CTR070517 MARICOPA COUNTY - AMENDMENT 2.PDF

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 1 of 11 
Revised 05/29/2024 
 
Arizona State Opioid Response - Support Overdose Fatality Review Program 
 
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 
 
1. Pursuant to Terms and Conditions, Provision Six (6), Contract Changes, subsection 6.1, Amendments, the Agreement 
is hereby revised with the following: 
 
1.1. The Scope of Work is revised and replaced. 
 
1.2. The Price Sheet is revised and replaced to increase funding from September 30, 2025 through September 29, 
2026. 
 
1.3. Exhibit One (1), 2 CFR is revised and replaced. 
 
ALL CHANGES ARE REFLECTED IN RED 
All other provisions of this agreement remain unchanged. 
Maricopa County 
 
 
Contractor Name:  
 
County Authorized Signature 
301 W Jefferson St., 9th Floor 
 
 
Address:  
 
Print Name 
Phoenix 
AZ 
85003 
 
 
City 
State 
Zip 
 
Title and Date 
 
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined 
that this Intergovernmental Agreement is in proper form and is within the powers and 
authority granted under the laws of Arizona. 
This Intergovernmental Agreement Amendment shall be 
effective the date indicated.  The Public Agency is hereby 
cautioned not to commence any billable work or provide any 
material, service or construction under this IGA until the IGA has 
been executed by an authorized ADHS signatory.  
 
State of Arizona 
 
Signature 
Date 
 
Signed this                            day of                                  2025. 
 
 
Print Name 
 
Procurement Officer 
 
 
Contract No.: CTR070517, which is an Agreement between public agencies, has been 
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has 
determined that it is in proper form and is within the powers and authority granted under 
the laws of the State of Arizona.  
 
 
 
Signature 
Date 
 
Assistant Attorney General 
Print Name

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 2 of 11 
Revised 05/29/2024 
 
1. 
DEFINITIONS:  
  
1.1. 
“AHCCCS” for the purpose of this document refers to Arizona Health Care Cost Containment System.  
  
1.2. 
“ADHS” for the purpose of this document refers to the Arizona Department of Health Services.  
  
1.3. 
“OVIP” for the purpose of this document refers to the Office of Injury and Violence Prevention within the 
Arizona Department of Health Services.   
  
1.4. 
“CDC” for the purpose of this document refers to the Centers for Disease Control and Prevention.  
  
1.5. 
“CSPMP” for the purpose of this document refers to the Controlled Substances Prescription Monitoring 
Program.  
1.6. 
“CME” for the purpose of this document refers to Continuing Medical Education.  
1.7. 
“SOR” for the purpose of this document refers to State Opioid Response.  
1.8. 
“OFR” for the purpose of this document refers to Overdose Fatality Review.  
1.9. 
“County or County Health Department” for the purpose of this document means the individual counties 
selected as high-burden areas in the state to implement OFR objectives.  
1.10. 
“County Health Department Program Managers” for the purpose of this document, refers to the individual 
who works for the Contractor who has overall responsibility of the proposed project, including management 
of staff and Contractors to ensure that the State is in compliance with all grant requirements and 
communication with ADHS on progress made toward achieving the deliverables.  
  
1.11. 
“EMS” for the purpose of this document refers to Emergency Medical Services.  
  
1.12. 
“High-burden areas” for the purpose of this document refers to communities which are identified by ADHS 
and Contractor as areas within the county with the highest rates of prescription drug mortality and morbidity.  
  
1.13. 
“Partners” for the purpose of this document refers to state agencies, providers, evidence-based practices 
(EBP’s), communities and others.  
  
1.14. 
“PSAs” for the purpose of this document refers to public service announcements.  
  
1.15. 
“RHBAs” for the purpose of this document refers to Regional Behavioral Health Authorities.   
  
1.16. 
“Rx” for the purpose of this document refers to prescription.  
  
1.17. 
“ADHS Program Manager” means Arizona Department of Health Services employed staff managing the 
Project Contract.  
  
1.18. 
“ADHS OFR Epidemiologist” means Arizona Department of Health Services employed OFR epidemiologist.  
  
1.19. 
“Shall or Must” means a mandatory requirement.  Failure to meet these mandatory requirements may deem 
Contractor out of compliance with the Agreement.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 3 of 11 
Revised 05/29/2024 
 
2. 
BACKGROUND 
 
2.1. 
The Arizona Department of Health Services (ADHS), through the Office of Injury and Violence Prevention 
(OIVP), administers funding provided by the Arizona Health Care Cost Containment System (AHCCCS) to 
operate the State Opioid Response (SOR) program. The primary objective of SOR funding is to assist 
Arizona in strengthening local capacity within counties to develop Overdose Fatality Review (OFR) teams. 
These teams bring together community agencies in a structured process to systematically share information 
on overdose events, identify risk factors, and develop actionable prevention strategies.  
 
2.2. 
The abuse and addiction to opioids remain critical public health challenges both nationally and within 
Arizona. Drug overdose deaths have steadily increased over the past two decades, now representing the 
leading cause of injury-related death in the United States. According to the Centers for Disease Control and 
Prevention (CDC), overdose deaths surged to 92,452 in 2020—a thirty percent (30%) rise from 71,130 
deaths in 2019—with opioids implicated in 69,031 of these cases, accounting for seventy-five percent (75%) 
of all overdose fatalities. 
 
2.3. 
Historically, the opioid epidemic was driven largely by prescription medications. Arizona’s Controlled 
Substances Prescription Monitoring Program (CSPMP) data show that in 2019, approximately 4.1 million 
Class II-IV prescriptions were written, resulting in the dispensation of over 240 million controlled substance 
pills statewide. This equates to around thirty-four (34) Schedule II-IV controlled substance pills per resident. 
Recent prescribing practices rank Arizona as twenty-eighth (28th) nationally for opioid prescriptions, with a 
rate of 44.1 prescriptions per 100 people, indicating that prescriptions are no longer the primary cause of 
overdose deaths. 
 
2.4. 
Currently, fentanyl has become the leading driver of the opioid crisis. In 2019, synthetic opioids, mainly 
fentanyl, contributed to over 36,000 deaths in the United States, representing about seventy-three percent 
(73%) of all opioid-related fatalities that year. Most fentanyl-related deaths involve illicitly manufactured 
fentanyl, often found in counterfeit pills or combined with other drugs, such as heroin or methamphetamine. 
In Arizona, fentanyl’s presence in overdose cases climbed significantly from nine percent (9%) in 2017 to 
fifty percent (50%) in 2021. 
 
2.5. 
The financial toll of opioid misuse is substantial as well. In 2019, Arizona experienced 56,623 opioid-related 
hospital visits, costing an average of $11,942.00 per visit—totaling approximately $676 million in healthcare 
expenses attributed to opioids.  
 
2.6. 
The escalating addiction rates and overdose deaths related to both prescription and illicit opioids 
underscore a growing national crisis. In Arizona, overdose fatalities are now the leading cause of 
preventable injury deaths, underscoring the urgency for interventions. ADHS is committed to collaborating 
with County health departments to build systems and enhance capacity to address substance misuse and 
abuse through community-based case management initiatives, thus fostering improved public health 
outcomes statewide. 
 
2.7. 
Maricopa County Department of Public Health (MCDPH) plans to use State Opioid Response (SOR) funds 
to establish and support local Overdose Fatality Review (OFR) teams, which aim to bring together 
community organizations and agencies in a structured process to review overdose deaths. These OFR 
teams analyze individual overdose events to identify risk factors and trends, enabling the development of 
targeted prevention strategies. Additionally, MCDPH intends to use SOR funds to strengthen local

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 4 of 11 
Revised 05/29/2024 
 
partnerships, improve data-sharing capacities, and implement prevention and intervention strategies that 
address opioid misuse and addiction, especially focusing on the rising impact of fentanyl in the community. 
Through these efforts, MCDPH aims to reduce overdose deaths, enhance community education on opioid 
risks, and provide supportive resources to individuals and families affected by opioid misuse. 
  
3. 
OBJECTIVE  
  
3.1. 
The objective of this Agreement is to enhance the County Health Departments' capacity to combat the 
opioid crisis by establishing local drug Overdose Fatality Review (OFR) teams and deploying community 
health workers, case managers, first responders, and peer navigators to support high-risk populations, 
improving access to care and reducing opioid misuse across communities. 
 
4. 
SCOPE OF SERVICE 
 
4.1. 
The purpose of this initiative is to MCDPH overdose prevention efforts through systematic reviews, data 
collection, and linkages to care (LtC). MCDPH shall designate a point of contact responsible for conducting 
systematic, multidisciplinary, and multimodal reviews of drug overdose fatalities to identify actionable, 
locally-implementable prevention recommendations. 
 
4.2. 
MCDPH shall request and gather records for each case, including medical records, toxicology and medical 
examiner reports, behavioral health records, criminal justice records, prescription drug history records from 
the CSPMP, Department of Child Services records, Emergency Medical Services/Fire Department records, 
and next of kin interviews, when applicable. Based on these records, MCDPH shall use the designated 
data tool spreadsheet to document case demographics, methods of injury, substance use history, 
behavioral health history, healthcare utilization, stressors, childhood history, and chronic conditions relevant 
to each OFR case. All information from gathered records shall be entered into the data tool spreadsheet, 
and the completed document shall be submitted to the OFR Epidemiologist at ADHS. MCDPH shall respond 
to feedback from the OFR Epidemiologist to ensure all data aligns with standards for annual data analysis 
and statewide reporting. 
 
4.3. 
Establishing LtC, a representative from MCDPH shall actively participate in the ADHS LtC workgroup to 
promote community-based support for those impacted by opioid misuse. 
 
5. 
REQUIREMENTS  
  
The County shall:  
  
5.1. 
Participate in surveys, interviews (remote or face-to-face), and questionnaires developed and disseminated 
by ADHS’ Evaluation Team or Consultant to collect data and information necessary to assess the state and 
local progress with meeting grant related goals, objectives, evaluation, and outcomes.  
  
5.2. 
Prepare and submit annual budget(s) and work/ action plan(s).  
 
5.3. 
Prepare and submit quarterly Contractors Expenditures Reports (CERs) with documentation.  
 
5.4. 
Submit quarterly reports to ADHS detailing quarterly progress on funded activities. 
 
5.5. 
Attend and participate in quarterly Contractor meetings with ADHS.  
 
5.6. 
Assign at least one (1) staff person to attend and participate in ADHS’ Linkages to Care workgroup.  
 
5.7. 
Attend and participate in any training, statewide Contractor’s meetings, or professional development 
provide by ADHS or its contracted vendors, as necessary.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 5 of 11 
Revised 05/29/2024 
 
6. 
FUNDING RESTRICTIONS 
 
In addition to 45 CFR Part 75, Subpart E’s guidance regarding allowable/unallowable expenditures, Substance 
Abuse and Mental Health Services Administration (SAMHSA) funds shall not be used to:   
 
6.1. 
Purchase, prescribe, or provide marijuana or treatment using marijuana. See, e.g., 45 CFR.75.300(a) 
(requiring Health and Human Services (HHS) to ensure that Federal funding is expended in full accordance 
with U.S. statutory and public policy requirements); 21 U.S.C. 812(c)(10) and 841 (prohibiting the 
possession, manufacture, sale, purchase, or distribution of marijuana).   
 
6.2. 
Purchase, procure, or distribute pipes or cylindrical objects intended to be used to smoke or inhale illegal 
scheduled substances.   
 
6.3. 
Pay for promotional items including, but not limited to, clothing and commemorative items, such as pens, 
mugs/cups, folders/folios, lanyards, and conference bags. (45 CFR 75.421(e)(3))   
 
6.4. 
Pay for the purchase or construction of any building or structure to house any part of the program. Minor 
alterations and renovations (A&R) shall be authorized for up to twenty-five percent (25%) of a given budget 
period or $150,000.00 (whichever is less) for existing facilities, if necessary and appropriate to the project. 
Minor A&R may not include a structural change (e.g., to the foundation, roof, floor, or exterior or loadbearing 
walls of a facility, or extension of an existing facility) to achieve the following: increase the floor area; and/or, 
change the function and purpose of the facility. SAMHSA & AHCCCS must approve all minor A&R.   
 
6.5. 
Provide inpatient treatment or hospital-based detoxification services. Residential services are not 
considered to be inpatient or hospital-based services.   
 
6.6. 
Pay for housing other than recovery housing, which includes application fees and security deposits.   
 
6.7. 
Make direct payments to individuals to enter treatment or continue to participate in prevention or treatment 
services. (See 42 U.S.C. § 1320a-7b).   
 
6.7.1. 
A recipient or treatment or prevention provider may provide up to $25.00 non-cash incentive (for 
example, gift cards, bus passes, or gifts) to individuals to participate in required data collection 
follow-up. This amount may be paid for participation in each required data collection follow-up 
interview. Incentives cannot be provided for completing an intake or exit interview. For programs 
including contingency management as a component of the treatment program, each individual 
contingency must be $15.00 or less in value and clients may not receive contingencies totaling 
more than $75.00 per budget period.   
 
6.8. 
Purchase firearms.   
 
6.9. 
General Provisions under Departments of Labor, Health and Human Services, and Education, and Related 
Agencies Appropriations Act Public Law 117-328, Consolidated Appropriations Act, 2023, Division H, Title 
V, Section 526, notwithstanding any other provision of this Act, no funds appropriated in this Act shall be 
used to purchase sterile needles or syringes for the hypodermic injection of any illegal drugs. Provided, that 
such limitation does not apply to the use of funds for elements of a program other than making such 
purchases if the relevant state or local health department, in consultation with the Centers for Disease 
Control and Prevention, determines that the state or local jurisdiction, as applicable, is experiencing, or is 
at risk for, a significant increase in hepatitis infections or an human immunodeficiency virus (HIV) outbreak 
due to injection drug use, and such program is operating in accordance with state and local law.   
 
6.10. 
Salary Limitation: Congress limits the direct salary for individuals under all federal grant and cooperative 
agreement awards not to exceed Executive Level II pay. The Executive Level II pay amount is an 
individual’s base salary exclusive of fringe and any income that an individual may be permitted to earn

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 6 of 11 
Revised 05/29/2024 
 
outside of the duties to your organization. The salary limitation does not apply to consultants but does apply 
to subrecipients under a SAMHSA award or cooperative agreement. Note that these or other salary 
limitations will apply in future fiscal years, as required by law. The current salary limitation can be found in 
the most recent SAMHSA Standard Terms and Conditions posted on our website at: 
 
6.10.1. https://www.samhsa.gov/grants/grants-management/notice-of-award/terms.  
 
7. 
TASKS  
  
The County shall complete the following tasks to achieve the program goals:  
  
7.1. 
Designate a point of contact that will be responsible for conducting systematic, multidisciplinary, and 
multimodality reviews of drug overdose fatalities and identify actionable prevention recommendations for 
implementation at the local level.  
  
7.2. 
Request and collect records for each case, including but not limited to: 
 
7.2.1. 
Medical, including toxicology and medical examiner. 
7.2.2. 
Behavioral Health records. 
7.2.3. 
Criminal justice records. 
7.2.4. 
Prescription drug history records (CSPMP). 
7.2.5. 
Department of Child Services records.  
7.2.6. 
Emergency Medical Services/Fire Department records.  
7.2.7. 
Next of kin interviews (if applicable).  
  
7.3. 
Review ten percent (10%) or at least seventy-six (76) cases provided by ADHS. 
 
7.4. 
Based on records received, use the data tool spreadsheet to document case demographics, methods of 
injury, substance use history, behavioral health history, healthcare utilization, stressors, childhood history, 
and chronic conditions of OFR cases.  
  
7.5. 
Provide a Roster of the Local County Overdose Team to ADHS Overdose Fatality Review Program 
Manager. 
 
7.5.1. 
Maricopa County Department of Public Health (MCDPH) shall be responsible for creating a roster 
with representation from multiple sectors in your county. CHD should engage at least one 
member from each sector, including but not limited to: 
 
7.5.1.1. 
Public Safety (Law Enforcement, EMS, and Fire). 
7.5.1.2. 
Medical Professional (Hospitals, Nurses, MOUD Providers, Behavioral Health 
Specialists). 
7.5.1.3. 
Community Organizations. 
7.5.1.4. 
Public Member. 
7.5.1.5. 
If applicable, Tribal Organizations 
 
7.5.2. 
Maricopa County Department of Public Health (MCDPH) shall have a minimum of fifty percent 
(50%) attendance rate from their Local County Overdose Team at each OFR meeting.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 7 of 11 
Revised 05/29/2024 
 
 
7.6. 
Enter information from all records collected into the data tool spreadsheet. 
 
7.7. 
Submit completed data tool spreadsheet to the OFR Epidemiologist at ADHS. 
 
7.7.1. 
Maricopa County Department of Public Health (MCDPH) shall have a minimum of 90 percent (90%) 
of the cases reviewed added to the data tool spreadsheet. If more than ten percent (10%) are 
excluded from the data tool spreadsheet, Maricopa County Department of Public Health (MCDPH) 
shall be responsible for explaining to the ADHS Epidemiologist why cases were excluded. 
 
7.8. 
Respond to feedback from the OFR Epidemiologist to ensure data can be included in the annual OFR data 
analysis and statewide report. 
 
7.9. 
Submit an annual report to the ADHS OFR Program Manager. 
 
7.10. 
Establish Linkages to Care: 
 
7.10.1. Have a representative from the County participate in the ADHS Linkages to Care workgroup. 
  
8. 
STATE PROVIDED ITEMS  
  
ADHS will:    
  
8.1. 
 Provide budget, CER, and quarterly report templates.  
  
8.2. 
Provide a data tool template (Excel spreadsheet) for collecting and tracking case record data and prevention 
recommendations.  
 
8.3. 
 Provide death certificate data twice annually.  
 
8.4. 
 Coordinate quarterly Contractor calls with county staff to facilitate state and county updates and share 
resources.  
  
8.5. 
 Provide an annual virtual orientation training to county staff.  
  
8.6. 
 Provide technical assistance to county staff as needed.  
  
8.7. 
Share resources and professional development opportunities with Counties to provide additional support 
for the implementation of grant related activities.  
 
8.8. 
Arizona Opioid Epidemic webpage and Interactive Data Dashboard: azhealth.gov/opioid. 
 
8.8. Arizona Opioid Assistance and Referral (OAR) Line: https://phoenixmed.arizona.edu/oar 
 
8.9. ADHS Injury Prevention website:  
https://www.azdhs.gov/prevention/womens-childrens-health/injury-prevention/index.php#ofr-team. 
 
8.10. 
ADHS Opioid Prevention website: https://www.azdhs.gov/opioid/. 
 
8.11. Substance Abuse and Mental Health Services Administration Opioid Overdose Prevention Toolkit:  
https://store.samhsa.gov/product/opioid-overdose-prevention-toolkit/sma18-4742.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 8 of 11 
Revised 05/29/2024 
 
9. 
APPROVALS  
  
9.1. 
Prior to publishing or recording any marketing materials including, but not limited to, brochures, posters, 
public service announcements, publications, videos, or journal articles which will be developed and paid 
using funds awarded under this Contract, a draft of the marketing material must first be approved by ADHS. 
The ADHS Communications Director must approve prior to the dissemination of such materials or airing of 
such announcements.  
 
9.2. 
With prior written approval from the ADHS Program Manager, the Contractor is authorized to transfer up to 
a maximum of ten percent (10%) of the total budget amount between line items. Transfers of funds are only 
allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item 
shall require an amendment.  The Contractor should reach out to the ADHS Program Manager before the 
end of the 3rd quarter, so that a timely amendment can be processed by ADHS.  
 
9.3. 
Requests for publication, student thesis or dissertations based on the work funded by this intergovernmental 
Agreement must be approved in writing, in advance, by the ADHS Principal Investigator. The Contractor 
shall submit the request to the ADHS Principal Investigator at least forty-five (45) days in advance of 
proposed publication date.  ADHS agrees to limit circulation and use of such materials to internal 
distributions with ADHS and agrees that such distribution will be solely for the purposes of review and 
comment. ADHS may require additional statements and will provide the statements when needed.  
  
10. 
DELIVERABLES  
  
The Contractor shall provide:  
  
10.1. 
A complete annual Overdose Fatality Review data collection tool using the template provided by ADHS. A 
complete data tool entail:  
  
10.1.1. 
Submit a death certificate number for each case.  
10.1.2. 
Submit at least one (1) standardized prevention recommendation for each case reviewed.  
10.1.3. 
Submit each case has no more than four (4) columns with missing or “unknown” responses.  
10.1.4. 
Submit all cases submitted follow the state’s case requirements of at least 18 years of age, not 
pregnant in the last year, Arizona resident, and not a suicide death. 
  
10.1.5. 
Submit notation of medical records received for each case, including facility or provider requested 
from, date request sent, and date records received.  
 
10.1.6. 
Submit quarterly Contractors Expenditures Reports (CERs) with documentation.  
  
  
10.2. 
State Overdose Response (SOR) Grant Deliverables Timeline (September 30 – September 29)  
  
Deliverable Title  
DUE DATE  
1st Quarter Survey Completion and CER (October – December)  
January 31  
2nd Quarter Survey Completion and CER (January – March)  
April 30  
Local OFR Data Submission  
May 1  
3rd Quarter Survey Completion and CER (April – June)  
July 31  
Complete Local Annual OFR Analysis  
July 1  
4th Quarter Survey Completion and CER (July – September)  
October 31

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 9 of 11 
Revised 05/29/2024 
 
10.2. 
A complete annual report sent to the ADHS OFR Program Manager by July 1st. 
 
11. 
NOTICES, CORRESPONDENCE, REPORTS   
  
11.1. 
Notices, Correspondence, Reports and Contractor Expenditure Reports (CERs) from the Contractor to 
ADHS shall be sent to:  
  
Arizona Department of Health Services   
Bureau of Chronic Disease and Health Promotion  
Lauren Murphy 
State Opioid Response Grant Manager 
 
150 North 18th Avenue, Suite 310-B  
  
 
Phoenix, AZ 85007  
  
Phone: (480)349-8539 
Email: lauren.murphy@azdhs.gov 
  
11.2. 
 Notices, Correspondence, and Reports from ADHS to the Contractor shall be sent to:  
  
Maricopa County Department of Public Health (MCDPH) 
Earl Harris 
Substance Use Program Supervisor 
4041 N. Central Avenue 
Phoenix, AZ 85012 
Phone: (602) 526-5822 
Email:  Earl.harris@maricopa.gov

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 10 of 11 
Revised 05/29/2024 
 
 
REVISED PRICE SHEET 
 
Maricopa County Public Health Services District  
State Opioid Response (SOR)  
Cost Reimbursement Line Item Budget  
9/30/2025 – 9/29/2026 
Account Classification  
Total Budget  
Personnel Services* 
$39,532.00 
Employee Related Expenses *  
$12,650.00 
Professional & Outside Services* 
16,000.00 
Travel  
$0  
Occupancy 
$0  
Other Operating 
$0  
*Indirect Rate and Costs (15%)  
$10,227.00 
TOTAL ANNUAL (NOT TO EXCEED AMOUNT) 
$78,409.00 
With prior written approval from the ADHS Program Manager, the County is authorized to transfer up to a maximum of ten 
percent (10%) of the total budget amount between line items. Transfers of funds are only allowed between funded line 
items.   
 
Transfers exceeding ten percent (10%) or to a non-funded line item shall require an Agreement Amendment.  
 
*Indicated indirect rate calculation.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: CTR070517 
IGA Amendment No: Two (2) 
Revised 11/14/2025 
Procurement Officer: 
Nathaniel Thomas 
 
Page 11 of 11 
Revised 05/29/2024 
 
Exhibit A – 2 CFR 200.335 
eCFR eExhibit -§ 200.332 
 
 Prime Awardee: Arizona Department of Health Services 
 UEI# QMWUG1AMYF65 
 Requirements for pass-through entities. 
 
Per § 180.300 the awarding agency must check that each subrecipient is not exclude nor disqualified.    
These checks can be performed in SAM.Gov. ADHS Procurement does these checks and uploads the 
results into APP or Euna Solutions (eCivis). 
 
 §180.300 
 
Subrecipient name (which must match the name 
 
associated with its unique entity identifier): 
Arizona Department of Health Services 
 
Subrecipient’s unique entity identifier (UEI #) 
QMWUG1AMYF65 
 
Federal Award Identification Number (FAIN, 
Sometimes it’s the same as the Grant Number): 
H79TI087838 
Federal Award Date: 
09/24/2024 
Subaward Period of Performance Start and End Date; 
09/30/2025-09/29/2026 
 
 
Subaward Budget Period Start and End Date: 
09/30/2025-09/29/2026 
 
 
Amount of Federal Funds Obligated in the subaward: 
$2,209,214.00 
 
 
Total Amount of Federal Funds Obligated to the subrecipient by the 
pass-through entity including the current financial obligation (how 
much is available for contracts): 
$78,409.00 
 
 
Federal award project description, as required to be responsive to 
the Federal Funding Accountability and Transparency Act (FFATA) 
Overdose Fatality Reviews and Case 
Management 
 
 
Name of Federal awarding agency, pass-through entity, and 
contact information for awarding official of the Pass-through entity 
Substance Abuse & Mental Health 
Services Administration (SAMHSA) 
 
 
Assistance Listings number and Title; the pass-through entity must 
identify the dollar amount made available under each Federal 
award and the Assistance Listings Number at time of disbursement 
93.788 
Identification of whether the award is R&D 
  
No 
 
 
Indirect cost rate for the Federal award (including if the de minimis 
rate is charged) per § 200.414 
  
15%