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ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES OFFICE OF PROCUREMENT Amendment 150 N. 18th Ave Suite 530 Phoenix, Arizona 85007 Procurement Officer Contract No.: CTR046145 IGA Amendment No.: 2 Anthony Beckum Dietetic Internship Effective upon signatures of both parties, it is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to the Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1, Amendments, Purchase Orders and Change Orders, the following changes are hereby made under this Amendment Two (2): 1.1 The Price Sheet is revised and replaced by the Price Sheet of this Amendment Two (2). All other provisions of this Agreement remain unchanged. Contractor Name: MARICOPA COUNTY DEPARTMENT OF PUBLIC Authorized Signature HEALTH Jack Sellers Address: 4041 N. CENTERAL AVE., SUITE 1400 Print Name PHOENIX ARIZONA 85012 Chairman, Board of Supervisors City State Zip Title Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined This Intergovernmental Agreement Amendment shall be effective that this Intergovernmental Agreement is in proper form and is within the powers and the date indicated. The Public Agency is hereby cautioned not to authority granted under the laws of Arizona 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 20___. Anne Longo, Attorney Print Name Procurement Officer Contract No.: CTR046145, 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. ATTEST: _______________________________ Signature Date Office of the Clerk of the Board _______________________________ Assistant Attorney General Date Print Name Page 1 of 2 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES OFFICE OF PROCUREMENT Amendment 150 N. 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR046145 IGA Amendment No.: 2 Procurement Officer Anthony Beckum PRICE SHEET October 1, 2020 to September 30, 2021 WIC Services Amount Account Classification 1. Personnel $82,862.00 2. Employee Related Expenses $26,572.00 3. Professional & Outside Services $1.00 4. Travel Expense $2,250.00 5. Occupancy Expenses $4,814.00 6. Other Operating Expenses $13,987.00 7. Capital Expenditures $1.00 8. Indirect Cost $23,513.00 Total (Not to Exceed) $154,000.00 Additional Terms and Conditions: With prior written approval from the Program Manager, the Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between funded line items. Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment. Authorization for purchase of services under this Contract shall be made only upon ADHS issuance of a Purchase Order that is signed by an authorized agent. The Purchase Order will indicate the Contract number and the dollar amount of funds authorized. The Contractor shall only be authorized to perform services up to the amount on the Purchase Order. ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on the Purchase Order. No further obligation for payment shall exist on behalf of ADHS unless a.) The Purchase Order is modified with an official ADHS Procurement Change Order, and/or b.) An additional Purchase Order is issued for purchase of services under this Contract. ADHS reserves the right to adjust awards given to local agencies depending on federal dollars received. Adjustments will be at the discretion of ADHS. Page 2 of 2