CTR067937 - WIC BFPC SERVICES (MARICOPA COUNTY) A2.PDF

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: 
CTR067937 
IGA Amendment No.: Two (2) 
Procurement Officer 
Kailee Gray 
 
1 
 
 
 
WIC AND BFPC SERVICES 
 
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 
 
1. Pursuant to Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1., Amendments, the following 
revision is made under this Amendment Two (2): 
 
1.1. The Price Sheet is hereby revised and replaced.  
 
1.2. Exhibit A – 2 CFR 200.332 is revised and replaced. 
 
1.3. Exhibit B – 2 CFR 200.332 is revised and replaced. 
 
ALL CHANGES ARE REFLECTED IN RED 
 
All other provisions of this agreement remain unchanged. 
 
Maricopa County Department of Public Health 
 
 
Contractor Name:  
 
 
Authorized Signature 
4041 North Central Avenue, Suite 1400 
 
 
Address:  
 
Print Name 
Phoenix   
AZ 
85012 
 
 
City 
State 
Zip 
 
Title 
 
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined 
that this Intergovernmental Agreement is in proper form and is within the powers and 
authority granted under the laws of Arizona 
This Intergovernmental Agreement Amendment shall be 
effective the date indicated.  The Public Agency is hereby 
cautioned not to commence any billable work or provide any 
material, service or construction under this IGA until the IGA has 
been executed by an authorized ADHS signatory.  
 
State of Arizona 
 
Signature 
Date 
 
Signed this                          day  of                                  2024. 
 
 
Print Name 
 
Procurement Officer 
 
 
Contract No.: CTR067937, which is an Agreement between public agencies, has been 
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has 
determined that it is in proper form and is within the powers and authority granted 
under the laws of the State of Arizona.  
 
 
 
Signature 
Date 
 
Assistant Attorney General 
Print Name

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: 
CTR067937 
IGA Amendment No.: Two (2) 
Procurement Officer 
Kailee Gray 
 
2 
 
 
PRICE SHEET 
 
October 1, 2024 to September 30, 2025 
 
Agency Name: Maricopa County Department of Public Health 
 
Cost Reimbursement Line Item Budget 
 
WIC Services 
 
Federal Award Date: October 1, 2024 
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children 
 
WIC Services 
Account Classification 
Amount 
Personnel Expenses 
$5,674,396.00 
Employee Related Expenses 
$2,621,452.00 
Professional & Outside Services 
$5,400.00 
Travel Expense 
$4,164.00 
Occupancy Expenses 
$23,683.00 
Other Operating Expenses 
$83,250.00 
Capital Outlay Expenses 
$0.00 
Indirect Costs* (15.79%) 
$1,328,309.00 
 
 
Total 
$9,740,654.00 
 
 
Breastfeeding Peer Counseling Services 
 
Federal Award Date: October 1, 2024 
CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children 
 
Breastfeeding Peer Counseling Services 
Account Classification 
Amount 
Personnel Expenses 
$333,049.00 
Employee Related Expenses 
$156,381.00 
Professional & Outside Services 
$0.00 
Travel Expense 
$114.00 
Occupancy Expenses 
$0.00 
Other Operating Expenses 
$2,726.00 
Capital Outlay Expenses 
$0.00 
Indirect Costs* (15.79%) 
$77,730.00 
 
 
Total 
$570,000.00

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: 
CTR067937 
IGA Amendment No.: Two (2) 
Procurement Officer 
Kailee Gray 
 
3 
 
 
Additional Terms and Conditions: 
 
With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten 
percent (10%) of the total budget amount between funded line items. Transfers of funds are only allowed between funded 
line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.  
 
ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received.  Adjustments will 
be at the discretion of ADHS.  
*Indicated indirect rate calculation 
Additional WIC Project: 
Additional monies have been provided for WIC to cover occupancy, security, and cleaning services costs for an ADHS WIC 
computer lab training room housing up to 40 computers at 2737 W Southern Ave, Suite 10, Tempe, AZ  85282.  The WIC 
computer lab training room will be for the priority use of the Arizona State WIC Program and be made available to other 
Arizona WIC local agencies.  ADHS Information Technology staff will be responsible for installation and maintenance of 
computer and networking hardware and software. The training room computers will not be connected to the Maricopa 
internal network, but the training room will share the same internet line as the adjacent WIC clinic. 
Additional WIC Program:   
 
Should additional administrative monies become available through state or federal grants, ADHS may increase the purchase 
order to increase the number of participants served and increase the total of this contract.   
 
The assigned caseload for FFY 2025 is: 44,500

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: 
CTR067937 
IGA Amendment No.: Two (2) 
Procurement Officer 
Kailee Gray 
 
4 
 
 
Exhibit A - 2 CFR 200.332 
 
 
Exhibit - 2 CFR 200.332 
§ 200.332 
Requirements for pass-through entities. All pass-through entities must: 
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following 
information at the time of the subaward and if any of these data elements change, include the changes in 
subsequent subaward modification. When some of this information is not available, the pass-through entity must 
provide the best information available to describe the Federal award and subaward. 
Prime Awardee: 
Arizona Department of Health Services 
UEI# 
QMWUG1AMYF65 
Federal Award Identification (Grant Number): 
216AZ008W1003 
Subrecipient name (which must match the name associated 
with its unique entity identifier): 
Maricopa County Department of Public Health 
Subrecipient's unique entity identifier (DUNS #): 
60202515 
Federal Award Identification Number (FAIN, sometimes it’s the 
same as the Grant Number): 
216AZ008W1003 
Federal Award Date (see the definition of Federal award date in 
§ 200.1 of this part) of award to the recipient by the Federal 
agency; 
 
10/1/2024 
 
Subaward Period of Performance Start and End Date; 
 
10/01/2024-9/30/2025 
 
Subaward Budget Period Start and End Date: 
 
10/01/2024-9/30/2025 
Amount of Federal Funds Obligated by this action by the pass- 
through entity to the subrecipient (this is normally the contract 
amount): 
$9,740,654.00 
Total Amount of Federal Funds Obligated to the subrecipient 
by the pass-through entity including the current financial 
obligation (how much is available for contracts): 
$9,740,654.00 
Total Amount of the Federal Award committed to the 
subrecipient by the pass-through entity 
$9,740,654.00 
Federal award project description, as required to be 
responsive to the Federal Funding Accountability and 
Transparency Act (FFATA) 
Arizona local implementation of the WIC Special 
Supplemental Nutrition Program for Women, 
Infants, and Children 
Name of Federal awarding agency, pass-through entity, and 
contact information for awarding official of the Pass-through 
entity 
United States Department of Agriculture, FNS 
Southwest Regional Office, Food and Nutrition 
Service, 1100 Commerce Street Room 522, Dallas, 
TX 75242-9980, Telephone: (214) 290-9810 
Assistance Listings number and Title; the pass-through entity 
must identify the dollar amount made available under each 
Federal award and the Assistance Listings Number at time of 
disbursement: 
 
10.557 WIC Special Supplemental Nutrition 
Program for Women, Infants, and Children 
Identification of whether the award is R&D 
Not R&D award 
Indirect cost rate for the Federal award (including the de 
minimis rate is charged) per § 200.414 
15.79%

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: 
CTR067937 
IGA Amendment No.: Two (2) 
Procurement Officer 
Kailee Gray 
 
5 
 
 
Exhibit B - 2 CFR 200.332 
 
 
Exhibit - 2 CFR 200.332 
§ 200.332 
Requirements for pass-through entities. All pass-through entities must: 
(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following 
information at the time of the subaward and if any of these data elements change, include the changes in 
subsequent subaward modification. When some of this information is not available, the pass-through entity must 
provide the best information available to describe the Federal award and subaward. 
Prime Awardee: 
Arizona Department of Health Services 
UEI# 
QMWUG1AMYF65 
Federal Award Identification (Grant Number): 
206AZ002W5003 
Subrecipient name (which must match the name associated 
with its unique entity identifier): 
Maricopa County Department of Public Health 
Subrecipient's unique entity identifier (DUNS #): 
60202515 
Federal Award Identification Number (FAIN, sometimes it’s the 
same as the Grant Number): 
206AZ002W5003 
Federal Award Date (see the definition of Federal award date in 
§ 200.1 of this part) of award to the recipient by the Federal 
agency; 
 
10/1/2024 
 
Subaward Period of Performance Start and End Date; 
 
10/01/2024-9/30/2025 
 
Subaward Budget Period Start and End Date: 
 
10/01/2024-9/30/2025 
Amount of Federal Funds Obligated by this action by the pass- 
through entity to the subrecipient (this is normally the contract 
amount): 
$570,000.00 
Total Amount of Federal Funds Obligated to the subrecipient 
by the pass-through entity including the current financial 
obligation (how much is available for contracts): 
$570,000.00 
Total Amount of the Federal Award committed to the 
subrecipient by the pass-through entity 
$570,000.00 
Federal award project description, as required to be 
responsive to the Federal Funding Accountability and 
Transparency Act (FFATA) 
Arizona local implementation of the Breastfeeding 
and Peer Counseling Program  
Name of Federal awarding agency, pass-through entity, and 
contact information for awarding official of the Pass-through 
entity 
United States Department of Agriculture, FNS 
Southwest Regional Office, Food and Nutrition 
Service, 1100 Commerce Street Room 522, Dallas, 
TX 75242-9980, Telephone: (214) 290-9810 
Assistance Listings number and Title; the pass-through entity 
must identify the dollar amount made available under each 
Federal award and the Assistance Listings Number at time of 
disbursement: 
 
10.557 WIC Special Supplemental Nutrition 
Program for Women, Infants, and Children 
Identification of whether the award is R&D 
Not R&D award 
Indirect cost rate for the Federal award (including the de 
minimis rate is charged) per § 200.414 
15.79%