D2 CSF PROPOSAL APPLICATION SIGNED.PDF

Maricopa County
Board of Supervisors
Community Solutions Funding Proposal

This proposal must be fully completed and signed by the County Administering Authority and
sponsoring Board of Supervisors member. All proposals must be submitted to the Clerk of the
Board as a new agenda item following the Clerk’s guidelines and deadlines.

1. Sponsoring Board Member: Supervisor Galvin
2. Administering Authority: Public Health

3. Phone: 602-722-1806

4. Email: Jeanene.fowler@maricopa.gov

5. Amount Requested (exact): $3,000

6. Expected Start Date: June 26, 2024
7. Expected End Date: September 30, 2024

8. Associated Maricopa County Strategic Goal: Regional Services
Comments:

9. Please provide a detailed description of the initiative, including the public benefit, areas
served, and population served (please attach separate page if more space is needed): ;

Funds will be utilized to purchase dog leashes and additional shoes for
cooling centers.

10. Please disclose if there are other current requests for funding related to this initiative
and any previous awards of CSF within the past two years:

Previous award was for $8,000 for shoes and water bowls.

Last Updated: 7/1/2021

11. Please discuss, if applicable, the source and type of funding that will be needed to
sustain the initiative after CSF have been spent:

N/A

12. Please attach a budget proposal detailing the use of all funds. The budget proposal
should include the account level detail for uses and estimated timeline. The budget
proposal should be broken out by year for multi-year projects.

Acknowledgements
By signing this proposal, Administering Authority acknowledges the responsibility of oversight of

expenditures associated with public funds, including ensuring that each purchase is a necessary
and prudent expenditures of public funds.

By signing this proposal, Administering Authority acknowledges that all expenditures must
comply with the applicable County policies {including but not limited to Code of Conduct,
Acceptable Use of County Purchasing Card, Procurement Code, Community Outreach, and Travel
Policy as applicable). In addition, the expenditures must not violate any existing federal, state, or
local laws, including Conflict of Interest laws (A.R.S. §38-501 through 38-511).

By signing this proposal, Administering Authority agrees to comply with all requirements as
stated in the Community Solutions Funding policy (A1125).

By signing this proposal, Administering Authority certifies that the information contained in this
proposal, including attachments, is accurate and complete.

Mie. 6/26/2024

dministering Authority Date

Brooke A_ Worcester 07/19/2024

Grooke A. Worcester Jul 19, 2024 12:30 PDT)
Maricopa County Attorney’s Office Date

Sponsoring Board of Supervisor Date

Last Updated: 7/1/2021