200208-01_MCDEM_EXTENSIONREQUEST_APPROVAL.PDF

Project Extension Request Form
Arizona Department of Homeland Security 
Version 7.3.0
All previous versions are obsolete 
Arizona Department of Homeland Security
10.30.2017
Subrecipient Information
Subrecipient Agreement Number:
200208-01
Date of Request:
10/13/2020
Agency:
Maricopa County Department of Emergency Management 
Point of Contact: 
Marisa VonHolten
Email:
Marisa.VonHolten@maricopa.gov
Phone:
602-273-1411
Original Period of Performance:
10/1/20-9/30/21
Funding Source (i.e. SHSGP/UASI/OPSG/NSGP):
SHSGP
Award Amount:
$72,000.00 
Amount Reimbursed to Date:
$0.00 
Extension Justification
1. Provide a detailed justification and explanation 
for extending the period of performance.  
The county purchased COOP software renewal, the service 
dates are December 1, 2020 thru November 30, 2021.  In 
order to fully reimburse the County for the COOP software 
renewal we need to extend the period of performance from 
10/1/20 to 12/1/21.  With Grant funded projects we are not 
allowed to go out to bid or solitct vendors until the Board of 
Supervisors approves and accepts the grant, so we will 
need to extend the grant effective dates in order to match 
the service agreeement. 
Objective 1:
Date:
Receive award notification from State Homeland 
process acceptance through the County Board of 
Supervisors. Process the annual  Software Service 
Agreement (12/1/20-11/30/21).  Provide seamless 
help desk service support. OnBoard/update three (3) 
new Emergency Operations Plan and three (3) new 
COOP/COG efforts
October 1-December 31, 2020
Objective 2:
Date:
Hold (2) partner trainings. OnBoard/update three (3) 
new Emergency Operations Plan and (3) new 
COOP/COG efforts
January 1-March 31, 2021
Objective 3:
Date:
Hold (2) partner trainings. OnBoard/update three (3) 
new Emergency Operations Plan and (3) new 
COOP/COG efforts
April 1-June 30, 2021
Objective 4:
Date:
2.  What is the new timeline for completion, including all major objectives?  Please include specific date(s) 
and a deliverable for each project objective.

Project Extension Request Form
Arizona Department of Homeland Security 
Version 7.3.0
All previous versions are obsolete 
Arizona Department of Homeland Security
10.30.2017
Hold (2) partner trainings. OnBoard/update three (3) 
new Emergency Operations Plan and (3) new 
COOP/COG efforts. Ongoing software service to Bold 
Planning.  Service Agreement expires November 30, 
2021.
July 1- November 30, 2021
For AZDOHS Official Use Only
Quarterly Report Received:
Q1: Oct 1 - Dec 31
Q2: Jan 1 - Mar 31
Q3: Apr 1 - Jun 30
Q4: Jul 1 - Sep 30
Planner Signature:
Tim Baldwin 11/9/2020
Assistant Director Signature:
             Susan Dzbanko            Date: 11/10/2020
AZDOHS Recommendation and/or Comments:
Extended until 11/30/2021
Linked to a Modification:
Extension Request:
Amendment Emailed To:
     Sara Latin                           Date: 11/10/2020
RM Update:
GIMS Update:
Reimbursement Request Form Sent To:
                                                Date:
Finance Signature: 
                                                Date:
Planning Section:
Finance Section:
Yes
No
Yes
No
Yes
No
Yes
No
Approved
Denied
Date: _________
Date: _________
Initials:________
Initials:________
Yes
No