CTR043100 IGA W AIF ADHS HIV SURVEILLANCE A3.PDF
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sy AL uted original to Sypervisors 1/26/22 Agenda Item Id: 208633 Item Title AMENDMENT TO IGA WITH ARIZONA DEPARTMENT OF HEALTH SERVICES FOR CLINICAL SERVICES CAPACITY PROGRAM C Number: C-86-19-057-3-05 Action Requested: Approve additional funds for the Intergovernmental Agreement (IGA) Contract No. CTRO43100, HIV Surveillance Capacity Expansion Program, between Arizona Department of Health Services (ADHS) and Maricopa County by and through its Department of Public Health (MCDPH). The additional amount is $12,563.37 for a total not-to-exceed amount of $204,563.37 for the budget period January 1, 2022 through December 31, 2022. The term of the original contract is April 1, 2019 to March 31, 2024. This was a new IGA with a 5 year term. It may reoccur but it is uncertain. Neither cash nor in-kind match is required and the need for ongoing cash contributions is not anticipated. The grant award services are not a mandated function. This was not a competitive process. The Department of Public Health’s indirect rate for FY 2022 is 17.97%. Total indirect expenses are estimated to be $1,914 all of which is recoverable. All program costs are allocated to the grant so there should be no additional burden on the department’s operating budget. Additional Information: Grant revenues are not local revenues for the purpose of the constitutional expenditure limitation, and therefore expenditure of the revenues is not prohibited by the budget law. This Amendment does not alter the budget constraining expenditures of local revenues duly adopted by the Board pursuant to A.R.S. 42-17105. The overall grant budget will be adjusted as necessary to accommodate this grant through a future reconciliation. To address increased HIV case investigations and data needs, MCDPH works with ADHS to improve timeliness and completeness of HIV and AIDS cases and improve data quality used to analyze and identify sources of infection and outbreaks. This will allow more accurate characterization of the impact of disease, to conduct investigations, to cultivate public awareness of disease impact, to target prevention strategies, and to utilize related departmental and community resources. Item Notes: Is there a Financial Impact? No General Item Information Department: Public Health Contact Name: Barbara Lu Meeting Date: 1/26/2022 9:30 AM - Formal C-86-19-057-3-05 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES OFFICE OF PROCUREMENT Amendment 150 N. 18" Ave Suite 530 Phoenix, Arizona 85007 Procurement Officer Anthony Beckum Contract No.: CTR043100 IGA Amendment No.: 3 HIV Surveillance Capacity Expansion Program Effective upon signatures of both parties, it is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to the Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1, Amendments, Purchase Orders and Change Orders, the following changes are hereby made under this Amendment Three (3): 1.1. The Price Sheet is revised and replaced. ALL CHANGES ARE IDENTIFIED BELOW IN RED. All other provisions of this Agreement remain unchanged. BO” Contractor Name: MARICOPA COUNTY DEPARTMENT OF PUBLIC Authorized Signature” HEALTH Bill Gates Address: 4041 N. CENTERAL AVE., SUITE 1400 Print Name PHOENIX ARIZONA 85012 Chairman, Board of Supervisor City State Zip Title Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined | This Intergovernmental Agreement Amendment shall be effective that this Intergovernmental Agreement is in proper form and is within the powers and | the date indicated. The Public Agency is hereby cautioned not to authority granted under the laws of Arizona commence any billable work or provide any material, service or construction under this IGA until the IGA has been executed by an authorized ADHS signatory. State of Arizona Sg a [26 [ory Signature Date is Signed this day of 20 Anne Longo, Deputy Attorney Print Name Procurement Officer Contract No.: CTR043100, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has determined that it is in proper form and is within the powers and authority granted under 5 ti Digitally signed the laws of the State of Arizona. Christine by cenie Digitally signed by Aubrey Joy Corcoran fe: 2022.0: DN:en-Aubtey Joy Corcoran, o-Arzone Attorney Genera’ Office ou, Ruth ssoe2-o700 UDLEY JOY COPLCOLAN emaiensiresiycorcrnaozas.gov.e-U5 Date: 2022.03.08 15:13:35 -0700 Signature Date Assistant Attorney General Print Name ATTEST: AuawctiCirs JAN 2 6 2022 Ctérk of the Board 0 Date Page 1 of 2 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18" Ave Suite 530 Amendment Phoenix, Arizona 85007 Contract No.: CTRO43100 IGA Amendment No.: 3 pe od PRICE SHEET Cost Reimbursement Line Items Budget Amount Personnel $118,436.10 Employee Related Expenses $50,508.27 Other/Indirect $35,619.00 Total Amount (Not to Exceed) $204,563.37 Note: With prior approval from the ADHS Program Manager, the Contractor is authorized to transfer up to a maximum of thirty-five percent (35%) of the total budget between line items. Transfers of funds are only allowed between funded line items. Transfer exceeding thirty-five percent (35%) or to a non-funded line item shall require a written Contract Amendment. Authorization for Provision of Services: Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase Order that is signed by an authorized agent The Purchase Order will indicate the contract number and the dollar amount of funds authorized The Contractor shall only be authorized to perform services up to the amount on 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 a) 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 contract. Any staff changes, including salary, must be pre-approved in writing by the ADHS Program Manager. Page 2 of 2