CTR067937 A1.pdf

Elise Phalen Digitally signed by Elise Phalen DN: cn=Elise Phalen, o=Arizona Attorney General's Office, ou, email=elise.phalen@azag.gov, c=US Date: 2024.07.10 12:25:07 -07'00'

Monique B Harris Digitally signed by Monique B Harris Date: 2024.07.15 17:49:52 -07'00'

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 18th Ave Suite 530 Phoenix, Arizona 85007

Contract No.: CTR067937 IGA Amendment No: 1 Procurement Officer Kailee Gray

PRICE SHEET

October 1, 2023 to September 30, 2024

Agency Name: Maricopa County

Cost Reimbursement Line Item Budget

WIC Services

Federal Award Date: October 1, 2023 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

WIC Services Account Classification

Amount

Personnel $5,364,472.00 Employee Related Expenses $2,528,300.00 Professional & Outside Services $16,000.00 Travel Expense $11,789.00 Occupancy Expenses $22,468.00 Other Operating Expenses $95,155.00 Capital Expenditures $0.00 Indirect Cost $1,257,976.00

Total $9,296,160.00

Breastfeeding Peer Counseling Services

Federal Award Date: October 1, 2023 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

Breastfeeding Peer Counseling Services Account Classification

Amount

Personnel $328,764.64 Employee Related Expenses $156,890.09 Professional & Outside Services $0.00 Travel Expense $371.88 Occupancy Expenses $0.00 Other Operating Expenses $6,840.00 Capital Expenditures $0.00 Indirect Costs $77,133.64

Total $570,000.25

Print Name

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 18th Ave Suite 530 Phoenix, Arizona 85007

Contract No.: CTR067937 IGA Amendment No: 1 Procurement Officer Kailee Gray

WIC Special Projects

Federal Award Date: October 1, 2023 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

WIC Special Projects Account Classification

Amount

Personnel $49,050.00 Employee Related Expenses $23,412.57 Professional & Outside Services $0.00 Travel Expense $0.00 Occupancy Expenses $15,639.62 Other Operating Expenses $0.00 Capital Expenditures $0.00 Indirect Costs $13,787.99

Total $101,890.18

Local Agency (LA) Projects Funding

Federal Award Date: April 1, 2023 CFDA number and name: 10.557 Special Supplemental Nutrition Program for Women, Infants, and Children

Local Agency (LA) Projects Account Classification

Amount

Personnel $0.00 Employee Related Expenses $0.00 Professional & Outside Services $215,000.00 Travel Expense $0.00 Occupancy Expenses $0.00 Other Operating Expenses $0.00 Capital Expenditures $0.00 Indirect Costs $37,066.00

Total $252,066.00

Additional Terms and Conditions:

With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between funded line items. Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.

ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received. Adjustments will be at the discretion of ADHS.

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 18th Ave Suite 530 Phoenix, Arizona 85007

Contract No.: CTR067937 IGA Amendment No: 1 Procurement Officer Kailee Gray

Additional WIC Special Projects:

Monies are provided for WIC Special Projects that will include the following:

a. Cover occupancy, security, and cleaning services costs for an ADHS WIC computer lab training room housing up to 40 computers at 2737 W Southern Ave, Suite 10, Tempe, AZ 85282. The WIC computer lab training room will be for the priority use of the Arizona State WIC Program and be made available to other Arizona WIC local agencies. ADHS Information Technology staff will be responsible for installation and maintenance of computer and networking hardware and software. The training room computers will not be connected to the Maricopa internal network, but the training room will share the same internet line as the adjacent WIC clinic.

b. Additional monies have been added for Maricopa County WIC Program to provide RD services to other local WIC agencies as agreed upon in the Scope of Work documents between Maricopa and each local WIC program that services are provided. For FFY 24, these agencies include Apache, Mariposa, Gila.

c. Additional monies have been added to the Personnel Services, Employee Related Expenses, and Indirect Cost line items to the Maricopa WIC Program Special Project Budget to provide State-wide secondary nutrition education for families enrolled with local agencies utilizing the WIC Your Way virtual services approach by providing staff to support this program at the state office full time. The staff provided will assist the ADHS team with outreach and retention campaigns involving text messaging and/or virtual services, provide virtual secondary nutrition education and high-risk services through this project, support local agencies with their training needs related to this service, and support local agency services state-wide by facilitating group education classes and completing administrative work related to providing these services. The staff will also work with the ADHS WIC Evaluator to evaluate measurable outcomes from the service including data on nutrition related attitudes and behaviors, ease and satisfaction of technology use, and increasing attendance at the nutrition education sessions, and then implement a process to improve the services.

d. Additional monies have been added to Other Operating Expenses for Maricopa County for the Hope Center WIC clinic site that will include costs related to the clinic set up including furniture, cubicle and equipment installation;

computer, printer, and internet installation; and data and electrical infrastructure costs.

e. Additional Local Agency (LA) Projects Funding

LA Project(s) funding can be used towards special projects that enhance Program Integrity, WIC Services or WIC Facilities. Allowable costs for the LA Project(s) funding include items specifically outlined on the agencies project description and application ONLY. Any additional items will need written justification and approval before being charged to the LA Project(s) funding. These allowable costs adhere to the WIC program’s allowable and unallowable cost principles.

Additional WIC Program:

Should additional administrative monies become available through state or federal grants, ADHS may increase the purchase order to increase the number of participants served and increase the total of this contract.

The assigned caseload for FFY 2024 is: 44,500

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MARICOPA, COUNTY OF

Unique Entity ID

K9MVGUJMTE61

CAGE / NCAGE

5FP04

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Mar 27, 2025

Physical Address

234 N Central AVE FL 3

Phoenix, Arizona 85004-2256

United States

Mailing Address

234 N. Central Avenue 3RD FL

Phoenix, Arizona 85004-2256

United States

Business Information

Doing Business as

COMMUNITY DEVELOPMENT

Division Name

Maricopa County Human Services

Division Number

6025065911

Congressional District

Arizona 03

State / Country of Incorporation

(blank) / (blank)

URL

https://www.maricopa.gov/5270/Human-

Services

Registration Dates

Activation Date

Mar 29, 2024

Submission Date

Mar 27, 2024

Initial Registration Date

May 1, 2009

Entity Dates

Entity Start Date

Jul 1, 2003

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.

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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.

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Yes

Entity Types

Business Types

Entity Structure

U.S. Government Entity

Entity Type

US Local Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Virginia Sturgill on Mar 27, 2024 at 11:18 AM MARICOPA, COUNTY OF

Jul 29, 2024 07:39:54 PM GMT https://sam.gov/entity/K9MVGUJMTE61/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. Local Government

County

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

5FP04

Points of Contact

Electronic Business

Nicole Forbes, Finance Budget Manager 234 N. Central Avenue 3RD Floor

Phoenix, Arizona 85004

United States

Jacqueline Edwards, Director 234 N. Central Avenue 3RD Floor

3RD Floor

Phoenix, Arizona 85004

United States

Government Business

Nicole Forbes, Finance Budget Manager 234 N. Central Avenue 3RD Floor

Phoenix, Arizona 85004

United States

Jacqueline Edwards, Director 234 N. Central Avenue 3RD Floor

3RD Floor

Phoenix, Arizona 85004

United States

Past Performance

Amanda McKeever, Administrator 234 N Central 3RD Floor

3RD Floor

Phoenix, Arizona 85004

United States

Service Classifications

NAICS Codes

Primary NAICS Codes NAICS Title

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Virginia Sturgill on Mar 27, 2024 at 11:18 AM MARICOPA, COUNTY OF

Jul 29, 2024 07:39:54 PM GMT https://sam.gov/entity/K9MVGUJMTE61/coreData?status=null Page 2 of 2