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CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163 AMENDMENT NO: 1
Page 1 of 7
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
by and through
DEPARTMENT OF PUBLIC HEALTH
and
ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS dba ARIZONA ALLIANCE FOR COMMUNITY
HEALTH CENTERS
I.
The above-named contract is hereby amended as specified below:
A. Section 1.0 CONTRACT TERM shall be updated to reflect a new expiration date of August
31, 2025.
B. An additional $271,149 shall be added for the additional year as outlined in Exhibit A, Year 2
Budget & Budget Narrative, beginning on page 2 of this amendment. The revised not to
exceed (NTE) amount shall be updated to $541,149.
C. Exhibit B, Scope of work, shall be replaced with the Revised Scope of Work. beginning on
page 6 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
ARIZONA ASSOCIATION OF COMMUNITY
HEALTH CENTERS
By:
By:
Chairman, Board of Supervisors
Arizona Association of Community Health
Centers
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163 AMENDMENT NO: 1
Page 2 of 7
EXHIBIT A
YEAR 2 BUDGET & BUDGET NARRATIVE
YEAR TWO BUDGET SHEET
Total
Personnel
Special Projects Manager
$62,274
Director of Integrated Services
$14,602
Sr. Director of Population Health
$3,261
Chief Programs Officer
$2,988
Director of Training & Events
$2,807
Office Manager
$1,106
Chief People & Culture Officer
$2,161
Chief Financial Officer
$3,155
Staff Accountant
$1,270
Sr. Accountant
$1,849
Director of Grants
$2,060
Grants & Contracts Manager
$1,432
Chief Operations Officer
$2,847
HR Generalist
$1,217
Training Coordinator
$1,016
Director of Communications
$1,840
Executive Assistant
$1,361
Compliance Manager
$782
Chief External Affairs Officer
$1,337
President & CEO
$4,428
Total Salaries
$113,793
Fringe Benefits (25.35%)
$28,847
Personnel Subtotal
$142,640
Operating
Travel
$3,445
CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163 AMENDMENT NO: 1
Page 3 of 7
Equipment
$34,000
Supplies/Materials
$16,529
Consultant/Contractual
$43,719
Other
$30,816
Operating Subtotal .
$128,509
TOTAL BUDGET
$271,149
CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163 AMENDMENT NO: 1
Page 4 of 7
YEAR TWO BUDGET NARRATIVE
Personnel: $142,640
Special Project Manager (0.95 FTE) — $62,274
Manages program activities per grant and contract requirements. Provides training and technical
assistance to participating Community Health Centers (CHCs). Tracks and reports on program progress.
Director of Integrated Services (0.17 FTE) — $14,602
Supervises Program Manager to ensure timely, effective, and efficient project development and
management and alignment of project and organizational operations.
Sr. Director of Population Health (0.03 FTE) — $3,261
Chief Programs Officer (0.02 FTE) — $2,988
Responsible for overall program oversight.
Director of Training & Events (0.03 FTE) — $2,807
Oversight and management of all training, technical assistance, and marketing for the organization.
Office Manager (0.02 FTE) — $1,106
Provides administrative support to all staff and departments.
Chief People & Culture Officer (0.02 FTE) — $2,161
Daily human resource support for program staff.
Chief Financial Officer (.02 FTE) - $ 3,155
Financial oversight, quality control, and reports/funding
Staff Accountant (0.02 FTE) — $1,270
System transaction input for payroll/payment of invoices.
Sr. Accountant (0.02 FTE) — $1,849
Review of transactions, invoice preparation, financial grant & GAAP compliance.
Director of Grants (0.02 FTE) — $2,060
Ensure completion of program reports & compliance with grant requirements.
Grants & Contracts Manager (0.02 FTE) — $1,457
Provides program development assistance and ensures completion of programmatic reports and
compliance with grant requirements.
Chief Operations Officer (0.02 FTE) — $2,847
Oversight of grants department, requirements, compliance, and organization business development.
HR Generalist (0.02 FTE) — $1,217
Training Coordinator (0.02 FTE) — $1,016
Supports Director of Communications and Training in conjunction with training, technical support.
Director of Communications (0.02 FTE) — $1,840
Provides administrative support to CEO as related to CEO engagement in the project.
CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163 AMENDMENT NO: 1
Page 5 of 7
Executive Assistant (0.02 FTE) — $1,361
Provides administrative support to CEO as related to CEO engagement in the project.
Compliance Manager (0.01 FTE) — $782
Chief External Affairs Officer (0.01 FTE) — $1,337
Responsible for overall program oversight.
President & CEO (0.02 FTE) — $4,428
Administrative Oversight of organization.
Fringe Benefits include FICA Tax (7.65%), Health Insurance (13% of Total Salaries), Life & Disability
Insurance (1.3% of Total Salaries, and Retirement Plan Benefits (3.4% of Total Salaries).
Travel: $3,445
Travel within Maricopa County to provide training and support to CHC sites as well as costs for Program
Manager to attend conferences and/or trainings annually.
Equipment: $34,000
Harm reduction vending machines for Maricopa County HC clinics or clinic partners 4 @ $8,500/machine
Supplies & Materials: $16,529
Programmatic – $15,394
Materials and supplies for providers/staff (Pins, posters, stickers, etc. indicating it is safe to ask about
Narcan, or SUD services) $2-$5 per item for 260 people + $2,500 for printed materials. Fentanyl and
Xylazine Strips for clinic use or patient distribution 6,865 strips.
Office – $1,135
Paper, pens, ink, etc. based off of historical usage/purchases.
Consultant/Contractual: $43,719
Consultant - $16,750
Consulting services for SUD/OUD treatment infrastructure support: 130 hours *$125/hour.
Workforce Development - $20,000
Support and education for SUD/OUD providers to address workforce shortages, burnout, telehealth and
peer support programs.
CBIZ/MHM - $840
Annual external audit and tax filing: $42,000 (allocated based on .02% federally funded programs).
Ideal Networks - $6,129
IT Support for Project: $17,600/mth*12 mth/51*1.44 % of FTEs assigned.
Other: $30,816
CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163 AMENDMENT NO: 1
Page 6 of 7
Training costs for in-person and/or virtual events ($12,000). Support and provisions for the OD2A peer
event on 9/5/24 ($1,000). Business insurance based on annual cost of $27,000/year allocated to project
based on program FTEs as a % of total AACHC FTEs ($1,353). Worker's Comp at $0.27 per every $100 in
salaries ($307). Staff trainings required by law (such as HIPAA, harassment, etc) at $15,000/yr * program
FTEs/AACHC + CVN FTEs ($435). Legal and business consultant fees (advisement, policies, procedures)
$45,000 * FTE/51 ($1,306). Subscription for GoToMeeting and other licenses/fees to support staff,
organization, and educational webinars and statewide program meetings at $64,398/yr * program
FTEs/AACHC + CVN 51FTEs. ($1,869). Telephone and Internet based on annual cost of $27,324/yr *
program FTEs /51 total organizational FTEs. Per AACHC policy, staff using cell phone for business qualify
for reimbursement of $50/month; budget includes $50 * 12 months * program FTEs ($2,046). Postage
Meter & Printer/Copier agreements necessary to carry out daily business based on annual costs,
allocated on program FTE as a % of organizational FTEs. Actual expense allocated by usage ($400).
Office space for program staff calculated as a % of total rent based on program FTEs/AACHC + CVN
FTEs. TAPI's occupancy costs are not included in the allocation ($10,100).
Indirect Costs: $0
Miscellaneous costs reflected in Other.
Exhibit B
REVISED SCOPE OF WORK
Contractor shall:
1.1
Expand the Peer Support Specialist workforce at community health centers.
1.1.1
Identify best practices for linkages to care and harm reduction.
1.1.2
Support efforts to involve people with lived experience as outreach staff.
1.1.3
Peer Support Specialists should provide overdose prevention education, follow-
up support, and assistance with barriers to treatment.
1.2
Provide anti-stigma and overdose prevention education for staff at community health
centers.
1.2.1
At minimum, facilitate at least four webinars on how to implement harm
reduction policies and programming in a healthcare setting.
1.2.2
Support distribution of opioid reversal medication and other harm reduction
items.
1.3
Increase opioid-related training capacity and provide systems support to at least one
community health system in Maricopa County. This shall include providing access to
subject matter experts as a resource.
1.4
Submit any training or educational materials to MCDPH for review and approval prior to
implementation/dissemination. Any material with the Maricopa County brand is also
subject to review and approval prior to use.
1.5
Provide a budget for activities.
1.5.1
Detailed budget, inclusive of all costs, is required.
1.5.2
Abide by guidelines set by CDC (Exhibit F Unallowable Activities & Expenditures).
Guidelines may be updated at the discretion of the CDC.
CONTRACT NO: C-86-24-086-X-00 / PH NOI 230163 AMENDMENT NO: 1
Page 7 of 7
1.6
Meetings
1.6.1
Participate in, at minimum, one monthly meeting with MCDPH.
1.7
Reporting
1.7.1
Designate an individual as point-of-contact for all reporting requirements.
1.7.2
Collaborate with MCDPH on an evaluation plan that includes metrics for how
success will be measured and opportunities for improvement.
1.7.3
Collect data on OD2A performance measures and evaluation plan indicators as
required by the CDC.
1.7.4
Submit monthly reports using Envisio platform established by MCDPH, unless
otherwise agreed upon. Monthly reporting may include the following:
•
Narrative description of project activities achieved during the specified
timeframe
•
Accomplishments (“success stories”) and challenges
•
Staffing changes
•
Current budget and description of over or underspending
•
Evaluation metrics
1.7.5
Complete any additional reporting requirements that may be requested.
1.8
Understand and comply with all federal requirements related to funding source. Chosen
recipients awarded a contract will be considered a subrecipient, which entails a higher
level of compliance monitoring.
MCDPH shall:
1.9
Provide technical assistance in developing an evaluation plan and support for ongoing
evaluation.
1.10
Ongoing review of the establishment and implementation of activities and measures for
accomplishing the goals of this agreement.
1.11
Participate, as appropriate, in conference calls and meetings that are conducted during
the project period.
1.12
Review training and education materials prior to implementation/dissemination.
1.13
Review and approve the use of any materials or items with the Maricopa County
branding.
1.14
Establish templates/submission methods for required reporting.
1.15
Compensate Contractor according to approved budget.