PE TAPI CONTRACT EFFECTIVE 1.1.2024.DOCX (2).PDF

Maricopa County — Formal (2023-11-15)

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CONTRACT FOR SERVICES
MARICOPA COUNTY
by and through the
DEPARTMENT OF PUBLIC HEALTH
4041 N. Central, Suite 1400, Phoenix, Arizona 85012

1.
Contract No:

2. Contract Type: Sole Source Service Contract

3.
Contract Amount: Reimbursement
4. Purpose: Immunization Medical Claim Reimbursement
(Maximum Reimbursable Amount)
5.
Start Date: 01/01/2024

6. Expiration Date: 12/31/2028

This Contract is entered into by and between The Arizona Partnership for Immunization (TAPI), referred to
hereinafter as the “Contractor,” and Maricopa County, by and through the Department of Public Health, referred
to hereinafter as the “County.” The Contractor and the County are collectively referred to as the “Parties” and
individually as a “Party.” The Parties, for and in consideration of the covenants and conditions set forth herein,
shall provide and perform the services as set forth below. All rights and obligations of the Parties shall be
governed by the terms of this Contract, including its Exhibits, Attachments, Appendices, and 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 Contract contains all the terms and conditions agreed to by the Parties. No other understanding,
oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind the
Parties. Nothing in this Contract shall be construed as consent to any lawsuit or waiver of any defense
in any lawsuit brought against the State of Arizona, the County, or the Contractor, in any State or Federal
Court.
Legal notice under this Contract shall be given by personal delivery or by registered or certified mail, postage
prepaid and return receipt requested, to the addresses set forth below. If the legal notice is personally delivered,
it is deemed given and effective upon receipt by the Party to whom it is addressed. If the legal notice is mailed,
it is deemed given and effective three (3) days after it is mailed by registered or certified mail.

Notice to Contractor: The Arizona Partnership for Immunization

Phone: (602) 288-7572

Address: 700 E. Jefferson Street, Ste 100, Phoenix, AZ 85034

Notice to Department: MCDPH Purchasing and Contract

Phone: (602) 372-1065

Address: 4041 N. Central Ave., Suite 1400, Phoenix, AZ 85012

IN WITNESS WHEREOF, the Parties enter into this Contract:
CONTRACTOR:

FOR AND ON BEHALF OF
MARICOPA COUNTY:

BY:

Signature

Chairman, Board of Supervisors

Type Name and Title

ATTEST

Date

Clerk of the Board

Date

APPROVED AS TO FORM:

Attorney for Maricopa County

Date
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10/25/2023 | 3:59 PM PDT
Bernie Soderberg

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 Contract, the following terms shall have the following meanings:

A.
Contract means this document and all exhibits, attachments, appendices, and
amendments to this Contract.

B.
Contractor means the person, firm, or organization listed on the Cover Page of
this Contract.

C.
County means Maricopa County, Arizona.

D.
Department means the Maricopa County Department of Public Health (MCDPH).

E.
Director means the Director of the Department.

F.
Funding Source means any Federal, State, or Private Agency funding source that
may impose conditions on the funding that will be passed on to the Contractor.

3.
GENERAL REQUIREMENTS

A.
The terms of this Contract shall be construed in accordance with Arizona law. Any
lawsuit arising out of this Contract shall be brought in the appropriate court in
Maricopa County, Arizona.

B.
The Contractor shall, without limitation, obtain and maintain all licenses, permits,
and authority necessary to do business, render services, and perform work under
this Contract, and shall comply with all laws regarding Unemployment Insurance,
Disability Insurance, and Workers’ Compensation.

C.
The Contractor is an independent Contractor in the performance of work and the
provision of services under this Contract and is not to be considered an officer,
employee, or agent of the County.

4.
AMENDMENTS

All Amendments to this Contract shall be in writing and signed by the Parties.

5.
ADEQUACY OF RECORDS

If the Contractor's books, records, and other documents relevant to this Contract are not
sufficient to support and document that allowable services were provided to eligible
persons, the Contractor shall reimburse the County for the services not sufficiently
supported and documented.

6.
RETENTION OF RECORDS
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SECTION I
GENERAL PROVISIONS
3

A.
This provision applies to all financial and programmatic records, supporting
documents, statistical records, and other records of the Contractor, which are
reasonably considered as relevant to this Contract.

B.
The Contractor shall retain all financial books, records, and other documents
relevant to this Contract for five (5) years after final payment or until after the
resolution of any audit questions, which could take more than five (5) years,
whichever is longer. The 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 materials.

7.
ASSIGNMENT / SUBCONTRACTING

No rights, liability, obligations, or duties under this Contract may be assigned, delegated,
or subcontracted without the prior written approval of the County.

8.
AUDIT DISALLOWANCES

A.
The Contractor shall, upon written demand therefore, reimburse the County for any
payments made under this Contract that are disallowed by a Federal, State, or
Maricopa County audit in the amount of the disallowance, as well as all expenses,
court costs, and attorney fees the County incurs in connection with any legal action
relating to such disallowance.

B.
If, at any time, the County determines that a cost for which payment has been
made is a disallowed cost, the County shall notify the Contractor in writing of the
disallowance and the required course of action, which may be, at the option of the
County, either to adjust any future claim submitted by the Contractor by the amount
of the disallowance or to require repayment of the disallowed amount by the
Contractor.

9.
CONTRACT COMPLIANCE MONITORING

The County shall monitor the Contractor's compliance with, and performance under, the
terms and conditions of this Contract. Announced or unannounced on-site visits for
Contract compliance monitoring may be made by the County and its grantor agencies at
any time during the Contractor's normal business hours. During the visit, the Contractor
shall make available for inspection and copying by the County, all records and accounts
relating to the work performed or the services provided under this Contract, or for similar
work and service provided under other grants and contracts.

10.
AVAILABILITY OF FUNDS

A.
The provisions of this Contract relating to payment for services shall become
effective when funds assigned for the purpose of compensating the Contractor, as
herein provided, are actually available to the County for disbursement. The
Director shall be the sole judge and authority in determining the availability of funds
under this Contract and the County shall keep the Contractor fully informed as to
the availability of funds.

B.
If any action is taken by any State Agency, Federal Department, or any other
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SECTION I
GENERAL PROVISIONS
4

agency or instrumentality to suspend, decrease, or terminate its fiscal obligations
under or in connection with this Contract, the County may amend, suspend,
decrease, or terminate its obligations under or in connection with this Contract. In
the event of termination, the County shall be liable for payment only for services
rendered prior to the effective date of the termination, provided such services are
performed in accordance with the provisions of this Contract. The County shall
give at least ten (10) days prior written notice of the effective date of any
suspension, amendment, or termination under this section.

11.
CONTINGENCY RELATING TO OTHER CONTRACTS AND GRANTS

A.
The Contractor shall, during the term of this Contract, 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 Contract. Failure by the Contractor to notify the County of
such award shall be considered a material breach of this Contract and the County
shall have the right to terminate this Contract without liability.

B.
The County may request, and the Contractor shall provide within a reasonable
time, a copy of any other contract or grant when, in the opinion of the Director, the
award of the other contract or grant may affect the costs being paid or reimbursed
under this Contract.

C.
If the County determines that the award to the Contractor of such other Federal or
State contract or grant has affected the costs being paid or reimbursed under this
Contract, the County shall prepare a Contract Amendment effecting a cost
adjustment. If the Contractor protests the proposed cost adjustment, the protest
shall be considered a dispute within the meaning of the "Disputes" clause
contained herein.

12.
NON-APPROPRIATION OF FUNDS

Notwithstanding any other provision herein, this Contract may be terminated without
liability if the Maricopa County Board of Supervisors does not appropriate sufficient monies
for the purpose of maintaining this Contract.

13.
DEFAULT

The County may suspend, modify, or terminate this Contract immediately upon written
notice to the Contractor in the event of a non-performance of stated objectives or other
material breach of contractual obligations; or upon the happening of any event that may
jeopardize the ability of the Contractor to perform any of its contractual obligations.

14.
TERMINATION

A.
The County or the Contractor may terminate this Contract at any time with at least
thirty (30) days prior written notice to the other Party. Such notice shall be given
by personal delivery or by Registered or Certified Mail, postage prepaid and return
receipt requested.

B.
This Contract may be terminated by mutual written agreement of the Parties
specifying the termination date therein.
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SECTION I
GENERAL PROVISIONS
5

C.
The County may terminate this Contract upon twenty-four (24) hours’ notice when
the County deems the health or welfare of any person is endangered or the
Contractor’s non-compliance jeopardizes funding source financial participation. If
not terminated by one of the methods stated above, this Contract shall terminate
on the expiration date of this Contract as stated on the Cover Page.

15.
TERMINATION FOR BREACH

If either Party defaults under this Contract and the default continues for more than ten (10)
days after the effective date of the other Party’s written notice stating the specific nature
of the default, then the noticing Party may treat the default as a breach of this Contract.
Upon a breach, the aggrieved Party may exercise any remedy available under the law,
including the termination of this Contract.

16.
SEVERABILITY

Any provision of this Contract that is determined by a court of competent jurisdiction to be
invalid, void, or illegal shall not affect, impair, or invalidate any other provision hereof, and
the remaining provisions shall remain in full force and effect.

17.
STRICT COMPLIANCE

Acceptance by the County of performance not in strict compliance with the terms of this
Contract shall not be construed as a waiver of the requirement of strict compliance for all
future performance obligations. All changes in performance obligations under this
Contract shall be in writing.

18.
NON-LIABILITY

The County and its officers and employees shall not be liable for any act or omission by
the Contractor or any subcontractor, employee, officer, agent, or representative of the
Contractor or subcontractors that occurs during the performance of this Contract, nor shall
they be liable for any purchases, debts, or agreements made by the Contractor in
anticipation of funding hereunder.

19.
INDEMNITY

The Contractor agrees to indemnify, hold harmless, and defend the County, its officers,
employees, boards, and commissions, from and against any and all claims, damages,
lawsuits, and proceedings, regardless of the merits, and from any liability, punitive
damages, costs, and expense of every type, arising in whole or in part out of or in
connection with or by reason of any act or omission of the Contractor or any
subcontractors or anyone directly or indirectly employed by either the Contractor or any
subcontractors. Contractor and its Subcontractors shall reimburse the County for all
expenses, costs, and attorney's fees incurred for the defense of any litigation arising from
such claims. The Contractor shall include a clause to this effect in all subcontracts inuring
to the benefit of the Contractor or the County.

20.
COVENANT AGAINST CONTINGENT FEES

The Contractor warrants that no person or selling agency has been employed or retained
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SECTION I
GENERAL PROVISIONS
6

to solicit or secure this Contract upon an agreement or understanding for a commission,
percentage, brokerage, or contingent fee. For breach or violation of this warranty, the
County may terminate this Contract without liability.

21.
SAFEGUARDING CLIENT INFORMATION

The use or disclosure by any Party of any information concerning an eligible person served
under this Contract is directly limited to the performance of this Contract.

22.
RIGHTS IN DATA

The Parties shall have the use of data and reports resulting from this Contract without cost
or other restriction, except as may otherwise be provided herein or by law or applicable
regulation. Each Party shall supply to the other Party, upon request, any available
information known to the supplying Party that is relevant to this Contract and to the
performance hereunder.

23.
NON-DISCRIMINATION

The Contractor, in connection with any service or other activity under this Contract, shall
not in any way discriminate against any person on the grounds of race, color, religion, sex,
national origin, age, or disability. The Contractor shall include a clause to this effect in all
Subcontracts inuring to the benefit of the Contractor or the County.

24.
EQUAL EMPLOYMENT OPPORTUNITY

The Contractor shall not discriminate against any employee or applicant for employment
because of race, age, disability, color, religion, sex, or national origin. The Contractor
shall take affirmative action to ensure 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 Contractor shall, to the extent such provisions apply,
comply with Titles VI and VII of the Federal Civil Rights Act; the Federal Rehabilitation Act;
the Age Discrimination in Employment Act; the Immigration Reform and Control Act of
1986 (IRCA); and Arizona Executive Order 2009-09, which mandates that all persons shall
have equal access to employment opportunities. The Contractor shall also comply with
all applicable provisions of the Americans with Disabilities Act of 1990.

25.
RIGHT OF PARTIAL CANCELLATION

If more than one activity is funded by this Contract, the County reserves the right to
terminate this Contract or any part thereof based on the Contractor's failure to perform any
part of this Contract without impairing, invalidating, or canceling the remaining Work
Statement obligations.

26.
RIGHT TO EXTEND CONTRACT

Subject to the availability of funds and acceptable Contractor performance, the Contractor
hereby acknowledges and agrees that the County shall have the right to extend this
Contract for additional one-year periods, not to exceed a total extended term of five (5)
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SECTION I
GENERAL PROVISIONS
7

years, except that the cost will be subject to renegotiation. Any extension of this Contract
shall be in a writing mutually acceptable to the Department and the Contractor and signed
by both Parties.

27.
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION

A.
The undersigned (an authorized official signing for the Contractor) certifies to the
best of his or her knowledge and belief, that the Contractor, defined as the primary
participant in accordance with 45 CFR 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 Contract, been convicted
of or had a civil judgment rendered 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; or violated any Federal or State
antitrust statues; or committed 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 Contract, had one or more
public transactions (Federal, State, or local) terminated for cause of or
default.

B.
If the Contractor is not able to provide this certification, an explanation as to why
shall be attached to this Contract.

C.
The Contractor shall include, without modification, this clause in all lower tier
covered transactions (i.e. transactions with subcontractors) and in all solicitations
for lower tier covered transactions related to this Contract.

28.
E-VERIFICATION OF EMPLOYEES

The Contractor warrants that it is in compliance with A.R.S. § 41-4401 and further
acknowledges:

A.
That the Contractor 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, subsection A: after December 31, 2007, every
employer, after hiring an employee, shall verify the employment eligibility of the
employee through the e-verify program and shall keep a record of the verification
for the duration of the employee's employment or at least three years, whichever
is longer.;

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SECTION I
GENERAL PROVISIONS
8

B.
That a breach of a warranty under subsection A above shall be deemed a material
breach of this Contract that entitles the County to, among other things, terminate
this Contract without liability;

C.
That the County retains the right to inspect the papers of the Contractor and any
subcontractor employee who works on this Contract to ensure that the Contractor
and all subcontractors are complying with the warranty provided under subsection
A above, and that the Contractor shall make all papers and employment records
of said employee(s) available during normal working hours in order to facilitate
such an inspection.

D.
That nothing herein shall make the Contractor or any subcontractor an agent or
employee of the County.

29.
WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-393.01:

If Contractor engages in for-profit activity and has 10 or more employees, and if this
agreement has a value of $100,000 or more, Contractor certifies it is not currently engaged
in, and agrees for the duration of this agreement to not engage in, a boycott of goods or
services from Israel. This certification does not apply to a boycott prohibited by 50 U.S.C.
§ 4842 or a regulation issued pursuant to 50 U.S.C. § 4842.

30.
WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-394:

Contractor warrants and certifies that it does not currently, and agrees for the duration of
the Agreement, that it will not use:

1.
The forced labor of ethnic Uyghurs in the People's Republic of China,
2.
Any goods or services produced by the forced labor of ethnic Uyghurs in the
People's Republic of China,
3.
Any contractors, subcontractors or suppliers that use the forced labor or any goods
or services produced by the forced labor of ethnic Uyghurs in the People's Republic
of China. If Contractor becomes aware during the term of this Agreement that the
Contractor is not in compliance with this paragraph, Contractor shall notify the
County within five business days after becoming aware of the noncompliance. If
the Contractor fails to provide a written certification to the County that the
Contractor has remedied the noncompliance within 180 days after notifying the
County of its noncompliance, then the agreement terminates, except that if the
agreement termination date occurs before the end of the 180-day period, the
agreement terminates on the agreement termination date.

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SECTION II
SPECIAL PROVISIONS

1.
MEDIATION/ARBITRATION

In the event that any dispute arises out of this Contract or involves a recipient of services
under the terms of this Contract, the Parties shall meet and confer in an effort to resolve
the dispute. In the event that such efforts to resolve the dispute are unsuccessful, the
Parties shall resolve the dispute by arbitration pursuant to A.R.S. § 12-1518(A).

2.
CHANGES

A.
The Director may, at any time, by written order, make changes within the scope of
this Contract in any one or more of the following areas:

1).
Work Statement activities reflecting changes in the scope of services,
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).
Contractor reimbursement schedules and program budgets

B.
The Director shall not increase or decrease the maximum reimbursable amount to
be paid the Contractor without an official amendment to this Contract. Additionally,
the Director shall not direct substantive changes in services to be rendered by the
Contractor.

C.
Any dispute or disagreement caused by such written order shall constitute a
"Dispute" within the meaning of the Disputes Clause of the Special Provisions of
this Contract and shall be administered accordingly.

3.
SPECIAL REQUIREMENTS

A.
If the use of subcontractors is approved by County, the Contractor shall use written
subcontracts or consultant agreements that conform to Federal and State laws and
regulations, and to the requirements of this Contract 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 Contractor referenced herein. The
Contractor is responsible for performing under this Contract whether or not
Subcontractors are used. The Contractor shall submit a copy of each Subcontract
to the County within fifteen (15) days of its effective date.

B.
The Contractor shall include in any subcontracts a provision to the effect that the
subcontractor agrees that the County shall have access to the subcontractor’s
facilities and the right to examine any books, documents, and records of the
subcontractor involving transactions related to the subcontract and that such
books, documents, and records shall not be disposed of except as provided herein.

4.
INSURANCE

A.
The Contractor shall have in effect at all times during the term of this Contract
insurance or comparable self-insurance that is adequate to protect the County, its
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SECTION II
SPECIAL PROVISIONS

officers, employees, property, and equipment against the losses set forth below.
The Contractor shall provide the County with a certificate of insurance or a certified
copy of the insurance policy naming the County as an additional insured, or, if the
Contractor 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 Contractor’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; $1,000,000.00

2.)
Property Damage; $1,000,000.00

3.)
Combined single limit; $1,000,000.00

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 Contractor and its Agents, Employees, and other
Contractor 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 Contractor agrees that in the event it, or any of its Agents, Employees,
or other Contractor Staff working under this Contract, is named as a
defendant in litigation, or is identified in a written notice of claim wherein
professional misconduct is alleged, the Contractor shall promptly notify the
Director in writing. The duty to notify under this paragraph applies whether
or not the County is claimed to be involved, is named as a party to the
matter, or could be potentially liable as a party.

F.
The Contractor shall immediately inform the Director in writing of any cancellation
or its insurance or any decrease in its lines of coverage at least thirty (30) days
before such action takes place.

5.
STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST

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SECTION II
SPECIAL PROVISIONS

Notice is given that pursuant to A.R.S. § 38-511, the County may cancel this Contract
without penalty or further obligation within three years after execution of this Contract, if
any person significantly involved in initiating, negotiating, securing, drafting, or creating
this Contract on behalf of the County is at any time while this Contract or any extension of
this Contract is in effect, an employee or agent of any other Party to this Contract in any
capacity or consultant to any other Party of this Contract with respect to the subject matter
of this Contract. Additionally, pursuant to A.R.S. § 38-511, the County may recoup any
fee or commission paid or due to any person significantly involved in initiating, negotiating,
securing, drafting, or creating this Contract on behalf of the County from any other Party
to this Contract arising as the result of this Contract.

This Contract may be cancelled pursuant to A.R.S. § 38-511.

6.
LAWS, RULES, AND REGULATIONS

The Contractor and the County understand and agree that this Contract is subject to all
applicable State and Federal laws, rules, and regulations.

A.
Neither this Contract, nor any portion thereof, may be assigned to another person
by the Department without the written consent of the Contractor’s designated
representative. Any attempt by the Department to assign any portion of this
Contract without the written consent of the Contractor shall constitute a breach of
this Contract.

B.
No assignment shall alter the Department’s responsibility to the Contractor to
assure that all of the provisions under this Contract are carried out by its assignee.
All terms and conditions in this Contract shall be included in the Department’s
assignments.

7.
REPORTING REQUIREMENTS

If requested by the County, the Contractor shall submit monthly, quarterly, and annual
progress reports on or before the third (3rd) day of the month following the end of the
reporting period. In addition, a quarterly expenditure report will be submitted with the
quarterly progress report.

8.
PROGRAM MARKETING INITIATIVES

When issuing statements, press releases and other documents describing projects or
programs funded in whole or in part with State money, all grantees receiving State funds
shall clearly state (1) the percentage of the total costs of the program or project which will
be financed with State money; (2) the dollar amount of funds for the project or program,
and (3) percentage and dollar amount of the total costs of the project or program that will
be financed by nongovernmental sources.

9.
POLICY ON CONFIDENTIALITY

The Contractor and the County understand and agree that this Contract is subject to all
State and federal laws protecting client confidentiality of medical, behavioral health and
drug treatment information.

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SPECIAL PROVISIONS

10.
EQUIPMENT

A.
The title to any and all equipment acquired through the expenditure of funds
received from ADHS/County shall remain that of ADHS. The acquisition of any
such equipment must be specifically authorized in advance by ADHS/County and
for equipment which has a document evidencing title, title shall be acquired in the
name of ADHS. Upon termination of this Contract, ADHS may determine the
disposition of all such equipment. The purchase of vehicles is not reimbursable
under the terms of this contract.

B.
The Contractor agrees to exercise reasonable control over all equipment
purchased with capital outlay expense Contract funds. All equipment lost, stolen,
rendered unusable or no longer required for program operation must be reported
immediately to County for disposition instructions. The Contractor shall conduct a
physical inventory of equipment, using forms supplied by County, within sixty (60)
days after the end of the Contract.

11.
FINGERPRINT AND CERTIFICATION REQUIREMENTS/JUVENILE SERVICES

The Fingerprint and Certification Requirements listed in this section apply to this contract
to the extent it pertains to services to juveniles.

a.
The Contractor shall require that all paid and unpaid personnel who are required
or are allowed to provide services directly to juveniles have met all fingerprint and
certification requirements of A.R.S. §§36-882 and 36-425.03 prior to providing
such services.

b.
The Contractor shall submit verification of fingerprinting and certification of an
employee by the Department of Economic Security, the Department of Corrections
or the Arizona Supreme Court to meet this requirement.

c.
The Contractor shall require and verify that those employees who qualify only for
a restricted certification shall be supervised when providing services directly to
juveniles.

d.
The Contractor shall require that all subcontracts for services to juveniles include
a provision requiring compliance by the subcontractor with A.R.S. §§36-882 and
36-425.03.

e.
This Contract may be canceled if the fingerprint certifications or the Certification
for Employment required by A.R.S. § 36-425.03 of any employee, including
volunteers (whether or not paid) shows that he or she has committed, been
convicted of, or is awaiting trial for any offense(s) listed on the Certification for
Employment form in this state or similar offenses in another state or jurisdiction.

12.
COMMUNICATION

The Contractor shall assume primary responsibility for effective, efficient communication
with MCDPH staff.

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SECTION II
SPECIAL PROVISIONS

13. SPONSORSHIP ACKNOWLEDGMENT

All promotional materials, brochures, and flyers prepared by the Contractor shall include
the following statement, “Sponsored by Maricopa County Department of Public Health”

14.
ISRAEL BOYCOTT

By submitting this Contract the Contractor certifies that they are in compliance with
Article 9, A.R.S. Section 35-393 et seq.

15.
UNIFORM ADMINISTRATIVE REQUIREMENTS

By entering into this Contract the Contractor agrees to comply with all applicable
provisions of 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 et seq.
DocuSign Envelope ID: C301FE68-5EEA-40E8-94E8-94689F29F3DE

SECTION III
WORK STATEMENT

1.
SCOPE OF WORK

This agreement will m a i n t a i n a program operated by TAPI to coordinate
billing for public health clinics so that counties and Maricopa County Department
of Public Health can be compensated for services to health plan members. TAPI
will ensure that the health plans have claims data records for their clients.
Maricopa County Department
of Public Health will receive payment for
appropriately billed services (administration fee and/or vaccines) for services
provided to privately insured clients as well as clients listed to be on the Arizona
State Medicaid Program Arizona health Care Cost Containment System (AHCCCS).

Contractor Will:

1.
Coordinate contracts for public health services billing with each commercial
health plan.

2.
Coordinate process for reimbursement for commercial health plan patients.

3.
Communicate with Arizona Department of Health Services (ADHS), Vaccine
for Children (VFC), and Arizona State Immunization Information System
(ASIIS) to ensure necessary financial collaboration.

4.
TAPI agrees to use safeg u a r d s to ensure data is Health Insurance
Portability and Accountability Act (HIPAA) compliant and patient data
protected.

5.
TAPI will make available support equipment recommendations based
on industry standards.

6.
TAPI will offer education services on claims processed for Maricopa County
Department of Public Health Immunization Clinics when requested.

7.
TAPI will offer general immunization billing/reimbursement education and
updates to Maricopa County Department of Public Health staff as needed
and requested.

8.
For the billing process TAPI will:

i.
Process Claims on behalf of Maricopa County Department of Public
Health
ii.
Communicate information for each individual health plan
iii.
Receive payment for submitted claims
iv.
Reimburse Maricopa County Department of Public Health for a portion
of the claims payments received

Maricopa County Department of Public Health Will:

1.
Use a standard billing encounter form which conforms to regulatory billing
requirements.

DocuSign Envelope ID: C301FE68-5EEA-40E8-94E8-94689F29F3DE

SECTION III
WORK STATEMENT

2.
Train staff to verify insurance at the clinics using online real time insurance
eligibility tool provided by TAPI. This will assist the Clinics to provide private
vs. VFC vaccine at the point of service.

3.
Provide TAPI the cost per dose of all vaccines to be billed, to ensure accuracy
for the payment calculation.

DocuSign Envelope ID: C301FE68-5EEA-40E8-94E8-94689F29F3DE

SECTION IV
COMPENSATION

1.
COMPENSATION

A.
BILLING

TAPI will receive 40% of the claims paid for administrative fees; as well as 40%
of claims paid for vaccine reimbursement above Maricopa County Department
of Public Health's cost of vaccines. Over time the payment methodology will be
revised once sufficient volumes of private vaccine billing are available to enable
an accurate vaccine revenue and expense projection to ensure that both TAPI
and Maricopa County Department of Public Health's costs are covered. All
changes in percentage will be done through an amendment to this contract in
writing and signed by both parties.

B.
EDUCATION / OUTREACH

TAPI will submit invoices no more than 20 days after the scheduled
education/outreach took place. Each invoice must include (or documentation
attached) a log of the type of education/outreach provided, how many individuals
obtained the education/outreach, and an itemized list of expenditures being billed
for.
2.
METHOD OF PAYMENT

A. TAPI shall pay MCDPH on the 15th day of each month.

3.
NOTICE

Any notice given under this Agreement shall be sent to the attention of the following:

Program:
Contractor:
Maricopa County Department of Public Health
The Arizona Partnership for Immunization
Office of Community Wellness and Health
Promotion

Attn: Machrina Leach
Attn: Bernie Soderberg
4041 N. Central Ave, Ste 600
700 E. Jefferson Street, Ste 100
Phoenix, AZ 85012
Phoenix, AZ 85034
Phone: (602) 506-6662
Phone: (602) 288-7572/(480)200-6950

DocuSign Envelope ID: C301FE68-5EEA-40E8-94E8-94689F29F3DE