ADOH EVICTION PREVENTION AMENDMENT 3.PDF

Contract No.: 532-20
Termination Date: 03-31-2021
Amendment No. #3
C-22-20-027-3-03
AMENDMENT TO
FUNDING AGREEMENT
Between
STATE OF ARIZONA
DEPARTMENT OF HOUSING
and
MARICOPA COUNTY
This Amendment is made and entered into by and between the State of Arizona, Department of Housing
(HOUSING), and Maricopa County, administered by its Human Services Department (Recipient)
(“Amendment”).
Whereas Housing administers the Housing Trust Fund (“HTF”) pursuant to A.R.S. § 41-3955; through such
administration, Housing implemented the Rental/Eviction Prevention Funding Program (“Eviction Program”).
Whereas, HOUSING and Recipient have entered into a Funding Agreement (“Contract”) for an award from
the Eviction Program relating solely to the COVID-19 (“COVID-19 Eviction Assistance”) to Recipient for the
purpose outlined in the Scope of Work attached as Attachment A (“SOW”) to the Contract; the terms defined
in the Contract shall apply to this Amendment unless otherwise defined herein; and
Whereas, a revision to said Contract is necessary to provide for certain increase(s) in the amount of the award
to Recipient, upon the terms and conditions set forth herein, and;
Whereas, HOUSING and Recipient agree that the revision is in the best interest of all parties, including
beneficiary low-income households;
WHEREFORE, in consideration of the agreements and covenants set forth in the Contract and other good and
valuable consideration, the receipt of which is hereby acknowledged, HOUSING and Recipient hereby agree
to amend the Contract as follows:
Section 1. FUNDS PROVIDED
Recipient is granted an additional $7,451.99 for Eviction Prevention Assistance and $25,831.21
for Support Services for expenditure by Recipient for the purpose set forth in the Scope of Work
based upon funding available to Housing under the Eviction Prevention Program related to
COVID-19 Eviction Prevention Assistance.
Total contract budget is increased to $935,547.20 separated by line item as outlined below –
Eviction Prevention Assistance – $447,451.99
Support Services – $165,847.21
Administration – $69,984.00
Temporary Staff – $252,264.00

C-22-20-027-3-03
Section 4. DURATION
This Agreement shall be effective beginning April 13, 2020 upon execution by the
Recipient and ADOH, and shall remain in effect until March 31, 2021 unless sooner
terminated, extended or otherwise amended in accordance with the terms of this
Agreement.
Section 9. BUDGET
A revised Budget attached as Attachment C reflects the increased allocation.
Section 13. COMPENSATIONAND METHOD OF PAYMENT
A revised Request for Payment attached as Attachment D reflects the increased allocation.
Any and all portions of subject Contract that are not herein specifically amended shall remain unchanged and
in full force and effect.
In Witness Whereof, HOUSING and Recipient have executed this Amendment that shall become effective
when signed by HOUSING.
THE STATE OF ARIZONA, MARICOPA COUNTY
DEPARTMENT OF HOUSING RECIPIENT
BY: BY:
Carol L. Ditmore Clint Hickman
TITLE: Director TITLE: Chair, County Board of Supervisors
DATE: DATE:

C-22-20-027-3-03
HTF Rental/Eviction Prevention Assistance- Maricopa County Attachment C- Page 31
Budget ADOH-532-20
Recipient Maricopa County Date
Contract No./File No. 532-20 Contract Period:from 04/13/2020-03/31/2021 Revision No.
Activity HTF Administration, HTF Support Services, HTF Prevention Assistance
Recipient Address 234 N. Central Ave. Suite 3000 City Phoenix
Contact Person Sandra Mendez Fax
Phone 602-506-2316 Email Sandra.Mendez@Maricopa.gov Zip Code 85004
Program Specialist Chavon Woods Email Chavon.Woods@azhousing.gov County Maricopa
a c d e f g h
Budget Line Item or HTF CCCSNF Source Source Source Source
Activity No. 2020/2021 2020 Program Year Program Year Program Year Program Year
Act. 1 Administration $ 69,984.00
Act. 2 Support Services $ 165,847.21
Act. 3 Prevention Assistance $ 447,451.99
Act. 4 Temporary Workers $ 252,264.00
Total $ 683,283.20 $ 252,264.00 $ -
REV. 8-2013

C-22-20-027-3-03
HTF Rental/Eviction Prevention Assistance- Maricopa County Attachment D- Page 32
ARIZONA DEPARTMENT OF HOUSING REQUEST FOR PAYMENT SUMMARY SHEET PAGE 1 OF 2
Recipient Maricopa County Vendor No. PZ000013779 Date
Contract No 532-20 Contract Period: from 04/13/2020-03/31/2021 Pay Req. No/Mo
Activity HTF Administration, Support Services, Prevention Assistance Direct Wire Dep Yes X No
Recipient Address 234 N. Central Ave. Suite 3000 City Phoenix
Contact Person Sandra Mendez ZIP 85004
Phone 602-506-2316 Sandra.Mendez@Maricopa.gov Fax
Program Specialist Chavon Woods Chavon.Woods@azhousing.gov County Maricopa
Itemized Payment Statement (Sheet 2 of 2) must accompany this form. Include copies of timesheets and other backup
documentation. ORIGINAL SIGNATURES are required for processing.
a b c e f g h
Budget Line Item or IDIS HTF CCSNF Total Amount Balance in Amount of this New
Activity No. Act No. 2020/2021 2020 Req. to Date Account Request Balance
Act. 1 Administration $69,984.00 $69,984.00 $ 69,984.00
Act. 2 Support Services $165,847.21 $165,847.21 $ 165,847.21
Act. 3 Prevention Assist. $447,451.99 $447,451.99 $ 447,451.99
Act. 4 Temporary Workers $252,264.00 $252,264.00 $ 252,264.00
$ - $ -
$ - $ -
$ - $ -
$ - $ -
Total $ 683,283.20 $ 252,264.00 $ - $ 935,547.20 $ - $ 935,547.20
Recipient Authorized Signature Title
Recipient Authorized Signatory certifies that all activities undertaken by the contractor with funds provided under this contract have been carried
out in accordance with the contract. Attach wiring information if not previously submitted. Attach alternate mailing address if necessary.
Performance Reports Current
For ADOH Use
Only
ADOH Program Specialist Approval ADOH Program Administrator ApprovaDate

C-22-20-027-3-03
HTF Rental/Eviction Prevention Assistance-Maricopa County
ARIZONA DEPARTMENT OF HOUSING REQUEST FOR PAYMENT -ITEMIZED PAYMENT STATEMENT PAGE 2 OF 2
Recipient Maricopa County Human Services Department Date
Contract No 532-20 Contract Period: from 04/13/2020 to 03/31/2021 Pay Req. No
Budget Line Description of Paid (or Payable) to Date Check # Invoice Balance Name of other
Item or Expense (List in Paid Invoice Amount paid by source
Activity No according to PO Charged to other
funding source) COC/HTF source
Totals