CTR063305 - A1.pdf

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063305 AMENDMENT NO.: ONE (1)

PROCUREMENT OFFICER:

SELENA LEON

Marijuana Education and Community Outreach

Effective upon signature by both parties it is mutually agreed that the Contract referenced in this Amendment One (1) is amended as follows:

1. Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions Five (5) Year Maximum, the Contract is hereby extended for a one (1) year period effective through November 30, 2024.

2. Pursuant to the Uniform Terms and Conditions, Provision Five (5), Contract Changes, Section 5.1, the Contract is hereby revised with the following:

1.1 The Scope of Services is revised and replaced.

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 Procurement Office)

Contractor Signature

Contractor Signature Date

Authorized Signatory’s Name and Title

ARIZONA BOARD OF REGENTS, UNIVERSITY OF

ARIZONA

Contractor’s Name Procurement Officer Signature

12/7/2023

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063305 AMENDMENT NO.: ONE (1)

PROCUREMENT OFFICER:

SELENA LEON

SCOPE OF SERVICES

1. DEFINITIONS

1.1. Marijuana, marijuana concentrate, and marijuana products have the same meanings as prescribed in A.R.S. § 36-2850; and

1.2. Smart and Safe Arizona Act, passed by Arizona voters in November 2020, allows for the legalization, taxation, and recreational use of marijuana for adults twenty-one (21) and over. Referred to as the “Act.” See Arizona Revised Statutes, Title 36, Chapter 28.2 Responsible Adult Use of Marijuana.

2. BACKGROUND

2.1. In November 2020, Arizona voters approved the Act, which was on the ballot as Proposition 207. Among other things, the Act allowed for the legalization, taxation, and recreational use of marijuana for adults twenty-one (21) and over. As detailed in A.R.S. § 36-2817(E)(7), the Act requires a one-time transfer of $1 million from the Medical Marijuana Fund to the Arizona Department of Health Services (ADHS) to fund qualified nonprofit organizations for education and community outreach related to Title 36, Chapter 28.2 Responsible Adult Use of Marijuana.

3. OBJECTIVE

3.1. Establish programs for education and community outreach related to Chapter 28.2 Responsible Adult Use of Marijuana:

3.1.1. A demonstrated record of providing education and community outreach,

3.1.2. A deep understanding of evidence-based marijuana education for youth, families, healthcare professionals, and clinicians, and

3.1.3. Experience providing Continuing Education (CE) and Continuing Medical Education (CME) for healthcare professionals and clinicians.

4. SCOPE OF SERVICE

4.1. The Contractor shall:

4.1.1. Implement evidence-based educational programs in schools, community-based settings, or clinical settings as it relates to Response Adult Use of Marijuana,

4.1.2. Implement community outreach educational programs in schools, community-based settings, or clinical settings as it relates to Responsible Adult Use of Marijuana,

4.1.3. Develop health education materials that can be utilized by ADHS and community partners now and as reference for future use beyond the Term of this Contract, and

4.1.4. Provide education and community outreach efforts shall meet the cultural and linguistic needs of the community or populations to be served. Includes but is not limited to:

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063305 AMENDMENT NO.: ONE (1)

PROCUREMENT OFFICER:

SELENA LEON

4.1.4.1. Communicate effectively with people who require communication assistance;

4.1.4.2. Ensure that individuals with a vision, hearing, or speech disability can communicate with, receive information from, and convey information to the Contractor;

4.1.4.3. Provide or work with a partner to acquire auxiliary aids and services when needed to communicate effectively with people who have communication disabilities, and

4.1.4.4. Provide oral translation and interpretation services for English Language Learners; and

4.1.4.5. Consider the nature, length, complexity and context of the communication and the person’s normal methods of communication.

5. REQUIREMENTS

The Contractor shall:

5.1. Be a qualified nonprofit organization;

5.2. Be experienced providing instruction to individuals and communities in an educational setting;

5.3. Be experienced in conducting community outreach;

5.4. Begin serving clients statewide, in both urban and rural areas, within sixty (60) days after receiving a Purchase Order;

5.5. Request approval in writing, via email, to ADHS for purchases of single items Capital Equipment at or above the purchase price of $5,000 or more, to include the following information:

5.5.1. Type of equipment requesting to be purchased,

5.5.2. Cost of the equipment, and

5.5.3. How the proposed purchase supports the Scope of Services;

5.6. Tag and inventory the equipment in compliance with the policy in the State of Arizona Accounting Manual https://gao.az.gov/sites/default/files/2022-05/2535%2520Stewardship%2520190304.pdf.

5.7. Submit documents pertaining to the asset, such as receiving documentation, invoices, purchase order, receipts, make, model, serial number, acquisition date, etc.;

5.8. Follow the out-of-state travel shall follow the travel and per diem policies as outlined in the State of Arizona Accounting Manual: https://gao.az.gov/sites/default/files/2022- 05/5009%2520Traveler%2520Responsibilities%2520Draft%2520200113.pdf https://gao.az.gov/sites/default/files/2023-09/5095%20Reimbursement%20Rates%20%20231001.pdf

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063305 AMENDMENT NO.: ONE (1)

PROCUREMENT OFFICER:

SELENA LEON

5.9. Submit requests to transfer budget amounts between line items exceeding twenty five percent (25%) of the total annual budget or to a non-funded line item. It will require a revised budget to be submitted and a Contract Amendment issued by Procurement;

5.10. Submit brochure, posters, public service announcements, paid media, videos, sponsorships, to be paid with funds from this Contract prior to the development and use;

5.11. Comply with all policies outlined in the State of Arizona Accounting Manual;

5.12. Submit travel documentation (in-state and out-of-state) and single purchases of equipment exceeding $250 with the quarterly Contract Expenditure Reports (CER); and

5.13. Documentation supporting all expenses being billed shall be provided, as requested by ADHS.

6. TASKS

The Contractor shall:

6.1. Implement statewide education and community outreach as it relates to Responsible Adult Use of Marijuana. This will include the following:

6.1.1. Public education;

6.1.2. Clinical education; and

6.1.3. Data collecting and report;

6.2. Provide services in both urban and rural areas;

6.3. Participate in an orientation call to discuss program, deliverables, and address questions;

6.4. Participate in quarterly check-in calls, date and time to be determined;

6.5. Submit quarterly CERs and maintain sufficient documentation in the form of receipts to support expenses incurred for any purchases that are being claimed for reimbursement; and

6.6. Submit quarterly reports.

7. STATE PROVIDED ITEMS

The State will provide:

7.1. CER Template (Exhibit 1) and CER Expense Support Documentation (Exhibit 2);

7.2. Budget Workbook (Attachment E);

7.3. Work Plan Template (Attachment F); and

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063305 AMENDMENT NO.: ONE (1)

PROCUREMENT OFFICER:

SELENA LEON

7.4. Quarterly Progress Report Template (Exhibit 4).

8. APPROVALS

8.1. The quarterly reports, annual budget workbook, and monthly CERs with receipts supporting expenses billed for in-state and out-of-state travel and equipment purchases of $250 or more, as required and/or requested shall be approved by ADHS prior to payment reimbursement;

8.2. Quarterly reports shall be submitted and approved by the ADHS Program Manager prior to the CER being approved for payment;

8.3. Requests to move up to twenty five percent (25%) of total budget per year, between budget line items shall be requested in writing and approved;

8.4. Purchases of Capital Equipment (single item purchase of $5,000 or more) will require approval prior to purchasing (refer to Provision 5, Requirements); and

8.5. All marketing materials (the use of ADHS logo, brochures, posters, public service announcements, paid media, videos, etc.) which have been developed, written, published, or recorded by the Counties and paid for with funds from this award must be first approved by ADHS prior to the dissemination of such materials or airing or use of such announcements.

9. DELIVERABLES

The Contractor shall submit:

9.1. Reports of the progress and accomplishments, including at a minimum the following:

9.1.1. Report quarterly on the program implementation strategies used and outcomes obtained,

9.1.2. Report quarterly on the number of individuals served, and

9.1.3. Report quarterly on the number of individuals that completed educational trainings.

9.2. Report on quarterly progress is due fifteen (15) days after the end of the quarter detailing all funding and accounting for the use of the funds.

9.2.1. Quarter 1: July – September, due October 15th;

9.2.2. Quarter 2: October – December, due January 15th;

9.2.3. Quarter 3: January – March, due April 15th; and

9.2.4. Quarter 4: April – June, due July 15th;

9.3. The quarterly report shall include:

9.3.1. Total number of unique clients, HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063305 AMENDMENT NO.: ONE (1)

PROCUREMENT OFFICER:

SELENA LEON

9.3.2. Total number of clients served,

9.3.3. Total number of educational sessions by setting:

9.3.3.1. Educational institution setting;

9.3.3.2. Community-based setting; and

9.3.3.3. Professional development and/or clinical setting;

9.3.4. Total number of community outreach events by setting:

9.3.4.1. Education institution setting;

9.3.4.2. Community-based setting; and

9.3.4.3. Professional develop and/or clinical setting;

9.4. At the request of ADHS, participate in quarterly Contractor meetings for an activity update;

9.5. Submit Contractor Expenditure Reports (CERs) no later than the close of business on the fifteenth (15th) business day after the end of the quarter.

9.5.1. Quarter 1: July – September, due October 15th;

9.5.2. Quarter 2: October – December, due January 15th;

9.5.3. Quarter 3: January – March, due April 15th; and

9.5.4. Quarter 4: April – June, due July 15th.

9.6. Provide a valid Certificate of Insurance (COI) that meets the written specifications in the Special Terms and Conditions within five (5) days of Contract Award, and maintained throughout the life of the Contract. The ADHS will not issue a Purchase Order for the commencement of services without a current and valid COI in the Contract file.

10. NOTICES, CORRESPONDENCE REPORTS & INVOICES

10.1. All notices, correspondences, and reports from the Contractor to ADHS shall be sent electronically via email to alicia.kenney@azdhs.gov.

10.2. 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 Contractor 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://gao.az.gov/sites/default/files/2023-05/GAO-618.pdf.

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063305 AMENDMENT NO.: ONE (1)

PROCUREMENT OFFICER:

SELENA LEON

10.2.1. ACH Vendor Authorization Form shall be emailed to Vendor.PayAutomation@azdoa.gov

10.3. All notices, correspondences, and reports from the Contractor to ADHS shall be sent to the Program contact specified:

Arizona Department of Health Services, Office of Health Equity Attention: Alicia Jacobo Kenney- Justice Reinvestment Manager 150 North 18th Avenue, Suite 320 Phoenix, Arizona 85007 Email: alicia.kenney@azdhs.gov

Katie Hobbs | Governor Jennie Cunico | Cabinet Executive Officer

150 North 18th Avenue, Suite 500, Phoenix, AZ 85007-3247 P | 602-542-1025 W | azhealth.gov Health and Wellness for all Arizonans

Memorandum | Office of Procurement

Date: December 8, 2023

To: Memo to Procurement File

From: Selena Leon, Senior Procurement Specialist

Regarding: CTR063305 Marijuana Education and Community Outreach, University of Arizona

Subject: CTR063305 Amendment One (1) Annual Renewal

Contract No. CTR063305 was awarded on December 1, 2022, via Request for Proposals (RFP) No.

BPM004349 Marijuana Education and Community Outreach effective for a one (1) year period with annual renewal options not to exceed a total Contract term of five (5) years. During Procurement & Program expiration date of November 30, 2023.

On November 29, 2023, Contract Amendment One (1) was sent to the Supplier for signature. Procurement and Program followed up with the Supplier and on December 7, 2023, after the expiration, the Supplier returned the signed amendment. Since this Contract is intended for Marijuana Education and Community Outreach, it is in the best interest of the State to renew the Contract for an additional one (1) year period, effective through November 30, 2024.

Prepared By: Selena Leon, Senior Procurement Specialist Date

Acknowledged By: Gina Corwin, Chief Procurement Officer Date

ARIZONA BOARD OF REGENTS

Unique Entity ID

NKJGJQYQJKR3

CAGE / NCAGE

6EZ12

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Nov 21, 2024

Physical Address

2700 N Central AVE

STE 400

Phoenix, Arizona 85004-1159

United States

Mailing Address

2700 N Central AVE STE 400

Phoenix, Arizona 85004-1159

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

(blank) / (blank)

URL

http://www.azregents.edu

Registration Dates

Activation Date

Nov 27, 2023

Submission Date

Nov 22, 2023

Initial Registration Date

Jun 9, 2011

Entity Dates

Entity Start Date

Mar 1, 1945

Fiscal Year End Close Date

Jun 30

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

U.S. Government Entity

Entity Type

US State Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by John Nelson on Nov 22, 2023 at 01:14 PM ARIZONA BOARD OF REGENTS

Dec 14, 2023 05:01:48 PM GMT https://sam.gov/entity/NKJGJQYQJKR3/coreData?status=null Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Government Types

U.S. State Government

Other Entity Qualifiers

Educational Institution

State Controlled Institution of Higher Learning

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

6EZ12

Points of Contact

Electronic Business

LaShawn Kilgore, Accounting Coordinator 2700 N Central AVE

Phoenix, Arizona 85004

United States

John Nelson 2700 N Central AVE

STE 400

Phoenix, Arizona 85004

United States

Government Business

LaShawn Kilgore, Accounting Coordinator 2700 N Central AVE

Phoenix, Arizona 85004

United States

John Nelson 2700 N Central AVE

STE 400

Phoenix, Arizona 85004

United States

Past Performance

John Nelson, Accountant 2700 N Central AVE

Phoenix, Arizona 85004

United States

John Nelson 2700 N Central AVE

STE 400

Phoenix, Arizona 85004

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

611310

NAICS Title

Colleges, Universities, And Professional Schools

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by John Nelson on Nov 22, 2023 at 01:14 PM ARIZONA BOARD OF REGENTS

Dec 14, 2023 05:01:48 PM GMT https://sam.gov/entity/NKJGJQYQJKR3/coreData?status=null Page 2 of 2