AMD RE HEALTHY START WITH HRSA.PDF

1. DATE ISSUED: 2. PROGRAM CFDA: 93.926 . ii.s. Daperknot al KWh sed HOW Sierkikt
10/14/2014 4HRsA
3. SUPERSEDES AWARb NOTICE dated: 09103/2014
except that any additions Sr restrictions previodsly imposed remain In effect unless specifically rescinded.
4a. AWARD NO.: ' 4b. GRANT NO.: 5. FORMER GRANT Health Fitssursts tad Ststises Admhtisattigh •
6 H49MC00174-13-03 H49MC00174 NO.: NOTICE OF AWARD
, H49MC00154 AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD: Public Health Service Act, Section 751
FROM: 06/01/2002 THROUGH: 01/31/2015 Public Health Service Act: Title HI, Part D, Section 330H ; 42 1,J.SC.
7. BUDGET PERIOD: - ' ' ' ' ' 254c-8
FROM: 02/01/2014 THROUGH: 01/31/2015
8;TITLE OF PROJECT (OR PROGRAM): HSI: ELIMINATINO . .. DISPARITIES . IN HEALTH
9. GRANTEE NAME AND ADDRESS: ' ' ' ' . ' ' .id. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL
MARICOPA COUNTY DEPARTMENT OF HEALTH INVESTIGATOR)
4041 N Central Ave Lisa L Derrick M. Ed
Phoenix, AZ 85012-3314 MARICOPA COUNTY DEPARTMENT OF HEALTH
DUNS NUMBER: 2737 VV Southern Ave
602062515 Tempe, AZ 85282-4244
11APPROVED BUDGET:(Exchides Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X] Grant Funds Only a. Authorized Financial Assistance This Period $400,000.00
[ ] Total project costs including grant funds and all other financial participation b, Less Unobligated Balance from Prior Budget
Periods
a. Salaries and Wages : $225,863.00
i, Additional Authority . $0,00
b. Fringe Benefits : $81,914.00
H. Offset $0.00
c, Total Personnel Costs : $307,777.00
o. Unawarded Balance of Current Years Funds $0.00
d. Consultant Costs : $0.00
d. Less Cumulative Prior Awards(s) This Budget $299.200.00
e, Equipment : $0.00 Period
f. Supplies : $2,373.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $100,800.00
g. Travel : $8,365.04 ACTION
,„ 13, RECOMMENDED FUTURE SUPPORT: (Subject to the
h. Construction/Alteration and Renovation : $uA :uu availability of funds and satisfactory . progress .gfproject)
1 . Other : $2,880.00 YEAR • ••••:.TOTAL••:COSTS'•• •
j Consortium/Contractual Costs : $42,241.00 Not applicable
k. Trainee Related Expenses : $0 ;00 14. APPROVED DIRECT ASSISTANCE BUDGET:(in lieui of cash)
I . Trainee Stipends : $0.00 a. Amount of Direct Assistance $0.00
fil Trainee Tuition and Fees : $0,00 b. Less Unawardeli Balance of Current Year's Funds $0,00
c. Less Cumulative Prior Awards(s) This Budget Period $0.00
p. Trainee Travel : $0,00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0,00
o. TOTAL DIRECT COSTS: $363,636.00
p. INDIRECT COSTS (Rate. % of S8iVV/TADC) : $36,364.00
q. TOTAL APPROVED BUDGET: . $400,000.00
i. Less Non-Federal Share: $0.00
Ii. Federal Share: $400,000.00
15. PROGRAM INCOME SUBJECT TO 46 CFR Part 74.24 OR 46 CFR 92.25 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING
ALTERNATIVES:'
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A]
Estimated Program Income: $0.00
16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a. The grant program legislation cited above. la, The grant program regulation cited above. c. This award notice including leans and conditions, If any, noted below under REMARKS. 4.45 CFR Part 74 or 45
CFR Part 92 as applicable. In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant terms and conditions Is
acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS: (Other Terms and Conditions Attached [ X ]Yes []No)
Electronically signed by Shonda Gosnell , Grants Management Officer on : 10/14/2014
17. OBJ. 'CLASS: 41.51 118. CRS-EIN: 1866000472A2J19. FUTURE RECOMMENDED FUNDING: $0.00
.F..y.=.CAN:i.. .cFpA; DOCUMENT NO :.AMT.F.IN.••••ASST.:.• ,•AMT• . . ..,. DIR:•:ASST. .. .. SUB:PROGRAM . , ••••,••••••,•,••••• • ,•:..• •,•••• ACCOUNT •• ••• /M..• • • • ... •
• ••..:•:•C.OPE •• „CODE. - ••
15 - 3898020 93.926 H49MC00174C0 $100,800.00' $0.00 N/A
Page 1

NOTICE OF AWARD (Continuation Sheet) Date Issued: 10/14/2014 8:5636 AM
Award Number: 6 H49MC00174-13-03
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not
already registered) within HRSA's Electronic Handbooks (EHI3s). Registration within HRSA EHBs is required only once for each user for each
organization they represent, To complete the registration quickly and efficiently we recommend that you note the 10-digit grant number from box
4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct
grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of
noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses,
updating email addresses and submitting certain deliverables electronically. Visit https://grants.hrsa.gov/webextemal/login.asp to use the
system. Additional help is available online and/or from the HRSA Call Center at 877-0o4-HRSA/877-464-4772,
Terms and Conditions
Failure to comply with the special remarks and condition(s) may result in a draw down restriction being placed on your Payment
Management System account or denial of future funding.
Grant Specific Term(s)
1, This revised Notice of Award is issued to provide the remaining 2014-2015 grant funds In the amount of $100,500.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Lisa L Derrick M. Ed Program Director lisaderrick@maiLmaricopagov
Celeste D Bautista Business Official celestebautista©mail.maricooa..ov
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Juliann DeStefano at:
HRSA/MCHB/DHSPS
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: jdestefano@hrsa.gov
Phone; (301) 443-0883
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Tanya Randall at:
MailStop Code: 11-03
HRSA/OFAM/DGMO/GSFB
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: trandall@hrsa.gov
Phone: (301) 594-4259
Fax: (301) 443-6343
Page 2

C-86-02-166-2-26 ATTACHED TO AND A PART OF
Health Resources and Services
Administration (HRSA)
Notice of Award S H49MC00174-13-03
HSI: Eliminating Disparities in Perinatal
Health
IN WITNESS WHEREOF, the parties agree to enter into this Contract and its
Amendments:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date