SIG BLOCK MRC CONTRACT FY22.PDF

Maricopa County — Formal (2022-03-09)

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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 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 County of Maricopa through Maricopa County Department of 
Public Health (“Organization”), with its principal place of business at 4041 N Central Avenue, Ste. 
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. 5 HITEP 
200045-02-00, 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 the unit sponsoring agency or is 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 September 29, 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 $10,000.  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 
15 of this Agreement.   
 
3. ORGANIZATION’S OBLIGATIONS:  In consideration for the payment described,

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 
Organization agrees, during the Term of this Agreement, by performing the following 
criteria below: 
a. Has 501c (3), is a governmental agency, or is an organization capable of and willing to 
receive federal funds on its behalf. 
b. Organization receiving the funds must be actively registered in SAM.gov. 
c. Utilizes MRC Operational Readiness Award funds for approved purposes, and as 
indicated in its award application. 
d. Submission of a signed contract and Deliverable 1 by April 15, 2022 - See Appendix A 
(Required to receive 100% of payment). 
e. Submission of Deliverable 2 by July 29, 2022 – See Appendix B.   
If Deliverable 2 is not completed by July 29, 2022, 50% of the received payment as 
described in Clause 3.d. shall be refunded back to NACCHO.  Organization shall contact 
NACCHO promptly to notify and start the process of refund. 
f. Submission of Deliverable 3 – All awardees will be required to complete a final project 
survey as part of the funding agreement. Completion of Deliverable 3 is required to be 
considered in the next MRC award selection.  
 
4.    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. 
 
5.    ASSIGNMENT:  Organization may not assign this Agreement nor delegate any duties herein 
without the expressed written approval of NACCHO. 
 
6. 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. 
 
7. 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. 5 
HITEP200045-02-00 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, 
 
8. 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

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 
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 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. 
 
9. 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. 
 
10. 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. 
 
11. 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). 
 
12. COMPLIANCE WITH FEDERAL LAWS AND REGULATIONS:  Organization’s use of 
funds under this Agreement is subject to the directives of and full compliance with 45 CFR 
Part 74 (Uniform Administrative Requirements for Awards and Subawards to Institutions 
of Higher Education, Hospitals, Other Non-Profit Organizations, and Commercial 
Organizations) and 2 CFR Part 200 (Uniform Administrative Requirements, Cost 
Principals, and Audit Requirements for Federal Awards). It is the Organization’s 
responsibility to understand and comply with all requirements set forth therein. 
 
13. 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.

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 
 
 
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14. 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. 
 
15. 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: 
County of Maricopa through  
Maricopa County Department of Public Health  
Marcy Flanagan 
Executive Director 
4041 N Central Avenue, Ste. 1400,  
Phoenix, AZ 85012  
Tel. (602) 372-2658 
Email: Marcy.Flanagan@Maricopa.gov

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 
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: 
Marcy Flanagan 
Title: 
Chief Financial Officer 
Title:  
Executive Director 
EIN: 
52-1426663
EIN: 
86-6000472
DUN: 
602062515
Date: 
___________________________ 
Date: 
______________________________
FOR AND ON BEHALF OF MARICOPA COUNTY  
 
By: _________________________________________ 
     Bill Gates, 
      Chairman, Board of Supervisors                    Date
ATTEST: 
 
 
 
 
 
 
_____________________________________________ 
 
Clerk of the Board 
                              Date
APPROVED AS TO FORM: 
_____________________________________________ 
 
 Attorney for Maricopa County 
               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 
 
County of Maricopa through Maricopa 
County Department of Public Health 
DATE SIGNED

1 
APPENDIX A – MRC ORA Invoice & Action Plan 
 
2022 MRC Operational Readiness Awards (ORA) Deliverable 1 
NACCHO Invoice & ORA Action Plan 
Due: April 15, 2022 
Unit Administrative Information 
MRC Unit Number 
 
MRC Unit Name 
 
MRC Unit Point of Contact 
(POC) 
 
POC Email 
 
Total Award Amount 
 
Date Invoice Submitted 
 
 
Tasks Completed 
Invoice Amount 
Invoice & 
ORA Action Plan 
 
$______________ 
 
Send check to: 
______________________________ 
______________________________ 
______________________________ 
______________________________

2 
2022 MRC Operational Readiness Award Action Plan 
(Refer to your application to complete the following sections.) 
1. Current State:  
Describe the current 
readiness capabilities of 
the MRC unit. Include how 
the MRC unit is currently 
integrated into response 
plans and opportunities to 
support new or evolving 
missions. Include the 
challenges or strengths to 
support the level of 
funding requested. Units 
requesting the Tier 2 
award should be able to 
demonstrate their current 
capacity to develop 
response plans and mission 
sets.  
 
 
2. Future State: 
Describe the goals of the 
project (i.e., building or 
strengthening the unit’s 
operational readiness over 
the next 12-36 months) 
and what specific steps the 
unit will take to achieve 
these goals (i.e., the 
objectives).

3 
3. Implementation Plan:  
List the planned activities 
or trainings as well as the 
timeline for the next 12 
months to meet goals.

4 
APPENDIX B – MRC ORA Interim Project Survey 
 
2022 MRC Operational Readiness Awards Deliverable 2 
Overview of Interim Project Survey 
 
Due: July 29, 2022 
 
MRC unit leaders will receive a link via email in June 2022 to complete the Interim Project 
Survey. For planning purposes, the Interim Project Survey may contain the following sample 
questions: 
• Has the MRC unit begun the project? Yes/No 
o If no, please explain the challenges that have prevented the initiation of the 
project. 
• Describe progress on the implementation plan. 
• Describe progress on measurable outcomes. 
• Approximately how many MRC volunteers are expected to contribute to the 
implementation of the project and how many are expected to directly benefit from the 
project? 
• Do you have any success stories, pictures, and/or resources that you would like to share? 
• Describe any improvements you would suggest to NACCHO for future award application 
cycles.