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1 CONTRACT NO: C-86-18-071-3-03 AMENDMENT NO: 3 AMENDMENT TO INTERGOVERNMENTAL AGREEMENT (IGA) Between MARICOPA COUNTY By and Through its DEPARTMENT OF PUBLIC HEALTH and ARIZONA BOARD OF REGENTS (ABOR) ON BEHALF OF THE UNIVERSITY OF ARIZONA (U of A) I. The above named IGA is hereby amended as specified within Attachment A1. All other terms and conditions of the original IGA 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 BOARD OF REGENTS on behalf of University of Arizona By: By: Clint Hickman Chairman, Board of Supervisors Elisha Johnson, JD Director, Clinical Trials and Contracting Date Date ATTEST Clerk of the Board Date APPROVED AS TO FORM Read and Acknowledged: Attorney for Maricopa County Kristen Pogreba-Brown, PhD Date Date August 19, 2020 Attachment A1 The following paragraphs are added to the Work Statement: II. 3. Responsibilities of the Contractor Add G. G. SAFER will assist Maricopa County Department of Public Health (MCDPH) with COVID-19 Case Investigations as directed by MCDPH and within capacity. Add H. H. The University of Arizona will develop curriculum to support training of contact tracing staff. II. 4. Expectations and Methodology Add C. C. Assist with COVID-19 Disease Case Investigations and Contact Tracing SAFER assists MCDPH with COVID-19 investigations using reasonable efforts to collect complete data from each case interviewed including disease-specific observations (DSO). SAFER will use the MCDPH supplied Qualtrics questionnaire for collection of data. Assistance includes training of staff to conduct investigation, collecting data and providing SAFER faculty, staff and students to support case investigations. Any and all faculty, staff, and students involved will sign a confidentiality agreement, hereto attached to this Exhibit and take appropriate confidentiality training. SAFER will not collect any data beyond what is included on the original MCDPH form. If there is a request for SAFER to collect data beyond what is included in the original MCDPH form, then an amendment to this Exhibit will be processed and mutually agreed upon between SAFER and MCDPH. MCDPH shall have full access to and the right to examine, copy, and make use of any and all such data. To achieve an optimal response rate during COVID-19 case investigations, the following contact methodology will be attempted: 1. The student will attempt one (1) documented phone call and if no response, the case will be closed and entered as lost to follow-up in MEDSIS. 2. If for any reason the contact information is incorrect or the phone number is non-working, the case should be submitted to ADHS after one (1) attempt and a note of the MEDSIS ID should be sent to MCDPH in the end-of-shift interview. The performance period for this deliverable is July 30, 2020 – June 30, 2021 based on availability of funding. If the cost exceeds the total project costs below, then an amendment to this Exhibit will be processed and mutually agreed upon between SAFER and MCDPH. Estimated Schedule of Deliverables – anticipated total: $170,131 ($136,105 + 34,036 indirect) Date: Deliverable: July 30, 2020 HIPAA- compliant case management system will be built and functioning 1 Project Manager and 2 case interviewers will be trained and actively working July 30, 2020 – June 30, 2021 20 cases/day* - $99,000 *Cases per day are estimates based on variables such as on-boarding and training staff, duration of interviews, percentage of cases that are lost to follow-up, etc.* Estimated Budget and Payment Schedule Project Manager – Kristin Pogreba-Brown: $37,105 Case Investigations estimated based on $15/per case: $99,000 (per above schedule of deliverables) Estimated Payment Schedule* Date Due: Amount Due: Upon Execution of Agreement Project Manager salary, indirect $46,381 = $37,105 + $9,276 indirect October 30, 2020 (Estimated) Cases completed $33,750** = $27,000 + $6,750 indirect January 30, 2021 (Estimated) Cases completed $33,750** = $27,000 + $6,750 indirect April 30, 2021 (Estimated) Cases completed $33,750** = $27,000 + $6,750 indirect June 30, 2021 (Estimated) Cases completed $22,500** = $18,000 +$4,500 indirect ** Payment including indirect will be adjusted based on cases completed and documented ** Add D. D. Develop Curriculum to Support Training of Contact Tracing Staff The University of Arizona will develop curriculum to assist in preparing new investigations and contact tracing staff to perform assigned duties. Curriculum to include development of online and hardcopy versions of all modules. Modules to be developed: x Contact Tracing Investigative Process x Economic Implications of Pandemics and Contact Tracing x Effective Interviewing Techniques x Incident Command System x MEDSIS and Surveillance Systems x Politics of Pandemics and Contact Tracing x Transmission of COVID-19 and Infection Control x Role Playing to Practice Case and Contact Tracing Estimated Schedule of Deliverables – anticipated total: $27,835 ($22,268 + $5,567 indirect) Date: Deliverable: Aug 28, 2020 8 training modules described above; online and hard copy versions Estimated Budget and Payment Schedule Estimated Payment Schedule Date Due: Amount Due: September 15, 2020 $27,835 ($22,268 +$5,567 indirect)