C-86-02-073-2-30 AMD 31 HEALTH CARE CLUSTER HRSA.PDF

1. DATE ISSUED: 2. PROGRAM CFDA: 93.224 ils vommtol blik,allff md Ramo Serwitgs
07/05/2013
lb. / HRSA
3. SUPERSEDES AWARD NOTICE dated: 06/03/2013 *
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded, hiftfillif R9SPOM 4rd ServimoWn*i.iirdpg
4a. AWARD NO.: 4b. GRANT NO.: 5. FORMER NOTICE OF AWARD
6 H80CS00044-12-02 H80CS00044 GRANT NO.: AUTHORIZATION (Legislation/Regulation)
H66CS00459 Public Health Service Act, Title III, Section 330
Public Health Service Act, Section 330, 42 U.S.C. 254b
Affordable Care Act, Section 10503
6. PROJECT PERIOD: Public Health Service Act, Section 330, 42 U.S.C. 254, as amended.
FROM: 11/01/2001 THROUGH: 10/31/2017 Authority: Public Health Service Act, Section 330,42 U.S.C. 254b, as
amended
7. BUDGET PERIOD: Public Health Service Act, Section 330,42 U.S.C. 254b, as amended
FROM: 11/01/2012 THROUGH: 10/31/2013
8. TITLE OF PROJECT (OR PROGRAM): HEALTH CENTER CLUSTER
9. GRANTEE NAME AND ADDRESS: 10, DIRECTOR: (PROGRAM DIRECTOR/PRINCIPALINVESTIGATOR)
MARICOPA COUNTY PUBLIC HLTH SERVS DEPT Tresa Floyd
220 S 12th Ave MARICOPA COUNTY PUBLIC HLTH SERVS DEPT
Phoenix, AZ 85007-3101 Division Line: Maricopa County Dept. Public Health, Health Care for the
DUNS NUMBER: Homeless
145454000 220S 12th Ave
BHCMIS #090750 Phoenix, AZ 85007-3101
11.APPROVED BUDGET:(Excludes Direct Assistance) 12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[ ] Grant Funds Only a. Authorized Financial Assistance This Period $2,657,730.00
[X) 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 : $1,299,739.00 ii. Offset $0.00
b. Fringe Benefits : $480,806.00 c. Unawarded Balance of Current Year's Funds $0.00
c. Total Personnel Costs : $1,780,545.00 d. Less Cumulative Prior Awarols(s) This Budget Period $2,536,437.00
d. Consultant Costs : $0.00 e. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION $121,293.00
e. Equipment : $0.00
f. Supplies : $198,500,00
g . Travel : $7, 490.00 13. RECOMMENDED FUTURE SUPPORT: (Subject to the availability of
funds and satisfactory progress of project)
h . Constructon/Alteration and Renovation : $0.00 l'.(. . ..R .: • : TOTAL COSTS •••
i . Other : $174,661.00 13 $2,536,437.00
j . Consortium/Contractual Costs : $345,000.00 14 $2,536,437.00
15 $2,536,437.00
k. Trainee Related Expenses : $0.00 16 $2,536,437.00
I • Trainee Stipends : $0.00
m Trainee Tuition and Fees : $0.00
n. Trainee Travel : $0.00 14. APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
o , TOTAL DIRECT COSTS: $2,606,196.00 a. Amount of Direct Assistance $0.00
p , INDIRECT COSTS (Rate: % of S&W/TADC) : $351,534.00 b. Less Unawarded Balance of Current Year's Funds $0.00
q. TOTAL APPROVED BUDGET: $2,857,730.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00
i. Less Non-Federal Share: $200,000.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
ii. Federal Share: $2,657,730.00
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 ID]
Estimated Program Income: $200,000.00
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. c. This award notice including terms and conditions, if arty, noted below under REMARKS_ d. 45 CPR Part 74 or 45
CPR Part 92 as applicable, In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence strati prevail, Acceptance of the grant terms and conditions is
acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS: (Other Terms and Conditions Attached [ X ]Yes ()No)
Electronically signed by Helen Harp ld , Grants Management Officer on : 07/0512013
17. OBJ. CLASS: 41.51 18. CRS-EIN: 19. FUTURE RECOMMENDED FUNDING: $0.00
1866000472A2
ql3B •• ppo.ri•Ann •• • ... • .,.• SLIF3'... •
• FY CAN • .. . CFI* . DOCUMENT NO .'.. • AMT. FIN ASST ...:.: :•••AMT.:DIFL:ASST. • • •••• ,COD.E:•: : ••• ACCOUNT:: • ••• ••: • • •• • . • •
•• ••• .•:•j.. .... ••• :CODE: .
3 3988790 93.527 H8OCS00044D0 $121,293.00 $0.00 HCH N/A

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 HR5A'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/login.asp to use the
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.
Program Specific Term(s)
1. This award provides outreach and enrollment supplemental funding for the period July 1, 2013 through June 30, 2014. As such, a portion of
these funds are being provided for use in the grantee's upcoming FY 2014 budget period. In order to use this funding in the upcoming
budget period as planned, the appropriate amount must be shown as un-obligated (UOB) on line 10.h of the Annual Federal Financial Report
(FFR), SF 425. In addition, a Prior Approval Request to carry over these funds must be submitted through EHBs immediately following the
FFR submission. Please consult the Grants Management Specialist for questions regarding submission of the FFR and/or Prior Approval
Requests to carry over UOB funds. Funds will be awarded in FY 2014 to align with remaining months in the grantee's FY 2014 budget
period.
2. The grantee will be required to report on progress toward the 0/E goals outlined in the application via a quarterly progress report (QPR) to
be submitted through the HRSA Electronic Handbook (EHB), HRSA will provide additional guidance regarding specific requirements and
deadlines through separate resources that will be available at http://bphc.hrsa.gov/outreachandenrollment/.
3. This NoA provides outreach and enrollment (0/E) supplemental funding to support outreach and enrollment assistance activities, including
the hiring of new 0/E assistance workers at a minimum of 1,0 FTE within 60 days of award. All 0/E supplemental funds are to be used to
support new outreach and enrollment capacity and not supplant existing resources. Due to the availability of resources, your funding amount
has been adjusted by $4,000 and consistent with Health Center Program statutory distribution requirements, adjustments have been made to
your FY 2013 program allocation. These adjustments do not reduce your FY 2013 target funding level nor impact your FY 2013 funded
activities.
4. Broad-reaching communication efforts, such as mass mailings, may be used to announce an 0/E event to be hosted by the health center
and/or the availability of the health center as a location where 0/E assistance is available. These communications must also be reasonable
and consistent with the intent of the 0/E supplemental funding opportunity and must not promote the health center or its services. In addition,
to the extent possible, 0/E messages to be used, in whole or in part, to describe the purpose of 0/E activities and/or new affordable
insurance options should rely on pre-approved federal and/or state materials,
5. The grantee should review, and update as needed, Form SC: Other Activities "Non-Clinical Outreach" so that activities/locations align with
funded outreach and enrollment activities. See PIN 2008-01 'Defining Scope of Project and Policy for Requesting Changes,' pp.7-9, for
additional guidance (http://bphc.hrsa.gov/policiesregulations/policies/pin200801.html).
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name : Role
Jane E Cochrane Business Official janecochrane@rnail.rnancopa.gov
Tresa Floyd Program Director tresafloyd@mail.maricopa.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 Lri

Rockville, MD, 20852-170
Email: smcooy@hrsagov
Phone: (301) 443-1848
Fax: (301) 594-0161
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Clare Oscar at:
MailStop Code: 11-03
OFAM/DGMO/HCB
5600 Fishers Ln
Rockville, MD, 20852-1750
Email: coscar@hrsagov
Phone: (301) 443-8862
Fax: (301) 443-9810

IN WITNESS WHEREOF, the parties agree to enter into this Agreement:
FOR AN 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