NOTICE GRANT AWARD RE PERINATAL HEALTH WITH HRSA.PDF

(06+ D2- [b5- 2-2Z
1. DATE ISSUED: 2. PROGRAM CFDA: 93.926
06/28/2013
U.S, Depertranyl of Health and Homan Services
3. SUPERSEDES AWARD NOTICE dated: 01/11/2013
except that any additions of restrictions previously imposed remain in effect unless specifically rescinded. HRSA
4a, AWARD NO.: 4b, GRANT NO.: 5. FORMER Reaourées
Healt ahd Services Adasalstration
6 H49MC00174-12-01 H49MC00174 GRANT NO.:
H49MC00154 NOTICE OF AWARD
6. PROJECT PERIOD: AUTHORIZATION (Legislation/Regulation)
FROM: 06/01/2002 THROUGH: 01/31/2015 Public Heaith Service Act, Section 751
Public Health Service Act: Title {I!, Part D, Section 330H ; 42 U.SC, 254c-8
7. BUDGET PERIOD:
FROM: 02/01/2013 THROUGH: 01/31/2014
8. TITLE OF PROJECT (OR PROGRAM): HSI: ELIMINATING DISPARITIES IN PERINATAL HEALTH
9. GRANTEE NAME AND ADDRESS: 40. DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR)
MARICOPA COUNTY DEPARTMENT OF HEALTH Lisa L Derrick M. Ed
4041 N Central Ave MARICOPA COUNTY DEPARTMENT OF HEALTH
Phoenix, AZ 85012-3314 2737 W Southern Ave
DUNS NUMBER: Tempe, AZ 85282-4244
602062515
11-APPROVED BUDGET:{Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X] Grant Funds Only a. Authorized Financial Assistance This Period $378,880.00
[ ] Total project costs Including grant funds and all other financial b, Less Unobligated Balance from Prior Budget Periods
participation
i, Additional Authority $0.00
a. Salaries and Wages : $0.00
ii. Offset $0.00
b. Fringe Benefits : $0.00
c, Unawarded Balance of Current Year's Funds $0.00
c. Total Personnel Costs : $0.00
d, Less Cumulative Prior Awards(s) This Budget Period $300,000.00
d. Consultant Costs : $0.00
é. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION $78,880.00
e. Equipment : $0.00
f. Supplies : $0,00
g. Travel: $0.00
h. Construction/Alteration and Renovation : $0.00 13, RECOMMENDED FUTURE (Subject to the of
availability
oro
i. Other: $0.00 funds and satisfact
|. Consortium/Contractual Cosis : $0.00
$400,000.00
k. Trainee Related Expenses : $0.00
{. Trainee Stipends : $0.00
m . Trainee Tuition and Fees : $0.00
14. APPROVED DIRECT ASSISTANCE BUDGET: (In lieu of cash)
n. Trainee Travel : $0.00
a. Amount of Direct Assistance $0.00
o. TOTAL DIRECT COSTS: $351,607.00
b. Less Unawarded Balance of Current Year's Funds $9.00
p. INDIRECT COSTS (Rate: % of S&W/TADC) : $27,273.00
c. Less Cumulative Prior Awards(s) This Budget Period $6.00
q. TOTAL APPROVED BUDGET : $378,880.00
d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
i, Less Non-Federal Share: $0.00
it, Federal Share: $378,880.00
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 {A}
Estimated Program income: $0.00
16. THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, !S 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 a: otice 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 atherwise ir poticies to the grant, the above order of precedence shail prevail. Acceptance of the grant terms and conditions is!
acknowledged by the grantee when funds are drawn or atherwise obtained from the grant payment system.
REMARKS: (Other Terms and Conditions Attached [X]¥es []No)
Electronically signed by Stephannie Young , Grants Management Officer on : 06/28/2013
17. OBJ. CLASS: 41,51 |18. CRS-EIN: 19. FUTURE RECOMMENDED FUNDING: $0.00
186600047242
|
FY-CAN CFDA. DOCUMENT NO
cou
13 - 3896020 93.926 | _HagMCoot74co $78,860.00 $0.00 NA
Page H

NOTICE OF AWARD (Continuation Sheet)
Date Issued: 6/28/2613 5:12:32 PM
Award Number: 6 H49MC00174-12-01
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/ogin.asp to the
use
system. Additional help is available online and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772,
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 Condition(s)
1. Due Date: Within 180 Days of Award Issue Date
Due to the future transformation of the National Healthy Start program, all grantees are to develop a sustainability plan, in the event that
Federal funds are not available beyond the project period. More information on what to include in the plan will be sent under
separate cover,
soon after receipt of the NoA.
2. Due Date: Within 30 Days of Award Issue Date
Grantee must submit a revised Standard Form 424A and revised budget justification reflecting the approved Federal share as $378,880.
Grant Specific Term(s)
4, This revised Notice of Award is issued to provide the balance of FY 2013 funds in the amount of $78,880.
All prior terms and conditions remain in effect unless specifically removed,
Contacts
NoA Email Address(es):
Celeste D Bautista Business Official
celestebautista@mail.maricopa.gov
Lisa L Derrick M, Ed Program Director |fisaderrick@mail.maricopa.gov
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Juliann DeStefano at:
HRSA/MCHB/DHSPS
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: jdestefano@hrsa.gov
Phone: (301) 443-0883
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Tonya Randall at
MaiiStop Code: 11-03
HRSA/OFAM/DGMO/GSFB
§600 Fishers Ln
Rockville, MD, 20852-1750
Email: trandali@hrsa.gov
Phone: (301) 594-4259
Fax: (301) 443-6343
Page 2