HRPP NICP COMMUNITY HEALTH NURSE CONSULTING A1 (05).PDF

ARIZONA DEPARTMENT OF
HEALTH SERVICES
CONTRACT AMENDMENT 150 N. 18th Ave., Ste. 260
C-86-17-029-3-05 Phoenix, Arizona 85007
CONTRACT No.: CONTRACT AMENDMENT No.: 1 Jacqueline S. Ortega-Avila
ADHS17-154596 ARIZONA PROCUREMENT PORTAL AMENDMENT No.: 1 SENIOR PROCUREMENT OFFICER
HRPP / NICP COMMUNITY HEALTH NURSE CONSULTING SERVICES
Effective December 1, 2019, it is mutually agreed that the Contract referenced is amended as follows:
1. Pursuant to the Special Terms and Conditions, Provision Two (2), Contract Extensions (5 Year Maximum), the
Contract is hereby extended through November 30, 2020.
ALL OTHER PROVISIONS OF THIS CONTRACT SHALL REMAIN IN THEIR ENTIRETY.
Contractor hereby acknowledges receipt and acceptance of The above referenced Contract Amendment is hereby
above amendment and that a signed copy must be filed with executed this __________ day of____________________,
the Procurement Office before the effective date. 2019 at Phoenix, Arizona.
Signature and Date
Bill Gates, Chairman, Board of Supervisors
Authorized Signatory’s Name and Title
FOR AND ON BEHALF OF :
MARICOPA COUNTY Procurement Officer Signature
Contractor Name
APPROVED AS TO FORM:______________________________
Attorney for County Date
ATTEST:_____________________________________________
Office of the Clerk of the Board Date