AMENDMENT 4 RE CHILD CARE HEALTH CONSULTATIONS WITH FTF.PDF

Early Childhood Health and
Grant Renewal Amendment Development Board (First
Things First)
2015 Grant Award Page 4000 North Central
GRA-STATE-13-0503-01-Y3 1 Avenue, Suite 800
FIRST THINGS THINGS FIRST of Phoenix, Arizona 85012
Ready for School. Set for Life. First Things First
Child Care Health Consultation 1 (602) 771-5000
(602) 265-0009 fax
CONTRACTOR:
Machrina Leach
Maricopa County Department of Public Health
4041 N Central Ave.
Suite 639
Phoenix, AZ 85012
PURPOSE OF AMENDMENT:
1. Pursuant to Special Terms and Conditions, "Contract Renewal", of the above referenced Grant
Agreement/Contract Award, the State of Arizona hereby exercises its sole option to renew the Grant
Agreement/Contract Award number referenced above. The renewal start date is July 1, 2014 and end
date is June 30, 2015.
2. Total award amount for the contract period is $1,033,670.
3. The Grantee is responsible for all updated Standards of Practice located for reference in the First
Things First Grant Management System known as PGMS under Grantee Resources.
4. All other terms and conditions remain unchanged.
Contractor hereby acknowledges receipt and understanding The above referenced amendment is hereby executed
of the contract amendment. effective July 1, 2014 once signed and dated below:
Signature
Josh Allen
Name CFO/C00
Title
Date
Date

C-86-13-012-3-04 Amendment No. 4 CCHC
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

4000 North Central Avenue, Suite 800
Phoenix, Arizona 85012
.2.[+ Phone: 602-771-5100
Fax: 602-274-7040
FIRST THINGS FIRST
www,azitii.gov
Chair
Steven W. Lynn DATE: June 11, 2014
Vice Chair TO: Maricopa County Department of Public Health
Dr. Pamela Powell
ATTENTION: Machrina Leach
Members MachrinaLeach@mail.maricopa,gov
Nadine Mathis Basha
Gayle Burns FROM: Charlene Surber, Quality First Fiscal Specialist
Janice Decker
Hon. Cecil Patterson RE: Grant Renewal Information
Vivian Saunders
Ruth Solomon
Ex-Officio Members
Congratulations on the renewal of your grant from First Things First. The award
Clarence H. Carter
period for your grant, GRA-STATE-13-0503-01-Y3, is July 1, 2014 through June 30,
Director DES
2015.
Will Humble
Director ADHS Follow Up Action Necessary
Please print two copies of the attached Grant Renewal Amendment form, obtain
John Huppenthal
original signatures by your designated signatory, and mail both originals back to my
Superintendent ADE
attention. First Things First will countersign and return one original for your
Chief Executive Officer records.
Sam Leyvas
For your FY15 grant, the reimbursement requests, data and narrative reports, and
general grant management documentation will continue to be submitted through
the Partner and Grant Management System (PG MS). Please reference the Grantee
Resources Folder in PGMS for the most current versions of the budget modification
request and staff change notification forms.
Your current grant ends June 30, 2014 and the current terms require final data and
narrative reports be submitted on or before July 21, 2014 and your final request
for reimbursement must be submitted no later than August 15, 2014 (45 days
from the grant end date.) Unexpended funds from 2014 do not carry over to the
2015 fiscal year.
If you have any questions, please contact me, Charlene Surber, at
csurber@azftf.gov or 602-771-5079. We look forward to working with you again
this year.