MOU RE DSA D1775189 FOR EARLY EDUCATION WITH DES.PDF
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Memorandum of Understanding
(MOU)
Division of Benefits and
Medical Eligibility (DBME)
1789 W Jefferson Street
Mail Drop 3101
Phoenix, AZ 85007
Data Sharing Agreement
with
Maricopa County, Early Education Division, Head
Start Program
Effective Through: May 20, 2030
DM26-004173
Page 1 of 4 MOU between DBME and Maricopa County, Early
Education Division, Head Start Program
1.
INTRODUCTION
The purpose of this MOU is to describe and identify the roles and responsibilities for collaboration
between Arizona Department of Economic Security’s (“ADES”) Division of Benefits and Medical
Eligibility (“DBME”) and the Maricopa County, Early Education Division, Head Start Program,
This MOU is made effective on the date of the last signature. DBME and Maricopa County,
Early Education Division, Head Start Program are each a “Party” or “Agency” and together
constitute the “Parties” or “Agencies”
2.
PURPOSE/AUTHORITY
This MOU sets forth an agreement to provide for the ability of DBME to share personally
identifiable information (“PII”) including Full Name, Address, Date of Birth, Gender/Race, and
Phone Number for the purpose of providing access to clients' current eligibility status for
Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy
Families (TANF).
3.
RESPONSIBILITIES
The Parties agree as follows:
3.1.
Maricopa County, Early Education Division, Head Start Program Responsibilities:
3.1.1.
Maricopa County, Early Education Division, Head Start Program is responsible for using the
data to carry out the successful implementation of recruiting and connecting with families eligible
for Head Start.
3.1.2.
Store data in a secured location with limited access through password protection or other form of
authentication to safeguard against any misuse.
3.1.3.
Restrict the use or disclosure of any data provided without the express written consent of DBME.
3.2.
DBME Responsibilities:
3.2.1.
DBME agrees to cooperate to the fullest extent possible to provide all data and or services
necessary to carry out the Purpose of this MOU.
3.3.
Data Sharing Agreement
3.3.1.
The data exchange details are captured in the Data Sharing Agreement No. 1775189 and has
been mutually agreed upon and signed off by both Agencies.
4.
PAYMENT REQUIREMENTS
This Agreement is neither a fiscal nor a funds obligation document. Any endeavor or transfer of
anything of value involving reimbursement or contribution of funds between the Parties to this
Agreement will be handled in accordance with applicable laws, regulations, and procedures.
DM26-004173
Page 2 of 4 MOU between DBME and Maricopa County, Early
Education Division, Head Start Program
Such endeavors will be outlined in separate agreements that shall be made in writing by
representatives of the Parties and shall be independently authorized by appropriate statutory
authority. This Agreement does not provide such authority. Each Party shall be fiscally
responsible for their own portion work performed under the MOU.
5.
NOTICES
5.1.
All notices to Maricopa County, Early Education Division, Head Start Program regarding this
Agreement shall be sent to the following address:
Maricopa County, Early Education Division, Head Start Program
1001 E Southern Ave, Mesa, AZ 85210
Phone: (602) 372-3775
Email: Jacqueline.thatcher@maricopa.gov
5.2.
All notices to the ADES regarding this Agreement shall be sent to the following address:
Arizona Department of Economic Security – DBME
Jane Scherbing, Contracts & Purchasing Manager
1789 W. Jefferson Street, MD 3101
Phoenix, AZ 85007
Email: dbmecontracts@azdes.gocv
5.3.
Notices, requests or demands given or made upon the Parties herein, pursuant to or in
connection with this Agreement, unless otherwise noted, shall be delivered in person, or sent by
United States Mail, postage prepaid, or, electronically to the Parties at their respective address as
indicated above.
5.4.
All notices shall reference the contract number(s) as indicated in the footer of this Agreement.
6.
IT IS MUTUALLY UNDERSTOOD AND AGREED BY ALL PARTIES THAT:
a.
Modification
No amendment or modifications to this Agreement, including any amendment or modification
of this paragraph, shall be effective unless the same is in writing signed by all Parties.
b.
Term of the Agreement:
Term of this Agreement shall begin on the date of the last signature and shall end on May 20,
2030 unless otherwise agreed upon by both Parties in writing.
c.
Agreement Extension:
This Agreement may be extended through a written amendment by mutual agreement of the
Parties.
d.
Termination:
This Agreement remains in effect until terminated in accordance with the provision of this
section, or as otherwise provided below:
i.
Termination without Cause
Both DBME and Maricopa County, Early Education Division, Head Start Program
may terminate this Agreement at any time with thirty (30) calendar days’ notice in
writing specifying the termination date. Such notices shall be given by personal
delivery or by certified mail, return receipt requested.
ii.
Termination for Default
DBME reserves the right to terminate this Agreement in whole or in part due to the
failure of Maricopa County, Early Education Division, Head Start Program to
comply with any material obligation, term or condition of the Agreement, or to make
satisfactory progress in performing the Agreement. Maricopa County, Early
DM26-004173
Page 3 of 4 MOU between DBME and Maricopa County, Early
Education Division, Head Start Program
Education Division, Head Start Program should receive written notice detailing the
area of non-performance and have thirty (30) days to correct non-performance prior to
termination for default;
iii.
Cancellation for Conflict of Interest
Pursuant to A.R.S. § 38-511, Parties may cancel this Agreement within three (3) years
after Agreement execution without penalty or further obligation if any person
significantly involved in initiating, negotiating, securing, drafting or creating the
Agreement on behalf of the Department is, or becomes at any time while the
Agreement or an extension of the Agreement is in effect, an employee of or a
consultant to any other Party to this Agreement with respect to the subject matter of
the Agreement. The cancellation shall be effective when Maricopa County, Early
Education Division, Head Start Program receives written notice of the cancellation,
unless the notice specifies a later time.
iv.
Mutual Termination
This Agreement 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.
e.
Arizona Law:
The law of Arizona applies to this Agreement including, where applicable, the Uniform
Commercial Code as adopted by the State of Arizona.
f.
Reporting Requirements:
No reporting requirements under this Agreement. Reporting requirements may be added in
the future, through written modification to the MOU, amendment, addendum, or DSAs, by
mutual agreement of the Parties.
7.
SIGNATURES. IN WITNESS WHEREOF, THE PARTIES HAVE EXECUTED THIS
MEMORANDUM OF UNDERSTANDING.
FOR AND ON BEHALF OF THE DIVISION OF
FOR AND ON BEHALF OF MARICOPA
BENEFITS AND MEDICAL ELIGIBILITY:
COUNTY, EARLY EDUCATION DIVISION,
HEAD START PROGRAM:
Signature of Authorized Individual
Name and Title:
Christopher Tallman, Deputy Business
Administrator
Signature of Authorized Individual
Name and Title: Kate Brophy McGee, Chair of
The Board
Date
Date
DM26-004173
Page 4 of 4 MOU between DBME and Maricopa County, Early
Education Division, Head Start Program
Signature of Authorized Individual
Name and Title: Juanita Garza, Clerk Of The
Board
Signature of Authorized Individual
Name and Title: Aubrey Joy Corcoran, Public
Agency Legal Counsel
Date
Date