AMENDMENT 2 RE VOLUNTARY TERMINATION OF 11 PROVIDER AGREEMENTS WITH ADES.PDF
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__ tbtttft __ DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona AMENDMENT FOR CONTRACT TERMINATION Child and Community Services Division 1. Contractor (Name & Address) 2. Contract Number MARICOPA COUNTY HUMAN SERV FIRST PRESBYT 161 NORTH MESA DR SX24 1 100 MESA, AZ. 85210 3. Provider 4. Amendment Number Number P0028668206 2 5. Contract Term (Begin Date) Current Termination Date Revised Contract Termination Date 11/27/2023 09/30/2026 6. Pursuant to Section 8.2 Termination for Any Reason, the aboveI 05/31/2026 referenced Contract will Terminate effective: Reason for Termination Health or welfare of service recipients is endangered. Failure of the Contractor to comply with terms and conditions of the Contract. Failure of the Contractor to remedy areas of Contract non-compliance as previously specified (see attached). Contractor non-compliance jeopardizes Federal Financial Participation. Change of Ownership X Request to terminate initiated by the contractor. Without cause. Other: 7. THE ARIZONA DEPARTMENT OF ECONOMIC 8. NAME OF CONTRACTOR SECURITY Child and Community Services Division Maricopa County Human Services (l,, ·,.,, Sfu,, rt& j' - Division Contracts Administrator Signature Signature of Authorized Child Care Provider Typed Name: Janis Shea Flores Type or Print Name: Title: Bureau Chief, Child Care Provider Network & Support Title: Maricopa County Human Services Date: 06/01/2026 Date: Signature of the Contractor indicates concurrence with this action but is not required for the execution of termination. If the contractor is unable, unwilling or it is not practicable to obtain the Contractor's signature indicate the reason on this form or note to "See Attached". P: Contract Amendment To Terminate Amendment 1 for Contract Termination Provider No. P0028668206 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668229 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668220 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668223 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668226 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668207 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668211 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668214 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668228 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668202 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County Amendment 1 for Contract Termination Provider No. P0085668219 Signature Page The signatures of the Parties to this Agreement indicates approval to the termination of this contract. APPROVED BY: Maricopa County Agency Signature & Date: Kate Brophy McGee, Chair - Board of Supervisors ATTESTED TO: Maricopa County Agency Signature & Date: Juanita Garza, Clerk of the Board APPROVED AS TO FORM: Agency Signature & Date: Attorney for County Maricopa County