CTR075828 A2.PDF

Maricopa County — Formal (2026-07-15)

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INTERGOVERNMENTAL AGREEMENT (IGA) 
 
AMENDMENT  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
CONTRACT NO.: CTR075828 
IGA AMENDMENT NO: TWO (2) 
PROCUREMENT 
OFFICER: 
EMMANUEL BENJAMIN 
 
Page 1 of 2 
Revised 05/29/2024 
 
Suicide Prevention Staffing and Programming 
 
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 
 
1. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is 
hereby revised with the following: 
 
1.1. The Price Sheet is revised and replaced. 
 
 
 
 
 
ALL CHANGES ARE REFLECTED IN RED 
 
ALL OTHER PROVISIONS OF THIS AGREEMENT REMAIN UNCHANGED. 
MARICOPA COUNTY 
 
 
Contractor Name:  
 
Authorized Signature 
301 W Jefferson St 9th Floor 
 
 
Address:  
 
Print Name 
Phoenix 
Arizona 
85003 
 
 
City 
State 
Zip 
 
Title and Date 
 
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined 
that this Intergovernmental Agreement is in proper form and is within the powers and 
authority granted under the laws of Arizona 
This Intergovernmental Agreement Amendment shall be 
effective the date indicated.  The Public Agency is hereby 
cautioned not to commence any billable work or provide any 
material, service or construction under this IGA until the IGA has 
been executed by an authorized ADHS signatory.  
 
State of Arizona 
 
Signature 
Date 
 
Signed this                          day of                                  2025. 
 
 
Print Name 
 
Procurement Officer 
 
 
Contract No.: CTR075828, which is an Agreement between public agencies, has been 
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has 
determined that it is in proper form and is within the powers and authority granted under 
the laws of the State of Arizona.  
 
 
 
Signature 
Date 
 
Assistant Attorney General 
Print Name

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
AMENDMENT  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
CONTRACT NO.: CTR075828 
IGA AMENDMENT NO: TWO (2) 
PROCUREMENT 
OFFICER: 
EMMANUEL BENJAMIN 
 
Page 2 of 2 
Revised 05/29/2024 
 
 
Price Sheet FY26 
01/01/2026 – 06/30/2026 
 
Account Classification 
Total Budget 
Personnel Services & ERE* 
 $40,500.00 
Professional & Outside Services 
$44,500.00 
Travel * 
 $180.00  
Occupancy 
$0.00 
Other Operating* 
$5,000.00 
Capital Outlay 
$0.00 
Indirect (16.7%) 
$7,628.56  
Total Annual Not to Exceed 
$97,808.56 
If applicable, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount 
between line items. 
 
Transfers exceeding ten percent (10%) or to a non-funded line item shall require an Agreement Amendment. 
 
*Indicated indirect rate calculation