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37. AMENDMENT TO IGA WITH THE CITY OF PHOENIX FOR CHILDHOOD IMMUNIZATIONS Approve Amendment No. 1 to Intergovernmental Agreement (IGA) between The City of Phoenix by and through the Phoenix Fire Department and Maricopa County by and through the Department of Public Health’s Community Health Nursing Program (CHN) for childhood immunizations. Amendment No. 1 increases funding by $60,000 for a total funding amount not-to-exceed $330,000 for the three-year term, beginning May 16, 2007 through May 31, 2010. This amendment also makes administrative changes to Section I, General Provisions of the IGA. All other terms and conditions of the original IGA shall remain in full force and effect. The increase in contract award would allow Phoenix Fire Department to spend up to $150,000 in FY 2008-09. Funding for this IGA is provided by a grant from Arizona Department Health Services, and will not affect the County general fund. (C-86-07-057-2-01)

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40. AMENDMENT TO IGA WITH THE CITY OF PHOENIX FIRE FOR CHILDHOOD IMMUNIZATIONS Approve Amendment No. 2 to Intergovernmental Agreement (IGA) between The City of Phoenix Fire Department (Phoenix Fire) and Maricopa County through the Department of Public Health’s Community Health Nursing Program (CHN) for immunizations to school aged children. Amendment No. 2 extends the term of the IGA beginning June 1, 2010 through May 15, 2011, for a total funding amount of $90,000. All other terms and conditions of the original IGA shall remain in full force and effect. Funding for this IGA is provided by a grant from Arizona Department Health Services, and will not affect the County general fund. (C-86-07-057-2-02)

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57. AMENDMENT TO IGA WITH CITY OF PHOENIX FOR CHILDHOOD IMMUNIZATIONS Approve Amendment No. 3 to Intergovernmental Agreement (IGA) between the City of Phoenix through the Phoenix Fire Department and Maricopa County through the Department of Public Health for immunizations to school aged children to extend the expiration date to May 31, 2012, and to increase the funding by $90,000 for the budget period May 16, 2011 to May 31, 2012, for a new not-to-exceed amount $510,000. All other terms and conditions of the original IGA shall remain in full force and effect. Funding for this IGA is provided by a grant from Arizona Department Health Services, and will not affect the County general fund. (C-86-07-057-2-03)