CTR057220 AMD 3 K-12 MARICOPA.PDF

INTERGOVERNMENTAL AGREEMENT (IGA) 
Amendment 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR057220 
IGA Amendment No: 3 
Procurement Officer 
Anthony Beckum 
Page 1 of 1 
COVID-19 ELC Funding for K-12 School Reopening 
1.
Pursuant to the Terms and Conditions, Provision Four (4) Contract Administration and Operation, Section 4.2
Contract Renewal, the following changes are made under this Amendment Three (3): The Agreement is hereby
extended through July 31, 2023.
All other provisions of this agreement remain unchanged. 
Maricopa County Department of Public Health 
Contractor Name:  
County Authorized Signature 
4042 North Central, Suite 1400 
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
        202__. 
Print Name 
Procurement Officer 
Contract No.: CTR057220, 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 
C-86-22-056-X-03                
Chairman, Board of Supervisors
Juanita Garza, Clerk of the Board