MC-VALLEYWISE 10-21-21 DRAFT IGA_ (003) (002) LTS (002) 102221 CLEAN.DOCX

Maricopa County — Formal (2021-11-03)

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1
INTERGOVERNMENTAL AGREEMENT
MARICOPA COUNTY
1.
Agreement No:  _________  
2.        Agreement Type:  Financial Agreement          
    
3.
Agreement Amount: $ 16 Million     
4.        Purpose: ARPA State and Local Recovery Funds     
5.
Start Date:   
                      6.        Expiration Date:  
12/31/2024
                 
This Agreement is entered into by and between the Maricopa County Special Health Care District (MCSHCD) dba Valleywise 
Health (referred to herein as “Subrecipient”), a Special Health Care District and political subdivision of the State of Arizona, and 
Maricopa County (referred to herein as “County”), a political subdivision of the state of Arizona.  Subrecipient and the County are 
collectively referred to herein as the “Parties” and individually as a “Party.”  Subrecipient, for and in consideration of the covenants 
and conditions set forth herein, shall use the funds from the County as set forth below.  All rights and obligations of the Parties 
shall be governed by the terms of this Agreement, its exhibits, attachments, and appendices, including any subcontracts or 
amendments as set forth herein and in:
Section I
-
General Provisions
Section III
-
Work Statement
Section II
-
Special Provisions
Section IV
-
Compensation
This Agreement contains all the terms and conditions agreed to by the Parties.  No other understanding, oral or otherwise, 
regarding the subject matter of this Agreement shall be deemed to exist or to bind the Parties.  Nothing in this Agreement shall 
be construed as consent to any lawsuit or waiver of any defense in a lawsuit brought against the County or the Subrecipient in 
any State or federal Court.
Legal Notice under this Agreement shall be given by personal delivery or by registered or certified mail, postage prepaid, return 
receipt requested, to the addresses set forth below and shall be effective upon receipt by the Party to whom addressed unless 
otherwise indicated in the notice.
Notice to Subrecipient : MCSHCD dba Valleywise Health, Attn: Chris Melton, Director of Contracts & Procurement
Phone: 602-344-1495
Address:  2601 E. Roosevelt Str., Phoenix, AZ  85008
Notice to County: Lee Ann Bohn, Assistant County Manager
Phone: (602)372-7020 
Address: 301 W. Jefferson Str., Phoenix, AZ  85003
                                                
IN WITNESS WHEREOF, the parties enter into this Agreement:
      
MCSHCD dba VALLEYWISE HEALTH 
MARICOPA COUNTY BOARD OF SUPERVISORS
Signature
Signature
Name
Name
Title
Title
Chairman, Board of Supervisors
Date
Date
Pursuant to A.R.S. § 11-952, the undersigned public agency 
attorney has determined that this Intergovernmental Agreement 
is in proper form and is within the powers and authority granted 
under the laws of the State of Arizona.
ATTEST: 
Signature
Signature
Date
Office of the Clerk of the Board
Name
Pursuant to A.R.S. § 11-952, the Attorney for the Board of 
Supervisors has determined that this Intergovernmental 
Agreement is within the powers and authority granted under the 
laws of the State of Arizona.
Title
Attorney for Valleywise Health
Signature
Date
Date
Attorney for Maricopa County

SECTION I
                                                                           GENERAL PROVISIONS      
2
1.
EFFECT
To the extent the Special Provisions are in conflict with the General Provisions, the Special 
Provisions shall control.  To the extent the Work Statement(s) and the Special or General 
Provisions are in conflict, the Work Statement(s) shall control.
2.
DEFINITIONS
As used throughout this Agreement, the following terms shall have the following meanings:
A.
Agreement means this document and all attachments and amendments hereto.
B.
County means Maricopa County, Arizona.
    
C.
Funding Source means any federal, State, or private agency funding source, 
which may impose conditions on the funding that will be passed on to the 
Subrecipient.
D.
Maricopa County Special Health Care District (MCSHCD) dba Valleywise 
Health (Valleywise Health) means the Maricopa County Special Health Care 
District, including the health care facilities and administrative units operated by it.
E.
Recipient means Maricopa County, the direct recipient of the Coronavirus State 
and Local Fiscal Recovery funds from the federal government.
F.
Subrecipient means MCSHCD dba Valleywise Health, collectively “Valleywise 
Health”.
G.
Subrecipient Staff, Employee or Faculty means a person or persons employed 
by, contracted with, or retained by the Subrecipient for the purpose of providing 
the services and responsibilities contained in this Agreement.
H.
HIPAA  means the Health Insurance Portability and Accountability Act of 1996 (PL 
104-191) and the United States Department of Health and Human Services 
(DHHS) final regulations on “Privacy Standards for Individually Identifiable Health 
Information”, as amended and clarified from time to time.
I.
ARPA means the American Rescue Plan Act of 2021, H.R. 1319.
3.
GENERAL REQUIREMENTS
A.
The terms of this Agreement shall be construed in accordance with Arizona law.  
Any lawsuit arising out of this Agreement shall be brought in the appropriate court 
in Maricopa County.
B.
The Subrecipient shall, without limitation, obtain and maintain all licenses, permits, 
and authority necessary to do business, render services, and perform work under 
this Agreement, and shall comply with all laws regarding unemployment insurance, 
disability, and workers’ compensation.
C.
The Subrecipient is an independent contractor in the performance of work and the 
provision of services under this Agreement and is not to be considered an officer,

SECTION I
                                                                           GENERAL PROVISIONS      
3
employee, or agent of the County.
4.
AMENDMENTS
All Amendments to this Agreement must be in writing and signed by authorized persons 
for both Parties.  All amendments shall clearly state the effective date of the action.
5.
ADEQUACY OF RECORDS
If the Subrecipient's books, records and other documents related to this Agreement are 
not sufficient to support and document that allowable expenditures were provided 
pursuant to ARPA, the Subrecipient shall reimburse the County for any ARPA funds not 
adequately supported and documented.
6.
RETENTION OF RECORDS
A. 
This provision applies to all financial and programmatic records, supporting 
documents, statistical records, and other records of the County and Subrecipient 
that relate to this Agreement.
B.
The County and Subrecipient shall retain all financial books, records, and other 
documents related to this Agreement for six (6) years after final payment or until 
after the resolution of any audit questions, which could be more than six (6) years, 
whichever is longer.  County, federal, or State auditors, and any other persons duly 
authorized by the County, shall have full access to and the right to examine, copy 
and make use of any and all such financial books, records and other documents.
7.
ASSIGNMENT AND SUBCONTRACTING
No rights, liability, obligations or duties under this Agreement may be assigned, delegated, 
or subcontracted without the prior written approval of the County and Subrecipient.
8.
AUDIT DISALLOWANCES
A.
The Subrecipient shall, upon written demand therefore, reimburse the County for 
any payments made under this Agreement that are disallowed, by a federal, State 
or County audit in the amount of the disallowance, as well as court costs and 
attorney fees the County incurs to pursue legal action relating to a disallowance.
B.
If the County determines that a cost for which payment has been made is a 
disallowed cost, the County shall notify the Subrecipient in writing of the 
disallowance and the required course of action, which shall be at the option of the 
County either to adjust any future claim submitted by the Subrecipient by the 
amount of the disallowance or to require immediate repayment of the disallowed 
amount by the Subrecipient.
C.
The County shall, upon review and agreement of the Parties, remit to the 
Subrecipient any payments determined to have been insufficiently paid, in the 
amount of the payment shortfall, as well as court costs and attorney fees the 
Subrecipient incurs to pursue legal action relating to such short payment.
9.
AGREEMENT COMPLIANCE MONITORING

SECTION I
                                                                           GENERAL PROVISIONS      
4
County may monitor the Subrecipient's compliance with, and performance under, the 
terms and conditions of this Agreement.  On-site visits for compliance monitoring may be 
made by the County and/or its grantor agencies at any time during the Subrecipient's 
normal business hours, announced or unannounced.  During an on-site visit, the 
Subrecipient shall make its records and documents related to work performed or services 
provided under this Agreement available to the County for inspection and copying.
10.
AVAILABILITY OF FUNDS
A.
The provisions of this Agreement relating to the payment for services shall become 
effective when funds assigned for the purpose of compensating the Subrecipient, 
as provided herein, are actually available to the County for disbursement.  The 
County shall be the sole authority in determining the availability of funds under this 
Agreement and the County shall keep the Subrecipient fully informed as to the 
availability of funds. 
B.
If any action is taken by any State agency, federal department, or any other agency 
or instrumentality to suspend, decrease, or terminate its fiscal obligations under or 
in connection with this Agreement, the County may amend, suspend, decrease, or 
terminate its obligations under or in connection with this Agreement.  If this 
Agreement is terminated, the County shall be liable for payment only for services 
rendered prior to the effective date of the termination, provided that such services 
are performed in accordance with the provisions of this Agreement.  The County 
shall give written notice of the effective date of any suspension, amendment, or 
termination under this section at least ten (10) days in advance.
11.
CONTINGENCY RELATING TO OTHER CONTRACTS AND GRANTS
A.
The Subrecipient shall, during the term of this Agreement, immediately inform the 
County in writing of the award of any other contract or grant where the award of 
such contract or grant may affect either the direct or indirect costs being paid or 
reimbursed under this Agreement.  Failure by the Subrecipient to notify the County 
of such award shall be considered a material breach of this Agreement and the 
County may immediately terminate this Agreement without liability.
B.
County may request, and the Subrecipient shall provide within a reasonable time, 
not exceeding ten (10) working days, a copy of such other contract or grant, when, 
in the opinion of the County, the award of the contract or grant may affect the costs 
being paid or reimbursed under this Agreement.
C.
If the County determines that the award to the Subrecipient of such other contract 
or grant has affected the costs being paid or reimbursed under this Agreement, the 
County shall prepare an amendment to this Agreement effecting a cost adjustment.  
If the Subrecipient disputes the proposed cost adjustment, the dispute shall be 
resolved pursuant to the "Disputes" clause section contained herein.
12.
DEFAULT
For material breach of contractual obligations, or upon the happening of any event which 
would jeopardize the ability of the Subrecipient to perform its contractual obligations, the 
County may suspend, modify, or terminate this Agreement immediately upon giving written 
notice to the Subrecipient in the event of non-performance of any stated objectives. Unless

SECTION I
                                                                           GENERAL PROVISIONS      
5
expressly stated otherwise this in this Agreement, such determination will not be made 
until such time as the disputes process has been exhausted.  
13.
TERMINATION
A.
Either Party may terminate this Agreement at any time by giving the other Party at 
least thirty (30) calendar days prior written notice.  The notice shall be given by 
personal delivery or by registered or certified mail, postage prepaid, return receipt 
requested.
B.
This Agreement may be terminated by mutual written agreement of the Parties 
specifying the termination date therein.
C.
The County may terminate this Agreement upon twenty-four (24) hours’ notice 
when the County deems the health or welfare of a patient is endangered or the 
Subrecipient’s non-compliance jeopardizes funding source financial participation.  
If not terminated by one of the above methods, this Agreement will terminate upon 
the expiration date of this Agreement as stated on the Cover Page of this 
Agreement.
D.
Either Party has the right to terminate this Agreement for cause upon fourteen (14) 
working days written notice for any of the following reasons:
(1)
Breach of this Agreement which is not corrected within fourteen (14) 
working days after written notice thereof or registered mail, return receipt 
requested.
(2)
Inability to discharge the duties and responsibilities under this Agreement 
for a continual period of 30 days or more.
E.
This Agreement is subject to cancellation in accordance with the provisions of 
A.R.S. § 38-511.
F.
Termination of this Agreement shall not relieve the Parties of responsibility for 
obligations incurred prior to the effective date of the termination.  Further, any 
monies not properly spent by Subrecipient prior to termination shall be returned to 
the County no later than thirty (30) calendar days from the date of termination.  
Subrecipient’s responsibilities set forth in Section III, Paragraph 4, shall survive the 
termination of this Agreement.
14.
SEVERABILITY
Any provision of this Agreement that is determined to be invalid, void, or illegal by a court 
shall in no way affect, impair, or invalidate any other provision hereof, and the remaining 
provisions shall remain in full force and effect.
15.
STRICT COMPLIANCE
Acceptance by the County of performance that is not in strict compliance with the terms 
of this Agreement shall not be deemed to waive the requirement of strict compliance for 
all future performance.  All changes in performance obligations under this Agreement must 
be in writing and signed by the Parties.

SECTION I
                                                                           GENERAL PROVISIONS      
6
16.
NON-LIABILITY
A. The County and its officers, representatives, agents, and employees shall not be liable 
for any act or omission by the Subrecipient or any subcontractor, employee, officer, 
agent, or representative of the Subrecipient or any subcontractor occurring in the 
performance of this Agreement, nor shall they be liable for purchases or contracts 
made by the Subrecipient or any subcontractor in connection with this Agreement.
B. The Subrecipient and its officers, representatives, agents, and employees shall not be 
liable for any act or omission by the County or any County subcontractor, employee, 
officer, agent, or representative of the County or any County subcontractor occurring 
in the performance of this Agreement, nor shall they be liable for purchases or 
contracts made by the County or any County subcontractor in connection with this 
Agreement.
17.
INDEMNITY
To the extent allowed by law, each Party (as “Indemnitor”) agrees to indemnify, defend, 
and hold harmless the other Party (as “Indemnitee”) from and against all claims, losses, 
liability, costs, and expenses (including reasonable attorneys’ 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 liability to Indemnitee, are caused by the act, omission, negligence, misconduct, 
or other fault of Indemnitor, its officers, agents, employees, or volunteers. 
18.
COVENANT AGAINST CONTINGENT FEES
The Subrecipient warrants that no person or entity has been employed or retained to solicit 
or secure this Agreement upon an agreement or understanding for a commission, 
percentage, brokerage, or contingent fee.  For breach or violation of this warranty, the 
County may immediately terminate this Agreement without liability.
19.
SAFEGUARDING CLIENT INFORMATION
 The use or disclosure by any Party of any information concerning an eligible individual 
served under this Agreement is directly limited to the performance of this Agreement. 
County and Subrecipient shall safeguard confidential and privileged client and patient 
information i.e., medical, financial and patient specific information, and shall only disclose 
such information in accordance with all applicable federal, state and local laws, rules, 
and/or regulations, including HIPAA. The use or disclosure by any party of any information 
concerning a client or patient served under this Agreement or any other applicable payer 
contract is directly limited to services under this Agreement subject to applicable federal, 
state and local laws, rules and/or regulations.  Subrecipient’s obligation to maintain the 
confidentiality of all medical, financial and patient specific information shall exist after 
termination or expiration of this Agreement.  County shall assist Subrecipient with regard 
to Subrecipient’s obligation to comply with HIPAA.
 
20.
RIGHTS IN DATA
The Parties shall have the use of data and reports resulting from this Agreement without 
cost or other restriction, except as otherwise provided herein or by law.  Each Party shall 
supply to the other Party, upon request, any available information known to the supplying

SECTION I
                                                                           GENERAL PROVISIONS      
7
Party that is relevant to this Agreement and to the performance hereunder.
21.
OWNERSHIP OF INFORMATION
Subject to applicable state and federal laws, rules and regulations, including, without 
limitation, those concerning confidentiality of patient records, the Subrecipient shall have 
full and complete ownership rights to and the sole and exclusive right to inspect, 
reproduce, duplicate, adapt, distribute, display, disclose and otherwise use all reports, 
information, data and material prepared by the Subrecipient in performance of the 
Agreement. County may examine and may receive copies of such information necessary 
for County's performance of this Agreement.
22.
NON-DISCRIMINATION
The Subrecipient, in connection with any service or other activity under this Agreement, 
shall not in any way discriminate against any person on the grounds of race, color, religion, 
sex, national origin, age, disability, affiliation or belief.  The Subrecipient shall include this 
clause in all of its subcontracts related to this Agreement.
23.
EQUAL EMPLOYMENT OPPORTUNITY
The Subrecipient shall not discriminate against any employee or applicant for employment 
because of race, age, disability, color, religion, sex, or national origin.  The Subrecipient 
shall take affirmative action to insure that applicants are employed and that employees 
are treated during employment without regard to their race, age, disability, color, religion, 
sex, or national origin.  Such action shall include, but is not limited to, the following:  
employment, upgrading, demotion or transfer, recruitment or recruitment advertising, lay-
off or termination, rates of pay or other forms of compensation, and selection for training, 
including apprenticeship.  The Subrecipient shall, to the extent such provisions apply, 
comply with Titles VI and VII of the Civil Rights Act of 1964, as amended (42 U.S.C. §§ 
2000a, et seq.); the Rehabilitation Act of 1973, as amended (29 U.S.C. §§ 701, et seq.); 
the Age Discrimination in Employment Act of 1967, as amended (29 U.S.C. §§ 621, et 
seq.); the Immigration Reform and Control Act of 1986 (Pub. L. No. 99-603) (“IRCA”); and 
Arizona Executive Order 2009-09, which mandates that all persons shall have equal 
access to employment opportunities.  The Subrecipient shall also comply with all 
applicable provisions of the Americans with Disabilities Act of 1990 (42 U.S.C. §§ 12101, 
et seq.).
24.
RIGHT OF PARTIAL CANCELLATION
If more than one activity is funded by this Agreement, the County reserves the right to 
terminate this Agreement or any part thereof based on the Subrecipient's failure to perform 
any part of this Agreement without impairing, invalidating or canceling the remaining Work 
Statement obligations.
25.
RIGHT TO EXTEND AGREEMENT
Subject to the availability of funds and acceptable Subrecipient performance, the 
Subrecipient hereby acknowledges and agrees that the County shall have the right to 
extend this Agreement for additional one-year periods, not to exceed the termination date 
for expenditure of funds as established by ARPA or the federal government. Any extension 
of this Agreement shall be in writing and mutually acceptable to the County and the

SECTION I
                                                                           GENERAL PROVISIONS      
8
Subrecipient and signed by both Parties.
26.
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
A. 
The undersigned, an authorized representative of the Subrecipient, certifies, to the 
best of his or her knowledge and belief, that the Subrecipient, defined as the 
primary participant in accordance with 45 C.F.R. Part 76, and its principals:
1)  are not presently debarred, suspended, proposed for debarment, declared 
ineligible, or voluntarily excluded from covered transactions by any federal 
department or agency;
2)  have not within the 3-year period preceding this Agreement been convicted of 
or had a civil judgment entered against them for the commission of fraud or a 
criminal offense in connection with obtaining, attempting to obtain, or performing a 
public (federal, State or local) transaction or contract under a public transaction; 
violation of federal or State antitrust statues or commission of embezzlement, theft, 
forgery, bribery, falsification or destruction of records, making false statements, or 
receiving stolen property; 
3)  are not presently indicted or otherwise criminally or civilly charged by a 
government entity (federal, State or local) with the commission of any of the 
offenses enumerated in paragraph (2) of this certification; and
4)  have not within the 3-year period preceding this Agreement had one or more 
public transactions (federal, State or local) terminated for cause or default.
B.  
If the Subrecipient is not able to provide this certification, an explanation as to why 
shall be attached to this Agreement.
C.  
The Subrecipient shall include, without modification, this Paragraph in all lower tier 
covered transactions (i.e., transactions with subcontractors) and in all solicitations 
for lower tier covered transactions related to this Agreement.
27.
E-VERIFICATION OF EMPLOYEES
The Subrecipient warrants that it is in compliance with A.R.S. § 41-4401 and further 
acknowledges:
 
A.
That the Subrecipient and its subcontractors, if any, warrant their compliance with 
all federal immigration laws and regulations that relate to their employees and their 
compliance with A.R.S. § 23-214;
 
B.
That a breach of the warranty under subsection A above shall be deemed a 
material breach of this Agreement that entitles the County to, among other things, 
immediately terminate this Agreement without liability;
 
C. 
That the County and any contracting government entity retains the legal right to 
inspect the papers of any contractor or subcontractor employee who works on this 
Agreement to ensure that the contractor or subcontractor is complying with the 
warranty provided under subsection A above and that the contractor agrees to 
make all papers and employment records of said employee(s) available during

SECTION I
                                                                           GENERAL PROVISIONS      
9
normal working hours in order to facilitate such an inspection; 
D.  
That nothing herein shall make any contractor or subcontractor an agent or 
employee of the County or contracting government entity.
28.
DISPOSITION OF PROPERTY
All property acquired with funds provided for in this agreement shall become the property 
of the funding source.

SECTION II
                                                                            SPECIAL PROVISIONS      
10
1.
EFFECT
To the extent that the Special Provisions are in conflict with the General Provisions, the 
Special Provisions shall control.  To the extent that the Work Statement(s) are in conflict 
with the Special or General Provisions, the Work Statement(s) shall control.
2.
DISPUTES
Except as otherwise provided by law, or otherwise specifically agreed to by the Parties, 
any dispute not involving a question of law arising out of this Agreement that is not 
resolved between the Parties within a reasonable time, which shall not exceed 120 days, 
shall be resolved as follows: 
A.
Disputes must be filed with the person administering this Agreement for the 
County, if one has been appointed, or, if not, with the Procurement Officer, 
within ten (10) days from the date the Subrecipient knew or should have 
known the basis of the dispute. 
B.
The person administering this Agreement or the Procurement Officer, as 
applicable, shall respond in writing to the dispute within fourteen (14) days. 
C.
The Subrecipient may abide by the decision or may appeal the decision to 
the County within seven (7) days.
D.
Any claim or controversy arising out of or in connection with this Agreement 
not resolved in accordance with paragraphs 2.A. through 2.C. above shall 
be resolved through binding arbitration conducted by a single arbitrator in 
accordance with the American Arbitration Association (AAA) Commercial 
Arbitration Rules, then in effect, in Phoenix, Arizona. If possible the 
arbitrator shall be an attorney with at least fifteen (15) years of experience, 
including at least five (5) years' experience in managed health care. The 
parties shall conduct a mandatory settlement conference at the initiation of 
arbitration, to be administered by AAA. The arbitrator shall have no 
authority to provide a remedy or award damages that would not be 
available to such prevailing party in a court of law, nor shall the arbitrator 
have the authority to award punitive damages. Each party shall bear its 
own costs and expenses, including its own attorneys' fees, and shall bear 
an equal share of the arbitrator's and administrative fees of arbitration. The 
parties agree to accept any decision by the arbitrator as a final 
determination of the matter in dispute, and judgment on the award rendered 
by the arbitrator may be entered in any court having jurisdiction. Arbitration 
must be initiated within one year of the earlier of the date the claim or 
controversy arose, was discovered or should have been discovered with 
reasonable diligence; otherwise it shall be deemed waived. The use of 
binding arbitration shall not preclude a request for equitable and injunctive 
relief made to a court of appropriate jurisdiction.
This Paragraph shall not apply to claims arising from bodily injury, death, or property 
damage.

SECTION II
                                                                            SPECIAL PROVISIONS      
11
3.
CHANGES
A.
The County may, at any time, by written order, make changes within the general 
scope of this Agreement in any one or more of the following areas:
1.
Work Statement activities reflecting changes in funding source or County 
regulations, policies, or requirements.  
2.
Administrative requirements, such as changes in reporting periods, 
frequency of reports, or report formats, required by funding source or 
County regulations, policies, or requirements.
3.
Subrecipient reimbursement schedules and/or program budgets.
 
B.
The order will not increase or decrease the maximum reimbursable amount to be 
paid the Subrecipient.  Additionally, the order will not direct substantive changes 
in services to be rendered by the Subrecipient.
C.
Any dispute or disagreement caused by such order shall constitute a "Dispute" 
within the meaning of the Disputes Clause of the Special Provisions of this 
Agreement and shall be administered accordingly.
4.
AUDIT REQUIREMENT
A.
If the Subrecipient expends $750,000 or more in a year in federal awards, the 
Subrecipient shall have a single audit conducted for that year according to the 
Office Management and Budget, Title 2, Subtitle A, Chapter II, PART 200—
UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND 
AUDIT REQUIREMENTS FOR FEDERAL AWARDS contained in Title 2 C.F.R. § 
200.  The audit report shall be submitted to the County for review within nine (9) 
months following the close of the fiscal year.  The Subrecipient shall take any 
necessary corrective action to remedy any material weaknesses and/or reportable 
conditions identified in the audit report within six (6) months after the release date 
of the report.  The County may consider sanctions as described in § .225 of OMB 
Circular A-133 for contractors not in compliance with the audit requirements.  All 
books and records shall be maintained in accordance with Generally Accepted 
Accounting Principles (GAAP).
B.
The Subrecipient shall schedule an annual financial audit to be submitted to the 
County for review within twelve (12) months following the close of the program’s 
fiscal year.  Subrecipient understands that its failure to meet this requirement may 
result in the loss of current funding and disqualification from consideration for 
future County-administered funding.
5.
INSURANCE
A.
The Subrecipient shall have in effect at all times during the term of this Agreement, 
insurance or comparable self-insurance that is adequate to protect the County, its 
officers, employees, property, and equipment against the losses set forth below.  
The Subrecipient shall provide the County with a certificate of insurance or a

SECTION II
                                                                            SPECIAL PROVISIONS      
12
certified copy of the insurance policy naming the County as an additional insured, 
or, if the Subrecipient is self-insured, shall provide the County with a letter 
indicating that it is self-insured.
B.
The following types and amounts of insurance are required as minimums:
1.
Workers’ compensation and unemployment insurance as required by law. 
2.  
Unemployment insurance as required by Arizona law.
3.
Public liability, bodily injury, and property damage policies that insure 
against claims for liability for the Subrecipient’s negligence or maintenance 
of unsafe vehicles, facilities, or equipment brought by clients receiving 
services pursuant to this Agreement and by lawful visitors of such clients.  
The limits of the policies shall not be less than $2,000,000 per occurrence 
and $4,000,000 aggregate. 
 
C. 
Automobile and Truck Liability, Bodily Injury and Property Damages:
1.
General liability, each occurrence; $1,000,000
2.
Property damage; $1,000,000
3.
Combined single limit; $1,000,000
D.
Standard minimum deductible amounts are allowable.  Any losses applied against 
insurance deductible are the sole responsibility of the Contractor.
E.  
Professional Liability:
1.
Insurance for the Subrecipient and its agents, employees, and other staff 
shall be maintained with coverage limits of one million dollars ($1,000,000) 
per person, three million dollars ($3,000,000) per occurrence.
2
The Subrecipient agrees that in the event it, or any of its agents, 
employees, and other staff working under this Agreement, is named as a 
defendant in litigation, or is identified in a written notice of claim, wherein 
professional misconduct is alleged and such allegations arise under the 
services or terms of this Agreement, the Subrecipient will promptly notify 
the County in writing.  The duty to notify under this paragraph applies 
whether or not the County is alleged to be involved, is named as a party to 
the matter, or could be potentially liable as a party.
F.
The Subrecipient shall immediately inform the County of any cancellation of its 
insurance or any decrease in its lines of coverage at least thirty (30) days before 
such action takes place.
G.
In the event the Subrecipient(s) is/are a public entity, then the Insurance 
Requirements shall not apply. Such public entity shall provide a Certificate of Self-
Insurance. If the Subrecipient(s) is/are a State of Arizona agency, board, 
commission, or university, none of the above shall apply.
6.
SPECIAL REQUIREMENTS

SECTION II
                                                                            SPECIAL PROVISIONS      
13
If the use of subcontractors is approved by the County, the Subrecipient agrees to use 
written subcontracts or consultant agreements that conform to federal and State laws and 
regulations and the requirements of this Agreement appropriate to the service or activity 
covered by the subcontract.  These provisions apply with equal force to the subcontract 
as if the subcontractor were the Subrecipient.  The Subrecipient is responsible for 
performance under this Agreement whether or not any subcontractors are used.  The 
Subrecipient shall submit a copy of each subcontract to the County upon written request.
7.
REPORTING REQUIREMENTS
The Subrecipient shall submit written quarterly progress reports to the County on or before 
the tenth (10th) day of the month, beginning with the third month following the payment of 
the ARPA funds from the County to Subrecipient.  Each report shall provide a status 
update to include project status and spending/obligations to date.  At the completion of 
the project(s), the Subrecipient shall provide a final reconciliation report to the County. Any 
remaining funds shall revert to the County.
8.
ADMINISTRATIVE REQUIREMENTS
1.1
Accounting Standards - The Subrecipient agrees to comply with this Agreement 
and to adhere to the accounting principles and procedures required to utilize 
adequate internal controls and maintain necessary source documentation for all 
costs incurred, as well as any applicable federal laws and regulations. The 
Subrecipient further agrees to maintain an adequate accounting system that 
provides for appropriate grant accounting (including calculation of program 
income).
1.2
Repayment of Funds – The Subrecipient agrees to repay funds provided under 
this Agreement for noncompliance with the terms of this Agreement. Repayment 
shall be in accordance with the terms of this Agreement or the requirement of 
applicable laws and regulations, including continuing use compliance. The County 
may specify in writing, the terms of the repayment or alternative terms in lieu of 
repayment. However, in no case shall repayment or alternative terms be 
accomplished later than sixty (60) calendar days following the written 
determination of noncompliance by the County.
1.3
Documentation and Record Keeping - The Subrecipient agrees to comply with this 
Agreement and the following record keeping requirements:
1.3.1
Records to be maintained - The Subrecipient shall maintain all financial 
records as required by 2 C.F.R. § 200, and OMB Circulars;
1.3.2
DUNS Number and SAM Profile - All Subrecipients shall have a valid Dun 
and Bradstreet (DUNS) number and an active profile in the federal System 
for Award Management (SAM).
1.3.2.1
To 
obtain 
a 
DUNS 
Number 
use 
this 
link: 
https://www.dnb.com/duns-number.html 
1.3.2.2
For additional information on System for Award Management 
(SAM) and, DUNS use this link:
https://www.sam.gov/SAM/pages/public/generalInfo/aboutSAM
.jsf 
1.3.3
Records Retention - The Subrecipient shall retain all records pertinent to 
this Agreement for a period of six (6) years after all ERA requirements have 
been met. In the event of litigation, a claim, or an audit is begun before the 
expiration of this retention period, said records shall be retained until all 
such action or audit findings involving the records have been resolved.

SECTION II
                                                                            SPECIAL PROVISIONS      
14
1.3.4
Disclosure - The Subrecipient understands that client information collected 
under this Agreement is private and the use or disclosure of such 
information, when not directly connected with the administration of the 
County's or the Subrecipient's responsibilities with respect to services 
provided under this Agreement, is prohibited unless written consent is 
obtained from such person receiving service.
1.3.5
Property Records - The Subrecipient shall maintain property and 
equipment inventory records that clearly identify properties and equipment 
purchased, improved, or sold. Properties and equipment retained shall 
continue to meet eligibility criteria and shall conform to the use of property 
and equipment.
  
9.
STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF MUTUALINTEREST
Pursuant to A.R.S. § 38-511, the County or Subrecipient may cancel this Agreement 
without penalty or further obligation, within three years after execution of this Agreement, 
if any person significantly involved in initiating, negotiating, securing, drafting, or creating 
this Agreement on behalf of the County or Subrecipient is, at any time while this 
Agreement or any extension of this Agreement is in effect, an employee or agent of any 
other Party to this Agreement in any capacity or is a consultant to any other Party to this 
Agreement with respect to the subject matter of this Agreement.  In addition, the County 
or Subrecipient may recoup any fee or commission paid or due to any person significantly 
involved in initiating, negotiating, securing, drafting, or creating this Agreement on behalf 
of the County or Subrecipient from any other Party to this Agreement arising as the result 
of this Agreement.
10.
POLICY ON CONFIDENTIALITY
The Subrecipient and the County understand and agree that this Agreement is subject to 
all State and federal laws protecting client confidentiality of medical, behavioral health and 
drug treatment information.
11.
LAWS, RULES AND REGULATIONS
The Subrecipient and the County understand and agree that this Agreement is subject to 
all State and federal laws, rules, and regulations that pertain hereto.
12.
 SPONSORSHIP ACKNOWLEDGMENT
All promotional materials, brochures, and flyers prepared by the Subrecipient relating to 
this Agreement shall include the following statement, “Sponsored by Maricopa County.”

SECTION III
                                                                                  WORK STATEMENT      
15
1.
BACKGROUND
Valleywise Health operates behavioral health facilities in Maricopa County, and provides 
inpatient and outpatient behavioral health services to residents of Maricopa County, 
including in the medically underserved areas of the county. Due to the COVID-19 
pandemic, additional behavioral health facilities and services are needed. The Valleywise 
Health inpatient facility in Mesa, previously known as Desert Vista, provides for inpatient 
stays and services. The SMI Direct Care Clinic in Mesa provides care for patients 
designated as seriously mentally ill, including functional impairment as a result of their 
diagnosis, and Valleywise Health seeks to create a similar facility in the West Valley. 
Valleywise Health is requesting financial support and assistance for the cost of capital 
expenditures to expand and improve current behavioral health facilities.
Maricopa County has received money from the American Rescue Plan Act of 2021 
(“ARPA”), H.R. 1319, CDFA Number 21.027; Title IX—Committee on Finance; Subtitle 
M—Coronavirus State and Local Fiscal Recovery Funds; Section 9901, Coronavirus State 
and Local Fiscal Recovery Funds, and such funds may be used to respond to the public 
health emergency with respect to COVID-19 or its negative economic impacts, including 
programs and services for mental health treatment and behavioral health services. (U.S. 
Department of Treasury’s interim final rules, § 35.6(b)(1)(xviii)). The Maricopa County 
Board of Supervisors has formally approved and allocated ARPA funds for behavioral 
health projects to address the negative mental health impact that the COVID-19 pandemic 
has had on the residents of Maricopa County.
2.
PURPOSE
The purpose of this Agreement is to respond to the public health emergency caused by 
COVID-19, and to provide funds to assist in the economic recovery from the pandemic.  
Maricopa County is authorized to distribute the ARPA funds to subrecipients to accomplish 
the purposes of ARPA. By this Agreement, Maricopa County shall provide to Valleywise 
Health, as Subrecipient, a total of $ 16 Million in ARPA funds, to be spent on capital 
expenditures and improvements of behavioral health facilities  as follows: (1) $ 7 Million 
for establishing an SMI Direct Care clinic and Assertive Community Treatment (ACT) 
program in the West Valley for SMI behavioral services, through either the expansion of 
its Avondale Federally Qualified Health Center, or infrastructure improvements in the 
Maryvale Hospital; (2)  $ 6 Million to expand the Mesa-Desert Vista facility; and, (3) $ 3 
Million for interior and exterior improvements at the Mesa-Desert Vista facility.  The 
expenditure of these funds must be incurred by December 31, 2024.
3.         RESPONSIBILITIES OF THE COUNTY
A.
The County agrees to provide the ARPA funds as outlined in this Agreement.
B.
The County shall review the Plan(s) submitted by Subrecipient, identifying projects 
it intends to accomplish with the ARPA funds.  Only after the County has approved 
Subrecipient’s plans can any ARPA monies be spent.
                                             
C.
The County shall comply with the federal government’s reporting requirements for 
the ARPA, including 2 C.F.R. 200.1.

SECTION III
                                                                                  WORK STATEMENT      
16
D.
The County shall monitor the use of these ARPA funds by Subrecipient consistent 
with the federal government’s requirements, including 2 C.F.R. 200.332. 
               
4.         RESPONSIBILITIES OF THE SUBRECIPIENT
A.
Prior to spending any monies towards any projects, Subrecipient shall submit a 
written Plan(s) to the County identifying the projects it intends to accomplish, and 
how ARPA funds will be spent. 
                                             
B.
Subrecipient agrees to expend these ARPA funds on capital expenditures as 
outlined in Section III, Paragraph 2, “Purpose,” of this Agreement. Subrecipient’s 
use of the ARPA funds shall abide by all laws, rules, and guidelines of the federal 
government for these ARPA funds.
C. 
Subrecipient shall place the ARPA funds in a stand-alone account, not to be co-
mingled with other funds.  Under this stand-alone account, Subrecipient shall 
record receipts of ARPA funds from the County, and Subrecipient’s expenditures 
of ARPA funds pursuant to this Agreement, all in a manner to provide the County 
with a record of the transactions conducted pursuant to this Agreement. 
 
D.
The County shall monitor the use of these ARPA funds by Subrecipient consistent 
with the federal government’s requirements, including 2 C.F.R. 200.332. 
E.
Subrecipient shall provide, in a timely manner, any information the County needs 
to comply with the federal government’s reporting requirements (including 2 C.F.R. 
200.1 and 2 C.F.R. 200.332). This includes, but is not limited to providing copies 
of contracts, contract amendments, line-item detail of project budgets, receipts, 
invoices, packing slips, purchase orders, and payments.
F.
Subrecipient shall comply with, and assist the County in complying with, any 
federal government audit requirements (including 2 C.F.R. Part 200, Subpart F).  
Subrecipient shall keep and maintain proper and complete books, records, files, 
and accounts of all its operations, which shall be open for inspection and audit by 
the County or its auditors, at all reasonable times.  All books, accounts, reports, 
files and other records relating to this Agreement shall be subject to inspection and 
audit by the County for the later of five (5) years after completion of the Agreement 
or the last date of the federal government’s auditing of the use of ARPA funds.
G.
Subrecipient shall reimburse the County for any and all uses of these ARPA funds 
in the event that the federal government determines the use did not comply with 
the ARPA laws, rules, and guidelines.  The intent of the parties is that Subrecipient 
will reimburse the County within a timeframe that allows the County to use the

SECTION III
                                                                                  WORK STATEMENT      
17
reimbursed funds to refund the money to the U.S. Department of the Treasury, as 
required by the ARPA.
H.
Subrecipient shall comply with the federal government’s requirements regarding 
the purchase, use, and disposition of real property and/or equipment.  This 
includes, but is not limited to, the following: (1) Equipment and real property 
acquired with these funds must be used solely for the purpose(s) stated in this 
Agreement and consistent with the ARPA; and, (2) Any purchase, use, and 
disposition of equipment or real property with these funds must comply with the 
Uniform Guidance at 2 C.F.R. Part 200, Subpart D (including 2 C.F.R. 200.311 
and 2 C.F.R. 200.313).
I.
The Subrecipient shall submit written quarterly progress reports to the County on 
or before the tenth (10th) day of each month, beginning with the third month 
following the payment of ARPA funds from the County to Subrecipient.  Each report 
shall provide a status update to include project status and spending/obligations to 
date.  At the completion of the project(s), the Subrecipient shall provide a final 
reconciliation report to the County. Any remaining ARPA funds not spent by 
Subrecipient on the approved projects, including any accrued interest, must be 
returned to the County before the Agreement termination date.

SECTION IV
                                               COMPENSATION
18
1.
COMPENSATION AND METHOD OF PAYMENT
A.
The County shall make one lump-sum payment of $16,000,000 to Subrecipient 
upon the County’s receipt of the ARPA funds from the federal government, and 
after the County has reviewed and approved the written Plan(s) submitted by 
Subrecipient pursuant to this Agreement, regarding the project(s) it intends to 
accomplish, and how the ARPA funds will be spent.  
B.
The Subrecipient must maintain, and have available upon request, supporting 
documents for each monthly report/status update provided to the County, including 
invoices of costs incurred and expenditure reports.
 
C.
The Subrecipient understands and agrees that expenditure of these funds must be 
incurred before December 31, 2024.  Any funds remaining (including any accrued 
interest) either after completion of the project(s), or not expended before 
December 31, 2024, shall revert to the County, and must be returned by 
Subrecipient to the County before December 31, 2024. 
D.
The Subrecipient shall submit quarterly reports to:
Maricopa County
Lee Ann Bohn, Assistant County Manager
301 W. Jefferson Street
E-mail:   LeeAnn.Bohn@maricopa.gov
Phone:  (602)372-7020
2.  
NOTICE
Any notice given under this Agreement shall be sent to the attention of the following: 
County
Subrecipient
Maricopa County 
Lee Ann Bohn
Assistant County Manager
301 W. Jefferson Street
Phoenix, AZ  85003
Maricopa County Special Health Care 
District dba Valleywise Health
Chris Melton
Director of Contracts & Procurement
2601 E. Roosevelt Street
Phoenix, AZ  85008