VALLE DEL SOL CONTRACT 220288.DOCX
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Page 1 of 30 CONTRACT PURSUANT TO PH RFP 220288 This Contract is entered into this 1st day of September 2022 by and between Maricopa County (“County”), a political subdivision of the State of Arizona, and Valle Del Sol, an Arizona corporation/community-based organization (“Contractor”) for the purchase of services related to Federally Qualified Health Centers for COVID Response and Resilient Communities (CCR). 1.0 CONTRACT TERM: 1.1 This Contract is for a term of ten (10) months, beginning on the 1st day of September 2022 and ending the 30th day of June 2023. 1.2 The County may, at its option and with the agreement of the Contractor, renew the term of this Contract for additional terms up to a maximum of four (4) additional years, (or at the County’s sole discretion, extend the contract on a month-to-month bases for a maximum of six (6) months after expiration). The County shall notify the Contractor in writing of its intent to extend the Contract term at least sixty (60) calendar days prior to the expiration of the original contract term, or any additional term thereafter. 1.3 CONTRACT COMPLETION: The Contractor shall make all reasonable efforts for an orderly transition of its duties and responsibilities to another provider and/or to the County. This may include, but is not limited to, the preparation of a transition plan and cooperation with the County or other providers in the transition. The transition includes the transfer of all records, and other data in the possession, custody or control of Contractor required to be provided to the County either by the terms of this agreement or as a matter of law. The provisions of this clause shall survive the expiration or termination of this agreement. 2.0 PRICE ADJUSTMENTS: Any requests for reasonable price adjustments must be submitted sixty (60) calendar days prior to the Contract expiration date. Requests for adjustment in cost of labor and/or materials must be supported by appropriate documentation. The reasonableness of the request will be determined by comparing the request with the Consumer Price Index or by performing a market survey. If County agrees to the adjusted price terms, County shall issue written approval of the change and provide an updated version of the Contract. The new change shall not be in effect until the date stipulated on the Contract. 3.0 PAYMENTS: 3.1 As consideration for performance of the duties described herein, County shall pay Contractor the sum(s) stated in Exhibit “A.” 3.2 Payment shall be made upon the County’s receipt of a properly completed invoice. 3.3 INVOICES: Page 2 of 30 3.3.1 The Contractor shall submit one (1) legible copy of their detailed invoice before payment(s) will be made. Incomplete invoices will not be processed. At a minimum, the invoice must provide the following information: • Company name, address, and contact • County bill-to name and contact information • Contract Serial Number and Title • County purchase order number • Invoice number and date • Payment terms • Deliverable description • Total Amount Due 3.3.2 Problems regarding billing or invoicing shall be directed to the Department as listed on the Purchase Order. 3.3.3 Payment shall only be made to the Contractor by Accounts Payable through the Maricopa County Vendor Express Payment Program. This is an Electronic Funds Transfer (EFT) process. After Contract Award the Contractor shall complete the Vendor Registration Form located on the County Department of Finance Vendor Registration Web Site located at https://azdom-vss-ext.hostams.com/PRDVSS2X1/Advantage4 3.3.4 Discounts offered in the contract shall be calculated based on the date a properly completed invoice is received by the County. 3.3.5 EFT payments to the routing and account numbers designated by the Contractor will include the details on the specific invoices that the payment covers. The Contractor is required to discuss remittance delivery capabilities with their designated financial institution for access to those details. 3.4 APPLICABLE TAXES: 3.4.1 Payment of Taxes: The Contractor shall pay all applicable taxes. With respect to any installation labor on items that are not attached to real property performed by Contractor under the terms of this Contract, the installation labor cost and the gross receipts for materials provided shall be listed separately on the Contractor’s invoices. 3.4.2 State and Local Transaction Privilege Taxes: To the extent any State and local transaction privilege taxes apply to sales made under the terms of this Contract it is the responsibility of the seller to collect and remit all applicable taxes to the proper taxing jurisdiction of authority. 3.4.3 Tax Indemnification: 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 Maricopa County 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. 3.5 TAX (SERVICES): No tax shall be invoiced or paid against Contractor’s labor. It is the responsibility of the Contractor to determine any and all applicable taxes. 4.0 AVAILABILITY OF FUNDS: Page 3 of 30 4.1 The provisions of this Contract relating to payment for services shall become effective when funds assigned for the purpose of compensating the Contractor as herein provided are available to County for disbursement. The County shall be the sole judge and authority in determining the availability of funds under this Contract. County shall keep the Contractor fully informed as to the availability of funds. 4.2 If any action is taken by, any State agency, Federal department, or any other agency or instrumentality to suspend, decrease, or terminate its fiscal obligations under, or in connection with, this Contract, County may amend, suspend, decrease, or terminate its obligations under, or in connection with, this Contract. In the event of termination, County shall be liable for payment only for services rendered prior to the effective date of the termination, provided that such services are performed in accordance with the provisions of this Contract. County shall give written notice of the effective date of any suspension, amendment, or termination under this Section, at least ten (10) days in advance. 5.0 DUTIES: 5.1 The Contractor shall perform all duties stated in Exhibit “B”, or as otherwise directed in writing by the Procurement Officer. 6.0 TERMS AND CONDITIONS: 6.1 INDEMNIFICATION: To the fullest extent permitted by law, and to the extent that claims, damages, losses or expenses are not covered and paid by insurance purchased by the Contractor, the Contractor shall defend indemnify and hold harmless the County (as Owner), its agents, representatives, agents, officers, directors, officials, and employees from and against all claims, damages, losses, and expenses (including, but not limited to attorneys' fees, court costs, expert witness fees, and the costs and attorneys' fees for appellate proceedings) arising out of, or alleged to have resulted from the negligent acts, errors, omissions, or mistakes relating to the performance of this Contract. Contractor's duty to defend, indemnify, and hold harmless the County, its agents, representatives, agents, officers, directors, officials, and employees shall arise in connection with any claim, damage, loss, or expense that is attributable to bodily injury, sickness, disease, death or injury to, impairment of, or destruction of tangible property, including loss of use resulting there from, caused by negligent acts, errors, omissions, or mistakes in the performance of this Contract, but only to the extent caused by the negligent acts or omissions of the Contractor, a subcontractor, any one directly or indirectly employed by them, or anyone for whose acts they may be liable, regardless of whether or not such claim, damage, loss, or expense is caused in part by a party indemnified hereunder. The amount and type of insurance coverage requirements set forth herein will in no way be construed as limiting the scope of the indemnity in this paragraph. The scope of this indemnification does not extend to the sole negligence of County. 6.2 INSURANCE: 6.2.1 Contractor, at Contractor’s own expense, shall purchase and maintain the herein stipulated minimum insurance from a company or companies duly licensed by the State of Arizona and possessing a current A.M. Best, Inc. rating of B++. In lieu of State of Arizona licensing, the stipulated insurance may be purchased from a company or companies, which are authorized to do business in the State of Arizona, provided that said insurance companies meet the approval of County. The form of any insurance policies and forms must be acceptable to County. Page 4 of 30 6.2.2 All insurance required herein shall be maintained in full force and effect until all work or service required to be performed under the terms of the Contract is satisfactorily completed and formally accepted. Failure to do so may, at the sole discretion of County, constitute a material breach of this Contract. 6.2.3 Contractor’s insurance shall be primary insurance as respects County, and any insurance or self-insurance maintained by County shall not contribute to it. 6.2.4 Any failure to comply with the claim reporting provisions of the insurance policies or any breach of an insurance policy warranty shall not affect the County’s right to coverage afforded under the insurance policies. 6.2.5 The insurance policies may provide coverage that contains deductibles or self-insured retentions. Such deductible and/or self-insured retentions shall not be applicable with respect to the coverage provided to County under such policies. Contractor shall be solely responsible for the deductible and/or self-insured retention and County, at its option, may require Contractor to secure payment of such deductibles or self-insured retentions by a surety bond or an irrevocable and unconditional letter of credit. 6.2.6 The insurance policies required by this Contract, except Workers’ Compensation and Errors and Omissions, shall name County, its agents, representatives, officers, directors, officials and employees as Additional Insureds. 6.2.7 The policies required hereunder, except Workers’ Compensation and Errors and Omissions, shall contain a waiver of transfer of rights of recovery (subrogation) against County, its agents, representatives, officers, directors, officials and employees for any claims arising out of Contractor’s work or service. 6.2.8 Commercial General Liability: Commercial General Liability insurance and, if necessary, Commercial Umbrella insurance with a limit of not less than $2,000,000 for each occurrence, $4,000,000 Products/Completed Operations Aggregate, and $4,000,000 General Aggregate Limit. The policy shall include coverage for premises liability, bodily injury, broad form property damage, personal injury, products and completed operations and blanket contractual coverage, and shall not contain any provisions which would serve to limit third party action over claims. There shall be no endorsement or modifications of the CGL limiting the scope of coverage for liability arising from explosion, collapse, or underground property damage. 6.2.9 Automobile Liability: Commercial/Business Automobile Liability insurance and, if necessary, Commercial Umbrella insurance with a combined single limit for bodily injury and property damage of not less than $2,000,000 each occurrence with respect to any of the Contractor’s owned, hired, and non-owned vehicles assigned to or used in performance of the Contractor’s work or services or use or maintenance of the premises under this Contract. 6.2.10 Workers’ Compensation: Workers’ Compensation insurance to cover obligations imposed by Federal and State statutes having jurisdiction of Contractor’s employees engaged in the performance of the work or services under this Contract; and Employer’s Liability insurance of not less than $1,000,000 for each accident, $1,000,000 disease for each employee, and $1,000,000 disease policy limit. Contractor, its contractors and its subcontractors waive all rights against Contract and its agents, officers, directors and employees for recovery of damages to the extent these Page 5 of 30 damages are covered by the Workers’ Compensation and Employer’s Liability, or commercial umbrella liability insurance obtained by Contractor, its contractors and its subcontractors pursuant to this Contract. 6.2.11 Certificates of Insurance: 6.2.11.1 Prior to Contract award, Contractor shall furnish the County with valid and complete certificates of insurance, or formal endorsements as required by the Contract in the form provided by the County, issued by Contractor’s insurer(s), as evidence that policies providing the required coverage, conditions and limits required by this Contract are in full force and effect. Such certificates shall identify this contract number and title. 6.2.11.2 In the event any insurance policy(ies) required by this Contract is(are) written on a claims made basis, coverage shall extend for two years past completion and acceptance of Contractor’s work or services and as evidenced by annual Certificates of Insurance. 6.2.11.3 If a policy does expire during the life of the Contract, a renewal certificate must be sent to County fifteen (15) calendar days prior to the expiration date. 6.2.12 Cancellation and Expiration Notice: Applicable to all insurance policies required within the Insurance Requirements of this Contract, Contractor’s insurance shall not be permitted to expire, be suspended, be canceled, or be materially changed for any reason without thirty (30) days prior written notice to Maricopa County. Contractor must provide to Maricopa County, within two (2) business days of receipt, if they receive notice of a policy that has been or will be suspended, canceled, materially changed for any reason, has expired, or will be expiring. Such notice shall be sent directly to Maricopa County Office of Procurement Services and shall be mailed, or hand delivered, to 4041 N. Central Avenue, #1400, Phoenix, AZ 85012 or emailed to the Procurement Officer noted in the solicitation. 6.3 FORCE MAJEURE: 6.3.1 Neither party shall be liable for failure of performance, nor incur any liability to the other party on account of any loss or damage resulting from any delay or failure to perform all or any part of this Contract if such delay or failure is caused by events, occurrences, or causes beyond the reasonable control and without negligence of the parties. Such events, occurrences, or causes will include Acts of God/Nature (including fire, flood, earthquake, storm, hurricane or other natural disaster), war, invasion, act of foreign enemies, hostilities (whether war is declared or not), civil war, riots, rebellion, revolution, insurrection, military or usurped power or confiscation, terrorist activities, nationalization, government sanction, lockout, blockage, embargo, labor dispute, strike, interruption or failure of electricity or telecommunication service. 6.3.2 Each party, as applicable, shall give the other party notice of its inability to perform and particulars in reasonable detail of the cause of the inability. Each party must use best efforts to remedy the situation and remove, as soon as practicable, the cause of its inability to perform or comply. 6.3.3 The party asserting Force Majeure as a cause for non-performance shall have the burden of proving that reasonable steps were taken to minimize delay or damages caused by foreseeable events, that all non-excused obligations were substantially fulfilled, and that the other party was timely notified of the likelihood or actual occurrence which would justify such an assertion, so that other prudent precautions could be contemplated. Page 6 of 30 6.4 WARRANTY OF SERVICES: 6.4.1 The Contractor warrants that all services provided hereunder will conform to the requirements of the Contract, including all descriptions, specifications and attachments made a part of this Contract. County’s acceptance of services or goods provided by the Contractor shall not relieve the Contractor from its obligations under this warranty. 6.4.2 In addition to its other remedies, County may, at the Contractor's expense, require prompt correction of any services failing to meet the Contractor's warranty herein. Services corrected by the Contractor shall be subject to all the provisions of this Contract in the manner and to the same extent as services originally furnished hereunder. 6.5 INSPECTION OF SERVICES: 6.5.1 The Contractor shall provide and maintain an inspection system acceptable to County covering the services under this Contract. Complete records of all inspection work performed by the Contractor shall be maintained and made available to County during Contract performance and for as long afterwards as the Contract requires. 6.5.2 County has the right to inspect and test all services called for by the Contract, to the extent practicable at all times and places during the term of the Contract. County shall perform inspections and tests in a manner that will not unduly delay the work. 6.5.3 If any of the services do not conform to Contract requirements, County may require the Contractor to perform the services again in conformity with Contract requirements, at no cost to the County. When the defects in services cannot be corrected by re-performance, County may: 6.5.3.1 Require the Contractor to take necessary action to ensure that future performance conforms to Contract requirements; and 6.5.3.2 Reduce the Contract price to reflect the reduced value of the services performed. 6.5.4 If the Contractor fails to promptly perform the services again or to take the necessary action to ensure future performance in conformity with Contract requirements, County may: 6.5.4.1 By Contract or otherwise, perform the services and charge to the Contractor, through direct billing or through payment reduction, any cost incurred by County that is directly related to the performance of such service; or 6.5.4.1 Terminate the Contract for default. 6.6 ORDERING AUTHORITY: Any request for purchase shall be accompanied by a valid purchase order, issued by Office of Procurement Services, a Purchase Order issued by the using Department or direction by a Certified Agency Procurement Aid (CAPA) with a Purchase Card for payment. 6.7 NO MINIMUM OR MAXIMUM PURCHASE OBLIGATION: 6.7.1 This Contract does not guarantee any minimum or maximum purchases will be made. Orders will only be placed under this Contract when the County identifies a need and proper authorization and documentation have been approved. 6.7.2 Contractors agree to accept verbal notification of cancellation of Purchase Orders from the County Procurement Officer with written notification to follow. Contractor specifically acknowledges to be bound by this cancellation policy. Page 7 of 30 6.8 PURCHASE ORDERS: County reserves the right to cancel Purchase Orders within a reasonable period of time after issuance. Should a Purchase Order be canceled, the County agrees to reimburse the Contractor for actual and documentable costs incurred by the Contractor in response to the Purchase Order. The County will not reimburse the Contractor for any costs incurred after receipt of County notice of cancellation, or for lost profits, shipment of product prior to issuance of Purchase Order, etc. 6.9 SUSPENSION OF WORK: The Procurement Officer may order the Contractor, in writing, to suspend, delay, or interrupt all or any part of the work of this contract for the period of time that the Procurement Officer determines appropriate for the convenience of the County. No adjustment shall be made under this clause for any suspension, delay, or interruption to the extent that performance would have been so suspended, delayed, or interrupted by any other cause, including the fault or negligence of the Contractor. No request for adjustment under this clause shall be granted unless the claim, in an amount stated, is asserted in writing as soon as practicable after the termination of the suspension, delay, or interruption, but not later than the date of final payment under the Contract. 6.10 STOP WORK ORDER: The Procurement Officer 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 of ninety (90) calendar 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 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. Within a period of 90 calendar days after a stop-work is delivered to the Contractor, or within any extension of that period to which the parties shall have agreed, the Procurement Officer shall either: 6.10.1 Cancel the stop work order; or 6.10.2 Terminate the work covered by the order as provided in the Default, or the Termination for Convenience clause of this Contract. 6.10.3 The Procurement Officer may make an equitable adjustment in the delivery schedule and/or Contract price, or otherwise, and the Contract shall be modified, in writing, accordingly, if the Contractor demonstrates that the stop work order resulted in an increase in costs to the Contractor. 6.11 TERMINATION FOR CONVENIENCE: Maricopa County may terminate the Contract for convenience by providing sixty (60) calendar days advance notice to the Contractor. 6.12 TERMINATION FOR DEFAULT: The County may, by written notice of default to the Contractor, terminate this Contract in whole or in part if the Contractor fails to: 6.12.1 Deliver the supplies or to perform the services within the time specified in this Contract or any extension. 6.12.2 Make progress, so as to endanger performance of this Contract; or Page 8 of 30 6.12.3 Perform any of the other provisions of this Contract. The County’s right to terminate this contract under these subparagraphs may be exercised if the Contractor does not cure such failure within ten (10) business days (or more if authorized in writing by the County) after receipt of the notice from the Procurement Officer specifying the failure. 6.13 STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST: Notice is given that pursuant to A.R.S. § 38-511 the County may cancel any Contract without penalty or further obligation within three years after execution of the Contract, if any person significantly involved in initiating, negotiating, securing, drafting or creating the Contract on behalf of the County is at any time while the Contract or any extension of the Contract is in effect, an employee or agent of any other party to the Contract in any capacity or consultant to any other party of the Contract with respect to the subject matter of the Contract. Additionally, pursuant to A.R.S § 38-511 the County may recoup any fee or commission paid or due to any person significantly involved in initiating, negotiating, securing, drafting or creating the Contract on behalf of the County from any other party to the Contract arising as the result of the Contract. 6.14 CONTRACTOR LICENSE REQUIREMENT: The Contractor shall procure all permits, insurance, licenses and pay the charges and fees necessary and incidental to the lawful conduct of his/her business, and as necessary complete any required certification requirements, required by any and all governmental or non-governmental entities as mandated to maintain compliance with and in good standing for all permits and/or licenses. The Contractor shall keep fully informed of existing and future trade or industry requirements, Federal, State and Local laws, ordinances, and regulations which in any manner affect the fulfillment of a Contract and shall comply with the same. Contractor shall immediately notify both Office of Procurement Services and the Department of all changes concerning permits, insurance, or licenses. 6.15 SUBCONTRACTING: 6.15.1 The Contractor may not assign to another contractor or subcontract to another party for performance of the terms and conditions hereof without the written consent of the County. All correspondence authorizing subcontracting must reference the Contract Number and identify the job project. 6.15.2 The Subcontractor’s rate for the job shall not exceed that of the Prime Contractor’s rate, as bid in the pricing section, unless the Prime Contractor is willing to absorb any higher rates, or the County has approved the increase. The Subcontractor’s invoice shall be invoiced directly to the Prime Contractor, who in turn shall pass-through the costs to the County, without mark-up. A copy of the Subcontractor’s invoice must accompany the Prime Contractor’s invoice. 6.16 AMENDMENTS: All amendments to this Contract shall be in writing and approved/signed by both parties. The designated Procurement Officer shall be responsible for approving all amendments for Maricopa County. 6.17 ADDITIONS/DELETIONS OF REQUIREMENTS: The County reserves the right to add and/or delete materials and services to a Contract. If a service requirement is deleted, payment to the Contractor will be reduced proportionately to the amount of service reduced in accordance with the bid price. If additional materials or services are required from a Contract, prices for such additions will be negotiated between the Contractor and the County. 6.18 STRICT COMPLIANCE: Page 9 of 30 Acceptance by County of a performance that is not in strict compliance with the terms of the Contract shall not be deemed to be a waiver of strict compliance with respect to all other terms of the Contract. 6.19 VALIDITY: The invalidity, in whole or in part, of any provision of this Contract shall not void or affect the validity of any other provision of the Contract. 6.20 SEVERABILITY: The removal, in whole or in part, of any provision of this Contract shall not void or affect the validity of any other provision of this Contract. 6.21 RIGHTS IN DATA: The County shall have the use of data and reports resulting from a Contract without additional cost or other restriction except as may be established by law or applicable regulation. Each Party shall supply to the other Party, upon request, any available information that is relevant to a Contract and to the performance thereunder. 6.22 NON-DISCRIMINATION: Contractor agrees to comply with all provisions and requirements of Arizona Executive Order 2009- 09 including flow down of all provisions and requirements to any subcontractors. Executive Order 2009-09 supersedes Executive order 99-4 and amends Executive order 75-5 and may be viewed and downloaded at the Arizona State Library Research website (http://azmemory.azlibrary.gov/cdm/singleitem/collection/execorders/id/680/rec/1) which is hereby incorporated into this contract as if set forth in full herein. During the performance of this Contract, Contractor shall not discriminate against any employee, client, or any other individual in any way because of that person’s age, race, creed, color, religion, sex, disability, or national origin. 6.23 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION: 6.23.1 The undersigned (authorized official signing on behalf of the Contractor) certifies to the best of his or her knowledge and belief that the Contractor, it’s current officers and directors; 6.23.1.1 are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from being awarded any contract or grant by any United States Department or Agency or any state, or local jurisdiction; 6.23.1.2 have not within three (3) year period preceding this Contract; 6.23.1.2.1 been convicted of fraud or any criminal offense in connection with obtaining, attempting to obtain, or as the result of performing a government entity (Federal, State or local) transaction or contract; and 6.23.1.2.2 been convicted of violation of any Federal or State antitrust statues or conviction for embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property regarding a government entity transaction or contract; 6.23.1.2.3 are not presently indicted or criminally charged by a government entity (Federal, State or local) with commission of any criminal offenses in connection with obtaining, attempting to obtain, or as the result of performing a government entity public (Federal, State or Page 10 of 30 local) transaction or contract; and are not presently facing any civil charges from any governmental entity regarding obtaining, attempting to obtain, or from performing any governmental entity contract or other transaction; and have not within a three (3) year period preceding this Contract had any public transaction (Federal, State or local) terminated for cause or default. 6.23.1.3 If any of the above circumstances described in the paragraph are applicable to the entity submitting a bid for this requirement, include with your bid an explanation of the matter including any final resolution. 6.23.2 The Contractor shall include, without modification, this clause in all lower tier covered transactions (i.e., transactions with Subcontractors) and in all solicitations for lower tier covered transactions related to this Contract. 6.24 VERIFICATION REGARDING COMPLIANCE WITH A.R.S. §41-4401 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS: 6.24.1 By entering into the Contract, the Contractor warrants compliance with the Immigration and Nationality Act (INA using E-verify) and all other Federal immigration laws and regulations related to the immigration status of its employees and A.R.S. §23-214(A). The Contractor shall obtain statements from its subcontractors certifying compliance and shall furnish the statements to the Procurement Officer upon request. These warranties shall remain in effect through the term of the Contract. The Contractor and its subcontractors shall also maintain Employment Eligibility Verification forms (I-9) as required by the Immigration Reform and Control Act of 1986, as amended from time to time, for all employees performing work under the Contract and verify employee compliance using the E-verify system and shall keep a record of the verification for the duration of the employee’s employment or at least three (3) years, whichever is longer. I-9 forms are available for download at USCIS.GOV. 6.24.2 The County retains the legal right to inspect Contractor and subcontractor employee documents performing work under this Contract to verify compliance with paragraph 6.24.1 of this Section. Contractor and subcontractor shall be given reasonable notice of the County’s intent to inspect and shall make the documents available at the time and date specified. Should the County suspect or find that the Contractor or any of its subcontractors are not in compliance, the County will consider this a material breach of the Contract and may pursue any and 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. All costs necessary to verify compliance are the responsibility of the Contractor. 6.25 INFLUENCE: As prescribed in MC1-1203 of the Maricopa County Procurement Code, any effort to influence an employee or agent to breach the Maricopa County Ethical Code of Conduct or any ethical conduct may be grounds for Disbarment or Suspension under MC1-902. An attempt to influence includes, but is not limited to: 6.25.1 A Person offering or providing a gratuity, gift, tip, present, donation, money, entertainment or educational passes or tickets, or any type of valuable contribution or subsidy, 6.25.2 That is offered or given with the intent to influence a decision, obtain a contract, garner favorable treatment, or gain favorable consideration of any kind. If a Person attempts to influence any employee or agent of Maricopa County, the Chief Procurement Officer, or his designee, reserves the right to seek any remedy provided by the Maricopa County Procurement Code, any remedy in equity or in the law, or any remedy provided by this contract. Page 11 of 30 6.26 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO INFORM EMPLOYEES OF WHISTLERBLOWER RIGHTS: 6.26.1 The Parties agree that this Contract and employees working on this Contract will be subject to the whistleblower rights and remedies in the pilot program on Contractor employee whistleblower protections established at 41 U.S.C. § 4712 by section 828 of the National Defense Authorization Act for Fiscal Year 2013 (Pub. L. 112–239) and section 3.908 of the Federal Acquisition Regulation. 6.26.2 Contractor shall inform its employees in writing, in the predominant language of the workforce, of employee whistleblower rights and protections under 41 U.S.C. § 4712, as described in section 3.908 of the Federal Acquisition Regulation. Documentation of such employee notification must be kept on file by Contractor and copies provided to County upon request. 6.26.3 Contractor shall insert the substance of this clause, including this paragraph, in all subcontracts over the simplified acquisition threshold ($150,000 as of September 2013). 6.27 UNIFORM ADMINISTRATIVE REQUIREMENTS: By entering into this Contract, Contractor agrees to comply with all applicable provisions of Title 2, Subtitle A, Chapter II, PART 200—UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS contained in Title 2 C.F.R. § 200 et seq. 6.28 ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT AND/OR OTHER REVIEW: 6.28.1 In accordance with section MC1-371 of the Maricopa County Procurement Code the Contractor agrees to retain (physical or digital copies of) all books, records, accounts, statements, reports, files, and other records and back-up documentation relevant to this Contract for six (6) years after final payment or until after the resolution of any audit questions which could be more than six (6) years, whichever is latest. The County, Federal or State auditors and any other persons duly authorized by the Department shall have full access to, and the right to examine, copy and make use of, any and all said materials. 6.28.2 If the Contractor’s books, records, accounts, statements, reports, files, and other records and back-up documentation relevant to this Contract are not sufficient to support and document that requested services were provided, the Contractor shall reimburse Maricopa County for the services not so adequately supported and documented. 6.29 AUDIT DISALLOWANCES: If at any time it is determined by the County that a cost for which payment has been made is a disallowed cost, the County shall notify the Contractor in writing of the disallowance. The course of action to address the disallowance shall be at sole discretion of the County, and may include either an adjustment to future invoices, request for credit, request for a check or a deduction from current invoices submitted by the Contractor equal to the amount of the disallowance, or to require reimbursement forthwith of the disallowed amount by the Contractor by issuing a check payable to Maricopa County. 6.30 OFFSET FOR DAMAGES: In addition to all other remedies at Law or Equity, the County may offset from any money due to the Contractor any amounts Contractor owes to the County for damages resulting from breach or deficiencies in performance of the Contract. Page 12 of 30 6.31 CONFIDENTIAL INFORMATION: Any information obtained in the course of performing this Contract may include information that is proprietary or confidential to the County. This provision establishes the Contractor’s obligation regarding such information. The Contractor shall establish and maintain procedures and controls that are adequate to assure that no information contained in its records and/or obtained from the County or from others in carrying out its functions (services) under the Contract shall be used by or disclosed by it, its agents, officers, or employees, except as required to efficiently perform duties under the Contract. The Contractor’s procedures and controls at a minimum must be the same procedures and controls it uses to protect its own proprietary or confidential information. If, at any time during the duration of the Contract, the County determines that the procedures and controls in place are not adequate, the Contractor shall institute any new and/or additional measures requested by the County within fifteen (15) calendar days of the written request to do so. Any requests to the Contractor for County proprietary or confidential information shall be referred to the County for review and approval, prior to any dissemination. 6.32 PUBLIC RECORDS: Under Arizona law, all Offers submitted and opened are public records and must be retained by the Records Manager at the Office of Procurement Services. Offers shall be open to public inspection and copying after Contract award and execution, except for such Offers or sections thereof determined to contain proprietary or confidential information by the Office of Procurement Services. If an Offeror believes that information in its Offer or any resulting Contract should not be released in response to a public record request under Arizona law, the Offeror shall indicate the specific information deemed confidential or proprietary and submit a statement with its offer detailing the reasons that the information should not be disclosed. Such reasons shall include the specific harm or prejudice which may arise from disclosure. The Records Manager of the Office of Procurement Services shall determine whether the identified information is confidential pursuant to the Maricopa County Procurement Code. 6.33 PRICES: Contractor warrants those prices extended to County under this Contract are no higher than those paid by any other customer for these or similar services. 6.34 INTEGRATION: This Contract represents the entire and integrated agreement between the parties and supersedes all prior negotiations, proposals, communications, understandings, representations, or agreements, whether oral or written, express or implied. 6.35 RELATIONSHIPS: 6.35.1 In the performance of the services described herein, the Contractor shall act solely as an Independent Contractor or Subrecipient, and nothing herein or implied herein shall at any time be construed as to create the relationship of employer and employee, co-employee, partnership, principal and agent, or joint venture between the County and the Contractor. 6.35.2 For Task Order contracts: The County reserves the right of final approval on proposed staff for all services performed. Also, upon request by the County, the Contractor shall be required to remove any employees working on County projects and substitute personnel based on the discretion of the County within two (2) business days, unless previously approved by the County. Page 13 of 30 6.36 GOVERNING LAW: This Contract shall be governed by the laws of the State of Arizona. Venue for any actions or lawsuits involving this Contract will be in Maricopa County Superior Court, Phoenix, Arizona. 6.37 ORDER OF PRECEDENCE: In the event of a conflict in the provisions of this Contract and Contractor’s proposed initial or best and final response to the solicitation, the terms of this Contract shall prevail. 6.38 INCORPORATION OF DOCUMENTS: The following are to be attached to and made part of this Contract: 6.38.1 Exhibit A, Pricing and Budget Worksheets 6.38.2 Exhibit B, Scope of Work 6.38.3 Exhibit C, Office of Procurement Services Contractor Travel and Per Diem Policy 6.39 NOTICES: All notices given pursuant to the terms of this Contract shall be addressed to: For County: For Contractor: Maricopa County Department of Public Health Valle Del Sol Purchasing & Contracts Unit ATTN: Carmen Heredia, CEO ATTN: Cheryl Bucalo, Procurement Officer 3877 N. 7th Street, #400 4041 N. Central Avenue, #1400 Phoenix, AZ 85014 Phoenix, AZ 85012 CarmenH@ValleDelSol.com Cheryl.Bucalo@Maricopa.gov (602) 258-6797 (602) 506-6886 Page 14 of 30 IN WITNESS WHEREOF, this Contract is executed on the date set forth above. CONTRACTOR AUTHORIZED SIGNATURE PRINTED NAME AND TITLE ADDRESS DATE MARICOPA COUNTY CHAIRMAN, BOARD OF SUPERVISORS DATE ATTESTED: CLERK OF THE BOARD DATE APPROVED AS TO FORM: DEPUTY COUNTY ATTORNEY DATE Page 15 of 30 EXHIBIT A Page 16 of 30 Page 17 of 30 Page 18 of 30 SERIAL#: PH RFP 220288 Page 19 of 30 EXHIBIT B Scope of Work Original Scope of Work from Solicitation 2.0 GLOSSARY OF TERMS: 2.1 FQHC = Federally Qualified Health Centers: provide comprehensive services for underserved areas or populations. 2.2 CHW = Community Health Workers: Members of the community who work either for pay or as volunteers in association with the local health care system in both urban and rural environments. 2.3 RRO = Refugee Resettlement Organization: Resettlement is the transfer of refugees from an asylum country to another State, that has agreed to admit them and ultimately grant them permanent residence. Resettlement is a coordinated activity undertaken by in partnership with UNHCR, US government agencies, NGOs and other actors. 2.4 SVI = Social Vulnerability Index: Social vulnerability refers to the potential negative effects on communities caused by external stresses on human health. Such stresses include natural or human-caused disasters, or disease outbreaks. Reducing social vulnerability can decrease both human suffering and economic loss. The CDC/ATSDR Social Vulnerability Index (CDC/ATSDR SVI) uses 15 U.S. census variables to help local officials identify communities that may need support before, during, or after disasters. 2.5 SDOH = Social Determinants of Health: SDOH are the complex circumstances in which individuals are born and live that impact their health. They include intangible factors such as political, socioeconomic, and cultural constructs, as well as place-based conditions including accessible healthcare and education systems, safe environmental conditions, well-designed neighborhoods, and availability of healthful food. 2.6 SMS = Short Message Service: SMS, or "Short Message Service," refers to standard text messages that are sent using a cellular signal instead of an internet connection, unlike iMessage or other web-based messaging services. 2.7 IRB = Institutional Review Board: Group that has been formally designated to review and monitor biomedical research involving human subjects. 3.0 GOALS: Funded Proposals shall address the following goals: 3.1 Reduce the proportion of adults who report poor patient and provider communication. 3.2 Reduce disparities in COVID-19 health outcomes and mortality. 3.3 Reduced disparities in socio-economic impact of COVID-19 (such as job absence, home, or job loss.) 4.0 CONTRACTOR OPPORTUNITIES: 4.1 Federally Qualified Health Centers (FQHCs): 4.1.1 FQHC-Background: FQHCs will be identified and selected to become part of our multidisciplinary network of partners to develop and test innovative interventions within our five county regions (Northwest, Southwest, Central, Northeast, and Southeast) and disseminate those interventions that SERIAL#: PH RFP 220288 Page 20 of 30 demonstrate effectiveness to reducing disparities and increasing health literacy. Through this work we will collaborate on efforts to increase access and health literacy through evidence-based approaches, data analysis, and community engagement. 4.1.1.1 Establish the selected FQHC system as a community provider with multiple clinic sites within Maricopa County and as a network provider for those who may have vaccine hesitancy. 4.1.1.2 Identify unvaccinated patients who screen positive for Social Determinants of Health (SDOH) needs. 4.1.1.3 Offer referrals to a local Community Health Worker (CHW) organization trained on COVID-19 and vaccine hesitancy. 4.1.1.4 Increase health literacy support for those patients identified as needing contact tracing. 4.1.1.5 Utilize CHW model to improve testing and vaccination rates. 4.1.1.6 Utilize CHW model to address delayed care related to the COVID-19 pandemic. 4.1.1.7 Make available tools to help scale outreach to patients with information on COVID-19. 4.1.2 FQHC-Scope: 4.1.2.1 Sites in high social vulnerability index (SVI) areas: The selected FQHC shall partner with participating CHW organizations to improve testing, vaccination, and adherence to COVID-19 public health guidelines based on the model of care developed under the Health Literacy Grant in the following sites in high SVI areas: See Exhibit 2: Target Population: Top 4th Percentile Census Tracts Maricopa County. 4.1.2.2 CHW Partnerships: The selected FQHC will partner with community based CHWs identified by MCDPH. 4.1.2.3 Responsibility for the care and treatment of FQHC patients will remain with the FQHC provider. 4.1.2.4 The selected FQHC will be responsible to ensure the appropriate agreements are in place to allow sharing of patient level data with CHWs they partner with. 4.1.2.5 The selected FQHC will be responsible to ensure compliance with existing state and federal laws, including HIPAA. 4.1.2.6 The CHWs assigned to the FQHC will be required to receive training approved by MCDPH. 4.1.3 FQHC-Objectives: 4.1.3.1 FQHC-Objective #1: Provide CHW workforce support for community events where COVID-19 vaccine hesitancy is identified as a barrier to COVID-19 vaccinations. 4.1.3.1.1This support will be utilized within the selected FQHCs as an intake service. 4.1.3.1.2Provide appropriate workforce to support and link community events and clinic walk- ins when assigned for referrals. 4.1.3.1.3CHWs should be assigned in pairs when providing support under these objectives in the community, when possible. 4.1.3.1.4CHWs should be skilled at community engagement and bi-lingual in the language identified by MCDPH. 4.1.3.2 FQHC-Objective #2: Collect data from program participants pertinent to project objectives; generate action referrals to improve community health. 4.1.3.2.1Data collection methods will be prescriptive and abide by local governmental guidelines in respect to the ongoing Covid-19 pandemic and HIPAA. SERIAL#: PH RFP 220288 Page 21 of 30 4.1.3.2.2HIPAA compliant, secure 2-way texting will be utilized for population outreach including the ability for care managers at FQHCs and CHWs, and/or patients to care managers/CHWs to engage in real time based on patient responses. 4.1.3.2.3MCDPH will collaborate with the selected FQHC to identify up to 5 populations for targeted outreach such as: vaccine related, gaps related to chronic disease, gaps related to preventative care/screenings, and recommendations for message cadence. 4.1.3.2.4Detailed instructions will be published to FQHC that cover the methods, Institutional Review Board (IRB) clearance, and coordinating instruction pertaining to technical requirements that govern community-based research. 4.1.3.2.5Document all referral actions within database designed for this specific clinical linkage model. 4.1.4 FQHC-Staffing: 4.1.4.1 The selected FQHC shall provide all necessary personnel and resources to implement the clinical linkage model as instructed by MCDPH. 4.1.4.2 The selected FQHC will provide a single point of contact to MCDPH in the performance of this contract. 4.1.4.3 The selected FQHC personnel will be available for weekly meetings with MCDPH during project implementation, moving to bimonthly with an agenda to update and continuously improve project implementation. 4.1.4.4 The selected FQHC shall participate in joint meetings with other FQHCs contracted by MCDPH. 4.1.5 FQHC-Training: 4.1.5.1 A training template for this project is in development and shall be required for training of care coordinators. 4.1.5.2 Training subjects will include COVID-19, technology platform, workflows, and other trainings deemed necessary for the success of this project or deemed necessary by the project leadership. 4.1.5.3 A “Train the Trainer” model will be utilized. 4.1.5.4 The FQHC organization is responsible to ensure any employee that is unable to attend the initial training is trained by their internal trainer and is documented. 4.1.5.5 All training subjects will be made available via a virtual content library. 4.1.6 FQHC-Population Health and Outcomes Data Mining: 4.1.6.1 The selected FQHC will utilize its data tools to identify populations eligible for vaccination (initial series or booster), those who test positive for COVID-19, or have other healthcare needs or gaps related to delayed care during the COVID-19 pandemic. 4.1.6.2 The selected FQHC will utilize its data tools to develop reports measuring the outcome of its participation in this project, including vaccination rates and data related to closing gaps in care. SERIAL#: PH RFP 220288 Page 22 of 30 4.1.6.3 Data specifications will be determined in consultation with the project managers. 4.1.7 FQHC-Supporting Community-Based Testing, Vaccination, and Health Literacy: 4.1.7.1 The selected FQHC will provide a schedule of vaccination, community education, and testing events that are scheduled in low SVI communities, 90-days in advance. 4.1.7.2 The selected FQHC will coordinate with immunization and testing campaigns organized by MCDPH partner providers to improve access to testing, vaccination, and promotion of COVID- 19 health information. 4.1.8 FQHC-Screening Tool for The Social Determinants of Health (SDOH): 4.1.8.1 The selected FQHC shall consistently utilize a Social Determinants of Health (SDOH) screening tool across their patient population. 4.1.9 FQHC-Referral Process: 4.1.9.1 The selected FQHC shall integrate Community Health Worker organizations into its clinical workflows related to the testing, treatment, and vaccination of eligible patients with social needs/SDOH barriers to adherence. 4.1.9.2 The process to action referrals from the community through the Federally Qualified Health Center (FQHC) is outlined below: 4.1.9.2.1 Identify patients eligible for this program through use of data analysis of their populations served. Data required will be determined in collaboration with the managers of this project. 4.1.9.2.2 FQHC will screen and document patients utilizing the social determinants of health. The FQHC will offer a referral to CHWs based on their SDOH needs. 4.1.9.3 The process flow of referral information is described as follows (See Exhibit 3): 4.1.9.3.1 Upon completion of patient identification or assessment, the Care Coordinator will either provide necessary information or provide navigation. 4.1.9.3.2 The Care Coordinator will notify the assigned CHW of the referral opportunity utilizing an electronic process defined by the Maricopa County Department of Public Health project team and may require establishing and maintaining an SSH File Transfer Protocol (SFTP) to securely share patient information. 4.1.9.3.3 Provide data analysis for any data required to determine the outcomes of the project. 4.1.10 FQHC-Targeted Outreach: 4.1.10.1 The selected FQHC will partner with Providertech™ to develop SMS outreach workflow. 4.1.10.2 Outreach will be conducted via secure SMS or telephone calls to patients identified as not yet vaccinated. 4.1.10.3 The process flow of referral information is described below (See Exhibit 3): SERIAL#: PH RFP 220288 Page 23 of 30 4.1.10.3.1 The selected FQHC will share file with specified patient data including first name, last name, phone number, medical record number (or other ID), and language preference. 4.1.10.3.2 Providertech™ will send short message service (SMS) outreach and FQHC/CHW partnership will facilitate patient responses and transfer to the selected FQHC when indicated. 4.1.11 FQHC-Deliverables/Services: 4.1.11.1 FQHC-Event Support: Assignments for support of events will be identified by MCDPH, according to this agreement. Events will focus on community hesitancy with COVID 19 vaccinations within those community members who are of low SVI and will be identified/assigned in advance. 4.1.11.2 FQHC-Data points: Data from community members who are serviced will be collected within a prescribed workflow and handled within appropriate federal guidelines. 4.1.11.3 FQHC-Data collection: Data collection shall be done electronically. Information shall be housed in accordance to prescribed workflow. 4.1.11.3.1 Utilize a HIPAA compliant text platform, with ability to send text messages to patient populations (provided). 4.1.11.3.2 HIPAA compliant 2-way texting ability with care managers at FQHCs and CHWs, and/or patients to care managers/CHWs. 5.0 REPORTING: 5.1 MCDPH shall require monthly progress reports as well as quarterly summaries along with an invoice. Templates shall be provided to the Contractor within 10 days of contract start date. 5.2 Other reporting may be necessary as agreed upon with Contractor 6.0 COMPENSATION: 6.1 Responses shall contain a proposed one-year budget detailing all anticipated costs to perform the services as stated in the scope of work. Proposed budget shall include the following broad categories at a minimum: 6.1.1 Salaries and Wages 6.1.2 Fringe Benefits 6.1.3 Equipment and Supplies 6.1.4 Contractual Services 6.1.5 Indirect (capped at a maximum of 15% of the subtotal budget) 6.2 To ensure equitable access to resources and assist smaller agencies with limited resources but with strong ties to their community, a portion of the total budget shall be provided in advance and then quarterly thereafter upon submission of an approved report and invoice. Please note that Indirect costs are predetermined at 15% of total costs. 6.3 FQHC-Unauthorized Use of Funding: SERIAL#: PH RFP 220288 Page 24 of 30 6.3.1 The following types of expenditures are unallowable, and funds may not be used to purchase any of the following: 6.3.1.1 Food, snacks, or meals for staff or community 6.3.1.2 Gift cards or any other incentives 6.4 The following table depicts the expected deliverables and their associated due date: Deliverable Deadline % of Total Contract Award Invoice #1 – To be submitted following a post- award meeting with MCDPH September 10, 2022 30% September 2022 – October 2022 Report & Invoice November 10, 2022 15% November 2022 – December 2022 Report and Invoice January 10, 2023 15% January 2023 – March 2023 Report and Invoice April 10, 2023 15% April 2023 – June 2023 Final Report and Invoice July 10, 2023 25% SERIAL#: PH RFP 220288 Page 25 of 30 Contractor’s Response 9.5.1 Executive Summary Valle del Sol, Inc (VdS) is seeking funding via this opportunity from Maricopa County Department of Public Health (MCDPH) to partner as a Federally Qualified Health Center (FQHC) providing services for residents within Maricopa County disproportionately impacted by social determinants of health (SDOH) to achieve our shared goal to increase health literacy and provide communication assistance in the effort to increase awareness in the detection and prevention of Covid-19. Equity and culturally competent care have been at the center of Valle del Sol’s mission since it began providing services to the underrepresented communities in Maricopa County more than 50 years ago. We know that almost nine out of 10 adults have difficulty understanding health information and that disproportionately negatively affects lower socioeconomic and minority groups. Valle del Sol was recently nationally recognized by HRSA as a top reducer of health disparities. Powered by more than 50 years of experience, VdS is a FQHC, a healthcare provider, and a trusted partner in the Maricopa County Latino community. VdS served upwards of 13,000 people in 2021 – a reduced volume from the prior year due to Covid-19. Prior to Covid-19, VdS was seeing more than 19,000 patients per year. Consistently, over 82 percent of VdS patients fall below the Federal poverty line. More than 75 percent of VdS patients receive Medicare or Medicaid. VdS has been serving the primary care, behavioral health, and substance abuse needs of underserved communities in the greater Phoenix metropolitan area since 1970. Our mission is “to inspire positive change by investing in health and human services to strengthen families with tools and skills for self-sufficiency and by building the next generation of Latino and diverse leaders.” VdS proposes to join MCDPH as the FQHC among it multidisciplinary network of partners to develop and evaluate innovative interventions within its five county regions (Northwest, Southwest, Central, Northeast, and Southeast) and disseminate those interventions that demonstrate effectiveness in reducing disparities and increasing health literacy. VdS will provide FQHC services as well as collaborate with Maricopa County, and its identified partners to increase access to services and improve health literacy through evidence-based approaches, data analysis, and community engagement. As Maricopa County’s most prominent FQHC with existing, trusted, relationships within Latino and underserved communities, VdS is the most well-positioned FQHC partner to provide services at our six clinic sites and via our highly impactful Mobile Units. VdS Mobile Units allow us to provide our FQHC services through school-based programs and in community settings. VdS is committed to meeting people ‘where they are at’ – quite literally – so once identifying populations who screen positive for SDOH and located in the specific Census Tracts Maricopa County has identified, VdS services can be provided without the barrier of transportation or access. Further, VdS will utilize Community Health Workers (CHWs) in its clinic locations and sites where the Mobile Units are established in order to address health literacy issues. We learned during the Covid-19 pandemic, that VdS is the place people in underserved populations KNOW and TRUST. When the global pandemic hit communities in Maricopa County, Valle del Sol began offering testing, then vaccinations, for Covid-19. VdS vaccinated more than 11,000 people through our Mobile Units. However, despite efforts so far, Latinos continue to be disproportionately negatively impacted by Covid-19 with less than 20 percent of Latinos fully vaccinated. VdS is the ideal partner to serve as the provider of FQHC services for this health literacy initiative. VdS is a proven community partner and a good investment for MCDPH’s Health Literacy and Covid Response and Resilient Communities (CCR) funding opportunity. Valle del Sol is seeking funding in the amount of $677,925 to be the FQHC for this MCDPH initiative. SERIAL#: PH RFP 220288 Page 26 of 30 9.5.2 Proposal Valle del Sol, Inc (VdS) is seeking funding via this opportunity from Maricopa County Department of Public Health (MCDPH) to partner with MCDPH as a Federally Qualified Health Center (FQHC) to provide services for people in communities disproportionately impacted by social determinants of health (SDOH) and to provide assistance to MCDPH to aid in the efforts to increase awareness in the detection and prevention of Covid-19. With an estimated population of four million and growing, Maricopa County is home to over half of Arizona’s residents. An ethnically and culturally diverse population, residents are comprised of more than 1.2 million Hispanics (30 percent of all residents), 197,000 African Americans, 156,000 Asian Americans, and 65,000 Native Americans. More than 30 percent of all Maricopa County residents are non-English speaking. Of Maricopa County’s Hispanic population, less than 20 percent are vaccinated for Covid-19. Valle del Sol is the FQHC that has partnered with diverse and underserved populations of Maricopa County for over 50 years, and we propose to leverage our role as a trusted care provider within communities impacted by SDOH, and especially underserved Latino communities, to successfully collaborate with MCDPH on this initiative. With multiple clinic sites (six) within Maricopa County and our three Mobile Units, VdS is the ideal provider for those who may have vaccine hesitancy, as well as to help improve health literacy and communication, and to assistant in increasing awareness in the community about detection and prevention of Covid-19. Further, VdS is committed working with the CHW workforce to address health literacy, vaccine hesitancy, and trust in healthcare through a concentrated effort of relationship building and text messaging leveraging CHWs as the bridge for patients to receive care, preventative care, and vaccines from VdS. VdS will leverage its existing strong relationships with community health organizations throughout our communities in Maricopa County to improve health literacy, to reduce the proportion of adults who report poor patient-provider communications, reduce disparities in Covid-19 health outcomes and mortality, and reduce disparities in socioeconomic impact of Covid-19. As a leading provider of community health services in Maricopa County, VdS is prepared to leverage our existing employed CHWs, and to work with CHW partner organizations as chosen by MCDPH, to function as liaisons with populations continuing to exhibit vaccine hesitancy. Once selected as MCDPH’s CCR FQHC Partner we will work to determine unvaccinated populations with impacts of social determinants of health (SDOH). VdS will work to identify unvaccinated patients who screen positive SDOH needs. VdS will offer referrals to CHWs trained on Covid-19 and vaccine hesitancy. VdS will work to Increase health literacy support for those patients identified as needing contact tracing, leverage trained CHWs to improve testing and vaccination rates as well as to address care that was delayed due to the pandemic. VdS will also leverage its patient texting program and protocols to increase outreach to patients with information about Covid- 19. Once selected as the FQHC for this initiative, VdS will leverage its own CHWs as well as partner with community based CHWs identified by MCDPH. The FQHC will provide appropriate workforce to support and link community events and clinic walk-ins and Mobile Unit walk-ins when assigned for referrals. VdS will work to assign CHWs in pairs when providing support in the community. VdS CHWs are skilled at community engagement and bi-lingual English and Spanish and have experience working at community events – leveraging them as intake service opportunities – and with walk-ins in both the clinic and Mobile Unit setting. Additionally, VdS is committed to gathering the data from program participants pertinent to MCDPH’s objectives. VdS will use data collection methods as prescribed by MCDPH guidelines in respect to the ongoing Covid-19 pandemic and HIPAA. VdS already contracts with a HIPAA compliant, secure two-way texting platform it could use for population outreach including the ability for care managers at the FQHC and CHWs, to engage in real time text messaging exchanges with SERIAL#: PH RFP 220288 Page 27 of 30 patients. If MCDPH prefer VdS to utilize a different contractor for HIPAA compliant text exchange, VdS is open to discussing a transition of platforms. VdS looks forward to collaboration with MCDPH to identify populations (five populations) to receive outreach messages from the FQHC and looks forward to discussing the details of the targeted outreach strategy, such as: the aforementioned messaging platform, the vaccine related content, the issues around Covid-19 induced gaps in care related to chronic disease and gaps related to preventative care/screenings, and recommendations for message cadence. Once selected as the FQHC, VdS will review all the methods, Institutional Review Board (IRB) clearance, and coordinating instructions pertaining to technical requirements that govern community-based research. Further, VdS will document all referral actions within database designed for this specific clinical linkage model. VdS’ CHW workforce will attend training provided by MCDPH; and as the FQHC for this initiative, VdS will ensure all the appropriate documentation and agreements are solidified. VdS also will be responsible to gather and share patient level data with all partnered CHWs working on this initiative. Valle del Sol’s Mobile Units already participate in more than 100 community-based and school-based events annually. Another Mobile Unit will be added to our fleet of impactful community outreach vehicles in Dec. 2022. Our Mobile Units are ideal for community engagement, health literacy promotion, and provide a great opportunity for CHW referrals. Our Mobile Units exist to bring care to our patients --where they are! VdS’ objectives through this CCR Partnership are to provide additional support for community events where Covid-19 hesitancy has been identified as a barrier to vaccination. With the training provided to our CHW workforce, we plan to have CHWs assigned to each of our FQHC clinics and to our Mobile Units to link with patients immediately at community events and for walk-ins expeditiously upon referral. As the selected FQHC for this initiative, Valle del Sol will participate in all meetings, reporting, and data collection activities as prescribed by Maricopa County and will act quickly upon award to identify one single point of contact for the project. 9.5.3 Qualifications Valle del Sol is a 501(c)(3) nonprofit organization and FQHC that has been serving the primary care, behavioral health, and substance abuse needs of underserved communities in the greater Phoenix metropolitan area since 1970. Our mission is “to inspire positive change by investing in health and human services to strengthen families with tools and skills for self-sufficiency and by building the next generation of Latino and diverse leaders.” Equity and culturally competent care have been at the center of Valle del Sol’s mission since it began providing services to the underrepresented communities in Maricopa County more than 50 years ago. Since our inception, VdS has developed a deep understanding of the needs and strengths of its communities, particularly Maricopa County’s Latino neighborhoods. This connection to the community has positioned VdS as a key advocate for underserved populations regarding healthcare needs and places our thriving FQHC in the center of addressing health disparities locally and statewide. In fact, Valle del Sol was recently nationally recognized by HRSA as a top reducer of health disparities. VdS is the ideal FQHC to partner with MCDPH on this initiative because VdS is already a trusted provider of services to vulnerable populations in Maricopa County. Populations we serve are individuals and families with serious mental illness (SMI); substance use disorders (SUD), including opioid use disorders; children and adolescents with serious emotional disturbance (SED); individuals with co-occurring physical, mental and SUDs conditions (COD); Page 28 of 30 and specific programs for veterans or active military. Our specific emphasis is on Hispanic patients, uninsured and underinsured individuals, and individuals with COD. Based on available health data for the area, one of the largest problems facing the four million Maricopa County residents, especially the uninsured and underinsured, is a lack of access to care. Maricopa County has 12 Medically Underserved Areas (MUAs) and three Medically Underserved Populations (MUPs), 45 primary medical care (PCP) Health Professional Shortage Areas (HPSAs) and 39 mental health HPSAs, including in VdS’ service area. The impact of these HPSAs on care, especially behavioral health, SUD, and COD services, is profound as care is delayed weeks and sometimes months, and patients spend hours in emergency departments. Moreover, the PCP shortage means that many residents in the County do not have access to a referral source for behavioral health and SUD services. In the last 12 months, VdS served 13,300 patients, a dip over the past years’ number, due to the global Covid-19 pandemic. Overall, demand at our clinics has been far outweighing supply of providers and services. We know the global pandemic caused 'would-be patients' to stay home self-care for acute healthcare situations; and, caused patients with ongoing, chronic, health issues to skip regular checkups and scheduled appointments. By the end of 2022, however, it is projected that our clinics will return to -and likely surpass- pre-pandemic patient volumes. Industry projections are that by the end of 2022, healthcare patient volumes will increase by 25 percent beyond pre-pandemic visits. Powered by our more than 50 years of experience, Valle del Sol is a trusted healthcare provider and partner in the Latino community. We have grown to six clinic locations and two Mobile Units. More than 82 percent of our patients fall below the national poverty line. More than 75 percent of our patients receive Medicare or Medicaid. Founded with advocacy and inclusion as its roots, Valle del Sol is a trusted direct service provider for Phoenix’s Latino communities and we are renowned statewide for our has a philosophy of inclusion, offering services to anyone who seeks them, and acting as a community activist for the Latino community and other peoples who are underserved. Community involvement is a critical component of Valle del Sol as we advocate for those in need. By providing the assistance our community needs regarding access to healthcare, and above all by bringing healthcare to those who need it – where they need it – we have built trust. We bring aid into neighborhoods, eliminating travel issues, childcare issues and other aspects that make up reasons medical appointments are cancelled or never made. VdS is the best choice as the FQHC for this initiative as we are fully engaged and integrated with Maricopa County’s most vulnerable populations and local communities, and we maintain a position of strong credibility within them. We have built our long-standing reputation of caring for vulnerable populations – meeting them where they are – by providing consistent and quality FQHC services throughout the years. We demonstrated our ability to leverage our credibility during the Covid-19 pandemic when we were able to quickly mobilize to vaccinate more than 11,000 people. Further, the work of VdS Mobile Units, community outreach, and CHWs demonstrate that VdS has already consistently leveraged the clinic linkage model proposed by MCDPH for this initiative. Page 29 of 30 EXHIBIT C OFFICE OF PROCUREMENT SERVICES CONTRACTOR TRAVEL AND PER DIEM POLICY 1.0 All contract-related travel plans and arrangements shall be prior-approved by the County Contract Administrator. 2.0 Lodging, per diem and incidental expenses incurred in performance of Maricopa County/Special District (County) contracts shall be reimbursed based on current U.S. General Services Administration (GSA) domestic per diem rates for Phoenix, Arizona. Contractors must access the following internet site to determine rates (no exceptions): (www.gsa.gov). 2.1 Additional incidental expenses (i.e., telephone, fax, internet and copying charges) shall not be reimbursed. They should be included in the contractor’s hourly rate as an overhead charge. 2.2 The County will not (under no circumstances) reimburse for Contractor guest lodging, per diem or incidentals. 3.0 Commercial air travel shall be reimbursed as follows: 3.1 Coach airfare will be reimbursed by the County. Business class airfare may be allowed only when preapproved in writing by the County Contract Administrator as a result of the business need of the County when there is no lower fare available. 3.2 The lowest direct flight airfare rate from the Contractors assigned duty post (pre-defined at the time of contract signing) will be reimbursed. Under no circumstances will the County reimburse for airfares related to transportation to or from an alternate site. 3.3 The County will not (under no circumstances) reimburse for Contractor guest commercial air travel. 4.0 Rental vehicles may only be used if such use would result in an overall reduction in the total cost of the trip, not for the personal convenience of the traveler. Multiple vehicles for the same set of travelers for the same travel period will not be permitted without prior written approval by the County Contract Administrator. 4.1 Purchase of comprehensive and collision liability insurance shall be at the expense of the contractor. The County will not reimburse contractor if the contractor chooses to purchase this coverage. 4.2 Rental vehicles are restricted to sub-compact, compact or mid-size sedans unless a larger vehicle is necessary for cost efficiency due to the number of travelers. (NOTE: contractors shall obtain pre- approval in writing from the County Contract Administrator prior to rental of a larger vehicle.) 4.3 County will reimburse for parking expenses if free, public parking is not available within a reasonable distance of the place of County business. All opportunities must be exhausted prior to securing parking that incurs costs for the County. Opportunities to be reviewed are the DASH; shuttles, etc. that can transport the contractor to and from County buildings with minimal costs. 4.4 County will reimburse for the lowest rate, long-term uncovered (e.g. covered or enclosed parking will not be reimbursed) airport parking only if it is less expensive than shuttle service to and from the airport. 4.5 The County will not (under no circumstances) reimburse the Contractor for guest vehicle rental(s) or other any transportation costs. 5.0 Contractor is responsible for all costs not directly related to the travel except those that have been pre- approved by the County Contract Administrator. These costs include (but not limited to) the following: in- Page 30 of 30 room movies, valet service, valet parking, laundry service, costs associated with storing luggage at a hotel, fuel costs associated with non-County activities, tips that exceed the per diem allowance, health club fees, and entertainment costs. Claims for unauthorized travel expenses will not be honored and are not reimbursable. 6.0 Travel and per diem expenses shall be capped at 15% of project price unless otherwise specified in individual contracts. 7.0 Contractor shall provide, (upon request) with their invoice(s), copies of receipts supporting travel and per diem expenses, and if applicable with a copy of the written consent issued by the Contract Administrator. No travel and per diem expenses shall be paid by County without copies of the written consent as described in this policy and copies of all receipts.