Ed nutrition education activities in an effort to target the three (3) key behavioral outcomes, mentioned above, within Northern, Central, Southern and Maricopa County Regions. Grantees must select at least one (1) service setting, but may select more than one (1). However, Grantees are strongly encouraged to work with others in its community in order to target items identified in community health assessments. 6 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas Setting 1: SNAP eligible adults and children, especially mothers (eighteen (18) through forty-nine (49) years old) with young children (two (2) through eleven (11) years old) reached at community sites, such as but not limited to, public housing sites, emergency food and Commodity Supplemental Food Program sites, job readiness or training programs for SNAP/TANF, Temporary Assistance to Needy Families recipients or DES and WIC sites. Setting 2: SNAP eligible students in Kindergarten through twelfth (12th) grade and their parents/caretakers reached in the before, during or after school setting. Setting 3: SNAP eligible infants, children and adults reached at eligible early care and education sites, such as Child and Adult Care Food Program (CACFP) sites. Setting 4: SNAP eligible adults and children reached through community or school garden programs. Setting 5: SNAP eligible adults reached through worksites 5. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision D, Tasks, is hereby revised by becoming Provision E, and replaced with the following language: The Grantee shall: 1. Have an approved AzNN Application on file with ADHS prior to Grant award. The Application includes the following: 1.1. A Program Information Sheet providing agency contact information. The Grantee shall provide updates to ADHS as information changes; 1.2. A Program Description Form; 1.3. Scope of Work/Service Methodology detailing the activities that Grantee will implement with updates and changes submitted as necessary; 1.4. Budget and budget justification including personnel justification; 1.4.1. Grantees shall provide an Extended Budget Justification Narrative document to explain its budget in more detail. 1.4.2. Budget must reflect a minimum twenty percent (20%) of expenditures allocated for Public Health Approaches. 1.5. Signed Letter of Assurances; 1.6. Program Goals/Objectives/Tasks/Timeline; 1.7. Identify the specific target audience(s)/setting for which services will be provided; 1.8. Goals and objectives of the program (AzNN Work Plan); 1.9. Schedule of detailed planned events e.g. tasks, activities, etc; 1.10. Identify project staff, level of involvement and their roles regarding the project; and 1.11. Evaluation measures to determine quantity and effectiveness of activities (AzNN Work Plan); 7 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 2. Implement the activities approved in the work plan. The work plan shall first be reviewed and approved by AzNN. 3. Attend and participate in AzNN trainings; two (2) Partner meetings and Policies and Procedures training. 4. Attend food demonstration training if food demonstrations are an included activity within the work plan. 5. Prepare and submit a Contractor’s Expenditure Report (CER) for every month of the Grant term, even if the expenses for the month are zero (0). The Grantee shall utilize the standard reporting form issued by the ADHS AzNN as provided in the current AzNN Policies and Procedures Manual. Expenses requested for reimbursement shall adhere to the allowable/unallowable guidelines stated in the AzNN Policies and Procedures Manual. 6. Prepare and submit a Quarterly Narrative Report for the first three (3) quarters, utilizing the form provided in the current AzNN Policies and Procedures Manual. 7. Prepare and submit an Annual Narrative Report (the fourth quarter report) which summarizes the year’s program activities, any results from both quantitative and qualitative evaluations conducted, and any other relevant program information. 8. Provide all required monthly reporting data, as identified within the Application and AzNN Policies and Procedures Manual. 9. Provide evaluation data as identified within the Application and Policies and Procedures Manual. 6. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision E, Requirements is hereby revised by becoming Provision F, and replaced with the following language: The Grantees shall: 1. Provide documented collaborations in place prior to Grant award, including but not limited to, contracts, letters of agreement, memoranda of understanding or other documentation to support the collaboration/partnership. 2. Abide by the most current Arizona Nutrition Network Policies and Procedures Manual. 3. Utilize only materials and messages as identified by the AzNN. 4. Have access to (contracted or on staff) a Registered Dietitian to provide guidance and support for SNAP-Ed activities. 5. Have access to a physical activity degreed/experienced professional to provide guidance and support for SNAP-Ed activities. 6. Follow the most current USDA Dietary Guidelines for Americans available from the USDA website. 7. Follow the USDA Food Guidance System available from the USDA website. 8. Provide a current and accurate Certificate of Insurance (COI) within five (5) days of Grant award that exactly matches the language provided in the Terms of the Grant. A Master Blanket Purchase Order Release will not be provided without a valid COI on file at ADHS. Grantees shall not provide any services without the issuance of a Master Blanket Purchase Order Release. 9. Final CERs are due in accordance with the current Policies and Procedure, 8 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 7. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision F, Reference Documents is hereby revised by becoming Provision G, and replaced with the following language: 1. American Community Survey (ACS): http://www.eatwellbewell.org/contractors/housekeeping/the-basics The worksheet lists the poverty level by census tract by county. This data set was compiled from the 2007- 2011 ACS. See the U.S. Census Data link to determine census tract numbers. 2. Arizona Department of Education (ADE), School Sites by County Code, Type Code, District Code & Site Number (CTDS): http://ade.az.gov/edd/ The ADE website will provide the CTDS number (CTDS=County Code, Type Code, District Code & Site Number) necessary to complete for each school site. 3. Arizona Nutrition Network Policies and Procedures Manual: http://www.eatwellbewell.org/uploads/media/documents/ffy14_aznn_policy-and-procedures-manual.pdf The manual provides information on all current State AzNN policies and procedures related to implementation of the SNAP Ed program at the contractor level. 4. Child and Adult Care Food Program (CACFP): http://216.55.168.186/FairData/CACFP/map.asp?command=scope&map=0 CACFP Mapper can be used to qualify sites for children under 19 years of age and senior citizens. When zoomed to the city level, the default map shows eligibility determinations based on the 185% poverty level, according to the 2007-2011 American Community Survey. 5. Dietary Guidelines for Americans (DGA), 2010: http://www.health.gov/dietaryguidelines/dga2010/DietaryGuidelines2010.pdf The DGA 2010 covers key dietary recommendations for the general population as well as specific population groups (e.g. pregnant women) and should be used as the foundation for all SNAP Ed nutrition education. 6. National School Lunch Program (NSLP): http://www.azed.gov/health-nutrition/frpercentages/ NSLP provides free and reduced lunches to eligible children. Generally, children that receive “free” meals are believed to be receiving SNAP and those that receive “reduced” are believed to be eligible for SNAP. You will use the free/reduced percentage to qualify your school sites. 7. SNAP-Ed Interventions Toolkit: http://snap.nal.usda.gov/snap/SNAP-EdInterventionsToolkit.pdf Strategies for Evidence-based Policy and Environmental Change Interventions in Child Care, School, Community and Family Settings – to support the FY2014 SNAP-Ed Guidance. 8. Supplemental Nutrition Assistance Program Education (SNAP-Ed) Plan: http://snap.nal.usda.gov/snap/Guidance/FinalFY2015SNAP-EdGuidance.pdf The USDA Guidance provides instructions to states to implement all provisions of the Food and Nutrition Act, Section 28. 9. Travel Reimbursement Rates (State Policy): http://www.gao.state.az.us/publications/SAAM/Supp_I_trvrates-012308.pdf This document contains the state reimbursement rates for in-state and out-of-state travel. This should be used as a reference if your agency does not have a travel policy in place. 10. U.S. Census Data: http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?ref=geo&refresh= U.S. Census data can be used to qualify a site location. This link provides the census tract number to look up the poverty level using the 2007 to 20011 American Community Survey (ACS) data set. 9 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 8. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision G, State Provided Items, is hereby revised by becoming Provision H, and replaced with the following language: ADHS will provide the following items: 1. AzNN Application 2. AzNN Work Plan. 3. Application Instructions. 4. List of links with data needed to prove eligibility of service sites. 5. The AzNN Policies and Procedure Manual. 6. List of allowable materials to be utilized within the program activities. 7. Some education materials created, published, or purchased through the AzNN, such as brochures, posters, etc. 8. Training sessions and meetings sponsored by the AzNN and BNPA. 9. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision H, Approvals, is hereby revised by becoming Provision I, and replaced with the following language: The Grantee shall receive approval from ADHS for the following: 1. Nutrition Application and Work Plan with all revisions. 2. Monthly CERs. 3. Monthly Reports. 4. Quarterly Narrative Reports. 5. Annual Report ( 4th Quarter Narrative Report) 10. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision I, Deliverables, is hereby revised by becoming Provision J, and replaced with the following: The Grantee shall submit to ADHS: 1. An AzNN approved Application and Work Plan. 2. All revisions to the Application and Work Plan prior to implementation of the proposed revisions. 3. Monthly CERs due by the 30th day of the month following the reporting month. The final CER is due within 60 days of year end. 4. Monthly Reports due by the 30th day of the month following the reporting month. 5. Quarterly Narrative Reports due by the 30th day of the month following the end of each quarter. 6. Evaluation Data due by the 30th day of the month following the reporting month. 10 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas 11. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Scope of Work, Provision J, Notices, Correspondence, Reports and Invoices, is hereby revised by becoming Provision K, and replaced with the following language: NOTICES, CORRESPONDENCE, REPORTS AND INVOICES: Notices, Correspondence, Reports and Invoices from the Grantee to the ADHS shall be sent to: Arizona Department of Health Services Bureau of Nutrition and Physical Activity AzNN Program Manager 150 N 18th Ave, Suite 310 Phoenix, AZ 85007 Telephone: 602.542.1886 Facsimile: 602.542.1890 12. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Terms and Conditions, Provision Six (6), Key Personnel, is hereby revised and replaced with the following language: Key Personnel. It is essential the Grantee provide an adequate staff of experienced personnel, capable of and devoted to the successful accomplishment of work performed under this Grant. The Grantee must assign specific individuals to key positions of responsibility. Once assigned to work under this Grant, Key Personnel shall not be removed or replaced without prior notification to the AzNN Program Manager. 13. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Terms and Conditions, Provision Seventeen (17), Subcontracts, is hereby revised and replaced with the following language: Subcontracts. The Grantee shall not enter into any subcontract under this Grant for the performance of this Grant without the advance written approval of the ADHS Program Manager and the State Government Administrator. The Grantee shall clearly list any proposed subcontractors and the subcontractor’s proposed responsibilities. The subcontract shall incorporate by reference the terms and conditions of this Grant. The Grantee shall notify the AzNN Program Manager with written notice of any termination of subcontractors within thirty (30) days of contract termination. This written notice must include the reasons for contract termination. 14. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Terms and Conditions, Provision Twenty (20), Health Insurance Portability and Accountability Act of 1996, is hereby revised and replaced with the following language: The Contractor warrants that it is familiar with the requirements of HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009, and accompanying regulations and will comply with all applicable HIPAA requirements in the course of this Contract. Contractor warrants that it will cooperate with the Arizona Department of Health Services (ADHS) in the course of performance of the Contract so that both ADHS and Contractor will be in compliance with HIPAA, including cooperation and coordination with the Arizona Department of Administration-Arizona Strategic Enterprise Technology (ADOA-ASET) Office, the ADOA- ASET Arizona State Chief Information Security Officer and HIPAA Coordinator and other compliance officials required by HIPAA and its regulations. Contractor will sign any documents that are reasonably necessary to keep ADHS and Contractor in compliance with HIPAA, including, but not limited to, business associate agreements. If requested by the ADHS Procurement Office, Contractor agrees to sign a “Pledge To Protect Confidential Information” and to abide by the statements addressing the creation, use and disclosure of confidential information, including information designated as protected health information and all other confidential or sensitive information as defined in policy. In addition, if requested, Contractor agrees to attend or participate in HIPAA training offered by ADHS or to provide written verification that the Contractor has attended or participated in job related HIPAA training that is: (1) intended to make the Contractor proficient in HIPAA for purposes of performing the services required 11 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas and (2) presented by a HIPAA Privacy Officer or other person or program knowledgeable and experienced in HIPAA and who has been approved by the ADOA-ASET Arizona State Chief Information Security Officer and HIPAA Coordinator. 15. Pursuant to Terms and Conditions, Provision 4, Grant Amendment, Terms and Conditions, Provision Twenty-nine (29), Scrutinized Businesses, is hereby deleted in its entirety. All other provisions shall remain in their entirety. 12 ARIZONA DEPARTMENT OF HEALTH SERVICES GRANT AMENDMENT 1740 W. Adams, Room 303 Phoenix, Arizona 85007 (602) 542-1040 Contract No:ADHS12-030680 Amendment No: 4 Tracey Thomas PRICE SHEET/FEE SCHEDULE Maricopa County Effective 10-1-14 BUDGET CATEGORIES APPROVED FEDERAL SHARE BUDGET PERSONNEL COSTS/SALARY $1,089,531.00 FRINGE BENEFITS $396,038.00 CONTRACTS/GRANTS/AGREEMENTS $1,034,962.00 NON-CAPITAL EQUIPMENT SUPPLIES $40,636.00 MATERIALS $155,175.00 TRAVEL $14,448.00 BUILDING/SPACE $21,840.00 MAINTENANCE $6,700.00 EQUIPMENT & OTHER CAPITAL $0.00 INDIRECT COSTS $269,743.00 TOTAL $3,029,073.00 LINE ITEM BUDGET TRANSFERS Upon receipt of written authorization from the ADHS Program Manager, the Contractor is authorized to transfer up to a maximum of 10% of the Total Budgeted Amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding 10% or to a non-funded line item shall require an amendment. 13