IGA2021-051 - HEP C TESTING&PATIENT NAV.PDF

Maricopa County — Formal (2020-09-16)

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INTERGOVERNMENTAL AGREEMENT 
(IGA) 
 
Contract No.  IGA2020-051 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 North 18th Avenue, Suite 530 
Phoenix, Arizona 85007 
 
 
Page 1 of 20 
 
Project Title:  Hepatitis C Testing and Patient Navigation 
 
Geographic Service Area:  Maricopa County 
Begin Date:  August 1, 2020 
 
Termination Date: July 31, 2025 
 
Arizona Department of Health Services has authority to contract for services specified herein in accordance with A.R.S. §§ 11-951, 11-952, 36-
104 and 36-132.  The Contractor represents that it has authority to contract for the performance of the services provided herein pursuant to:  
X 
  Counties: 
A.R.S. §§ 11-201, 11-951, 11-952 and 36-182. 
 
 
  Indian Tribes: A.R.S. §§ 11-951, 11-952 and the rules and sovereign authority of the contracting Indian Nation. 
 
  School Districts:   A.R.S. §§ 11-951, 11-952, and 15-342. 
 
  City of Phoenix:    Chapter II, §§ 1 & 2, Charter, City of Phoenix. 
 
  City of Tempe: Chapter 1, Article 1, §§ 1.01 & 1.03, Charter, City of Tempe. 
 
Amendments signed by each of the parties and attached hereto are hereby adopted by reference as a part of this Contract, from the effective 
date of the Amendment, as if fully set out herein.                              
 
Arizona Transaction (Sales) Privilege:  
 
 
Federal Employer Identification No.: 
 
 
Tax License No.: 
 
 
Maricopa County  
By and through its Department of Public Health 
4041 North Central, Suite 1400 
Phoenix, Arizona 85012 
 
FOR CLARIFICATION, CONTACT: 
 
 
Name:   
 
Phone:  
 
FAX No:  
 
E-mail:  
 
 
CONTRACTOR SIGNATURE: 
The Contractor agrees to perform all the services set forth in the 
Agreement and Work Statement.   
 
 
 
This Contract shall henceforth be referred to as  
Contract No. IGA2021-051 The Contractor is hereby cautioned 
not to commence any billable work or provide any material, service 
or construction under this Contract until Contractor receives a fully 
executed copy of the Contract. 
 
 
 
Signature of Person Authorized to Sign               Date    
 
 
 
Clint Hickman, Chairman, Board of Supervisors 
State of Arizona 
Signed this  
 day of  September   , 2020_                            
 
 
 
 
ATTEST: 
 
____________________________________________ 
Office of the Clerk of the Board                              Date 
Procurement Officer 
 
CONTRACTOR ATTORNEY SIGNATURE: 
 
Pursuant to A.R.S. § 11-952, the undersigned Contractor’s Attorney 
has determined that this Intergovernmental Agreement is in proper 
form and is within the powers and authority granted under the laws 
of Arizona.  
 
 
 
 
Contract No.: IGA2021-XXX, which is an Agreement between public 
agencies, has been reviewed pursuant to A.R.S. § 11-952 by the 
undersigned Assistant Attorney General, who has determined that it is 
in the proper form and is within the powers granted under the laws of 
the State of Arizona to those parties to the Agreement represented by 
the Attorney General. 
The Attorney General, BY: 
 
 
 
 
Signature 
                          Date 
 
Assistant Attorney General:   
Signature of Person Authorized to Sign               Date    
 
 
Anne Longo, Attorney for County 
 
Print Name and Title

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
Page 2 of 20 
 
1. 
Definition of Terms.  As used in this Contract, the terms listed below are defined as follows: 
 
1.1 
“Attachment” means any document attached to the Contract and incorporated into the Contract.  
 
1.2 
“ADHS” means Arizona Department of Health Services.  
 
1.3 
“Budget Term” means the period of time for which the contract budget has been created and during which 
funds should be expended.   
 
1.4 
“Change Order” means a written order that is signed by a Procurement Officer and that directs the Contractor 
to make changes authorized by the Uniform Terms and Conditions of the Contract.   
 
1.5 
“Contract” means the combination of the Uniform and Special Terms and Conditions, the Specifications and 
Statement or Scope of Work, Attachments, Referenced Documents, any Contract Amendments and any 
terms applied by law.   
 
1.6 
“Contract Amendment” means a written document signed by the Procurement Officer and the Contractor that 
is issued for the purpose of making changes in the Contract.   
 
1.7 
“Contractor” means any person who has a Contract with the Arizona Department of Health Services.  
 
1.8 
“Cost Reimbursement” means a contract under which a contractor is reimbursed for costs, which are 
reasonable, allowable and allocable in accordance with the contract terms and approved by ADHS.  
 
1.9 
“Days” means calendar days unless otherwise specified.   
 
1.10 “Fixed Price” establishes a set price per unit of service.  The set price shall be based on costs, which are 
reasonable, allowable and allocable.   
 
1.11 “Gratuity” means a payment, loan, subscription, advance, deposit of money, services, or anything of more 
than nominal value, present or promised, unless consideration of substantially equal or greater value is 
received.   
 
1.12 “Materials” unless otherwise stated herein, means all property, including but not limited to equipments, 
supplies, printing, insurance and leases of property.   
 
1.13 “Procurement Officer” means the person duly authorized by the State to enter into and administer Contracts 
and make written determinations with respect to the Contract.   
 
1.14 “Purchase Order” means a written document that is signed by a Procurement Officer, that requests a vendor 
to deliver described goods or services at a specific price and that, on delivery and acceptance of the goods 
or services by ADHS, becomes an obligation of the State.   
 
1.15 “Services” means the furnishing of labor, time or effort by a Contractor or Subcontractor.   
 
1.16 “Subcontract” means any contract, express or implied, between the Contractor and another party or between 
a subcontractor and another party delegating or assigning, in whole or in part, the making or furnishing of any 
material or any service required for the performance of this Contract.   
 
1.17 “State” means the State of Arizona and/or the ADHS.  For purposes of this Contract, the term “State” shall 
not include the Contractor.

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
Page 3 of 20 
 
2. 
Contract Type. 
 
This Contract shall be:  
 
 
 
 
   Fixed Price  
 
 
X 
   Cost Reimbursement 
 
3. 
Contract Interpretation. 
 
3.1. Arizona Law. The law of Arizona applies to this Contract including, where applicable, the Uniform Commercial 
Code as adopted by the State of Arizona. 
 
3.2. Implied Contract Terms.  Each provision of law and any terms required by law to be in this Contract are a part 
of this Contract as if fully stated in it. 
 
3.3. Contract Order of Precedence.  In the event of a conflict in the provisions of the Contract, as accepted by the 
State and as they may be amended, the following shall prevail in the order set forth below: 
 
3.3.1. 
Terms and Conditions; 
 
3.3.2. 
Statement or Scope of Work; 
 
3.3.3. 
Attachments; and 
 
3.3.4. 
Referenced Documents. 
 
3.4. Relationship of Parties.  The Contractor under this Contract is an independent Contractor.  Neither party to 
this Contract shall be deemed to be the employee or agent of the other party to the Contract. 
 
3.5. Severability.  The provisions of this Contract are severable.  Any term or condition deemed illegal or invalid 
shall not affect any other term or condition of the Contract. 
 
3.6. No Parole Evidence.  This Contract is intended by the parties as a final and complete expression of their 
agreement.  No course of prior dealings between the parties and no usage of the trade shall supplement or 
explain any terms used in this document. 
 
3.7. No Waiver.  Either party’s failure to insist on strict performance of any term or condition of the Contract shall 
not be deemed a waiver of that term or condition even if the party accepting or acquiescing in the 
nonconforming performance knows of the nature of the performance and fails to object to it. 
 
3.8. Headings.  Headings are for organizational purposes only and shall not be interpreted as having legal 
significance or meaning. 
 
4. 
Contract Administration and Operation. 
 
4.1. Term.  As indicated on the signature page of the Contract, the Contract shall be effective as of the Begin Date 
and shall remain effective until the Termination Date.  
 
4.2. Contract Renewal.  This Contract shall not bind, nor purport to bind, the State for any contractual commitment 
in excess of the original Contract period.  The term of the Contract shall not exceed five years.  However, if 
the original Contract period is for less than five years, the State shall have the right, at its sole option, to renew 
the Contract, so long as the original Contract period together with the renewal periods does not exceed five 
years.  If the State exercises such rights, all terms, conditions and provisions of the original Contract shall 
remain the same and apply during the renewal period with the exception of price and Scope of Work, which 
may be renegotiated.

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
Page 4 of 20 
 
 
4.3. New Budget Term.   If a budget term has been completed in a multi-term Contract, the parties may agree to 
change the amount and type of funding to accommodate new circumstances in the next budget term. Any 
increase or decrease in funding at the time of the new budget term shall coincide with a change in the Scope 
of Work or change in cost of services as approved by the Arizona Department of Health Services. 
 
4.4. Non-Discrimination.  The Contractor shall comply with State Executive Order No. 2009-09 and all other 
applicable Federal and State laws, rules and regulations, including the Americans with Disabilities Act. 
 
4.5. Records and Audit.  Under A.R.S. § 35-214 and A.R.S. § 35-215, the Contractor shall retain and shall 
contractually require each subcontractor to retain all data and other records (“records”) relating to the 
acquisition and performance of the Contract for a period of five years after the completion of the Contract.  All 
records shall be subject to inspection and audit by the State and where applicable the Federal Government 
at reasonable times.  Upon request, the Contractor shall produce a legible copy of any or all such records. 
 
4.6. Financial Management.  For all contracts, the practices, procedures, and standards specified in and required 
by the Accounting and Auditing Procedures Manual for the ADHS funded programs shall be used by the 
Contractor in the management of Contract funds and by the State when performing a Contract audit.  Funds 
collected by the Contractor in the form of fees, donations and/or charges for the delivery of these Contract 
services shall be accounted for in a separate fund.   
 
4.6.1. 
Federal Funding. Contractors receiving federal funds under this Contract shall comply with the 
certified finance and compliance audit provision of the Office of Management and Budget (OMB) 
Circular A-133, if applicable.  The federal financial assistance information shall be stated in a Change 
Order or Purchase Order. 
 
4.6.2. 
State Funding.  Contractors receiving state funds under this Contract shall comply with the certified 
compliance provisions of A.R.S. § 35-181.03. 
 
4.7. Inspection and Testing.  The Contractor agrees to permit access, at reasonable times, to its facilities. 
 
4.8. Notices.  Notices to the Contractor required by this Contract shall be made by the State to the person indicated 
on the signature page by the Contractor, unless otherwise stated in the Contract.  Notices to the State required 
by the Contract shall be made by the Contractor to an ADHS Procurement Officer, unless otherwise stated 
in the Contract.  An authorized ADHS Procurement Officer and an authorized Contractor representative may 
change their respective person to whom notice shall be given by written notice, and an amendment to the 
Contract shall not be necessary. 
 
4.9. Advertising and Promotion of Contract.  The Contractor shall not advertise or publish information for 
commercial benefit concerning this Contract without the prior written approval of an ADHS Procurement 
Officer. 
 
4.10. Property of the State.   
 
4.10.1. Equipment.  Except as provided below or otherwise agreed to by the parties, the title to any and all 
equipment acquired through the expenditure of funds received from the State shall remain the 
property of the State by and through the ADHS and, as such, shall remain under the sole direction, 
management and control of the ADHS.  When this Contract is terminated, the disposition of all such 
property shall be determined by the ADHS.  For Fixed Price contracts, when the Contractor provides 
the services/materials required by the Contract, any and all equipment purchased by the Contractor 
remains the property of the Contractor.  All purchases of equipment need to be reported to the ADHS 
Office of Inventory Control.  
 
4.10.2. Title and Rights to Materials.  As used in this section, the term “Materials” means all products created 
or produced by the Contractor under this Contract, including, but not limited to: written and electronic 
information, recordings, reports, research, research findings, conclusions, abstracts, results,

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
Page 5 of 20 
 
software, data and any other intellectual property or deliverables created, prepared, or received by 
the Contractor in performance of this Contract.  Contractor acknowledges that all Materials are the 
property of the State by and through the ADHS and, as such, shall remain under the sole direction, 
management and control of the ADHS.  The Contractor is not entitled to a patent or copyright on 
these Materials and may not transfer a patent or copyright on them to any other person or entity.  To 
the extent any copyright in any Materials may originally vest in the Contractor, the Contractor hereby 
irrevocably transfers to the ADHS, for and on behalf of the State, all copyright ownership.  The ADHS 
shall have full, complete and exclusive rights to reproduce, duplicate, adapt, distribute, display, 
disclose, publish, release and otherwise use all Materials.  The Contractor shall not use or release 
these Materials without the prior written consent of the ADHS.  When this Contract is terminated, the 
disposition of all such Materials shall be determined by the ADHS.  Further, the Contractor agrees to 
give recognition to the ADHS for its support of any program when releasing or publishing program 
Materials. 
 
4.10.3. Notwithstanding the above, if the Contractor is a State agency, the following shall apply instead:  It is 
the intention of ADHS and Contractor that all material and intellectual property developed under this 
Agreement be used and controlled in ways to produce the greatest  benefit to the parties to this 
Contract and the citizens of the State of Arizona.  As used in this paragraph, “Material” means all 
written and electronic information, recordings, reports, findings, research information, abstracts, 
results, software, data, discoveries, inventions, procedures and processes of services developed by 
the Contractor and any other materials created, prepared or received by the Contractor and 
subcontractors in performance of this Agreement.  “Material” as used herein shall not include any 
pre-existing data, information, materials, discoveries, inventions or any form of intellectual property 
invented, created, developed or devised by Contractor (or its employees, subcontractors or agents) 
prior to the commencement of the services funded by this Agreement or that may result from 
Contractor’s involvement in other service activities that are not funded by the Agreement. 
 
4.10.4. Title and exclusive copyright to all Material shall vest in the State of Arizona, subject to any rights 
reserved on behalf of the federal government.  As State agencies and instrumentalities, both ADHS 
and Contractor shall have full, complete, perpetual, irrevocable and non-transferable rights to 
reproduce, duplicate, adapt, make derivative works, distribute, display, disclose, publish and 
otherwise use any and all Material.  The Contractor’s right to use Material shall include the following 
rights:   the right to use the Material in connection with its internal, non-profit research and educational 
activities, the right to present at academic or professional meetings or symposia and the right to 
publish in journals, theses, dissertations or otherwise of Contractor’s own choosing.  Contractor 
agrees to provide ADHS with a right of review prior to any publication or public presentation of the 
Material, and ADHS shall be entitled to request the removal of its confidential information or any other 
content the disclosure of which would be contrary to the best interest of the State of Arizona.  Neither 
party shall release confidential information to the public without the prior expressly written permission 
of the other, unless required by the State public records statutes or other law, including a court order.  
Each party agrees to give recognition to the other party in all public presentations or publications of 
any Material, when releasing or publishing them.  
 
4.10.5. In addition, ADHS and Contractor agree that any and all Material shall be made freely available to 
the public to the extent it is in the best interest of the State.  However, if either party wants to license 
or assign an intellectual property interest in the material to a third-party for monetary compensation, 
ADHS and Contractor agree to convene to determine the relevant issues of title, copyright, patent 
and distribution of revenue.  In the event of a controversy as to whether the Material is being used 
for monetary compensation or in a way that interferes with the best interest of the state or ADHS, 
then the Arizona Department of Administration shall make the final decision.  Notwithstanding the 
above, “monetary compensation’ does not include compensation paid to an individual creator for 
traditional publications in academia (the copyrights to which are Employee-Excluded Works under 
ABOR Intellectual Property Policy Section 6-908C.4.), an honorarium or other reimbursement of 
expenses for an academic or professional presentation, or an unprofitable distribution of Material.

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INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
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4.11. E-Verify Requirements   In accordance with A.R.S. § 41-4401, Contractor warrants compliance with all 
Federal immigration laws and regulations relating to employees and warrants its compliance with Section 
A.R.S. § 23-214, Subsection A. 
 
4.12. Federal Immigration and Nationality Act   The Contractor shall comply with all federal, state and local 
immigration laws and regulations relating to the immigration status of their employees during the term of the 
Contract. Further, the Contractor shall flow down this requirement to all subcontractors utilized during the 
term of the Contract. The State shall retain the right to perform random audits of Contractor and subcontractor 
records or to inspect papers of any employee thereof to ensure compliance. Should the State determine that 
the Contractor and/or any subcontractors be found noncompliant, the State may pursue all remedies allowed 
by law, including, but not limited to; suspension of work, termination of the Contract for default and suspension 
and/or debarment of the Contractor. 
 
5. 
Costs and Payments  
 
5.1. Payments.  Payments shall comply with the requirements of A.R.S. Titles 35 and 41, net 30 days. Upon 
receipt and acceptance of goods or services, the Contractor shall submit a complete and accurate 
Contractor’s Expenditure Report for payment from the State within thirty (30) days, as provided in the 
Accounting and Auditing Procedures Manual for the ADHS. 
 
5.2. Recoupment of Contract Payments.  
 
5.2.1. 
Unearned Advanced Funds.  Any unearned State funds that have been advanced to the Contractor 
and remain in its possession at the end of each budget term, or at the time of termination of the 
Contract, shall be refunded to the ADHS within forty-five (45) days of the end of a budget term or of 
the time of termination. 
 
5.2.2. 
Contracted Services.  In a fixed price contract, if the number of services provided is less than the 
number of services for which the Contractor received compensation, funds to be returned to the 
ADHS shall be determined by the Contract price.  Where the price is determined by cost per unit of 
service or material, the funds to be returned shall be determined by multiplying the unit of service 
cost by the number of services the Contractor did not provide during the Contract term.  Where the 
price for a deliverable is fixed, but the deliverable has not been completed, the Contractor shall be 
paid a pro rata portion of the completed deliverable.  In a cost reimbursement contract, the ADHS 
shall pay for any costs that the Contractor can document as having been paid by the Contractor and 
approved by ADHS.  In addition, the Contractor will be paid its reasonable actual costs for work in 
progress as determined by Generally Accepted Accounting Procedures up to the date of contract 
termination.   
 
5.2.3. 
Refunds.  Within forty-five (45) days after the end of each budget term or of the time of termination 
of the Contract, the Contractor shall refund the greater of:  i) the amount refundable in accordance 
with paragraph 4.2.1, Unearned Advanced Funds; or ii) the amount refundable in accordance with 
paragraph 5.2.2, Contracted Services.   
 
5.2.4. 
Unacceptable Expenditures.  The Contractor agrees to reimburse the ADHS for all Contract funds 
expended, which are determined by the ADHS not to have been disbursed by the Contractor in 
accordance with the terms of this Contract.  The Contractor shall reimburse ADHS within 45 days of 
the determination of unacceptability. 
 
5.3. Unit Costs/Rates or Fees.  Unit costs/rates or fees shall be based on costs, which are determined by ADHS 
to be reasonable, allowable and allocable as outlined in the Accounting and Auditing Procedures Manual for 
the ADHS.

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
Page 7 of 20 
 
5.4. Applicable Taxes. 
 
5.4.1. 
State and Local Transaction Privilege Taxes.  The State of Arizona is subject to all applicable state 
and local transaction privilege taxes.  Transaction privilege taxes apply to the sale and are the 
responsibility of the seller to remit.  Failure to collect taxes from the buyer does not relieve the seller 
from its obligation to remit taxes. 
 
5.4.2. 
Tax Indemnification.  The Contractor and all subcontractors shall pay all federal, state and local taxes 
applicable to its operation and any persons employed by the Contractor.  Contractor shall require all 
subcontractors to hold the State harmless from any responsibility for taxes, damages and interest, if 
applicable, contributions required under Federal, and/or state and local laws and regulations and any 
other costs, including transaction privilege taxes, unemployment compensation insurance, Social 
Security and Worker’s Compensation. 
 
5.4.3. 
I.R.S. W9 Form.  In order to receive payment under any resulting Contract, the Contractor shall have 
a current I.R.S. W9 Form on file with the State of Arizona.   
 
5.5. Availability of Funds for the Next Fiscal Year.  Funds may not be presently available for performance under 
this Contract beyond the first year of the budget term or Contract term.  The State may reduce payments or 
terminate this Contract without further recourse, obligation or penalty in the event that insufficient funds are 
appropriated in the subsequent budget term.  The State shall not be liable for any purchases or Subcontracts 
entered into by the Contractor in anticipation of such funding. The Procurement Officer shall have the 
discretion in determining the availability of funds.    
 
5.6. Availability of Funds for the Current Contract Term.  Should the State Legislature enter back into session and 
decrease the appropriations through line item or general fund reductions, or for any other reason these goods 
or services are not funded as determined by ADHS, the following actions may be taken by ADHS: 
 
5.6.1. 
Accept a decrease in price offered by the Contractor; 
 
5.6.2. 
Reduce the number of goods or units of service and reduce the payments accordingly; 
 
5.6.3. 
Offer reductions in funding as an alternative to Contract termination; or 
 
5.6.4. 
Cancel the Contract.    
 
6. 
Contract Changes 
 
6.1. Amendments, Purchase Orders and Change Orders.  This Contract is issued under the authority of the 
Procurement Officer who signed this Contract.  The Contract may be modified only through a Contract 
Amendment, Purchase Order and/or Change Order within the scope of the Contract, unless the change is 
administrative or otherwise permitted by the Special Terms and Conditions.  Changes to the Contract, 
including the addition of work or materials, the revision of payment terms, or the substitution of work or 
materials, directed by an unauthorized State employee or made unilaterally by the Contractor are violations 
of the Contract and of applicable law.  Such changes, including unauthorized Contract Amendments, 
Purchase Orders and/or Change Orders, shall be void and without effect, and the Contractor shall not be 
entitled to any claim under this Contract based on those changes. 
 
6.2. Subcontracts.  The Contractor shall not enter into any subcontract under this Contract without the advance 
written approval of the Procurement Officer.  The subcontract shall incorporate by reference all material and 
applicable terms and conditions of this Contract. 
 
6.3. Assignments and Delegation.  The Contractor shall not assign any right nor delegate any duty under this 
Contract without the prior written approval of the Procurement Officer.  The State shall not unreasonably 
withhold approval.

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TERMS AND CONDITIONS 
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7. 
Risk and Liability 
 
7.1. Risk of Loss.  The Contractor shall bear all loss of conforming material covered under this Contract until 
received and accepted by authorized personnel at the location designated in the Purchase Order, Change 
Order or Contract.  Mere receipt does not constitute final acceptance.  The risk of loss for nonconforming 
materials shall remain with the Contractor regardless of receipt. 
 
 
7.2. Mutual Indemnification.  Each party (as “indemnitor”) agrees to indemnify, defend and hold harmless the other 
party (as “indemnitee”) from and against any and all claims, losses, liability, costs or expenses (including 
reasonable attorney’s fees) (hereinafter collectively referred to as “claims”) arising out of bodily injury of any 
person (including death) or property damage, but only to the extent that such claims, which result in 
vicarious/derivative liability to the indemnitee, are caused by the act, omission, negligence, misconduct, or 
other fault of the indemnitor, its officers, officials, agents, employees or volunteers. 
 
7.3. Force Majeure. 
 
7.3.1. 
Liability and Definition.  Except for payment of sums due, neither party shall be liable to the other nor 
deemed in default under this Contract if and to the extent that such party’s performance of this 
Contract is prevented by reason of force majeure.  The term “force majeure” means an occurrence 
that is beyond the control of the party affected and occurs without its fault or negligence.  Without 
limiting the foregoing, force majeure includes acts of God; acts of the public enemy; acts of terrorism; 
war; riots; strikes; mobilization; labor disputes; civil disorders; fire; flood; lockouts; injunctions-
interventions not caused by or resulting from the act or failure to act of the parties; failures or refusals 
to act by government authority not caused by or resulting from the act or failure to act of the parties; 
and other similar occurrences beyond the control of the party declaring force majeure, which such 
party is unable to prevent by exercising reasonable diligence. 
 
7.3.2. 
Exclusions.  Force Majeure shall not include the following occurrences: 
 
7.3.2.1. Late delivery of Materials caused by congestion at a manufacturer’s plant or elsewhere, or 
an oversold condition of the market; 
 
7.3.2.2. Late performance by a subcontractor unless the delay arises out of a force majeure 
occurrence in accordance with this force majeure term and condition; or 
 
7.3.2.3. Inability of either the Contractor or any subcontractor to acquire or maintain any required 
insurance, bonds, licenses or permits. 
 
7.3.3. 
Notice.  If either party is delayed at any time in the progress of the work by force majeure, the delayed 
party shall notify the other party in writing of such delay, as soon as is practicable and no later than 
the following working day of the commencement thereof, and shall specify the causes of such delay 
in such notice.  Such notice shall be delivered or mailed certified-return receipt and shall make a 
specific reference to this article, thereby invoking its provisions.  The delayed party shall cause such 
delay to cease as soon as practicable and shall notify the other party in writing when it has done so.  
The time of completion shall be extended by Contract Amendment for a period of time equal to the 
time that the results or effects of such delay prevent the delayed party from performing in accordance 
with this Contract. 
 
7.3.4. 
Default.  Any delay or failure in performance by either party hereto shall not constitute default 
hereunder or give rise to any claim for damages or loss of anticipated profits if, and to the extent that, 
such delay or failure is caused by force majeure. 
 
7.4. Third Party Antitrust Violations.  The Contractor assigns to the State any claim for overcharges resulting from 
antitrust violations to the extent that those violations concern materials or services supplied by third parties 
to the Contractor for or toward the fulfillment of this Contract.

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
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8. 
Description of Materials The following provisions shall apply to Materials only: 
 
8.1. Liens. The Contractor agrees that the Materials supplied under this Contract are free of liens.  In the event 
the Materials are not free of liens, Contractor shall pay to remove the lien and any associated damages or 
replace the Materials with Materials free of liens. 
 
8.2. Quality. Unless otherwise modified elsewhere in these terms and conditions, the Contractor agrees that, for 
one year after acceptance by the State of the Materials, they shall be: 
 
8.2.1. 
Of a quality to pass without objection in the Contract description; 
 
8.2.2. 
Fit for the intended purposes for which the Materials are used; 
 
8.2.3. 
Within the variations permitted by the Contract and are of even kind, quantity, and quality within each 
unit and among all units; 
 
8.2.4. 
Adequately contained, packaged and marked as the Contract may require; and  
 
8.2.5. 
Conform to the written promises or affirmations of fact made by the Contractor. 
 
8.3. Inspection/Testing.  Subparagraphs 8.1 through 8.2 of this paragraph are not affected by inspection or testing 
of or payment for the Materials by the State. 
 
8.4. Compliance With Applicable Laws.  The Materials and services supplied under this Contract shall comply with 
all applicable federal, state and local laws, and the Contractor shall maintain all applicable license and permit 
requirements. 
 
8.5. Survival of Rights and Obligations After Contract Expiration and Termination. 
 
8.5.1. 
Contractor’s Representations.  All representations and warranties made by the Contractor under this 
Contract in paragraphs 7 and 8 shall survive the expiration or termination hereof.  In addition, the 
parties hereto acknowledge that pursuant to A.R.S. § 12.510, except as provided in A.R.S. § 12-529, 
the State is not subject to or barred by any limitations of actions prescribed in A.R.S. Title 12, Chapter 
5. 
 
8.5.2. 
Purchase Orders and Change Orders.  Unless otherwise directed in writing by the Procurement 
Officer, the Contractor shall fully perform and shall be obligated to comply with all Purchase Orders 
and Change Orders received by the Contractor prior to the expiration or termination hereof, including, 
without limitation, all Purchase Orders and Change Orders received prior to but not fully performed 
and satisfied at the expiration or termination of this Contract. 
 
9. 
State’s Contractual Remedies 
 
9.1. Right to Assurance.  If the State, in good faith, has reason to believe that the Contractor does not intend to, 
or is unable to, perform or continue performing under this Contract, the Procurement Officer may demand in 
writing that the Contractor give a written assurance of intent to perform.  Failure by the Contractor to provide 
written assurance within the number of Days specified in the demand may, at the State’s option, be the basis 
for terminating the Contract. 
 
9.2. Stop Work Order. 
 
9.2.1. 
Terms.  The State may, at any time, by written order to the Contractor, require the Contractor to stop 
all or any part of the work called for by this Contract for a period up to ninety (90) Days after the order 
is delivered to the Contractor, and for any further period to which the parties may agree.  The order 
shall be specifically identified as a stop work order issued under this clause.  Upon receipt of the

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INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
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Page 10 of 20 
 
order, the Contractor shall immediately comply with its terms and take all reasonable steps to 
minimize the incurrence of costs allocable to the work covered by the order during the period of work 
stoppage. 
 
9.2.2. 
Cancellation or Expiration.  If a stop work order issued under this clause is canceled or the period of 
the order or any extension expires, the Contractor shall resume work. The Procurement Officer shall 
make an equitable adjustment in the delivery schedule or Contract price, or both, and the Contract 
shall be amended in writing accordingly.  
 
9.3. 
Non-exclusive Remedies.  The rights and remedies of ADHS under this Contract are not exclusive, and 
ADHS is entitled to all rights and remedies available to it, including those under the Arizona Uniform 
Commercial Code and Arizona common law. 
 
9.4. 
Right of Offset.  The State shall be entitled to offset against any sums due the Contractor in any Contract 
with the State or damages assessed by the State because of the Contractor’s non-conforming performance 
or failure to perform this Contract.  The right to offset may include, but is not limited to, a deduction from an 
unpaid balance and a collection against the bid and/or performance bonds.  Any offset taken for damages 
assessed by the State shall represent a fair and reasonable amount for the actual damages and shall not be 
a penalty for non-performance.  
 
10. 
Contract Termination 
 
10.1. Cancellation for Conflict of Interest.  Pursuant to A.R.S. § 38-511, the State may cancel this Contract within 
three (3) years after Contract execution without penalty or further obligation if any person significantly 
involved in initiating, negotiating, securing, drafting or creating the Contract on behalf of the State is, or 
becomes at any time while the Contract or an extension of the Contract is in effect, an employee of or a 
consultant to any other party to this Contract with respect to the subject matter of the Contract.  The 
cancellation shall be effective when the Contractor receives written notice of the cancellation, unless the 
notice specifies a later time.  If the Contractor is a political subdivision of the State, it may also cancel this 
Contract as provided in A.R.S. § 38-511. 
 
10.2. Gratuities.  The State may, by written notice, terminate this Contract, in whole or in part, if the State 
determines that employment or a Gratuity was offered or made by the Contractor or a representative of the 
Contractor to any officer or employee of the State for the purpose of influencing the outcome of the 
procurement, securing the Contract or an Amendment to the Contract, or receiving favorable treatment 
concerning the Contract, including the making of any determination or decision about Contract performance.  
The State, in addition to any other rights or remedies, shall be entitled to recover exemplary damages in the 
amount of three times the value of the Gratuity offered by the Contractor. 
 
10.3. Suspension or Debarment.  The State may, by written notice to the Contractor, immediately terminate this 
Contract if the State determines that the Contractor or its subcontractor has been debarred, suspended or 
otherwise lawfully prohibited from participating in any public procurement activity, including but not limited to, 
being disapproved as a subcontractor of any public procurement unit or other governmental body.   
 
10.4. Termination Without Cause. 
 
10.4.1. Both the State and the Contractor may terminate this Contract at any time with thirty (30) days’ notice 
in writing specifying the termination date.  Such notices shall be given by personal delivery or by 
certified mail, return receipt requested. 
 
10.4.2. If the Contractor terminates this Contract, any monies prepaid by the State, for which no service or 
benefit was received by the State, shall be refunded to the State within 5 days of the termination 
notice.  In addition, if the Contractor terminates the Contract, the Contractor shall indemnify the State 
for any sanctions imposed by the funding source as a result of the Contractor’s failure to complete 
the Contract.

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10.4.3. If the State terminates this Contact pursuant to this Section, the State shall pay the Contractor the 
Contract price for all Services and Materials completed up to the date of termination.  In a fixed price 
contract, the State shall pay the amount owed for the Services or Materials by multiplying the unit of 
service or item cost by the number of unpaid service units or items.  In a cost reimbursement contract, 
the ADHS shall pay for any costs that the Contractor can document as having been paid by the 
Contractor and approved by ADHS.  In addition, the Contractor will be paid its reasonable actual 
costs for work in progress as determined by GAAP up to the date of termination.  Upon such 
termination, the Contractor shall deliver to the ADHS all deliverables completed.  ADHS may require 
Contractor to negotiate the terms of any remaining deliverables still due. 
 
10.5. Mutual Termination.  This Contract may be terminated by mutual written agreement of the parties specifying 
the termination date and the terms for disposition of property and, as necessary, submission of required 
deliverables and payment therein. 
 
10.6. Termination for Default.  The State reserves the right to terminate the Contract in whole or in part due to the 
failure of the Contractor to comply with any material obligation, term or condition of the Contract, to acquire 
and maintain all required insurance policies, bonds, licenses and permits, or to make satisfactory progress 
in performing the Contract.  In the event the ADHS terminates the Contract in whole or in part as provided in 
this paragraph, the ADHS may procure, upon such terms and in such manner as deemed appropriate, 
Services or Materials, similar to those terminated, and Contractor shall be liable to the ADHS for any excess 
costs incurred by the ADHS in obtaining such similar Services or Materials. 
 
10.7. Continuation of Performance Through Termination.  Upon receipt of the notice of termination and until the 
effective date of the notice of termination, the Contractor shall perform work consistent with the requirements 
of the Contract and, if applicable, in accordance with a written transition plan approved by the ADHS.  If the 
Contract is terminated in part, the Contractor shall continue to perform the Contract to the extent not 
terminated.  After receiving the notice of termination, the Contractor shall immediately notify all 
subcontractors, in writing, to stop work on the effective date of termination, and on the effective date of 
termination, the Contractor and subcontractors shall stop all work.  
 
10.8. Disposition of Property.  Upon termination of this Contract, all property of the State, as defined herein, shall 
be delivered to the ADHS upon demand. 
 
11. 
Arbitration   
 
Pursuant to A.R.S. § 12-1518, disputes under this Contract shall be resolved through the use of arbitration when 
the case or lawsuit is subject to mandatory arbitration pursuant to rules adopted under A.R.S. § 12 -133. 
 
 
12. 
Communication 
 
12.1. Program Report.  When reports are required by the Contract, the Contractor shall provide them in the format 
approved by ADHS.  
 
12.2. Information and Coordination.  The State will provide information to the Contractor pertaining to activities that 
affect the Contractor’s delivery of services, and the Contractor shall be responsible for coordinating their 
activities with the State’s in such a manner as not to conflict or unnecessarily duplicate the State’s activities.  
As the work of the Contractor progresses, advice and information on matters covered by the Contract shall 
be made available by the Contractor to the State throughout the effective period of the Contract. 
 
13. 
Client Grievances   
 
If applicable, the Contractor and its subcontractors shall use a procedure through which clients may present 
grievances about the operation of the program that result in the denial, suspension or reduction of services provided 
pursuant to this Contract and which is acceptable to and approved by the State.

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Page 12 of 20 
 
14. 
Sovereign Immunity  
 
Pursuant to A.R.S. § 41-621(O), the obtaining of insurance by the State shall not be a waiver of any sovereign 
immunity defense in the event of suit. 
 
15. 
Administrative Changes   
 
The Procurement Officer, or authorized designee, reserves the right to correct any obvious clerical, typographical 
or grammatical errors, as well as errors in party contact information (collectively, “Administrative Changes”), prior 
to or after the final execution of a Contract or Contract Amendment.  Administrative Changes subject to permissible 
corrections include: misspellings, grammar errors, incorrect addresses, incorrect Contract Amendment numbers, 
pagination and citation errors, mistakes in the labeling of the rate as either extended or unit, and calendar date 
errors that are illogical due to typographical error.  The Procurement Office shall subsequently send to the 
Contractor notice of corrections to administrative errors in a written confirmation letter with a copy of the corrected 
Administrative Change attached. 
 
16. 
Survival of Terms After Termination or Cancellation of Contract  
 
All applicable Contract terms shall survive and apply after Contract termination or cancellation to the extent 
necessary for Contractor to complete and for the ADHS to receive and accept any final deliverables that are due 
after the date of the termination or cancellation. 
 
17. 
Health Insurance Portability and Accountability Act of 1996 (HIPAA)   
 
17.1. The Contractor warrants that it is familiar with the requirements of HIPAA, as amended by the Health 
Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009, and accompanying 
regulations and will comply with all applicable HIPAA requirements in the course of this Contract.  Contractor 
warrants that it will cooperate with the Arizona Department of Health Services (ADHS) in the course of 
performance of the Contract so that both ADHS and Contractor will be in compliance with HIPAA, including 
cooperation and coordination with the Arizona Department of Administration-Arizona Strategic Enterprise 
Technology (ADOA-ASET) Office, the ADOA-ASET Arizona State Chief Information Security Officer and 
HIPAA Coordinator and other compliance officials required by HIPAA and its regulations.  Contractor will sign 
any documents that are reasonably necessary to keep ADHS and Contractor in compliance with HIPAA, 
including, but not limited to, business associate agreements. 
 
17.2. If requested by the ADHS Procurement Office, Contractor agrees to sign a “Pledge To Protect Confidential 
Information” and to abide by the statements addressing the creation, use and disclosure of confidential 
information, including information designated as protected health information and all other confidential or 
sensitive information as defined in policy.  In addition, if requested, Contractor agrees to attend or participate 
in HIPAA training offered by ADHS or to provide written verification that the Contractor has attended or 
participated in job related HIPAA training that is: (1) intended to make the Contractor proficient in HIPAA for 
purposes of performing the services required and (2) presented by a HIPAA Privacy Officer or other person 
or program knowledgeable and experienced in HIPAA and who has been approved by the ADOA-ASET 
Arizona State Chief Information Security Officer and HIPAA Coordinator. 
 
 
18. 
Comments Welcome    
 
The ADHS Procurement Office periodically reviews the Uniform Terms and Conditions and welcomes any 
comments you may have. Please submit your comments to: ADHS Procurement Administrator, Arizona Department 
of Health Services, 150 North 18th Avenue, Suite 280, Phoenix, Arizona 85007. 
 
19. 
Data Universal Numbering System (DUNS) Requirement   
 
For federal funding, pursuant to 2 CFR 25.100 et seq., no entity (defined as a Governmental organization, which is 
a State, local government, or Indian tribe; foreign public entity; domestic or foreign nonprofit organization; domestic

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INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
IGA2020-051 
 
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or foreign for-profit organization; or Federal agency, but only as a subrecipient under an award or subaward to a 
non-Federal entity) may receive a subaward from ADHS unless the entity provides its Data Universal Numbering 
System (DUNS) Number to ADHS. 
 
20. 
The Federal Funding Accountability and Transparency Act (FFATA or Transparency Act - P.L.109-282, as 
amended by section 6202(a) of P.L. 110-252), found at https://www.fsrs.gov/ 
 
If applicable, the Contractor/Grantee shall submit to ADHS via email the Grant Reporting Certification Form. This 
form 
and 
the 
instructions 
can 
be 
downloaded 
from 
the 
ADHS 
Procurement 
website 
at 
http://www.azdhs.gov/operations/financial-services/procurement/index.php#ffata and must be returned to the 
ADHS by the 15th of the month following that in which the award was received. The form shall be completed 
electronically, and submitted using the steps outlined in the Grant Reporting Certification Form Instructions to the 
following email address: ADHS_Grant@azdhs.gov. All required fields must be filled including Top Employee 
Compensation, if applicable. Completing the Grant Reporting Certification Form is required for compliance with the 
Office of Management and Budget (OMB), found at http://www.whitehouse.gov/omb/open. Failure to timely submit 
the Grant Reporting Certification Form could result in the loss of funds. This requirement applies to all 
subcontractors/sub-awardees utilized by the Contractor/Grantee for amounts exceeding $30,000.00 during the term 
of the Award. 
 
21. 
Contracting; Procurement; Investment; Prohibitions 
 
21.1. A public entity may not enter into a contract with a company to acquire or dispose of services, supplies, 
information technology or construction unless the contract includes a written certification that the 
company is not currently engaged in, and agrees for the duration of the contract to not engage in, a 
boycott of Israel. 
 
21.2. A public entity may not adopt a procurement, investment or other policy that has the effect of inducing 
or requiring a person or company to boycott Israel. 
 
21.3. Contractor hereby certifies that it is not currently engaged in, and will not for the duration of this Contract 
engage in, a boycott of Israel as defined by A.R.S. § 35-393.01. Violation of this certification by Contractor 
may result in action by the State up to and including termination of this Contract. Refer to and sign Attachment 
A to this Agreement. 
 
22. 
Technology Replacement  
 
In any event where product is discontinued, no longer available or technically inferior to newly developed product, 
the Contractor shall provide an equivalent replacement model at no additional cost and shall honor the original 
contract terms. 
 
23. 
Authorization for Provision of Services 
 
Authorization for purchase of services under this Agreement shall be made only upon ADHS issuance of a Purchase 
Order that is signed by an authorized agent.  The Purchase Order will indicate the Agreement number and the dollar 
amount of the funds authorized.  The Contractor shall only be authorized to perform services up to the amount of the 
Purchase Order.  ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on 
the Purchase Order.  No further obligation for payment shall exist on behalf of ADHS unless 2) the Purchase Order 
is changed or modified with an official ADHS Procurement Change Order, and/or an additional Purchase Order is 
issued for purchase of services under this Agreement.

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1. 
Background 
 
1.1. 
Hepatitis C virus (HCV) infection poses a major public health threat in Arizona, where an estimated 90,000 
people are living with chronic HCV infection. Of those living with HCV, an estimated forty-five percent (45%) 
(40,500) reside in Maricopa County. The Arizona Department of Health Services (ADHS) and the Maricopa 
County Department of Public Health (MCDPH) are committed to a vision of Arizona where HCV is no longer a 
public health threat, and HCV-related health inequities have been eliminated. In order to accomplish this, there 
is a need for innovative approaches that are specific and yet multi-faceted enough to address the complex 
patient barriers that people living with HCV face (e.g., limited screening resources to assist with outreach and 
enrollment, difficulty locating clinical providers, and gaining access to HCV treatment); and 
 
1.2. 
In support of the goals of the Department of Health and Human Services (HHS) Action plan for the prevention, 
care, and treatment of viral hepatitis, MCDPH will integrate HCV routine, opt-out screening into existing HIV 
and STD screening activities, and provide patient navigation services to eligible patients. This will not only work 
to increase the number of persons living with HCV infection that are tested for these infections and made aware 
of their status, but will also facilitate linkage to recommended care and treatment services via a comprehensive 
patient navigation program. 
 
2. 
Objective 
 
2.1. 
The purpose of this agreement is to increase hepatitis C testing, linkage to care, and treatment among 
vulnerable populations in Maricopa County.  
 
3. 
Tasks 
 
The Contractor shall provide the following hepatitis C testing and patient navigation services: 
 
3.1 
Access To Hepatitis C Testing; 
 
3.1.1 
MCDPH shall provide screening and confirmatory hepatitis C testing to persons seeking services 
at the Hepatitis C Treatment Program,   
 
3.1.1.1 A random sampling of patients from the total patient population seen at the MCDPH STD 
Clinic shall be selected for the opt out hepatitis C screening;  
 
3.1.1.2 Patients presenting at MCDPH STD Clinic specifically requesting a Hepatitis C Rapid 
Screening test shall be able to access one upon request as well;    
 
3.1.1.3 Hepatitis C Ab and HCV RNA tests for patients shall be provided to 7,900 patients 
annually; and 
 
3.1.1.4 Hepatitis C confirmatory/reflex tests shall be provided to 650 patients annually.  
 
3.1.2    Negative and positive testing results will be reported to ADHS utilizing the Medical Electronic 
Disease Surveillance Intelligence System “MEDSIS”.  
 
3.2 
Hepatitis C Linkage To Care  
 
3.2.1 
MCDPH shall offer patient navigation services to all patients confirmed positive for hepatitis C, 
estimated to be approximately 585 patients annually, 
 
3.2.2 
MCDPH shall provide patient navigation services to ninety percent (90%) patients testing

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IGA2021-051 
 
Page 15 of 20 
 
positive for hepatitis C, estimated to be approximately 527 patients annually,   
 
3.2.3 
MCDPH shall link fifty percent (50%) of patients receiving patient navigation services for 
hepatitis C to treatment at community partner organizations or partner clinics, estimated to be 
approximately 264 patients annually,      
 
3.2.3.1 Linkage to care for hepatitis C is defined as scheduling a medical appointment with a 
provider treating hepatitis C at a partner organization.  
 
3.2.4 
MCDPH shall provide follow up and ongoing patient navigation services resulting in treatment 
and cure of hepatitis C for twenty five percent (25%) of patients receiving patient navigation 
services, estimated to be approximately 132 patients annually,  
 
3.2.5 
Additional data elements shall be reported to ADHS utilizing the Medical Electronic Disease 
Surveillance Intelligence System “MEDSIS” such as risk factor information, 
 
3.2.6 
MCDPH shall screen all patients identified as confirmed positive for hepatitis C for substance 
use, and  
 
                    
3.2.6.1 All patients disclosing substance use shall be offered referral to harm reduction and/or 
substance use treatment services; 
 
3.2.6.2 All patients with AHCCCS health insurance desiring hepatitis C treatment shall be offered 
navigation services to support accessing substance use treatment to qualify for hepatitis 
C treatment through AHCCCS; and 
 
3.2.6.3 MCDPH shall provide patient navigation services to ninety percentage (90%) of patients 
with AHCCCS requesting the support.  
The ADHS shall: 
 
3.3 
Provide technical assistance and support for MEDSIS data entry and data exports.  
 
4. 
Requirements 
 
5.1 
Hepatitis C screening will adhere to the current United States Preventive Services Task Force screening 
recommendations;  
 
5.2 
Data entry into MEDSIS is required to satisfy CDC data reporting requirements for hepatitis C 
surveillance.  
 
5. 
Deliverables and Delivery Schedule 
 
5.1. 
Submit a monthly report of aggregate data such as, but not limited to: 
 
5.1.1. 
The number of patients eligible for screening; 
 
5.1.2. 
The number of patients tested positive for HCV antibody and HCV RNA; 
 
5.1.3. 
The number of patients tested positive for HCV antibody and HCV RNA; and

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INTERGOVERNMENTAL AGREEMENT 
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IGA2021-051 
 
Page 16 of 20 
 
 
5.1.4. 
The number of patients refusing care/treatment and/or denied care/treatment. 
 
5.2. 
Submit a monthly MEDSIS extract of screened patients with data elements specified by the Program such 
as name, date of birth, demographics, testing information, and risk factor information through a secure 
platform designated by the Program 
 
6. 
Notices, Correspondence, and Reports 
 
6.1. 
Notices, correspondence, reports and invoices/CERs from the contractor to ADHS shall be sent to: 
 
Arizona Department of Health Services 
HIV Care and Services 
Attention: Ricardo Fernandez 
HIV Care & Viral Hepatitis Program Director 
150 North 18th Street - Suite 130 
Phoenix, Arizona 85007 
Telephone:  602-364-3610 
Facsimile:  602.542.1155 
Email: ricardo.fernandez@azdhs.gov  
 
 
6.2. 
Notices, correspondence, and reports (and payments if sent to same address) from ADHS to the contractor 
shall be sent to: 
 
Maricopa County Department of Public Health  
Attn: Corinne Velasquez 
Division Director 
Address: 1645 E. Roosevelt 
Phoenix, AZ 85006 
Phone: 602-506-6657 
Fax: 602-372-0342 
Email: corinne.velasquez@mail.maricopa.gov

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
ATTACHMENT A 
IGA2021-051 
 
Page 17 of 20 
 
Price Sheet 
August 1, 2020 through July 31, 2021 
 
Maricopa County Department of Public Health 
 
 
 
Description 
 
 
Amount 
Personnel Costs/EREs  
 
$71,622 
Capital Expenses  
 
$1,200 
Travel Expenses  
 
$0 
Other Operating Expenses 
 
$115,447 
Indirect Cost Expenses  
 
$35,395 
 
Total Budget 
 
 
$223,664

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
ATTACHMENT A 
IGA2021-051 
 
Page 18 of 20 
 
Boycott of Israel Disclosure 
 
Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall 
select the “Exempt Solicitation, Contract, or Contractor” option below:   
 
• 
The Solicitation or Contract has an estimated value of less than $100,000;  
• 
Contractor is a sole proprietorship; 
• 
Contractor has fewer than ten (10) employees; OR 
• 
Contractor is a non-profit organization. 
 
Pursuant to A.R.S. §35-393.01, public entities are prohibited from entering into contracts “unless the contract 
includes a written certification that the company is not currently engaged in, and agrees for the duration of the 
contract to not engage in, a boycott of goods or services from Israel.”   
 
Under A.R.S. §35-393: 
 
1. "Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended 
to limit commercial relations with entities doing business in Israel or in territories controlled by Israel, if those actions are 
taken either: 
 
(a) Based in part on the fact that the entity does business in Israel or in territories controlled by Israel. 
(b) In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid 
business reason. 
 
2. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability 
partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, 
majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-
time employees. 
 
3. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of 
this State or a political subdivision of this State. 
 
The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued 
pursuant to that section.  See A.R.S. §35-393.03.  
 
In compliance with A.R.S. §§35-393 et seq., all offerors must select one of the following: 
 
 The Company submitting this Offer does not participate in, and agrees not to participate in during the term of the 
contract, a boycott of Israel in accordance with A.R.S. §§35-393 et seq. I understand that my entire response will 
become public record in accordance with A.A.C. R2-7-C317. 
 
 The Company submitting this Offer does participate in a boycott of Israel as described in A.R.S. §§35-393 et seq.  
 
 Exempt Solicitation, Contract, or Contractor.   
 
Indicate which of the following statements applies to this Contract:  
 
 
  Solicitation or Contract has an estimated value of less than $100,000;  
 
  Contractor is a sole proprietorship;  
 
  Contractor has fewer than ten (10) employees; and/or  
 
  Contractor is a non-profit organization.

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
ATTACHMENT A 
IGA2021-051 
 
Page 19 of 20 
 
Maricopa County, By and through its Department of Public Health 
Company Name 
 
Signature of Person Authorized to Sign 
4041 N Central Avenue, Suite 1400 
 
Clint Hickman 
Address 
Phoenix, Az 85012 
 
Printed Name 
 
Chairman, Board of Supervisors 
City 
State 
Zip 
 
Title

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
EXHIBIT – 2 CFR 200.210 SUBPART C 
IGA2021-051 
 
Page 20 of 20 
 
 
 
Recipient’s name:   Arizona Department of Health Services  
  
 
Recipient’s unique entity identifier:  804745420 
  
 
Federal Award Identification Number (FAIN): NU62PS924627 
  
 
Federal award date: 07/23/2020 
  
 
Period of Performance start and end date: 08/01/2020 - 07/31/2025 
  
 
Total amount of the Federal award: 2,636,643 
  
 
Federal award project description: 
 
Ending the HIV Epidemic Phase II; HIV Prevention Activities Health Department Based 
  
 
Name of the Federal awarding agency and contact information of the awarding official:  
 
Department of Health and Human Services  
Centers for Disease Control and Prevention 
Edna Green, Grants Management Officer 
2939 Flowers Rd 
Mailstop TV2 
Atlanta, GA 30341-5509 
Phone: 770-488-2858 
 
Catalog of Federal Domestic Assistance (CFDA) number: 93.940