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CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163
AMENDMENT NO: 2
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
by and through
DEPARTMENT OF PUBLIC HEALTH
and
ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS dba ARIZONA ALLIANCE FOR COMMUNITY HEALTH
CENTERS
I.
The above-named contract is hereby amended as specified below:
A.
Section 1.0 CONTRACT TERM shall be updated to reflect a new expiration date of August 31, 2026.
B.
An additional $271,148 shall be added for the additional year as outlined in Exhibit A, Year 3 Budget &
Budget Narrative, beginning on page 2 of this amendment. The revised not to exceed (NTE) amount shall be
updated to $812,297.
C.
Exhibit B, Scope of Work, shall be replaced with the Year 3 Revised Scope of Work beginning on page 5 of
this amendment.
II.
All other terms and conditions of the original contract shall remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF
MARICOPA COUNTY
FOR AND ON BEHALF OF
ARIZONA ASSOCIATION OF COMMUNITY
HEALTH CENTERS
By:
By:
Chairman, Board of Supervisors
Arizona Association of Community Health
Centers
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
EXHIBIT A
YEAR 3 BUDGET & NARRATIVE
YEAR THREE BUDGET SHEET
Total
Personnel
Special Projects Manager
$51,928
Director of Integrated Services
$25,768
Sr. Director of Population Health
$5,436
Chief Programs Officer
$4,482
Director of Training & Events
$2,820
Office Manager
$1,106
Chief People & Culture Officer
$2,649
Chief Financial Officer
$3,171
Staff Accountant
$1,914
Sr. Accountant
$2,788
Director of Grants & Contracts
$2,168
Dir. of Health Center Growth & Development
$1,960
HR Generalist
$1,223
Training & Events Coordinator
$1,531
Executive Assistant
$1,367
Director of Operations
$1,859
Chief External Affairs Officer
$1,344
President & CEO
$4,420
Total Salaries
$117,934
Fringe Benefits (22.35%)
$26,358
Personnel Subtotal
$144,292
Operating
Travel
$6,630
Equipment
$34,000
Supplies/Materials
$18,940
Consultant/Contractual
$37,928
Other
$29,358
Operating Subtotal.
$126,856
TOTAL BUDGET
$271,148
CONTRACT NO: C-86-24-086-X-01 / PH NOI 230163
AMENDMENT NO:
2
Page 3 of 8
YEAR THREE BUDGET NARRATIVE
Personnel: $142,640
Special Project Manager (0.75 FTE) — $51,928
Manages program activities per grant and contract requirements. Provides training and technical
assistance to participating Community Health Centers (CHCs). Tracks and reports on program progress.
Director of Integrated Services (0.30 FTE) — $25,768
Supervises Program Manager to ensure timely, effective, and efficient project development and
management and alignment of project and organizational operations.
Sr. Director of Population Health (0.05 FTE) — $5,436
Provides oversight for program and staff.
Chief Programs Officer (0.03 FTE) — $4,482
Responsible for overall program oversight.
Director of Training & Events (0.03 FTE) — $2,820
Oversight and management of all training & events, and related staff.
Office Manager (0.02 FTE) — $1,106
Provides administrative support to all staff and departments.
Chief People & Culture Officer (0.02 FTE) — $2,649
Oversees human resource support for program staff and organization.
Chief Financial Officer (0.02 FTE) - $ 3,171
Financial oversight, quality control, and reports/funding
Staff Accountant (0.03 FTE) — $1,914
System transaction input for payroll/payment of invoices.
Sr. Accountant (0.03 FTE) — $2,788
Review of transactions, invoice preparation, financial grant & GAAP compliance.
Director of Grants (0.02 FTE) — $2,168
Ensure completion of applications, program reports & compliance with grant requirements.
Director Health Center Growth & Development (0.02 FTE) - $1,960
Support for organizational strategic planning and health center development.
HR Generalist (0.02 FTE) — $1,223
Provides general HR support for the program and organization.
Training & Events Coordinator (0.03 FTE) — $1,531
Planning, implementation, pre & post work for all trainings including evaluation.
Executive Assistant (0.02 FTE) — $1,367
Provides administrative support to CEO as related to CEO engagement in the project.
Director of Operations (0.02 FTE) - $1,859
Responsible for policies and procedures, contracts, and compliance.
CONTRACT NO: C-86-24-086-X-01 / PH NOI 230163
AMENDMENT NO:
2
Page 4 of 8
Chief External Affairs Officer (0.01 FTE) — $1,344
Oversees all external affairs activities including legislative/government affairs,
communications, and marketing.
President & CEO (0.02 FTE) — $4,420
Administrative Oversight of organization. Federal salary cap applied.
Fringe Benefits include FICA Tax (7.65%), Health Insurance (10% of Total Salaries), Life & Disability
Insurance (1.3% of Total Salaries, and Retirement Plan Benefits (3.4% of Total Salaries).
Travel: $6,630
Travel costs for site visits, drop off materials & providing training sessions. Travel expenses are calculated
based on GSA rates & miles. Note: Lodging is calculated at the GSA rate * 1.5. AACHC is not a
government entity and does not qualify for government rates.
Equipment: $34,000
Harm reduction vending machines for Maricopa County HC clinics or clinic partners 4 @ $8,500/machine
Supplies & Materials: $18,940
Programmatic – $18,095
Materials and supplies for providers/staff (Pins, posters, stickers, etc. indicating
it is safe to ask about naloxone, or SUD services) estimated at $2-$5 per item for
approximately 400 people + $1,000 for printed materials.
Office – $845
Paper, pens, ink, etc. based off historical usage/purchases.
Consultant/Contractual: $37,928
Consultant - $16,125
Consulting services for SUD/OUD treatment infrastructure support: 129 hours *$125/hour.
Workforce Development - $15,000
Support and education for SUD/OUD providers to address workforce shortages, burnout, telehealth and
peer support programs.
CBIZ/MHM - $840
Annual external audit and tax filing: $42,000 (allocated based on .02% federally funded programs).
Integrated Axis - $5,963
IT Support for Project: $17,600/mth*12 mth/51*FTE % of FTEs assigned.
Other: $29,358
Other costs totaling $29,476 include: 1) Training costs for in-person and/or virtual events. 2) Business
insurance based on annual cost of $46,592/year allocated to project based on program FTEs as a % of
total AACHC FTEs**. 3) Worker's Comp at $0.27 per every $100 in salaries. 4) Staff trainings required by
law (such as HIPAA, harassment, etc) at $15,000/yr * program FTEs/AACHC. 5) Subscription for
GoToMeeting/
CONTRACT NO: C-86-24-086-X-01 / PH NOI 230163
AMENDMENT NO:
2
Page 5 of 8
Zoom and other licenses/fees to support staff, organization, and educational webinars and statewide
program meetings at $64,398/yr * program FTEs/AACHC. 4) Telephone and Internet based on annual
cost of $39,917/yr * program FTEs /50 total organizational FTEs. Per AACHC policy, staff using cell
phone for business qualify for reimbursement of $50/month; budget includes $50 * 12 months * program
FTEs. 5) Postage Meter & Printer/Copier agreements necessary to carry out daily business based on
annual costs, allocated on program FTE as a % of organizational FTEs. Actual expense allocated by
usage. 6) Office space for program staff calculated as a % of total rent based on program FTEs/AACHC.
TAPI's occupancy costs are not included in the allocation. **Please note that AACHC provides leased
employees and other administrative services, such as office space and telephone, to 1 other non-profit
entity (TAPI). The cost and the denominator used in the allocations reflect the entities using the services
Indirect Costs: $0
Miscellaneous costs reflected in Other.
CONTRACT NO: C-86-24-086-X-01 / PH NOI 230163
AMENDMENT NO:
2
Page 6 of 8
Exhibit B
YEAR 3 REVISED SCOPE OF WORK
Contractor shall:
1.1
Expand the Peer Support Specialist workforce at community health centers.
1.1.1
Identify best practices for linkages to care and harm reduction.
1.1.2
Support efforts to involve people with lived experience as outreach staff.
1.1.3
Peer Support Specialists should provide overdose prevention education, follow-
up support, and assistance with barriers to treatment.
1.2
Provide anti-stigma and overdose prevention education for staff at community health
centers.
1.2.1
At minimum, facilitate at least four webinars on how to implement harm reduction
policies and programming in a healthcare setting.
1.2.2
Support distribution of opioid reversal medication and other harm reduction items.
1.3
Increase opioid-related training capacity and provide systems support to at least one
community health system in Maricopa County. This shall include providing access to
subject matter experts as a resource.
1.4
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.
1.5
Provide a budget for activities.
1.5.1
Detailed budget, inclusive of all costs, is required.
1.5.2
Abide by guidelines set by CDC (Exhibit F Unallowable Activities &
Expenditures). Guidelines may be updated at the discretion of the CDC.
1.5.3
Requests for budget reallocations, any movement of funds between line items,
must be submitted in writing.
1.5.4
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.
1.5.5
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
ranging from $75 to $300 per meeting, hourly compensation ranging from $20/hr
CONTRACT NO: C-86-24-086-X-01 / PH NOI 230163
AMENDMENT NO:
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Page 7 of 8
- $50/hr, or annual stipends up to $1,500 for members and up to $2,000 for
facilitators.
•
Indirect costs may not exceed 15% 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. This policy does not supersede any
limitations set forth by funding agencies.
1.6
Meetings
1.6.1
Participate in, at minimum, one monthly meeting with MCDPH.
1.7
Reporting
1.7.1
Designate an individual as point-of-contact for all reporting requirements.
1.7.2
Collaborate with MCDPH on an evaluation plan that includes metrics for how
success will be measured and opportunities for improvement.
1.7.3
Collect data on OD2A performance measures and evaluation plan indicators as
required by the CDC.
1.7.4
Submit monthly reports using Envisio platform established by MCDPH, unless
otherwise agreed upon. Monthly reporting may include the following:
•
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
1.7.5
Complete any additional reporting requirements that may be requested.
1.8
Understand and comply with all federal requirements related to funding source. Chosen
recipients awarded a contract will be considered a subrecipient, which entails a higher
level of compliance monitoring.
MCDPH shall:
1.9
Provide technical assistance in developing an evaluation plan and support for ongoing
evaluation.
1.10
Ongoing review of the establishment and implementation of activities and measures for
accomplishing the goals of this agreement.
1.11
Participate, as appropriate, in conference calls and meetings that are conducted during
the project period.
1.12
Review training and education materials prior to implementation/dissemination.
CONTRACT NO: C-86-24-086-X-01 / PH NOI 230163
AMENDMENT NO:
2
Page 8 of 8
1.13
Review and approve the use of any materials or items with the Maricopa County
branding.
1.14
Provide templates and training on software platforms that are required as outlined in the
Scope of Work.
1.15
Review invoices and compensate Contractor according to approved budget.