CTR056722_A2_Upload.pdf

INTERAGENCY SERVICE AGREEMENT (ISA)

AMENDMENT

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2) Procurement Officer

Niki Large

ARIZONA COMPREHENSIVE CANCER CONTROL PARTNERSHIP

Effective upon final signature by both parties, it is mutually agreed that the Agreement referenced in this Amendment is revised as follows:

1. Pursuant to the Uniform Terms and Conditions, Provision Twelve (12), Miscellaneous, Section 12.4, the Agreement is hereby revised with the following:

1.1. The Scope of Work is revised and replaced;

1.2. The Price Sheet is revised and replaced; and

1.3. Exhibit B is revised and replaced.

ALL CHANGES ARE SHOWN IN RED

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY

The Contractor hereby acknowledges receipt and acceptance of the above amendment and that a signed copy must be filed with the Procurement Office before the effective date

Contractor Signature

09/11/2023

Contractor Signature Date

Elisha Johnson, JD Director, Clinical Trials and Contracting

Authorized Signatory's Name and Title

ARIZONA BOARD OF REGENTS, UNIVERSITY OF ARIZONA

Contractor's Name

The above referenced Agreement Amendment is hereby executed this __ day of __ 2023 at Phoenix, Arizona.

(To be filled out by ADHS Procurement Office)

Niki

Large

Digitally signed by Niki Large

Date:

2023.09.12

15:59:40 -07'00'

Procurement Officer Signature

12th September

1. Background

AMENDMENT

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer

Niki Large

1.1. The Arizona Department of Health Services (ADHS), Division of Public Health Prevention (PHP), Bureau of Chronic Disease and Health Promotion (BCDHP) is one (1) of sixty-six (66) designees provided funding, guidance and technical assistance from the Centers for Disease Control and Prevention (CDC) to design and implement impactful, strategic, and sustainable plans to prevent and control cancer. This cooperative agreement is formally known as the National Comprehensive Cancer Control Program (NCCCP);

1.2. The National Comprehensive Cancer Control Program (NCCCP) was established in 1998 to support the creation of coalitions and networks that develop and implement cancer control plans across the cancer continuum;

1.3. Cancer is the second leading cause of death in Arizona, accounting for 20.8% of all deaths. In 2019 there were 33, 165 Arizonans diagnosed with invasive cancer. The incidence of invasive cancer cases has increased 3.2% from 32,128 cases (2015) to 33,165 cases (2019). The Arizona Comprehensive Cancer Control Program (AZCCCP) works to meet the national priorities of primary prevention, early detection and screening, and health and wellbeing of cancer survivors, by working with and through other programs within ADHS and by convening the Arizona Cancer Coalition; and

1.4. The Arizona Cancer Coalition (ACC) is a multifaceted body of individuals and organizations working together to raise awareness around cancer prevention via evidence-based interventions (EBls) and supporting strategies. Through coordinated efforts and strategic planning, the coalition is able to influence systems and environmental changes that promote cancer prevention and health equity for all Arizonans. The product of these efforts is the State's cancer control plan.

2. Purpose/Objective

2.1. The University of Arizona Cancer Center Office of Community Outreach and Engagement (UACOE) and AZCCCP seeks to improve the awareness, knowledge, and beliefs about prevention and survivorship among priority populations. The overall goal of the project is reducing cancer health disparities by addressing the underlying social determinants of health inequities, to achieve the greatest health impact and advance health equity for the identified populations. This will be accomplished by delivering culturally relative education and support on survivorship through the "Beyond Cancer" series. In 2019, cancer was the leading cause of death for Hispanics and Asian or Pacific Islanders and second leading cause of death for White non-Hispanics, Black or African Americans, and American Indians. Programming for this project will focus on these populations.

Through a series of in person workshops the UACOE will utilize the latest evidence based best practices to educate participants to effect change in the area of survivorship. Topics include but are not limited to self-care, caregiver and survivor support, physical and mental health, and the use of traditional healing/medicine; and

3. Scope of Services

The UACOE shall provide the following services:

3.1. Identify and select high burden geographic areas with priority population to focus efforts on survivorship support and education; Identify available data to establish targets and collaborate with community partners to collect and create a baseline when data is unavailable;

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer

Niki Large

3.2. Hold between one (1) and four (4) in person "Beyond Cancer'' mini conferences in partnership with Healthy Arizona Policy Initiative (HAPI) program managers;

3.3. Recruit and retain a diverse group of stakeholders from clinical, community and civic sectors to speak and actively participate in programs and events and foster community-clinical linkages;

3.4. Develop a sustainability plan to support ongoing community level engagement and build the collective efficacy necessary at the local level to address the root causes of health inequities related to survivorship and;

3.5. Assist the AZCCCP in meeting its Annual Objective (AO) to adopt and implement at least one evidence-based interventions focusing on cultural factors within cancer survivorship by June 2024.

4. Tasks

The University shall perform the following tasks:

4.1. The University shall provide a detailed work plan and timeline within thirty (30) days after execution of the initial Agreement and annual amendments addressing items in Section three (3) that will include the following:

4.1.1. Through community education and outreach, increase knowledge of survivorship resources among the priority populations & increase and survivorship resource utilization,

4.1.2. Identify high burden areas using local, state and national data,

4.1.3. Recruit clinical and community-based partners to identify barriers with accessing preventative services and survivorship resources,

4.1.4. Develop evidence-based materials and programming, provide education related to cancer prevention and survivorship, and implement evaluation plans,

4.1.5. Market the program to stakeholders specifically cancer survivors and their caregivers, regional health centers, and federally qualified health centers. Develop area specific strategies for sustainability,

4.1.6. Implement the approved activities described in the corresponding work plan,

4.1.7. Participate in all calls, technical assistance webinars, meetings and trainings, and comply with all federal reporting requirements,

4.1.8. Collect and maintain data for required performance measure reporting,

4.1.9. Maintain activity logs or other written documentation of staff activities related to work funded by the grant,

4.1.10. Participate in all debriefing and evaluation meetings as they pertain to the program,

4.1.11. Actively participate in at least one (1) Arizona Cancer Coalition Work Group, and

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer Niki Large

4.1.12. Attend meetings, report on project, and share resources with other members.

4.2. Report any major changes (including changes that alter the originally approved outcomes from the work plan) to the Program Manager;

4.3. Attend monthly meetings to be held the first week of the month with the Program Director to discuss the progress of the project; and

4.4. Submit quarterly reports to the Program by the twenty-fifth (25th) day of the month following the end of the quarter.

5. Requirements

The University shall meet the requirements listed below:

5.1. Performance Measures. Performance measures are required for all activities. Measures will be reported to the CDC. The AZDHS Program Manager will provide guidance and technical assistance on the performance measures;

5.2. To ensure Health Equity, the University shall determine population(s) of focus based on available data. The University shall demonstrate the extent to which they expect to reduce cancer health disparities through various strategies (including addressing the underlying social determinants of health inequities) to achieve the greatest health impact and advance health equity. The University is expected to take into consideration the population(s) of focus in the planning, implementation, and evaluation phases of their program. The University is expected to ensure that every person living within targeted geographic areas benefit from the relevant prevention, screening, and survivorship strategies;

5.3. Agreement Monitoring. Quarterly reports and monthly scheduled calls will be used to monitor the progress of activities under this Agreement. Monthly calls will be required for the duration of the Agreement;

5.4. Restrictions on Use of Funds

5.4.1. Use funds only for reasonable program purposes, including personnel, travel, supplies and services,

5.4.2. Funds may not be used for:

5.4.2.1.

5.4.2.2.

5.4.2.3.

5.4.2.4.

5.4.2.5.

Research;

Clinical except as allowed by law;

Reimbursement of pre-award costs unless the CDC provides written approval to

ADHS;

Out of country travel;

Grant/proposal writer staff or the writing of grants and proposals;

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

Fundraising or fundraising activities; and

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer

Niki Large

5.4.2.6.

5.4.2.7. Purchase of furniture or equipment unless approved in writing by ADHS and the CDC project officer. Any such spending must be clearly identified in the budget.

5.4.3. The direct and primary recipient in a Cooperative Agreement must perform a substantial role in carrying out the project outcomes and not merely serve as a conduit for an award to another party or provider who is ineligible.

5.5. Publications and presentations

5.5.1. When issuing statements, press releases and/or internet-based or printed documents describing projects, programs and/or services funded in whole or in part with these funds, the University will clearly reference this project as "Financed in part or whole by the 2022 CDC Cancer Prevention and Control Program." Such references must be clear and legible,

5.5.2. Any presentation based on the work funded by this Contract must be reviewed in writing, at least ten (10) business days in advance of the presentation by the Office. A copy of the presentation must be submitted with the request. Requests to present shall be submitted to the Office within ten (10) business days of the due date,

5.5.3. Requests for publication including but not limited to manuscripts, student thesis or dissertations based on the work funded by this Contract must be reviewed in writing in advance by the Office. The University must submit the requests to the Office at least forty five (45) days in advance of the proposed publication date. ADHS agrees to limit circulation and use of such materials to internal distributions within ADHS and agrees that such distribution will be solely for the purpose of review and comment. ADHS may require additional statements and will provide statements when needed, and

5.5.4. Public health research and public health non-research is defined by the CDC in policy 577 Distinguishing Public Health Research and Public Health Non-Research located at https://www.cdc.gov/os/integrity/docs/cdc-policy-distinguishing-public-health-research nonresearch.pdf

5.6. Compensation

5.6.1. ADHS reserves the right to reallocate funding during the Agreement period so that the services provided and corresponding Agreement amount may be decreased or increased at the discretion of the Office,

5.6.2. ADHS will pay the University on a quarterly basis for approved services and expenses and in accordance with the reimbursement methodology determined by ADHS. The total funds paid to the University will be dependent upon the approved invoice. ADHS does not guarantee a minimum payment to the University,

5.6.3. The University understands and agrees to notify the Program in writing of any deviations or changes to any budget line that exceeds ten percent ( 10%) of the budget amount. Notification of changes must be done within thirty (30) days of such change,

5.6.4. Be compensated for services provided only by the staff classifications/positions

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2) Procurement Officer

Niki Large included/referenced in the current approved budget,

5.6.5. Provide quarterly financial reports to the assigned ADHS Program Manager. If the University is not in compliance due to non-performance, submission of reports after deadlines, insufficient back-up statements or improperly completed forms, the University may not be reimbursed, or reimbursement may be delayed until program compliance issues and any other related financial consequences are resolved. Multiple instances of non-compliance with billing and reporting requirements may result in the Office reducing the University's reimbursement by up to ten percent (10%) of the corresponding month's billing, and

5.6.6. The actual amount of consideration to be paid to the University depends on the actual hours worked, services provided and related expenses as stated in the current approved budget or as modified by Agreement amendment or appropriately executed task order. Any unobligated balance of funds at the end of the Agreement period will be returned to the Office in accordance with instruction provided.

5.7. Invoices, fiscal support documents and payments

5. 7 .1. Submit electronically to the Program one ( 1) legible copy of their detailed quarterly invoices before payment(s) can be made,

5.7.2. A completed invoice includes:

5.7.2.1.

5.7.2.2.

Expenditure Report signed by the University's authorized signer; and

The general ledger or expenditure reports showing cost of operating (includes but not limited to travel, office supplies, rent, utilities, professional and outside services charges, etc.) expenses and what percentage of those expenses were paid by the grant program or other supporting documentation acceptable to the program.

5.7.3. Invoices are due on or before the twenty-fifth (25th) calendar day following the end of the quarter in which the services were performed. The following fiscal support documents must be kept on file and available for review:

5.7.3.1.

5.7.3.2.

Personnel and Employed Related Expenses (ERE) break out showing what was paid by the University. Detailed reports must include staff name, hourly rate, percentage of salary paid, or full-time equivalent (FTE), and documentation of activities completed by the staff member. Expenses paid by the employee are not reimbursable (i.e. social security tax, state tax, federal tax, employee portion of benefits, etc.); and

Legible copies of itemized receipts, invoices, purchase orders and travel claims paid with grant funds during the billing period. Travel claims must list the employee traveling reason for travel, date and employee and supervisor signatures.

5.7.4. Payments are conditioned upon the timely receipt of applicable, accurate and complete invoice reports and forms submitted by the University. All quarterly invoices must be supported by auditable documentation, and

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2) Procurement Officer

Niki Large

5.7.5. The University understands and agrees that ADHS will not honor any claim for payment submitted sixty (60) calendar days after the date of service. The University understands and agrees that ADHS will not process any claim for payment of services rendered prior to the Agreement period and claims submitted forty-five (45) calendar days after the end of the Agreement period without approval of the AZDHS Program.

5.8. Budget, revenues and expenditures

5.8.1. A revised budget may be required when changes greater than ten percent ( 10%) of the Agreement are requested,

5.8.2. The total indirect costs budgeted; including any federally approved indirect rate (inclusive of the University and subcontractor(s)) cannot exceed fifteen-percent (15%) of the amount of the current grant award, unless there is written approval by ADHS,

5.8.3. The University agrees that all expenditures are in accordance with the current approved budget. Any expenditures deemed unallowable by the Office is subject to the University submitting a full reimbursement to ADHS, and

5.8.4. All expenditures and encumbered funds must be final and reconciled no later than forty-five

(45) days after the close of the grant year.

6. Deliverables

6.1. The University shall submit the following deliverables. Dates will be updated by the Comprehensive Cancer Control Program as needed. The required content is identified in the table below:

Deliverable Name (one-time Due Date Submit To deliverables)

Annual Work Plan Within the first thirty (30) days of the start Program Manager of the Agreement

Kick-off meeting for programmatic staff Within the first two (2) months of the start N/A of the Agreement

Summary of Three-year work plan Within the first thirty (30) days of the start Program Manager of the Agreement

Pandemic Response Plan Within the first thirty (30) days of the start Program Manager of the Agreement

Sustainability Plan By the end of the first quarter; final plan Program Manager due with annual report.

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer

Niki Large

Ongoing Deliverables Due Date Submit To

Quarterly invoice- Contractor Expense Twenty-five (25) days after the quarter of Program Manager Report with general ledger support activity.

document

Monthly check-in calls with Required for the duration of the Program Manager programmatic staff.

Written quarterly reports

Contact updates

Action plan updates

Yearly Budget Narrative/justification & updated Scope of Work

Written Annual Report

6.2. ADHS will:

Agreement, the first week of the month.

Due quarterly and can be submitted with Program Manager a monthly invoice.

Due at least annually with May invoices. Program Manager Must also be submitted within thirty (30) days of key staff changes.

Due at least annually with May invoices. Program Manager

Due with the May invoice for the Program Manager upcoming year which starts July 1st.

Due no later than June 15th, 2023 Program Manager and Chronic Disease Office Chief

6.2.1. Coordinate and host a kick-off meeting within the first sixty (60) days of the Contracts,

6.2.2. Provide feedback, technical assistance and training to support the implementation of approved Action Plans,

6.2.3. Provide short term measures and written updates of any performance measure changes,

6.2.4. Coordinate with the University and the CDC in selecting activities to be formally evaluated,

6.2.5. Lead, design, and work with the University and the CDC to implement the evaluation plan,

6.2.6. Provide templates for quarterly reporting, Action Plan, Agreement Updates, Budget,

6.2.7. Provide an annually updated document with contact information for the ADHS Fiscal Manager, Lead Contract Manager and related staff, and

6.2.8. Please refer to the Federal Funding Accountability and Transparency Act on the ADHS Procurement Office website for Contractors of ADHS Funded Program.

7. Approvals

AMENDMENT

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer

Niki Large

7.1. The following activities or elements require prior written approval from the Lead Contract Manager for any instance during the full term of the Agreement:

7 .1.1. Changes to Action Plan goals, objectives and activities,

7.1.2. Shifts in funding either budget amounts or lines exceeding ten percent (10%) of the total award,

7.1.3. Designation of sub-recipients,

7.1.4. Changes in key personnel as described in the Agreement,

7.1.5. Out of state travel,

7.1.6. Purchases of furniture or equipment which will also require approval from the CDC, 7 .1. 7. Project Officer,

7.1.8. Software purchases, and

7.1.9. Publications based on the work funded by this project.

8. Notices, Correspondence, Reports and CERs/lnvoices

8.1. Notices, correspondence, reports and CERs from the University to ADHS shall be sent to:

Cassandra Webb, Program Director Comprehensive Cancer Control Office of Chronic Disease & Population Health Arizona Department of Health Services 150 N. 18th Avenue, Suite 310 Phoenix, Arizona 85007 Email: Cassandra.Webb@azdhs.gov Cellular Phone: (480) 407-7182

8.2. Invoices shall be sent to: lnvoices@azdhs.gov and Cassandra.Webb@azdhs.gov;

8.3. AUTOMATED CLEARING HOUSE. ADHS may pay invoices for some or all orders through an Automated Clearing House (ACH). In order to receive payments in this manner, the University must complete an ACH Vendor Authorization Form (form GAO-618) within 30 (thirty) days after the effective date of the Contract. The form is available online at:

https://qao.az.gov/sites/defaulUfiles/2023-05/GAO-618.pdf

8.4. ACH Vendor Authorization Form shall be emailed to Vendor.Payautomation@azdoa.gov

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer Niki Large

8.5. Notices, and correspondence (and payments if sent to the same address) from ADHS to the University shall be sent to:

Teri Bankhead, Interim Associate Director for Administration University of Arizona Cancer Center 1515 N. Campbell Ave Tucson, Arizona 85724 Phone: (520) 621-8699 Email: tbankhead@arizona.edu

With a copy to:

Paul Sandoval, Director, Post award Sponsored Projects Services University of Arizona P. 0. Box 210158, Rm 538 Tucson, AZ 85721-0158 Phone: (520) 626-6000 Email: sponsor@arizona.edu

8.6. Payments from ADHS to the University shall be sent to:

University of Arizona Sponsored Projects & Contracting Services PO Box 41867 Tucson, AZ 85717

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2)

PRICE SHEET

Effective June 30, 2023 through - June 29, 2024

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

Procurement Officer Niki Large

Cost Reimbursement Line Item Budget Line Total

Personnel Services/Employee Related Expense (ERE)* $11,381.00

Professional & Outside Services Expense* $0.00

Travel Expense* $760.00

Other Operating Expense* $13,359.00

Other Indirect Costs (Not to Exceed 15% of total sum*) $4,500.00

Total Contract Amount (Not to Exceed) $30,000.00

ARIZONA DEPARTMENT OF

HEAL TH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530

Phoenix, Arizona 85007

AGREEMENT NO.: CTR056722 AMENDMENT NO.: Two (2) Procurement Officer

Niki Large

Exhibit - 2 CFR 200.332 §200.332 Requirements for pass-through entities. All pass-through entities must:

(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward.

Prime Awardee:

UEI#

Federal Award Identification (Grant Number):

Subrecipient name (which must match the name associated with its unique entity identifier):

Subrecipient's unique entity identifier (UEI #):

Federal Award Identification Number (FAIN, sometimes it's the same as the Grant Number):

Federal Award Date (see the definition of Federal award date in§

200.1 of this part) of award to the recipient by the Federal agency;

Subaward Period of Performance Start and End Date;

Subaward Budget Period Start and End Date:

Amount of Federal Funds Obligated by this action by the pass through entity to the subrecipient (this is normally the contract amount):

Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation (how much is available for contracts):

Total Amount of the Federal Award committed to the subrecipient by the pass-through entity

Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA)

Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass-through entity

Assistance Listings number and Title; the pass-through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement:

Identification of whether the award is R&D

Indirect cost rate for the Federal award (including the de minimis rate is charged) per§ 200.414

Arizona Department of Health Services

QMWUG1AMYF65

5 NU58DP007089-02-00

University of Arizona

ED44Y3W6P7B9

NU58DP007089

5/19/2023

6/30/2022 - 6/29/2027

6/30/2023 - 6/29/2024

$30,000.00 (From PO)

$2,985,675.00

$4,393,880.00

Arizona Cancer Prevention, Control and Surveillance

Center for Disease Control & Prevention

93.898- Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations

No