MRC RISE 22 - 2665 MARICOPA COUNTY PUBLIC HEALTH - CONTRACT.PDF
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National Association of County and City Health Officials
AGREEMENT
National Association of County and City Health Officials
1201 (I) Eye Street NW 4th Fl., Washington, DC 20005
Tel. (202)783-5550 Fax. (202)783-1583
1
CONTRACT # MRC RISE 22 - 2665
This Agreement is entered into, effective as of the date of the later signature indicated below
(the “Effective Date”), by and between the National Association of County and City Health
Officials (“NACCHO”), with its principal place of business at 1201 (I) Eye Street NW 4th Fl.,
Washington, DC 20005 and Maricopa County Department of Public Health (“Organization”),
with its principal place of business at 4041 N Central Ave Suite 1400, Phoenix, AZ 85012.
WHEREAS, NACCHO has received a grant from the Department of Health and Human
Services’ Office of the Assistant Secretary of Preparedness and Response (Grant No. 6 HITEP
200045-02-06, CFDA # 93.008) (the “Grant”) to build the capacity of local Medical Reserve Corps
(“MRC”) units;
WHEREAS, pursuant to the terms of the Grant, NACCHO has agreed, among other things,
to provide support to MRC units and to encourage these units to provide certain information to The
Office of the Assistant Secretary of Preparedness and Response, Medical Reserve Corps Program
(“MRC Program”);
WHEREAS, Organization is either an MRC state level coordinator, a unit sponsoring
agency or an MRC unit that is registered in good standing with the MRC Program;
WHEREAS, pursuant to the terms of the Grant, NACCHO desires to provide funding to
Organization in exchange for Organization agreeing, among other things, to undertake the
activities indicated in their capacity building application or oversee such activities and to provide
certain information to the MRC Program;
NOW, THEREFORE, NACCHO and Organization, intending to be legally bound, in
consideration of the promises and mutual covenants and obligations contained herein, hereby agree
as follows:
1. TERM OF AGREEMENT: The term of the Agreement shall begin from the Effective Date and
shall continue until December 31, 2022 (the “Term”).
2. PAYMENT FOR SERVICES: In consideration for the completion of services performed by
Organization as set forth in Section 3, NACCHO shall pay Organization a Firm Fixed Price
payment of $75,000.00. The parties agree that payment method shall be made by check, via
postage-paid first-class mail, at the address for the giving of notices as set forth in Section 27 of
this Agreement. Any changes of payment method would require a modification signed by both
parties.
National Association of County and City Health Officials
AGREEMENT
National Association of County and City Health Officials
1201 (I) Eye Street NW 4th Fl., Washington, DC 20005
Tel. (202)783-5550 Fax. (202)783-1583
2
3. ORGANIZATION’S OBLIGATIONS: In consideration for the payment described,
Organization agrees, during the Term of this Agreement, by performing the following criteria
below:
a. Has 501c (3) status, is a governmental agency, or is an organization capable of and willing to
receive federal funds.
b. Organization receiving the funds must be registered and approved in SAM.gov.
c. Utilizes MRC Respond, Innovate, Sustain, and Equip Award funds for approved purposes,
and as indicated in their award application.
d. Submission of Deliverable 1, final approved budget, and program workplan using the
templates provided by NACCHO, and signed contract by July 11, 2022. (Required to receive
payment of $26,250) See Appendix A Workplan and Appendix B Budget.
e. Submission of Deliverable 2, in-progress report by September 30, 2022. (Required to receive
payment of $26,250). See Appendix C.
f. Submission of Deliverable 3, participation in up to three monthly collaborative meetings and
complete a final program report by December 30, 2022. (Required to receive final payment
of $22,500). See Appendix D.
4. INDEPENDENT CONTRACTOR: Organization shall act as an independent contractor, and
Organization shall not be entitled to any benefits to which NACCHO employees may be entitled.
5. PAYMENT OF TAXES AND OTHER LEVIES: Organization shall be exclusively responsible
for reporting and payment of all income tax payments, unemployment insurance, worker's
compensation insurance, social security obligations, and similar taxes and levies.
6. LIABILITY: All liability to third parties, loss, or damage as a result of claims, demands, costs,
or judgments arising out of activities, such as direct service delivery, to be carried out by the
Organization in the performance of this agreement shall be the responsibility of the
Organization, and not the responsibility of NACCHO, if the liability, loss, or damage is caused
by, or arises out of, the actions of failure to act on the part of the Organization, any
subcontractor, anyone directly or indirectly employed by the Organization.
All liability to third parties, loss, or damage as result of claims, demands, costs, or judgments
arising out of activities, such as the provision of policy and procedural direction, to be carried
out by NACCHO in the performance of this agreement shall be the responsibility of NACCHO,
and not the responsibility of the Organization, if the liability, loss, or damage is caused by, or
arises out of, the action or failure to act on the part of any NACCHO employee.
In the event that liability to third parties, loss, or damage arises as a result of activities
conducted jointly by the Organization and NACCHO in fulfillment of their responsibilities
under this agreement, such liability, loss, or damage shall be borne by the Organization and
NACCHO in relation to each party’s responsibilities under these joint activities.
National Association of County and City Health Officials
AGREEMENT
National Association of County and City Health Officials
1201 (I) Eye Street NW 4th Fl., Washington, DC 20005
Tel. (202)783-5550 Fax. (202)783-1583
3
7. REVISIONS AND AMENDMENTS: Any revisions or amendments to this Agreement,
including changes of payment method and/or address, must be made in writing and signed by
both parties.
8. ASSIGNMENT: Organization may not assign this Agreement nor delegate any duties herein
without the expressed written approval of NACCHO.
9. OWNERSHIP OF MATERIALS: Organization hereby transfers and assigns to NACCHO all
right, title and interest (including copyright rights) in and to all materials created or developed
by Organization pursuant to this Agreement, including, without limitation, reports, summaries,
articles, pictures and art (collectively, the “Materials”) (subject to any licensed third-party
rights retained therein). Organization shall inform NACCHO in writing of any third-party
rights retained within the Materials and the terms of all license agreements to use any materials
owned by others. Organization understands and agrees that Organization shall retain no rights
to the Materials and shall assist NACCHO, upon reasonable request, with respect to the
protection and/or registrability of the Materials. Organization represents and warrants that,
unless otherwise stated to NACCHO in writing, the Materials shall be original works and shall
not infringe or violate the rights of any third party or violate any law. The obligations of this
paragraph are subject to any applicable requirements of the Federal funding agency.
10. INTERFERING CONDITIONS: Organization shall promptly and fully notify NACCHO of any
condition that interferes with, or threatens to interfere with, the successful carrying out of
Organization’s duties and responsibilities under this Agreement, or the accomplishment of the
purposes thereof. Such notice shall not relieve Organization of said duties and responsibilities
under this Agreement.
11. PUBLICATION: Organization hereby acknowledge that the research reported in the
publication/press release was supported by the Department of Health and Human Services Office
of the Assistant Secretary for Preparedness and Responses under award No. 6 HITEP 200045-
02-06, CFDA # 93.008. The content of such publication or press release is solely the
responsibility of the authors and does not necessary represent the official view of the Department
of Health and Human Services Office of the Assistant Secretary of Preparedness.
12. RESOLUTION OF DISPUTES: The parties shall use their best, good faith efforts to
cooperatively resolve disputes and problems that arise in connection with this Agreement. Both
parties will make a good faith effort to continue without delay to carry out their respective
responsibilities under the Agreement while attempting to resolve the dispute under this section.
If a dispute arises between the parties that cannot be resolved by direct negotiation, the dispute
shall be submitted to a dispute board for a nonbinding determination. Members of the dispute
board shall be the Director or Chief Executive Officer of the Organization, the Executive
Director of NACCHO, and the Senior Staff of NACCHO responsible for this Agreement. The
National Association of County and City Health Officials
AGREEMENT
National Association of County and City Health Officials
1201 (I) Eye Street NW 4th Fl., Washington, DC 20005
Tel. (202)783-5550 Fax. (202)783-1583
4
costs of the dispute board shall be paid by the Organization and NACCHO in relation to the
actual costs incurred by each of the parties. The dispute board shall timely review the facts,
Agreement terms and applicable law and rules, and make its determination. If such efforts fail to
resolve the differences, the disputes will be submitted to arbitration in the District of Columbia
before a single arbitrator in accordance with the then-current rules of the American Arbitration
Association. The arbitration award shall be final and binding upon the parties and judgment may
be entered in any court of competent jurisdiction.
13. TERMINATION: Either party may terminate this Agreement upon at least fifteen (15) days
prior written notice to the other party. NACCHO will pay Organization for services rendered
through the date of termination.
14. ENTIRE AGREEMENT: This Agreement contains all agreements, representations, and
understandings of the parties and supersedes and replaces all previous understandings,
commitments, or agreements, oral or written.
15. PARTIAL INVALIDITY: If any part, term, or provision of this Agreement shall be held void,
illegal, unenforceable, or in conflict with any law, that part, term, or provision shall be restated
to effectuate the parties’ intentions, and the validity of the remaining portions or provisions shall
not be affected.
16. GOVERNING LAW: This Agreement shall be governed by and construed in accordance with
the laws of the District of Columbia (without regard to its conflict of law rules).
17. ADDITIONAL FUNDING: Unless prior written authorization is received from NACCHO, no
additional funds will be allocated to this project for work performed beyond the scope specified
or time frame cited in this Agreement.
18. COMPLIANCE WITH FEDERAL LAWS AND REGULATIONS: Organization’s use of
funds under this Agreement is subject to the directives of and full compliance with 2 CFR Part
200 (Uniform Administrative Requirements, Costs Principles, and Audit Requirements for
Federal Awards), and 45 C.F.R. Part 75 (Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for HHS Awards), It is the Organization’s responsibility
to understand and comply with all requirements set forth therein.
19. EQUAL EMPLOYMENT OPPORTUNITY: Pursuant to 2 CFR 200 Subpart D , Organization
will comply with E.O. 11246, "Equal Employment Opportunity," as amended by E.O. 11375,
"Amending Executive Order 11246 Relating to Equal Employment Opportunity," and as
supplemented by regulations at 41 C.F.R. part 60, "Office of Federal Contract Compliance
Programs, Equal Employment Opportunity, Department of Labor."
National Association of County and City Health Officials
AGREEMENT
National Association of County and City Health Officials
1201 (I) Eye Street NW 4th Fl., Washington, DC 20005
Tel. (202)783-5550 Fax. (202)783-1583
5
20. DEBARRED OR SUSPENDED ORGANIZATIONS: Pursuant to Executive Order 12549 and
Executive Order 12689 entitled “Debarment and Suspension” and 2 CFR 180, Organization
certifies to the best of its knowledge that it is not presently debarred or suspended and will
execute no subcontract with parties listed on the General Services Administration's List of
Parties Excluded from Federal Procurement or Non-procurement Programs.
21. LOBBYING RESTRICTIONS AND DISCLOSURES: Pursuant to 2 CFR 200 Subpart E,
Organization hereby certifies to NACCHO that it will not and has not used Federal
appropriated funds to pay any person or organization for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, officer or employee of Congress,
or an employee of a member of Congress in connection with obtaining any Federal contract,
grant or any other award covered by 31 U.S.C. 1352. Organization will also disclose any
lobbying with non-Federal funds that takes place in connection with obtaining any Federal
award.
22. SALARY LIMITATION: Pursuant to CDC Additional Requirement – 32: Appropriation Act,
General Provisions, cap on Salaries (Division H, Title II, General Provisions, Sec. 202): None
of the funds appropriated in this Agreement shall be used to pay the salary of an individual,
through a grant or other extramural mechanism, at a rate in excess of Executive Level II. Note:
The salary rate limitation does not restrict the salary that an organization may pay an individual
working under an HHS contract or order; it merely limits the portion of that salary that may be
paid with federal funds.
23. COMPLIANCE WITH FEDERAL ENVIRONMENTAL REGULATIONS: Pursuant to 2
CFR 200 Subpart F , Organization agrees to comply with all applicable standards, orders or
regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water
Pollution Control Act as amended (33 U.S.C. 1251 et seq.).
24. WHISTLEBLOWER PROTECTION: Pursuant to 41 U.S.C. 4712 employees of a
Organization, subcontractor, or subrecipient will not be discharged, demoted, or otherwise
discriminated against as reprisal for “whistleblowing.”
25. EXECUTION AND DELIVERY: This Agreement may be executed in two or more
counterparts, each of which shall be deemed an original but all of which together shall
constitute one and the same Agreement. The counterparts of this Agreement and all Ancillary
Documents may be executed and delivered by facsimile or electronic mail by any of the parties
to any other party and the receiving party may rely on the receipt of such document so executed
and delivered by facsimile or electronic mail as if the original had been received.
26. AUDITING: Organization agrees to permit independent auditors to have access to its books,
records and financial statements for the purpose of monitoring compliance with this contract.
National Association of County and City Health Officials
AGREEMENT
National Association of County and City Health Officials
1201 (I) Eye Street NW 4th Fl., Washington, DC 20005
Tel. (202)783-5550 Fax. (202)783-1583
6
27. NOTICE: All notices under this Agreement shall be in writing and shall be sent via email and
first-class mail, postage prepaid, to the addresses below. Either party may update its address by
providing written notice to the other party pursuant to the terms of this provision.
FOR NACCHO:
National Association of County and City Health Officials
Attn: NACCHO MRC Team
1201 (I) Eye Street NW 4th Fl.
Washington, DC 20005
Tel. (202) 783-5550
Fax (202) 783-1583
Email: mrc@naccho.org
FOR ORGANIZATION:
Maricopa County Department of Public Health
Attn: June Vutrano
Emergency Preparedness Services Coordinator
4041 N Central Ave Suite 1400,
Phoenix, AZ 85012
Tel. (602) 372-2658
Email: June.Vutrano@maricopa.gov
IN WITNESS WHEREOF, the persons signing below warrant that they are duly authorized
to sign for and on behalf of, the respective parties.
AGREED AND ACCEPTED AS ABOVE:
NACCHO:
Authorized Signature:
By: __________________________________
ORGANIZATION:
Authorized Signature:
By: ________________________________________
Name:
Jerome Chester
Name:
_____________________________
Title:
Chief Financial Officer
Title:
_____________________________
EIN:
52-1426663
EIN:
86-6000472
UEI: SRH7DCCTU3G7
UEI:
LM85MG1513K5
Date:
___________________________
Date:
______________________________
1
CERTIFICATION OF NON-DEBARMENT OR SUSPENSION
In accordance with Executive Order 12549 and Executive Order 12689, entitled Debarment and
Suspension, and any applicable implementing regulations, this certification must be completed by
the Organization:
1. Under penalty of perjury, except as noted below, all persons or firms or any person associated
therewith in the capacity of owner, partner, director, officer, or manager:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any federal department or agency.
b. Have not, within the three (3) year period preceding this certification, been convicted of or
had a civil judgment rendered against them for commission of fraud or a criminal offense
in connection with obtaining, attempting to obtain, or performing a public (federal, state,
or local) transaction or contract under a public transaction, violation of Federal or state
antitrust statutes, or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental
entity (federal, state, or local) with commission of any of the offenses listed in
subparagraph (1)(b) of this certification; and
d. Have not, within the three (3) year period preceding this certification, had one or more
public transactions (Federal, state, or local) terminated for cause or default.
e. Will not subcontract with parties listed on the General Services Administration’s List of
Parties Excluded from Federal Procurement or Non-procurement Programs
2. If such persons or firms later become aware of any information contradicting the statements of
paragraph (1), they will promptly provide that information to NACCHO.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
TITLE
ORGANIZATION
Maricopa County Department of Public
Health
DATE SIGNED
1
APPENDIX A - Program Workplan and Timeline
Applicants are to upload a draft of this document with their applications. If awarded, the final
approved due versions are by July 11, 2022.
MRC COVID-19 RISE Awards
Respond, Innovate, Sustain, and Equip
MRC Unit Name &
Number:*
Point of Contact Name:
Point of Contact Email:
*State coordinators, please enter your state here.
Program Workplan and Timeline
Goal(s): Address at least one category and describe the goal of the program and the measurable outcomes expected.
•
Respond: Build the capacity of a trained and ready corps of volunteers to respond to the COVID-19
pandemic.
o
Examples include volunteer training opportunities, recruitment efforts to expand volunteer
capacity, volunteer onboarding expenses such as background checks/liability coverage,
deployment related expense such as supplies.
•
Innovate: Adopt technology and processes to support evolving volunteer management
requirements.
o
Examples include purchase or expand technology platforms to manage and track volunteer
databases, deployment activities, communications with volunteers/partners during
emergency/non-emergency operations, technology requirements during deployments, etc.
•
Sustain: Maintain staffing and infrastructure needed to meet the operational requirements of the
unit.
o
Examples include staffing needs to support to support ongoing operational requirements,
recruitment of volunteers, management of volunteers, developing training curriculum for
volunteer deployments, developing plans and processes for volunteer management, etc.
Staffing needs may include supplementing full or part-time equivalents.
•
Equip: Attain supplies to support volunteer deployments and meet mission requirements.
o
Examples include supplies to support MRC deployment requirements, such as deployable
tents, materials/supplies to support POD operations, volunteer PPE or deployment gear,
supplies for volunteer training events, etc.
Goal(s):
Measurable Outcomes:
•
•
•
2
Objectives to support
goals:
Timeline:
Key Tasks:
•
•
•
•
•
3
APPENDIX B - Program Budget and Cost Justification
The blank template can be downloaded here. Applicants are to upload a draft of this template
with their applications. If awarded, the final approved due versions are by July 11, 2022.
MRC RISE Awards Sample Budget
Line Items
Requested
Amount
MRC RISE
Category
Respond,
Innovate,
Sustain,
and/or Equip
Cost Justification
Include description, quantity, unit cost/rate, and
other information as applicable.
1. Direct Labor
Unit Coordinator
$
18,750.00
Sustain
Jane Doe, MPH, MRC Unit Coordinator - Recruit,
retain, and manage volunteers. Collaborate with
community partners. Plan and provide regular
training opportunities. Complete RISE Award and
MRC Program Office reporting requirements.
$50,000 annual salary for 6 months (July 1 - Dec. 31,
2022) =
$25,000 * 0.75 FTE
Personnel Subtotal
$
18,750.00
Retirement (5% of
salary)
$
937.50
For Jane Doe for 6 months (July 1 - Dec. 31, 2022) *
0.75 FTE
FICA (7.65% of salary)
$
1,434.38
For Jane Doe for 6 months (July 1 - Dec.31, 2022) *
0.75 FTE
Insurance
$
2,000.00
For Jane Doe for 6 months (July 1 - Dec. 31, 2022) *
0.75 FTE
Fringe Benefits
Subtotal
$
4,371.88
Subtotal of Personnel
& Fringe Benefits
$
23,121.88
2. Contracts or Professional Services
Branding and
communications
vendor
$
700.00
Innovate
$29.17/hour * 24 hours to create cohesive branding
materials, communication strategies, and other
deliverables as identified to increase awareness and
legitimacy of the MRC within community. Direct
quote from local vendor.
State police
background screening
fee
$
7,500.00
Respond
Background screening fee for 500 volunteers at
$15/person.
Subtotal of
Contracts/Professional
Svcs
$
8,200.00
4
3. Materials and Supplies
Zebra ZC300 Series ID
Badge Printer System
$
2,150.25
Equip
Zebra ZC300 Series ID Badge Printer System for dual
sided badges with printing supply kit to identify and
legitimize up to 400 deployable volunteers
ID/Badge Lanyards
$
1,000.00
Equip
400 MRC branded lanyards at $2.50 each
Volunteer Deployment
Vests
$
1,650.00
Equip
100 high-visibility MRC branded safety vests at
$16.50 each to be returned to the unit after each
deployment
Online Scheduling Tool
$
350.00
Sustain
Secure online/IT scheduling/communication tool that
supports volunteer communication and allows
volunteers to schedule themselves for upcoming
volunteer opportunities.
$50/month * 7 months (May - Dec. 2022)
Survey Money
subscription
$
200.20
Sustain
Survey Monkey subscription to survey MRC
volunteers and partners. Information gathered will
inform the unit's strategic plan and help to enhance,
improve, and strength the volunteer program.
$28.60/month for seven months (May - Dec. 2022)
Adult Diversity Kit CPR-
AED Training Manikins
$
689.99
Equip
Adult Diversity Kit CPR-AED Training Manikins 4-pack
with CPR monitors to be used at monthly MRC-led
CPR training opportunities for volunteers
Subtotal of
Materials/Supplies
$
6,040.44
4. Travel
Unit Coordinator to
2022 NACCHO 360
Conference
$
2,008.00
Innovate
Registration fee ($725) + meal per diems ($71*3) +
lodging ($190/night * 3) + round trip airfare ($500).
Goal to network with other leaders and learn best
practices for integrating MRC into local health
departments and their response plans.
Milage reimbursement
for volunteer
leadership
$
1,111.50
Respond
$0.585/mile * 1,900 total miles for 3 volunteer
leaders traveling throughout 1,000 sq mile
jurisdiction for recruitment, volunteer management,
and supply transportation purposes during July 1 -
Dec. 31, 2022
Subtotal of Travel
$
3,119.50
5. Other Expenses
AHA BLS CPR Train the
Trainer Course
$
7,500.00
Sustain
CPR Train-the-trainer instructor fee to teach 25 MRC
volunteers
* $300 each to be certified CPR Instructors
AHA HeartCode® PALS-
Pediatric Advanced Life
Support Student
$
10,500.00
Sustain
Instructor fee to teach 60 MRC volunteers * $175
each Pediatric CPR and Advanced Life Support which
has been identified as a need at our pediatric
5
Course
vaccination clinics
Billboard advertising
$
8,200.00
Sustain
Advertising to recruit new members within the
jurisdiction. Graphic design fee for 3 billboard
markups: $500
Printing: $250/billboard * 2 billboards = $500
$300 weekly rent * 12 weeks each (Oct. - Dec. 2022)
* 2 billboards
Facebook advertising
$
1,500.00
Sustain
Targeted advertising to recruit new volunteers
through Facebook.
Ad design: $300
16 weeks (July - Oct. 2022)* $75/week
Subtotal of Other
Expenses
$
27,700.00
Subtotals
Subtotal of Direct
Costs
$
68,181.82
Organization Indirect
Rate (10%)
$
6,818.18
Grand Total
$
75,000.00
6
APPENDIX C - In-Progress Report
Please complete and submit this report by Friday, September 30, 2022.
MRC COVID-19 RISE Awards
Respond, Innovate, Sustain, and Equip
MRC Unit Name &
Number:*
Point of Contact Name:
Point of Contact Email:
Date Report Submitted:
*State coordinators, please enter your state here.
In-Progress Report
Refer to approved workplan to complete this report.
Goal(s) included in workplan:
List measurable outcomes achieved during this period:
•
•
•
Objectives to support
goals:
Status:
(complete, in-
progress, or not
started)
List achievements of key tasks completed.
Provide comments for status of pending or not started
tasks:
•
•
•
•
7
APPENDIX D - Final Program Report
Please complete and submit this report by Friday, December 30, 2022.
MRC COVID-19 RISE Awards
Respond, Innovate, Sustain, and Equip
MRC Unit Name &
Number:*
Point of Contact Name:
Point of Contact Email:
Date Report Submitted:
*State coordinators, please enter your state here.
Final Program Report
Refer to approved workplan to complete this report.
Goal(s) included in workplan:
List measurable outcomes achieved during this period:
•
•
•
Objectives to support
goals:
Status:
(complete, in-
progress, or not
started)
List achievements of key tasks completed.
Provide comments for status of pending or not started
tasks:
•
•
•
•
8
Program Impact
Provide an overview of the impact of this funding to support the MRC response capabilities of the
unit:
Provide any examples of success stories:
Provide any examples of challenges or resource needs still outstanding: