CTR067942_-_Apache_County_WIC_Services_-_Executed.pdf
PDF 16 MB Posted
- Attached to
- Master Agreement AZ|CTR067942
- Contract number
- CTR067942
- Issued by
- Arizona
About this file
This is an Intergovernmental Agreement (IGA) between the Arizona Department of Health Services (ADHS) and Apache County, specifically Apache County Public Health Services District. The contract is a cost reimbursement agreement involving the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Breastfeeding Peer Counseling (BFPC) Services. The agreement covers the entire State of Arizona and is effective from October 1, 2023, to September 30, 2028, with Apache County serving as the local implementing agency.
The contract provides funding of $97,808.00 for WIC Services, with the funds sourced from a federal grant (CFDA number 10.557) through the United States Department of Agriculture. The primary objectives include providing nutrition services to eligible participants, conducting health screenings, offering nutrition education, issuing food benefits, and supporting breastfeeding initiatives. The contract includes provisions for performance standards, with Apache County expected to maintain an average monthly participation level between 97-99% depending on the number of participants. Additional funds may be available through performance awards based on metrics such as exclusive breastfeeding rates and program performance. The assigned caseload for Federal Fiscal Year 2024 is 350 participants.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR067942 A1.pdf | ||
| CTR067942 A1_Pricing.pdf | ||
| CTR067942 A2 Pricing.pdf | ||
| CTR067942 A3 Pricing.pdf | ||
| CTR067942 A3.pdf | ||
| CTR067942 Pricing.pdf | ||
| CTR067942 A2.pdf | ||
| P.R.S. Request.pdf |
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Text version
INTERGOVERNMENTAL AGREEMENT
(IGA)
ARIZONA DEPARTMENT OF
HEALTH SERVICES
150 North 18th Avenue, Suite 530 Phoenix, Arizona 85007
Contract No.: CTR067942 Procurement Officer
Josh Griffin
Project Title: WIC AND BFPC SERVICES
Geographic Service Area: STATE OF ARIZONA
Begin Date: October 1, 2023
Termination Date: September 30, 2028
Arizona Department of Health Services has authority to contract for services specified herein in accordance with A.R.S. §§ 11-951, 11-952, 36- 104 and 36-132. The Contractor represents that it has authority to contract for the performance of the services provided herein pursuant to:
Counties: A.R.S. §§ 11-201, 11-951, 11-952 and 36-182.
Indian Tribes: A.R.S. §§ 11-951, 11-952 and the rules and sovereign authority of the contracting Indian Nation.
School Districts: A.R.S. §§ 11-951, 11-952, and 15-342.
City of Phoenix: Chapter II,§§ 1 & 2, Charter, City of Phoenix.
City of Tempe: Chapter 1, Article 1, §§ 1.01 & 1.03, Charter, City of Tempe.
Amendments signed by each of the parties and attached hereto are hereby adopted by reference as a part of this Contract, from the effective date of the Amendment, as if fully set out herein.
Arizona Transaction (Sales) Privilege:
Federal Employer Identification No.:
Tax License No.:
Contractor Apache County 75 West Cleveland Street, St Johns, AZ. 85036
CONTRACTOR SIGNATURE:
The Contractor a rees to perform all the services set forth in the Agreemen ork Statement.
Signature of Person Authorized to Sign Date
Print Name and Title
CONTRACTOR ATTORNEY SIGNATURE:
Pursuant to A.RS. § 11-952, the undersigned Contractor's Attorney has determined that this Intergovernmental Agreement is in proper form • under the I
Print Name and Title
FOR CLARIFICATION, CONTACT:
Name:
Phone:
FAX No:
E-mail: .
This Contract shall henceforth be referred to as Contract
No. CTR067942 The Contractor is hereby cautioned not to commence any billable work or provide any material, service or construction under this Contract until Contractor receives a fully executed copy of the Contract.
State of Arizona
Signed this ___ day of ________ ,, 202_
Procurement Officer
Contract, No. CTR067942. is an Agreement between public agencies, has been reviewed pursuant to A.RS. § 11-952 by the undersigned Assistant Attorney General, who has determined that it is in the proper form and is within the powers granted under the laws of the State of Arizona to those parties to the Agreement represented by the Attorney General.
The Attorney General, BY:
Signature Date
Assistant Attorney General:
| 2023-12-12T15:37:56-0700 | |
| Christina Contreras |
| Text13: 12/12/23 | |
| Text14: 13 | |
| Text15: December | |
| Text16: 3 | |
| 2023-12-13T08:02:15-0700 | |
| Josh Griffin |
File details come from the government source that posted it. Updated .