CTR047666 PERINATAL CASEWORKER PROJECT.PDF

Maricopa County — Formal (2020-05-06)

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INTERGOVERNMENTAL AGREEMENT (IGA) 
Contract No.  CTR047666 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 North 18th Avenue, Suite 530 
Phoenix, Arizona 85007 
Page 1 of 23 
Project Title: Maricopa County STD Program – Perinatal Caseworker 
Project 
Geographic Service Area:  Maricopa County 
Begin Date: March 1, 2020  
Termination Date: July 31, 2020 
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.:    86-6000472-G 
Tax License No.: 
Contractor Name:  Maricopa County, Department of Public Health 
Address:   
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. CTR047666   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 
, 20__ 
Print Name and Title 
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. CTR047666, 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 
Print Name and Title 
Attorney for County 
4041 N Central Avenue, Suite 1400
Phoenix, AZ 85012

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
Page 2 of 23 
 
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 
CTR047666 
 
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2. 
Contract Type. 
 
This Contract shall be:  
 
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.   
 
4.3. New Budget Term.   If a budget term has been completed in a multi-term Contract, the parties may agree to

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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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, software, data and any other intellectual property or deliverables created, prepared, or

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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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.

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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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.

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INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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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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INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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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.

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INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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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

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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receipt of the 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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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;

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INTERGOVERNMENTAL AGREEMENT 
TERMS AND CONDITIONS 
CTR047666 
 
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domestic 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. 
 
21.4. Unless and until the U.S. District Court’s injunction in Jordahl v. Brnovich et al., Case No. 3:17-cv-08263 
(D. Ariz.) is stayed or lifted, the Anti-Israel Boycott Provision (A.R.S. § 35-393.01(A)) is unenforceable and 
the State will take no action to enforce it.  This attachment (Participation in Boycott of Israel) is no longer a 
mandatory part of the offer.  Offers will not be evaluated based on whether this certification has been 
completed. 
 
22. 
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. Syphilis has been rising in Arizona for six (6) consecutive years; however, the rise in women and babies is 
much more recent. An outbreak of female and congenital syphilis was declared in 2018 and is ongoing in 
2019.  In 2018, Arizona had sixty-one (61) congenital cases and thirty-five percent (35%) of mothers of 
congenital syphilis cases did not receive any prenatal care.  
 
1.2. There is a need for a perinatal caseworker (PCW) to assist with linking women infected with syphilis to 
prenatal care and other public services to support healthy pregnancies and prevent congenital syphilis. The 
Maricopa County PCW will be positioned in Roosevelt Clinic.  
 
1.3. Maricopa County Department of Public Health (MCDPH) has a Perinatal Hepatitis B (HBV) coordinator that 
already collects information on infants with perinatal HBV exposure.  
 
1.4. The Maricopa PCW will be required to collaborate with the MCDPH HBV coordinator and the Statewide 
PCW in order to develop standardize protocols and scopes of work for case management. 
 
2. 
Objective 
 
2.1. In accordance with the cooperative agreement with the Center for Disease Control and Prevention (CDC) 
Epidemiology and Laboratory Capacity (ELC) Project W: Infants with Congenital Exposure – Surveillance 
and Monitoring to Emerging Infectious Diseases and Other Health Threats  CDC-RFA-CK19-1904 
(https://www.cdc.gov/ncezid/dpei/epidemiology-laboratory-capacity.html), to expand access to services to 
promote healthy pregnancies and prevent congenital syphilis, MCDPH shall achieve the following 
outcomes: 
 
2.1.1. 
The goal of this project is to promote linkage to care to prevent congenital syphilis and improve 
health outcomes in women and babies,  
 
2.1.2. 
Improve epidemiological capacity to monitor pregnant women, infants, and children, with syphilis 
exposure, 
 
2.1.3. 
Improve completeness and timeliness of reporting to surveillance systems for congenital syphilis, 
 
2.1.4. 
Improve monitoring of infants and children with syphilis exposure to assess long term health 
outcomes, and 
 
2.1.5. 
Translation of public health data into clinical and public health recommendations, particularly in 
the realm of early detection of developmental delays in syphilis-exposed infants.  
 
3. 
Scope of Service 
 
The Contractor shall: 
 
3.1. Enhance workforce capacity to address the impact of congenital syphilis; 
 
3.2. Enhance case investigation reports of congenital syphilis and the impact on infants and children; 
  
3.3. Improve surveillance of emerging threats to pregnant women and their infants by building on existing 
surveillance systems; 
  
3.4. Coordinate with key public health partners with expertise in protecting mothers and babies and promoting 
infant health; 
  
3.5. Coordinate and collaborate with key clinical partners that are committed to advancing the health of pregnant 
women, infants, and children;

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3.6. Disseminate information on the importance of avoiding congenital syphilis and strategies to reduce risk; and 
  
3.7. Develop and disseminate information on protection of pregnant women and their infants from syphilis.  
 
4. 
Tasks 
 
The Contractor shall: 
 
4.1. Enhance workforce capacity to address the impact of congenital syphilis; 
 
4.1.1. 
Hire one (1) PCW, 
 
4.1.2. 
Develop, in partnership with ADHS, a process flow for case handoff between the disease 
investigator and the PCW,  
 
4.2. Enhance case investigation of reports of congenital syphilis and the impact on infants and children;  
 
4.2.1. 
Prioritize case linkage to care in the following order:  
 
4.2.1.1. 
Pregnant women with a new/untreated syphilis infection;  
 
4.2.1.2. 
Women who have recently delivered a baby with perinatal syphilis exposure;  
 
4.2.1.3. 
Women of unknown pregnancy status with a new/untreated syphilis infection; 
 
4.2.1.4. 
Women of childbearing age with a new/untreated syphilis infection;  
 
4.2.1.5. 
Women of childbearing age with a reactive syphilis test (excluding women who have 
been ruled out as a true biological false positive); 
 
4.2.1.6. 
Men with a new/untreated syphilis infection who report having a pregnant partner (only if 
time permits); 
 
4.2.2. 
Work with ADHS to develop a baseline assessment for clients to inform individual linkage and 
referral services,  
 
4.2.3. 
Conduct monthly follow-up calls with pregnant women who were infected with syphilis to ensure 
timely linkage to care, treatment and prevention of reinfection,  
 
4.2.4. 
Conduct monthly check-ins with expectant clients until delivery to monitor for reinfection and inquire 
about additional resource needs, 
  
4.2.5. 
Document case management activities and assist disease investigators and epidemiologists with 
completing congenital and maternal records in the database Patient Reporting Investigation 
Surveillance Manager (PRISM), 
  
4.2.6. 
Conduct follow-up with potential Maricopa County congenital syphilis cases identified by ADHS, 
  
4.2.7. 
Follow up with perinatal care providers thirty (30) days after delivery to ensure appropriate 
screening (and treatment, if warranted) was provided, 
  
4.2.8. 
Conduct follow-up with women of childbearing age syphilis cases identified by ADHS, 
 
4.2.9. 
Work with the Statewide PCW to conduct a survey of providers to identify how many Maricopa 
Providers are adhering to ADHS/MCDPH prenatal screening recommendations,

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4.2.10. Develop training resources for facilities failing to screen appropriately, and 
  
4.2.11. Coordinate facility specific trainings for promoting appropriate and timely case management for 
women with syphilis and their babies; 
  
4.3. Improve surveillance of emerging threats to pregnant women and their infants by building on existing 
surveillance systems; 
  
4.3.1. 
Conduct same day interviews with cases that present to the MCDPH clinic,  
 
4.3.2. 
For cases not detected at the MCDPH clinic, the Statewide and Maricopa PCW will attempt to 
interview cases within five (5) business days of notification, 
  
4.3.3. 
Receive training on the Council of State and Territorial Epidemiologists (CSTE) case definition for 
syphilis and congenital syphilis from the ADHS syphilis epidemiologist, 
  
4.3.4. 
Local Disease Investigators shall reassign all maternal records needing perinatal casework to the 
appropriate PCW for linkage to care, 
  
4.3.5. 
The MCDPH Epidemiologist will use PRISM data to prepare monthly data summaries for monthly 
Syphilis Taskforce meetings, 
  
4.3.6. 
Share updates during monthly Syphilis Taskforce meetings, and 
   
4.3.7. 
Present findings to stakeholders and community-based organizations who can address specific 
issues identified through case investigation; 
 
4.4. Coordinate with key public health partners with expertise in protecting mothers and babies and promoting 
infant health; 
 
4.4.1. 
Collaborate with partners from maternal child health and other social service programs to build their 
referral network, 
  
4.4.2. 
Work with partners to do warm transfers to more effectively link clients to services, 
  
4.4.3. 
Spend one (1) day a week working with the Perinatal HBV caseworker and Statewide PCW to 
develop standardized protocols and best practices, and 
  
4.4.4. 
The Statewide and Maricopa PCWs shall collaborate with each other to share additions to the 
referral network; 
 
4.5. Coordinate and collaborate with key clinical partners that are committed to advancing the health of pregnant 
women, infants, and children; 
 
4.5.1. 
Provide ongoing review of maternal and congenital records and shall address any data 
inconsistencies, and 
  
4.5.2. 
Meet with staff from the ADHS Bureau of Women and Children’s health and the State and Maricopa 
County WIC teams to learn about programs and build their referral network; 
 
4.6. Disseminate information on the importance of avoiding congenital syphilis and strategies to reduce risk; 
  
4.6.1. 
The Statewide and Maricopa PCWs shall participate in the Perinatal Review Boards and Maricopa 
Syphilis Taskforce Meetings to discuss data-informed strategies for syphilis control,

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4.7. Develop and disseminate information on protection of pregnant women and their infants from syphilis; 
   
4.7.1. 
Collaborate with ADHS and the Statewide PCW to distribute provider screening recommendations 
at provider trainings and to providers who fail to screen/treat syphilis appropriately. 
  
5. 
State Provided Items and ADHS Tasks 
 
5.1. Coordinate trainings with state/and local Maternal Child Health partners; 
    
5.2. Provide automated weekly reports identifying potentially missed congenital syphilis cases; 
  
5.3. The Maricopa PCW can request faculty for provider trainings through ADHS. The ADHS Medical Directors, 
CDC Epidemic Intelligence Service (EIS) Officer, and faculty from the California Prevention Training Center 
have experience conducting syphilis trainings for medical providers; 
 
5.4. The ADHS STD Epidemiologist will develop a protocol for entry of additional data collection points for the 
Perinatal Case Manager using PRISM; 
 
5.5. The Maricopa PCW will be granted access to PRISM and the associated training resources, upon 
completion of user agreements and completion of PRISM training modules; 
  
5.6. The ADHS PRISM Database Manager shall develop a special report in PRISM to house additional data; 
  
5.7. The ADHS PRISM Database Manager shall develop reports to evaluate data quality for enhanced PCW 
data; 
 
5.8. The ADHS PRISM Database Manager shall review all automated quality assurance programs for the PCWs 
to ensure appropriate case classification and timely follow-up; 
  
5.9. The ADHS Syphilis Epidemiologist shall manually review all congenital reports and their respective mothers 
to ensure appropriate staging, classification, and follow-up; 
  
5.10. ADHS IT shall support upgrades and database modifications for the enhanced congenital syphilis data 
collected through the PCW special project; 
  
5.11. ADHS shall provide trainings to the PCWs on the CSTE guidelines for congenital and adult syphilis case 
classification; 
 
5.12. The ADHS PRISM Database Manager shall work with the Electronic Laboratory Reporting (ELR) team to 
facilitate onboarding of labs to electronic laboratory reporting; and 
  
5.13. Maintain a syphilis outbreak webpage for providers and the general public;  
 
6. 
Evaluation and Performance measurement 
 
6.1. The Contractor shall include the following metrics in their annual and semi-annual performance updates: 
 
6.1.1. 
Number of participants enrolled, 
  
6.1.2. 
Percent of enrolled participants with complete core surveillance profiles, 
 
6.1.2.1. 
Core surveillance variables include:  
 
6.1.2.1.1. 
Maternal data: 
 
6.1.2.1.1.1. 
Maternal age,

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6.1.2.1.1.2. 
Maternal race/ethnicity, 
  
6.1.2.1.1.3. 
Pre-pregnancy conditions (e.g., diabetes), and 
 
6.1.2.1.1.4. 
Pregnancy complications (e.g. gestational diabetes), 
 
6.1.2.1.2. 
Newborn Data 
  
6.1.2.1.2.1. 
Pregnancy outcome, 
  
6.1.2.1.2.2. 
Gestational age at pregnancy outcome, 
  
6.1.2.1.2.3. 
Newborn sex, and 
  
6.1.2.1.2.4. 
Newborn 
anthropometry 
(e.g., 
height, 
weight, 
head 
circumference), 
  
6.1.2.1.3. 
Infant follow-up: 
 
6.1.2.1.3.1. 
CDC recommends collecting passive follow-up infant data at 
two (2), six (6), twelve (12), eighteen (18), twenty-four (24), 
thirty (30), and thirty-six (36) months. At minimum, the PCWs 
will be required to follow up at six (6) and twelve (12) months 
for the first year of the grant. By the end of the five-year grant 
cycle, it is expected that PCWs will be able to adhere to all 
follow-up time points. Core infant data include: 
 
6.1.2.1.3.1.1. 
Infant mortality, 
  
6.1.2.1.3.1.2. 
Anthropometry, 
  
6.1.2.1.3.1.3. 
Developmental screening, and 
  
6.1.2.1.3.1.4. 
Referrals made, 
  
6.1.3. 
Percent of enrolled participants with complete disease-specific surveillance profiles,   
 
6.1.3.1. 
The final CDC list of variables is in development, but will include at minimum, all required 
maternal and baby variables for syphilis surveillance. Most of this data will be collected 
by the Communicable Disease Investigators using the existing maternal and congenital 
records in PRISM, but the PCW will be responsible for ensuring accuracy and correcting 
any data discrepancies. The PCW will also be responsible for collecting the follow-up 
infant data; 
 
6.1.3.1.1. 
Maternal data: 
 
6.1.3.1.1.1. 
Pre-pregnancy maternal syphilis testing (dates, test types, 
results), 
 
6.1.3.1.1.2. 
Maternal syphilis treatment during pregnancy (medication, 
dosage, dates), 
 
6.1.3.1.2. 
Newborn data: 
 
6.1.3.1.2.1. 
Newborn syphilis testing at birth (medication, dosage, dates),

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6.1.3.1.2.2. 
Newborn clinical exam, and 
  
6.1.3.1.2.3. 
Newborn neuroimaging at birth, 
  
6.1.3.1.3. 
Follow-up infant data: 
 
6.1.3.1.3.1. 
Infant syphilis testing (dates, test types, results), 
  
6.1.3.1.3.2. 
Infant syphilis treatment (medication, dosage, dates), 
  
6.1.3.1.3.3. 
Neuroimaging, and 
 
6.1.3.1.3.4. 
Clinical complications, 
 
6.1.4. 
Number and percent of participants interviewed by the PCW within five (5) days of case notification, 
 
6.1.5. 
Number and percent of participants enrolled more than thirty (30) days prior to delivery, 
  
6.1.5.1. 
Of those, number and percent of congenital syphilis cases averted; 
  
6.1.6. 
Average number of check-in calls, per participant, 
 
6.1.7. 
List of the top three (3) most common referral services requested, 
 
6.1.8. 
Percent of participants with complete maternal records in PRISM, 
  
6.1.9. 
Number of congenital syphilis trainings held, 
 
6.1.10. Number of providers trained in timely and appropriate syphilis screening for pregnant women, 
 
6.1.11. Number of stakeholder presentations provided highlighting findings of the PCW, 
   
6.1.12. Number of perinatal review board meetings coordinated and attended, and 
 
6.1.13. Number of Maricopa Syphilis Taskforce meetings attended; 
  
6.2. The Contractor shall submit updated referral lists with each performance update; 
 
6.3. The PCW shall use PRISM to document information elicited from baseline assessment;  
  
6.4. The Contractor shall work with the Statewide PCW to submit draft protocols for review and approval to 
ADHS prior to implementation; 
 
7. 
Requirements 
 
The Contractor shall: 
 
7.1. Submit all reports described in this Contract in as indicated in the Reports Schedule; 
 
7.2. Work with ADHS to develop protocols and coordinate trainings with maternal child health programs for 
PCW; 
 
7.3. Seek ADHS approval before implementing protocol changes; 
 
7.4. Employ a PCW that has the following qualifications:

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
SCOPE OF WORK 
CTR047666 
 
Page 20 of 23 
 
 
7.4.1. 
Required: 
  
7.4.1.1. 
Bachelor’s degree in social work, public health, or women and children’s health OR four 
(4) years of equivalent work experience; and 
 
7.4.1.2. 
One (1) year of experience working in social work, public health or another related field; 
  
7.4.2. 
Preferred:  
 
7.4.2.1. 
Master’s degree in social work, public health, or women and children’s health; 
 
7.4.2.2. 
(Three) 3 years’ experience working in social work, public health or women’s health 
services; and 
  
7.4.2.3. 
Experience working with women and children’s health programs in Arizona. 
 
8. 
Funding Restrictions 
 
8.1. Funds may only be used for: 
 
8.1.1. 
Personnel costs associated with the PCW, 
  
8.1.2. 
Travel to support in-state travel for the Statewide PCW, and 
 
8.1.3. 
Gas cards to support travel of PCW participants; 
 
8.2. Funds cannot be used for:  
 
8.2.1. 
Research, 
  
8.2.2. 
Furniture, 
 
8.2.3. 
Clinical services except as allowed by law, 
  
8.2.4. 
Publicity or propaganda for the preparation, distribution, or use of any material designed to support 
or defeat the enactment of legislation before any legislative body, or 
  
8.2.5. 
The salary or expenses of any grant or contract recipient, or agent acting for such recipient, related 
to any activity designed to influence the enactment of legislation, appropriations, regulation, 
administrative action, or executive Order proposed or pending before any legislative body. 
  
9. 
Reference Documents 
   
9.1. State of Arizona Accounting Manual – available at https://gao.az.gov/publications/saam; 
 
10. 
Reporting requirements, deliverables and schedule 
  
10.1. Contractor shall submit an annual performance update by August 30th, each year of the grant cycle (2019-
2023), unless otherwise directed by the ADHS STD Control Program Manager; 
   
10.2. Contractor shall submit semi-annual work plan for the first six (6) months by January 31st, each year of the 
grant cycle (2019-2023), unless otherwise directed by the ADHS STD Control Program Manager; and

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
SCOPE OF WORK 
CTR047666 
 
Page 21 of 23 
 
10.3. Contractor shall submit monthly Cost Expenditure Reports and backup documentation within thirty (30) 
days of the end of each month to receive reimbursement for pre-approved line item expenses, outlined in 
this contract. Backup documentation must follow the State of Arizona Accounting Manual (SAAM).  
 
Reports Schedule 
Report 
Time Period 
Due to ADHS 
Semi-annual performance update 
Aug - Dec 2020 
Jan 31, 2021 
Annual Performance Update 
Aug 1, 2020 - July 2021 
Aug 30, 2021 
Monthly Cost Expenditure Reports and 
backup documentation. 
Monthly 
Thirty (30) days 
following the end of 
each month. 
 
 
6. 
Notices, Correspondence, and Reports 
 
6.1. 
Notices, correspondence and reports from the contractor to ADHS shall be sent to: 
 
STD Control Program  
Arizona Department of Health Services 
150 North 18th Avenue, Suite 110 
Phoenix, AZ 85007 
Direct: (602) 364-4761 
Fax: (602) 542-0150 
Email: std@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 Public Health STD Clinic  
1645 E Roosevelt St, Phoenix, AZ 85006   
Phone: 602-506-1678 
Fax: 602-506-6916

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
PRICE SHEET 
CTR047666 
 
Rev. 7/24/2002 
MARICOPA COUNTY PUBLIC HEALTH DEPARTMENT 
2019 PCW PRICE SHEET 
Effective March 1, 2020 
   
  
ACCOUNT CLASSIFICATION 
AMOUNT 
Personnel Services  
$100,000 
ERE 
$0 
Professional & Outside Services 
$ 0 
Travel Expense 
$ 2,000 
Occupancy Expense 
$ 0 
Other Operating Expenses 
$ 5,000 
Indirect (15.8%) 
$0 
TOTAL (Not to exceed) 
$107,000 
  
NOTE:  With prior approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten 
percent (10%) of the total budget amount between line items.  Transfers of funds are only allowed between funded line 
items.  Transfers exceeding ten percent (10%) or to a non-funded item shall require an amendment.

CONTRACT NUMBER 
INTERGOVERNMENTAL AGREEMENT 
EXHIBIT 
CTR047666 
 
Page 23 of 23 
 
EXHIBIT – 2 CFR 200.210 subpart C 
 
 
Recipient’s name:   Arizona Department of Health Services  
  
 
Recipient’s unique entity identifier:  804745420 
  
 
Federal Award Identification Number (FAIN): NU50CK000511 
  
 
Federal award date: 07/08/2019 
  
 
Period of Performance start and end date: 07/01/2019-07/31/2024 
  
 
Total amount of the Federal award: $3,922,427 
 
 
Federal award project description: The purpose of this federal grant is to protect the health and safety of Arizonans by 
enhancing the capacity of public health agencies to effectively detect, respond, prevent, and control known and emerging 
(or re-emerging) infectious diseases. This grant is divided into multiple sections and disease-specific projects. The funds 
for this project are coming from Project W – Infants with Congenital Exposure.  
  
 
Name of the Federal awarding agency and contact information of the awarding official: 
  
Centers for Disease Control and Prevention 
Mrs. Janice Downing 
1600 Clifton Rd  
Atlanta GA 30333 
404-639-7808 
  
 
Catalog of Federal Domestic Assistance (CFDA) number: 93.323 (ELC)