CTR046941 A5 SIGNATURE.PDF

Maricopa County — Formal (2023-03-01)

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CONTRACT AMENDMENT 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N 18th Ave., Ste. #530 
Phoenix, Arizona 85007 
CONTRACT NO.: CTR046941 
AMENDMENT NO.: Five (5) 
Procurement Officer 
Niki Large 
High Risk Perinatal Program (HRPP) Community Health Nursing Services 
Effective upon signature by both parties, it is mutually agreed that the Contract referenced in this Amendment Five (5) is 
amended as follows: 
1.
Pursuant to the Uniform Terms and Conditions, Provision Three (3), Contract Extensions 5 Year Maximum, the
Contract is hereby extended through June 30, 2024, the fifth year of the Contract.
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY 
Contractor hereby acknowledges receipt and acceptance of 
above amendment and that a signed copy must be filed 
with the Procurement Office before the effective date 
The above referenced Contract Amendment is hereby 
executed this _____ day of __________ 20______ at 
Phoenix, Arizona 
(To be filled out by Procurement Office) 
Contractor Signature 
Contractor Signature Date 
Authorized Signatory’s Name and Title 
Maricopa County 
Contractor’s Name 
Procurement Officer Signature 
C-86-20-008-3-10
Clint Hickman, Chairman, Board of Supervisors
Juanita Garza, Clerk of the Board                 
Date
Attorney for Maricopa,
 Date