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CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO:
4
Page 1 of 9
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
Desert Mission, Inc.
I.
The above-named contract is hereby amended as specified below:
A. Pursuant to Section 1.2 of the Contract, the Contract is renewed for an additional one-year term,
beginning October 1, 2024, and ending September 30, 2025.
B. Exhibit A, Pricing Sheet, shall be updated to include a new budget worksheet for October 1, 2024,
through September 30, 2025, for $100,000, bringing the total not to exceed amount of the contract to
$500,000. The updated budget worksheet begins on Page 2 of this amendment.
C. Exhibit B, Scope of Work, is being replaced with the updated Scope of Work for budget period October 1,
2024, through September 30, 2025, and it begins on Page 3 of this amendment.
II.
All other terms and conditions of the original contract shall remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF
MARICOPA COUNTY
FOR AND ON BEHALF OF
DESERT MISSION, INC.
Michelle Pabis, VP Government & Community Affairs
By:
By:
Chairman, Board of Supervisors
Desert Mission, Inc.
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
Michelle Pabis (Aug 8, 2024 15:48 PDT)
08/08/24
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 2 of 9
EXHIBIT A:
HONORHEALTH/DESERT MISSION: FY25 BUDGET
AZ Health Zone
Budget Summary
Budget Category
Annual Expenses
ICR%
Indirect Cost
Row Summary
A. Salary/Benefits
92,107
$
0.00%
-
$
92,107
$
B. Contracts/Sub-Grants/Agreements
1,500
$
0.00%
-
$
1,500
$
C. Non-Capital Equipment/Office Supplies
6,018
$
0.00%
-
$
6,018
$
D. Nutrition Education Materials
-
$
0.00%
-
$
-
$
E. Travel
375
$
0.00%
-
$
375
$
F. Building/Space Lease or Rental
-
$
0.00%
-
$
-
$
G. Cost of Publicly-Owned Building Space
-
$
0.00%
-
$
-
$
H. Maintenance and Repair
-
$
0.00%
-
$
-
$
I. Institutional Memberships and Subscriptions
-
$
0.00%
-
$
-
$
J. Equipment and Other Capital Expenditures
-
$
0.00%
-
$
-
$
Total Direct Costs
100,000
$
Total Indirect Costs
-
$
Total Federal Funds
100,000
$
Organization Name: HonorHealth Desert Mission
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 3 of 9
Exhibit B
HonorHealth/Desert Mission Food Bank
Scope of Work
FFY25 (October 1, 2024 – September 30, 2025)
Childhood - ECE
Strategy: Childhood ECE- Support the development, implementation, and evaluation of policies that promote nutrition and physical activity in
early care and education systems.
Project Goal 1: Support early care programs in integrating best practices for health and development of young children, while linking families
and providers to other networks to promote sustainability.
Year 5 - Objective 1: By September 30, 2025, assist at least one early care center with integrating a best practice.
Staff working on objective: Anne Costa (DM), Amber Craig (Nutrition Outreach Lead) Andrea Zechmann (Food and Childhood Systems
Supervisor)
Year 5: Action Steps
SEEDS Reporting
Est. Timeline
Notes
1. Continue to support previously established health-
related goals and work with staff and parents to
encourage formation of new goals that align with Go
NAPSACC or Empower.
ECE: Nut. & Feeding
ECE: Empower
Policy
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Sites:
Lincoln Learning Center
WESD Ironwood Elem KidSpace
WESD Abraham Lincoln KidSpace
WESD Chaparral KidSpace
*also considering new childcare
sites in this community
Go NAPSACC focus areas:
Child Nutrition
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 4 of 9
Breastfeeding and Infant Feeding
Screen Time
Infant and Child PA
Collaborate with MCDPH
community health nursing to
support Empower /GoNAPSACC.
Survey ECE sites to see how we
can support them for our new grant
year. We will provide an
infographic with information on
how SNAP-Ed has supported ECE
sites over last 5 years.
Budget: Desert Mission Sub-
contract
2. Support and promote center participation in CACFP
and provide up-to-date information about food
assistance programs and food access resources.
ECE: Nut. & Feeding
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Provide all ECE sites with food
access flyer, food access maps
and assistance for resources.
Promote food access through
Maricopa Healthy.
Budget: Translation
3. Support farm to preschool through gardening, and
procurement of local foods. (Anne and Amber)
ECE: Agriculture
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Support provided according to
individual site needs/interests.
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 5 of 9
DM Adult Day is starting
intergenerational gardening
activities with LLC.
4. Consult with parents and staff to identify resources they
need to support children’s health and development.
ECE: Community
Engagement
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Survey ECE sites to get a better
understanding of how SNAP-Ed
can partner and support in the
future.
5. Provide sites with resources to support their nutrition,
feeding, and physical activity program goals.
ECE: Nut. & Feeding
ECE: PA Environ.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Childhood - Schools
Strategy: Childhood SCH - Support the development, implementation, and evaluation of policies that support well-being in schools and other
youth-based systems.
Project Goal 1: Support successful School/Youth-Based Agriculture by training schools to sustain their garden programs by achieving the
criteria defined in the Garden Resources, Education, and Environment Nexus (Burt, Koch, & Contento, 2017).
Year 5 - Objective 1: By September 30, 2025, at least one Washington Elementary school with an existing garden program will achieve a
minimum of two of the four established criteria for sustaining a garden program.
Staff working on objective: Anne Costa (Community Resource Manager), Amber Craig (Nutrition Outreach Lead)
Year 5: Action Steps
SEEDS Reporting
Est. Timeline
Notes
1. Complete Pre-test Dig Assessment to determine
areas of opportunities.
Choose an item.SCH:
Agriculture
SCH: Agriculture
Qtr. 1☒ Qtr. 2☐
Qtr. 3☐ Qtr. 4☐
Desert View Elementary
School
Budget: Desert Mission Sub-
contract
2. Identify two areas to focus on strengthening.
SCH: Agriculture.
Choose an item.
Qtr. 1☒ Qtr. 2☐
Qtr. 3☐ Qtr. 4☐
Resources and support, the
garden, student experience,
culture, and community
(from Dig Assessment).
3. In collaboration with school staff, students, and
parents, create a work plan for implementation.
SCH: Community
Engagement
Choose an item.
Qtr. 1☒ Qtr. 2☐
Qtr. 3☐ Qtr. 4☐
4. Implement work plan.
SCH: Agriculture
Qtr. 1☐ Qtr. 2☒
Qtr. 3☒ Qtr. 4☐
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 6 of 9
5. Complete post-assessment.
SCH: Agriculture
Qtr. 1☐ Qtr. 2☐
Qtr. 3☐ Qtr. 4☒
6. Host at least one community event on site at the
garden.
Choose an item.
SCH: Agriculture
Qtr. 1☐ Qtr. 2☐
Qtr. 3☒ Qtr. 4☒
In this strategy, Desert Mission will work in collaboration with MCDPH to complete the goal. Desert Mission is specifically responsible for action step #6.
Strategy: Childhood SCH - Support the development, implementation, and evaluation of policies that support well-being in schools
and other youth-based systems.
Project Goal 1: Support partner school districts in establishing strong, district-wide representation for local wellness policy committees.
Year 5 - Objective 1: By September 30, 2025, support Washington Elementary School District to strengthen their Local Wellness Policy through
Wellness Committee engagement.
Staff working on objective: Andrea Zechmann (Food & Childhood Systems Supervisor), Anne Costa (DM), Ashley Grabb (Senior Food
Systems Health Educator), Amber Craig (Nutrition Outreach Lead)
Year 5: Action Steps
SEEDS Reporting
Est. Timeline
Notes
1. Collaborate with district staff to improve their Local
Wellness Policy by recommending best practices for
policy language and goals that improve school wellness.
SCH: Policy Rev. &
Comm.
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Share ADE management audit
with child nutrition department to
help guide LWP changes and
goals. Focus on specific goals and
updates based on the needs of the
district.
2. Guide the wellness coordinator or food service director
to help with recruitment of the local wellness committee.
Provide district with wellness committee coordinator and
school champion stipends. One (1) Coordinator and five
(5) Champions per District]. Provision for years FY24
and FY25 (AY24 and AY25). Support community
members/parents to be champions as part of being
consulted and involved in the committee.
SCH: Wellness
Committees
SCH: Community
Engagement
Qtr. 1☒ Qtr. 2☒
Qtr. 3☐ Qtr. 4☐
Provide guidance to child nutrition
department on recruiting
community members for LWP
committee. Continue to offer
stipends to coordinator and
champions.
Budget -Wellness Coordinator and
Wellness Champions– WESD
(MCDPH Strategic Goal #5)
3. Support AAT guidance and development – unique to
district’s policy.
SCH: Policy Rev. &
Comm.
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Share the Google form with child
nutrition department to get school
specific results to help with
completion of AAT for ADE.
4. Facilitate WellSat 3.0 Evaluation through AZHZ as
needed. Share results with school district.
SCH: Policy Rev. &
Comm.
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Consider WellSAT 3.0 based on
ADE management audit schedule.
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 7 of 9
5. Support district wellness coordinator with development
of quarterly meeting agendas. Present at meetings on
whole child, understanding the wellness committee,
WellSAT 3.0 etc.
SCH: Wellness
Committees
SCH: Staff. Dev.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
6. Encourage inclusion of policies and programs that
support increasing food access for families (School
Food Pantries, Summer Food, Free Meals to Go)
SCH: Policy Rev. &
Comm.
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Assist WESD on Alta Vista Food
pantry and Ocotillo Pantry. Support
the Leah’s Pantry model. (Desert
Mission)
Budget: Desert Mission Sub-
contract
7. As communicated through the committee, support
Nutrition, Physical Activity, and Farm to School
policies/provide resources as needed. (Ashley F2S)
SCH: Wellness
Committees
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Provide feedback on DIG
assessment to make changes and
implementation of garden
activities. Providing technical
assistance and farmer connections
when requested.
Budget - PA Equipment and Nut
Equipment and Garden Equipment
Food Systems
Strategy: Food Systems - Support the production, distribution, and availability of food to increase access and consumption of food.
Project Goal: Support food access programs to address social determinants of health in a healthcare setting.
Year 5 - Objective 1: Sept. 30, 2025, Sustain two Food as Medicine programs; linking healthcare to food access and nutrition programming.
Staff working on objective: Anne Costa (Community Resource Manager), Amber Craig (Nutrition Outreach Lead)
Year 5: Action Steps
SEEDS Reporting
Est. Timeline
Notes
1. Adjust program as needed, based on patient feedback
from pilot program.
FS: Food Access
FS: Community
Engagement
Qtr. 1☒ Qtr. 2☐
Qtr. 3☐ Qtr. 4☐
Budget: Desert Mission Sub-
contract
2. Increase number of patients participating the program
by expanding enrollment to additional clinic sites.
FS: Food Access
Choose an item.
Qtr. 1☐ Qtr. 2☒
Qtr. 3☒ Qtr. 4☐
3. Develop sustainability plan for program.
FS: Food Access
Choose an item.
Qtr. 1☐ Qtr. 2☐
Qtr. 3☐ Qtr. 4☒
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 8 of 9
Year 5 - Objective 2: By September 30, 2025, HHDM will expand its Farm Stand program as a mobile program to include community and
healthcare locations.
Staff working on objective: Anne Costa (Community Resource Manager), Amber Craig (Nutrition Outreach Lead)
Year 5: Action Steps
SEEDS Reporting
Est. Timeline
Notes
1. Identify site criteria and eligibility for Farm Stand
locations.
FS: Food Access
Choose an item.
Qtr. 1☒ Qtr. 2☐
Qtr. 3☐ Qtr. 4☐
2. Accept SNAP, Double Up, FMNP, and Produce Rx
vouchers.
FS: Food Retail
FS: Food Access
Qtr. 1☐ Qtr. 2☐
Qtr. 3☒ Qtr. 4☒
3. Create policy & procedures, program guidelines, and
standardized material.
FS: Policy
Choose an item.
Qtr. 1☐ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
4. Establish program sustainability plan for future
integration and expansion.
FS: Food Access
Choose an item.
Qtr. 1☐ Qtr. 2☐
Qtr. 3☐ Qtr. 4☒
Strategy: Food Systems - Support the production, distribution, and availability of food to increase access and consumption of food.
Project Goal: Increase food literacy. Food literacy is having the knowledge, skills, and attitudes necessary to choose, grow, prepare, and enjoy
healthy food to support one's health, community, and the environment.
Year 5 - Objective 1: By September 30, 2025, HHDM will expand their food literacy platform by adding new content each quarter.
Staff working on objective: Anne Costa (Community Resource Manager), Amber Craig (Nutrition Outreach Lead)
Year 5: Action Steps
SEEDS Reporting
Est. Timeline
Notes
1. Continue to develop content for food literacy platform.
FS: Food Access
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Budget: Desert Mission Sub-
contract
2. Create quarterly “featured” content that incorporates
seasonality and culturally relevant themes.
FS: Food Access
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
3. Monitor website traffic and identify strategies to
increase utilization.
FS: Food Access
Choose an item.
Qtr. 1☐ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
4. Integrate with all Desert Mission nutrition programs.
FS: Food Access
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Year 5 - Objective 2: By September 30, 2025, HHDM will expand their community classroom program by conducting up to two classes each
month.
Staff working on objective: Anne Costa (Community Resource Manager), Amber Craig (Nutrition Outreach Lead)
Year 5: Action Steps
SEEDS Reporting
Est. Timeline
Notes
1. Provide at least two classes per month related to
nutrition, cooking, and gardening. At least one being a
Direct Education activity
FS: Food Access
FS: Gardens
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Around the Table, Seed to Supper,
etc.
CONTRACT NO: PH NOI 20008 / C-86-21-102-X-03
AMENDMENT NO: 4
Page 9 of 9
2. Create an inventory of classes interested and available
based on survey results.
FS: Food Access
FS: Community
Engagement
Qtr. 1☒ Qtr. 2☐
Qtr. 3☐ Qtr. 4☐
We regularly survey community
members and food bank guests.
We have done surveys in the past
and plan to do more that
specifically ask what type of
classes participants would be
interested in seeing.
3. Increase marketing and promotion strategies.
FS: Food Access
Choose an item.
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
4. Increase program attendance and gather input and
feedback from community for continuous improvement.
FS: Food Access
FS: Community
Engagement
Qtr. 1☒ Qtr. 2☒
Qtr. 3☒ Qtr. 4☒
Request regular feedback from
attendees who attend classes at
the community classroom to
ensure classes are valuable and
impactful.