RFGA2020-001-001 MARICOPA COUNTY A3 (002).PDF
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GRANT AMENDMENT ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007 GRANT NO.: RFGA2020-001-001 AMENDMENT NO.: 3 Procurement Officer Brenda Prevost AZ Health Zone (Snap-Ed) Effective upon signature by both parties, it is mutually agreed that the Grant referenced in this amendment is amended as follows: 1. Pursuant to the Terms and Conditions, Provision Three (3) Grant Administration and Operation, Subsection 3.2 Contract Renewal, the Grant is hereby extended through September 30, 2025. 2. Pursuant to the Terms and Conditions, Provision Five (5), Contract Changes, Exhibit Two (2) has been added ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY Grantee hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date The above referenced Grant Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona (To be filled out by ADHS Procurement Office) Grantee’s Signature Grantee’s Signature Date Authorized Signatory’s Name and Title Maricopa County Grantee’s Name Procurement Officer Signature GRANT AMENDMENT ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007 GRANT NO.: RFGA2020-001-001 AMENDMENT NO.: 3 Procurement Officer Brenda Prevost Exhibit - 2 CFR 200.332 § 200.332 Requirements for pass-through entities. All pass-through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward. Prime Awardee: Arizona Department of Health Services DUNS # 804745420 Federal Award Identification (Grant Number): 216AZ011Q3903 Subrecipient name (which must match the name associated with its unique entity identifier): MARICOPA, COUNTY OF Subrecipient's unique entity identifier (DUNS #): 602062515 Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant Number): 216AZ011Q3903 Federal Award Date (see the definition of Federal award date in § 200.1 of this part) of award to the recipient by the Federal agency; 10/1/2022 Subaward Period of Performance Start and End Date; 10/1/22-9/30/23 Subaward Budget Period Start and End Date: 10/1/22-9/30/23 Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $2,205,533.00 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): $2,205,533.00 GRANT AMENDMENT ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007 GRANT NO.: RFGA2020-001-001 AMENDMENT NO.: 3 Procurement Officer Brenda Prevost Total Amount of the Federal Award committed to the subrecipient by the pass-through entity Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) Not available Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass- through entity United States Department of Agriculture, FNS Southwest Regional Office, Food and Nutrition Service, 1100 Commerce Street Room 522, Dallas, TX 75242-9980, Telephone: (214)290-9810 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: CFDA 10.561 - State Matching for SNAP (SNAP Ed) Identification of whether the award is R&D N.A Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414 17.24%