AMD GRANT AGRMT RE INJURY PREV SNACK WITH FTF.PDF
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4000 North Central Avenue, Suite 800 Phoenix, Arizona 85012 Phone: 602-771-5100 Fax: 602-274-7040 www.azftf.gov Chair Steven W. Lynn DATE: June 11, 2014 Vice Chair TO: Maricopa County Department of Public Health Dr. Pamela Powell ATTENTION: Siman Qaasim Members SimanQaasim@mail.maricopa.gov Nadine Mathis Basha Gayle Burns FROM: Dana Browning Janice Decker Hon. Cecil Patterson RE: Grant Renewal Information Vivian Saunders Ruth Solomon ________________________________________________________ Ex-Officio Members Congratulations on the renewal of your grant from the Northwest Maricopa and Southwest Clarence H. Carter Maricopa Regional Partnership Councils. The award period for your grant, GRA-MULTI-13- Director DES 0516-01-Y3, is July 1, 2014 through June 30, 2015. Will Humble Follow Up Action Necessary Director ADHS Please print two copies of the attached Grant Renewal Amendment form, obtain original signatures by your designated signatory, and mail both originals back to my attention. First Things First will countersign and return one original for your records. John Huppenthal Superintendent ADE 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 Chief Executive Officer Grant Management System (PGMS). Please reference the Grantee Resources Folder in PGMS Sam Leyvas 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 either of us, Annette Garcia, angarcia@azftf.gov, 602-771-5089 or Dana Browning, dbrowning@azftf.gov, 602-771-5094. We look forward to working with you again this year. Early Childhood Health and Grant Renewal Amendment Development Board (First Things First) Page 2015 Grant Award 4000 North Central 1 Avenue, Suite 800 GRA-MULTI-13-0516-01-Y3 of Phoenix, Arizona 85012 Northwest Maricopa,Southwest Maricopa Nutrition/Obesity/Physical Activity 1 (602) 771-5000 (602) 265-0009 fax CONTRACTOR: Maricopa County Department of Public Health 4041 N. Central Ave., Ste. 1400 Phoenix, Arizona 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 $850,000.00 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/COO Title _______________________________________________ Date Date G