AMENDMENT 37 RE HEALTH CENTER CLUSTER WITH HRSA.PDF

1. DATE ISSUED: 2. PROGRAM CFDA: 93.224
08/07/2014
3. SUPERSEDES AWARD NOTICE dated: 06/17/2014
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT
6 H80CS00044­13­04 H80CS00044 NO.: NOTICE OF AWARD
H66CS00459 AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD: Public Health Service Act, Title III, Section 330
FROM: 11/01/2001 THROUGH: 10/31/2017 Public Health Service Act, Section 330, 42 U.S.C. 254b
Affordable Care Act, Section 10503
Public Health Service Act, Section 330, 42 U.S.C. 254, as amended.
Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b,
7. BUDGET PERIOD: as amended
FROM: 11/01/2013 THROUGH: 10/31 /2014 Public Health Service Act, Section 330, 42 U.S.C. 254b, as
amended
8. TITLE OF PROJECT (OR PROGRAM): HEALTH CENTER CLUSTER
9. GRANTEE NAME AND ADDRESS: 10. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL
MARICOPA COUNTY PUBLIC HLTH SERVS DEPT INVESTIGATOR)
220 S 12th Ave Tresa Floyd
Phoenix, AZ 85007­3101 MARICOPA COUNTY PUBLIC HLTH SERVS DEPT
DUNS NUMBER: Division Line: Maricopa County Dept. Public Health, Health Care for
145454000 the Homeless
BHCMIS # 090750 220 S 12th Ave
Phoenix, AZ 85007­3101
11.APPROVED BUDGET: (Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[ ] Grant Funds Only a. Authorized Financial Assistance This Period $2,681,588.00
[X] Total project costs including grant funds and all other financial participation b. Less Unobligated Balance from Prior Budget
Periods
a . Salaries and Wages : $1,405,240.00
i. Additional Authority $0.00
b .Fringe Benefits : $520,380.00
ii. Offset $0.00
c . Total Personnel Costs : $1,925,620.00
c. Unawarded Balance of Current Year's Funds $0.00
d . Consultant Costs: $0.00
d. Less Cumulative Prior Awards(s) This Budget $2,644,870.00
e . Equipment: $16,240.00 Period
f . Supplies: $51,600.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $36,718.00
g . Travel : $13,526.00 ACTION
13. RECOMMENDED FUTURE SUPPORT: (Subject to the
h . Construction/Alteration and Renovation : $0.00 availability of funds and satisfactory progress of project)
i . Other: $102,880.00 YEAR TOTAL COSTS
j . Consortium/Contractual Costs : $555,000.00 14 $2,682,897.00
15 $2,682,897.00
k . Trainee Related Expenses : $0.00 16 $2,682,897.00
l . Trainee Stipends: $0.00
m 14. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)
. Trainee Tuition and Fees : $0.00 a. Amount of Direct Assistance $0.00
n . Trainee Travel : $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00
o . TOTAL DIRECT COSTS: $2,664,866.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00
p . INDIRECT COSTS (Rate: % of S&W/TADC) : $370,222.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
q . TOTAL APPROVED BUDGET: $3,035,088.00
i. Less Non ­Federal Share: $353,500.00
ii. Federal Share: $2,681,588.00
15. PROGRAM INCOME SUBJECT TO 45 CFR Part 74.24 OR 45 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 [D ]
Estimated Program Income: $353,500.00
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. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any, noted below under REMARKS. d. 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 Helen Harpold , Grants Management Officer on : 08/07/2014
17. OBJ. CLASS: 41.51 18. CRS­EIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $0.00
SUB PROGRAM SUB
FY­CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. CODE ACCOUNT
CODE
14 ­ 398879D 93.527 H80CS00044D0 $36,718.00 $0.00 HCH H80CS00044D0
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/7/2014 2:38:34 PM
Award Number: 6 H80CS00044-13-04
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 (EHBs). 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/webexternal/login.asp to use the
system. Additional help is available online and/or from the HRSA Call Center at 877 ­Go4­HRSA/877­464­4772.
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 Notice of Award (NoA) provides funds for an increase to the grantee's annual ongoing base funding in accordance with statutory
requirements and, as appropriate, continued recognition as a patient center medical home for its site(s). The increase in annual base funding
has been added to the OTHER Category within the Federal Object Class Budget Category breakdown as reflected on the NoA. Health
centers may reallocate these federal funds as appropriate for their budgetary needs. Prior approval is required from HRSA ONLY when
proposing to shift federal funds among object class budget categories in amounts that exceed the specified threshold prescribed in 45 CFR
74.25. In addition, health centers are reminded of the requirement to track expenditures of federal funds and should consult Policy Information
Notice (PIN) 2013 ­01: Health Center Budgeting and Accounting Requirements for further guidance.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Corinne Velasquez Authorizing Official corinnevelasquez@mail.maricopa.gov
Jane E Cochrane Business Official janecochrane@mail.maricopa.gov
Tresa Floyd Program Director tresafloyd@mail.maricopa.gov
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Stephanie McCoy at:
MailStop Code: 16C ­26
HRSA/BPHC
5600 Fishers Ln
Rockville, MD, 20857­1750
Email: smccoy@hrsa.gov
Phone: (301) 443 ­1848
Fax: (301) 594 ­0161
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Clare Oscar at:
MailStop Code: 10SWH03
OFAM/DGMO/HCB
5600 Fishers Ln
Rockville, MD, 20852­1750
Email: coscar@hrsa.gov
Phone: (301) 443 ­8862
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C-86-02-073-2-036 ATTACHED TO AND A PART OF
Notice of Grant Award, DHHS, HRSA
Health Center Cluster
Award No. H80CS00044-13-04
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