Res 2649 Fifth Amendment to Maricopa County Human Services Department IGA for CAP Services 06 09 26
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RESOLUTION NO. 2649
A RESOLUTION OF THE MAYOR AND COUNCIL OF THE CITY OF TOLLESON,
ARIZONA, APPROVING THE FIFTH AMENDMENT TO THE INTERGOVERNMENTAL
AGREEMENT FOR FISCAL YEAR 2027, CONTRACT NO. C-22-22-120-X-05,
BETWEEN THE CITY OF TOLLESON AND MARICOPA COUNTY, ADMINISTERED BY
ITS HUMAN SERVICES DEPARTMENT, PROVIDING $66,000 IN FUNDING FOR
COMMUNITY ACTION PROGRAM (CAP) SERVICES FOR THE PERIOD JULY 1, 2026
THROUGH DECEMBER 31, 2026, INCLUDING CRISIS CASE MANAGEMENT,
COORDINATION OF SERVICES TO ASSIST LOW-INCOME HOUSEHOLDS IN CRISIS
SITUATIONS, AND ASSISTANCE TO MOVE HOUSEHOLDS CLOSER TO ECONOMIC
SELF-SUFFICIENCY IN TOLLESON; AUTHORIZING THE MAYOR TO EXECUTE THE
AMENDMENT; AND PROVIDING THAT THE AMENDMENT SHALL BECOME
EFFECTIVE UPON ITS EXECUTION.
WHEREAS, the City of Tolleson (the “City”) entered into an Intergovernmental Agreement
(“Agreement”) with Maricopa County, administered by its Human Services Department
(“MCHSD”), for the City to provide Community Action Program (“CAP”) services to include crisis
case management, coordination of services to assist low-income households in crisis situations,
and assistance to move households closer to economic self-sufficiency in Tolleson; and
WHEREAS, the City and MCHSD desire to enter into the Fifth Amendment to extend the
term of the Agreement from July 1, 2026 through June 30, 2027, provide funding for Community
Action Program services for the period July 1, 2026 through December 31, 2026, and revise
certain provisions of the Agreement; and
WHEREAS, the Fifth Amendment provides the City with $66,000 in funding for
Community Action Program (CAP) services for the budget period July 1, 2026 through December
31, 2026, and provides for the potential receipt of additional funding through future
amendment(s) subject to Maricopa County's receipt of funding; and
WHEREAS, CAP services under the Agreement include crisis case management, navigation
services, referrals, and assistance intended to stabilize households experiencing emergencies
such as eviction, utility shutoffs, food insecurity, unemployment, and other economic hardships;
and
WHEREAS, the Mayor and Council find that approval of the Fifth Amendment is in the
best interests of the City of Tolleson and its residents.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND COUNCIL OF THE CITY OF
TOLLESON, ARIZONA, as follows:
Section 1. The recitals above are hereby incorporated as if fully set forth herein.
CITY OF TOLLESON RESOLUTION NO. 2649
JUNE 9, 2026
PAGE 2
Section 2. The term of this Fifth Amendment shall commence on July 1, 2026 and expire
on June 30, 2027.
Section 3. The Fifth Amendment to the Intergovernmental Agreement between the City
of Tolleson and Maricopa County, administered by its Human Services Department, pertaining to
Community Action Program (CAP) services is hereby approved substantially in the form attached
hereto as Exhibit A and incorporated herein by reference.
Section 4. The Mayor, City Manager, City Clerk and City Attorney are hereby authorized
and directed to take all steps necessary to cause the execution and delivery of this Fifth
Amendment and to take all steps necessary to carry out the purpose and intent of this Resolution.
Section 5. This Resolution shall take effect immediately upon its passage, adoption, and
execution of the Fifth Amendment.
PASSED AND ADOPTED by the Mayor and Council of the City of Tolleson, Arizona, on this
9th day of June, 2026.
____________________________________
Juan F. Rodriguez, Mayor
ATTEST: ____________________________________
Crystal Zamora, City Clerk
APPROVED AS TO FORM: ____________________________________
Justin Pierce, City Attorney
CITY OF TOLLESON RESOLUTION NO. 2649
JUNE 9, 2026
PAGE 3
EXHIBIT A
TO
RESOLUTION NO. 2649
[Fifth Amendment to Intergovernmental Agreement]
See following pages.
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 1 of 16
AMENDMENT NO. 5 TO THE
INTERGOVERNMENTAL AGREEMENT
BETWEEN
MARICOPA COUNTY
ADMINISTERED BY ITS
HUMAN SERVICES DEPARTMENT
AND
CITY OF TOLLESON
I.
Maricopa County (“County”), administered by its Human Services Department, and the
City of Tolleson, (“Subrecipient”) entered into a financial Intergovernmental Agreement
(“Agreement”), on or about June 22, 2022. The purpose of the Agreement is for the
Subrecipient to provide Community Action Program (CAP) services to include crisis case
management, coordination of services to assist low-income households in crisis situations,
and assistance to move closer to economic self-sufficiency in Tolleson. The current
Agreement term is July 1, 2025, through June 30, 2026.
The County provided the Subrecipient with $165,000 Fiscal Year 2026 funding for CAP
Services. Funding sources for the Agreement include but are not limited to funds made
available to the County through an Intergovernmental Agreement (IGA) with Arizona
Department of Economic Security (DES) under IGA DI25-002428/C-22-26-011-X-00. The
total Agreement funding is $165,000. The funding period of availability is July 1, 2025,
through June 30, 2026. The County and the Subrecipient collectively are referred to as
the “Parties.”
II.
The Parties agree to enter into this Amendment No. 5 to amend the Agreement as follows:
A.
Extend the Agreement expiration date shown on page 1 of the Agreement from
June 30, 2026, through June 30, 2027.
B.
Revise Maricopa County Representative on Page 1 of the Agreement as follows:
Maricopa County Representative:
Chela Schuster, Assistant Director
Senior Services and Community Resilience Division
234 N. Central Avenue, 3rd Floor
Phoenix, AZ 85004
602-283-8981
chela.schuster@maricopa.gov
C.
The County shall provide the Subrecipient with $66,000 in funding for the budget
period July 1, 2026, through December 31, 2026 (Fiscal Year 2027).
a. The funding sources for this Amendment may include but are not limited to the
following:
93.569 Community Services Block Grant (CSBG)
93.667 Social Services Block Grant (SSBG)
93.558 Temporary Assistance for Needy Families (TANF)
93.568 Low Income Home Energy Assistance Program (LIHEAP)
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 2 of 16
21.027 American Rescue Plan Act State Local Fiscal Recovery Funds
(ARPA-SLFRF)
b. The County shall provide the Subrecipient with additional funding for the
Agreement term, through an amendment to the Agreement, as outlined in
Section 1 (GENERAL PROVISIONS) PARAGRAPH 4.0 (AMENDMENTS) of
the Agreement, subject to County’s receipt of funding.
c. In accordance with 2 CFR 200.332(b)(1)(xii), the County shall provide the
Subrecipient with FY2026 and FY2027 final expenditure dollar amounts made
available under each federal award program, according to Assistance Listing
Number (ALN), within 60 days after the applicable fiscal year end by formal
amendment in accordance with Section 1 (General provisions), Paragraph 4.0
(Amendments)
(https://www.ecfr.gov/current/title-2/part-200/subpart-D#p-
200.332(b)(1)(xii)).
d. In accordance with Section 4 (Budget and Compensation), subparagraph 1.1
of the Agreement, the Subrecipient is required to leverage a minimum 25%
cash match of the total Agreement award to support administration and
operating costs in the delivery of program services, which shall be identified in
the Itemized Service Budget (ISB). Subrecipient shall provide County an ISB
within 30 days of execution of the Agreement, subject to final approval by
Human Services Department Assistant Director, identified on page 1 of the
Agreement. The final approved budget for the first six months of Fiscal Year
2027 shall be incorporated into the Agreement by Addendum, as provided in
the Sample Addendum attached.
D.
Revise Section 1 (General provisions), Paragraph 5.0 (Termination) by adding
subparagraph 5.6 to the Agreement as follows:
5.6
Upon termination or cancellation of this Agreement, all property, if any,
shall be returned to or retained by the purchasing Party.
E.
Revise Section 3 (Work Statement), by removing it in its entirety and replacing it
with the following:
1.0
PROGRAM GOALS
Maricopa County is a designated Community Action Agency, authorized
under the federal Community Services Block Grant (CSBG) Act to address
the causes and conditions of poverty in local areas. The Maricopa County
Human Services Department/Senior Services and Community Resilience
Division (MCHSD/SSCRD) administers Community Action Program
activities, the primary purpose of SSCRD is to provide a range of programs
or services that are intended to:
•
pursue the reduction of poverty,
•
the revitalization of low-income communities; and
•
the empowerment of low-income families and individuals to
become fully self-supportive.
Through partnerships with local municipalities or private, non-profit
organizations, community action programs and services are provided to
residents in the local area.
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 3 of 16
2.0
SCOPE OF WORK
Community Action Program Services shall include the delivery of crisis
services, internal/ external program navigation, and program referrals
intended to assist in the stabilization of immediate/ emergent needs for
families that are facing eviction, disruption in utilities, experiencing
insufficient food and/or nutrition, and/or are unemployed/ underemployed.
Services shall be delivered in a wrap around, comprehensive manner to
address the needs of the household and to move families closer to
economic stability.
2.1
MCHSD Crisis Financial Assistance Services
Eligibility for financial assistance is determined and benefit
payments made on behalf of program participants, these include
but are not limited to, emergency rent, move-in assistance, utility
payments or deposits, and emergency utility payments.
2.1.1 MCHSD Crisis Financial Assistance Services shall be
coordinated with other local or grant financial assistance
services to maximize benefits to the household.
2.1.2 Eligibility criteria for financial assistance funds are defined
in the MCHSD/SSCRD Policy and Procedure Program
Handbook.
2.1.3 Financial assistance funds are managed and allocated by
MCHSD. Funds will be made available to the Subrecipient
through HSD Dynamics or another comparable platform.
2.1.4 MCHSD/SSCRD will make payments directly to vendors
upon authorization by the County).
2.1.5 Available Financial Assistance Services shall include the
following:
2.1.5.1 Utility Assistance
2.1.5.1.1 Utility payments and deposits for heating
and cooling;
2.1.5.1.2 Rental assistance where utility payment
is included in rent.
2.1.5.2 Rental Assistance
2.1.5.2.1 Rental assistance to prevent eviction;
and
2.1.5.2.2 Move-in assistance to include rental
deposits and first month rent.
2.1.6 MCHSD Crisis Financial Assistance Service Requirements:
2.1.6.1 Subrecipient shall conduct application intake for
MCHSD Crisis Financial Assistance Services to
clients who apply in person with a paper application
or need assistance applying online.
2.1.6.2 On-site application process shall include the
following:
2.1.6.2.1 Provide paper applications, or assist
clients
with
completing
the
online
application process;
2.1.6.2.2 Collect client eligibility documents for
identified services, as required in the
MCHSD/SSCRD Policy and Procedure
Program Handbook;
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 4 of 16
2.1.6.2.3 Information from the paper application
shall be entered into HSD Dynamics or
another comparable platform within 24
hours of receipt;
2.1.6.2.4 Upload a copy of the paper application in
HSD Dynamics SharePoint or another
comparable platform;
2.1.6.2.5 Create an application in HSD Dynamics
or another comparable platform, as well
as the program application (s) which the
client applied for;
2.1.6.2.6 Upload eligibility documents in HSD
Dynamics
or
another
comparable
platform;
2.1.6.2.7 Research each household member to
determine if they have received previous
assistance; and
2.1.6.2.8 Research and enter vendor/provider
information in Dynamics.
2.1.6.3 The Subrecipient will also process applications
submitted through the HSD Dynamics client portal or
another comparable platform per MCHSD/ SSCRD
Policy and Procedure Handbook following the
process outlined below:
2.1.6.3.1 Subrecipient will assign and disposition
program applications to Client Services
Specialists;
2.1.6.3.2 Upload eligibility documents in HSD
Dynamics
or
another
comparable
platform; and
2.1.6.3.3 Research provider profile and submit
vendor information related to the County
vendor
registration
process,
within
twenty-four (24 hours), if applicable;
2.1.6.3.4 Document all services provided and
supported by County funds in HSD
Dynamics
or
another
comparable
platform, in addition to local/ grant
financial assistance services;
2.1.6.3.5 Manage and monitor application queue in
HSD Dynamics or another comparable
platform based on program application
submission date;
2.1.6.3.6 The Service Provider shall adhere to the
queue mitigation protocols set forth in the
Policy and Procedure Handbook to
maintain wait times and queue volumes
within the parameters defined therein
2.1.6.3.7 All
client
communication
must
be
documented as well as make relevant
‘case notes’ on the client’s current
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 5 of 16
application timeline in HSD Dynamics or
another comparable platform.
2.1.6.3.8 Conduct quality assurance review and
ensure quality controls on each program
application
case
and
subsequent
completed service authorization (s);
Subrecipient shall document site QA
procedures and designate an owner of
the QA process by role and name which
must remain updated throughout the
program year. Submit to MCHSD upon
request.
2.1.6.3.9 Resolve rejected service authorizations
and data entry errors within two (2)
business days from the rejection date.
2.1.6.3.10 Subcontractor shall comply with the
requirements of Arizona Confidentiality
Program A.R.S.§41-161 and procedures
outlined in the MCHSD-SSCRD Policy
and Procedure Manual.
2.2
Navigation Services
Navigation services are offered to clients following the completion
of the HSD Dynamics application or another comparable platform
application, and program application. Navigation is a staff assisted
function that includes the collection of eligibility documents and
completion/
submission
of
program
application
for
both
Subrecipient’s internal programs (non-County funded) along with
external program services.
2.2.1 Navigation to Low-Income Energy Assistance Program
(LIHEAP) Services:
2.2.1.1 Subrecipient shall provide application assistance
which may include the following:
2.2.1.1.1 Answering questions about program
eligibility and the application process.
2.2.1.1.2 Entering application data directly into the
DES portal on behalf of the Client,
including LIHEAP application signature
page.
2.2.1.1.3 Scanning
and
uploading
required
documents, as needed.
2.2.1.1.4 Provide paper applications to clients,
upon request. Enter and upload required
documentation into the DES portal on the
Client’s behalf.
2.2.1.1.5 Upon request, provide assistance in
completing the ID.me identity verification
process to include scanning required
documents and uploading to the ID.me
website (www.ID.me.com).
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 6 of 16
2.2.1.1.6 Screen for crisis circumstances to ensure
priority will be given to a Life Threatening
Crisis Assistance Application.
2.2.1.1.7 Conduct initial screening and reporting of
potential Welfare Fraud.
2.2.1.1.8 All
LIHEAP
Navigations
that
are
completed must be documented in HSD
Dynamics
or
another
comparable
platform. A case note must be made on
the utility program application timeline
and monitory navigations fields must be
completed.
2.2.1.2 Navigation to Internal Program Services
2.2.1.2.1 Subrecipient shall identify a minimum of
two (2) internal programs based on the
most recent MCHSD Community Needs
Assessment, to complete a logic model
and
provide
additional
outcome
reporting. Subrecipient will submit a logic
model (Exhibit 1) by July 31st of the
current program year, to be approved by
MCHSD. The logic model shall provide
the
following
information
for
each
program service:
2.2.1.2.1.1 Community need;
2.2.1.2.1.2 Anticipated
program
outcome(s);
2.2.1.2.1.3 Description
of
program
service;
2.2.1.2.1.4 Projected
number
of
individuals/ households to be
served; and
2.2.1.2.1.5 Projected
number
of
individuals/ households who
will
achieve
anticipated
program outcome(s).
2.2.1.2.1.6 Data collection methodology
2.2.1.2.2 Subrecipient shall conduct follow up
contact with clients to assess for
additional needs and to track program
outcomes as it relates to the outcomes
identified in the Subrecipient’s logic
model.
2.2.1.2.2.1 Follow up contact shall be
conducted at intervals of 3
months, 6 months, and 9
months following the receipt
of program services.
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 7 of 16
2.2.1.3 Navigation Service Requirements
2.2.1.3.1 Clients
shall
have
a
completed
application and program application(s) in
HSD Dynamics or another comparable
platform prior to receiving navigation
services to DES portal for LIHEAP
services or internal program services.
2.2.1.3.2 Subrecipient shall ensure that all income
eligible clients will be navigated to the
Arizona Department Economic Security
(DES) portal for LIHEAP services.
2.2.1.4 Subrecipient shall provide navigation services as it
relates to internal program services to clients that
have been dispositioned in the HSD Dynamic
queue.
2.2.1.5 Navigation
services
shall
be
provided
and
documented,
in
accordance
with
the
MCHSD/SSCRD Policy and Procedure Manual.
2.2.1.6 Navigation
services
shall
be
reported
in
MCHSD/SSCRD quarterly ROMA reports.
2.2.1.7 Subrecipient shall use the MCHSD approved logic
model template for internal program navigation.
2.3
Information and Referrals
2.3.1 Subrecipient shall provide information and referrals to
include but not limited to the following:
2.3.1.1 Community Legal Services (CLS) for households
who are facing immediate eviction for non-payment
of rent or who receive assistance and have a
judgement that is not satisfied.
2.3.1.2 DES Child support enforcement services for clients
who are custodial parents in single parent
households.
2.3.1.3 Assistance completing applications for SNAP,
AHCCCS, and Unemployment Insurance.
2.3.1.4 Food and nutrition services to counteract the
impacts of starvation or malnutrition.
2.3.2 Information and Referrals Service Requirements
2.3.2.1 Clients shall have a completed program application
in HSD Dynamics or another comparable platform
prior to the delivery of information and referral
services.
2.3.2.2 Subrecipient shall document all referrals in HSD
Dynamics or another comparable platform and
follow referral procedures in accordance with the
MCHSD/SSCRD Policy and Procedure Manual.
2.3.2.3 Information regarding program referrals shall be
reported in the MCHSD/SSCRD quarterly ROMA
reports.
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 8 of 16
2.4
Facility Requirements
2.4.1 Subrecipient shall ensure staff on-site are able to navigate
to websites and provide generalized assistance to clients.
Staff shall provide access through self-maintaining or
partnership agreements, a computer lab to include multiple
computers with internet access, fax machines, copier,
phones, and basic office supplies to allow individuals
access to the following:
2.4.1.1 AZDES LIHEAP Application Portal;
2.4.1.2 HSD Client Portal;
2.4.1.3 Online applications for AZDES Unemployment
Insurance,
Supplemental
Nutrition
Assistance
Program (SNAP), and AHCCCS Health Insurance;
2.4.1.4 Online job search and submission of application/
resume; and/or
2.4.1.5 Information regarding scholarships and federal
financial aid.
2.4.2 Subrecipient shall ensure adequate space for the following:
2.4.2.1 On-site workshops and training classes;
2.4.2.2 Local job/career fairs; and
2.4.2.3 Eligibility
determination
where
confidential
information cannot be overheard.
2.5
Reporting Requirements
2.5.1 Subrecipient shall submit programmatic and financial
reports to MCHSD as listed below:
2.5.1.1 Results Oriented Management and Accountability
(ROMA/ROMA Next Gen) data and/or reports no
later than the 10th business day after the end of each
quarter of the fiscal year.
2.5.1.2 Monthly
invoices/claims
with
supporting
documentation no later than the 10th business day,
following the end of the month.
2.5.1.3 The County reserves the right to add, remove, or
revise reporting requirements to meet program
goals.
2.5.1.4 Failure to submit required reports in the designated
timeframe listed may result:
2.5.1.4.1 in a forfeiture of payment, if not submitted
by the forty-fifth (45th) calendar days
following the end of a month.
2.5.1.4.2 in a forfeiture of final payment, if final
program and fiscal reports are not
submitted within the designated time
period, determined by MCHSD following
the Contract term.
2.6
HSD Dynamics (Or Another Comparable Platform) Access
2.6.1 Access to HSD Dynamics or another comparable platform
will be provided by MCHSD/SSCRD upon request by the
Subrecipient.
2.6.2 Subrecipient shall provide MCHSD/SSCRD information
regarding staffs’ name, position title, contact information,
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 9 of 16
and evidence of successful completion of all required
background checks, to include Fingerprint and Central
Registry Submission/Clearances. Subrecipient will submit
CAP personnel Fingerprint renewals and annual Central
Registry renewals to CAPSupport@maricopa.gov.
2.6.3 MCHSD reserves the right to immediately remove access if
it is determined Subrecipient’s personnel (employed or as
volunteer) is a risk to County operations for any of the
following reasons but not limited to:
2.6.3.1 Approving clients for services they are not eligible for;
2.6.3.2 Denying eligible clients services; and
Accessing the HSD Dynamics or another comparable
platform for any purpose other than areas of
responsibility.
2.6.4 MCHSD will provide Subrecipient programmatic ad hoc
reports, as requested.
2.7
Staff Requirements
2.7.1 Subrecipient shall:
2.7.1.1 Ensure staff and/or volunteers do not provide direct
services to clients until all appropriate Background
Checks, Fingerprint Clearances (applicable to ARS
§§36-594.01, 36-3008, 41-1964, and 46-141) and
Central Registry clearances (compliant with Central
Registry provisions of ARS §8-804 in its entirety)
have been completed with satisfactory results and
procedures are in place if results are unsatisfactory.
Subrecipient shall have a documented procedure for
CAP
personnel
who
as
a
condition
of
employment/volunteer or upon renewal (annual
review for Central Registry) is deemed disqualified
through
the
Fingerprint
or
Central
Registry
Clearance process. Documented procedure is
provided to MCHSD-SSCRD upon request.
2.7.1.2 Maintain documentation that key staff have received
appropriate
training
or
hold
appropriate
certification/licensure in accordance with roles,
responsibilities and job descriptions;
2.7.1.3 Ensure that staff and volunteers do not have any
conflicts of interest in the provision of services and
management of programs;
2.7.1.4 Provide staff and volunteers with supervision,
equipment, materials and supplies necessary to
perform contracted services;
2.7.1.5 Provide training to all new employees and
volunteers providing services under this Agreement,
to include but not limited to the following:
2.7.1.5.1 An overview of the MCHSD/SSCRD
Policy and Procedure Manual; and
2.7.1.5.2 Requirements of ARS §46-140.01 and
ARS §1-501 and ARS § 1-502 regarding
eligibility for state and local benefits.
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 10 of 16
2.7.1.6 Maintain
documentation
that
verifies
case
management staff have received relevant training
and provide documentation upon request to
MCHSD-SSCRD;
2.7.1.7 The Subrecipient shall be required to notify MCHSD-
SSCRD of staff changes and vacant positions within
two (2) business days of staff changes through
CAPSupport@maricopa.gov. The Subrecipient shall
open the recruitment to fill case worker vacancies,
no later than thirty (30) days after the vacancy
occurs, to ensure service availability and clients are
not turned away due to lack of staff.
2.7.2 Code of Conduct:
2.7.2.1 The Subrecipient shall avoid any action that might
create or result in the appearance of:
2.7.2.1.1 Inappropriate
use
or
divulging
of
information
gathered
or
discovered
pursuant to the performance of its duties
under the Contract.
2.7.2.1.2 Actions on behalf of the County without
appropriate authorization.
2.7.2.1.3 Providing
favorable
or
unfavorable
treatment to anyone.
2.7.2.1.4 Making a decision on behalf of the
County that exceeds their authority,
displaying
preferential
treatment
or
actions that would have unfavorable
consequences for the County.
2.7.2.1.5 Misrepresenting or otherwise imped the
efficiency, authority, actions, policies, or
adversely affect the confidence of the
public or integrity of the County.
2.7.2.1.6 Loss of impartiality when advising the
County.
2.8
Community Action Program Meetings
2.8.1 MCHSD will facilitate meetings that will be held on a
quarterly basis, at a minimum with CAP Subrecipients to
communicate new developments, discuss problems,
address barriers to services, share ideas for improvements,
and to address other identified topic areas.
2.8.2 Subrecipient shall ensure that a designated member of
leadership staff participates in all CAP meetings, as
scheduled.
2.9
Cooperation in Strategic Planning and Community Needs
Assessment:
2.9.1 Subrecipient shall participate in strategic planning initiatives
which lead to the development of the five (5) year strategic
plan and the annual Community Action Plan and provide
information regarding the causes/condition of poverty within
the designated geographic service area.
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 11 of 16
2.10
Training and Technical Assistance
2.10.1 To ensure successful program service delivery, MCHSD will
provide/conduct training and technical assistance, if
applicable, on the following:
2.10.1.1
MCHSD/SSCRD Policy and Procedure Program
Manual;
2.10.1.2
MCHSD funded financial assistance services;
2.10.1.3
Use of HSD Dynamics or another comparable
platform;
2.10.1.4
Reports and forms, as required;
2.10.1.5
Results
Oriented
Management
and
Accountability (ROMA)/ROMA Next Gen;
2.10.1.6
Review of all applicable federal, state, and
county regulations, laws, and rules related to
specific funding sources used;
2.10.1.7
Review of program monitoring findings; and
2.10.1.8
Other training and technical assistance as
needed/required.
2.11
Limited English Proficiency
2.11.1 The Subrecipient shall ensure that all services provided are
culturally relevant and linguistically appropriate to the
population to be served. To ensure compliance, reference
DES 1-01-34 at: https://des.az.gov/digital-library/limited-
english-proficiency
2.11.2 Applicable Program Rules and Regulations:
2.11.2.1
Subrecipient shall comply with all applicable
federal, state, and county regulations, laws, and
rules as amended, including but not limited to the
following:
2.11.2.2
COATS Human Services Reauthorization Act of
1998;
2.11.2.3
2
CFR
200
Uniform
Administrative
Requirements;
2.11.2.4
Personal Responsibilities and Work Opportunity
Reconciliation Act of 1996;
2.11.2.5
Stewart B. McKinney Homeless Assistance Act;
2.11.2.6
ARS §46-241-State Short Term Crisis Services;
2.11.2.7
ARS §46-731–Utility Assistance;
2.11.2.8
ARS §46-741–Neighbors Helping Neighbors;
2.11.2.9
ARS §46-140.01-Verifying applicants for public
benefits; violation; classification; citizen suits
2.11.2.10 ARS§1-501-§1-502, Eligibility for federal, state,
or local public benefits; documentation; violation;
classification; citizen suites; court costs and
attorney fees;
2.11.2.11 The requirements related to reporting to a peace
officer or child protective services incidents of
crimes against children as specified in A.R.S.
§13-3620 as may be amended.
2.11.2.12 P.L. 101-121, Section 319 (31 U.S.C. section
1352) as may be amended, and 29 C.F.R. Part
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 12 of 16
93 as may be amended which prohibit the use of
federal funds for lobbying and which state, in
part: Except with the express authorization of
Congress, the Subrecipient, its employees or
agents, shall not utilize any federal funds under
the terms of this contract to solicit or influence,
or to attempt to solicit or influence, directly or
indirectly, any member of Congress regarding
pending or prospective legislation. Indian tribes,
tribal organizations and any other Indian
organizations are exempt from these lobbying
restrictions with respect to expenditures that are
specifically permitted by other federal law.
2.11.2.13 A.R.S. § 23-722.01 as may be amended relating
to new hire reporting,
2.11.2.14 A.R.S. § 23-722.02 as may be amended relating
to wage assignment orders to provide child
support, and A.R.S. § 25-535 as may be
amended relating to administrative or court-
ordered health insurance coverage for children.
2.11.3 Administrative Simplification rules in Title II of the Health
Insurance Portability and Accountability Act of 1996 (Public
Law 104-191) and all Federal regulations that are applicable
to the operations of the Subrecipient by the dates required
by the implementing Federal regulations as well as all
subsequent requirements and regulations as published.
2.12
Appeal/Grievance Procedures
2.12.1 Subrecipient shall establish a process to review and
address client appeals and grievances. Subrecipient shall
submit an appeal/grievance process to MCHSD/SSCRD
annually, and as requested. The grievance/appeal
procedure shall be accessible to applicants at the time of
application submission.
2.12.2 Subrecipient shall advise all applicants of their right to
present to the Subrecipient any appeal/grievances arising
from the delivery of contract services, including, but not
limited to, ineligibility determination, award amount,
reduction of services, suspension or termination of services,
or quality of services.
2.12.3 Subrecipient shall address grievances for individuals
seeking/receiving County funded assistance who feel that
they have not been treated fairly.
2.12.4 Subrecipient shall act as first reviewer of grievances for their
respective site following their prescribed written process. All
grievance requests generated by clients must be
documented in HSD Dynamics or another comparable
platform. All communication and documentation requests
regarding the grievance must be documented in HSD
Dynamics or another comparable platform on the
Application timeline. MCHSD acts as second review for all
escalated CAP grievances. Follow grievance procedures as
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 13 of 16
outlined in the MCHSD/SSCRD Policy and Procedure
Program Manual.
2.13
Community Action Tripartite Board Recruitment
2.13.1 Subrecipient shall recruit local community members to
serve in the role of the Public Official or Consumer
Representative sectors for the MCHSD Community Action
Commission, as requested by MCHSD. Subrecipients shall
perform the following outreach activities:
2.13.1.1
Post flyers at location(s) and community
events;
2.13.1.2
Share information and distribute flyers to
clients;
2.13.1.3
Direct community members to the following
MCHSD
website
page
to
obtain
additional
information
and
Commission
application:
CACCommission@maricopa.gov;
2.13.1.4
Assist clients or with the Democratic
Selection Process;
2.13.1.5
Coordinate outreach efforts to city council
members.
2.14
Pandemic Award Performance
2.14.1 The Subrecipient shall establish a written plan that
illustrates how the services and contract performance
standards will be met in the event of a pandemic
occurrence.
2.14.2 The pandemic performance plan shall include:
2.14.2.1
Key succession and performance planning if a
sudden significant decrease in Subrecipient’s
workforce should occur.
2.14.2.2
Alternative methods to ensure services are
available.
2.14.2.3
An up-to-date list of Subrecipient contacts and
organizational chart.
2.14.2.4
In the event of a pandemic, as declared by the
Governor of Arizona, U.S. Government, or the
World
Health
Organization,
which makes
performance of any term under this Award
impossible or impracticable, the MCHSD shall
have the following rights:
2.14.2.5
After the official declaration of a pandemic,
MCHSD may temporarily void the Award in
whole or specific sections if the Awardee cannot
perform to the standards agreed upon in the
initial terms.
2.14.2.6
MCHSD shall not incur any liability if a pandemic
is declared, and emergency procurements are
authorized by the Director of the Arizona
Department of Administration per A.R.S. § 41-
2537 as may be amended by the Arizona
Procurement Code.
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 14 of 16
2.14.2.7
Once the pandemic is officially declared over
and/or the Subrecipient can demonstrate the
ability to perform, MCHSD, at its sole discretion,
may reinstate the temporarily voided Award.
III.
Section II above contains all the changes to the Agreement made by this Amendment No.
5. The Agreement is amended to incorporate the changes contained in this Amendment
No. 5. All other terms and conditions of the Agreement remain in full force and effect as
executed by the Parties. This Amendment No. 5 is subject to and incorporates the
provisions of A.R.S. §38-511.
IV.
The Parties have authorized the undersigned to execute this Amendment No. 5, and it
shall be effective upon approval and signature by both Parties.
[signatures contained on following page]
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 15 of 16
IN WITNESS, the Parties have approved and signed this Amendment No. 5:
APPROVED BY:
CITY OF TOLLESON
APPROVED BY:
MARICOPA COUNTY
___________________________________
Juan F. Rodriguez Date
Mayor
____________________________________
Kate Brophy McGee Date
Chair, Board of Supervisors
Attested To:
___________________________________
Crystal Zamora Date
City Clerk
Attested To:
____________________________________
Juanita Garza Date
Clerk of the Board
IN ACCORDANCE WITH A.R.S. §§ 9-240, 9-
500.11, 11-952, AND 46-241, ET SEQ., THIS
AMENDMENT NO. 5 HAS BEEN REVIEWED
BY THE UNDERSIGNED ATTORNEY WHO
HAS DETERMINED IT IS PROPER IN FORM
AND
WITHIN
THE
POWERS
AND
AUTHORITY GRANTED TO THE CITY OF
TOLLESON UNDER THE LAWS OF THE
STATE OF ARIZONA.
APPROVED AS TO FORM:
BY: ________________________________
Attorney for the City Date
IN ACCORDANCE WITH A.R.S. §§ 11-201,
11-251, AND 11-952, THIS AMENDMENT
NO. 5 HAS BEEN REVIEWED BY THE
UNDERSIGNED ATTORNEY WHO HAS
DETERMINED IT IS PROPER IN FORM AND
WITHIN THE POWERS AND AUTHORITY
GRANTED TO MARICOPA COUNTY UNDER
THE LAWS OF THE STATE OF ARIZONA.
APPROVED AS TO FORM:
BY: _________________________________
Deputy County Attorney Date
Contract No. C-22-22-120-X-05
Amendment No. 5
City of Tolleson
Page 16 of 16
Addendum Sample
Fiscal Year 2027 Operating Budget
City of Tolleson Operating Budget – CAP Services
Contract Budget Period
July 1st, 2026, through December 31, 2026
Funding
County Funds
$
Cash Match Contributions
$
$
Budget Category
Direct Cost
Administration Cost
Total
Cost
Personnel
$
$
$
ERE
$
$
$
P & O Services
$
$
$
Travel
$
$
$
Space
$
$
$
Materials & Supplies
$
$
$
Operating Services
$
$
$
Total Expenses
$
$
$