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C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
AMENDMENT TO CONTRACT PH RFP 250031
BETWEEN MARICOPA COUNTY
BY AND THROUGH ITS
DEPARTMENT OF PUBLIC HEALTH
AND THE ARIZONA BOARD OF REGENTS
ON BEHALF OF THE UNIVERSITY OF ARIZONA.
The above-named contract is hereby amended as specified below:
|. | The expiration date shall be updated to March 31, 2027.
ll. An additional $500,000 shall be added for the Year 2 Budget Period of 04/01/2026 -
03/31/2027 as outlined in the newly created Exhibit B-2, Year 2 Budget Sheet & Narrative.
Any funds from Year 1 that have not been spent within the Year 1 Budget Period of
04/01/2025 - 03/31/2026 will be forfeited and therefore excluded from the updated not-
to-exceed amount of $1,000,000.
lll. Exhibit D-1, Scope of Work, shall be replaced with a revised scope of work and is now
known as Exhibit D-2, beginning on page 6 of this amendment.
IV. Exhibit J, Work Plan, shall be revised to include Year 2 Timeline, beginning on page 10 of
this amendment.
V. Addition of Exhibit K, Year 2 Renewal Form, beginning on page 11 of this amendment.
VI. All other terms and conditions of the original contract and its amendments shall remain
in full force and effect.
Page 1 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF THE ARIZONA BOARD OF REGENTS ON
MARICOPA COUNTY: BEHALF OF THE UNIVERSITY OF ARIZONA:
Tan Pop Feb 20, 2026
Signature Date
Chair, Board of Supervisors
Name Title
Date Pamela Frazier, MPA, CRA
Manager, Office of Research Contracts
ATTEST: & Agreements
Clerk of the Board
READ AND ACKNOWLEDGED:
Date
APPROVED AS TO FORM: ‘in o
Sheila Soto, DrPH, MPH
Principal Investigator
Deputy County Attorney
Date
Page 2 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
EXHIBIT B-2
YEAR 2 BUDGET SHEET & NARRATIVE
Budget Period: 04/01/2026 — 03/31/2027
Contract # and Title: PH RFP 250031 Substance Prevention & Response Interventions
INSTRUCTIONS:
Green fields should be filled with appropriate info.
Grey fields are qutomatically calculated. Do not input info here.
When allocating costs to a focus area, please use whole-number percentages that add up to
100% to avoid ony issues with rounding.
Organization Information
Date Prepared: 13/4/2025
‘Organization Name: Arizona Board of Regents, University of Arizona
Budget at a Glance
Personnel: $ 393,890
Supplies & Materials: $ 32,377
Equipment: $ =
Contractual: $ 21,000
Admin: § ree!
Direct Costs: s 454,546
Indirect Costs: 10% $§ 45,455
Total Amount Requested: § 500,000
Funding by Focus Area
Early Intervention & Treatment: $ =
Recovery & Resiliancy: § =
Prevention & Education: $ =
Harm Reduction & Rescue: S 454,546
Page 3 of 16
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Page 5 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
EXHIBIT D-2
REVISED SCOPE OF WORK
1.0 SCOPE OF WORK
Contractor shall:
tA
1.2
1.3
1.4
1.5
1.6
Complete activities and provide services as outlined in Exhibit K Year 2
Renewal Form and Exhibit B-2 Year 2 Budget Sheet & Narrative.
Adhere to Year 2? Timeline as referenced in Exhibit J Work Plan-
Submit any training or educational materials to MCDPH for review and
approval prior to implementation/dissemination. Any material with the
Maricopa County brand is also subject to review and written approval prior
to use. Review and approval process takes, at minimum, 10 business days
depending on the amount and type of content being reviewed.
Evaluation
1.4.1 As requested, provide input ta MCDPH onan evaluation plan that
includes metrics for haw success will be measured and
opportunities for improvement.
1.42 Complete monthly reports using tools (ex. templates, Envisio,
RedCap) provided by MCDPH_ Reports will include components
such as:
« Narrative description of project activities achieved during the
specified timeframe
* Accomplishments (“success stories”) and challenges
« Staffing changes
« Current budget and description of over or underspending
« Evaluation metrics
14.3 Complete any additional reporting requirements that may be
requested.
Maintain client confidentiality in alignment with applicable state and
federal laws that protect client confidentiality of medical, behavioral
health, and drug treatment information.
Abide by credential requirements:
1.6.1 Any psychological and psychiatric screening, assessment,
diagnosis, treatment, and counseling in an individual or group
setting must be provided by a licensed mental health professional
(usually a psychiatrist, psychologist, or licensed clinical social
worker).
Page 6 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
Te
1.6.2
1.6.3
1.6.4
Any staff providing professional services must maintain
appropriate licensure for their respective field and service offerings
as required by state law.
Any staff working with minors must secure and maintain an Arizona
Department of Public Safety Level 1 Clearance Card and completed
a background check prior to beginning work.
Documentation of all required credentials, licenses, certifications,
etc_ must be maintained by the Contractor. Upon request, copies of
the documents must be made available to MCDPH.
Budget
i |
V2
173
LIA
175
17.6
Acomplete budget must be submitted for each budget period and
approved by MCDPH before performing any program activities.
Requests for budget reallocations, any movement of funds between
line iterms, must be submitted in writing.
Funds must be spent within the approved budget period. The aption
to carry forward (i.e. rollover) funds is at the discretion of MCDPH.
Allowable expenses include approved direct, operational, and
indirect costs associated with the provision of activities and
services as detailed and accepted in the work plan, budget, and/or
budget narrative.
Unallowable expenses include, but are not limited to:
* Housing
* Needles/Syringes intended for safe injection kits. Exceptions for
injectable naloxone are permitted with written approval.
« Services that are eligible for reimbursement from another payer,
regardless of the provider's enrollment status in that payer's
network.
« Clinical services for individuals that reside outside of Maricopa
County
In accordance with the Budget and Fiscal Accountability Policy
established by The Office of Mental Health & Substance Use:
* Food expenditures may not exceed 5% of total budget or
$10,000, whichever is less.
« Rent expenditures may not exceed 25% of total budget or
$50,000, whichever is less.
*« Compensation for community advisory board members may
include stipends of $25-$50 per meeting or annual stipends up
to $1,500 as well as childcare and transportation.
Page 7 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
1.8
19
1.10
Compensation for facilitators may include $25-$50 per meeting
or annual stipends up to $2,000.
« Indirect costs may not exceed 10% of the direct costs outlined
in the budget. Indirect costs include general overhead and
operating expenses. While necessary to the operation of the
organization, these costs are not readily assignable to a single
activity.
The referenced policy is not all inclusive and is subject to change at
any time. Any policy revisions will be provided to contractors as of
their effective date.
Submit invoices and supporting documentation for work completed during
the month by the 15t of the following month.
Attend onboarding/orientation to review expectations related to
communications, performance, marketing, evaluation, and
finance/invoicing.
Participate in, at minimum, one virtual meeting with MCDPH every month
to provide and receive updates.
MCDPH shall:
mM
1.12
1.13
1.14
115
1:16
LV
1.18
Host onboarding/orientation meeting with Contractor to review
expectations related to communications, performance, marketing,
evaluation, and finance/invoicing.
Participating, as appropriate, in conference calls and meetings that are
conducted during the project period.
Collaborate on the development of a work plan, providing final approval
before implementation.
Develop evaluation plan for activities that includes metrics for how
success will be measured and opportunities for improvement.
Provide technical assistance for work plan activities and ongoing
evaluation.
Provide ongoing review of the implementation of activities and measures
for accomplishing the goals of this agreement.
Provide document templates and training on software platforms that are
required as outlined in the Scope of Work.
Review training and education materials prior to
implementation/dissemination.
Page 8 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
1.19 Review and approve the use of any materials or items with the Maricopa
County branding.
1.20 Review and approve submitted monthly invoices for reimbursement of
costs incurred in line with approved work plan, budget, and/or budget
narrative.
Page 9 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
YEAR 2 TIMELINE
lon uenserabaie! University of rier
ivaitae thekebeatne 12, DO
lac tnety (Dethwarotten apeit | Mey | gue | sate | aug | sept | oct | moe | vee | ton | met | eercn
Refresher Training for staft r ® x x
Purchase of supplies anc equipment (ongoing basis). x * % * Es x Fa ra x x x Ff
Teom Mentings x i x x it i Ea x x r x x
MGDPH Meetings x x x x x x x x x x x 5
paar ter ty Rieports. x x x Ef
Anmead Repoet x
Continue using and modifying as necessary our harm reduction and qwerdese education/nesponse | * x x x x x
training for taht ond votuminers of SMP ancl HU
continue using and modifying as needed harm reduction and overdose education/response
training specifically for Medical Students
cenate new harm reduction and overdose education/response training specificaby for Public ¥ * *
Service Weekes Le. Gty Officials
imniplement pattic service worker trainings sescions = = x x x x x a * *
iniplement created yeor 7 Soectsh educational workshops for bfingual and Spanish-speaking z Pi Pa x x x ¥ x x x x x
imedovichaais,
lienplement pee!post training besing and ensure regalar trainieg-related data for all focus = = = = = = =: x x x x =
populations collection
Continue stenghtening our conbtion of medical students ecross all SMEpartictpant institutions * x x x
hehe will serve os harm reduction reoreseniatives to dissecninate harm reduction training to peero
Professional Gevelopment Bring in speciobstexperts to tale with team about harm reduction
@rectices and reducing stigena. Open these oppoctunitites to medical sludents, community, and x x x La a x a x = x x
lather who. may be inberestoct
inprowe and sireamiine nalokonetelated date collection * x x *
Provide horn reduction suppkes for partnering onganizations (Le. Naloxone kits) % % x x x x x x x * x x
Senate a required 1 CHminutc orientation and training for SMP volumteehs wha will be participating ra ri * 7 a
directly in harm reduction education and then implement quarterty
Strengthen. ond build oommections with mental health and substance use teatment servions for a x x x x a au a ¥ Py = Py
imiore robust referral proces
Continue devolocing “warm hand off referrais to tesatment for those-who ore interested. x ® « x a x La * x x x x
Check points for referral seystems.and taking care of any potential gaps = x a * x x
Sontinwe finalizing bi-directional line of commenication with mental health providerspariness = x bs x x zr
Engage in quarterly check-ins with partners to collect Gata on utiization rates: from referrals: x x a x x x
Ensure participants also collect sources and trols to address other health and wellness barriers ¥ ¥ % * x“ ” ¥ * x x x x
identified in their social determinants. of health assrsument
Page 10 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
EXHIBIT K
YEAR 2 RENEWAL FORM
Substance Use Prevention and Response Interventions
Contract Renewal Amendment Form
Y2: April 1, 2026 - March 31, 2027
Contractor Name: Arizona Board of Regents, University of Arizona
Contract Number: PH RFP 250031
Focus Areas (For Reference Only)
The focus areas below are provided for reference to help you complete Section 1: Focus
Area and Activity Overview. Ensure the focus area(s) you select in Section 1 match
those specified in your original contract. If you are unsure which focus area applies,
consult your contract documentation or contact your contract manager. The focus
areas are:
« Focus Area 1: Prevention and Education
Includes programs that provide clear, culturally sensitive information to help prevent
substance misuse. These programs should help people understand the risks of drug
misuse, reduce stigma, and empower communities with the knowledge and tools needed
to make healthier choices. The key action areas for prevention and education efforts
include youth and family empowerment, provider training, and community awareness.
Proposals should show an understanding of the focus population's cultural needs.
« Focus Area 2: Early Intervention and Treatment
Focusing on easy-to-access, evidence-based services for early intervention and
treatment. These services should meet peaple where they are and address their specific
needs at different stages of substance misuse. The County is focused on reducing
barriers to care, such as transportation, cost, and language. Programs that use trauma-
informed care and integrate behavioral health services will be prioritized.
« Focus Area 3: Harm Reduction and Rescue
Includes programs that focus on harm reduction and rescue efforts to reduce the
immediate dangers of substance misuse. These programs should use proven strategies
to reduce deaths and other harms caused by substance misuse through increased
awareness and access to effective interventions. Programs may prioritize provider
training & capacity building and provide life-saving services like naloxone distribution
and overdose prevention education. The intent is to reach the most vulnerable people,
including those who are unsheltered or live in areas with limited healthcare access.
« Focus Area 4: Recovery and Resiliency
Programs should increase access to relapse prevention and recovery support for
sustainable positive lifestyle changes. The programs should help people not just with
their health but also with social support and employment. The intent is to ensure that
everyone, no matter their background, can recover and thrive.
Page 11 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
1. Focus Area and Activity Overview
Use the guidance provided below to complete each section of the table for your
proposed activities.
Activity
Provide the activity name, focus area, and a brief description of the proposed activity.
Annual Projected Numerical Targets
Enter annual projected numeric targets using actual numbers (counts, percentages,
amounts) rather than descriptive terms. Review existing performance data in Envisio
Contract Deliverables charts/graphs and use trends to develop realistic, data-
informed projections. See attached Exhibit 4 Metrics, Outcomes, and Measures for
examples.
Potential Roadblocks
Describe any challenges, limitations, special considerations and possible solutions
that may impact each activity. Include details about how adjustments can be made to
still be successful overall.
Short-Term Outcomes
List outcome(s) expected to occur within the upcoming contract period. Short-term
outcomes are required to be selected from Exhibit 4 Metrics, Outcomes, and
Measures (attached).
Outcome Measures
List the outcome measure(s) that will be used to evaluate whether or not the intended
outcome has occurred. For each measure, briefly describe the plan or method for
collecting data. Outcome measures are required to be selected from Exhibit 4 Metrics,
Outcomes, and Measures.
“+ Copy & paste the following table for gach proposed activity. **
Activity Name; Overdose Awareness and Stigma Reduction for Public Service Workers,
Community members, and Future Providers
Focus Area: Harm Reduction and Rescue “Icheck box to confirm focus rea matches the original contract.
Description: Training and education for UA, Mayo, Creighton, and other neighboring
institutions’ medical students, SMP/MHU staff and volunteers, community members, public
service workers. These training will be culturally and linguistically appropriate to ensure full
comprehension and compliance of the harm reduction practices shared with individuals who
Participate. We plan to utilize individuals with lived experience such as peer support or harm
reduction specialists and community health workers (CHWs). We will track the number of
training sessions and participants. We will continue the implementation of trainings from
year 1 and make modifications as needed. SMP/MHU staff and volunteers will participate in
quarterly trainings and we will host community workshops with educational resources
during one of their interactions with SMP staff. :
Page 12 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
Potential Roadblocks & Solutions
Potential Roadblock (1): There is a potential roadblock when working with public sector
workers because of the stigma or misconceptions of people experiencing homelessness or
high-tisk populations.
-Solution (1): We will work with each institution to formalize these trainings and perhaps
fulfill some of their required professional development hours.
-Solution (1): We will create safe spaces for people to ask questions even when they might
not know the appropriate terminology when working with vulnerable populations.
Potential Roadblock (2): Without incentives, medical students’ willingness to engage in the
trainings and take a pre/post-test might be low within the population served_
-Solution (2): We will work with each institution to schedule harm reduction trainings as a
requirement for their programs. If not possible, we will schedule trainings on dates that the
students have required seminars.
Potential Roadblock (3): The pre/post-test might not capture all the information we need.
-Solution (3): It can be difficult to survey peaple experiencing homelessness but will
schedule interviews or listening sessions to allow us to provide food as an incentive (food ta
be purchased with another source not Maricopa County OSF).
Potential Roadblock (4): Some.community members may not be interested in participating
in trainings as it may not apply to their situation or are simply not interested due to
conflicting priorities (food boxes, health screenings, etc.).
-Solution (4): We will be aware of the circumstances of each individual and tailor education
to the audience, time, and place.
-Solution (4): We will work with hast sites to offer food or other incentives to increase
participation, or we will opt for virtual trainings.
Annual Projected Short-Term Short-Term
Numerical Targets Outcome Outcome Measures
300 medical students Increase harm % knowledge change
reduction and the risks | between Pre-test and post-
100 Public Service Workers and of substance use test of substance use risks
Partnering Clinical/Social Agency
employees (city officials, park Reduced stigma and % change between Pre and
rangers, public safety, first increased post-test on opinions and
responders) understanding of knowledge towards people
people who use drugs. | who use drugs.
1000 SMP/MHU
clients (community workshops)
15 staff (trainthe-trainer)
1,500 clients provided with harm
reduction education
Total Participants Trained: 1915
Page 13 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
Activity Name: Project RESPOND
Focus Area: Harm Reduction and Rescue check box to confirm focus area matches the original contract.
Description: Data-focused streamlining of existing naloxone kit distribution and
enhancement of educational materials provided alongside harm reduction kits. Expand
provision of harm reduction. Distribute surveys to assess quality of improved educational
materials surrounding overdose prevention. Referrals to mental health services and
counseling, in addition to substance use treatment services. Group educational sessions and
individual education that focus on harm reduction practices and holistic mental health
services to help reduce stigma associated with substance use and abuse. Using evidence-
based practices and interventions that reduce death or harm due to substance use like HIV
testing and education.
Potential Roadblocks & Solutions
Potential Roadblock (1): We likely will continue to encounter internal roadblocks with risk
management to approve SSP.
-Solution (1): We will work with community partners to fill this need by distributing needles
and syringes and other harm reduction kits.
Potential Roadblock (2): For data collection and reporting, tracking unique participant
encounters and unique individuals serves to gain insight into how many ‘new’ individuals we
encounter monthly/annually.
-Solution (2): It can be difficult to collect information from people experiencing
homelessness, but can try other collection methods like listening sessions or informal
interviews.
Potential Roadblock (3): To ensure we are not duplicating efforts, it will be important ta
coordinate with other organizations/programs that are regularly serving our focus
population and encourage collaboration and partnership.
-Solution (3): We will continue building relationships with other Maricopa OSF grantees and
strategies how we can each meaningful contribute without duplicating services.
Annual Projected Short-Term Short-Term
Numerical Targets Outcome Outcome Measures
Naloxone Kits Distributed- 760 Improved quality Client surveys completed- 100
and relevance of
Safe Sex Kits (condoms, dental harm reduction
damn, etc.) Distributed- 10,000 educational
materials.
HIV test and education- 800
Number of referrals provided- 100
Page 14 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
2. Project Timeline
For each Focus Area, list all steps or tasks for its activities and mark an “X" in the month
when you anticipate completing each task. Reference the original project timeline and
adjust the Timeline — Year 2 template as needed for the upcoming contract period.
Timeline - Year 2 (use template provided): | Completed
3. Budget Summary
Prepare the budget for the upcoming year to match the original awarded amount. No
increases to the award or carryover of Year 1 funds are permitted.
Verify and Enter Original Awarded Amount: $500,000
Budget Detail & Narrative - Year 2 (use template provided): “| Completed
If yes, describe proposed budget adjustments by providing a high-level narrative
summarizing anticipated budget and/or category changes for the renewal grant period.
All adjustments must remain within the original focus area(s). Keep the response clear
and concise, with a maximum of 500 words.
(Most of the budget stays the same, we did slightly decrease personnel and ERE. We slightly
increased travel to allow us to expand to farther sites like Gila Bend and Aguila as well as to
disseminate results of this program at conferences like American Public Health Association.
Supplies and materials stay very similar to Year 1. We kept the same amount for publication
in a scientific journal. A more significant change is the line for consultant to provide our
partnering agencies, as well as, partnering academic institutions with some funding to help
us increase distribution of harm reduction supplies and education to a large net of
individuals throughout the valley.
4. Successes and Lessons Learned
Highlight 1-2 successes or lessons from the current contract period that inform your
proposed continuation. Keep the response clear and concise, with a maximum of 500
words.
A success in year 1 was the team’s ability to provide trainings to over 200 medical students
from different institutions in 9 months (proposed goal 200). Equally as important, the
student's willingness to participate in additional trainings and witnessing an increase in the
education of opioid use prevention during SMP and MHU events. We were also able to hire a
Harm Reduction Coordinator that has experience working in this area that helped improve
our training materials as well as a Peer Support Specialist who is quickly connects with the
community and doesn't shy from direct street outreach. Another success has been the
number of volunteers creating safe sex kits to keep up with the demand. We've held
multiple “packing parties” and volunteers overcome our expectations each time. Lastly, we
are grateful for new partnerships! We have met motivated, well-meaning individuals,
organizations, committees, and county and city officials that are excited about
collaboration. During some of these conversations, we leamed that public sector workers
and some clinical settings need overdose awareness and stigma reduction trainings to
improve the ability for all of us to continue providing harm reduction services in Maricopa.
Page 15 of 16
C-86-25-049-X-00 / PH RFP 250031 AMENDMENT 2
Thus, in Year 2 we added focused trainings to address any misunderstandings/
misconceptions to improve attitudes towards hanm reduction services. Another lesson
learned was the difficulty of successful referrals to mental and behavioral health services
and substance use treatment among the unhoused community. In our original proposal, we
had based our metrics to our SMP experience with linkage to routine care, HIV
treatment/prevention, women’s health, wound care, and other acute services. However, we
learned that people need more time to accept needing and wanting linkage to M/B services
and substance use treatment. Thus, we also lowered the number of referrals in year 2 to
allow us to gain a better understanding of what we can do to increase acceptance among
our focus population.
5. Authorized Signature
By signing below, the Contractor certifies that all information provided is true and
accurate, and that the proposed activities are consistent with the original Scope of Work
and Logic Model outcomes.
**The Contractor acknowledges that submission of this application does not
guarantee funding.
Authorized Representative
Name: Pamela Frazier, MPA
Title: Contract Manager, Office of Research Contracts & Agreements
Signature: {6 Tay
Date: 12/11/2025
Page 16 of 16
104941_For PI Signature
Final Audit Report 2026-02-20
Created: 2026-02-20
By: Ryan Yee (ryanyee@arizona.edu)
Status: Signed
Transaction ID: CBJCHBCAABAAUvxFz14eyInPmdbGle3gqNCNeQcp6yhF
"104941_For PI Signature" History
=) Document created by Ryan Yee (ryanyee@arizona.edu)
2026-02-20 - 4:59:03 PM GMT- IP address: 68.108.223.150
ES, Document emailed to Sheila Soto (ssoto2@arizona.edu) for signature
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THE UNIVERSITY | Aucpe”
. OFARIZONA | Acrobat Sign
104941_For UA Signature
Final Audit Report 2026-02-20
Created: 2026-02-20
By: Ryan Yee (ryanyee@arizona.edu)
Status: Signed
Transaction ID: CBJCHBCAABAARGQ2HEibJUsk9rJrxVom7RHYywfsW_Wm
"104941_For UA Signature" History
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