IGA RE HYPERTENSION AND DIABETES WITH ADHS.PDF

ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) 1740 West Adams, Room 303
Phoenix, Arizona 85007
(602) 542-1040
Contract No. ADHS14-072293 (602) 542-1741 FAX
Project Title: HYPERTENSION AND DIABETES SYSTEM OF CARE Begin Date: MAY 1, 2014
Geographic Service Area: MARICOPA COUNTY Termination Date: JUNE 30, 2015
Arizona Department of Health Services has authority to contract for services specified herein in accordance with A.R.S. §§ 11-951, 11-952, 36-
104 and 36-132. The Contractor represents that it has authority to contract for the performance of the services provided herein pursuant to:
X Counties: A.R.S. §§ 11-201, 11-951, 11-952 and 36-182.
Indian Tribes: A.R.S. §§ 11-951, 11-952 and the rules and sovereign authority of the contracting Indian Nation.
School Districts: A.R.S. §§ 11-951, 11-952, and 15-342.
City of Phoenix: Chapter II, §§ 1 & 2, Charter, City of Phoenix.
City of Tempe: Chapter 1, Article 1, §§ 1.01 & 1.03, Charter, City of Tempe.
Amendments signed by each of the parties and attached hereto are hereby adopted by reference as a part of this Contract, from the effective
date of the Amendment, as if fully set out herein.
FOR CLARIFICATION, CONTACT:
Arizona Transaction (Sales) Privilege:
Name: Kaila (Gail) Johnson
Federal Employer Identification No.:
Telephone: (602) 372-0674
Tax License No.:
Fax No:
Contractor Name: Maricopa County Department of Public Health
Address: 4041 North Central
E-mail: GailJohnson@mail.maricopa.gov
Phoenix, Arizona 85012
CONTRACTOR SIGNATURE: This Contract shall henceforth be referred to as Contract
The Contractor agrees to perform all the services set forth in the No. ADHS14-072293
Agreement and Work Statement.
The Contractor is hereby cautioned not to commence any billable
work or provide any material, service or construction under this
Contract until Contractor receives a fully executed copy of the
Contract.
Signature of Person Authorized to Sign Date State of Arizona
Signed this day of , 2014
Print Name and Title
Procurement Officer
CONTRACTOR ATTORNEY SIGNATURE: RESERVED FOR USE BY THE SECRETARY OF STATE
Pursuant to A.R.S. § 11-952, the undersigned Contractor’s Attorney
has determined that this Intergovernmental Agreement is in proper
form and is within the powers and authority granted under the laws Under House Bill 2011, A.R.S. § 11-952 was
of Arizona.
amended to remove the requirement that
Intergovernmental Agreements be filed
Signature of Person Authorized to Sign Date
with the Secretary of State.
Print Name and Title
Attorney General Contract, No. P0012014000078, which is an
Agreement between public agencies, has been reviewed pursuant
to A.R.S. § 11-952 by the undersigned Assistant Attorney General,
who has determined that it is in the proper form and is within the
powers granted under the laws of the State of Arizona to those
parties to the Agreement represented by the Attorney General.
The Attorney General, BY:
Signature Date
Assistant Attorney General:
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1. DEFINITION OF TERMS. As used in this Contract, the terms listed below are defined as follows:
1.1 “Attachment” means any document attached to the Contract and incorporated into the Contract.
1.2 “ADHS” means Arizona Department of Health Services.
1.3 “Budget Term” means the period of time for which the contract budget has been created and during which
funds should be expended.
1.4 “Change Order” means a written order that is signed by a Procurement Officer and that directs the
Contractor to make changes authorized by the Uniform Terms and Conditions of the Contract.
1.5 “Contract” means the combination of the Uniform and Special Terms and Conditions, the Specifications and
Statement or Scope of Work, Attachments, Referenced Documents, any Contract Amendments and any
terms applied by law.
1.6 “Contract Amendment” means a written document signed by the Procurement Officer and the Contractor
that is issued for the purpose of making changes in the Contract.
1.7 “Contractor” means any person who has a Contract with the Arizona Department of Health Services.
1.8 “Cost Reimbursement” means a contract under which a contractor is reimbursed for costs, which are
reasonable, allowable and allocable in accordance with the contract terms and approved by ADHS.
1.9 “Days” means calendar days unless otherwise specified.
1.10 “Fixed Price” establishes a set price per unit of service. The set price shall be based on costs, which are
reasonable, allowable and allocable.
1.11 “Gratuity” means a payment, loan, subscription, advance, deposit of money, services, or anything of more
than nominal value, present or promised, unless consideration of substantially equal or greater value is
received.
1.12 “Materials” unless otherwise stated herein, means all property, including but not limited to equipment’s,
supplies, printing, insurance and leases of property.
1.13 “Procurement Officer” means the person duly authorized by the State to enter into and administer Contracts
and make written determinations with respect to the Contract.
1.14 “Purchase Order” means a written document that is signed by a Procurement Officer, that requests a
vendor to deliver described goods or services at a specific price and that, on delivery and acceptance of the
goods or services by ADHS, becomes an obligation of the State.
1.15 “Services” means the furnishing of labor, time or effort by a Contractor or Subcontractor.
1.16 “Subcontract” means any contract, express or implied, between the Contractor and another party or
between a subcontractor and another party delegating or assigning, in whole or in part, the making or
furnishing of any material or any service required for the performance of this Contract.
1.17 “State” means the State of Arizona and/or the ADHS. For purposes of this Contract, the term “State” shall
not include the Contractor.
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2. CONTRACT TYPE.
This Contract shall be:
X Cost Reimbursement
3. CONTRACT INTERPRETATION.
3.1 Arizona Law. The law of Arizona applies to this Contract including, where applicable, the Uniform
Commercial Code as adopted by the State of Arizona.
3.2 Implied Contract Terms. Each provision of law and any terms required by law to be in this Contract are a
part of this Contract as if fully stated in it.
3.3 Contract Order of Precedence. In the event of a conflict in the provisions of the Contract, as accepted by
the State and as they may be amended, the following shall prevail in the order set forth below:
3.3.1 Terms and Conditions;
3.3.2 Statement or Scope of Work;
3.3.3 Attachments;
3.3.4 Referenced Documents.
3.4 Relationship of Parties. The Contractor under this Contract is an independent Contractor. Neither party to
this Contract shall be deemed to be the employee or agent of the other party to the Contract.
3.5 Severability. The provisions of this Contract are severable. Any term or condition deemed illegal or invalid
shall not affect any other term or condition of the Contract.
3.6 No Parole Evidence. This Contract is intended by the parties as a final and complete expression of their
agreement. No course of prior dealings between the parties and no usage of the trade shall supplement or
explain any terms used in this document.
3.7 No Waiver. Either party’s failure to insist on strict performance of any term or condition of the Contract
shall not be deemed a waiver of that term or condition even if the party accepting or acquiescing in the
nonconforming performance knows of the nature of the performance and fails to object to it.
3.8 Headings. Headings are for organizational purposes only and shall not be interpreted as having legal
significance or meaning.
4. CONTRACT ADMINISTRATION AND OPERATION.
4.1 Term. As indicated on the signature page of the Contract, the Contract shall be effective as of the Begin
Date and shall remain effective until the Termination Date.
4.2 Contract Renewal. This Contract shall not bind, nor purport to bind, the State for any contractual
commitment in excess of the original Contract period. The term of the Contract shall not exceed five years.
However, if the original Contract period is for less than five years, the State shall have the right, at its sole
option, to renew the Contract, so long as the original Contract period together with the renewal periods does
not exceed five years. If the State exercises such rights, all terms, conditions and provisions of the original
Contract shall remain the same and apply during the renewal period with the exception of price and Scope
of Work, which may be renegotiated.
4.3 New Budget Term. If a budget term has been completed in a multi-term Contract, the parties may agree to
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change the amount and type of funding to accommodate new circumstances in the next budget term. Any
increase or decrease in funding at the time of the new budget term shall coincide with a change in the
Scope of Work or change in cost of services as approved by the Arizona Department of Health Services.
4.4 Non-Discrimination. The Contractor shall comply with State Executive Order No. 2009-09 and all other
applicable Federal and State laws, rules and regulations, including the Americans with Disabilities Act.
4.5 Records and Audit. Under A.R.S. § 35-214 and A.R.S. § 35-215, the Contractor shall retain and shall
contractually require each subcontractor to retain all data and other records (“records”) relating to the
acquisition and performance of the Contract for a period of five years after the completion of the Contract.
All records shall be subject to inspection and audit by the State and where applicable the Federal
Government at reasonable times. Upon request, the Contractor shall produce a legible copy of any or all
such records.
4.6 Financial Management. For all contracts, the practices, procedures, and standards specified in and
required by the Accounting and Auditing Procedures Manual for the ADHS funded programs shall be used
by the Contractor in the management of Contract funds and by the State when performing a Contract audit.
Funds collected by the Contractor in the form of fees, donations and/or charges for the delivery of these
Contract services shall be accounted for in a separate fund.
4.6.1 Federal Funding. Contractors receiving federal funds under this Contract shall comply with the
certified finance and compliance audit provision of the Office of Management and Budget (OMB)
Circular A-133, if applicable. The federal financial assistance information shall be stated in a
Change Order or Purchase Order.
4.6.2 State Funding. Contractors receiving state funds under this Contract shall comply with the certified
compliance provisions of A.R.S. § 35-181.03.
4.7 Inspection and Testing. The Contractor agrees to permit access, at reasonable times, to its facilities.
4.8 Notices. Notices to the Contractor required by this Contract shall be made by the State to the person
indicated on the signature page by the Contractor, unless otherwise stated in the Contract. Notices to the
State required by the Contract shall be made by the Contractor to an ADHS Procurement Officer, unless
otherwise stated in the Contract. An authorized ADHS Procurement Officer and an authorized Contractor
representative may change their respective person to whom notice shall be given by written notice, and an
amendment to the Contract shall not be necessary.
4.9 Advertising and Promotion of Contract. The Contractor shall not advertise or publish information for
commercial benefit concerning this Contract without the prior written approval of an ADHS Procurement
Officer.
4.10 Property of the State.
4.10.1 Equipment. Except as provided below or otherwise agreed to by the parties, the title to any and all
equipment acquired through the expenditure of funds received from the State shall remain the
property of the State by and through the ADHS and, as such, shall remain under the sole direction,
management and control of the ADHS. When this Contract is terminated, the disposition of all
such property shall be determined by the ADHS. For Fixed Price contracts, when the Contractor
provides the services/materials required by the Contract, any and all equipment purchased by the
Contractor remains the property of the Contractor. All purchases of equipment need to be reported
to the ADHS Office of Inventory Control.
4.10.2 Title and Rights to Materials. As used in this section, the term “Materials” means all products
created or produced by the Contractor under this Contract, including, but not limited to: written and
electronic information, recordings, reports, research, research findings, conclusions, abstracts,
results, software, data and any other intellectual property or deliverables created, prepared, or
received by the Contractor in performance of this Contract. Contractor acknowledges that all
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Materials are the property of the State by and through the ADHS and, as such, shall remain under
the sole direction, management and control of the ADHS. The Contractor is not entitled to a patent
or copyright on these Materials and may not transfer a patent or copyright on them to any other
person or entity. To the extent any copyright in any Materials may originally vest in the Contractor,
the Contractor hereby irrevocably transfers to the ADHS, for and on behalf of the State, all
copyright ownership. The ADHS shall have full, complete and exclusive rights to reproduce,
duplicate, adapt, distribute, display, disclose, publish, release and otherwise use all Materials. The
Contractor shall not use or release these Materials without the prior written consent of the ADHS.
When this Contract is terminated, the disposition of all such Materials shall be determined by the
ADHS. Further, the Contractor agrees to give recognition to the ADHS for its support of any
program when releasing or publishing program Materials.
4.10.3 Notwithstanding the above, if the Contractor is a State agency, the following shall apply instead: It
is the intention of ADHS and Contractor that all material and intellectual property developed under
this Agreement be used and controlled in ways to produce the greatest benefit to the parties to this
Contract and the citizens of the State of Arizona. As used in this paragraph, “Material” means all
written and electronic information, recordings, reports, findings, research information, abstracts,
results, software, data, discoveries, inventions, procedures and processes of services developed
by the Contractor and any other materials created, prepared or received by the Contractor and
subcontractors in performance of this Agreement. “Material” as used herein shall not include any
pre-existing data, information, materials, discoveries, inventions or any form of intellectual property
invented, created, developed or devised by Contractor (or its employees, subcontractors or agents)
prior to the commencement of the services funded by this Agreement or that may result from
Contractor’s involvement in other service activities that are not funded by the Agreement.
4.10.4 Title and exclusive copyright to all Material shall vest in the State of Arizona, subject to any rights
reserved on behalf of the federal government. As State agencies and instrumentalities, both ADHS
and Contractor shall have full, complete, perpetual, irrevocable and non-transferable rights to
reproduce, duplicate, adapt, make derivative works, distribute, display, disclose, publish and
otherwise use any and all Material. The Contractor’s right to use Material shall include the
following rights: the right to use the Material in connection with its internal, non-profit research and
educational activities, the right to present at academic or professional meetings or symposia and
the right to publish in journals, theses, dissertations or otherwise of Contractor’s own choosing.
Contractor agrees to provide ADHS with a right of review prior to any publication or public
presentation of the Material, and ADHS shall be entitled to request the removal of its confidential
information or any other content the disclosure of which would be contrary to the best interest of
the State of Arizona. Neither party shall release confidential information to the public without the
prior expressly written permission of the other, unless required by the State public records statutes
or other law, including a court order. Each party agrees to give recognition to the other party in all
public presentations or publications of any Material, when releasing or publishing them.
4.10.5 In addition, ADHS and Contractor agree that any and all Material shall be made freely available to
the public to the extent it is in the best interest of the State. However, if either party wants to
license or assign an intellectual property interest in the material to a third-party for monetary
compensation, ADHS and Contractor agree to convene to determine the relevant issues of title,
copyright, patent and distribution of revenue. In the event of a controversy as to whether the
Material is being used for monetary compensation or in a way that interferes with the best interest
of the state or ADHS, then the Arizona Department of Administration shall make the final decision.
Notwithstanding the above, “monetary compensation’ does not include compensation paid to an
individual creator for traditional publications in academia (the copyrights to which are Employee-
Excluded Works under ABOR Intellectual Property Policy Section 6-908C.4.), an honorarium or
other reimbursement of expenses for an academic or professional presentation, or an unprofitable
distribution of Material.
4.11 E-Verify Requirements In accordance with A.R.S. § 41-4401, Contractor warrants compliance with all
Federal immigration laws and regulations relating to employees and warrants its compliance with Section
A.R.S. § 23-214, Subsection A.
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4.12 Federal Immigration and Nationality Act The Contractor shall comply with all federal, state and local
immigration laws and regulations relating to the immigration status of their employees during the term of the
Contract. Further, the Contractor shall flow down this requirement to all subcontractors utilized during the
term of the Contract. The State shall retain the right to perform random audits of Contractor and
subcontractor records or to inspect papers of any employee thereof to ensure compliance. Should the State
determine that the Contractor and/or any subcontractors be found noncompliant, the State may pursue all
remedies allowed by law, including, but not limited to; suspension of work, termination of the Contract for
default and suspension and/or debarment of the Contractor.
5. COSTS AND PAYMENTS.
5.1 Payments. Payments shall comply with the requirements of A.R.S. Titles 35 and 41, net 30 days. Upon
receipt and acceptance of goods or services, the Contractor shall submit a complete and accurate
Contractor’s Expenditure Report for payment from the State within thirty (30) days, as provided in the
Accounting and Auditing Procedures Manual for the ADHS.
5.2 Recoupment of Contract Payments.
5.2.1 Unearned Advanced Funds. Any unearned State funds that have been advanced to the Contractor
and remain in its possession at the end of each budget term, or at the time of termination of the
Contract, shall be refunded to the ADHS within forty-five (45) days of the end of a budget term or of
the time of termination.
5.2.2 Contracted Services. In a fixed price contract, if the number of services provided is less than the
number of services for which the Contractor received compensation, funds to be returned to the
ADHS shall be determined by the Contract price. Where the price is determined by cost per unit of
service or material, the funds to be returned shall be determined by multiplying the unit of service
cost by the number of services the Contractor did not provide during the Contract term. Where the
price for a deliverable is fixed, but the deliverable has not been completed, the Contractor shall be
paid a pro rata portion of the completed deliverable. In a cost reimbursement contract, the ADHS
shall pay for any costs that the Contractor can document as having been paid by the Contractor
and approved by ADHS. In addition, the Contractor will be paid its reasonable actual costs for
work in progress as determined by Generally Accepted Accounting Procedures up to the date of
contract termination.
5.2.3 Refunds. Within forty-five (45) days after the end of each budget term or of the time of termination
of the Contract, the Contractor shall refund the greater of: i) the amount refundable in accordance
with paragraph 4.2.1, Unearned Advanced Funds; or ii) the amount refundable in accordance with
paragraph 5.2.2, Contracted Services.
5.2.4 Unacceptable Expenditures. The Contractor agrees to reimburse the ADHS for all Contract funds
expended, which are determined by the ADHS not to have been disbursed by the Contractor in
accordance with the terms of this Contract. The Contractor shall reimburse ADHS within 45 days
of the determination of unacceptability.
5.3 Unit Costs/Rates or Fees. Unit costs/rates or fees shall be based on costs, which are determined by ADHS
to be reasonable, allowable and allocable as outlined in the Accounting and Auditing Procedures Manual
for the ADHS.
5.4 Applicable Taxes.
5.4.1 State and Local Transaction Privilege Taxes. The State of Arizona is subject to all applicable state
and local transaction privilege taxes. Transaction privilege taxes apply to the sale and are the
responsibility of the seller to remit. Failure to collect taxes from the buyer does not relieve the
seller from its obligation to remit taxes.
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5.4.2 Tax Indemnification. The Contractor and all subcontractors shall pay all federal, state and local
taxes applicable to its operation and any persons employed by the Contractor. Contractor shall
require all subcontractors to hold the State harmless from any responsibility for taxes, damages
and interest, if applicable, contributions required under Federal, and/or state and local laws and
regulations and any other costs, including transaction privilege taxes, unemployment compensation
insurance, Social Security and Worker’s Compensation.
5.4.3 I.R.S. W9 Form. In order to receive payment under any resulting Contract, the Contractor shall
have a current I.R.S. W9 Form on file with the State of Arizona.
5.5 Availability of Funds for the Next Fiscal Year. Funds may not be presently available for performance under
this Contract beyond the first year of the budget term or Contract term. The State may reduce payments or
terminate this Contract without further recourse, obligation or penalty in the event that insufficient funds are
appropriated in the subsequent budget term. The State shall not be liable for any purchases or
Subcontracts entered into by the Contractor in anticipation of such funding. The Procurement Officer shall
have the discretion in determining the availability of funds.
5.6 Availability of Funds for the Current Contract Term. Should the State Legislature enter back into session
and decrease the appropriations through line item or general fund reductions, or for any other reason these
goods or services are not funded as determined by ADHS, the following actions may be taken by ADHS:
5.6.1 Accept a decrease in price offered by the Contractor;
5.6.2 Reduce the number of goods or units of service and reduce the payments accordingly;
5.6.3 Offer reductions in funding as an alternative to Contract termination; or
5.6.4 Cancel the Contract.
6. CONTRACT CHANGES.
6.1 Amendments, Purchase Orders and Change Orders. This Contract is issued under the authority of the
Procurement Officer who signed this Contract. The Contract may be modified only through a Contract
Amendment, Purchase Order and/or Change Order within the scope of the Contract, unless the change is
administrative or otherwise permitted by the Special Terms and Conditions. Changes to the Contract,
including the addition of work or materials, the revision of payment terms, or the substitution of work or
materials, directed by an unauthorized State employee or made unilaterally by the Contractor are violations
of the Contract and of applicable law. Such changes, including unauthorized Contract Amendments,
Purchase Orders and/or Change Orders, shall be void and without effect, and the Contractor shall not be
entitled to any claim under this Contract based on those changes.
6.2 Subcontracts. The Contractor shall not enter into any subcontract under this Contract without the advance
written approval of the Procurement Officer. The subcontract shall incorporate by reference all material
and applicable terms and conditions of this Contract.
6.3 Assignments and Delegation. The Contractor shall not assign any right nor delegate any duty under this
Contract without the prior written approval of the Procurement Officer. The State shall not unreasonably
withhold approval.
7. RISK AND LIABILITY.
7.1 Risk of Loss. The Contractor shall bear all loss of conforming material covered under this Contract until
received and accepted by authorized personnel at the location designated in the Purchase Order, Change
Order or Contract. Mere receipt does not constitute final acceptance. The risk of loss for nonconforming
materials shall remain with the Contractor regardless of receipt.
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7.2 Mutual Indemnification. Each party (as “indemnitor”) agrees to indemnify, defend and hold harmless the
other party (as “indemnitee”) from and against any and all claims, losses, liability, costs or expenses
(including reasonable attorney’s fees) (hereinafter collectively referred to as “claims”) arising out of bodily
injury of any person (including death) or property damage, but only to the extent that such claims, which
result in vicarious/derivative liability to the indemnitee, are caused by the act, omission, negligence,
misconduct, or other fault of the indemnitor, its officers, officials, agents, employees or volunteers.
7.3 Indemnification - Patent and Copyright. To the extent permitted by A.R.S. § 41-621 and A.R.S. § 35-154,
the Contractor shall indemnify and hold harmless the State against any liability, including costs and
expenses, for infringement of any patent, trademark or copyright arising out of performance of the Contract
or use by the State of materials furnished by or work performed under this Contract. The State shall
reasonably notify the Contractor of any claim for which it may be liable under this paragraph.
7.4 Force Majeure.
7.4.1 Liability and Definition. Except for payment of sums due, neither party shall be liable to the other
nor deemed in default under this Contract if and to the extent that such party’s performance of this
Contract is prevented by reason of force majeure. The term “force majeure” means an occurrence
that is beyond the control of the party affected and occurs without its fault or negligence. Without
limiting the foregoing, force majeure includes acts of God; acts of the public enemy; acts of
terrorism; war; riots; strikes; mobilization; labor disputes; civil disorders; fire; flood; lockouts;
injunctions-interventions not caused by or resulting from the act or failure to act of the parties;
failures or refusals to act by government authority not caused by or resulting from the act or failure
to act of the parties; and other similar occurrences beyond the control of the party declaring force
majeure, which such party is unable to prevent by exercising reasonable diligence.
7.4.2 Exclusions. Force Majeure shall not include the following occurrences:
7.4.2.1 Late delivery of Materials caused by congestion at a manufacturer’s plant or elsewhere, or
an oversold condition of the market;
7.4.2.2 Late performance by a subcontractor unless the delay arises out of a force majeure
occurrence in accordance with this force majeure term and condition; or
7.4.2.3 Inability of either the Contractor or any subcontractor to acquire or maintain any required
insurance, bonds, licenses or permits.
7.4.3 Notice. If either party is delayed at any time in the progress of the work by force majeure, the
delayed party shall notify the other party in writing of such delay, as soon as is practicable and no
later than the following working day of the commencement thereof, and shall specify the causes of
such delay in such notice. Such notice shall be delivered or mailed certified-return receipt and
shall make a specific reference to this article, thereby invoking its provisions. The delayed party
shall cause such delay to cease as soon as practicable and shall notify the other party in writing
when it has done so. The time of completion shall be extended by Contract Amendment for a
period of time equal to the time that the results or effects of such delay prevent the delayed party
from performing in accordance with this Contract.
7.4.4 Default. Any delay or failure in performance by either party hereto shall not constitute default
hereunder or give rise to any claim for damages or loss of anticipated profits if, and to the extent
that, such delay or failure is caused by force majeure.
7.5 Third Party Antitrust Violations. The Contractor assigns to the State any claim for overcharges resulting
from antitrust violations to the extent that those violations concern materials or services supplied by third
parties to the Contractor for or toward the fulfillment of this Contract.
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8. DESCRIPTION OF MATERIALS. The following provisions shall apply to Materials only:
8.1 Liens. The Contractor agrees that the Materials supplied under this Contract are free of liens. In the event
the Materials are not free of liens, Contractor shall pay to remove the lien and any associated damages or
replace the Materials with Materials free of liens.
8.2 Quality. Unless otherwise modified elsewhere in these terms and conditions, the Contractor agrees that, for
one year after acceptance by the State of the Materials, they shall be:
8.2.1 Of a quality to pass without objection in the Contract description;
8.2.2 Fit for the intended purposes for which the Materials are used;
8.2.3 Within the variations permitted by the Contract and are of even kind, quantity, and quality within
each unit and among all units;
8.2.4 Adequately contained, packaged and marked as the Contract may require; and
8.2.5 Conform to the written promises or affirmations of fact made by the Contractor.
8.3 Inspection/Testing. Subparagraphs 8.1 through 8.2 of this paragraph are not affected by inspection or
testing of or payment for the Materials by the State.
8.4 Compliance With Applicable Laws. The Materials and services supplied under this Contract shall comply
with all applicable federal, state and local laws, and the Contractor shall maintain all applicable license and
permit requirements.
8.5 Survival of Rights and Obligations After Contract Expiration and Termination.
8.5.1 Contractor’s Representations. All representations and warranties made by the Contractor under
this Contract in paragraphs 7 and 8 shall survive the expiration or termination hereof. In addition,
the parties hereto acknowledge that pursuant to A.R.S. § 12.510, except as provided in A.R.S. §
12-529, the State is not subject to or barred by any limitations of actions prescribed in A.R.S. Title
12, Chapter 5.
8.5.2 Purchase Orders and Change Orders. Unless otherwise directed in writing by the Procurement
Officer, the Contractor shall fully perform and shall be obligated to comply with all Purchase Orders
and Change Orders received by the Contractor prior to the expiration or termination hereof,
including, without limitation, all Purchase Orders and Change Orders received prior to but not fully
performed and satisfied at the expiration or termination of this Contract.
9. STATE’S CONTRACTUAL REMEDIES.
9.1 Right to Assurance. If the State, in good faith, has reason to believe that the Contractor does not intend to,
or is unable to, perform or continue performing under this Contract, the Procurement Officer may demand
in writing that the Contractor give a written assurance of intent to perform. Failure by the Contractor to
provide written assurance within the number of Days specified in the demand may, at the State’s option, be
the basis for terminating the Contract.
9.2 Stop Work Order.
9.2.1 Terms. The State may, at any time, by written order to the Contractor, require the Contractor to
stop all or any part of the work called for by this Contract for a period up to ninety (90) Days after
the order is delivered to the Contractor, and for any further period to which the parties may agree.
The order shall be specifically identified as a stop work order issued under this clause. Upon
receipt of the order, the Contractor shall immediately comply with its terms and take all reasonable
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steps to minimize the incurrence of costs allocable to the work covered by the order during the
period of work stoppage.
9.2.2 Cancellation or Expiration. If a stop work order issued under this clause is canceled or the period
of the order or any extension expires, the Contractor shall resume work. The Procurement Officer
shall make an equitable adjustment in the delivery schedule or Contract price, or both, and the
Contract shall be amended in writing accordingly.
9.3 Non-exclusive Remedies. The rights and remedies of ADHS under this Contract are not exclusive, and
ADHS is entitled to all rights and remedies available to it, including those under the Arizona Uniform
Commercial Code and Arizona common law.
9.4 Right of Offset. The State shall be entitled to offset against any sums due the Contractor in any Contract
with the State or damages assessed by the State because of the Contractor’s non-conforming performance
or failure to perform this Contract. The right to offset may include, but is not limited to, a deduction from an
unpaid balance and a collection against the bid and/or performance bonds. Any offset taken for damages
assessed by the State shall represent a fair and reasonable amount for the actual damages and shall not
be a penalty for non-performance.
10. CONTRACT TERMINATION.
10.1 Cancellation for Conflict of Interest. Pursuant to A.R.S. § 38-511, the State may cancel this Contract within
three (3) years after Contract execution without penalty or further obligation if any person significantly
involved in initiating, negotiating, securing, drafting or creating the Contract on behalf of the State is, or
becomes at any time while the Contract or an extension of the Contract is in effect, an employee of or a
consultant to any other party to this Contract with respect to the subject matter of the Contract. The
cancellation shall be effective when the Contractor receives written notice of the cancellation, unless the
notice specifies a later time. If the Contractor is a political subdivision of the State, it may also cancel this
Contract as provided in A.R.S. § 38-511.
10.2 Gratuities. The State may, by written notice, terminate this Contract, in whole or in part, if the State
determines that employment or a Gratuity was offered or made by the Contractor or a representative of the
Contractor to any officer or employee of the State for the purpose of influencing the outcome of the
procurement, securing the Contract or an Amendment to the Contract, or receiving favorable treatment
concerning the Contract, including the making of any determination or decision about Contract
performance. The State, in addition to any other rights or remedies, shall be entitled to recover exemplary
damages in the amount of three times the value of the Gratuity offered by the Contractor.
10.3 Suspension or Debarment. The State may, by written notice to the Contractor, immediately terminate this
Contract if the State determines that the Contractor or its subcontractor has been debarred, suspended or
otherwise lawfully prohibited from participating in any public procurement activity, including but not limited
to, being disapproved as a subcontractor of any public procurement unit or other governmental body.
10.4 Termination Without Cause.
10.4.1 Both the State and the Contractor may terminate this Contract at any time with thirty (30) days’
notice in writing specifying the termination date. Such notices shall be given by personal delivery
or by certified mail, return receipt requested.
10.4.2 If the Contractor terminates this Contract, any monies prepaid by the State, for which no service
or benefit was received by the State, shall be refunded to the State within 5 days of the
termination notice. In addition, if the Contractor terminates the Contract, the Contractor shall
indemnify the State for any sanctions imposed by the funding source as a result of the
Contractor’s failure to complete the Contract.
10.4.3 If the State terminates this Contact pursuant to this Section, the State shall pay the Contractor the
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CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
ADHS14-072293 TERMS AND CONDITIONS
Contract price for all Services and Materials completed up to the date of termination. In a fixed
price contract, the State shall pay the amount owed for the Services or Materials by multiplying
the unit of service or item cost by the number of unpaid service units or items. In a cost
reimbursement contract, the ADHS shall pay for any costs that the Contractor can document as
having been paid by the Contractor and approved by ADHS. In addition, the Contractor will be
paid its reasonable actual costs for work in progress as determined by GAAP up to the date of
termination. Upon such termination, the Contractor shall deliver to the ADHS all deliverables
completed. ADHS may require Contractor to negotiate the terms of any remaining deliverables
still due.
10.5 Mutual Termination. This Contract may be terminated by mutual written agreement of the parties
specifying the termination date and the terms for disposition of property and, as necessary, submission of
required deliverables and payment therein.
10.6 Termination for Default. The State reserves the right to terminate the Contract in whole or in part due to
the failure of the Contractor to comply with any material obligation, term or condition of the Contract, to
acquire and maintain all required insurance policies, bonds, licenses and permits, or to make satisfactory
progress in performing the Contract. In the event the ADHS terminates the Contract in whole or in part as
provided in this paragraph, the ADHS may procure, upon such terms and in such manner as deemed
appropriate, Services or Materials, similar to those terminated, and Contractor shall be liable to the ADHS
for any excess costs incurred by the ADHS in obtaining such similar Services or Materials.
10.7 Continuation of Performance Through Termination. Upon receipt of the notice of termination and until the
effective date of the notice of termination, the Contractor shall perform work consistent with the
requirements of the Contract and, if applicable, in accordance with a written transition plan approved by the
ADHS. If the Contract is terminated in part, the Contractor shall continue to perform the Contract to the
extent not terminated. After receiving the notice of termination, the Contractor shall immediately notify all
subcontractors, in writing, to stop work on the effective date of termination, and on the effective date of
termination, the Contractor and subcontractors shall stop all work.
10.8 Disposition of Property. Upon termination of this Contract, all property of the State, as defined herein, shall
be delivered to the ADHS upon demand.
11. ARBITRATION. Pursuant to A.R.S. § 12-1518, disputes under this Contract shall be resolved through the use of
arbitration when the case or lawsuit is subject to mandatory arbitration pursuant to rules adopted under A.R.S. §
12 -133.
12. COMMUNICATION.
12.1 Program Report. When reports are required by the Contract, the Contractor shall provide them in the
format approved by ADHS.
12.2 Information and Coordination. The State will provide information to the Contractor pertaining to activities
that affect the Contractor’s delivery of services, and the Contractor shall be responsible for coordinating
their activities with the State’s in such a manner as not to conflict or unnecessarily duplicate the State’s
activities. As the work of the Contractor progresses, advice and information on matters covered by the
Contract shall be made available by the Contractor to the State throughout the effective period of the
Contract.
13. CLIENT GRIEVANCES. If applicable, the Contractor and its subcontractors shall use a procedure through which
clients may present grievances about the operation of the program that result in the denial, suspension or
reduction of services provided pursuant to this Contract and which is acceptable to and approved by the State.
14. SOVEREIGN IMMUNITY. Pursuant to A.R.S. § 41-621(O), the obtaining of insurance by the State shall not be a
waiver of any sovereign immunity defense in the event of suit.
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ADHS14-072293 TERMS AND CONDITIONS
15. ADMINISTRATIVE CHANGES. The Procurement Officer, or authorized designee, reserves the right to correct
any obvious clerical, typographical or grammatical errors, as well as errors in party contact information
(collectively, “Administrative Changes”), prior to or after the final execution of a Contract or Contract Amendment.
Administrative Changes subject to permissible corrections include: misspellings, grammar errors, incorrect
addresses, incorrect Contract Amendment numbers, pagination and citation errors, mistakes in the labeling of the
rate as either extended or unit, and calendar date errors that are illogical due to typographical error. The
Procurement Office shall subsequently send to the Contractor notice of corrections to administrative errors in a
written confirmation letter with a copy of the corrected Administrative Change attached.
16. SURVIVAL OF TERMS AFTER TERMINATION OR CANCELLATION OF CONTRACT. All applicable Contract
terms shall survive and apply after Contract termination or cancellation to the extent necessary for Contractor to
complete and for the ADHS to receive and accept any final deliverables that are due after the date of the
termination or cancellation.
17. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA).
17.1 The Contractor warrants that it is familiar with the requirements of HIPAA, as amended by the Health
Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009, and accompanying
regulations and will comply with all applicable HIPAA requirements in the course of this Contract. Contractor
warrants that it will cooperate with the Arizona Department of Health Services (ADHS) in the course of
performance of the Contract so that both ADHS and Contractor will be in compliance with HIPAA, including
cooperation and coordination with the Arizona Strategic Enterprise Technology (ASET) Office, Statewide
Information Security and Privacy Office (SISPO) Chief Privacy Officer and HIPAA Coordinator and other
compliance officials required by HIPAA and its regulations. Contractor will sign any documents that are
reasonably necessary to keep ADHS and Contractor in compliance with HIPAA, including, but not limited to,
business associate agreements.
17.2 If requested by the ADHS Procurement Office, Contractor agrees to sign a “Pledge To Protect Confidential
Information” and to abide by the statements addressing the creation, use and disclosure of confidential
information, including information designated as protected health information and all other confidential or
sensitive information as defined in policy. In addition, if requested, Contractor agrees to attend or participate
in HIPAA training offered by ADHS or to provide written verification that the Contractor has attended or
participated in job related HIPAA training that is: (1) intended to make the Contractor proficient in HIPAA for
purposes of performing the services required and (2) presented by a HIPAA Privacy Officer or other person
or program knowledgeable and experienced in HIPAA and who has been approved by the ASET /SISPO
Chief Privacy Officer and HIPAA Coordinator.
18. COMMENTS WELCOME. The ADHS Procurement Office periodically reviews the Uniform Terms and
Conditions and welcomes any comments you may have. Please submit your comments to: ADHS Procurement
Administrator, Arizona Department of Health Services, 1740 West Adams, Suite 303, Phoenix, Arizona, 85007.
19. AUTHORIZATION FOR PROVISION OF SERVICES:
Authorization for Provision of Services: Authorization for purchase of services under this Contract shall be
made only upon ADHS issuance of a Purchase Order that is signed by an authorized agent. The Purchase Order
will indicate the Contract number and the dollar amount of funds authorized. The Contractor shall only be
authorized to perform services up to the amount on the Purchase Order. ADHS shall not have any legal
obligation to pay for services in excess of the amount indicated on the Purchase Order. No further obligation for
payment shall exist on behalf of ADHS unless a) the Purchase Order is changed or modified with an official ADHS
Procurement Change Order, and/or b) an additional Purchase Order is issued for purchase of services under this
Contract.
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CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
ADHS14-072293 SCOPE OF SERVICES
1. BACKGROUND:
1.1 The Arizona Department of Health Services (ADHS) Bureau of Tobacco and Chronic Disease (BTCD) is
part of the Centers for Disease Control and Prevention (CDC) state-based chronic disease prevention
program. The program’s intent is to change health care systems to improve prevention and
management of heart disease, stroke, diabetes and their risk factors. The program encourages the
adoption of established clinical-community-linkage models to improve the quality of care and outcomes
for patients with these conditions and their risk factors.
1.2 Cardiovascular disease is the leading cause of death both nationally and in Arizona. The main
components of cardiovascular disease are coronary heart disease, congestive heart failure, and stroke.
In Arizona, heart disease and stroke claim the lives of more than 13,000 people each year. One of the
primary risk factors for developing heart disease or stroke is hypertension. Nationally one (1) in three
(3) Americans has hypertension and in Arizona, more than twenty-four percent (24%) of the adult
population has hypertension. This is well above the Healthy People 2010 goal of sixteen percent (16%)
or less of the adult population diagnosed with hypertension. In the 2011, 9.8% of U.S. adults said that
they have been diagnosed with diabetes. Similarly, 9.5% of adults in Arizona said that they had been
diagnosed with diabetes, and 7.8% of adults with pre-diabetes.[1] However, American Indians have the
highest mortality rate from diabetes (79.3 per 100,000), 3.9 times higher than the diabetes mortality rate
for all Arizona residents (20.1 per 100,000).[2]
1.3 BTCD recognizes the value and effectiveness Community Health Workers (CHW’s) in the healthcare
setting, and has chosen the CHW model as its program delivery strategy in community health center
interventions in the past.
1.4 “CHWs are known by a variety of names, including community health worker, community health advisor,
outreach worker, community health representative (CHR), promotora/promotores de salud (health
promoter/promoters), patient navigator, navigator promotoras (navegadores para pacientes), peer
counselor, lay health advisor, peer health advisor, and peer leader ”.
1.5 The success of these past programs have demonstrated that this method provides a level of
personalized patient care which the traditional medical model does not often provide on a consistent
level, particularly within priority population groups. This current program will utilize a CHW model to
achieve its objectives by leveraging the benefits of this approach:
1.6 “CHWs are frontline public health workers who are trusted members of and/or have an unusually close
understanding of the community served. This trusting relationship enables CHWs to serve as a liaison,
link, or intermediary between health/social services and the community to facilitate access to services
and improve the quality and cultural competence of service delivery. CHWs also build individual and
community capacity by increasing health knowledge and self-sufficiency through a range of activities
such as outreach, community education, informal counseling, social support, and advocacy.”
1.7 The ADHS has been awarded funding from the CDC to implement a project to address identification
and control of high blood pressure and diabetes in Arizona by implementing a continuum of care
partnership in the community.
[1] Arizona Department of Health Services. 2011 Arizona Behavioral Risk Factor Surveillance Survey – Special Report New
Weighted
Methodology.
2 Addressing Chronic Disease through Community Health Workers, A Policy and Systems Approach, Available at
http://www.cdc.gov/dhdsp/docs/chw_brief.pdf
2. SCOPE OF WORK
The Contractor shall:
2.1 Implement a fourteen (14) month hypertension and diabetes system of care program. During the
implementation of this program, the Contractor shall partner with a community health center(s) to bring
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ADHS14-072293 SCOPE OF SERVICES
CHWs into the healthcare team; and provide feedback to primary care physicians on the compliance of
their patients. Through this program, a patient that is at risk of, or has been diagnosed with
hypertension or diabetes (and pre-diabetes) will be enrolled into an educational hypertension/diabetes
treatment and monitoring program utilizing a community health worker system to ensure solid
communication and follow-up between the patient and the rest of the healthcare team. Additional
referral requirements will be followed as they apply to the specific patient’s needs, resources, and
availability. Examples of these programs are: Diabetes Self-Management Education Programs,
Chronic Disease Self-Management Programs, clinic, hospital or community-based support networks,
etc.
3. OBJECTIVES
3.1 Through this funding, the Contractor shall develop or improve a system of care that includes the
following:
3.1.1 Development of a fourteen (14) month CHW program with clinician oversight; within a community
health clinic setting whose patient and potential-patient census includes a majority of patients
from the following high-risk populations groups:
3.1.1.1 African American women;
3.1.1.2 Hispanic males;
3.1.1.3 Asian/Pacific Islanders; and
3.1.1.4 American Indians.
3.2 Development of a multidisciplinary CHW team at each clinic consisting of a minimum of one (1)
participant from:
3.2.1 Clinic administration,
3.2.2 Medical professional,
3.2.3 Designated program lead, and
3.2.4 Community health worker.
3.3 Identification of medical and behavioral health patients at risk or already diagnosed with hypertension or
diabetes during patient appointment intake via the clinics electronic health record (EHR) system,
3.4 Enrollment of identified patients into an educational program provided by CHW(s),
3.5 Referral of patients in other avenues of treatment/support as they are discovered through the intake
process (such as diabetes education, tobacco cessation…etc.),
3.6 Tracking of referral actions for follow up and to increase participation,
3.7 Assessment of the patient’s self-efficacy to manage their chronic condition (HTN/DIAB),
3.8 Outreach to clinic’s geographical coverage area for hypertension and diabetes new-patient identification
and medical home assignment (creating a community-clinic linkage),
3.9 Follow-up of the patient by the CHW to increase the successful self-management of
hypertension/diabetes and decreased miss appointment rates,
3.10 Feedback to the primary care provider by the CHW regarding the patient’s self-management of their
blood pressure and diabetes,
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CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
ADHS14-072293 SCOPE OF SERVICES
3.11 Reassessment of enrolled patients at the appropriate time to measure the HTN/DIAB self-efficacy and
program/medication adherence.
3.12 ADHS, in compliance with the CDC, utilizes only evidence-based interventions to achieve systems
change and impact the burden of heart disease and stroke in Arizona. Reports/documents like these
are highly encouraged to be reviewed and integrated where applicable:
3.12.1 Addressing Chronic Disease through Community Health Workers, A Policy and Systems
Approach (http://www.cdc.gov/dhdsp/docs/chw_brief.pdf),
3.12.2 Community Health Workers/Promotores de Salud: Critical Connections in Communities
http://www.cdc.gov/diabetes/projects/comm.htm,,
3.12.3 Community Health Workers Evidence Based Models Toolbox
http://www.hrsa.gov/ruralhealth/pdf/chwtoolkit.pdf.
3.13 In order to support the contractor’s training efforts for this program, the Arizona BTCD has contracted
with the Canyon Ranch Center for Prevention and Health Promotion, Mel and Enid Zuckerman College
of Public Health, University of Arizona to assist in providing a training program for the CHW(s) to be
utilized in the clinical setting. The training program developed will be a population and clinic specific
overview which will include, but not be limited to: The roles and responsibilities of CHW’s, core
competencies, hypertension and its association to heart disease and stroke, diabetes, warning signs of
heart disease and stroke, risk factor management and treatment/medication adherence. (This cost is
NOT incurred by the grantee for this project.)
3.14 The contractor should utilize the Joint National Committee’s Seventh (JNC-7) Report as the guidelines
for the prevention, detection and treatment of hypertension. The JNC-7 report details the guidelines for
determining if a patient is considered hypertensive, pre-hypertensive, diabetic and pre-diabetic or not;
(http://www.nhlbi.nih.gov/guidelines/hypertension/).
3.15 In the JNC-7 guideline revision, the category of pre-hypertensive was added to show that early
detection and aggressive treatment of hypertension can avoid serious chronic disease complications in
the future of that patient. These guidelines will be used by the providers to identify and diagnose those
who have hypertension or pre-hypertension and refer them into the education program.
3.16 Additionally, the American Diabetes Association-supported Clinical Guidelines for Diabetes treatment
and management should be utilized as well. http://www.ndei.org/treatmentguidelines.aspx.
4. TASKS:
The Contractor shall:
4.1 Identify a community health clinic(s) with a priority population that is at an increased risk of mortality
from heart disease and stroke, and conduct baseline survey of its existing services relating to the scope
of this project who are NOT currently utilizing CHW’s for the purposes described in this document, but
have the capacity to introduce this CHW system of care for diabetes and hypertension;
4.2 Identify CHW(s) internally or to be employed, who will attend training offered by the University of
Arizona and be assigned the HTN and DIAB program duties;
4.3 Identify both internal and external partners who will be involved in this project;
4.4 Identify a multidisciplinary CHW team at each clinic consisting of a minimum: One (1) participant from
clinic administration, medical professional, designated lead CHW;
4.5 Ensure the development of identification and tracking methods for patients who have been diagnosed
with, or are at risk of developing hypertension and diabetes;
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CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
ADHS14-072293 SCOPE OF SERVICES
4.6 In coordination with the ADHS Evaluation staff, implement an evaluation program which shall measure
at a minimum the following:
4.6.1 Patient self-efficacy in the area of treatment adherence for hypertension1 after enrollment in the
HTN system of care,
4.6.2 Integration of CHW’s into the clinic(s) medical and behavioral health treatment system, and
4.6.3 Biometric measures (Blood Pressure, A1C - aggregate and de-identified) of participating patients.
4.7 Ensure the development of a referral system between the primary care providers in both medical care
and behavioral health care to move the patient into the CHW/HTN/DIAB educational/navigation
program,
4.8. Deliver the educational program to the patient(s) who have been referred to the program;
4.9 Partner with the ADHS and the University of Arizona to ensure that the activities are being done are
successful, delineate a clear scope of work for the CHW, and to ensure program fidelity to the CHW
training;
4.10 Ensure the primary care providers (medical and behavioral health) attend an initial training on the JNC-
7 (or more recent) guidelines to prevent, diagnose, and treat hypertension;
4.11 Ensure that the community health workers/promotoras attend in-service trainings on additional material
relating to improving their role as CHW/HTN patient navigators;
4.12 Develop and implement policies that integrate the community health workers into the healthcare team;
and
4.13 Develop an Implementation Plan to have program objectives in place and operational at the clinic level
no later than thirty (30) days after award.
5. DELIVERABLES AND DELIVERY SCHEDULE:
5.1 The Contractor shall provide documentation of activities and products related to this contract in
scheduled reports that include:
5.1.1 Enrollment of (at a minimum) 200 unique participants during contract duration, ratio of
hypertension and diabetes patients not to exceed 60/40 (ex: sixty (60) diabetes patients, forty
(40) hypertension patients, or vice versa),
5.1.2 Document hypertension/diabetes services and activities/accomplishments;
5.1.3.1 If CHCs EHR system is capable of running NQF reports – Contractor should run a before
and after study of NQF 18 and NQF 59 to assist in measuring program effectiveness.
5.1.3 Document baseline and target measures as program moves forward (6.1-6.3 above at a
minimum)
5.1.4 Document barriers encountered; and
5.1.5 Document suggestions for improvement.
1 Selection of a validated scale for measuring medication adherence. Lavsa SM, Holzworth A, Ansani NT.
J Am Pharm Assoc (2003). 2011 Jan-Feb;51(1):90-4. Review.
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CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
ADHS14-072293 SCOPE OF SERVICES
5.2 Contractor shall provide ADHS with copies of the hypertension/diabetes services baseline, interim, final
evaluation surveys; interim report and final report.
5.3 Contractor will submit the following:
5.3.1 Project implementation plan, due thirty (30) days after award;
5.3.2 Hypertension/Diabetes Services Summary, Due by the end of each program month, format TBD;
5.3.3 Interim Report; nine (9) months from award (report details and requirements TBD, but will include
evaluation of system integration measures, patient self-efficacy measures, and biometric
measures);
5.3.4 Final Report Due, thirty (30) days after final contract month. (report details and requirements
TBD, but will include evaluation of system integration measures, patient self-efficacy measures,
and biometric measures);
5.3.5 Contractor Expenditure Report (CER), due thirty (30) days following the month of service.
6. NOTICES, CORRESPONDENCE, REPORTS AND INVOICES:
6.1 Notices, Correspondence, Reports and Invoices/CERs from the contractor to ADHS shall be sent to:
Arizona Department of Health Services
Bureau of Tobacco and Chronic Disease
Attn: Anna Alonzo, Office Chief and David Heath, Program Manager
150 N. 18th Avenue, Suite #310
Phoenix, AZ 85007
Telephone: (602) 364-0841
E-Mail: anna.alonzo@azdhs.gov
6.2 Notices, Correspondence, Reports and Payments from the ADHS to the Contractor shall be sent to:
Maricopa County Department of Public Health
Attn: Kaila (Gail) Johnson
4041 North Central
Phoenix, Arizona 85012
Telephone: (602) 372-0674
E-mail: GailJohnson@mail.maricopa.gov
6.3 Payments from ADHS to the Contractor shall be sent to the “Remit To” Address listed on the
Contractor’s ProcureAZ vendor profile.
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CONTRACT NUMBER INTERGOVERNMENTAL AGREEMENT
ADHS14-072293 PRICE SHEET
BUDGET
Effective May, 2014
Cost Reimbursement Line Items Budget Amount May 1, 2014 – Budget Amount January 1, 2015 –
December 31, 2014 June 30, 2015
$79,739.54
1. Personnel Services/ERE $69,749.00
$0.00
2. Professional & Outside Services $0.00
$4,606.52
3. Travel Expenses $4,029.00
$4,091.44
4. Other Operating Expense $3,578.00
NOT ALLOWED
5. Capital Outlay Expense NOT ALLOWED
$8,746.50
6. Other (Indirect Costs) $7,650.00
Total Contract Amount (not $97,184.00
$85,000.00
to exceed)
1. ITEMIZED SERVICE BUDGET (ISB) RESTRICTIONS:
1.1 The Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total Contract
amount among the categorical line items. Transfers of funds are only allowed among funded line
items as detailed in the original ISB. Transfers exceeding ten percent (10%) of the Contracted
amount, or to a non-funded line item, shall require a Contract Amendment.
1.2 Indirect Costs shall not exceed fifteen (15%) of the combined total of Personnel Services and
Employee Related Expenses as listed on the ISB. For more detailed information regarding indirect
costs, refer to the ADHS Accounting and Auditing Procedures Manual for Contractors of ADHS
Funded Programs. This manual is incorporated into this Contract by reference herein.
17