CONTRACT RE HEALTH IMPACT ASSESSMENT FOR ROOSEVELT SCHOO DISTRICT WITH PEW CHARITABLE TRUSTS.PDF

Contract ID: 27599
THE PEW CHARITABLE TRUSTS
Project Funding Agreement Terms and Conditions
This Project Funding Agreement (PFA) is between Maricopa County by and through its
Department of Public Health (Organization), a political subdivision of the state of Arizona and
The Pew Charitable Trusts (Pew), a Pennsylvania nonprofit corporation, recognized as exempt
from income tax as a publicly-supported charitable organization described under Section
501(c)(3) of the Code. The effective date of this PFA is the date of last signature (Effective Date).
This PFA shall terminate fifteen (15) months from date of last signature (Termination Date).
1. PROJECT DESCRIPTION AND PURPOSE
Organization, in collaboration with the Arizona Alliance for Livable Communities, and
by engaging community residents and other stakeholders, will conduct a health impact
assessment (HIA) to inform the Roosevelt School District Governing Board and
Superintendent as they consider if, when, and how to authorize and improve community
use of District-owned properties—including playgrounds, sports fields, and vacant lots.
Additionally, the Organization will explore opportunities to integrate HIA work into its
staff positions and internal structure.
2. WORKPLAN AND DELIVERABLES
The attached workplan (Workplan — Exhibit A) describes the project funded under this
PFA, including the activities, deliverables, and time frame. Together, these PFA Terms
and Conditions, and the Workplan shall constitute the PFA.
A. Review _of Work Product. Organization agrees to provide Pew and the technical
assistance provider with draft versions of the Work Product for review and comment,
prior to public dissemination, as set forth in the Workplan. Subsequent to the
technical assistance provider’s review, Organization will provide Pew with at least
five days for review and approval.
B. Participation in regular telephone meetings and e-mail consultation. Organization
agrees to participate in ongoing and regular (approximately monthly) telephone
meetings with Pew and/or technical assistance providers designated by Pew.
Meetings will be scheduled by Organization at reasonable intervals and on reasonable
notice to technical assistance providers and Pew.
3. BUDGET
A. Budget. The below Budget is hereby incorporated in this PFA.
Budget
Line Item Year 1 (12 months) | Year 2 (6 months) Total
Salaries $33,404 $9,566 $42,970
Benefits $10,689 $3,061 $13,750
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Contract ID; 27599
Consultants $23,950 $2,500 $26,450
Meetings/Trainings | $3,850 $0 $3,850
Travel $4,577 $171 $4,748
Communications $1,200 $1,050 $2,250
Supplies $310 $310
Indirect $4,409 $1,263 $5,672
Subtotal $82,390 $17,610 $100,000
Contingent Funds
Year 1 (12 months) | Notes
Contingent Funds $ 8.000 Funds in this line item are included for a sub-
contractor to provide subject-matter expertise for
specific input or technical guidance needed to
complete the HIA. Need for these funds must be
identified in the first year of the grant and must be
approved by Pew before funds are expensed. The
funds in this line item are not a part of the total
grant award. Funds not spent in this line item
Subtotal $ 8,000 cannot be reallocated to other line items.
| Total | $90,390 | $17,610 | $108,000
B. Unexpended Funds. Any portion of the payments made under this PFA not expended
at the completion of the project or PFA term, whichever is earlier, must be returned to
Pew with a final report.
C. Use Of Contingent Funds. Organization may apply to use the funds in the contingent
line of the project budget by submitting a written request. The funds in the contingent
line may be used only for a subcontractor to fill the Organization’s need for specific
technical expertise identified in the course of the HIA, and not available on the HIA
team. Subject-matter experts considered for technical assistance must have
specialized skills and experience to support Organization in a particularly challenging
aspect of the project. Organization must identify the need and apply for these funds in
the first year of the grant. Approval of Organization’s request to use contingent funds
is at the sole discretion of Pew, and is contingent upon demonstrated need as
determined by Pew, adequate progress on all deliverables, availability of funds, and
submission of a budget that complies with all Pew requirements. Unspent funds may
not be reallocated to other line items and will not be paid unless Pew has approved
Organization’s application. If use of contingent funds is approved by Pew, specific
deliverables for the subject matter expert will be agreed to in the process defined in
section 5.D. of this PFA.
4, REPORTING
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Contract ID: 27599
A. Narrative and Financial Report Submission. All narrative and financial reports must
contain the contract ID number and be submitted electronically to
PewPortal@pewtrusts.org with a copy to healthimpactproject@pewtrusts.org. Pew
will provide Organization with a narrative and financial report template in Microsoft
Excel upon full execution of this PFA. All other reports and correspondence should
include the contract ID number and be directed to healthimpactproject@pewtrusts.org.
B. Narrative and Financial Report Format. Organization will follow instructions and use
the narrative and financial report template provided by Pew upon full execution of
this PFA.
. Reporting Schedule. The parties shall adhere to the following reporting and payment
schedule:
Narrative Report Financial Report Payment
Due Date Due Date Schedule
Initial payment upon execution of PFA $20,000 within 30 days of
Effective Date
April 1, 2015 April 1 2015 $35,000 by April 30, 2015
October 1, 2015 October 1, 2015 $35,000 by October 31, 2015
Within 30 days of | Within 30 days of $10,000 within 30 days of
approval of final | approval of final approval of final reports.
deliverable deliverable
Contingent Funds Payment
Up to $8,000 within 30 days of Pew’s approval to release contingent funds per
amendment request received from Organization.
D. Payment Approval. Subject to the payment schedule set forth in section 4C, Pew will
make payments within thirty (30) days from the date on which Pew receives and
approves complete and correct financial and narrative reports. Organization’s failure
to remit complete and correct reports will delay payment accordingly. If Organization
has more than fifty (50) percent of the value of its next payment on hand at the time
of submitting a financial report, Pew may consider deferring the next payment. In this
case, Organization will be required to provide an updated financial report after
additional funds are spent and Organization has less than fifty (50) percent of the
value of its next payment on hand. At its discretion and in consultation with
Organization, Pew may choose not to defer the payment to appropriately support
activities funded under this PFA.
5. MODIFICATIONS AND AMENDMENTS
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Contract [D; 27599
Pew may, at Pew’s discretion, grant amendments, including those listed in sections 5.A.—5.D. of
this PFA, Organization will submit all amendment requests to Pew’s designated grant liaison.
Amendments will be granted only in cases in which Pew judges that Organization is making
adequate progress and Pew determines that the changes will not interfere with the success of the
HIA. Pew prefers to combine any proposed changes into a single amendment. If the need to
complete more than one type of amendment arises at the same time, Organization will submit the
amendment requests together. With the exception of Section 5.D. of this PFA, all amendments
will be effective only if documented by both parties in writing.
A. Budget Amendments. Reallocation of expenses among project budget categories must
be approved by Pew if the reallocation exceeds five (5) percent of the total PFA
awarded or $5,000, whichever is greater. All reallocation of funds must adhere to
Pew’s guidelines for spending in each budget category. If any of the above
circumstances apply, Organization should submit a brief letter that details why
changes to the budget are needed and a line item budget revision worksheet that
includes the approved budget, the requested changes, how the proposed amounts were
determined, and the proposed budget.
A.1. Additional funds may not be added to the benefits lines that are in excess of
thirty-two (32) percent of salaries. Additional funds may not be added to the indirect
line item in excess of ten (10) percent of salaries and benefits.
A.2. Organization may not reallocate the funds located in the contingent line item for
subject-matter expertise. If Organization identifies a need for subject-matter expertise,
Organization must submit a budget fact sheet that includes a rationale for the request
that explains how it relates to and supports Organization’s Workplan, the proposed
deliverables to be accomplished with the contingent funds, and a detailed budget.
B. Extension of Narrative and Financial Report Due Dates. If Organization will require
additional time to submit financial and narrative reports, Organization must submit
the request thirty (30) days prior to the scheduled due date and include the amount of
additional time needed, the reason additional time is needed, and the date when the
reports will be submitted.
C. No-cost Extensions. If the deliverables outlined in the Workplan will not be complete
by the Termination Date, Organization will submit a no-cost extension request. The
no-cost extension request should include the proposed end date; what caused the
change in the project timeline; what work will occur during the extension period; and
whether there are any changes to the deliverables or deliverable due dates. If there are
changes to the deliverables due dates, Organization will also submit a revised
Workplan with updated deliverable due dates. Organization will submit all no-cost
extension requests at least five weeks before the Termination Date.
D. Other Amendments. Amendments to the Workplan deliverables, due dates, and
requests to use cotingent funds must be reviewed and approved in writing by the
program liaison, in coordination with the Health Impact Project Director.
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Contract ID; 27599
6. INTELLECTUAL PROPERTY AND LICENSES
A. Work Product. Work product consists of the deliverables and other materials,
including drafts thereof, prepared by Organization to carry out the project funded
under this PFA (Work Product). Organization represents and warrants to Pew that the
Work Product is the original Work Product of Organization or of subcontractors or
subgrantees, if any, and that it does not infringe any third party's intellectual property
rights. Organization hereby grants to Pew, Robert Wood Johnson Foundation, and the
de Beaumont Foundation, and agrees to obtain from any subcontractors or
subgrantees, a nonexclusive, irrevocable, perpetual, worldwide, royalty-free,
transferable and sublicensable license for noncommercial purposes to use, display,
perform, reproduce, publish, copy, archive, excerpt, distribute, create derivative
works from, including but not limited to summaries, and otherwise disseminate, in
whole or in part, any or all of the Work Product. This Section shall survive the
termination of this PFA.
B. Datasets. Upon Pew's request, Organization shall provide Pew in a form satisfactory
to Pew with a copy of any and all data, datasets, source documents or other
information Organization used to develop the Work Product (the Datasets).
Organization hereby grants to Pew and the Robert Wood Johnson Foundation a
nonexclusive, royalty-free, irrevocable, worldwide license to use the Datasets and
agrees, if necessary, to obtain such licenses for Pew from third parties. If
Organization is unable to obtain such third-party licenses, Organization will notify
Pew in writing.
7. MEDIA, PUBLICITY, AND COMMUNICATIONS
A. Funding Announcement. Pew will publicly announce the relationship with
Organization under this PFA. Prior to that announcement, Organization will not
broadly publicize the award of funding under this PFA, without prior approval from
Pew. Organization may begin work on the HIA, including discussions with key
stakeholders, prior to that release. Organization agrees to work with Pew to develop
and use clear, consistent messaging regarding HIA, the Health Impact Project, and
Pew.
B. Notification. Organization agrees to notify the Health Impact Project of any
significant achievement, such as legislation or policy changes resulting from the work
funded by this PFA, within a day of any public announcement.
C. Public Actions and Statements. Organization recognizes and agrees that
Organization’s public actions and statements in connection with this PFA, if any,
including publications, interviews, representations and public appearances, may be
imputed to Pew. Accordingly, Organization agrees to make only statements and take
only actions that are consistent with and relevant to the goals of the project. Any
questions concerning Provider’s statements or actions shall be discussed in advance
with Organization’s designated Pew Communications staff. In addition, Organization
must provide to Pew copies of any media and publicity materials at least five (5)
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Contract ID: 27599
business days in advance. Such materials may not be used or disseminated without
Pew's prior approval in each instance.
D. No Use of Pew Name. Pew understands that Organization may wish to use the name
and mark “The Pew Charitable Trusts,” “Health Impact Project,” “de Beaumont
Foundation,” or the “Robert Wood Johnson Foundation” and all variations thereof
(Project Name) in connection with its work under this PFA, including in public
statements, reports and other publications, and online messaging. Except as otherwise
provided herein, all such uses require Pew's prior written consent.
E. Acknowledgment of Pew. Organization agrees to provide an acknowledgment of
Pew's role as the funder of such Work Product by placing on all final and/or
disseminated versions of the Work Product and derivatives the following language,
“This [project, product, report, issue brief, etc.] is supported by a grant from the
Health Impact Project, a collaboration of the Robert Wood Johnson Foundation and
The Pew Charitable Trusts, with funding from the de Beaumont Foundation. ”
F. Disclaimer. Unless otherwise requested by Pew, for all written Work Product and
derivatives created pursuant to this PFA and publicly disseminated, Organization
shall include the following disclaimer (unless Pew provides alternative wording):
“The views expressed are those of the author(s) and do not necessarily reflect the
views of the Health Impact Project, The Pew Charitable Trusts, the Robert Wood
Johnson Foundation, or de Beaumont Foundation.”
8. CAMPAIGN INTERVENTION AND LOBBYING
A. No Campaign Intervention. No payments received by Organization under this PFA
may be used to participate or intervene in (including the publishing or distributing of
statements) any political campaign on behalf of (or in opposition to) any candidate for
public office within the meaning of Section 501(c)(3) of the Code and the Treasury
Regulations thereunder.
B. No Lobbying. The Program Coordinator/Principal Investigator is required to attend a
training on lobbying compliance, for which Pew will have pre-approval to ensure that
the training meets the requirements of this PFA. Organization shall ensure that no
payments under this PFA shall be used to carry on any lobbying activities within the
meaning of Section 501(c)(3) of the Code and the Treasury Regulations thereunder.
In the event that Organization engages in lobbying activity under this PFA within the
meaning of the Lobbying Disclosure Act, or any corresponding state, local or
international regulation, Organization shall, and hereby warrants that it will, comply
with all reporting and disclosure obligations imposed under such Act or regulation,
and Organization hereby agrees that such reporting obligations shall not extend to
Pew.
C. Patents and Inventions. The Organization shall promptly and fully disclose in writing
to Pew any invention that is made with the financial support, in whole or in part, of
Pew. Organization shall include a transmittal letter report about the invention to Pew
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Contract [D: 27599
and shall include Pew’s log number along with the transmittal. Title to any such
inventions shall be assigned in accordance with U.S. Patent Laws. In the case of
patent rights that are jointly owned by Pew and the Organization, Pew and
Organization will enter into an interinstitutional agreement specifying which party
will be responsible for managing the joint patent rights (the “responsible party”). No
patent or patent application shall be abandoned by the responsible party without first
notifying either Pew or Organization, as the case may be, in writing ninety (90) days
in advance of abandoning the patent or patent application, and according the other
party the opportunity to take sole title to the invention and continue to prosecute
and/or maintain the patent rights at its own expense.
9. CONFIDENTIALITY
Organization will treat the following categories of information provided to Organization
by or on behalf of Pew, whether orally or in writing, as strictly confidential (the
Confidential Information): the content of internal, non-public communications between
Pew and Organization regarding the project, including Pew’s comments on draft Work
Product; any information regarding the budget for the project, other than the total amount
of this PFA; and any other information provided to Organization, whether orally or in
writing, that Pew indicates is confidential. Any dissemination of or discussion regarding
the Confidential Information is prohibited with anyone outside of Pew, except to the
extent dissemination is legally required by a statute or other legal rule which cannot be
negated by this PFA. Organization may request to disclose certain types of confidential
information and may do so with prior written permission from Pew. At the conclusion of
the project, Organization agrees to return or destroy the Confidential Information
provided in writing by or on behalf of Pew. Information will not be considered to be
Confidential Information if it: (a) is already, or otherwise becomes, publicly known by
third parties as a result of no act or omission of Organization; (b) is lawfully received,
after disclosure hereunder, from a third party having the right to disseminate the
information without restriction in disclosure; (c) can be shown by Organization to have
been independently developed prior to the execution of this PFA; or (d) is required to be
disclosed by court order or by order of any governmental or administrative agency or
tribunal having jurisdiction over Organization. Organization’s obligation not to disclose
the Confidential Information shall survive the termination of this PFA.
10. INDEMNIFICATION
Organization shall indemnify, defend and hold harmless Pew and its officers, directors,
employees, agents, affiliates, and contractors from and against any and all claims,
liabilities, damages, losses, expenses, demands, suits, and judgments, including without
limitation reasonable attorneys' fees and costs, arising from or relating to (a)
Organization’s performance of this PFA or breach thereof or (b) the intentional
misconduct or negligent acts or omissions of Organization, its employees, agents,
contractors, or consultants in connection with the performance of its obligations under
this PFA. This provision shall survive the termination of this PFA.
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Contract ID: 27599
11. PERSONNEL
A. Key Personnel. Pew and the Organization agree that the following individuals are
“Key Personnel” pursuant to Section 11.B. of this PFA: None.
B. Replacement of Personnel. Organization agrees to provide Pew with written
notification two weeks before replacing the project lead, program coordinator or any
other key personnel identified above. Two weeks advance notice is not required
where immediate termination is clearly necessary to protect the interest of the project.
However, in such cases, Organization shall notify Pew promptly and before selecting
a replacement.
12. TERMINATION
A. Payment Cancellation. Pew may terminate this PFA, or postpone or cancel any or all
payments, upon notice to Organization, in writing, effective upon Organization’s
receipt of such notice, if: (1) Organization fails to complete and/or make satisfactory
progress toward the Work Product and/or reports, as set forth in the Workplan; (2) the
PFA application or any required report is found by Pew to be inaccurate in any
material respect; (3) Organization substantially fails to perform any of its duties
required by the terms of this PFA; or (4) Organization has a substantial unexpended
balance of grant funds on hand. In the event of a termination under this paragraph,
Pew shall pay Organization for work actually performed, prorated to the effective
date of the termination, plus any non-cancelable obligations incurred prior to such
notice of termination.
B. Termination Notice. In the circumstances below, Organization agrees to give
immediate written notice to Pew and, upon demand, repay all portions of the PFA
funds paid by Pew that are within Organization's control, and Pew may terminate this
PFA immediately including canceling all unpaid amounts if:
B.1 Organization ceases to be exempt from federal income tax for any reason or
Organization's status as an organization described under Section 501(a) of the Code
or Section 170(c)(1) of the Code, as the case may be, is materially changed; or
B.2. Organization has failed to timely comply with any of its applicable (i) federal,
state, local or other tax and information return filing requirements or (11) registration
requirements; or
B.3. Organization becomes insolvent or for any other reason is unable to meet its
financial obligations as they become due, other than those financial obligations for
which the PFA is made.
C. Termination and Work Product. Organization shall provide Pew with any Work
Product created prior to the effective date of any termination.
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Contract ID: 27599
D. Termination Delivery. All notices under this Section shall be in writing and shall be
delivered personally, or by electronic mail (provided such delivery is confirmed), or
by a recognized overnight courier service or by United States mail, first-class,
certified or registered, postage prepaid, return receipt requested, to the other party at
its address set forth below or to such other address as such party may designate by
notice given pursuant to this section:
If to Organization:
David Dube
Public Health Policy Consultant
Maricopa County Department of Public Health
4041 North Central #700
Phoenix, AZ 85012
If to Pew:
Susan K. Urahn
Executive Vice President
The Pew Charitable Trusts
901 E Street NW, 10th Floor
Washington, DC 20004
With copies to:
Kara Blankner
Manager, Health Impact Project
The Pew Charitable Trusts
901 E Street NW, 10th Floor
Washington, DC 20004
and
James G. McMillan
Senior Vice President, General Counsel and Corporate Secretary
The Pew Charitable Trusts
901 E Street NW, 10th Floor
Washington, DC 20004
13. GENERAL
A. Polls and Surveys. If Organization completes any polls or surveys funded through this
PFA it shall comply fully with the Robert Wood Johnson Foundation Guidelines for
Funding and Releasing Polls and Surveys (which are available at
www.twjf.org/files/guidelinesforpollsandsurveys.pdf).
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B. Compliance with Laws. Organization agrees to comply with all applicable federal,
state and local laws, regulations or rules, including without limitation any state rules
regulating lobbying or the provision of gifts to government officials (e.g.,
reimbursements of transportation or lodging expenses). Organization shall provide
Pew, at Pew's request, with documentation of its compliance with such laws.
C. Assignment. Organization will directly administer the project or program being
supported by this PFA. Notwithstanding any provision in this PFA to the contrary,
Pew may assign all or any part of its right, title and interest in this PFA, provided Pew
gives notice to Organization of any such assignment. Organization may not assign
this PFA, in whole or in part, without Pew's prior written consent.
D. No Third-Party Benefit. The provisions of this PFA are for the sole benefit of the
parties hereto. This PFA confers no rights, benefits, or claims upon any person or
entity not a party hereto.
E. Headings and Subsections. Section headings are provided for reference and do not
constitute part of this PFA.
F. Construction. For purposes of construction, to the extent any provision of the
Workplan conflicts with a provision of this PFA, the PFA shall govern.
G. Severability; No Waiver. If any provision of this PFA is held to be invalid or
unenforceable for any reason, the remaining provisions will continue in full force
without being impaired or invalidated in any way. Pew and Organization agree to
replace any invalid provision with a valid provision, which most closely approximates
the intent and economic effect of the invalid provision. The waiver by either party of
a breach of any provision of this PFA will not operate or be interpreted as a waiver of
any other or subsequent breach.
H. Counterparts. This PFA may be executed in one or more counterparts, each of which
shall be deemed an original and all of which shall be taken together and deemed to be
one instrument. Faxed and PDF counterpart signatures are sufficient to make this
PFA effective. Each party shall execute as many copies of this PFA as there are
parties, retain one and distribute the other executed copies to each of the other parties.
I. Organization's Warranties and Authority. Organization represents and warrants that
(a) it has the corporate, statutory or other power and authority to enter into this PFA
and to perform its obligations hereunder; (b) the person who executes this PFA on
behalf of Organization has the necessary authority to bind Organization; (c) neither
the execution and delivery of this PFA, nor the performance of its obligations
hereunder, will constitute a violation of, a default under, or conflict with any term of
any applicable governance documents such as a certificate of incorporation, bylaws or
other agreements to which it is bound; and (d) its employees and subcontractors, if
any, are not included on any list or general order issued by the United States
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Contract ID; 27599
government or governmental agency, and are not a sanctioned party identified by the
United States government or government agency.
J. Protection of Human Subjects. If research involving human subjects is performed
pursuant to this PFA, Organization shall ensure that it complies with applicable
statutes, regulations and policies concerning the protection of human research
subjects. Particularly, the Organization shall be responsible for compliance with: (i)
the requirements set forth by the Department of Health and Human Services, at 45
C.F.R. Part 46; FDA regulations (21 C.F.R. Parts 50 and 56), if research involves
investigational new drugs or investigational new devices; and (ii) the Privacy
Regulations in the Health Insurance Portability and Accountability Act of 1996 (45
C.F.R. Parts 160 and 164) for the use and disclosure of protected health information.
K. Subcontractors and Subgrantees. Organization agrees that in the event it works with
subcontractors (e.g., a third-party contractor or vendor) or subgrantees
(Subcontractor) to perform services under this PFA, it shall use its best efforts to
ensure that such Subcontractors are bound by these Terms and Conditions, including,
where necessary, executing an addendum to existing contracts between Organization
and Subcontractor. At a minimum, as part of an addendum or otherwise, Organization
shall notify Subcontractor in writing of the following Pew requirements: (a)
Subcontractor is prohibited from using names, logos, or other marks owned by or
associated with the Project Name, as hereinafter defined, for any purpose, including
marketing, advertising or publicity without Pew’s prior written consent; (b)
Subcontractor shall comply with all applicable laws in the performance of the
services for which it has been engaged by Organization and (c) Subcontractor shall
not disclose or use information about Pew for purposes other than performing the
services for which it has been engaged by Organization.
L. Evaluation of the PFA. All activities conducted under this PFA are subject to review
and acceptance by Pew to ensure funds are being spent in accordance with this PFA
and Section 501(c)(3) of the Code. At its own expense, Pew may monitor and conduct
an evaluation of operations under this PFA. The evaluation may include visits to
Organization by representatives of Pew in order to observe and discuss the activities.
M. Organization's Records. Organization will keep systematic records of all expenditures
relating to this PFA. These records, including bills, invoices, canceled checks and
receipts, will be retained by Organization for five years after the Termination Date
and will be available for inspection by representatives of Pew at any time through that
period. Pew may, at its own expense, examine, audit, or have audited the records of
Organization insofar as they relate to activities supported by this PFA.
N. Independent Parties. In all aspects of the performance of the projects and activities
that are the subject of this PFA, Organization, its employees, agents and
representatives are independent parties and are not agents or employees of Pew and
are not entitled to benefits normally provided to Pew employees.
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Contract ID: 27599
O. Organization Status. Organization hereby represents that it either: (a) has received a
Determination Letter from the Internal Revenue Service determining it to be tax-
exempt under Section 501(a) of the Code, or (b) is an organization described under
Section 170(c)(1) of the Code.
P. Pennsylvania Solicitation of Funds for Charitable Purposes Act. Organization has
been notified by Pew that Pew is located in Pennsylvania and that Organization may
be required to register with the Pennsylvania Department of State pursuant to the
Pennsylvania Solicitation of Funds for Charitable Purposes Act.
Q. Legislative/Executive Branch Control. Organization represents that it is not
established, financed, maintained or controlled by a covered Legislative or Executive
Branch official.
R. Complete Agreement. This PFA is the parties’ final and binding expression of their
agreement and the complete and exclusive statement of its terms. This PFA cancels,
supersedes and revokes all prior negotiations, representations and agreements
between the parties, whether oral or written, relating to the subject matter of this PFA.
[Signatures are on the following page. |
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Contract ID; 27599
IN WITNESS WHEREOF, the parties agree to enter into this PFA:
FOR AND ON BEHALF OF THE PEW CHARITABLE TRUSTS
Rebecca W. Rimel
President and Chief Executive Officer
9/25/2014
Date
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Deputy Attorney for Maricopa County
Date
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The Pew Charitable Trusts
Project Funding Agreement (PFA)
Exhibit A: Workplan
Organization shall produce the following deliverables on or before their respective due dates.
Work Product Due Dates
Recruitment of Project Supervisor: This position would be developed October 31,
based on consultation from Pew, Arizona Alliance for Living Communities 2014.
(AALC) and others.
Community Stakeholder Group/Insight Committee: Convene the Insight First Meeting
Committee (IC), a party of representatives of various communities, by October 31,
stakeholders, advocates and local sages. Composition developed with 2014.
guidance and consultation from Pew, AALC and other communities.
Stakeholder engagement plan: A carefully designed and well-executed November 1,
plan for engaging stakeholders at each stage in the health impact assessment 2014.
(HIA) process. The plan and subsequent implementation will include Implementation
identification of stakeholder communities, organizations and individuals and to follow.
strategies to engage them; methods to ensure clear communication with each
group; and identification of barriers and challenges that Organization
anticipates to engaging each group and strategies to address them.
Screening summary: A discussion of how key stakeholders were engaged November 1,
during screening, a description of the decision or decisions that will be 2014.
informed by the HIA and the timeline for these decisions, and a summary of
the final reasons for selecting these decisions for a HIA.
Existing conditions: A description of the health status of the affected November 1,
population, including rates of health outcomes that could be affected, a 2014.
description of important influences on health (or “health determinants”), and
identification of any vulnerable populations that might be disproportionately
affected.
Monitoring and evaluation plan: A plan to evaluate the HIA process, December 1,
impact, and outcomes, and a monitoring plan to track the indicators used to 2014.
inform the process, impact and outcome evaluations. The process evaluation
will gauge the HIA’s quality according to established standards and
Organization’s plan for carrying out the HIA; impact evaluation will assess
the HIA impact on decision making and implementation of proposed
recommendations; outcome evaluation will assess changes in health status
and health determinants as the decision is implemented.

The plan should also include a clearly written, specific strategy that outlines
actions that the grantee and/or other partners will take to continue to monitor
and advocate for sound implementation of the HIA recommendations after
the conclusion of grant funding.
Scoping summary: A narrative summary of the HIA scope, including: the January 1,
populations likely to be affected by the decision(s) informed by the HIA, 2015.
description of the health issues that will be addressed and a summary of any
health issues that were considered but will not be analyzed in depth in the
HIA, the role of Organization and partners in conducting the HIA, data
sources and analytic methods that will be used, and a summary of how
stakeholders were involved in developing the scope. This may also include a
list of assessment research questions, pathway diagrams or logic models.
Literature review: A systematic literature review for the health effects February 1,
identified in the scoping summary. 2015.
Assessment and recommendations: An assessment of potential health May 1, 2015.
impacts of the proposed policy, project, program, or plan and any
alternatives under current consideration. The assessment will incorporate the
best available data, including the literature review; any survey results or new
analyses conducted as part of the HIA, and input from stakeholders, and will
also consider impacts on vulnerable subgroups and health equity. The
assessment also will include a description of analytic methods and
stakeholder engagement during this phase of the HIA.
Recommendations will include a detailed description of recommended
actions that could be taken to reduce health risks and improve health,
including, for each recommendation, a discussion of what agency or entity
has the ability to implement a recommendation and identification of
indicators that should be monitored as the recommendation is implemented
to ensure success. A summary of how stakeholders were engaged in the
process of developing recommendations.
Dissemination and communications strategy: A carefully planned and February 1,
well-executed dissemination and communications strategy will be developed 2015.
that includes clear, consistent messaging, an analysis of important audiences Implementation
for the HIA and HIA report (including affected communities and to follow.
community-based organizations, decision makers, and other stakeholders),
objectives for disseminating the HIA to each audience, and a strategy for
accomplishing those objectives. Dissemination may include, but is not
limited to, presentations, meetings with key decision makers, testimony, and
press releases
Draft HIA report and executive summary: A _ full draft report August 1, 2015.
incorporating information developed in the previous completed deliverables.
The executive summary will be a concise, easy to read summary that

effectively communicates the topic of the HIA, the objectives for conducting
the HIA, and the methods, most important findings and recommendations.
Final HIA report: A full, final HIA report. The report will be publicly October 31,
available on the Health Impact Project website. 2015.
Process and impact evaluation: The process evaluation includes a self- December 1,
assessment of the process of completing the HIA including the analytic 2015.
methods used, the ways in which stakeholders were engaged, challenges and
opportunities for improvement, effectiveness of the training and technical
assistance and lessons learned. The impact evaluation is an assessment of the
success of the HIA according to Organization’s objectives, any additional
impact of the HIA beyond Organization’s objectives, and the impact of the
HIA on decision making up to the time that the impact evaluation is
conducted.
Training, mentoring, and technical assistance: Organization of and Training to be
participation in an HIA training for Organization, partner organizations and scheduled by
selected stakeholders, in collaboration with a training and_ technical Pew, technical
assistance provider designated by Pew; participation in ongoing training, assistance
mentoring and technical assistance activities organized and provided by Pew provider and
and its technical assistance providers. This also includes participation of at Organization.
least one representative of the Organization at the grantee meeting in Spring
2015.
Communications materials: At Pew’s request, draft and collaborate with Deliverables to
Pew to finalize brief summaries that summarize key findings, lessons, or | be scheduled by
outcomes of the HIA. Final topics of these summaries to be determined by | Pew and
Pew in collaboration with Organization. Organization at
appropriate
intervals and on
reasonable
notice to
Organization.
Organizational Changes: Organization will modify staff epidemiologist, | Updated
policy analyst, and health education job descriptions to include HIA-related | position
tasks and responsibilities. Organization will also assess alternate descriptions and
organizational processes to facilitate inter-staff coordination and written
coordination between divisions/departments to carry out HIA and HIA- assessment due
related activities. December 1,
2015.