CTR055214 MARICOPA PHEP A2.PDF

Maricopa County — Formal (2022-09-28)

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Page 1 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM 
1. 
Effective upon signature by all parties and pursuant to the Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1, 
Amendments, Purchase Orders and Change Orders, it is mutually agreed that the Intergovernmental Agreement referenced is 
amended as follows under this Amendment Two (2): 
1.1 The Scope of Work is hereby revised and replaced; 
1.2 The Price Sheet is hereby revised and replaced; 
1.3 Exhibit A is hereby revised and replaced; and 
1.4 Exhibit B is added. 
ALL CHANGES ARE MARKED BELOW IN RED 
All other provisions of this agreement remain unchanged. 
Maricopa County 
Contractor Name: 
Authorized Signature 
4041 North Central Ave.   
Address: 
Print Name 
Phoenix 
AZ 
85344 
City 
State 
Zip 
Title 
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 
2022. 
Print Name 
Procurement Officer 
Contract No.: CTR055214,  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

Page 2 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
SCOPE OF WORK 
 
1. 
BACKGROUND 
 
1.1 
Centers for Disease Control and Prevention Public Health Emergency Preparedness (PHEP) Grant 
 
The Arizona Department of Health Services (ADHS), through the Bureau of Public Health Emergency 
Preparedness (PHEP), has been working with Arizona Counties and Tribes to improve the preparedness 
of each community in the event of any public health emergency. Most of these projects were funded by 
grants from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health 
and Human Services (HHS); 
 
1.2 
Workforce Development Grant 
 
ADHS via PHEP is tasked with overseeing the CDC Workforce Development Crisis Emergency 
Cooperative Agreement to address the need to establish, expand, and sustain a public health workforce 
to support COVID-19 prevention, preparedness, response, and recovery initiatives, including school- 
based health programs. Funding for this initiative comes from the CDC Workforce Development Crisis 
Emergency Cooperative Agreement. 
 
2. 
OBJECTIVE 
 
2.1 
Centers for Disease Control and Prevention Public Health Emergency Preparedness (PHEP) Grant 
 
This Agreement is intended to improve upon the process. Nothing in this Agreement is meant to supplant 
or in any other way discourage existing planning and coordination between County and Tribal Health 
Departments. This Agreement is designed to increase participation in the ongoing development of the 
State and County Health Preparedness Infrastructure through the CDC Public Health Preparedness 
Cooperative Agreement with the ADHS; 
 
2.2 
Workforce Development Grant (if applicable) 
 
The goal of this project will be utilizing grant funds to establish, expand, train and sustain the public 
health workforce to support COVID-19 prevention, preparedness, response, and recovery initiatives, 
including school-based health programs. ADHS will be working with each jurisdiction on the school- 
based initiatives that are separate and in addition to their funding amounts through a partnership with 
the Department of Education. 
 
ADHS stakeholders are essential in providing support to the healthcare delivery system across Arizona. 
Sub-recipients of CDC Workforce Development Crisis Emergency funds are expected to strengthen and 
enhance jurisdictional COVID-19 prevention, preparedness, response, and recovery initiatives, including 
public health workforce development needs and school-based health programs. Grant related activities 
should be completed over a two (2) year period and fall within the following four (4) main strategies: 
 
2.2.1 
Hiring of additional public health staff to sustain ongoing COVID-19 response and recovery 
initiatives, 
 
2.2.1.1 
The costs, including wages and benefits, related to recruiting, hiring and training 
of individuals to serve as: 
 
2.2.1.1.1 
Professional or clinical staff, including public health physicians and 
nurses (other than school-based staff); mental or behavioral health 
specialists to support workforce and community resilience; social

Page 3 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
service specialists; vaccinators; or laboratory scientists or technicians. 
 
2.2.1.1.2 
Disease 
investigation 
staff, 
including 
epidemiologists; 
case 
investigators; contact tracers; or disease intervention specialists, 
 
2.2.1.1.3 
Program staff, including program managers; communications and 
policy staff; logisticians; planning and exercise specialists; program 
evaluators; pandemic preparedness and response coordinators to 
support the current pandemic response and identify lessons learned to 
help prepare for possible future disease outbreaks; health equity 
officers or teams; data managers, including informaticians, data 
scientists, or data entry personnel; translation services; trainers or 
health educators; or other community health workers. 
 
2.2.1.1.4 
Administrative staff, including human resources personnel; fiscal or 
grant managers; clerical staff; staff to track and report on hiring under 
this cooperative agreement; or others needed to ensure rapid hiring 
and procurement of goods and services and other administrative 
services associated with successfully managing multiple federal finding 
streams for the COVID-19 response, and 
 
2.2.1.1.5 
Any other positions that may be required to prevent, prepare for, and 
respond to COVID-19. 
 
2.2.1.2 
Purchase of equipment and supplies necessary to support the expanded workforce 
including personal protective equipment, equipment needed to perform the duties of 
the position, computers, cell phones, internet costs, cybersecurity software, and other 
costs associated with support of the expanded workforce (to the extent these are not 
included in recipient indirect costs). 
 
2.2.2 
Augment the public health workforce pipeline to improve the ability to sustain COVID-19 
recovery initiatives and prepare for future responses, 
 
2.2.3 
Develop or enhance training programs for new and/or existing public health staff supporting 
COVID-19 preparedness, response, and recovery efforts, and 
 
2.2.4 
Retain existing public health staff through various initiatives to ensure continued COVID- 
19 preparedness, response, and recovery efforts. 
 
3. 
TASKS 
 
3.1 
Centers for Disease Control and Prevention Public Health Emergency Preparedness (PHEP) Grant: 
The Contractor shall: 
3.1.1 
Appoint a PHEP Coordinator, or other staff member, responsible for overseeing all grant related 
activities, budgets, and reports, 
 
3.1.2 
Participate in Public Health Preparedness Regional Healthcare Coalition meetings and 
conference calls held in Contractor’s regional communities as appropriate, 
 
3.1.3 
Review the attached ADHS PHEP Grant Deliverables (Exhibit B) document and use for grant 
reference, and 
 
3.1.4 
Review and update, in writing, the Contractor’s PHEP and Response Plans according to

Page 4 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
the timeframes identified under this ADHS PHEP Grant Deliverables document: 
 
3.1.4.1 
Prepare and update plans to the ADHS PHEP Coordinator of Community & 
Healthcare Preparedness section at the time of completion, and 
 
3.1.4.2 
Develop or update mutual aid agreements with other jurisdictions, in accordance with 
the approved Contractor’s Public Health Emergency Preparedness and Response 
Plan. 
 
3.2 
Medical Electronic Disease Surveillance and Intelligence System (MEDSIS): 
The Contractor shall: 
3.2.1 
Participate in ADHS-coordinated workgroups for MEDSIS enhancements to include Tribal 
communities (if applicable) and Electronic Laboratory Reporting (ELR) capabilities, 
 
3.2.2 
Participate in epidemiology specific trainings, workshops, or conferences provided by ADHS or 
an ADHS recognized training session (if applicable), 
 
3.3 
Public Health Emergency Exercises: 
The Contractor shall: 
3.3.1 
Participate in required statewide/regional public health exercises, and 
 
3.3.2 
Participate in Strategic National Stockpile (SNS) and Receiving, Staging and Storing (RSS) 
exercises as appropriate for the Contractor’s community. 
 
3.4 
COVID-19 
 
The Contractor shall: 
 
3.4.1 
Comply with existing and/or future directives and guidance from the HHS, CDC Secretary 
regarding control of the spread of COVID-19, 
 
3.4.2 
Consult and coordinate with HHS, CDC to provide, commensurate with the condition of the 
individual, COVID-19 patient care regardless of the individual’s home jurisdiction and/or 
appropriate public health measures (e.g., social distancing, home isolation), 
 
3.4.3 
Assist the United States Government in the implementation and enforcement of federal orders 
related to quarantine and isolation, 
 
3.4.4 
HHS and CDC has established allowable activities related to the capability domains described 
in the Public Health Crisis Response Notice of Funding Opportunity. The domains include: 
 
3.4.4.1 
Incident Management for Early Crisis Response; 
 
3.4.4.2 
Jurisdictional Recovery; 
 
3.4.4.3 
Information Management; 
 
3.4.4.4 
Countermeasures and Mitigation; 
 
3.4.4.5 
Surge Management, and

Page 5 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
3.4.4.6 
Bio-surveillance. 
 
3.4.5 
Surveillance, Laboratory Testing and Reporting 
 
3.4.5.1 
Contractor shall implement and scale-up laboratory testing and data collection to 
enable identification and tracking of COVID-19 cases in the community and is 
responsible for immediate implementation of real-time reporting to the Hospital 
Preparedness Program (HPP), CDC. Specifically, jurisdictions should focus on the 
following activities, in accordance with CDC guidelines: 
 
3.4.5.1.1 
Conduct surveillance to identify cases, report case data in a timely 
manner, identify contacts, characterize disease transmission, and track 
relevant epidemiologic characteristics; infection prevention and control 
practices; and other mitigation requirements, 
 
3.4.5.1.2 
Conduct surveillance to monitor virologic and disease activity in the 
community and health care settings, 
 
3.4.5.1.3 
Implement routine and enhanced surveillance to support the science 
base that informs public health interventions that mitigate the impact of 
COVID- 19, including understanding of clinical characteristics; infection 
prevention and control practices; and other mitigation requirements, 
 
3.4.5.1.4 
Establish or enhance core epidemiological activities to support 
response such a risk assessment, case classification, analysis, 
visualization and reporting, 
 
3.4.5.1.5 
Conduct surveillance to monitor disruption in the community caused by 
COVID-19 and related mitigation activities (e.g. school closures and 
cancellation of mass gatherings), and 
 
3.4.5.1.6 
Conduct surveillance to monitor disruption in healthcare systems 
caused by COVID-19 (e.g. shortages of personal protective equipment) 
 
3.4.6 
Community Intervention Implementation Plan 
 
3.4.6.1 
Contractor shall maintain its COVID-19 community intervention implementation plan 
that describes how the state and local jurisdictions shall achieve the response’s three 
(3) mitigation goals: 
 
3.4.6.1.1 
Slow transmission of disease, 
 
3.4.6.1.2 
Minimize morbidity and mortality, and 
 
3.4.6.1.3 
Preserve healthcare, workforce, and infrastructure functions and 
minimize social and economic impacts. 
 
3.4.6.2 
The plan shall address: 
 
3.4.6.2.1 
Minimizing potential spread and reduce morbidity and mortality of 
COVID- 19 in communities, 
 
3.4.6.2.2 
Planning and adapting for disruption caused by community spread and 
implement interventions to prevent further spread,

Page 6 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
3.4.6.2.3 
Ensuring healthcare system response is an integrated part of 
community interventions, and 
 
3.4.6.2.4 
Ensuring integration of community mitigation interventions with 
health system preparedness and response plans and interventions. 
 
ADHS shall: 
 
3.4.7 
Monitor the expenditure of funds for the reports submitted. If there are any reports that are not 
submitted on or before the appropriate submission date, the Contractor could be subject to a 
potential reduction in funds, or loss of funds for the following year. 
 
3.4.7.1 
Expenditures that are not on an approved budget or approved redirection may not be 
eligible for reimbursement from ADHS. 
 
4. 
FINANCIAL REQUIREMENTS 
 
4.1 
For Centers for Disease Control and Prevention Public Health Emergency Preparedness 
(PHEP) Grant 
 
4.1.1 
The Contractor shall participate in match requirement: 
 
4.1.1.1 
The PHEP award required a ten percent (10%) “in-kind” or “soft” match from all 
Contractors. Each Contractor must include in their budget submission, the format they 
shall use to cover the match and method of documentation. Failure to include the 
match formula shall preclude funding. ADHS may not award a Contract under this 
program unless the Contractor agrees that, with respect to the amount of the 
cooperative agreement allocated by ADHS, the Contractor shall make available non- 
federal contributions in the amount of ten percent (10%) [one dollar ($1) for each ten 
dollars ($10) of federal funds provided in the cooperative agreement) of the award, 
whether provided through financial or direct assistance. Match may be provided 
directly or through donations from public or private entities and may be in cash or in 
kind, fairly evaluated, including plant, equipment or services. 
 
Amounts provided by the federal government or services assisted or subsidized to 
any significant extent by the federal government may not be included in determining 
the amount of such non-federal contributions. Documentation of match, including 
methods and sources, must be included in sub-recipient budget each budget period, 
include calculations for both financial assistance and direct assistance, follow 
procedures for generally accepted accounting practices, and meet audit 
requirements. 
 
4.1.1.2 
Direct Costs 
 
Show the direct costs by listing the totals of each category, including salaries and 
wages, fringe benefits, consultant costs, equipment, supplies, travel, other, and 
contractual costs. Provide the total direct costs within the budget. 
 
4.1.1.3 
Indirect Costs 
 
To claim indirect costs, the Contractor must have a current approved indirect cost rate 
agreement established with the applicable federal agency. A copy of the most recent 
indirect cost rate shall be submitted to ADHS with the signed Agreement. Indirect cost 
percentage cannot exceed the current ADHS rate. If the applicant organized does not

Page 7 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
have an approved indirect cost rate agreement, costs normally identified as indirect 
costs (overhead costs) can be budgeted and identified as direct costs. 
 
4.1.2 
Inventory 
 
Upon request, the Contractor shall provide an inventory list to ADHS. The inventory list shall 
include all equipment purchased. Items over $5,000 will require an ADHS asset tag. 
 
4.1.3 
Budget Allocation and Work Plan 
 
4.1.3.1 
The Contractor shall complete the budget tool provided by ADHS, and return to ADHS 
for review and approval. Funding may not be released until the budget has been 
approved by ADHS; and 
 
4.1.3.2 
All activities and procurements funded through the PHEP grant shall be aligned with 
the budget/spend plan and work plan. These tools shall help the Contractor to reach 
the goals and objectives outlines in the ADHS PHEP Grant Deliverables document. 
 
4.1.4 
Conduct Financial accounting, auditing and reporting consistent with the ADHS Accounting and 
Auditing 
Procedures 
Manual, 
which 
can 
be 
found 
at https://drive.google.com/file/d/15mO7JShrS9VFfqaCXhlmhthqsv74yM9M/view, and 
 
4.1.5 
Prepare monthly Contractor Expenditure Reports (CERs) with supporting documentation by the 
established due dates identified by ADHS. Failure to accomplish monthly financial reports within 
specified time frames, without prior coordination of ADHS program leadership, could result in a 
reduction or loss of grant funding in subsequent years. 
 
4.1.6 
Expanded Authority: ADHS is permitted the following expanded authority in the administration 
of the award. Carryover of unobligated balances from one (1) budget period to a subsequent 
budget period. Unobligated funds may be used for purposes within the scope of the project as 
originally approved. 
 
4.1.6.1 
2021-2022 Budget Period Three (3) funds may be applied to approved Contractor 
expenses incurred up to and including June 30, 2023; 
 
4.1.6.2 
COVID grant funds may be applied to approved Contractor expenses incurred up to 
and March 15, 2023; and 
 
4.1.6.3 
Workforce Development funds, if applicable, may be applied to approved Contractor 
expenses incurred up to and including June 30, 2023. 
 
4.2 
For Workforce Development Grant (if applicable) 
 
Regardless of funding allocation for each Budget Period (BP), participants are expected to continue their 
best efforts towards the completion of the reporting requirements as outlines in section four (4). 
 
4.2.1 
Match 
 
4.2.1.1 
No match is required for these funds 
 
4.2.2 
Inventory 
 
4.2.2.1 
When requested by ADHS, Contractor shall provide a complete annual inventory 
report to include all capital equipment above the five-thousand ($5,000) threshold.

Page 8 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
4.2.3 
Budget Allocation and Work Plan 
 
4.2.3.1 
Annual budgets and work plans will be reviewed and approved by ADHS before 
funding is released. 
 
5. 
GRANT ACTIVITY OVERSIGHT FOR WORKFORCE DEVELOPMENT GRANT (if applicable) 
 
ADHS shall monitor the expenditure of funds for the reports submitted. If there are any reports that are not 
submitted on or before the appropriate submission date, the Contractor could be subject to a potential reduction 
in funds, or loss of funds for the following year. 
 
Expenditure that are not on an approved budget or approved redirection may not be eligible for reimbursement 
from ADHS. 
 
Failure to meet the performance measures or deliverables may result in a reduction or withholding subsequent 
awards. 
 
6. 
DELIVERABLES 
 
6.1 
PHEP Grant 
 
6.1.1 
Provide to ADHS the primary and secondary contact information for its public health incident 
command team, as part of the mid-year report due by December 31st, 
6.1.2 
Provide annually twenty-four (24) hours a day/seven (7) days a week/ three hundred sixty-five 
(365) days a year, public health emergency contact number for its Public Health Department or 
a designated health emergency contact person and within ten (10) days of any changes, 
 
6.1.3 
Upon activation of the Contractor’s Emergency Operations Center, the Contractor shall provide 
the primary and secondary contact information for its public health incident command team, 
 
6.1.4 
Submit by June 1st an annual spending plan using the budget tool supplied by ADHS for the 
completion of the work plan to meet selected deliverables, 
 
6.1.5 
Submit monthly expenditure reports to the ADHS PHEP Grant Coordinator by the last day of 
the following month and include all supporting documents, receipts and reports necessary to 
back up the expenditures, 
 
6.1.6 
Submit a mid-year Report, utilizing the templates provided, to the ADHS PHEP Grant 
Coordinator; the report will include progress toward the completion of identified work plan 
activities and outcome for the budget period. The semi-annual report is due no later than 
December 31st, and 
6.1.7 
Submit an End of Year Report, utilizing the templates provided, to the ADHS PHEP Grant 
Coordinator; the report will include a narrative that describes the final progress toward the 
completion of the planned activities and outcomes. Challenges and barriers that prevented the 
completion of the activities is also required. The End of Year report is due no later than 
September 15th following the end of the budget period. 
6.2 
COVID-19 Deliverables 
 
6.2.1 
Submit an annual carry-over spend plan, if applicable, as requested by ADHS by September 
30th, and

Page 9 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
6.2.2 
Submit monthly contractor expenditure reports (CERs), if applicable, with detailed supporting 
information and receipts by the last day of the following month of the reporting period. 
 
6.3 
Workforce Development Grant (if applicable) 
 
Report progress on the activities within approved workplans, spending reports, progress on 
hiring goals and priorities shall be reported in a timely manner to ensure ADHS has adequate 
time to compile the information and prepare it for submission at the federal level. Sub-recipient 
is also responsible to report on diversity, equity, and inclusion plan metrics, 
 
6.3.1 
Progress report – submit status update on meeting hiring goals and diversity, equity and 
inclusion (DEI) metrics. Progress reports are due every six (6) months. 
 
6.3.1.1 
The period July 1, 2021 – November 30, 2021 is due December 31, 2021; 
 
6.3.1.2 
The period December 1, 2021 – May 31, 2022 is due June 30, 2022; 
 
6.3.1.3 
The period June 1, 2022 – November 30, 2022 is due December 31, 2022; and 
 
6.3.1.4 
The period December 1, 2022 – May 31, 2023 is due June 30, 2023. 
 
6.3.2 
End-of-Program Report (dates covered: July 1, 2021-June 30, 2023)- submit final report on 
overall workplan activities, hiring goals, and DEI metrics. ADHS shall send out the End-of- 
Program report template in advance of the due date – August 25, 2023, and 
 
6.3.3 
The Contractor shall prepare monthly CERs with supporting documentation by the established 
due dates identified by ADHS. Failure to accomplish monthly financial reports within specified 
time frames, without prior coordination of ADHS program leadership, could result in a reduction 
or loss of grant finding in subsequent years. 
 
7. 
NOTICES, CORRESPONDENCE, REPORTS, INVOICES/CERs AND PAYMENT 
8. 
 
8.1 
Notices, Correspondence and Reports from the Contractor to ADHS shall be sent to:  
 
Arizona Department of Health Services 
Public Health Emergency Preparedness  
150 North 18th Avenue, Suite 150  
Phoenix, Arizona 85007 
Phone: (602) 364-0587 
Fax: (602) 364-3681 
 
8.1.1 
The PHEP and COVID grant email address is: phepchp@azdhs.gov 
 
8.1.2 
The Workforce Development Grant email address is: wfdgrant@azdhs.gov 
 
8.2 
CERs shall also be sent to: invoices@azdhs.gov 
 
8.3 
Automated Clearing House 
 
ADHS may pay invoices for some or all Orders through an Automated Clearing House (ACH). In order to 
receive payments in this manner, the Contractor must complete an ACH Vendor Authorization Form (form 
GAO-618) within 30 (thirty) days after the effective date of the Contract. The form is available online at: 
https://gao.az.gov/sites/default/files/GAO-618%20ACH%20Authorization%20Form%20101019.pdf.

Page 10 of 13 
 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
8.3.1 
ACH Vendor Authorization Form shall be emailed to Vendor.Payautomation@azdoa.gov 
 
8.4 
Notices, Correspondence and Payments from the ADHS to the Contractor shall be sent to: 
 
Maricopa County 
Attn: Katie Turnbow 
4041 North Central Ave.  
Phone: (602)506-6415 
Email: katie.turnbow@maricopa.gov

Page 11 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
PRICE SHEET 
 
PHEP GRANT 
Budget Period Four (4) 
 
July 1, 2022 through June 30, 2023 
 
Cost Reimbursement 
 
Description 
Amount 
Funds to enhance current PHEP activities per the deliverables in the 
attached ADHS PHEP Grant Deliverables document and upon ADHS 
approval of monthly Contractor Expenditure Reports (CER’s). 
$1,941,093.00 
Funds to enhance current PHEP activities (which includes CRI 
jurisdictional requirements) per the deliverables in the attached ADHS 
PHEP Grant Deliverables document and upon ADHS approval of the 
monthly Contract Expenditure Reports (CERs) 
$1,233,476.00
TOTAL (NOT TO EXCEED) 
$3,174,569.00

Page 12 of 13 
 
 
 
INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 2 
Procurement Officer 
Nicole Marquez 
 
EXHIBIT A

Page 13 of 13

Bureau of Public Health Emergency Preparedness 
 
 
GRANT DELIVERABLES 
 
Project Period: 2019-2024 
Budget Period 4 
 
 
PERIOD OF PERFORMANCE 
(July 1, 2022 – June 30, 2023) 
Exhibit B

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 2 of 29 
 
Table of Contents 
INTRODUCTION 
3 
FEDERAL REQUIREMENTS 
5 
Project Period Requirements for ADHS (2019-2024) 
5 
Funding Restrictions 
5 
LOCAL PROGRAM REQUIREMENTS 
7 
Meetings 
7 
Exercise Planning and Conduct 
8 
Health Care Coalition 
8 
Financial Requirements 
9 
Plans, Training, and Exercise Implementation Criteria 
11 
INFORMATION SERVICES 
11 
REPORTING 
12 
Mid-Year Report 
12 
Annual Report (End of Year) 
12 
Planning, Training, and Exercise Deliverables 
12 
STRATEGIES AND ACTIVITIES 
14 
Domain Strategy 1: Strengthen Community Resilience 
14 
Domain Strategy 2: Strengthen Incident Management 
17 
Domain Strategy 3: Strengthen Information Management 
18 
Domain Strategy 4: Strengthen Countermeasures and Mitigation 
19 
Domain Strategy 5: Strengthen Surge Management 
25 
Domain Strategy 6: Strengthen Biosurveillance 
28

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 3 of 29 
 
INTRODUCTION 
The Grant Guidance Deliverable document was developed based, in part, on information set forth in the Centers for Disease Control and 
Prevention’s Office of Public Health Preparedness and Response funding opportunity announcement 2019-2024 -PHEP Cooperative 
Agreement CDC-RFA-TP19-1901 and continuation guidance from the CDC. During this five year project period, the Arizona Department of 
Health Services and sub-recipients (tribal and county health departments) will increase or maintain their levels of effectiveness across the 
six key preparedness domains to achieve a prepared public health system. 
The six preparedness domains are: 
1. Strengthen Community Resilience 
● Capability 1: Community Preparedness 
● Capability 2: Community Recovery 
2. Strengthen Incident Management 
● Capability 3: Emergency Operation Coordination 
3. Strengthen Information Management 
● Capability 4: Emergency Public Information and Warning 
● Capability 6: Information Sharing 
4. Strengthen Countermeasures and Mitigation 
● Capability 8: Medical Countermeasure Dispensing and Administration 
● Capability 9: Medical Materiel Management and Distribution 
● Capability 11: Non-Pharmaceutical Interventions 
● Capability 14: Responder Safety and Health 
5. Strengthen Surge Management 
● Capability 5: Fatality Management 
● Capability 7: Mass Care 
● Capability 10: Medical Surge 
● Capability 15: Volunteer Management

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6. Strengthen Biosurveillance 
● Capability 12: Public Health Laboratory Testing 
● Capability 13: Public Health Surveillance and Epidemiological Investigation

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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FEDERAL REQUIREMENTS 
Project Period Requirements for ADHS (2019-2024) 
• 
One fiscal preparedness tabletop exercise once during the five-year period (completed in November 2021) 
• 
One MCM distribution full-scale exercise once during the five-year period (completed in November 2019) 
• 
One MCM dispensing full-scale exercise or one mass vaccination full-scale exercise (one POD in each CRI local planning jurisdiction will 
be exercised) (completed in November 2019) 
• 
Complete two table top exercises (TTX) every five years. One TTX to demonstrate readiness for an anthrax scenario and one to 
demonstrate a pandemic response scenario. 
• 
Complete one functional exercise every five years that focuses on the vaccination of at least one critical workforce group to 
demonstrate readiness for a pandemic response scenario. (satisfied by COVID response) 
• 
Complete one full scale exercise every five years to demonstrate operational readiness for a pandemic response scenario. (satisfied 
by COVID response) 
 
Funding Restrictions 
Funding restrictions that will be considered for workplan and budget development: 
● May not use funds for research. 
● May not use funds for clinical care except as allowed by law. 
● May not use funds for construction or major renovations. 
● May use funds only for reasonable program purposes, including personnel, travel, supplies, and services. 
● Generally, recipients may not use funds to purchase furniture or equipment. Any such proposed spending must be clearly identified in 
the budget. 
● Reimbursement of pre-award costs generally is not allowed, unless the CDC provides written approval to ADHS on behalf of the sub- 
recipient. 
● Other than for normal and recognized executive-legislative relationships, no funds may be used for: 
o publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the 
enactment of legislation before any legislative body 
o the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to 
influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending 
before any legislative body

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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● See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients. 
● The direct and primary sub-recipient in a cooperative agreement program must perform a substantial role in carrying out project 
outcomes and not merely serve as a conduit for an award to another party or provider who is ineligible. 
 
General Restrictions 
● May supplement but not supplant existing state or federal funds for activities described in the budget. 
● Payment or reimbursement of backfilling costs for staff is not allowed. 
● None of the funds awarded to these programs may be used to pay the salary of an individual at a rate in excess of Executive Level II or 
$189,600 per year. 
● Funds may not be used to purchase or support (feed) animals for labs, including mice. 
● Funds may not be used to purchase a house or other living quarters for those under quarantine. Rental may be allowed with approval 
from the CDC OGS. 
 
Lobbying 
● Other than for normal and recognized executive-legislative relationships, PHEP funds may not be used for: 
o Publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the 
enactment of legislation before any legislative body; 
o The salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed 
to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or 
pending before any legislative body 
o See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC 
recipients (http://www.cdc.gov/grants/documents/Anti-Lobbying_Restrictions_for_CDC_Grantees_July_2012.pdf). 
 
Passenger Road Vehicles 
● Funds cannot be used to purchase over-the road passenger vehicles. 
● Funds cannot be used to purchase vehicles to be used as means of transportation for carrying people or goods, such as passenger cars 
or trucks and electrical or gas-driven motorized carts. 
● Can (with prior approval) use funds to lease vehicles to be used as means of transportation for carrying people or goods, e.g., 
passenger cars or trucks and electrical or gas- driven motorized carts during times of need. 
● Additionally, PHEP grant funds can (with prior approval) be used to make transportation agreements with commercial carriers for 
movement of materials, supplies and equipment. There should be a written process for initiating transportation agreements (e.g., 
contracts, memoranda of understanding, formal written agreements, and/or other letters of agreement). Transportation agreements 
should include, at a minimum:

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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o Type of vendor 
o Number and type of vehicles, including vehicle load capacity and configuration 
o Number and type of drivers, including certification of drivers 
o Number and type of support personnel 
o Vendor’s response time 
o Vendor’s ability to maintain cold chain, if necessary to the incident 
o This relationship may be demonstrated by a signed transportation agreement or documentation of transportation planning meeting 
with the designated vendor. All documentation should be available to the CDC project officer for review if requested. 
 
Transportation of Medical Materiel 
● PHEP funds may be used (with approved budget) to procure leased or rental vehicles for movement of materials, supplies and 
equipment. 
● PHEP funds may be used (with approved budget) to purchase material-handling equipment (MHE) such as industrial or warehouse-use 
trucks to move materials, such as forklifts, lift trucks, turret trucks, etc. Vehicles must be of a type not licensed to travel on public roads. 
● PHEP funds may be used (with approved budget) to purchase basic (non-motorized) trailers with prior approval from the CDC OGS. 
 
Procurement of Food and Clothing 
● Funds may not be used to purchase clothing such as jeans, cargo pants, polo shirts, jumpsuits, sweatshirts, or T-shirts. Purchase of vests 
to be worn during exercises or responses may be allowed. 
● Generally, funds may not be used to purchase food. 
 
Vaccines 
● Contact ADHS with vaccine requests in support of an activity. 
LOCAL PROGRAM REQUIREMENTS 
Meetings 
1. ADHS Grant Meetings 
a. Attend annual Preparedness Community Conference 
b. Attend annual Integrated Preparedness Plan Workshop 
c. Participate in ADHS Jurisdictional Risk Assessment Review and Analysis

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Exercise Planning and Conduct 
1. Local jurisdictions are encouraged to conduct preparedness exercises in accordance with Homeland Security Exercise and Evaluation 
Program (HSEEP) fundamentals including: 
a. Exercise design and development 
b. Exercise conduct 
c. Exercise evaluation 
d. Improvement planning 
e. More information and templates are available at: https://www.azdhs.gov/preparedness/emergency- 
preparedness/index.php#training-exercise-resources 
 
Health Care Coalition 
1. As core members of the Arizona Coalition for Healthcare Emergency Response (AzCHER), full participation in the AzCHER meetings, 
exercises, and drills in your respective regions is required. 
 
Northern Region 
● County Representatives: Apache County, Coconino County, Navajo County, and Yavapai County 
● Tribal Representatives: Hopi Tribe, Navajo Nation and White Mountain Apache Tribe 
 
Western Region 
● County Representatives: La Paz County, Mohave County, and Yuma County 
● Tribal Representatives: Cocopah Indian Tribe, Colorado River Indian Tribes, Fort Mojave Indian Tribe, Kaibab-Paiute Tribe and 
Quechan Tribe 
 
Central Region 
● County Representatives: Gila County, Maricopa County, and Pinal County 
● Tribal Representatives: Gila River Indian Community and Salt River Pima-Maricopa Indian Community

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Southern Region 
● County Representatives: Cochise County, Graham County, Greenlee County, Pima County and Santa Cruz County 
● Tribal Representatives: Pascua Yaqui Tribe, San Carlos Apache Tribe, and Tohono O’odham Nation 
Financial Requirements 
 
1. Match Requirement: The PHEP award requires a 10% “in-kind” or “soft” match from all the grant participants. Each sub-recipient will 
include in their budget submission the format they will use to cover the match and method of documentation. Failure to include the 
match formula will preclude funding. ADHS may not award a contract under this program unless the sub-recipient agrees that, with 
respect to the amount of the cooperative agreement allocated by ADHS, the sub-recipient will make available non-federal contributions 
in the amount of 10% ($1 for each $10 of federal funds provided in the cooperative agreement) of the award, whether provided 
through financial or direct assistance. Match may be provided directly or through donations from public or private entities and may be 
in cash or in kind, fairly evaluated, including plant, equipment or services. Amounts provided by the federal government or services 
assisted or subsidized to any significant extent by the federal government may not be included in determining the amount of such non- 
federal contributions. Documentation of match, including methods and sources, must be included in sub-recipient budgets each 
budget period, include calculations for both financial assistance and direct assistance, follow procedures for generally accepted 
accounting practices, and meet audit requirements. 
 
2. 
Total Direct costs: Show the direct costs by listing the totals of each category, including salaries and wages, fringe benefits, consultant 
costs, equipment, supplies, travel, other, and contractual costs. Provide the total direct costs within the budget. 
 
3. 
Total Indirect Costs: To claim indirect costs, the applicant organization must have a current approved indirect cost rate agreement 
established with the cognizant federal agency. A copy of the most recent indirect cost rate agreement must be provided with the 
application. Indirect cost percentage cannot exceed 28.7%.

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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4. 
Inventory: Upon request, local jurisdictions will provide an inventory list to ADHS. The inventory list shall include all equipment 
purchased. Items over $5,000 will require an ADHS asset tag. An asset tag will be provided after the submission of the invoice to ADHS 
that will include the serial number, make/model, and date of acquisition. Once received, ADHS will send sub-recipients a pre-filled 
property control (F4) form and the asset tag. The asset tag is to be placed on the asset and a photo of the asset tag affixed to the 
item(s) is required. The F4 form needs to be signed, dated and sent back via email to ADHS. 
 
5. Budget Allocation (PHEP funded staff and work plan) 
a. Complete the budget tool developed by ADHS and submit for review and approval. ADHS cannot release funding to the sub- 
recipient until ADHS receives and approves a completed budget and signed contract/amendment. 
b. All activities and procurements funded through the CDC grant shall be aligned with your budget/spend plan and work plan that will 
help your jurisdiction reach the goals and objectives outlined in this document. Any items and activities that are not specifically tied 
to the PHEP program capabilities will be approved by ADHS before PHEP funds can be utilized on those activities/items. 
 
6. Grant Activity Oversight: Each sub-recipient will appoint a PHEP Coordinator (full or part-time) that will have the responsibility for 
oversight of all grant related activities. The PHEP Coordinator will be the main point of contact for ADHS in regard to the CDC grant. 
This individual is expected to work closely with ADHS to ensure all deliverables and requirements are met and will coordinate all 
activities surrounding any on/off site monitoring conducted by ADHS. 
 
7. Employee Certifications: PHEP local jurisdictions are required to adhere to all applicable federal laws and regulations, including 
applicable OMB circulars and semiannual certification of employees who work solely on a single federal award. These certification forms 
will be prepared at least semiannually and signed by the employee or a supervisory official having firsthand knowledge of the work 
performed by the employee. Employees whose salaries are split funded are required to maintain Labor Activity Reports (as requested by 
ADHS). These certification forms will be retained in accordance with 45 Code of Federal Regulation, Part 92.42 
 
8. Performance: Failure to meet the deliverables and performance measures described in the Scope of Work may result in withholding 
from a portion of subsequent awards.

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Plans, Training, and Exercise Implementation Criteria 
Training and exercises shall be gap based and linked to the CDC PHEP Domains. Proposed training and exercises will be based on identified 
gaps from previous exercises, real-world responses, risk assessments (e.g. JRA, CPG, CAWP, THIRA), or other documented sources. 
1. Program Requirements 
A. Sub-recipient PHEP programs should establish and maintain a collaborative working relationship with emergency management. This 
will include, but not be limited to; emergency communication planning, strategies for addressing emergency events, the 
management of the consequences of power failures, natural disasters and other events that would affect public health. 
 
B. Maintain documentation of all collaborative efforts with local and state emergency management 
 
C. Sub-Recipients should participate in ADHS sponsored table tops, functional exercises or other activities 
1. ADHS Coordination: Collaborate with ADHS throughout the planning process. 
2. At-Risk Individuals: Local jurisdictions will include provisions for the needs of at-risk individuals within each exercise. PHEP local 
jurisdictions will report on the strengths and areas for improvement identified though the coalition-based exercise After Action 
Reports and Improvement Plans (AARs/IPs). To learn more about the U.S. Department of Health and Human Services’ definition 
of “at-risk” population visit this website: http://www.phe.gov/Preparedness/planning/abc/Pages/at-risk.aspx 
D. Evaluation 
1. PHEP-funded exercises will address and list applicable Public Health Emergency Preparedness (PHEP) Capabilities in all 
qualifying exercises. A qualifying exercise is one that meets PHEP-specific implementation criteria as described in the grant. 
2. Exemption: A sub-recipient’s response and recovery operations supporting real-world incidents could meet the criteria for an 
exercise requirement if the response was sufficient in scope and the AARs/IPs adequately detail which PHEP capabilities were 
evaluated. This will be addressed on an as-requested basis. 
INFORMATION SERVICES 
1. Local jurisdictions will have or have access to a secure alerting system that at a minimum has the ability to send email, faxes, and 
phone/ text alerts.

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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ADHS will provide training on the information systems and platforms as needed and/or requested. Examples of systems: EMResource, 
ESAR-VHP, AzHAN, iCAM, etc. 
REPORTING 
Progress on the deliverables, performance measures, and activities funded through the CDC grant will be reported as requested and in a 
timely manner to ensure ADHS has adequate time to compile the information and submit to the CDC. 
 
Mid-Year Report 
a. Mid-year reports are expected in advance of the due date determined by ADHS. Mid-year report templates are integrated within the 
sub-recipient workplan templates. 
b. Update jurisdictional points of contact twice during each budget period (July 1 and December 31), or as changes occur, to facilitate 
time-sensitive, accurate information sharing within the local jurisdictions and between ADHS and the sub-recipients. 
Annual Report (End of Year) 
a. Annual reports are expected in advance of the due date determined by ADHS. End-of-year report templates are integrated within the 
sub-recipient workplan templates. 
Planning, Training, and Exercise Deliverables 
 
Program Activities 
Due Date 
Applies To 
Comments 
Participation in a Regional Integrated 
Preparedness Plan (IPP) Workshop 
Once annually 
All PHEP 
Sub-Recipients 
● PHEP Coordinator and/or 
designee 
Attend Annual Preparedness 
Community Conference 
Once annually 
All PHEP 
Sub-Recipients 
● PHEP Coordinator and/or a 
designee

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Submit a Final IPP 
Annually as part of the Workplan 
submittal for the next budget 
period. 
All PHEP 
Sub-Recipients 
● The IPP consists of three parts: 
o Narrative 
o Training schedule 
o Exercise schedule 
● Covering the time period from 
July 1, 2022 to June 30, 2025 
 
After Action Reports/Improvement 
Plans (AARs/IPs) 
Per HSEEP, within 120 days of 
exercise conduct 
All PHEP 
Sub-Recipients 
● Template and HSEEP guidelines 
can be found on the ADHS AZ- 
PIRE website: 
https://sites.google.com/azdhs.g 
ov/az-pire 
Sharing of Core Plans with ADHS, if any: 
● Emergency Response 
● Pandemic Response 
● Fatality Management 
● Medical Countermeasures Receipt 
and Dispensing 
● Continuity of Operations 
● Medical Surge 
● Mass Care 
All plans to be completed 
and made available by the 
end of the five-year project 
period. 
All PHEP 
Sub-Recipients 
● Emergency Response Plan 
toolkits and resources are 
located at: 
www.azdhs.gov/emergencyplans 
● Plans will be uploaded to the 
respective sub-recipient page on 
the ADHS AZ-PIRE website: 
https://sites.google.com/azdhs.g 
ov/az-pire

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STRATEGIES AND ACTIVITIES 
 
Domain Strategy 1: Strengthen Community Resilience 
Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships 
among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and 
public health emergencies. 
Associated Capabilities 
● 
Capability 1: Community Preparedness 
● 
Capability 2: Community Recovery 
Domain Activity: Determine the Risks to the Health of the Jurisdiction 
Deliverable 
Applies To 
Due Date 
Conduct public health jurisdictional risk assessment (JRA), in collaboration 
with HPP, to identify potential hazards, vulnerabilities, and risks within the 
community that relate to the public health, medical, and mental/behavioral 
health systems and the access and functional needs of at-risk individuals. 
ADHS recommends a collaborative and flexible risk assessment process that 
includes input from existing hazard and vulnerability analysis conducted by 
emergency management, AzCHER and other health care organizations, as well 
as other community partners and stakeholders. 
Jurisdictions should analyze JRA results, and use diverse data sources such as 
the HHS Capabilities Planning Guide (CPG), previous risk assessments, 
jurisdictional incident AARs/IPs, site visit observations, jurisdictional data from 
the National Health Security Preparedness Index, and other jurisdictional 
priorities and strategies, to help determine their strategic priorities, identify 
program gaps, and, ultimately prioritize preparedness investments. 
Conduct a JRA and report 
results to ADHS. 
All PHEP 
Sub-Recipients 
Once every five 
years from the 
date of the last 
JRA (or 
equivalent)

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Domain Activity: Ensure HPP Coordination (Health Care System) 
The purpose of this collaboration is to ensure a shared approach to delivering 
public health services alongside health care services to mitigate the public 
health consequences of emergencies. PHEP resources cannot be used to 
supplant HPP programmatic activities. However, there are areas where 
coordinated planning and collaboration between the programs are beneficial, 
including exercising and training. 
Jurisdictions must participate in one statewide or conduct one regional full- 
scale exercise (FSE) within the five-year project period. Exercises must include 
participation from, at a minimum, hospitals and/or hospital systems, 
emergency management agencies, and emergency medical services (EMS). 
Local Jurisdictions must 
participate in one ADHS- 
sponsored statewide full-scale 
exercise, OR 
Participate/conduct a regional 
full-scale exercise, OR 
ADHS may consider a real- 
world response as an 
acceptable substitute 
All PHEP 
Sub-Recipients 
End of the Project 
Period, June 30, 
2024. 
Domain Activity: Plan for the Whole Community 
Working in collaboration with HPP, continue to build and sustain local health 
department and community partnerships to ensure that activities have the 
widest possible reach with the strongest possible ties to the community. 
Coordination with local stakeholders to review collaboration efforts with local 
agencies they represent; and 
● Engage with key community partners who have established relationships 
with diverse at-risk populations, to include mental/behavioral health and 
pediatric populations. 
● Local jurisdictions are encouraged to address family reunification plans for 
schools and child care centers. 
Plan for individuals with disabilities and others with access and functional 
needs. Use a flexible approach to define populations at risk to jurisdictional 
threats and hazards. Address a broad set of common access and functional 
needs using the Communication, Maintaining Health, Independence, Services 
and Support, and Transportation (CMIST) framework. 
After Action Reviews, planning 
document, or real-world 
events may provide evidence 
of a whole community 
approach when planning, 
training and exercising 
annually. 
All PHEP 
Sub-Recipients 
June 30, 2023

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Identify individuals with access and functional needs that may be at risk of 
being disproportionately impacted by incidents with public health 
consequences. Examples of populations with access and functional needs 
include, but are not limited to, children, pregnant women, postpartum and 
lactating women, racial and ethnic minorities, older adults, persons with 
disability, persons with chronic disease, persons with limited English 
proficiency, persons with limited transportation, persons experiencing 
homelessness, and disenfranchised populations. 
Domain Activity: Focus on Tribal Planning and Engagement 
Deliverable 
Due Date 
Support the engagement between county and tribal public health 
departments in a meaningful and mutually beneficial way to ensure that all 
community members are fully and equally served, while also recognizing the 
inherent responsibility of those nations to support their members in a 
culturally appropriate manner. 
Annual documentation of 
collaborative efforts to ensure 
appropriate efforts are made 
to develop public health 
preparedness and response 
capability. May be included in 
regular workplan reports. 
All PHEP 
Sub-Recipients 
June 30, 2023

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Domain Strategy 2: Strengthen Incident Management 
Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident 
through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident, 
unified, or area command structure. 
Associated Capability 
● Capability 3: Emergency Operations Coordination 
Domain Activity: Activate and Coordinate Public Health Emergency Operations 
Deliverable 
Applies To 
Due Date 
Maintain a current COOP plan that includes the following elements. 
● Definitions, identification, and prioritization of essential services needed to 
sustain public health agency mission and operations; 
● Procedures to sustain essential services regardless of the nature of the 
incident (all-hazards planning); 
● Positions, skills, and personnel needed to continue essential services and 
functions (human capital management); 
● Identification of public health agency and personnel roles and 
responsibilities in support of ESF #8; 
● Scalable workforce in response to needs of the incident; 
● Limited access to facilities due to issues such as structural safety or 
security concerns; 
● Broad-based implementation of social distancing policies; 
● Identification of agency vital records (such as legal documents, payroll, 
personnel assignments) that must be preserved to support essential 
functions or for other reasons; 
● Alternate and virtual work sites; 
● Devolution of uninterruptible services for scaled down operations; 
● Reconstitution of uninterruptible services; and 
● Cost of additional services to augment recovery. 
Development or 
update/review of the 
Continuity of Operations Plan 
All PHEP 
Sub-Recipients 
June 30, 2023, 
uploaded to the 
Plans Library 
folders on the 
ADHS AZ-PIRE 
website

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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Maintain personnel lists. 
Identify personnel to fulfill required incident command and public health 
incident management roles. Test staff assembly processes for notifying 
personnel to report physically or virtually to the public health emergency 
operations center or jurisdictional emergency operations center during a drill 
or real-time incidents at least once during the budget period. 
1. Maintain listing of 
personnel using the 
ADHS Critical Contact 
Sheet 
2. Conduct drill or use 
real-world incident to 
test staff assembly 
processes. 
All PHEP 
Sub-Recipients 
1. Twice 
annually using 
the template 
found on the 
ADHS AZ- 
PIRE website 
2. Once during 
the budget 
period. 
Domain Strategy 3: Strengthen Information Management 
Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and 
accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and 
situational awareness with federal, state, local, territorial, and tribal governments and partners. 
Associated Capabilities 
● 
Capability 4: Emergency Public Information and Warning 
● 
Capability 6: Information Sharing 
Domain Activity: Coordinate Information Sharing 
Deliverable 
Applies To 
Due Date 
Have or have access to communication systems that maintain or improve 
reliable, resilient, interoperable, and redundant information and 
communication systems and platforms. 
Such systems, whether they are internally managed or externally hosted on 
shared platforms, must be capable of supporting syndromic surveillance, 
1. Testing of 
communication 
platforms. 
All PHEP 
Sub-Recipients 
1. Once Annually

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
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integrated surveillance, active and/or passive mortality surveillance, public 
health registries, situational awareness dashboards, and other public health 
and preparedness activities. 
Have plans in place that identify redundant communication platforms (primary 
and secondary) and a cycle of maintenance and testing of these platforms 
annually. 
Domain Activity: Coordinate Emergency Information and Warning 
Ensure that communication plans, if any, have processes for coordinating 
public messaging during infectious disease outbreaks and information sharing 
regarding monitoring and tracking of cases of persons under investigation to 
ensure maximum coordination and consistency of messaging. 
1. Ensure that PIO, or 
designees, receive 
appropriate ICS 
training. 
All PHEP 
Sub-Recipients 
1. As changes in 
personnel 
occur 
 
 
Domain Strategy 4: Strengthen Countermeasures and Mitigation 
Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and 
mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. 
Associated Capabilities 
● Capability  8: Medical Countermeasure Dispensing and Administration 
● Capability  9: Medical Materiel Management and Distribution 
● Capability 11: Non-pharmaceutical Interventions 
● Capability 14: Responder Safety and Health 
Domain Activity: Develop and Test MCM Distribution, Dispensing, and Vaccine 
Administration Plans 
Deliverable 
Applies To 
Due Date

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 20 of 29 
 
Plans that address MCM distribution, dispensing, and vaccine administration 
plans through development, training, exercising, and evaluating these MCM 
plans. Managing access to, and administration of, countermeasures and 
ensuring the safety and health of clinical and other personnel are important 
priorities for preparedness and continuity of operations. 
Development, update/review 
of Medical Countermeasures 
plans 
All PHEP 
Sub-Recipients 
June 30, 2023, 
uploaded to the 
Plans Library 
folder on the 
ADHS AZ-PIRE 
website 
Domain Activity: Demonstrate Operational Readiness for Pandemic Response 
For pandemic preparedness planning, all sub-recipients are encouraged to 
collaborate with their respective immunizations programs to develop, maintain, 
and exercise pandemic plans to prevent, control, and mitigate the impact of 
pandemic on the public’s health and to help meet pandemic vaccination goals 
for the general population. 
Pandemic Response plans 
should provide evidence of 
collaboration with respective 
immunization programs. If a 
jurisdiction does not have an 
immunization program then 
provide evidence of 
collaboration with 
county/state level programs. 
All PHEP 
Sub-Recipients 
June 30, 2023, 
uploaded to the 
Plans Library 
folder on the 
ADHS AZ-PIRE 
website 
Domain Activity: Conduct Required MCM Exercises 
CDC requires the following progressive exercises in the 2019-2024 
performance period. A real incident that incorporates the same operational 
elements fulfills any level of exercise requirement for the same operational 
period. 
Throughput estimation is now completed as part of the dispensing full-scale 
exercise (FSE). However, if a site does not participate in the dispensing FSE (for 
example, participates in immunization FSE in lieu of dispensing FSE), oral MCM 
1. Complete three 
annual drills that 
address: facility setup, 
staff notification and 
assembly, and site 
activation. 
Deliverables 1 - 4 
apply to CRI 
counties 
1. No later than 
June 30, 
2023

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 21 of 29 
 
throughput will be measured and information submitted at least once during the 
five-year period. 
2. Complete two table 
top exercises 
(alternating years) 
every five years. One 
to demonstrate 
readiness for an 
anthrax scenario, and 
one for a pandemic 
scenario. 
3. Complete a functional 
exercise once every 
five years, focusing on 
vaccination of at least 
one critical workforce 
group, to demonstrate 
readiness for a 
pandemic scenario. 
4. Demonstrate 
operational readiness 
for a pandemic 
response scenario 
through the 
completion of an FSE 
once every five years. 
2. Determined 
by the local 
jurisdiction. 
3. Once during 
this five-year 
project 
period. 
4. Once during 
this five-year 
project 
period 
(completed 
in BP1 
November 
2019)

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 22 of 29 
 
Domain Activity: Participate in ORRs 
The Operational Readiness Review will focus on all 15 preparedness capabilities 
to include pandemic response planning and response elements. The CDC has 
expanded the ORR to include a comprehensive evaluation of planning and 
operational readiness based on elements across all 15 public health 
preparedness and response capabilities. 
Complete the Operational 
Readiness Review 
CRI Jurisdictions 
Only 
June 30, 2023 
Domain Activity: Update Local Distribution Site (LDS) Survey 
Review/update the LDS survey form once annual. LDS site information is 
required for the primary site. 
Local jurisdictions are encouraged to validate each LDS site with a law 
enforcement representative at least once every three years. 
Review/update completed 
LDS survey form for both 
primary and secondary sites. 
All PHEP 
Sub-Recipients 
Once every three 
years 
Domain Activity: Ensure Safety and Health of Responders 
Local jurisdictions should assist, train, and provide resources necessary to 
protect public health first responders, to include volunteers performing as a 
public health first responders, critical workforce personnel, and critical 
infrastructure workforce from hazards during response and recovery 
operations. 
Evidence should demonstrate 
the assistance with personal 
protective equipment (PPE), 
MCMs, workplace violence 
training, psychological first 
aid training, and other 
resources specific to an 
All PHEP 
Sub-Recipients 
June 30, 2023

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 23 of 29 
 
emergency that would 
protect responders and 
health care workers from 
illness or injury at the state 
and local levels. This may 
include developing clearance 
goals for contaminated areas 
based on guidance from a 
committee of subject matter 
experts. 
Domain Activity: Coordinate Non-pharmaceutical Interventions 
Coordinate with and support partner agencies to plan and implement non- 
pharmaceutical interventions (NPIs) by developing and updating plans for 
isolation, quarantine, temporary school and child care closures and dismissals, 
mass gathering (large event) cancellations and restrictions on movement, 
including border control measures, in applicable jurisdictions. NPIs may reflect 
routine and incident-specific situations. 
Plans, if any, should 
document applicable 
jurisdictional, legal, and 
regulatory authorities 
necessary for implementation 
of NPIs, and; 
Delineate roles and 
responsibilities of health, law 
enforcement, emergency 
management, chief executive, 
and other relevant agencies 
and partners, and; 
Define procedures, triggers, 
and necessary authorizations 
to implement NPIs, whether 
addressing individuals, 
groups, facilities, animals, 
food products, public 
All PHEP Sub- 
Recipients 
End of Project 
Period, June 30, 
2024.

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 24 of 29 
 
works/utilities, or travelers 
passing through ports of 
entry, and; 
Determine occupational and 
exposure prevention 
measures, such as 
decontamination or 
evacuation strategies.

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 25 of 29 
 
Domain Strategy 5: Strengthen Surge Management 
Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral 
services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected 
community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other 
volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with 
organizations and agencies to provide fatality management services. 
Associated Capabilities 
● Capability 5: Fatality Management 
● Capability 7: Mass Care 
● Capability 10: Medical Surge 
● Capability 15: Volunteer Management 
Domain Activity: Coordinate Activities to Manage Public Health and Medical 
Surge 
Deliverable 
Applies To 
Due Date 
Coordinate with emergency management, and other relevant partners and 
stakeholders to assess the public health and medical surge needs of the 
affected community. 
At minimum, local 
jurisdictions must have 
written plans in place that 
clearly define the public 
health roles and 
responsibilities during surge 
operations and outline 
procedures on how public 
health will engage the health 
care system to provide and 
receive situational awareness 
throughout the surge event. 
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Sub-Recipients 
June 30, 2023

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 26 of 29 
 
Domain Activity: Coordinate Public Health, Health Care, Mental/Behavioral 
Health, and Human Services Needs during Mass Care Operations 
Local jurisdictions should coordinate with key partner agencies to address, 
within congregate locations (excluding shelter-in-place locations), the public 
health, health care, mental/behavioral health, and human services needs of 
those impacted by an incident. In collaboration with ESF #8 partners, health 
care, emergency management, and other pertinent stakeholders, local 
jurisdictions should develop, refine, or maintain written plans that identify the 
public health roles and responsibilities in supporting mass care operations. 
At minimum, these plans 
should address procedures on 
how ongoing surveillance and 
public health assessments will 
be coordinated to ensure that 
the public health, health care, 
mental/behavioral health and 
human services needs of 
those impacted by the 
incident continue to be met 
while at congregate locations; 
and procedures to support or 
implement family 
reunification, including any 
special considerations for 
children. 
All PHEP 
Sub-Recipients 
June 30, 2023 
Domain Activity: Coordinate with Partners to Address Public Health Needs 
during Fatality Management Operations 
Coordinate with and support partner agencies to address fatality management 
needs resulting from an incident 
In collaboration with jurisdictional partners and stakeholders, local jurisdictions 
should conduct the following activities. 
Coordinate with subject matter experts and cross-disciplinary partners and 
stakeholders to clarify, document, and communicate the public health agency 
role in fatality management, based on jurisdictional risks, incident needs, and 
partner and stakeholder authorities. 
Development, update/review 
of Fatality Management plan 
All PHEP 
Sub-Recipients 
June 30, 2023, 
uploaded to the 
Plan Library 
folder on the 
ADHS AZ-PIRE 
website

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 27 of 29 
 
The public health agency role may include supporting: 
o Recovery, preservation, and release of remains, 
o Identification of the deceased, 
o Determination of cause and manner of death, including whether disaster- 
related 
o Provision of mental/behavioral health assistance, and 
o Plans to include culturally appropriate messaging around handling of 
remains. 
o The coordination with community partners, including law enforcement, 
emergency management, and medical examiners or coroners to ensure 
proper tracking, transportation, handling, and storage of human remains 
and ensure access to mental and behavioral health services for responders 
and families impacted by an incident. 
o Have procedures in place to share information with fatality management 
partners, including fusion centers or comparable centers and agencies, 
emergency operations centers, and epidemiologist(s), to provide and 
receive relevant surveillance information that may impact the response.

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 28 of 29 
 
Domain Strategy 6: Strengthen Biosurveillance 
Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear 
agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents, 
incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public. 
Associated Capabilities 
● Capability 12: Public Health Laboratory Testing 
● Capability 13: Public Health Surveillance and Epidemiological Investigation 
Domain Activity: Conduct Epidemiological Surveillance and Investigation 
Deliverable 
Applies To 
Due Date 
Local jurisdictions should continue to create, maintain, support, and strengthen 
routine surveillance and detection systems and epidemiological processes. 
Local jurisdictions should evaluate surveillance and epidemiological 
investigation outcomes to identify deficiencies encountered during responses 
to public health threats and incidents and recommend opportunities for 
improvement. 
Conduct border health surveillance activities (where applicable). 
The focus on cross-border preparedness reinforces public health whole 
community approach, which is essential for local-to-global threat risk 
management and response to actual events regardless of source or origin. 
1. Provide evidence to show 
that you have or have 
access to trained personnel 
to manage and monitor 
routine jurisdictional 
surveillance and 
epidemiological 
investigation systems. 
Support surge 
requirements in response 
to threats to include 
supporting populations at 
risk of adverse health 
outcomes as a result of the 
incident. 
2. Have procedures in place 
to establish partnerships, 
to conduct investigations, 
and share information with 
All PHEP 
Sub-Recipients 
June 30, 2023

PHEP Deliverables (July 1, 2022 – June 30, 2023) 
Page 29 of 29 
 
other governmental 
agencies and partner 
organizations. 
Local jurisdictions located 
on the United States- 
Mexico border should 
conduct activities that 
enhance border health, 
particularly regarding 
disease detection, 
identification, 
investigation, and 
preparedness and 
response activities related 
to emerging diseases and 
infectious disease 
outbreaks whether 
naturally occurring or due 
to bioterrorism.