AMENDMENT 36 RE HEALTH CENTER CLUSTER WITH HRSA.PDF

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1. DATE ISSUED: 2. PROGRAM CFDA: 93,224 es, 02oartmord of Hatith and Hmaa Syrloot
06/17/2014 Am RsA
3. SUPERSEDES AWARD NOTICE dated: 04/21/2014
except that any additions or restrictions previously Imposed remain in effect unless specifically rescinded.
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER GRANT Health Resetimea an0Serritti AdtrOlattation
6 H80CS00044-13-03 H80CS00044 NO.: NOTICE OF AWARD
H66CS00459 AUTHORIZATION (Legislation/Regulation)
6. PROJECT PERIOD: Public Health Service Act, Title Ill, 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 121h Ave Tresa Floyd
Phoenix, AZ 85007-3101 MARICOPA COUNTY PUBLIC HLTH SERVS DEPT
DUNS NUMBER: Division Line: Maricopa County Dept. Public Health, Health Care for
145454000 the Homeless
BHCMIS # 090750 2208 12th Ave
Phoenik, AZ 85007-3101
11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[ ] Grant Funds Only a. Authorized Financial Assistance This Period $2,644,870.00
[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
a. Equipment : $16,240.00 Period
f. Supplies : $51,600.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS $0.00
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 : $66,162.00 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
I . Trainee Stipends : $0.00
14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
m 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: $2,628,148.00 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: $2,998,370.00
i. Less Non-Federal Share: $353,500.00
II. Federal Share: $2,644,870.00
15. PROGRAM INCOME SUBJECT TO 45 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 LD )
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, o. 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 funcfs are ofrawn or othenvise obtained from the grant payment system,
REMARKS: (Other Terms and Conditions Attached ( X IYes [ 1No)
This NoA is issued to remove one or more Grant Conditions imposed on projects.
Electronically signed by Helen Harpold , Grants Management Officer on : 06/17/2014
17. OBJ. CLASS: 41,51 18. CRS-EIN: 1866000472A2 19. FUTURE RECOMMENDED FUNDING: $0.00
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NOTICE OF AWARD (Continuation Sheet) Date Issued: 6/17/2014 10:2940 AM
Award Number: 6 HSOCS00044-13-03
N/A
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NOTtCE OF AWARD (Continuation Sheet) Date Issued: 6/17/2014 10:29:40 AM
Award Number: 6 H80CS00044-13-03
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 (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 (1.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-Go4-HRSN877-464-4772.
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. The grant condition stated below on NoA 5 H800500044-13-00 is hereby lifted,
Submit a revised SF 424A, Line Item Budget, and Budget Narrative Justification for the Federal award of $2,580,229. The Federal amount
refers to only the Federal section 330 Health Center Program grant funding for this award, not all Federal grant funding that an applicant
receives. Also include the budget breakdown for non-Federal resources. (Refer to budget requirements In the Service Area Funding
Opportunity Announcement or Budget Period Renewal Non-Competing Continuation guidance for budget format.)
The budget justification must detail the costs of each line item within each object class category,
For the Personnel line item, you must include the following for each employee supported by funds from this award; name of employee; base
salary; % FTE on the grant; and amount of Federal funds (wages and % of fringe benefits) to be paid for the budget year. This personnel
information requirement also applies to subawards/subcontracts supported by Federal funds from this grant.
Federal grant funds may not be used to pay the salary of an individual at a rate in excess of Federal Executive Level II of the Federal
Executive Pay scale (currently $179,700). This amount reflects an individual's base salary exclusive of fringe benefits and income that an
individual may be permitted to earn outside of the duties to the applicant organization (i.e., rate limitation only limits the amount that may be
awarded and charged to HRSA grants.)
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Jane E Cochrane Business Official janecochrane@mail.maricopa.gov
Tresa Floyd Program Director tresafloyd@mail.maricopa.gov
Corinne Velasquez Authorizing official corinnevelasquez@maiLmaricopa.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, 20857-1750
Email: smccoy@hrsa.gov
Phone: (301) 443-1848
Fax: (301) 594-0161
Division of Grants Management Operations:
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NOTICE OF AWARD (Continuation Sheet) • Date Issued: 6/17/2014 10:29:40 AM
Award Number: 61-180CS00044-13-03
For assistance on grant administration issues, please contact Clare Oscar at:
MailStop Code: 11-03
OFAM/DGMOMCB
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: coscar@brsa.gov
Phone: (301) 443-8862
Fax: (301) 443-9810
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C-86-02-073-2-36 HRSA Notice of Award
IN WITNESS WHEREOF, the parties agree to enter into this Agreement:
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