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C-86-18-049-3-02 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT 150 N. 18th Avenue, Suite 260 Phoenix, Arizona 85007 Senior Procurement Specialist Contract No: ADHS18-188102 Amendment No. 1 Felicia Marquez TUBERCULOSIS CONTROL PROGRAM Effective upon signature. It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to Terms and Conditions, Provision Six (6), Contract Administration and Operation, subsection 6.1, Amendments, Purchase Orders and Change Orders, the original price sheet is revised with this Amendment One (1). ALL OTHER PROVISIONS OF THIS AGREEMENT REMAIN UNCHANGED Maricopa County by and through its CONTRACTOR SIGNATURE Maricopa County Public Health Contractor Name Contractor Authorized Signature 4041 N. Central Ave., Suite 1400 Bill Gates Address Printed Name Phoenix Arizona 85012 Chairman, Board of Supervisors City State Zip Title CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be effective the Pursuant to A.R.S. § 11-952, the undersigned public agency attorney date indicated. The Public Agency is hereby cautioned not to commence has determined that this Intergovernmental Agreement is in proper form any billable work or provide any material, service or construction under and is within the powers and authority granted under the laws of the this IGA until the IGA has been executed by an authorized ADHS State of Arizona. signatory. State of Arizona Signed this ______ day of _______________________ 2019__ Signature Date Printed Name Attorney for County Procurement Officer RESERVED FOR USE BY THE SECRETARY OF STATE Attorney General Contract No. ADHS18-188201, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney General, 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 ATTEST:_______________________________, Office of the Clerk 1 of the Board Printed Name: ARIZONA DEPARTMENT OF HEALTH SERVICES – PRICE SHEET VENDOR: MARICOPA COUNTY – TB CONTROL COST REIMBURSEMENT - CONTRACT #ADHS18-188102 LINE ITEM BUDGET AMOUNT Personal Services and ERE $284,562.00 Professional and Outside Services $0 Travel Expenses 31,415.00 Other Operating Expenses $28,153.00 Capital Outlay Expenses $0 Other $65,041.00 Total $409,171.00 Note: With prior approval from the ADHS TB Program Manager, the contractor is authorized to transfer up to a maximum of 35% of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding 35% or to a non-funded item shall require an amendment. 2