CTR078874 PRAMS A1 FOR SIGNATURE.PDF
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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.: CTR078874 IGA Amendment No: One (1) Procurement Officer: Elizabeth Syms Page 1 of 6 Revised 06/01/2026 ADHS – Maricopa Agreement for PRAMS Support It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to Terms and Conditions, Provision Seven (7) Contract Changes, subsection 7.1 Amendments, the Agreement is hereby revised with the following: 1.1. The Price Sheet is revised and replaced to reflect an increase for the Budget Period of July 1st, 2026 to June 30th, 2027. 1.2. Exhibit Two (2), 2CFR 200.332 for PRAMS DP21-001, is revised and replaced to reflect an increase in the amount of federal funds obligated in the subaward and subrecipient. 1.3. Exhibit Three (3), 2CFR 200.332 for Maternal & Child Health Services, is revised and replaced to change the Federal Award Identification Number from 1 B04MC54531 01 00 to B0455421. 1.4. Exhibit Three (3), 2CFR 200.332 for Maternal & Child Health Services, is revised and replaced to reflect an increase in the amount of federal funds obligated in the subaward and subrecipient. ALL CHANGES ARE REFLECTED IN RED All other provisions of this agreement remain unchanged. Maricopa County Department of Public Health Contractor Name: Authorized Signature 4041 North Central Avenue, Suite 600 Address: Print Name Phoenix AZ 85012 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 2026. Print Name Procurement Officer Contract No.: CTR078874, 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.: CTR078874 IGA Amendment No: One (1) Procurement Officer: Elizabeth Syms Page 2 of 6 Revised 06/01/2026 PRICE SHEET COST REIMBURSMENT BUDGET PERIOD JULY 1ST, 2026 – JUNE 30TH, 2027 Cost Reimbursement Contract Annual Price Sheet ACCOUNT CLASSIFICATION LINE-ITEM TOTALS SALARIES AND WAGES* $25,968.98 EMPLOYEE RELATED EXPENSES* $12,597.71 TRAVEL $0 PROFESSIONAL & OUTSIDE SERVICES $0 CAPITAL EXPENSES $0 OTHER OPERATING EXPENSES $0 INDIRECT COSTS* (20.24%) $7,805.90 Total Annual not to exceed: $46,372.59 If applicable, the Contractor is authorized to transfer up to a maximum of 10% of the total budget amount between line items with the written approval from an ADHS program representative. Transfers exceeding 10% or to a non-funded line item shall require an Agreement Amendment. *Indicates indirect rate calculation INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR078874 IGA Amendment No: One (1) Procurement Officer: Elizabeth Syms Page 3 of 6 Revised 06/01/2026 EXHIBIT TWO (2) – 2CFR 200.332 FOR PRAMS DP21-001 INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR078874 IGA Amendment No: One (1) Procurement Officer: Elizabeth Syms Page 4 of 6 Revised 06/01/2026 INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR078874 IGA Amendment No: One (1) Procurement Officer: Elizabeth Syms Page 5 of 6 Revised 06/01/2026 EXHIBIT THREE (3) – 2CFR 200.332 FOR MATERNAL & CHILD HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR078874 IGA Amendment No: One (1) Procurement Officer: Elizabeth Syms Page 6 of 6 Revised 06/01/2026