CTR055260 (MARICOPA COUNTY) A3 (1).PDF
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INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR055260 IGA Amendment No: Arizona Procurement Portal Amendment No.: 3 Procurement Officer Lucas Terry 1 Title V Maternal and Child Health Healthy Arizona Families (Maricopa County) 1. Effective upon signature by all parties and pursuant to the Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1, Amendments, Purchase Orders and Change Orders, it is mutually agreed that the Intergovernmental Agreement referenced is amended as follows under this Amendment Three (3): 1.1 The price sheet is revised and replaced. All other provisions of this agreement remain unchanged. MARICOPA COUNTY Contractor Name: Authorized Signature 4041 N CENTRAL AVE, STE1400 Address: Print Name PHOENIX AZ 85012 City State Zip Title 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 2020. Print Name Procurement Officer Contract No.: IGA2021-050, 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 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR055260 IGA Amendment No: Arizona Procurement Portal Amendment No.: 3 Procurement Officer Lucas Terry 2 Title V Maternal and Child Health Healthy Arizona Families (Maricopa County)