220225 TOBACCO EDUCATION DIVERSION CONTRACT SIGNED 2-17-22.PDF

Maricopa County — Formal (2022-02-23)

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CONTRACT MARICOPA COUNTY ATTORNEY TOBACCO EDUCATION DIVERSION 
PROGRAM 220225-CI 
 
 
This contract is entered into this 23rd  day of February 2022 between the Maricopa County, acting through 
the Maricopa County Attorney’s Office (MCAO), and SAGE Counseling Inc. (Contractor), to govern the 
Contractor’s participation in the Tobacco Education Diversion Program administered by MCAO.   
 
1.0 
CONTRACT TERM 
 
1.1 
This contract is for a term of one year and ten months, beginning on the 23rd day of 
February 2022 and ending the 31st day of December 2024. 
 
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 one additional year. The County 
shall notify the Contractor in writing of its intent to extend the contract term at least thirty 
calendar days prior to the expiration of the original contract term, or any additional term 
thereafter. 
 
1.3 
CONTRACT TERMINATION 
 
Upon termination of this contract for any reason, the Contractor shall make all reasonable 
efforts for an orderly transition of its duties and responsibilities to another provider and/or 
to the County or  MCAO. This may include, but is not limited to, preparation of a transition 
plan and cooperation with the County or MCAO or other providers in the transition and 
completion of services initiated but not completed prior to the date of termination. 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 or MCAO 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 
FEE ADJUSTMENTS 
 
2.1 
Any request for a reasonable fee adjustment must be submitted not less than 60 calendar 
days prior to the current contract expiration date. Any adjustment is only applicable once 
a new contract year begins. Requests for adjustment must be supported by appropriate 
documentation. If the County agrees to the adjusted fee, the County shall issue written 
approval of the change which will be effective upon renewal or new contract. Requests 
submitted after the 60-calendar day deadline will not be considered.   
 
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.

SERIAL# 220225-CI 
 
3.3 
INVOICES 
 
3.3.1 
The Contractor shall submit one 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 information 
• 
County bill-to name and contact information 
• 
Contract serial number  
• 
County purchase order number 
• 
Invoice number and date 
 
• 
Payment terms 
• 
Date of service  
• 
Quantity (number of days or weeks or sessions) 
• 
Contract Item number(s) 
• 
Description of Purchase (services) 
• 
Extended price 
• 
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 accessible from the County Department of Finance 
Vendor 
Registration Web 
Site 
 
https://www.maricopa.gov/5169/Vendor-
Information. 
 
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. 
 
4.0 
APPLICABLE TAXES 
 
4.1 
Payment of Taxes: The Contractor shall pay all applicable taxes.  
 
4.2 
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 MCAO and 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. 
 
5.0 
AVAILABILITY OF FUNDS 
 
5.1 
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 actually 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. 
 
5.2 
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

SERIAL# 220225-CI 
 
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 10 days in advance. 
 
6.0 
DUTIES 
 
The Contractor shall perform all duties stated in Exhibit B”, Scope of Work, or as otherwise agreed 
to by the parties and directed in writing by MCAO. 
 
7.0 
TERMS and CONDITIONS 
 
7.1 
INDEMNIFICATION 
 
INDEMNIFICATION. Each Party to this Agreement shall hold harmless, and indemnify 
the other Party and its directors, officers, agents, sub-contractors, employees and 
volunteers against any and all losses, liabilities, damages, injuries, claims, suits, demands 
and legal proceedings including any direct, indirect or consequential loss, liability, 
damage, or expense, but not including attorneys’ fees, unless awarded by a court of 
competent jurisdiction, arising out of or in connection with the intentional, willful, wanton, 
reckless or negligent conduct arising from or to the extent alleged to be in connection with 
the Services to any Indemnified Party and any third party. However, neither Party shall be 
indemnified hereunder for any loss, liability, damage, or expense resulting from its sole 
negligence or willful misconduct. Any claim involving contributory negligence shall be 
handled so that each party is responsible and liable for its share of the damages and 
defense cost associated therewith, in proportion to its share of negligence. 
 
7.1.1 
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 section. 
 
7.2 
INSURANCE 
 
7.2.1 
Contractor, at Contractor’s own expense, shall purchase and maintain, at a 
minimum, the herein stipulated insurance from a company or companies duly 
licensed by the State of Arizona and possessing a current AM Best, Inc. category 
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 The County. The form of any insurance policies and forms must be acceptable 
to the County. 
 
7.2.2 
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 the County, constitute a material breach of this contract. 
 
7.2.3 
In the event that the insurance required is written on a claims-made basis, 
Contractor warrants that any retroactive date under the policy shall precede the 
effective date of this contract and either continuous coverage will be maintained, 
or an extended discovery period will be exercised for a period of two years 
beginning at the time work under this contract is completed. 
 
7.2.4 
Contractor’s insurance shall be primary insurance as respects County, and any 
insurance or self-insurance maintained by County shall not contribute to it.

SERIAL# 220225-CI 
 
7.2.5 
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. 
 
7.2.6 
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 the 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. 
 
7.2.7 
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. 
 
7.2.8 
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. 
 
7.2.9 
If available, the insurance policies required by this contract may be combined with 
Commercial Umbrella Insurance policies to meet the minimum limit requirements. 
If a Commercial Umbrella insurance policy is utilized to meet insurance 
requirements, the Certificate of Insurance shall indicate which lines the 
Commercial Umbrella Insurance covers. 
 
7.2.9.1 Commercial General Liability 
 
Commercial General Liability (CGL) insurance and, if necessary, 
Commercial Umbrella insurance with a limit of not less than $1,000,000 
for each occurrence, $2,000,000 Products/Completed Operations 
Aggregate, and $2,000,000 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. 
 
7.2.9.2 Sexual molestation and physical abuse  
 
When services involve working with these groups of individuals, the 
insurance requirements in the contract need to be revised to include 
coverage for "sexual molestation and physical abuse". Coverage for 
this type of claim, or allegation, is excluded from standard general liability 
policies. Therefore, contractors whose services include working with 
and/or caring for children/elderly and disabled persons should have their 
policies specifically endorsed to include this coverage. 
 
7.2.9.3 Commercial General Liability – Occurrence Form 
 
Policy shall include bodily injury, property damage and broad form 
contractual liability coverage. 
 
a. The policy shall be endorsed to include coverage for 
physical/sexual abuse and molestation/criminal sexual

SERIAL# 220225-CI 
 
misconduct, with limits of no less than $5,000,000 for each 
claim (see 7.2.9.1) 
 
b. The policy shall be endorsed to include the following additional 
insured language: "Maricopa County, its subsidiary, parent, 
associated and/or affiliated entities, successors, or assigns, its 
elected officials, trustees, employees, agents, and volunteers shall 
be named as additional insureds with respect to liability arising out 
of the activities performed by, or on behalf of the Contractor". 
 
7.2.9.4 Professional Liability 
 
Professional Liability insurance and, if necessary, Commercial Umbrella 
insurance, which will insure and provide coverage for Professional 
Liability of the Contractor, with limits of no less than $5,000,000 for each 
claim. 
 
7.2.10 Certificates of Insurance 
 
7.2.10.1 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. 
 
7.2.10.2 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. 
 
7.2.10.3 If a policy does expire during the life of the contract, a renewal certificate 
must be sent to the County 15 calendar days prior to the expiration date. 
 
7.2.10.4 Certificates of Insurance shall identify Maricopa County as the additional 
insured/certificate holder as follows: 
 
Maricopa County 
c/o Risk Management 
301 W Jefferson St, Suite 910 
Phoenix, AZ 85003 
 
7.2.11 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 30 days 
prior written notice to Maricopa County. Contractor must provide to Maricopa 
County, within two 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 160 S. 
4th Avenue, Phoenix, AZ 85003, or emailed to the procurement officer noted in 
solicitation. 
 
7.3 
INCIDENT REPORTING REQUIREMENT 
 
The Contractor shall ensure incidents involving clients are reported according to this 
Section.

SERIAL# 220225-CI 
 
 
7.3.1 
Definitions 
 
7.3.1.1 “Incident” means an unusual or significant event involving client(s) 
and/or staff, which requires notification to the designated authorities. 
 
7.3.1.2 “Incident Report” means a report that is verbal or written communication 
to the MCAO as described below. 
 
7.3.2 
Notification 
 
7.3.2.1 The Contractor shall report incidents to the MCAO by telephone at 602-
372-7300 by 5:00 pm on the next business day after the incident occurs 
or after becoming aware of the incident. The Contractor shall also submit 
a written incident report as described in Section 7.3.5 below. 
 
7.3.2.2 The Contractor shall report incidents to law enforcement as required by 
law and according to the Contractor’s policies and procedures.  
 
7.3.3 
Health, Safety, and Welfare Incidents: The Contractor shall immediately report all 
incidents impacting the health, safety, and welfare of clients served under this 
contract to the MCAO. The Contractor shall notify MCAO of any death or 
significant physical injury occurring at any SAGE facility. Health, safety, and 
welfare incidents include the following when they occur while a client was in a 
contract service and the event occurred on Contractor premises: 
 
a. 
Physical assault that requires medical treatment beyond first aid; 
b. 
Any medical treatment beyond first aid; 
c. 
Emergency room or urgent care visits;  
d. 
Request for emergency mental health stabilization provided by 
first responders and/or crisis intervention teams;  
e. 
Use of seclusion and/or restraint;  
f. 
Actions which pose an immediate and serious threat directed 
toward self, others, and/or individuals in the Contractor’s care 
and/or Contractor’s staff; 
g. 
Acts of inappropriate discipline or sexual behavior (consensual 
or not) between staff and clients; 
h. 
Any event that Contractor is aware of and is likely to have media 
interest. 
 
7.3.4 
Significant Incidents: The Contractor shall report the following significant incidents 
involving clients served under this contract:   
 
a. Death of a client that occurs while client was in a contract service;  
b. Weapons possession while in a contract service; 
c. Acts by clients or staff where the Contractor involves law 
enforcement;  
d. Traffic accidents involving clients transported by the Contractor or its 
personnel, non-employees or transport contractor. 
 
7.3.5 
Incident Report Form: The Contractor shall use the MCAO approved Incident 
Report form to complete and submit incident reports. The Contractor must submit 
a written report to the MCAO via email to  mcaodiv@mcao.maricopa.gov not later 
than three calendar days after the incident occurs or after becoming aware of the 
incident. All reports must be legible and be signed by the staff who prepared the 
report as well as by the staff who approved the report. The Contractor shall 
maintain a file of written incident reports that are available for review under this 
contract.

SERIAL# 220225-CI 
 
7.3.6 
Response to Incident Reports: All incident reports will be maintained by MCAO’s 
Diversion Strategies Group as directed by the Director. Upon notification of an 
incident the Director or his or her designee will do the following:  
 
7.3.6.1 Review the information to determine if the incident requires further 
investigation; 
 
7.3.6.2 As necessary, request additional information and direct corrective action 
to comply with this contract;  
 
7.3.6.3 Refer the matter to any relevant authorities if necessary. 
 
7.4 
INSPECTION AND EVALUATION OF SERVICES/FACILITIES 
 
7.4.1 
The Contractor shall provide and maintain an inspection system that continuously 
ensures the services under this contract. Complete records of all inspection work 
performed by the Contractor shall be maintained and made available to MCAO 
during contract performance and for as long afterwards as the contract requires. 
 
7.4.2 
MCAO has the right to inspect all services and facilities called for by the contract, 
to the extent practicable at all times and places during the term of the contract. 
MCAO shall perform inspections in a manner that will not unduly delay the work. 
 
7.4.3 
If any of the services or facilities do not conform to contract requirements, MCAO 
may require the Contractor to perform the services again in conformity with 
contract requirements, at no cost to the County or MCAO. When the defects in 
services cannot be corrected by re-performance, the County or MCAO may: 
 
7.4.3.1 require the Contractor to take necessary action to ensure that future 
performance conforms to contract requirements. 
 
7.4.4 
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, the County  may terminate the contract for default. 
 
7.4.5 
MCAO may design and implement a system of program evaluation to use to 
determine the Contractor’s performance as contemplated by this contract. Such 
evaluations may, in MCAO’s sole discretion, be shared with the Contractor.  
 
7.5 
NO MINIMUM OR MAXIMUM PURCHASE OBLIGATION 
 
This contract does not guarantee any minimum or maximum number of referrals of 
offenders to be made by MCAO to Contractor. 
 
7.6 
BACKGROUND CHECK 
 
Contractors need to be aware that there may be multiple background checks (Sheriff’s 
Office, County Attorney's Office, Courts, as well as Maricopa County general government) 
to determine if the Contractor’s employees or sub-contractors (including employees of 
such sub-contractors) are acceptable to do business with the County or MCAO with 
respect to providing the services contemplated by this contract. Contractor agrees to 
cause such background checks to be completed and to forward the results to MCAO, as 
requested. Contractor shall not allow any person who has not satisfactorily passed all 
required background checks to provide the services contemplated by this contract. Failure 
to meet these requirements may lead to termination of the contract.

SERIAL# 220225-CI 
 
7.7 
SUSPENSION OF WORK  
 
The County 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 County determines 
appropriate for the convenience of the County.   
 
7.8 
STOP WORK ORDER 
 
7.8.1 
The County 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. The order 
shall be specifically identified as a stop work order issued under this clause. After 
a stop-work is delivered to the Contractor, the County shall either—  
 
7.8.1.1 cancel the stop-work order; or  
 
7.8.1.2 terminate the work covered by the order as provided in the Termination 
for Default or the Termination for Convenience, clause of this contract. 
 
7.9 
TERMINATION FOR CONVENIENCE 
 
Maricopa County may terminate the resultant contract for convenience without further 
obligation by providing 60 calendar day notice to the Contractor. The Contractor may 
terminate the resultant contract for convenience without further obligation by providing a 
six months’ notice to the County and MCAO.   
 
7.10 
TERMINATION FOR DEFAULT 
 
7.10.1 The County may, by written Notice of Default to the Contractor, terminate this 
contract in whole or in part if the Contractor fails to: 
 
7.10.1.1 perform the services required in accordance with the terms of this 
contract or any extension;  
 
7.10.1.2 perform the services required within the time frame specified in this 
contract or any extension;  
 
7.10.1.3 perform any of the other provisions of this contract; or 
 
7.10.1.4 if the Contractor should be adjudged bankrupt or should make a 
general assignment for the benefits of its creditors, or if a receiver 
should be appointed because of its insolvency. 
 
7.10.2 The County’s right to terminate this contract under these subparagraphs may be 
exercised if the Contractor does not cure such failure within 10 business days (or 
more if authorized in writing by the County) after receipt of a Notice to Cure from 
the procurement officer  specifying the failure. 
 
7.10.3 Upon termination under this paragraph, all goods, materials, documents, data 
and reports prepared by the Contractor under the contract shall become the 
property of and be delivered to the County on demand. 
 
7.10.4 The County may, upon termination of this contract, procure, on terms and in 
the manner that it deems appropriate, materials or services to replace those 
under this contract. The Contractor shall be liable to the County for any excess 
costs incurred by the County in procuring materials or services in substitution 
for those due from the Contractor. Any claim for excess costs incurred arising 
out of this paragraph shall be itemized with descriptive detail and submitted 
to Contractor for review and acceptance. In any event no claim shall exceed 
$10,000.

SERIAL# 220225-CI 
 
 
7.10.5 The Contractor shall continue to perform, in accordance with the requirements 
of the contract, up to the date of termination, or as directed in the termination 
notice. 
  
7.11 
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, 
negotiation, 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.  
 
7.12 
CONTRACTOR LICENSE REQUIREMENT 
 
The Contractor shall procure all permits, insurance, and licenses, and pay the charges 
and fees necessary and incidental to the lawful conduct of his/her business, and as 
necessary complete any requirements, by any and all governmental or non-governmental 
entities as mandated to maintain compliance with and in good standing. 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 any and all changes 
concerning permits, insurance, or licenses. 
 
7.13 
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. 
 
7.14 
SUBCONTRACTING 
 
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.   
 
7.15 
AMENDMENTS 
 
All amendments to this contract shall be in writing and approved/signed by both parties. 
Maricopa County Office of Procurement Services shall be responsible for approving all 
amendments for Maricopa County. 
 
7.16 
ADDITIONS/DELETIONS OF REQUIREMENTS 
 
The County reserves the right to add and/or delete 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 services are 
requested from a contract, prices for such additions will be negotiated between the 
Contractor and the County.

SERIAL# 220225-CI 
 
7.17 
STRICT COMPLIANCE 
 
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. 
 
7.18 
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. 
 
7.19 
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. 
 
7.20 
RIGHTS IN DATA 
 
7.20.1 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. 
 
7.20.2 Data, records, reports, and all other information generated for the County by a 
third party as the result of a contract are the property of the County and shall be 
provided in a format designated by the County or shall be and remain accessible 
to the County into perpetuity. 
 
7.21 
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 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. (Arizona Executive Order 
2009-09 
can 
be 
downloaded 
from 
the 
Arizona 
Memory 
Project 
at 
http://azmemory.azlibrary.gov/cdm/singleitem/collection/execorders/id/680/rec/1.) 
 
7.22 
WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-393.01 
 
If vendor engages in for-profit activity and has 10 or more employees, and if this 
agreement has a value of $100,000 or more, vendor certifies it is not currently engaged 
in, and agrees for the duration of this agreement to not engage in, a boycott of goods or 
services from Israel. This certification does not apply to a boycott prohibited by 50 U.S.C. 
§ 4842 or a regulation issued pursuant to 50 U.S.C. § 4842. 
 
7.23 
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION 
 
7.23.1 The undersigned (authorized official signing for the Contractor) certifies to the 
best of his or her knowledge and belief, that the Contractor, its current officers, 
and directors: 
 
7.23.1.1 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;

SERIAL# 220225-CI 
 
 
7.23.1.2 have not within 3-year period preceding this contract: 
 
7.23.1.2.1 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; or 
 
7.23.1.2.2  been convicted of violation of any Federal or State antitrust 
statutes 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;  
 
7.23.1.3 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 local) 
transaction or contract; 
 
7.23.1.4 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  
 
7.23.1.4 have not within a three-year period preceding this contract any public 
transaction (Federal, State or local) terminated for cause of default. 
 
7.23.2 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. 
 
7.23.3 The Contractor shall include, without modification, this clause in all lower tier 
covered transactions (i.e. transactions with subcontractors or sub-subcontractors) 
and in all solicitations for lower tier covered transactions related to this contract.  
 
7.24 
VERIFICATION REGARDING COMPLIANCE WITH ARIZONA REVISED STATUTES § 
41-4401 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS 
 
7.24.1 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 years, whichever is longer. I-9 forms are 
available for download at www.uscis.gov. 
 
7.24.2 The County retains the legal right to inspect contractor and subcontractor employee 
documents performing work under this contract to verify compliance with paragraph 
7.24.1 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

SERIAL# 220225-CI 
 
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. 
 
7.25 
CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO 
INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS 
 
7.25.1 The parties agree that this contract and employees working on this contract will 
be subject to the Contractor employee whistleblower protections established by 
Title 41 U.S.C. § 4712 and Section 3.908 of the Federal Acquisition Regulation. 
 
7.25.2 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. 
 
7.25.3 Contractor shall insert the substance of this clause, including this paragraph, in 
all subcontracts over the simplified acquisition threshold ($250,000 as of fiscal 
year 2018). 
 
7.26 
INFLUENCE 
 
7.26.1 As prescribed in MC1-1203 of the Maricopa County Procurement Code, any effort 
to influence an employee or agent to breach the Maricopa County or MCAO 
Ethical Code of Conduct or any ethical conduct may be grounds for disbarment 
or suspension under MC1-902.  
 
7.26.2 An attempt to influence includes, but is not limited to: 
 
7.26.2.1 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 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. 
 
7.26.3 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.   
 
7.27 
ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT 
AND/OR OTHER REVIEW 
 
7.27.1 In accordance with Section MC1-373 of the Maricopa County Procurement Code, 
Contractor agrees to retain all books, records, accounts, statements, reports, 
files, and other records and back-up documentation relevant to this contract for 
six years after final payment or until after the resolution of any audit questions 
which could be more than six 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 except those materials containing materials protected under 
privacy laws. 
 
7.27.2 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.

SERIAL# 220225-CI 
 
 
7.28 
CONFIDENTIAL INFORMATION 
 
7.28.1 Any information obtained in the course of performing this contract may include 
information that is proprietary or confidential to the County, MCAO or to the 
person or persons who are the recipients of the services being provided by the 
Contractor. This provision establishes the contractor’s obligation regarding such 
information. 
 
7.28.2 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, MCAO 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 or 
MCAO 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 15 calendar days of the written request to do so. 
 
7.28.3 Any requests to the Contractor for County or MCAO proprietary or confidential 
information shall be referred to the County or the MCAO custodian of records for 
review and approval, prior to any dissemination.  
  
7.29 
PUBLIC RECORDS 
 
Under Arizona law, all offers submitted and opened are public records and must be 
retained by the County at the Maricopa County Office of Procurement Services according 
to retention polices. 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. 
 
7.30 
FEES 
 
Contractor warrants that fees extended to the County under this contract are no higher 
than those paid by any other customer for these services. Fees charged shall be 
reasonable and are established at the beginning of the contract period. Any request for 
an increase in fee shall be subject to approval by the County.    
 
7.31 
 AUDIT DISALLOWANCES 
 
If at any time, County determines that a cost for which payment has been made is a 
disallowed cost, such as overpayment, the County shall notify the Contractor in 
writing of the disallowance. County shall also state the means of correction, which 
may be but shall not be limited to adjustment of any future claim submitted by the 
Contractor by the amount of the disallowance, or to require repayment of the 
disallowed amount by the Contractor.

SERIAL# 220225-CI 
 
7.32 
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, expressed, or implied. 
 
7.33 
RELATIONSHIPS 
 
In the performance of the services described herein, the Contractor shall act solely as an 
independent contractor, 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. 
 
7.34 
UNIFORM ADMINISTRATIVE REQUIREMENTS 
 
By entering into this contract, the 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. 
 
7.35 
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, sitting in 
Phoenix, Arizona 
 
7.36 
ORDER OF PRECEDENCE 
 
In the event of a conflict in the provisions of this contract, scope of work, and request for 
proposal, if applicable, the terms of this contract shall prevail. 
 
7.37 
DISPUTES 
 
Any matter which cannot be resolved by the parties will be submitted for review to the 
Maricopa County Attorney or designee. The decision of the Maricopa County Attorney or 
designee is the final determination of the matter. The parties retain the right to pursue any 
judicial remedies available under Arizona law. 
 
7.38 
INCORPORATION OF DOCUMENTS 
 
The following are to be attached to and made part of this contract: 
 
7.38.1 Exhibit A, Vendor Information and Fees; 
 
7.38.2 Exhibit B, Scope of Work;  
 
7.38.3 Exhibit C, SAGE Provider Application & Agreement (Third Party Administrator); 
 
NOTICES: 
 
All notices given pursuant to the terms of this contract shall be addressed to MCAO with 
a copy going to Office of Procurement Services: 
 
For MCAO: 
 
Maricopa County Attorney’s Office  
Administration Division 
Grant and Contract Administrator 
225 W Madison St, 6th Floor 
Phoenix, Arizona 85003

SERIAL# 220225-CI 
 
 
For Office of Procurement Services: 
 
Maricopa County 
Office of Procurement Services 
160 S. 4th Avenue 
Phoenix, Arizona 85003-1647 
 
 
For Contractor: 
 
SAGE Counseling, Inc. 
1830 South Alma School Road, #104 
Mesa, AZ  85210

SERIAL# 220225-CI 
 
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 
 
 
Linda Cowan, COO
1830 South Alma School Rd., Mesa, AZ  85201
02/17/2022
2/17/2022

SERIAL# 220225-CI 
 
EXHIBIT A 
VENDOR INFORMATION AND FEES 
 
SERIAL 220225-CI 
NIGP CODE: 
RESPONDENT'S NAME: 
SAGE Counseling, Inc. 
COUNTY VENDOR NUMBER: 
VC0000008662 
ADDRESS: 
1830 S. Alma School Rd., Suite 101 
Mesa, AZ 85210 
P.O. ADDRESS: 
  
TELEPHONE NUMBER: 
480-649-3352 
FACSIMILE NUMBER: 
480-649-3358 
WEB SITE: 
www.sagecounseling.net 
CONTACT (REPRESENTATIVE): 
Stephen Grams 
REPRESENTATIVE'S E-MAIL ADDRESS: 
info@sagecounseling.net 
 
PAYMENT TERMS: 
Net 30 
 
 
1.0    PRICING: 
Fee/Rate Per 
Class 
Assessment Fees 
n/a  
Assessment Update 
n/a 
Assessment Rescheduling Fee 
n/a 
Group Fees 
n/a 
IOP Group Fees 
n/a 
Weekend Education (fee/day) 
$50.00 
Individual Sessions  
n/a 
Case Coordination Fee (Out of State/Out of County) per Month 
$80.00

SERIAL# 220225-CI 
 
EXHIBIT B 
SCOPE OF WORK 
 
1.0 
COUNTY ATTORNEY AUTHORITY AND REFERRALS; PURPOSE 
 
1.1 
Pursuant to A.R.S. §§ 11-361 et seq., the Maricopa County Attorney (“County Attorney”) has 
the authority, as an alternative to prosecution, to divert or defer, before a guilty plea or a trial, 
the prosecution of an eligible person who is accused of committing a crime.  Per this authority, 
the County Attorney has established the Tobacco Education Diversion Program.  The purpose 
of this of Scope of Work (SOW) is for the Contractor to provide education services to eligible 
adult felony offenders referred to the Contractor by the County Attorney after the filing of 
charges for specific misdemeanor offenses: furnishing or selling tobacco to minors. 
 
1.2 
The County Attorney is solely responsible for determining which offenders are eligible for the 
Tobacco Education Diversion Program.   
   
1.3 
The Tobacco Education Diversion Program is available to eligible offenders only after charges 
are filed in Justice Court (post-file cases).   
 
1.4 
Prosecution shall be suspended for twelve (12) months before MCAO shall take any further 
legal action.  The offender shall have ninety (90) days from the time of the referral to complete 
the educational class.  For those offenders who successfully complete the MCAO Justice 
Court Diversion Program, the County Attorney will dismiss the charges with prejudice. 
 
1.5 
The County Attorney may rescind an offender’s participation in the MCAO Tobacco Education 
Diversion Program at any time.  If the County Attorney directs removal of any offender from 
the MCAO Tobacco Education Diversion Program, the Contractor shall promptly cease 
providing any further diversion services to the offender and close the offender’s diversion file 
without making any determination regarding the offender’s completion of the diversion 
program. In these cases, the Contractor will be advised/directed by MCAO on how to 
discharge the case.  
 
2.0 
PROGRAM REQUIREMENTS 
 
The Contractor shall:  
 
2.1 
Utilize and deliver program curriculum concepts developed by the Arizona Office of the 
Attorney General and was previously identified as the Arizona Retailer Tobacco Training 
(AART).  The Tobacco Education Diversion Program shall be a three (3) hour class, which 
provides referred offenders with an overview of: youth tobacco use and purchasing practices, 
the current Arizona and Federal tobacco laws that restrict sales to minors, strategies to avoid 
sales to minors, how to comply with the law, how to avoid fines, and behavioral change 
concepts.  All referred offenders must complete this diversion program within 90 days of their 
court date.   
 
2.2 
Provide services in a group, community-based or telehealth setting in Maricopa County.  
Service provisions such as: offender/group setting, open group or telehealth format, length 
and frequency of service, hours of operation, and the staff to offender ratio shall safely and 
effectively meet the needs of offenders.  When deemed appropriate by the Contractor, the 
offender may be placed in a one-on-one session instead of the group education class. The 
offender shall be advised of the additional fee as agreed to in Exhibit A and provide one-on-
one sessions. 
 
2.3 
Conduct the Tobacco Education Diversion education class at a minimum of one time per 
quarter in a calendar year with an established and published class schedule.  The frequency 
or number of education classes may be increased over the minimum class schedule by the 
Contractor, so offenders are able to comply with their completion due date. Notify MCAO 
Diversion Strategies Group Director if the minimum class schedule cannot be maintained 
within five (5) business days of the end of the quarter.

SERIAL# 220225-CI 
 
 
2.4 
For offenders who do not live near the Contractor’s site for services (outside the State of 
Arizona or outside of Maricopa County, Arizona where the Contractor may have other satellite 
offices):   
 
2.4.1 
It shall be the responsibility of the offender to locate a Third-Party Administrator (TPA) 
in their jurisdiction that can provide comparable services with consideration for the 
practicality and locality of the jurisdiction to Tobacco Education Diversion Program 
requirements as determined by the Contractor.   
  
2.4.2  
The Contractor shall be authorized to provide monthly case coordination services and 
charge a monthly case coordination fee to the offender as described in Exhibit A.   
 
2.4.3 
Provided the Contractor and the TPA enter into the Contractor’s Provider Application 
and Agreement in the form attached as Exhibit C hereto without any amendments or 
modifications thereto, the TPA shall be considered to be approved by the County 
Attorney.  An executed copy of the Contractor Provider Application and Agreement 
shall be maintained in the offender’s file. 
 
2.5 
Document the offender’s name, signature, and attendance within 24 hours of class 
completion. Provide a certificate to the offender upon class completion.  Documentation of 
such shall be maintained in the offender’s case file.  Digital upload of case records is sufficient.  
  
2.6 
Participate and cooperate in any training/technical assistance provided by the Arizona 
Attorney General’s Office and/or Arizona Department of Health Services related to changes 
in tobacco laws and/or curriculum content.  Update curriculum as necessary to reflect these 
changes by the effective dates so that the content provided is current.  
 
2.7 
Service delivery shall be culturally relevant and linguistically appropriate to the population 
served and consistently delivered in a structured and supportive learning environment that 
promotes attainment of education goals.  
 
2.8 
Preference is for an individual who holds a master’s degree in a human services-related field 
and licensed to practice independently by the Arizona Board of Behavioral Health Examiners 
or is exempt from licensure pursuant to A.R.S. Title 32, Chapter 33 shall deliver services.  
However, services may also be delivered by Behavioral Health Technicians under the 
supervision of a Behavioral Health Professional who is a master’s level clinician with either an 
associate or independent license.  
 
2.9 
Attend workshops or training, at the Contractor’s expense, sponsored by the MCAO if required 
by the County Attorney.  Provide training at no additional cost to MCAO personnel as requested 
by the Director of the MCAO Diversion Strategies Group, the County Attorney or her duly 
authorized employees, agents, or assigns (“MCAO Authorized Persons”). 
 
2.10 
Designate and update as needed, one (1) point of contact at the staff level for purposes of 
communication regarding MCAO Diversion cases. 
 
2.11 
All Contractor forms (to include informational flyers, brochures, working documents, etc.) used 
and given to offenders for any MCAO diversion program shall be submitted to the County 
Attorney in advance and approved by the County Attorney prior to implementation. The 
Contractor shall not in any manner represent the County Attorney, MCAO Tobacco Education 
Diversion Program, or MCAO. 
 
2.12 
Establish reasonable education class Contractor fees.  Payment for the education class is due 
no later than the time of service.  Accept multiple forms of payment such as: cash, debit cards, 
and credit cards as payment for education services. 
 
2.13 
Should public monies become available to the MCAO for diversion programs, these funds 
may at the discretion of the County Attorney be used in whole or part to offset discounts

SERIAL# 220225-CI 
 
provided by the Contractor to the offender for program service fees.  The Contractor shall 
invoice MCAO on a monthly basis for the preceding month for reimbursement.  The invoice 
shall include: specific diversion program, offender name, offender’s date of birth, date of 
service, type of service, quantity of service(s), billed amount, and offender payment.  The use 
of public monies is subject to applicable legal requirements, applicable approval 
processes/requirements, fiscal agent conditions and requirements, expiration date, and 
available balance.  Contractor reimbursement is contingent on the availability of funds. 
 
2.14 
Retain adequate accounting and case reconciliation records for review purposes by the 
County Attorney and/or MCAO Authorized Persons. 
 
2.15 
Direct Service Standards:  
 
2.15.1  Inform the offender of program rules, which includes but is not limited to 
confidentiality, client rights, and expected behavior; obtain their written consent for 
Release of Information.  Document in the offender’s case file;  
 
2.15.2 Inform the offender of program requirements for successful completion of the MCAO 
Tobacco Education Diversion Program so the offender understands expected 
performance and criteria for successful completion.  Document in the offender’s case 
file;   
 
2.15.3 Inform the offender of the financial obligations to participate in the program; to include: 
programmatic fees, methods of acceptable payment, and due dates for remittance of 
payment. Document in the offender’s case file.  
 
3.0 
CONTRACTOR QUALIFICATION REQUIREMENTS 
 
3.1 
The Contractor shall hold and maintain during the performance of this contract, a current, 
applicable Arizona Department of Health Services license that is in good standing, for 
each facility from which services shall be provided. 
 
3.2 
The Contractor shall be an AHCCCS provider.  The Contractor shall maintain contracts 
with all AHCCCS Complete Care Plans serving the Central Region Geographical Service 
Area.  
 
4.0 
CONTRACTOR REPORTING REQUIREMENTS 
 
4.1 
The Contractor shall provide immediate notification to the County Attorney via the MCAO 
Diversion Strategies Group when an offender is enrolled and when terminated: successfully 
completes or unsuccessfully completes (defined as either meeting or not meeting program 
requirements) the MCAO Tobacco Education Diversion Program.  Within three (3) business 
days of the offender’s completion of or failure to complete the assigned education class, the 
Contractor shall provide to the designated contacts at the MCAO Justice Court Bureaus, the 
approved “Status Report” indicating successful or unsuccessful termination and class roster 
indicating participant’s attendance. For all unsuccessful terminations, supporting reasons and 
an indication if the Contractor would accept reentry must be provided in the report.   
 
4.2 
The Contractor shall provide additional data and information to the County Attorney and 
MCAO Authorized Persons, as requested.  
 
5.0 
CONTRACTOR PERFORMANCE REQUIREMENTS 
 
5.1 
Service milestones shall be based on the needs of the offender; however, desired outcomes 
are:  
 
5.1.1 
Offender shall have exhibited progress on completing the educational class and have 
improved understanding of the Arizona and Federal tobacco sales to minors laws and 
the consequences of selling tobacco to minors;

SERIAL# 220225-CI 
 
 
5.1.2 
If appropriate, community supports have been identified for the offender to help 
maintain stability and resilience in the community. 
 
5.2 
At a minimum, all reasonable efforts are made to deliver services to the offender in a timely 
manner to meet the needs of the individual offender. 
 
5.3 
All contacts between the Contractor, offenders, and MCAO staff shall be conducted with 
professionalism, fairness, respect, and dignity to the offender. The offender shall not be 
discriminated against based on race, national origin, religion, gender, sexual orientation, age, 
disability, marital status, diagnosis, or source of payment.  
 
5.4 
The Contractor shall comply with all professional and ethical obligations and code of conduct 
of licensure and maintain good standing with the Arizona Bureau of Medical Facilities 
Licensing (BMFL).  Further, the Contractor shall protect information and records protected by 
federal confidentiality rules (e.g., 42 CFR Part 2 and HIPAA Rules at 45 CFR Parts 160, 162, 
and 164) and state confidentiality rules (e.g., A.R.S. §§ 12-2291 et seq.), and ensure that 
Contractor and its employees and subcontractors comply with said rules and employ all 
administrative and physical safeguards as may be required by law to protect confidential 
information.  The Contractor shall be responsible for ensuring the execution of any business 
associate 
agreements, 
qualified 
service 
organization 
agreements, 
and 
nondisclosure/confidentiality agreements that may be required under federal and state 
confidentiality rules. 
 
5.5 
The MCAO Grants and Contract Administrator shall act as Contract Administrator. 
 
5.6 
Successful performance shall be determined by Contractor compliance with the terms of the 
contract. 
 
5.7 
Contractor failure to comply with the terms of this contract may result in suspension of 
work or termination of the contract at the discretion of the Maricopa County.

SERIAL# 220225-CI 
 
EXHIBIT C 
SAGE PROVIDER APPLICATION & AGREEMENT (THIRD-PARTY ADMINISTRATOR) 
(see pdf document 220224-CI Exhibit C SAGE Provider App)