PE NOI 21021 AMEND 2 VALLEYWISE.PDF
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CONTRACT NO: C-86-22-058-X-02 / PH NOI 21021
AMENDMENT NO: 2
Page 1 of 3
AMENDMENT TO
CONTRACT
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and
VALLEYWISE HEALTH
I.
The above-named contract is hereby amended as specified below:
A.
Contract Budget shall be updated to include an additional $37,238.20. The revised
budget, Exhibit A, begins on page 2 of this amendment.
II.
All other terms and conditions of the original contract shall remain in full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF
MARICOPA COUNTY
FOR AND ON BEHALF OF
VALLEYWISE HEALTH
By:
By:
Chairman, Board of Supervisors
Valleywise Health
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
, Stephen A. Purves
President and CEO
10/10/2023
CONTRACT NO: C-86-22-058-X-02 / PH NOI 21021
AMENDMENT NO: 2
Page 2 of 3
EXHIBIT A: Revised Budget
Pricing
Year 1: $112,987.50 (July 1, 2021 – June 30, 2022)
Year 2: $112,987.50 (July 1, 2022 – June 30, 2023)
Year 2 Amendment & Additional Funds Request: $37,238.20 (July 1, 2023 – December 31,
2023)
•
Year 2 Total Not to Exceed amount: $150,225.70
I.
Personnel Costs
Community Health Navigators
Description: The Community Health Navigator (CHN) will be an integral part of this project. Their base
salary is $23.00 per hour, not to exceed 500 hours total per year. This allocation below will provide the
services of one CHN.
Year 1 total workforce expenditure cannot exceed: $11,500
Year 2 total workforce expenditure cannot exceed: $11,500
No Amendment
Care Coordinator: The Care Coordinator will be an integral part of this project. Their base salary is
$23.50 per hour, not to exceed 2000 hours total per year. This allocation below will provide the services
of one CHN.
Year 1 total workforce expenditure cannot exceed: $47,000
Year 2 total workforce expenditure cannot exceed: $47,000
Year 2 Original Personnel Total Amount: $58,500
Year 2 Amendment & Additional Funds Request: $23,378.21 (July 1, 2023 – December 31,
2023)
Year 2 Total Not to Exceed amount: $70,378.21
Project Management/ Operations Services
Description: Valleywise will provide project management and operations services to coordinate
Valleywise’s implementation of the MCDPH clinical linkage model. All required internal Valleywise
resources will be made available timely to ensure on-time implementation and continuous quality
improvement. A single point of contact should be assigned responsibility for these services.
Year 1 total Project Management/ Operations expenditure: $5,000
Year 2 total Project Management/ Operations expenditure: $5,000
Year 2 Amendment - No Additional Funds
Information Technology Upgrades/Services
Description: Valleywise will implement IT upgrades needed to implement MCDPHs clinical linkage model.
Year 1 and 2 total Information Technology Upgrade expenditures: $4000 total.
Year 2 Amendment - No Amendment
II.
Fringe Benefits (estimated 34%)
Description: Employee related expenses (ERE) for .25 FTE Community Health Navigator and 1 FTE Care
Coordinator per year is listed below.
Year 1 total ERE expenditures: $19,890
Year 2 total ERE expenditures: $19,890
Year 2 Amendment & Additional Funds Request: $8,787.56 (July 1, 2023 – December 31,
2023)
o
Year 2 Total Not to Exceed amount: $28,677.56
CONTRACT NO: C-86-22-058-X-02 / PH NOI 21021
AMENDMENT NO: 2
Page 3 of 3
III.
Equipment
Description: N/A
Year 2 Amendment - No Additional Funds
IV.
Travel
Description: N/A
Year 2 Amendment - No Additional Funds
V.
Participant/Trainee Support
Description: Support for CHWs will be provided by the purchase of training constructs that are applicable
to the deliverables associated with this contract.
Training will be approved by Maricopa County Department of Public Health for delivery to your
CHW pool.
Additional training may be assigned as required. Training expenses will not exceed $3,000 total
o
Training subjects include Train-the-Trainer models in:
Workflow Technology COVID-19
Year 2 Amendment - No Additional Funds
VI.
“Other” Direct Costs
Description: N/A
Year 2 Amendment - No Additional Funds
VII.
Indirect Costs
Description: Indirect costs are recoverable through this grant at a rate of 25% of chargeable expenses per
month.
o
$22,597.50 in year 1
o
$22,597.50 in year 2
o
Year 2 Amendment & Additional Funds Request: $5,072.43 (July 1, 2023 – December 31,
2023)
Year 2 Total Not to Exceed amount: $27,669.93
Budget
Additional funds for grant
extension work (July 1, 2023 –
December 31, 2023)
Personnel Costs
$23,378.21
Fringe Benefits
$8,787.56
Operations
Services/Tech/Equipment
$0
Travel
$0
Training
$0
Sub-Total
$32,165.77
Indirect cost (25%)
$5,072.43
Grand Total
$37,238.20