CTR061468 A2.pdf
PDF 373 KB Posted
- Attached to
- Master Agreement AZ|CTR061468
- Contract number
- CTR061468
- Issued by
- Arizona
About this file
This Interagency Service Agreement (ISA) Amendment is between the Arizona Department of Health Services (ADHS) and the University of Arizona, specifically involving multiple federally-funded cooperative agreements. The amendment is Amendment Number Two (2) for Agreement Number CTR061468, with Selena Leon as the Procurement Officer. The document encompasses three separate exhibits related to different federal grants: COVID-19 Health Disparities, Workforce Development, and American Rescue Plan Act (ARPA) Emergency Response.
The amendment includes three distinct subawards with different funding amounts and periods: a COVID-19 Health Disparities grant for $1,132,401.31 (total award $34,603,661.00) from May 2021 to May 2024, a Workforce Development grant for $1,280,000.00 from July 2021 to June 2024, and an ARPA Emergency Response grant for $1,980,000.00 from January 2023 to January 2024. All grants are from the Centers for Disease Control and Prevention (CDC), have a 10% indirect cost rate, and are structured as cooperative agreements for public health crisis response and emergency preparedness. The price sheet indicates quarterly invoicing and covers various expenses including staffing, equipment, space adjustments, and oversight, with a total contract value of $2,473,000.00 for the period of July 1, 2023 to June 30, 2024.
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Text version
INTERAGENCY SERVICE AGREEMENT (ISA)
AMENDMENT
ARIZONA DEPARTMENT
OF HEALTH SERVICES
OFFICE OF
PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
AGREEMENT NO.: CTR061468 AMENDMENT NO.: TWO (2) Procurement Officer:
Selena Leon
UNIVERSITY OF ARIZONA RURAL TRANSFER LINE
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 amended as follows:
1.1. The Price Sheet is revised and replaced.
1.2. Exhibit A 2 CFR 200.332 is revised and replaced.
1.3. Exhibit B 2 CFR 200.332 is revised and replaced.
1.4. Exhibit C 2 CFR 200.332 is added.
ALL CHANGES ARE REFLECTED IN RED
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date
The above referenced Contract Amendment is hereby executed this _____ day of __________ 20______ at Phoenix, Arizona
(To be filled out by ADHS Procurement Office)
Contractor Signature
Contractor Signature Date
Arizona Board of Regents, on behalf of the University of Arizona
Procurement Officer Signature
12/5/2023
ARIZONA DEPARTMENT
OF HEALTH SERVICES
OFFICE OF
PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
AGREEMENT NO.: CTR061468 AMENDMENT NO.: TWO (2) Procurement Officer:
Selena Leon
PRICE SHEET
July 1, 2023 to June 30, 2024
FOR BUDGET PURPOSES
Maintain AzREACH line for an additional year (July 2023-June 2024)
Quarterly Invoices with supporting documentation to support costs incurred up to the amount indicated
Blackbox Management Blackbox Analytics, Marketing & Conferences, RN Dir, Informatics Lead, Exec Oversight
Phones Zoom Phone and e-fax
Staffing Hire UA REACH Staff Temp Labor
Equipment & Supplies PC-Equipment (15 FTEs)
Space Adjustments to PC
PC Oversight
4 quarterly payments
$618,250.00
TOTAL $2,473,000.00
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
AGREEMENT NO.: CTR061468 AMENDMENT NO.: TWO (2)
Procurement Officer:
Selena Leon
EXHIBIT A - 2 CFR 200.332
COVID-19 Health Disparities
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: Arizona Department of Health Services
UEI # QMWUG1AMYF65
Federal Award Identification (Grant Number): 6 NH75OT000005-01-03
Subrecipient name (which must match the name associated with its unique entity identifier):
Subrecipient's unique entity identifier (UEI#): ED44Y3W6P7B9 as the Grant Number): NH750T000005 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; 05/26/2021
Subaward Period of Performance Start and End Date; 06/01/2021-05/31/2024
Subaward Budget Period Start and End Date: 06/01/2021-05/31/2024
Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $1,132,401.31
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): $33,866,454.00
Total Amount of the Federal Award committed to the subrecipient by the pass-through entity $34,603,661.00
Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) COVID-19 Health Disparities
Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass-through entity
Center for Disease Control and Prevention (CDC)
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: 93.391
Identification of whether the award is R&D No Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414 10%
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
AGREEMENT NO.: CTR061468 AMENDMENT NO.: TWO (2)
EXHIBIT B - 2 CFR 200.332
Workforce Development
(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.
Federal Award Identification (Grant Number): 1 NU90TP922172-01-00 unique entity identifier): University of Arizona
Subrecipient's unique entity identifier (UEI#): ED44Y3W6P7B9 as the Grant Number): NU90TP922172 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; 05/19/2020
Subaward Period of Performance Start and End Date; 07/01/2021 06/30/2024
Subaward Budget Period Start and End Date: 07/01/2021 06/30/2024
Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $1,280,000.00
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): $1,280,000.00
Total Amount of the Federal Award committed to the subrecipient by the pass-through entity $1,280,000.00
Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA)
Cooperative Agreement for Emergency Response:
Public Health Crisis Response 2018: COVID-19 Crisis Funding for Workforce Development information for awarding official of the Pass-through entity CDC 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:
93.354 Cooperative Agreement for Emergency
Response Public Health Crisis Response - 2018
ARIZONA DEPARTMENT OF
HEALTH SERVICES
OFFICE OF PROCUREMENT
150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007
AGREEMENT NO.: CTR061468 AMENDMENT NO.: TWO (2)
EXHIBIT C - 2 CFR 200.332
ARPA
(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.
Federal Award Identification (Grant Number): 1 NU90TP922216-01-00 unique entity identifier): University of Arizona
Subrecipient's unique entity identifier (UEI#): ED44Y3W6P7B9 as the Grant Number): NU90TP922216 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; 12/16/2022
Subaward Period of Performance Start and End Date; 01/01/2023-01/31/2024
Subaward Budget Period Start and End Date: 01/01/2023-01/31/2024
Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $1,980,000.00
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): $1,980,000.00
Total Amount of the Federal Award committed to the subrecipient by the pass-through entity $1,980,000.00
Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA)
Cooperative Agreement for Emergency Response:
American Rescue Plan Act- Emergency Response information for awarding official of the Pass-through entity
CDC Office Of Public Health Preparedness And Response
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:
93.354: Public Health Emergency Response:
Cooperative Agreement for Emergency Response:
Public Health Crisis Response
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