-CTR055260 IGA2020-042 TITLE V MCH HEALTHY ARIZONA FAMILIES MARICOPA A2.PDF

Maricopa County — Formal (2022-08-31)

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INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No: 2 
Procurement Officer 
Diana Landeros 
 
Title V Maternal and Child Health Healthy Arizona Families 
 
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 
 
1. 
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 Terms and Conditions are revised to include additional terms and conditions as a result of the federal funding; 
 
1.2. The Scope of Work is revised and replaced;  
 
1.3. The Price Sheet is revised and replaced;  
 
1.4. Exhibit A is revised and replaced;  
 
1.5. Exhibit B is added;  
 
1.6. Exhibit C is added; and 
 
1.7. Exhibit D is added. 
ALL CHANGES ARE IDENTIFIED BELOW IN RED  
All other provisions of this agreement remain unchanged. 
Maricopa County 
 
 
Contractor Name:  
 
Authorized Signature 
4041 N Central Ave, Ste 1400 
 
 
Address:  
 
Print Name 
Phoenix 
Arizona 
85012 
 
 
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.: CTR055260, 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 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No: 2 
Procurement Officer 
Diana Landeros 
 
 
1. 
Definition of Terms.  As used in this Contract, the terms listed below are defined as follows: 
 
1.1 
“Attachment” means any document attached to the Contract and incorporated into the Contract.  
 
1.2 
“ADHS” means Arizona Department of Health Services.  
 
1.3 
“Budget Term” means the period of time for which the contract budget has been created and during which 
funds should be expended.   
 
1.4 
“Change Order” means a written order that is signed by a Procurement Officer and that directs the Contractor 
to make changes authorized by the Uniform Terms and Conditions of the Contract.   
 
1.5 
“Contract” means the combination of the Uniform and Special Terms and Conditions, the Specifications and 
Statement or Scope of Work, Attachments, Referenced Documents, any Contract Amendments and any 
terms applied by law.   
 
1.6 
“Contract Amendment” means a written document signed by the Procurement Officer and the Contractor that 
is issued for the purpose of making changes in the Contract.   
 
1.7 
“Contractor” means any person who has a Contract with the Arizona Department of Health Services.  
 
1.8 
“Cost Reimbursement” means a contract under which a contractor is reimbursed for costs, which are 
reasonable, allowable and allocable in accordance with the contract terms and approved by ADHS.  
 
1.9 
“Days” means calendar days unless otherwise specified.   
 
1.10 “Fixed Price” establishes a set price per unit of service.  The set price shall be based on costs, which are 
reasonable, allowable and allocable.   
 
1.11 “Gratuity” means a payment, loan, subscription, advance, deposit of money, services, or anything of more 
than nominal value, present or promised, unless consideration of substantially equal or greater value is 
received.   
 
1.12 “Materials” unless otherwise stated herein, means all property, including but not limited to equipments, 
supplies, printing, insurance and leases of property.   
 
1.13 “Procurement Officer” means the person duly authorized by the State to enter into and administer Contracts 
and make written determinations with respect to the Contract.   
 
1.14 “Purchase Order” means a written document that is signed by a Procurement Officer, that requests a vendor 
to deliver described goods or services at a specific price and that, on delivery and acceptance of the goods 
or services by ADHS, becomes an obligation of the State.   
 
1.15 “Services” means the furnishing of labor, time or effort by a Contractor or Subcontractor.   
 
1.16 “Subcontract” means any contract, express or implied, between the Contractor and another party or between 
a subcontractor and another party delegating or assigning, in whole or in part, the making or furnishing of any 
material or any service required for the performance of this Contract.   
 
1.17 “State” means the State of Arizona and/or the ADHS.  For purposes of this Contract, the term “State” shall 
not include the Contractor.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 3 of 36 
 
2. 
Contract Type. 
 
This Contract shall be:  
 
 
 
X 
  Cost Reimbursement 
 
3. 
Contract Interpretation. 
 
3.1. Arizona Law. The law of Arizona applies to this Contract including, where applicable, the Uniform Commercial 
Code as adopted by the State of Arizona. 
 
3.2. Implied Contract Terms.  Each provision of law and any terms required by law to be in this Contract are a part 
of this Contract as if fully stated in it. 
 
3.3. Contract Order of Precedence.  In the event of a conflict in the provisions of the Contract, as accepted by the 
State and as they may be amended, the following shall prevail in the order set forth below: 
 
3.3.1. 
Terms and Conditions; 
 
3.3.2. 
Statement or Scope of Work; 
 
3.3.3. 
Attachments; and 
 
3.3.4. 
Referenced Documents. 
 
3.4. Relationship of Parties.  The Contractor under this Contract is an independent Contractor.  Neither party to 
this Contract shall be deemed to be the employee or agent of the other party to the Contract. 
 
3.5. Severability.  The provisions of this Contract are severable.  Any term or condition deemed illegal or invalid 
shall not affect any other term or condition of the Contract. 
 
3.6. No Parole Evidence.  This Contract is intended by the parties as a final and complete expression of their 
agreement.  No course of prior dealings between the parties and no usage of the trade shall supplement or 
explain any terms used in this document. 
 
3.7. No Waiver.  Either party’s failure to insist on strict performance of any term or condition of the Contract shall 
not be deemed a waiver of that term or condition even if the party accepting or acquiescing in the 
nonconforming performance knows of the nature of the performance and fails to object to it. 
 
3.8. Headings.  Headings are for organizational purposes only and shall not be interpreted as having legal 
significance or meaning. 
 
4. 
Contract Administration and Operation. 
 
4.1. Term.  As indicated on the signature page of the Contract, the Contract shall be effective as of the Begin Date 
and shall remain effective until the Termination Date.  
 
4.2. Contract Renewal.  This Contract shall not bind, nor purport to bind, the State for any contractual commitment 
in excess of the original Contract period.  The term of the Contract shall not exceed five years.  However, if 
the original Contract period is for less than five years, the State shall have the right, at its sole option, to renew 
the Contract, so long as the original Contract period together with the renewal periods does not exceed five 
years.  If the State exercises such rights, all terms, conditions and provisions of the original Contract shall 
remain the same and apply during the renewal period with the exception of price and Scope of Work, which 
may be renegotiated.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 4 of 36 
 
4.3. New Budget Term.   If a budget term has been completed in a multi-term Contract, the parties may agree to 
change the amount and type of funding to accommodate new circumstances in the next budget term. Any 
increase or decrease in funding at the time of the new budget term shall coincide with a change in the Scope 
of Work or change in cost of services as approved by the Arizona Department of Health Services. 
 
4.4. Non-Discrimination.  The Contractor shall comply with State Executive Order No. 2009-09 and all other 
applicable Federal and State laws, rules and regulations, including the Americans with Disabilities Act. 
 
4.5. Records and Audit.  Under A.R.S. § 35-214 and A.R.S. § 35-215, the Contractor shall retain and shall 
contractually require each subcontractor to retain all data and other records (“records”) relating to the 
acquisition and performance of the Contract for a period of five years after the completion of the Contract.  All 
records shall be subject to inspection and audit by the State and where applicable the Federal Government 
at reasonable times.  Upon request, the Contractor shall produce a legible copy of any or all such records. 
 
4.6. Financial Management.  For all contracts, the practices, procedures, and standards specified in and required 
by the Accounting and Auditing Procedures Manual for the ADHS funded programs shall be used by the 
Contractor in the management of Contract funds and by the State when performing a Contract audit.  Funds 
collected by the Contractor in the form of fees, donations and/or charges for the delivery of these Contract 
services shall be accounted for in a separate fund.   
 
4.6.1. 
Federal Funding. Contractors receiving federal funds under this Contract shall comply with the 
certified finance and compliance audit provision of the Office of Management and Budget (OMB) 
Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards 
(2 CFR 200), if applicable.  The federal financial assistance information shall be stated in a Change 
Order or Purchase Order. 
 
4.6.2. 
State Funding.  Contractors receiving state funds under this Contract shall comply with the certified 
compliance provisions of A.R.S. § 35-181.03. 
 
4.7. Inspection and Testing.  The Contractor agrees to permit access, at reasonable times, to its facilities. 
 
4.8. Notices.  Notices to the Contractor required by this Contract shall be made by the State to the person indicated 
on the signature page by the Contractor, unless otherwise stated in the Contract.  Notices to the State required 
by the Contract shall be made by the Contractor to an ADHS Procurement Officer, unless otherwise stated 
in the Contract.  An authorized ADHS Procurement Officer and an authorized Contractor representative may 
change their respective person to whom notice shall be given by written notice, and an amendment to the 
Contract shall not be necessary. 
 
4.9. Advertising and Promotion of Contract.  The Contractor shall not advertise or publish information for 
commercial benefit concerning this Contract without the prior written approval of an ADHS Procurement 
Officer. 
 
4.10. Property of the State.   
 
4.10.1. Equipment.  Except as provided below or otherwise agreed to by the parties, the title to any and all 
equipment acquired through the expenditure of funds received from the State shall remain the 
property of the State by and through the ADHS and, as such, shall remain under the sole direction, 
management and control of the ADHS.  When this Contract is terminated, the disposition of all such 
property shall be determined by the ADHS.  For Fixed Price contracts, when the Contractor provides 
the services/materials required by the Contract, any and all equipment purchased by the Contractor 
remains the property of the Contractor.  All purchases of equipment need to be reported to the ADHS 
Office of Inventory Control.  
 
4.10.2. Title and Rights to Materials.  As used in this section, the term “Materials” means all products created 
or produced by the Contractor under this Contract, including, but not limited to: written and electronic 
information, recordings, reports, research, research findings, conclusions, abstracts, results,

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 5 of 36 
 
software, data and any other intellectual property or deliverables created, prepared, or received by 
the Contractor in performance of this Contract.  Contractor acknowledges that all Materials are the 
property of the State by and through the ADHS and, as such, shall remain under the sole direction, 
management and control of the ADHS.  The Contractor is not entitled to a patent or copyright on 
these Materials and may not transfer a patent or copyright on them to any other person or entity.  To 
the extent any copyright in any Materials may originally vest in the Contractor, the Contractor hereby 
irrevocably transfers to the ADHS, for and on behalf of the State, all copyright ownership.  The ADHS 
shall have full, complete and exclusive rights to reproduce, duplicate, adapt, distribute, display, 
disclose, publish, release and otherwise use all Materials.  The Contractor shall not use or release 
these Materials without the prior written consent of the ADHS.  When this Contract is terminated, the 
disposition of all such Materials shall be determined by the ADHS.  Further, the Contractor agrees to 
give recognition to the ADHS for its support of any program when releasing or publishing program 
Materials. 
 
4.10.3. Notwithstanding the above, if the Contractor is a State agency, the following shall apply instead:  It is 
the intention of ADHS and Contractor that all material and intellectual property developed under this 
Agreement be used and controlled in ways to produce the greatest  benefit to the parties to this 
Contract and the citizens of the State of Arizona.  As used in this paragraph, “Material” means all 
written and electronic information, recordings, reports, findings, research information, abstracts, 
results, software, data, discoveries, inventions, procedures and processes of services developed by 
the Contractor and any other materials created, prepared or received by the Contractor and 
subcontractors in performance of this Agreement.  “Material” as used herein shall not include any 
pre-existing data, information, materials, discoveries, inventions or any form of intellectual property 
invented, created, developed or devised by Contractor (or its employees, subcontractors or agents) 
prior to the commencement of the services funded by this Agreement or that may result from 
Contractor’s involvement in other service activities that are not funded by the Agreement. 
 
4.10.4. Title and exclusive copyright to all Material shall vest in the State of Arizona, subject to any rights 
reserved on behalf of the federal government.  As State agencies and instrumentalities, both ADHS 
and Contractor shall have full, complete, perpetual, irrevocable and non-transferable rights to 
reproduce, duplicate, adapt, make derivative works, distribute, display, disclose, publish and 
otherwise use any and all Material.  The Contractor’s right to use Material shall include the following 
rights:   the right to use the Material in connection with its internal, non-profit research and educational 
activities, the right to present at academic or professional meetings or symposia and the right to 
publish in journals, theses, dissertations or otherwise of Contractor’s own choosing.  Contractor 
agrees to provide ADHS with a right of review prior to any publication or public presentation of the 
Material, and ADHS shall be entitled to request the removal of its confidential information or any other 
content the disclosure of which would be contrary to the best interest of the State of Arizona.  Neither 
party shall release confidential information to the public without the prior expressly written permission 
of the other, unless required by the State public records statutes or other law, including a court order.  
Each party agrees to give recognition to the other party in all public presentations or publications of 
any Material, when releasing or publishing them.  
 
4.10.5. In addition, ADHS and Contractor agree that any and all Material shall be made freely available to 
the public to the extent it is in the best interest of the State.  However, if either party wants to license 
or assign an intellectual property interest in the material to a third-party for monetary compensation, 
ADHS and Contractor agree to convene to determine the relevant issues of title, copyright, patent 
and distribution of revenue.  In the event of a controversy as to whether the Material is being used 
for monetary compensation or in a way that interferes with the best interest of the state or ADHS, 
then the Arizona Department of Administration shall make the final decision.  Notwithstanding the 
above, “monetary compensation’ does not include compensation paid to an individual creator for 
traditional publications in academia (the copyrights to which are Employee-Excluded Works under 
ABOR Intellectual Property Policy Section 6-908C.4.), an honorarium or other reimbursement of 
expenses for an academic or professional presentation, or an unprofitable distribution of Material.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 6 of 36 
 
 
4.11. E-Verify Requirements   In accordance with A.R.S. § 41-4401, Contractor warrants compliance with all 
Federal immigration laws and regulations relating to employees and warrants its compliance with Section 
A.R.S. § 23-214, Subsection A. 
 
4.12. Federal Immigration and Nationality Act   The Contractor shall comply with all federal, state and local 
immigration laws and regulations relating to the immigration status of their employees during the term of the 
Contract. Further, the Contractor shall flow down this requirement to all subcontractors utilized during the 
term of the Contract. The State shall retain the right to perform random audits of Contractor and subcontractor 
records or to inspect papers of any employee thereof to ensure compliance. Should the State determine that 
the Contractor and/or any subcontractors be found noncompliant, the State may pursue all remedies allowed 
by law, including, but not limited to; suspension of work, termination of the Contract for default and suspension 
and/or debarment of the Contractor. 
 
5. 
Costs and Payments  
 
5.1. Payments.  Payments shall comply with the requirements of A.R.S. Titles 35 and 41, net 30 days. Upon 
receipt and acceptance of goods or services, the Contractor shall submit a complete and accurate 
Contractor’s Expenditure Report for payment from the State within thirty (30) days, as provided in the 
Accounting and Auditing Procedures Manual for the ADHS. 
 
5.2. Recoupment of Contract Payments.  
 
5.2.1. 
Unearned Advanced Funds.  Any unearned State funds that have been advanced to the Contractor 
and remain in its possession at the end of each budget term, or at the time of termination of the 
Contract, shall be refunded to the ADHS within forty-five (45) days of the end of a budget term or of 
the time of termination. 
 
5.2.2. 
Contracted Services.  In a fixed price contract, if the number of services provided is less than the 
number of services for which the Contractor received compensation, funds to be returned to the 
ADHS shall be determined by the Contract price.  Where the price is determined by cost per unit of 
service or material, the funds to be returned shall be determined by multiplying the unit of service 
cost by the number of services the Contractor did not provide during the Contract term.  Where the 
price for a deliverable is fixed, but the deliverable has not been completed, the Contractor shall be 
paid a pro rata portion of the completed deliverable.  In a cost reimbursement contract, the ADHS 
shall pay for any costs that the Contractor can document as having been paid by the Contractor and 
approved by ADHS.  In addition, the Contractor will be paid its reasonable actual costs for work in 
progress as determined by Generally Accepted Accounting Procedures up to the date of contract 
termination.   
 
5.2.3. 
Refunds.  Within forty-five (45) days after the end of each budget term or of the time of termination 
of the Contract, the Contractor shall refund the greater of:  i) the amount refundable in accordance 
with paragraph 4.2.1, Unearned Advanced Funds; or ii) the amount refundable in accordance with 
paragraph 5.2.2, Contracted Services.   
 
5.2.4. 
Unacceptable Expenditures.  The Contractor agrees to reimburse the ADHS for all Contract funds 
expended, which are determined by the ADHS not to have been disbursed by the Contractor in 
accordance with the terms of this Contract.  The Contractor shall reimburse ADHS within 45 days of 
the determination of unacceptability. 
 
5.3. Unit Costs/Rates or Fees.  Unit costs/rates or fees shall be based on costs, which are determined by ADHS 
to be reasonable, allowable and allocable as outlined in the Accounting and Auditing Procedures Manual for 
the ADHS.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 7 of 36 
 
5.4. Applicable Taxes. 
 
5.4.1. 
State and Local Transaction Privilege Taxes.  The State of Arizona is subject to all applicable state 
and local transaction privilege taxes.  Transaction privilege taxes apply to the sale and are the 
responsibility of the seller to remit.  Failure to collect taxes from the buyer does not relieve the seller 
from its obligation to remit taxes. 
 
5.4.2. 
Tax Indemnification.  The Contractor and all subcontractors shall pay all federal, state and local taxes 
applicable to its operation and any persons employed by the Contractor.  Contractor shall require all 
subcontractors to hold the State harmless from any responsibility for taxes, damages and interest, if 
applicable, contributions required under Federal, and/or state and local laws and regulations and any 
other costs, including transaction privilege taxes, unemployment compensation insurance, Social 
Security and Worker’s Compensation. 
 
5.4.3. 
I.R.S. W9 Form.  In order to receive payment under any resulting Contract, the Contractor shall have 
a current I.R.S. W9 Form on file with the State of Arizona.   
 
5.5. Availability of Funds for the Next Fiscal Year.  Funds may not be presently available for performance under 
this Contract beyond the first year of the budget term or Contract term.  The State may reduce payments or 
terminate this Contract without further recourse, obligation or penalty in the event that insufficient funds are 
appropriated in the subsequent budget term.  The State shall not be liable for any purchases or Subcontracts 
entered into by the Contractor in anticipation of such funding. The Procurement Officer shall have the 
discretion in determining the availability of funds.    
 
5.6. Availability of Funds for the Current Contract Term.  Should the State Legislature enter back into session and 
decrease the appropriations through line item or general fund reductions, or for any other reason these goods 
or services are not funded as determined by ADHS, the following actions may be taken by ADHS: 
 
5.6.1. 
Accept a decrease in price offered by the Contractor; 
 
5.6.2. 
Reduce the number of goods or units of service and reduce the payments accordingly; 
 
5.6.3. 
Offer reductions in funding as an alternative to Contract termination; or 
 
5.6.4. 
Cancel the Contract.    
 
6. 
Contract Changes 
 
6.1. Amendments, Purchase Orders and Change Orders.  This Contract is issued under the authority of the 
Procurement Officer who signed this Contract.  The Contract may be modified only through a Contract 
Amendment, Purchase Order and/or Change Order within the scope of the Contract, unless the change is 
administrative or otherwise permitted by the Special Terms and Conditions.  Changes to the Contract, 
including the addition of work or materials, the revision of payment terms, or the substitution of work or 
materials, directed by an unauthorized State employee or made unilaterally by the Contractor are violations 
of the Contract and of applicable law.  Such changes, including unauthorized Contract Amendments, 
Purchase Orders and/or Change Orders, shall be void and without effect, and the Contractor shall not be 
entitled to any claim under this Contract based on those changes. 
 
6.2. Subcontracts.  The Contractor shall not enter into any subcontract under this Contract without the advance 
written approval of the Procurement Officer.  The subcontract shall incorporate by reference all material and 
applicable terms and conditions of this Contract. 
 
6.3. Assignments and Delegation.  The Contractor shall not assign any right nor delegate any duty under this 
Contract without the prior written approval of the Procurement Officer.  The State shall not unreasonably 
withhold approval.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 8 of 36 
 
7. 
Risk and Liability 
 
7.1. Risk of Loss.  The Contractor shall bear all loss of conforming material covered under this Contract until 
received and accepted by authorized personnel at the location designated in the Purchase Order, Change 
Order or Contract.  Mere receipt does not constitute final acceptance.  The risk of loss for nonconforming 
materials shall remain with the Contractor regardless of receipt. 
 
 
7.2. Mutual Indemnification.  Each party (as “indemnitor”) agrees to indemnify, defend and hold harmless the other 
party (as “indemnitee”) from and against any and all claims, losses, liability, costs or expenses (including 
reasonable attorney’s fees) (hereinafter collectively referred to as “claims”) arising out of bodily injury of any 
person (including death) or property damage, but only to the extent that such claims, which result in 
vicarious/derivative liability to the indemnitee, are caused by the act, omission, negligence, misconduct, or 
other fault of the indemnitor, its officers, officials, agents, employees or volunteers. 
 
7.3. Force Majeure. 
 
7.3.1. 
Liability and Definition.  Except for payment of sums due, neither party shall be liable to the other nor 
deemed in default under this Contract if and to the extent that such party’s performance of this 
Contract is prevented by reason of force majeure.  The term “force majeure” means an occurrence 
that is beyond the control of the party affected and occurs without its fault or negligence.  Without 
limiting the foregoing, force majeure includes acts of God; acts of the public enemy; acts of terrorism; 
war; riots; strikes; mobilization; labor disputes; civil disorders; fire; flood; lockouts; injunctions-
interventions not caused by or resulting from the act or failure to act of the parties; failures or refusals 
to act by government authority not caused by or resulting from the act or failure to act of the parties; 
and other similar occurrences beyond the control of the party declaring force majeure, which such 
party is unable to prevent by exercising reasonable diligence. 
 
7.3.2. 
Exclusions.  Force Majeure shall not include the following occurrences: 
 
7.3.2.1. Late delivery of Materials caused by congestion at a manufacturer’s plant or elsewhere, or 
an oversold condition of the market; 
 
7.3.2.2. Late performance by a subcontractor unless the delay arises out of a force majeure 
occurrence in accordance with this force majeure term and condition; or 
 
7.3.2.3. Inability of either the Contractor or any subcontractor to acquire or maintain any required 
insurance, bonds, licenses or permits. 
 
7.3.3. 
Notice.  If either party is delayed at any time in the progress of the work by force majeure, the delayed 
party shall notify the other party in writing of such delay, as soon as is practicable and no later than 
the following working day of the commencement thereof, and shall specify the causes of such delay 
in such notice.  Such notice shall be delivered or mailed certified-return receipt and shall make a 
specific reference to this article, thereby invoking its provisions.  The delayed party shall cause such 
delay to cease as soon as practicable and shall notify the other party in writing when it has done so.  
The time of completion shall be extended by Contract Amendment for a period of time equal to the 
time that the results or effects of such delay prevent the delayed party from performing in accordance 
with this Contract. 
 
7.3.4. 
Default.  Any delay or failure in performance by either party hereto shall not constitute default 
hereunder or give rise to any claim for damages or loss of anticipated profits if, and to the extent that, 
such delay or failure is caused by force majeure. 
 
7.4. Third Party Antitrust Violations.  The Contractor assigns to the State any claim for overcharges resulting from 
antitrust violations to the extent that those violations concern materials or services supplied by third parties 
to the Contractor for or toward the fulfillment of this Contract.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 9 of 36 
 
 
8. 
Description of Materials The following provisions shall apply to Materials only: 
 
8.1. Liens. The Contractor agrees that the Materials supplied under this Contract are free of liens.  In the event 
the Materials are not free of liens, Contractor shall pay to remove the lien and any associated damages or 
replace the Materials with Materials free of liens. 
 
8.2. Quality. Unless otherwise modified elsewhere in these terms and conditions, the Contractor agrees that, for 
one year after acceptance by the State of the Materials, they shall be: 
 
8.2.1. 
Of a quality to pass without objection in the Contract description; 
 
8.2.2. 
Fit for the intended purposes for which the Materials are used; 
 
8.2.3. 
Within the variations permitted by the Contract and are of even kind, quantity, and quality within each 
unit and among all units; 
 
8.2.4. 
Adequately contained, packaged and marked as the Contract may require; and  
 
8.2.5. 
Conform to the written promises or affirmations of fact made by the Contractor. 
 
8.3. Inspection/Testing.  Subparagraphs 8.1 through 8.2 of this paragraph are not affected by inspection or testing 
of or payment for the Materials by the State. 
 
8.4. Compliance With Applicable Laws.  The Materials and services supplied under this Contract shall comply with 
all applicable federal, state and local laws, and the Contractor shall maintain all applicable license and permit 
requirements. 
 
8.5. Survival of Rights and Obligations After Contract Expiration and Termination. 
 
8.5.1. 
Contractor’s Representations.  All representations and warranties made by the Contractor under this 
Contract in paragraphs 7 and 8 shall survive the expiration or termination hereof.  In addition, the 
parties hereto acknowledge that pursuant to A.R.S. § 12.510, except as provided in A.R.S. § 12-529, 
the State is not subject to or barred by any limitations of actions prescribed in A.R.S. Title 12, Chapter 
5. 
 
8.5.2. 
Purchase Orders and Change Orders.  Unless otherwise directed in writing by the Procurement 
Officer, the Contractor shall fully perform and shall be obligated to comply with all Purchase Orders 
and Change Orders received by the Contractor prior to the expiration or termination hereof, including, 
without limitation, all Purchase Orders and Change Orders received prior to but not fully performed 
and satisfied at the expiration or termination of this Contract. 
 
9. 
State’s Contractual Remedies 
 
9.1. Right to Assurance.  If the State, in good faith, has reason to believe that the Contractor does not intend to, 
or is unable to, perform or continue performing under this Contract, the Procurement Officer may demand in 
writing that the Contractor give a written assurance of intent to perform.  Failure by the Contractor to provide 
written assurance within the number of Days specified in the demand may, at the State’s option, be the basis 
for terminating the Contract. 
 
9.2. Stop Work Order. 
 
9.2.1. 
Terms.  The State may, at any time, by written order to the Contractor, require the Contractor to stop 
all or any part of the work called for by this Contract for a period up to ninety (90) Days after the order 
is delivered to the Contractor, and for any further period to which the parties may agree.  The order 
shall be specifically identified as a stop work order issued under this clause.  Upon receipt of the

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 10 of 36 
 
order, the Contractor shall immediately comply with its terms and take all reasonable steps to 
minimize the incurrence of costs allocable to the work covered by the order during the period of work 
stoppage. 
 
9.2.2. 
Cancellation or Expiration.  If a stop work order issued under this clause is canceled or the period of 
the order or any extension expires, the Contractor shall resume work. The Procurement Officer shall 
make an equitable adjustment in the delivery schedule or Contract price, or both, and the Contract 
shall be amended in writing accordingly.  
 
9.3. 
Non-exclusive Remedies.  The rights and remedies of ADHS under this Contract are not exclusive, and 
ADHS is entitled to all rights and remedies available to it, including those under the Arizona Uniform 
Commercial Code and Arizona common law. 
 
9.4. 
Right of Offset.  The State shall be entitled to offset against any sums due the Contractor in any Contract 
with the State or damages assessed by the State because of the Contractor’s non-conforming performance 
or failure to perform this Contract.  The right to offset may include, but is not limited to, a deduction from an 
unpaid balance and a collection against the bid and/or performance bonds.  Any offset taken for damages 
assessed by the State shall represent a fair and reasonable amount for the actual damages and shall not be 
a penalty for non-performance.  
 
10. 
Contract Termination 
 
10.1. Cancellation for Conflict of Interest.  Pursuant to A.R.S. § 38-511, the State may cancel this Contract within 
three (3) years after Contract execution without penalty or further obligation if any person significantly 
involved in initiating, negotiating, securing, drafting or creating the Contract on behalf of the State is, or 
becomes at any time while the Contract or an extension of the Contract is in effect, an employee of or a 
consultant to any other party to this Contract with respect to the subject matter of the Contract.  The 
cancellation shall be effective when the Contractor receives written notice of the cancellation, unless the 
notice specifies a later time.  If the Contractor is a political subdivision of the State, it may also cancel this 
Contract as provided in A.R.S. § 38-511. 
 
10.2. Gratuities.  The State may, by written notice, terminate this Contract, in whole or in part, if the State 
determines that employment or a Gratuity was offered or made by the Contractor or a representative of the 
Contractor to any officer or employee of the State for the purpose of influencing the outcome of the 
procurement, securing the Contract or an Amendment to the Contract, or receiving favorable treatment 
concerning the Contract, including the making of any determination or decision about Contract performance.  
The State, in addition to any other rights or remedies, shall be entitled to recover exemplary damages in the 
amount of three times the value of the Gratuity offered by the Contractor. 
 
10.3. Suspension or Debarment.  The State may, by written notice to the Contractor, immediately terminate this 
Contract if the State determines that the Contractor or its subcontractor has been debarred, suspended or 
otherwise lawfully prohibited from participating in any public procurement activity, including but not limited to, 
being disapproved as a subcontractor of any public procurement unit or other governmental body.   
 
10.4. Termination Without Cause. 
 
10.4.1. Both the State and the Contractor may terminate this Contract at any time with thirty (30) days’ notice 
in writing specifying the termination date.  Such notices shall be given by personal delivery or by 
certified mail, return receipt requested. 
 
10.4.2. If the Contractor terminates this Contract, any monies prepaid by the State, for which no service or 
benefit was received by the State, shall be refunded to the State within 5 days of the termination 
notice.  In addition, if the Contractor terminates the Contract, the Contractor shall indemnify the State 
for any sanctions imposed by the funding source as a result of the Contractor’s failure to complete 
the Contract.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 11 of 36 
 
 
10.4.3. If the State terminates this Contact pursuant to this Section, the State shall pay the Contractor the 
Contract price for all Services and Materials completed up to the date of termination.  In a fixed price 
contract, the State shall pay the amount owed for the Services or Materials by multiplying the unit of 
service or item cost by the number of unpaid service units or items.  In a cost reimbursement contract, 
the ADHS shall pay for any costs that the Contractor can document as having been paid by the 
Contractor and approved by ADHS.  In addition, the Contractor will be paid its reasonable actual 
costs for work in progress as determined by GAAP up to the date of termination.  Upon such 
termination, the Contractor shall deliver to the ADHS all deliverables completed.  ADHS may require 
Contractor to negotiate the terms of any remaining deliverables still due. 
 
10.5. Mutual Termination.  This Contract may be terminated by mutual written agreement of the parties specifying 
the termination date and the terms for disposition of property and, as necessary, submission of required 
deliverables and payment therein. 
 
10.6. Termination for Default.  The State reserves the right to terminate the Contract in whole or in part due to the 
failure of the Contractor to comply with any material obligation, term or condition of the Contract, to acquire 
and maintain all required insurance policies, bonds, licenses and permits, or to make satisfactory progress 
in performing the Contract.  In the event the ADHS terminates the Contract in whole or in part as provided in 
this paragraph, the ADHS may procure, upon such terms and in such manner as deemed appropriate, 
Services or Materials, similar to those terminated, and Contractor shall be liable to the ADHS for any excess 
costs incurred by the ADHS in obtaining such similar Services or Materials. 
 
10.7. Continuation of Performance Through Termination.  Upon receipt of the notice of termination and until the 
effective date of the notice of termination, the Contractor shall perform work consistent with the requirements 
of the Contract and, if applicable, in accordance with a written transition plan approved by the ADHS.  If the 
Contract is terminated in part, the Contractor shall continue to perform the Contract to the extent not 
terminated.  After receiving the notice of termination, the Contractor shall immediately notify all 
subcontractors, in writing, to stop work on the effective date of termination, and on the effective date of 
termination, the Contractor and subcontractors shall stop all work.  
 
10.8. Disposition of Property.  Upon termination of this Contract, all property of the State, as defined herein, shall 
be delivered to the ADHS upon demand. 
 
11. 
Arbitration   
 
Pursuant to A.R.S. § 12-1518, disputes under this Agreement shall be resolved through the use of arbitration, after 
exhausting applicable administrative review, to the extent required by A.R.S. § 12 -1518, except as may be required 
by other applicable statutes (Title 41). 
 
 
12. 
Communication 
 
12.1. Program Report.  When reports are required by the Contract, the Contractor shall provide them in the format 
approved by ADHS.  
 
12.2. Information and Coordination.  The State will provide information to the Contractor pertaining to activities that 
affect the Contractor’s delivery of services, and the Contractor shall be responsible for coordinating their 
activities with the State’s in such a manner as not to conflict or unnecessarily duplicate the State’s activities.  
As the work of the Contractor progresses, advice and information on matters covered by the Contract shall 
be made available by the Contractor to the State throughout the effective period of the Contract. 
 
13. 
Client Grievances   
 
If applicable, the Contractor and its subcontractors shall use a procedure through which clients may present 
grievances about the operation of the program that result in the denial, suspension or reduction of services provided 
pursuant to this Contract and which is acceptable to and approved by the State.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 12 of 36 
 
 
 
14. 
Sovereign Immunity  
 
Pursuant to A.R.S. § 41-621(O), the obtaining of insurance by the State shall not be a waiver of any sovereign 
immunity defense in the event of suit. 
 
15. 
Administrative Changes   
 
The Procurement Officer, or authorized designee, reserves the right to correct any obvious clerical, typographical 
or grammatical errors, as well as errors in party contact information (collectively, “Administrative Changes”), prior 
to or after the final execution of a Contract or Contract Amendment.  Administrative Changes subject to permissible 
corrections include: misspellings, grammar errors, incorrect addresses, incorrect Contract Amendment numbers, 
pagination and citation errors, mistakes in the labeling of the rate as either extended or unit, and calendar date 
errors that are illogical due to typographical error.  The Procurement Office shall subsequently send to the 
Contractor notice of corrections to administrative errors in a written confirmation letter with a copy of the corrected 
Administrative Change attached. 
 
16. 
Survival of Terms After Termination or Cancellation of Contract  
 
All applicable Contract terms shall survive and apply after Contract termination or cancellation to the extent 
necessary for Contractor to complete and for the ADHS to receive and accept any final deliverables that are due 
after the date of the termination or cancellation. 
 
17. 
Health Insurance Portability and Accountability Act of 1996 (HIPAA)   
 
17.1. The Contractor warrants that it is familiar with the requirements of HIPAA, as amended by the Health 
Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009, and accompanying 
regulations and will comply with all applicable HIPAA requirements in the course of this Contract.  Contractor 
warrants that it will cooperate with the Arizona Department of Health Services (ADHS) in the course of 
performance of the Contract so that both ADHS and Contractor will be in compliance with HIPAA, including 
cooperation and coordination with the Arizona Department of Administration-Arizona Strategic Enterprise 
Technology (ADOA-ASET) Office, the ADOA-ASET Arizona State Chief Information Security Officer and 
HIPAA Coordinator and other compliance officials required by HIPAA and its regulations.  Contractor will sign 
any documents that are reasonably necessary to keep ADHS and Contractor in compliance with HIPAA, 
including, but not limited to, business associate agreements. 
 
17.2. If requested by the ADHS Procurement Office, Contractor agrees to sign a “Pledge To Protect Confidential 
Information” and to abide by the statements addressing the creation, use and disclosure of confidential 
information, including information designated as protected health information and all other confidential or 
sensitive information as defined in policy.  In addition, if requested, Contractor agrees to attend or participate 
in HIPAA training offered by ADHS or to provide written verification that the Contractor has attended or 
participated in job related HIPAA training that is: (1) intended to make the Contractor proficient in HIPAA for 
purposes of performing the services required and (2) presented by a HIPAA Privacy Officer or other person 
or program knowledgeable and experienced in HIPAA and who has been approved by the ADOA-ASET 
Arizona State Chief Information Security Officer and HIPAA Coordinator. 
 
18. 
Comments Welcome    
 
The ADHS Procurement Office periodically reviews the Uniform Terms and Conditions and welcomes any 
comments you may have. Please submit your comments to: ADHS Procurement Administrator, Arizona Department 
of Health Services, 150 North 18th Avenue, Suite 280, Phoenix, Arizona 85007.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 13 of 36 
 
19. 
Unique Entity Identifier (UEI) Requirement   
 
Pursuant to 2 CFR 25.100 et seq., no entity (defined as a Governmental organization, which is a State, local 
government, or Indian tribe; foreign public entity; domestic or foreign nonprofit organization; domestic or foreign for-
profit organization; or Federal agency, but only as a sub-recipient under an award or sub-award to a non-Federal 
entity) may receive a sub-award from ADHS unless the entity provides its Unique Entity Identifier Number to ADHS. 
The number can be created in SAM.gov.  If already registered the UEI has been assigned and can be viewed in 
SAM.gov . 
 
 
20. 
The Federal Funding Accountability and Transparency Act (FFATA or Transparency Act - P.L.109-282, as 
amended by section 6202(a) of P.L. 110-252), found at https://www.fsrs.gov/ 
 
If applicable, the subrecipient or sub-awardee is required to abide by the Federal Funding Accountability and 
Transparency Act (FFATA or Transparency Act – P.L. 109-282, as amended by section 6202(a) of P.L. 110-252), 
found at https://www.fsrs.gov/. The associated Grant Reporting Certification Form and completion instructions will 
be sent to the subrecipient from ADHS Program(s) responsible for the specific contract. The subrecipient or sub-
awardee must return the completed form to ADHS Program(s) by the 15th of the month following that in which the 
award was received. Failure to complete a required Grant Reporting Certification Form may result in loss of funding. 
 
21. 
2 CFR §200.216 PROHIBITION ON CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE 
SERVICES OR EQUIPMENT   
 
21.1. Recipients and sub-recipients are prohibited from obligating or expanding loan or grant funds to: 
 
21.1.1. Procure or obtain; 
 
21.1.2. Extend or renew a contract to procure or obtain; or 
 
21.1.3. Enter in a contract (or extend or renew a contract) to procure or obtain equipment, services, or 
system that uses covered telecommunications equipment or services as a substantial or essential 
component of any system, or as critical technology as part of any system. As described in Public 
Law 115-232, section 889, covered telecommunications equipment is telecommunications 
equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or 
affiliate of such entities). 
 
21.1.3.1. 
For the purpose of public safety, security of government facilities, physical security 
surveillance of critical infrastructure, and other national security purposes, video 
surveillance and telecommunications equipment produced by Hytera Communications 
Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology 
Company (or any subsidiary or affiliate of such entities). 
 
21.1.3.2. 
Telecommunications or video surveillance services provided by such entities or using 
such equipment. 
 
21.1.3.3. 
Telecommunications or video surveillance equipment or services produced or provided 
by an entity that the Secretary of Defense, in consultation with the Director of the 
National Intelligence or the Director of the Federal Bureau of Investigation, reasonably 
believes to be an entity owned or controlled by, or otherwise connected to, the 
government of a covered foreign country. 
 
22. 
Technology Replacement  
 
In any event where product is discontinued, no longer available or technically inferior to newly developed product, 
the Contractor shall provide an equivalent replacement model at no additional cost and shall honor the original

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 14 of 36 
 
contract terms. 
 
23. 
Authorization for Provision of Services 
 
Authorization for purchase of services under this Agreement shall be made only upon ADHS issuance of a Purchase 
Order that is signed by an authorized agent.  The Purchase Order will indicate the Agreement number and the dollar 
amount of the funds authorized.  The Contractor shall only be authorized to perform services up to the amount of the 
Purchase Order.  ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on 
the Purchase Order.  No further obligation for payment shall exist on behalf of ADHS unless 2) the Purchase Order 
is changed or modified with an official ADHS Procurement Change Order, and/or an additional Purchase Order is 
issued for purchase of services under this Agreement.  
 
Additional Terms and Conditions for Title 2, Subtitle A, Chapter II, Part 200, Subpart C: §200.201 USE OF GRANT 
AGREEMENTS (INCLUDING FIXED AMOUNT AWARDS), COOPERATIVE AGREEMENTS AND CONTRACT 
 
24. 
CIVIL RIGHTS ASSURANCE STATEMENT.  The Contractor and Subcontractors are subject to Title VI of the Civil 
Rights Act of 1964, Section 504 of Rehabilitation Act of 1973, Title II of the Americans with Disabilities Act of 1990, 
the Age Discrimination Act of 1975, Title IX of the Education Amendment of 1972, and offers all persons the 
opportunity to participate in programs or activities regardless or race, color, national origin, age, sex, or disability. 
Further, it is agreed that no individual will be turned away from or otherwise denied access to or benefit from any 
program or activity that is directly associated with a program of the RECIPIENT on the basis of race, color, national 
origin, age, sex (in educational activities) or disability. 
 
25. 
AMERICANS WITH DISABILITIES ACT OF 1990. 
 
25.1 
The Contractor shall comply with the Americans With Disabilities Act of 1990 (Public Law 101-336) and the 
Arizona Disability Act of 1992 (A.R.S § 41-1492 et. seq.), which prohibits discrimination of the basis of 
physical or mental disabilities in delivering contract services or in the employment, or advancement in 
employment of qualified individuals. 
 
25.2 
Persons with a disability may request a reasonable accommodation, such as a sign language interpreter, 
by contracting the Contract Manager for the solicitation. Request should be made as early as possible to 
allow time to arrange the accommodation. 
 
26. 
FEDERAL FUNDING.  Funding for these services is contingent upon the availability of federal government funding. 
No commitment of any kind is made by the State concerning this Grant unless there are monies provided by a federal 
grant. The Grantee should take this fact into consideration.  
 
26.1 
For the purposes of this Grant, a capital expenditure means expenditures to acquire capital assets, as 
defined in 2 C.F.R. 200.12, or expenditures to make additions, improvements, modifications, replacements, 
rearrangements, reinstallations, renovations, or alterations to capital assets that materially increase their 
value or useful life, with a cost of $250 or greater.   
 
26.2 
Grantee agrees to maintain property records for equipment purchased with grant funds and perform a 
physical inventory and reconciliation with property records at least every year.  Grantee agrees that funds 
will not be used for the construction of new facilities. 
 
26.3 
Grantee agrees to follow equipment disposition policies as determined by the Federal Awarding Agency at 
Award Completion or as depicted in the State of Arizona Accounting Manual. Grantee also agrees to follow 
the directives in ADHS Property and Procedure Policy FIN 111.  
 
26.4 
Charges to Federal awards for salaries and wages must be based on records that accurately reflect the 
work performed. These records must: Be supported by a system of internal control which provides 
reasonable assurance that the charges are accurate, allowable, and properly allocated; Be incorporated 
into the official records of the non-Federal entity; Reasonably reflect the total activity for which the employee

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 15 of 36 
 
is compensated by the non-Federal entity, not exceeding 100% of compensated activities (for IHE, this per 
the IHE's definition of IBS); Encompass both federally assisted and all other activities compensated by the 
non-Federal entity on an integrated basis, but may include the use of subsidiary records as defined in the 
non-Federal entity's written policy; Comply with the established accounting policies and practices of the 
non-Federal entity (See paragraph above for treatment of incidental work for IHEs.; and Support the 
distribution of the employee's salary or wages among specific activities or cost objectives if the employee 
works on more than one Federal award; a Federal award and non-Federal award; an indirect cost activity 
and a direct cost activity; two or more indirect activities which are allocated using different allocation bases; 
or an unallowable activity and a direct or indirect cost activity.  
Budget 
estimates 
(i.e., 
estimates 
determined before the services are performed) alone do not qualify as support for charges to Federal 
awards, but may be used for interim accounting purposes only.  
 
26.5 
Grantee understands that financial reports are required as an accounting of expenditures for either 
reimbursement or ADHS-approved advance payments.  
 
26.6 
The final request for reimbursement of grant funds must be received by the ADHS no later than sixty (60) 
days after the last day of the award period.    
 
26.7 
All goods and services must be received or have reasonable expectations thereof and placed in service by 
Grantee by the expiration of this award.   
 
26.8 
Grantee agrees that all encumbered funds must be expended and that goods and services must be paid 
by GRANTEE within sixty (60) days of the expiration of this award unless funding guidelines permit funds 
to be used at a future date.  
 
26.9 
Grantee agrees to remit all unexpended grant funds to the ADHS within thirty (30) days of written request 
from the ADHS.   
 
26.10 
Grantee agrees to account for interest earned on federal grant funds and shall manage interest income in 
accordance with the Cash Management Improvement Act of 1990 and as indicated in the State of Arizona 
Accounting Manual (SAAM) located at the following website.  https://gao.az.gov/publications/saam Interest 
earned in excess of allowable limits must be remitted to the ADHS within thirty (30) days after receipt of a 
written request from the ADHS. 
 
26.11 
Grantee agrees not to use grant funds for food and/or beverage unless explicitly approved in writing by the 
ADHS. 
 
26.12 
Grantee agrees to comply with all applicable laws, regulations, policies and guidance (including specific 
cost limits, prior approvals and reporting requirements, where applicable) governing the use of grant funds 
for expenses related to conferences, meetings, trainings, and other events, including the provision of food 
and/or beverages at such events, and costs of attendance at such events unless explicitly approved in 
writing by the ADHS.  
 
26.13 
No funds shall be used to supplant federal, state, county or local funds that would otherwise be made 
available for such purposes.  Supplanting means the deliberate reduction of state or local funds because 
of the existence of any grant funds. 
 
26.14 
Grantee agrees that grant funds are not to be expended for any indirect costs that may be incurred by 
Grantee for administering these funds unless explicitly approved in writing by the ADHS.  This may include, 
but is not limited to, costs for services such as accounting, payroll, data processing, purchasing, personnel, 
and building use which may have been incurred by the Grantee. 
 
26.15 
Grantee will comply with the audit requirements of OMB Office of Management and Budget’s (OMB) 
Uniform Administrative Requirements, Cost Principles and Audit Requirement for Federal Awards and 
provide the ADHS with the Single Audit Report and any findings within ninety (90) days of receipt of such 
finding(s). If the report contains no findings, the Grantee must provide notification that the audit was

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 16 of 36 
 
completed. All completed Single Audits should be uploaded in the format specified to the Federal Audit 
Clearinghouse no later than nine months after the entities fiscal year-end at the attached Link: 
https://harvester.census.gov/facweb/default.aspx/ 
 
26.16  
Grantee understands and agrees that misuse of award funds may result in a range of penalties, including 
suspension of current and future funds, suspension or debarment from federal grants, recoupment of 
monies provided under an award, and civil and/or criminal penalties. 
 
26.17  
Grantee agrees not to do business with any individual, agency, company or corporation listed in the 
Excluded Parties Listing Service.   
 
Link: System for Award Management https://www.sam.gov/portal/public/SAM/ 
 
26.18 
Grantee agrees to ensure that, no later than the due date of the Grantee’s first financial report after the 
award is made, Grantee and any subgrantees have a valid Unique Entity Identifier (UEI) profile and active 
registration with the System for Award Management (SAM) database.  
 
26.19 
Grantee certifies that it presently has no financial interest and shall not acquire any financial interest, direct 
or indirect, which would conflict in any manner or degree with the performance of services required under 
this Agreement. 
26.20  
Compliance with 41 U.S.C. 4712 (including  prohibitions on reprisal; notice to  employees) Grantee must 
comply with, and is subject to, all applicable provisions of 41 U.S.C. 4712, including all applicable 
provisions that prohibit, under specified circumstances, discrimination against an employee as reprisal 
for the employee's disclosure of information related to gross mismanagement of a federal grant, a gross 
waste of federal funds, an abuse of authority relating to a federal grant, a substantial and specific 
danger to public health or safety, or a violation of law, rule, or regulation related to a federal grant. 
 
26.21 
Grantee certifies to comply with the Drug-Free Workplace Act of 1988, and implemented in 28 CFR Part 
83, Subpart F, for grantees, as defined in 28 CFR, Part 83 Sections 83.620 and 83.650.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 17 of 36 
 
SCOPE OF WORK 
 
1. BACKGROUND: 
 
1.1. The vision of the Arizona Department of Health Services (ADHS) is “Health and Wellness for all Arizonans.” The 
ADHS conducts a five (5) year statewide needs assessment, the Arizona State Health Assessment (SHA), to 
examine key health indicators and provide a comprehensive overview of the health of Arizonans. Annual updates 
to the SHA are also published. ADHS published the 2019 Arizona State Health Assessment, which utilizes an 
evidence-based public health approach to improve the health and wellness of Arizona residents. Findings from 
the SHA inform the priorities outlined in the 2021-2025 Arizona Health Improvement Plan (AzHIP) and guide 
programming within ADHS, including that under the Title V Maternal and Child Health Services Block Grant 
(hereafter Title V MCH Block Grant) and the Preventive Health and Health Services Block Grant.  The AzHIP 
creates a roadmap to improve the health of Arizonans over the next five (5) years through the development of 
partnerships and resources to work collectively on shared health improvement goals and strategies.   
 
1.2. The mission of the Bureau of Women’s and Children’s Health (BWCH) is to “strengthen the family and community 
by promoting and improving the health status of women, infants, and children.” The BWCH administers the 
federally funded Title V MCH Block Grant and Preventive Health and Health Services Block Grant, in addition to 
other federally funded, private, and state supported programs; 
 
1.3. This IGA was initiated in July 2020 and originally only included strategies and activities funded through the Title 
V MCH Block Grant. In July 2022, strategies and activities funded through the Preventive Health and Health 
Services Block Grant were added to the IGA.  
 
MCH Healthy Arizona Families Program: 
 
1.4. The MCH Healthy Arizona Families Program is funded through the Title V MCH Block Grant.  
 
1.5. BWCH is responsible for the implementation of the Health Resources and Services Administration (HRSA) funded 
Title V MCH Block Grant.  Established in 1935, in Title V of the Social Security Act, the goal of the Title V MCH 
Block grant is to improve the health and well-being of America’s mothers, children and families including children 
with special health care needs by supporting and promoting the development and coordination of systems of care 
for the MCH population, which are family-centered, community based and culturally appropriate.  The Title V MCH 
Block Grant has five (5) population domains which include: Women/Maternal Health, Perinatal/Infant Health, Child 
Health, Children with Special Health Care Needs, Adolescent Health. The sixth (6th) domain addresses Cross-
Cutting and Systems Building;  
 
1.6. The Title V MCH Block Grant also requires that a five (5) year statewide needs assessment be conducted and 
submitted as one (1) of the grant deliverables. The purpose of the Title V MCH statewide needs assessment is 
to identify the priority health needs and issues of Arizona’s maternal and child health populations through a 
collaborative and systematic data collection and analytic process with stakeholder input. This needs assessment 
process is guided by eight (8) overarching principles and values that include: 
 
1.6.1. 
Listen to those who are not traditionally involved, 
 
1.6.2. 
Learn from community members as well as the MCH Community, 
   
1.6.3. 
Honor and respect the work that others in the community and state have completed to assess the well-
being of Arizona residents, 
 
1.6.4. 
Assess health disparities across communities including racial, socioeconomic and access,  
 
1.6.5. 
Use a life course development approach and address social determinants of health as a framework for 
planning, 
 
1.6.6. 
Recognize that social, political and economic policies and conditions impact health outcomes,

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 18 of 36 
 
 
1.6.7. 
Value the community as a core partner in public health and work to assure the equity in health, and 
 
1.6.8. 
Plan, develop and evaluate programs and systems of care which are comprehensive, community-based, 
culturally competent, coordinated and effective.   
 
1.7. The Title V MCH Block Grant uses a three-tiered National Performance Measurement Framework (Attachment 
A) which includes National Outcome Measures (NOMs), National Performance Measures (NPMs) and state-
initiated Evidence-based or informed Strategy Measures (ESMs). The framework provides flexibility to a state in 
identifying the best combination of measures to address the MCH priority needs that were identified based on the 
findings 
of 
the 
Five-Year 
Needs 
Assessment 
(available 
on 
the 
ADHS 
website: 
https://www.azdhs.gov/prevention/womens-childrens-health/reports-fact-sheets/index.php#title-v). 
1.8. Key populations of interest for the MCH Healthy Arizona Families Program are: infants; children and adolescents 
(inclusive of children and youth with special health care needs); and women of reproductive age.  
 
Public Health Improvement Program:  
 
1.9. The Public Health Improvement (PHI) Program is funded through the Preventive Health and Health Services Block 
Grant. 
1.10. 
BWCH is responsible for the implementation of the Centers for Disease Control and Prevention (CDC) 
funded Preventive Health and Health Services Block Grant.  The Preventive Health and Health Services Block 
Grant Program was established in 1981 through the consolidation of several previously categorical health and 
social service grants (e.g., emergency medical services, hypertension, home health services, health education and 
risk reduction, urban rodent control, and community water fluoridation). The Preventive Health and Health Services 
Block Grant Program provides federal funding for 61 recipients: all 50 states, the District of Columbia, 2 American 
Indian tribes, 5 US territories, and 3 freely associated states and is administered by CDC’s Center for State, Tribal, 
Local, and Territorial Support. 
1.11. 
The Preventive Health and Health Services Block Grant gives recipients the ability to address prioritized 
public health needs in their jurisdictions in collaboration with local and tribal public health agencies and 
organizations. Recipients set their own goals and program objectives and implement local strategies to address 
their prioritized public health needs related to Healthy People 2030 objectives. 
1.12. 
The Preventive Health and Health Services Block Grant Measurement Framework allows for standardized 
data collection and aggregation of the outputs, outcomes, and achievements of health departments using grant 
funds. The framework consists of four key measures: 
1.12.1. Improvement in the capacity of information systems to collect data of public health importance; 
1.12.2. Improvement in the efficiency or effectiveness of operations, programs, or services; 
1.12.3. Emerging public health needs addressed; 
1.12.4. Evidence-based public health interventions implemented. 
1.13. 
Key populations of interest for the PHI Program are: all Arizonans. 
 
 
2. PURPOSE: 
 
The purpose of this IGA is to leverage partnerships between ADHS and Local County Health Departments by providing 
Title V MCH Block Grant and Preventive Health and Health Services Block Grant funding to support the implementation 
of high impact strategies that address the health priorities identified in the AzHIP, county health improvement plans 
(CHIPs) and 2020 Title V MCH Needs Assessment.  This IGA is intended to provide flexibility to the Local County Health 
Department to meet the needs of local communities.     
 
3. OBJECTIVES: 
 
MCH Healthy Arizona Families Program: 
 
3.1. Counties will implement evidence-based/evidence-informed strategies at the local community level that: 
 
3.1.1. 
Promote and implement evidence-based or evidence-informed strategies that enhance preventive and

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 19 of 36 
 
primary care services for pregnant women, mothers and infants up to age one (1) for the Women/Maternal 
and Perinatal Infant population domains,  
 
3.1.2. 
Promote and implement evidence-based or evidence-informed strategies that enhance preventive and 
primary care services for the Child Health, Adolescent Health and Children with Special Health Care 
Needs population domains, 
  
3.1.3. 
Enhance family, youth, and community engagement for all five (5) population domains in the Title V MCH 
Block Grant, including children and families with special health care needs, and 
 
3.1.4. 
Promote and implement evidence-based or evidence-informed strategies that enhance cross-cutting and 
system building infrastructure.  
 
PHI Program: 
 
3.2. Counties will implement evidence-based/evidence-informed strategies at the local community level that: 
 
3.2.1. Promote and implement healthy community interventions that target policy, system and environmental    
approaches that will shape the communities in which we live, learn, work, and play; and 
 
3.2.2. Promote and implement healthy people interventions that target individual behavior and support making    
healthy choices. 
 
4. SCOPE OF WORK: 
 
MCH Healthy Arizona Families Program: 
 
4.1. Counties can select to implement strategies within population domains and/or in National Performance Measures. 
 
4.1.1. 
Population domains include:  
 
4.1.1.1. 
Women/Maternal Health – women ages eighteen (18) to forty-four (44), before, during, and 
beyond pregnancy; and across the life course;  
 
4.1.1.2. 
Perinatal/Infant Health – infants during the time surrounding childbirth, particularly three (3) 
months before and one (1) year after; 
 
4.1.1.3. 
Child Health – children one (1) to ten (10) years of age; 
 
4.1.1.4. 
Adolescent Health – young people ages ten (10) to nineteen (19) years of age; 
 
4.1.1.5. 
Children/Youth with Special Health Care Needs – children/youth with a diverse range of needs 
ranging from behavioral and emotional conditions to chronic conditions, to more medically 
complex health issues;  
 
4.1.1.6. 
Cross-cutting and Systems Building – priority need such as oral health, access to care, injury 
prevention, etc. that is related to program capacity and/or systems-building as it applies to 
all/any of the MCH population domains; or  
 
4.1.1.7. 
Emerging Issues – projects and/or strategies that become prominent and are unique to a 
particular County, for example, reassignment of staff to address the COVID-19 pandemic or 
any other public health emergency, conducting focus groups to determine how to improve 
services for children/youth with special health care needs, etc.  
 
4.1.2. 
NPMs selected by the State and identified through the findings of a five (5) year needs assessment 
include:

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 20 of 36 
 
 
4.1.2.1. 
NPM #1 - Well-woman visits - Percent of women, ages eighteen (18) through forty-four (44), 
with a preventive medical visit in the past year, and family planning services;  
 
4.1.2.2. 
NPM #4 Breastfeeding – A) Percent of infants who are ever breastfed and B) Percent of infants 
breastfed exclusively through six (6) months of age; 
 
4.1.2.3. 
NPM #5 - Safe Sleep – A) Percent of infants placed to sleep on their backs B) Percent of 
infants placed to sleep on a separate approved sleep surface C) Percent of infants placed to 
sleep without soft objects or loose bedding; 
 
4.1.2.4. 
NPM #6 Developmental Screening – Percent of children, ages nine (9) through thirty-five (35) 
months, who received a developmental screening using a parent-completed screening tool in 
the past year;  
 
4.1.2.5. 
NPM #7 Injury Hospitalization – 7.1) Rate of hospitalization for non-fatal injury per 100,000 
children, ages zero (0) through nine (9) and 7.2) Rate of hospitalization for non-fatal injury per 
100,000 adolescents, ages ten (10) through nineteen (19); 
 
4.1.2.6. 
NPM #9 Bullying – Percent of adolescents, ages twelve (12) through seventeen (17), who are 
bullied or who bully others; 
 
4.1.2.7. 
NPM #10 Adolescent well visits – Percent of adolescents, ages twelve (12) through seventeen 
(17), with a preventive medical visit in the past year; 
 
4.1.2.8. 
NPM #12 Transition – Percent of adolescents with and without special health care needs, 
ages twelve (12) through seventeen (17), who received services necessary to make 
transitions to adult health care;  
 
4.1.2.9. 
NPM #13 Preventive dental visits for pregnant women, children and adolescents – A) Percent 
of women who had a dental visit during pregnancy; and B) Percent of children, ages one (1) 
through seventeen (17), who had a preventive dental visit in the past year; and 
 
4.1.2.10. NPM #15 Adequate Insurance – Percent of children, ages zero (0) through seventeen (17), 
who are continuously and adequately insured; 
 
4.1.3. 
If strategies selected by the Counties do not align with the State selected NPMs listed above, BWCH in 
partnership with Counties will develop State Performance Measures (SPMs) as needed to measure 
priority needs that have not been addressed through the selected NPMs, and  
 
4.1.4. 
Counties may elect to provide Family Planning Services which would qualify under NPM #1 and the 
Women/Maternal Health population domain: 
 
4.1.4.1. 
Implement a clinic based reproductive health program which enhances maternal and child 
health; 
 
4.1.4.2. 
Provide accessible, comprehensive education, screening and contraceptive services to 
underserved individuals of reproductive age; and  
 
4.1.4.3. 
Adhere to the ADHS Family Planning Policy and Procedure Manual (available on the ADHS 
website:https://www.azdhs.gov/prevention/womens-childrens-health/womens-
health/index.php#family-planning). 
 
4.2. This IGA offers a variety of evidence-based and evidence-based informed strategies designed to promote and 
positively impact the health status and outcomes of the MCH population in Arizona.  Contingent upon available 
funding, Local County Health Departments are expected to implement at multiple levels, in accordance with local

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 21 of 36 
 
community needs infrastructure activities that integrate and build on each other to optimize the health 
improvements of the community. Counties have the option to select from a menu of evidence-based/evidence-
informed strategies (Attachment B) or to propose their own evidence-based/evidence informed strategies that are 
identified as a need in their communities;  
 
4.3. In addition, Skill Sets have been identified for each of the NPMs to support implementation and further assist with 
thinking not only about evidence and strategies to make change but the capacity of the workforce to carry out 
activities (Attachment B); and  
 
4.4. Where applicable, strategies shall be inclusive of children with special health care needs. Though counties are 
not required to implement strategies to specifically target this population, strategies designed for children, 
adolescents, and families assume an integrated approach that includes this population. 
 
PHI Program: 
 
4.5. Under the PHI Program, the county health departments may use several strategies to support local initiatives to 
achieve healthy communities. As health departments often may not have dedicated funds and resources to build 
and strengthen their organizations, the Public Health Improvement funds allow for that flexibility within the 
established strategies. The funds may be used for activities to seek accreditation and reaccreditation, improve 
health department efficiency and effectiveness, increase performance management capacity, and enhance public 
health readiness activities in the face of emerging issues.  
 
4.6. The County must select one (1) or more strategies from the strategic areas outlined below: 
 
4.6.1. Strategic Area: Seeking Public Health Accreditation Board (PHAB) Accreditation or Reaccreditation, 
 
4.6.1.1. 
Implement activities, training, and tools for the Local Health Department (LHD) to apply for PHAB 
accreditation; and 
 
4.6.1.2. 
Implement activities, training, and tools for the Local Health Department (LHD) to achieve PHAB 
reaccreditation sustainability; 
 
4.6.2. Strategic Area: Evaluate and Continuously Improve Processes, Programs, Quality Improvement, and 
Interventions Performance Management, 
 
4.6.2.1. 
Implement tools or training to develop or maintain a performance management system supported 
by leadership and management to monitor achievement of organizational objectives; 
 
4.6.2.2. 
Implement activities, tools, or training to develop or maintain a culture of quality improvement 
integrated into organizational practice, processes, and interventions; and 
 
4.6.2.3. 
Conduct training or capacity building with local stakeholders to support the department’s and 
county’s implementation of a quality improvement plan or quality improvement activities; 
 
4.6.3. Strategic Area: Maintain a Competent Workforce, 
 
4.6.3.1. 
Implement activities and training to build multidisciplinary skills needed for the health department 
to achieve its mission, goals, and objectives; 
 
4.6.3.2. 
Implement activities to build and support a health department with a supportive work environment, 
employee recognition, employee wellness efforts, and professional development; and 
 
4.6.3.3. 
Conduct activities to support the larger public health workforce of the community; 
 
4.6.4. Strategic Area: Conduct and Disseminate Assessments Focused on Population Health Status and Public 
Health Issues Facing the Community,

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 22 of 36 
 
 
4.6.4.1. 
Conduct collaborative activities with the community to develop, enhance, and disseminate the 
community health assessment; 
 
4.6.5. Strategic Area: Develop Policies and Plans, 
 
4.6.5.1. 
Conduct or participate in collaborative activities with the community to develop and implement the 
community health improvement plan; 
 
4.6.5.2. 
Conduct activities to track and implement goals set in the county health improvement plan; 
 
4.6.5.3. 
Complete activities to develop, implement, and maintain a strategic plan; and 
 
4.6.5.4. 
Complete activities to develop, implement, and maintain an all hazards emergency operations plan; 
 
4.6.6. Strategic Area: Health Equity, 
 
4.6.6.1. 
Develop and implement strategies that address health inequity and cultural competence; 
 
4.6.7. Strategic Area: Administrative and Management Capacity, 
 
4.6.7.1. 
Develop and maintain internal health department policies and procedures for operations, human 
resources, information management, financial management, and management of ethical issues; 
 
4.7. In addition, with prior approval from ADHS, the County can also use their PHI Program funding to address emerging 
issues: 
 
4.7.1.1. 
Conduct activities to address an emerging health issue aligned with state and nationally identified 
emerging health issues (percentage of funds to be approved by ADHS); 
 
5. EVALUATION: 
 
5.1. Performance measures and evaluations allow the counties and ADHS to collaboratively track progress on process 
indicators, outcomes measures, and impacts. As part of the local evaluation plan, the counties will be responsible 
for measuring the short-term and intermediate outcomes. Monitoring progress on short-term outcomes provides 
an opportunity for the counties to make adjustments to strategies to ensure increased long-term impact. ADHS, 
in coordination with the counties, will be responsible for measuring the long-term and impact outcomes. Process 
indicators, outcomes measures, and impacts must clearly relate to the selected strategies and activities identified 
within each County’s Annual Action Plan; and 
 
5.2. ADHS will provide technical support to counties on selecting the appropriate indicators to measure process and 
outcomes as they align with the 2021-2025 Title V MCH Priorities and Performance Metrics for the MCH Healthy 
Arizona Families Program and as they align with the 2021-2025 AzHIP priorities and Healthy People 2030 
objectives for the PHI Program. 
 
 
6. APPROVALS: 
 
6.1. The quarterly reports, annual action plans, annual budget workbook, and monthly CERs with receipts supporting 
expenses billed for in-state and out-of-state travel and equipment purchases of $250 or more, as required and/or 
requested shall be approved by ADHS prior to payment reimbursement; 
 
6.2. Upon approval of the Action Plan, any changes to the approved activities, or strategies must be resubmitted to 
ADHS for review and approval prior to implementation; 
 
6.3. Any requests to provide additional information on quarterly reports will require resubmission of the report for

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 23 of 36 
 
ADHS review and approval prior to payment reimbursement; 
 
6.4. Purchases of Capital Equipment (single item purchase of $5,000 or more) will require approval prior to purchasing; 
 
6.5. All marketing materials (the use of ADHS logo, brochures, posters, public service announcements, paid media, 
videos, etc.) which have been developed, written, published, or recorded by the Counties and paid for with funds 
from this award must be first approved by ADHS prior to the dissemination of such materials or airing or use of 
such announcements; 
 
6.6. All County local emerging issues and related supporting documentation must be approved by ADHS prior to 
implementation and the percentage of funds used to conduct activities to address an emerging health issue 
aligned with state and nationally identified emerging health issues must be approved by ADHS prior to 
implementation;  
  
6.7. Any evaluation or study to be conducted that involves human subjects must be approved by ADHS prior to 
conducting; and 
 
6.8. Request approval in writing to the ADHS Block Grants Program Manager for purchases of single items of capital 
equipment at or above the purchase price of five thousand dollars ($5,000.00); 
 
6.8.1. 
Requests can be made via email and shall include the following information:  
 
6.8.2. 
Type of equipment requesting to be purchased, 
 
6.8.3. 
Cost of equipment, and 
 
6.8.4. 
How the proposed purchase supports the current approved scope of work and annual action plan. 
 
 
7. TASKS: 
 
7.1. The Local County Health Department Contractor shall for the overall IGA: 
 
7.1.1. 
Develop and submit a separate Annual Budget Workbook for each program (Title V and Public Health 
Improvement), due January 15th of each year for the following year’s budget period, including the federally 
approved indirect rate letter, 
 
7.1.2. 
Develop and implement an Annual Action Plan within the first forty-five (45) days of each budget period 
(i.e., on or before August 15th),  
 
7.1.3. 
Implement the selected, approved, evidence-based and/or evidence-informed strategies outlined in 
County Action Plans,  
 
7.1.4. 
Participate in all calls (monthly, bi-monthly, quarterly), technical assistance calls, webinars, meetings, and 
training, and 
 
7.1.5. 
Participate in the development of a shared comprehensive evaluation plan and report out on any 
performance measures related to the implementation of their activities (process and/or intermediate), or 
as defined by the funding sources. 
 
7.2. Complete tagging and inventory of equipment in compliance with the policy in the State of Arizona Accounting 
Manual,  https://gao.az.gov/sites/default/files/2535%20Stewardship%20190304.pdf; 
 
7.2.1. 
Submit documents to the ADHS Block Grants Program Manager pertaining to the asset, i.e., receiving 
papers, invoice, purchase order, receipt, etc., and

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 24 of 36 
 
7.2.2. 
Documents shall include the make, model, serial number, and acquisition date of the asset. 
 
7.3. All out-of-state travel shall follow the travel and per diem policies as outlined in the State of Arizona Accounting 
Manual; 
 
7.3.1. 
https://gao.az.gov/sites/default/files/5009%20Traveler%20Responsibilities%20Draft%20200113.pdf, 
and 
 
7.3.2. 
https://gao.az.gov/sites/default/files/5095%20Reimbursement%20Rates%20%20190102%20a.pdf. 
 
7.4. Food purchases for events are an allowable cost under this grant. Food costs less than $500 per event and 
cumulative cost less than $5,000 annually do not require prior approval when spent within the State of Arizona 
Accounting Manual policies;  
 
7.4.1. 
When food costs exceed the allowable thresholds set forth in the IGA, requests to purchase food shall 
be required by completing the Request for Purchase of Food form (Attachment F) and submitting to the 
MCH HAF Program Manager, 
 
7.4.1.1. 
Requests shall be submitted ten (10) business days prior to needing to purchase food items; 
 
7.4.1.2. 
Blanket food approval requests can be submitted for approval if multiple events, of the same 
nature, are reoccurring. The request shall indicate the number of events that will be held during 
the year and number of people attending; and 
 
7.4.1.3. 
No food shall be purchased or reimbursed until the form has been approved and signed by 
the ADHS Block Grants Program Manager. 
 
7.4.2. 
Purchases shall follow the Food and Beverages policy outlined in the State of Arizona Accounting Manual,  
https://gao.az.gov/sites/default/files/8010%20Food%20and%20Beverages%20at%20State-
sponsored%20Events%20181113.pdf, which includes but is not limited to: 
 
 
7.4.2.1. 
Food provided must not exceed the allowable ADHS per person, per diem meal rates. 
 
7.4.3. 
Justification for providing food at events requires but is not limited to:  
 
7.4.3.1. 
How providing food serves a valid public purpose and does not violate the “gift clause”, 
 
7.4.3.2. 
Is an integral part of the function, and  
 
7.4.3.3. 
Benefits to the community. 
 
7.4.4. 
A speaker/presentation during the time the meal is provided is required, and 
 
7.4.5. 
Food provided should be healthy items. Please see the ADHS Healthy Meeting Policy for further guidance 
on nutritional guidelines for events/meetings:  
https://azdhs.gov/documents/prevention/nutrition-physical-activity/healthy-meeting policy.pdf.   
 
7.5. Comply with all federal reporting requirements; 
 
7.6. At least one (1) Program Manager or coordinator from each of the MCH HAF IGA programs must be in attendance 
at the Annual HPHC/MCH HAF IGA Summit; 
 
7.7. Counties implementing Family Planning Programs with MCH Healthy Arizona Families Program funding shall 
abide by all standards and protocols outlined in the Family Planning Policies & Procedures manual (Available 
here:https://www.azdhs.gov/prevention/womens-childrens-health/womens-health/index.php#family-planning);

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 25 of 36 
 
and  
 
7.8. County program staff implementing strategies in this IGA will be required to participate in a one-time MCH HAF 
IGA orientation webinar, date to be determined. 
 
7.9. ADHS will provide: 
 
7.9.1. 
Review, feedback, and approval of the Annual Action Plan(s) within thirty (30) days of submitting,  
 
7.9.2. 
Review, feedback, and approval of the annual Budgets Workbooks, CERs and Supporting 
Documentation within thirty (30) days of submission, 
 
7.9.3. 
Feedback, technical assistance, and training to support the approved Annual Action Plan(s), Annual 
Budget, Quarterly Reporting, and Supporting Documentation, 
 
7.9.4. 
Samples of evidence-based and/or evidence-informed strategies and supporting resources, 
 
7.9.5. 
A Quarterly Reporting template upon execution of the IGA, 
 
7.9.6. 
The Annual Action Plan template upon execution of the IGA, 
 
7.9.7. 
Annual Budget Workbook and CER templates upon execution of the IGA, 
 
7.9.8. 
Outcome Measures and examples of process or intermediate performance measures, as needed, 
 
7.9.9. 
Access to virtual technical assistance and guidance from ADHS staff, Local County Health Department 
peers/mentors, and subject matter experts related to the strategies for which the County has received 
funding, and 
 
7.9.10. Coordinate and conduct annual Contractor site visits. 
 
 
8. STATE PROVIDED ITEMS: 
 
8.1. Attachment A – Maternal and Child Health National Performance Measures Framework; 
 
8.2. Attachment B – Evidence-Based/Evidence-Informed Strategies for MCH Domains; 
 
8.3. Attachment C – Contractor Expenditure Report (CER); 
 
8.4. Attachment D – Financial Supporting Documentation; 
 
8.5. Attachment E – Line Item Budget Move Request; 
 
8.6. Attachment F – Request for Purchase of Food;  
 
8.7. Attachment G – Emerging Issues Approval Process; 
 
8.8. Upon execution of IGA: 
 
8.8.1. 
Action Plan Template, 
 
8.8.2. 
Quarterly Report Template,  
 
8.8.3. 
Contractor Expenditure Report (CER) template, and

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 26 of 36 
 
8.8.4. 
Budget Workbook Template. 
 
9. RESTRICTIONS: 
 
9.1. Funds cannot be used for any of the following: 
 
9.1.1. 
Lobbying activities, including the preparation, distribution, or use of any kit, pamphlet, booklet, publication, 
electronic communication, radio, television, or video presentation designed to support or defeat any 
proposed or pending regulation, administrative action, or order issued by the executive branch of any 
State or local government, 
 
9.1.2. 
Inpatient services, 
 
9.1.3. 
Cash payments to intended service recipients of health services, 
 
9.1.4. 
The purchase or improvements of land; the purchase, construction or permanent improvement (other 
than minor remodeling) of any building or other facility; or the purchase of major medical equipment – 
unless the ADHS has obtained a waiver from the Secretary of DHHS, 
 
9.1.5. 
Satisfying any requirements for the expenditure of non-federal funds as a condition for the receipt of 
federal funds,  
 
9.1.6. 
Providing funds for research or training (or other financial assistance) to any entity other than a public or 
non-profit private entity, and 
 
9.1.7. 
Payment for any item of service (other than an emergency item or service) furnished by or at the medical 
direction or prescription of an ineligible or uncertified individual or entity. 
 
 
10. DELIVERABLES: 
 
10.1. Annual Action Plan within the first forty-five (45) days of each budget period; 
 
10.2. Contractor Expenditure Report (CER) to ADHS, due thirty (30) days following each month of services.   
 
10.2.1. Receipts supporting expenses billed for any in-state/out-of-state travel and equipment purchases of $250 
or more are to also be submitted, and 
  
10.2.2. Upon request from ADHS, all receipts supporting expenses billed for a selected CER shall be submitted 
for review. 
 
10.3. Written Quarterly Reports, due thirty (30) days after each quarter end (Q1: July – September; Q2: October – 
December; Q3: January – March; and Q4: April – June); 
 
10.4. A final CER invoice no later than forty-five (45) days following the end of each contract year; 
 
10.5. Annual Budget Workbook due by January 15th, for the next year’s fiscal period; 
 
10.6. MCH Healthy Arizona Families Program ONLY: Family Planning Programs funded through this IGA will submit 
monthly data into the Title V Family Planning Database as outlined in the policies and procedures manual. 
 
10.7. Submit monthly CERs (Attachment C) and maintain sufficient documentation in the form of receipts in support of 
expenses incurred for any purchases that are being claimed for reimbursement or applied as match dollars to a 
budget (Attachment D),  
 
10.7.1. Supporting documentation shall be kept by the Contractor and does NOT need to be submitted with

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 27 of 36 
 
quarterly CERs with the exception of travel documentation (in-state and out-of-state) and single 
purchases of equipment exceeding $250, and  
 
10.7.2. Documentation supporting all expenses being billed shall be provided as requested by ADHS. 
 
10.8. Provide the ADHS Block Grants Program Manager with contact information of all program staff funded under this 
IGA within thirty (30) days of IGA execution to include: 
 
10.8.1. Name, title, email address and phone numbers, 
 
10.8.2. Staff Resumes, and  
 
10.8.3. Program area assigned. 
 
10.9. Submit to the ADHS Block Grants Program Manager all staffing and programmatic changes within fifteen (15) 
days providing information outlined in 10.8;   
 
10.10. Request to transfer budget amounts between line items, exceeding twenty-five percent (25%) of total annual 
budget or to a non-funded line item, will require a revised budget be submitted to the ADHS Block Grants 
Program Manager and an IGA amendment issued by ADHS Procurement; and 
 
10.11. Submit brochures, posters, public service announcements, paid media, videos, sponsorships, etc., to be paid 
for with funds from this IGA prior to development and use. 
 
 
11. NOTICES, CORRESPONDENCE, REPORTS, AND INVOICES: 
 
11.1. Notices, correspondence, reports, supporting documentation, and invoices/CERs from the County contractors to 
ADHS shall be sent to: 
 
Alison Lucas 
Block Grants Program Manager 
Arizona Department of Health Services 
150 N. 18th Avenue 
Phoenix, AZ 85007-3242  
Email: alison.lucas@azdhs.gov 
 
11.2. Notices, Correspondence, Reports and Payments from ADHS to the Contractor shall be sent to: 
 
Cheryl Bucalo 
Maricopa County 
4041 N Central Avenue., Ste 1400 
Phoenix, AZ 85012 
Email: Cheryl.bucalo@maricopa.gov

INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
Page 28 of 36 
PRICE SHEET 
July 1, 2022 - June 30, 2023 
Program: MCH Healthy Arizona Families 
Federal Funding: Title V Maternal and Child Health Services Block Grant 
Account Classification 
Line Item Totals 
Personnel 
$ 199,278.00 
Employee Related Expenses 
$   86,327.00 
Professional & Outside Services 
$   55,000.00 
Travel Expenses 
$     7,481.00 
Occupancy Expenses 
$     7,411.00 
Other Operating Expenses 
$   12,360.00 
Capital Outlay Expenses 
$ 
 0.00 
Indirect Cost Expenses (if authorized) 
$   66,104.00 
Total Contract Amount (Not to Exceed) 
$ 433,961.00 
Program: Public Health Improvement (PHI) Program 
Federal Funding: Preventive Health and Health Services Block Grant 
Account Classification 
Line Item Totals 
Personnel 
$ 153,803.00 
Employee Related Expenses 
$   63,305.00 
Professional & Outside Services 
$   35,000.00 
Travel Expenses 
$   25,799.00 
Occupancy Expenses 
$     4,521.00 
Other Operating Expenses 
$   17,799.00 
Capital Outlay Expenses 
$ 
 0.00 
Indirect Cost Expenses (if authorized) 
$   30,053.00 
Total Contract Amount (Not to Exceed) 
$   330,280.00 
The County is authorized to transfer up to a maximum of twenty-five 
percent (25%) of the total budget amount between line items. 
Transfers exceeding twenty-five percent (25%) or to a non-funded 
line item shall require an amendment.

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 29 of 36 
 
 
Exhibit A- 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 
UEI # 
QMWUG1AMYF65 
  
  
Federal Award Identification (Grant Number): 
6 B04MC45199‐01‐01 
  
  
Subrecipient name (which must match the name associated with its 
unique entity identifier): 
Maricopa County 
  
  
Subrecipient's unique entity identifier (UEI #): 
LM85MG1513K5 
  
  
Federal Award Identification Number (FAIN, sometimes it’s the same 
as the Grant Number): 
B0445199 
  
  
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; 
12/15/2021 
  
  
Subaward Period of Performance Start and End Date; 
07/01/2022-06/30/2023 
  
  
Subaward Budget Period Start and End Date: 
07/01/2022-06/30/2023 
  
  
Amount of Federal Funds Obligated by this action by the pass-
through entity to the subrecipient (this is normally the contract 
amount): 
$254,915.67 
  
  
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): 
N/A 
  
  
Total Amount of the Federal Award committed to the subrecipient by 
the pass-through entity 
$433,961.00 
  
  
Federal award project description, as required to be responsive to 
the Federal Funding Accountability and Transparency Act (FFATA) 
Maternal and Child Health Services

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 30 of 36 
 
Name of Federal awarding agency, pass-through entity, and contact 
information for awarding official of the Pass-through entity 
 
 
 
Health Resources and Services Administration 
  
  
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: 
93.994 - Maternal and Child Health Services Block 
Grant to the States 
  
  
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 
17.97%

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 31 of 36 
 
Exhibit B- 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 
UEI # 
QMWUG1AMYF65 
  
  
Federal Award Identification (Grant Number): 
TBD 
  
  
Subrecipient name (which must match the name associated with its 
unique entity identifier): 
Maricopa County 
  
  
Subrecipient's unique entity identifier (UEI #): 
LM85MG1513K5 
  
  
Federal Award Identification Number (FAIN, sometimes it’s the same 
as the Grant Number): 
TBD 
  
  
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; 
TBD 
  
  
Subaward Period of Performance Start and End Date; 
07/01/2022-06/30/2023 
  
  
Subaward Budget Period Start and End Date: 
07/01/2022-06/30/2023 
  
  
Amount of Federal Funds Obligated by this action by the pass-
through entity to the subrecipient (this is normally the contract 
amount): 
$179,045.33 
  
  
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): 
N/A 
  
  
Total Amount of the Federal Award committed to the subrecipient by 
the pass-through entity 
$433,961.00 
  
  
Federal award project description, as required to be responsive to 
the Federal Funding Accountability and Transparency Act (FFATA) 
Maternal and Child Health Services

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 32 of 36 
 
Name of Federal awarding agency, pass-through entity, and contact 
information for awarding official of the Pass-through entity 
 
 
 
Health Resources and Services Administration 
  
  
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: 
93.994 - Maternal and Child Health Services Block 
Grant to the States 
  
  
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 
17.97%

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 33 of 36 
 
Exhibit C - 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 
UEI # 
QMWUG1AMYF65 
  
  
Federal Award Identification (Grant Number): 
1 NB01OT009394-01-00 
  
  
Subrecipient name (which must match the name associated with its 
unique entity identifier): 
Maricopa County Department of Public Health 
  
  
Subrecipient's unique entity identifier (UEI #): 
LM85MG1513K5 
  
  
Federal Award Identification Number (FAIN, sometimes it’s the same 
as the Grant Number): 
NB01OT009394 
  
  
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; 
08/30/2021 
  
  
Subaward Period of Performance Start and End Date; 
07/01/2022-06/30/2023 
  
  
Subaward Budget Period Start and End Date: 
07/01/2022-06/30/2023 
  
  
Amount of Federal Funds Obligated by this action by the pass-
through entity to the subrecipient (this is normally the contract 
amount): 
$82,570.00 
  
  
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): 
N/A 
  
  
Total Amount of the Federal Award committed to the subrecipient by 
the pass-through entity 
$330,280.00 
  
  
Federal award project description, as required to be responsive to 
the Federal Funding Accountability and Transparency Act (FFATA) 
Preventive Health and Health Services Block Grant

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 34 of 36 
 
Name of Federal awarding agency, pass-through entity, and contact 
information for awarding official of the Pass-through entity 
Centers for Disease Control and Prevention 
  
  
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: 
93.991 - Preventive Health and Health Services Block 
Grant 
  
  
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 
10%

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 35 of 36 
 
Exhibit D - 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 
UEI # 
QMWUG1AMYF65 
  
  
Federal Award Identification (Grant Number): 
TBD 
  
  
Subrecipient name (which must match the name associated with its 
unique entity identifier): 
Maricopa County Department of Public Health 
  
  
Subrecipient's unique entity identifier (UEI #): 
LM85MG1513K5 
  
  
Federal Award Identification Number (FAIN, sometimes it’s the same 
as the Grant Number): 
TBD 
  
  
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; 
TBD 
  
  
Subaward Period of Performance Start and End Date; 
07/01/2022-06/30/2023 
  
  
Subaward Budget Period Start and End Date: 
07/01/2022-06/30/2023 
  
  
Amount of Federal Funds Obligated by this action by the pass-
through entity to the subrecipient (this is normally the contract 
amount): 
$247,710.00 
  
  
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): 
N/A 
  
  
Total Amount of the Federal Award committed to the subrecipient by 
the pass-through entity 
$330,280.00 
  
  
Federal award project description, as required to be responsive to 
the Federal Funding Accountability and Transparency Act (FFATA) 
Preventive Health and Health Services Block Grant

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.:  CTR055260 
IGA Amendment No:  2 
Procurement Officer 
Diana Landeros 
 
Page 36 of 36 
 
Name of Federal awarding agency, pass-through entity, and contact 
information for awarding official of the Pass-through entity 
Centers for Disease Control and Prevention 
  
  
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: 
93.991 - Preventive Health and Health Services Block 
Grant 
  
  
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 
10%