EPI ADHS AMENDMENT 2.PDF

Maricopa County — Formal (2019-02-27)

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C-86-17-061-3-03
ARIZONA DEPARTMENT OF
HEALTH SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT 150 N. 18 th Ave.Suite 260
Phoenix, Arizona 85007
Procurement Specialist
Contract No: ADHS17-163348 Amendment No. 2
Bariah Steiner
EPIDEMIOLOGY AND LABORATORY CAPACITY - ZIKA
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 Changes, Item (6.1), Amendments, Purchase
Orders and Change Orders the Contract is amended as follows;
1.1 The Price Sheet in Amendment One (1) shall be replaced with the Price Sheet of this Amendment Two (2) to
include the Annual Vector Conference facilitating and hosting fees.
1.2 The Tasks in the Scope of Work is amended to include the Annual Vector Conference facilitation in this
Amendment Two (2).
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 has date indicated. The Public Agency is hereby cautioned not to commence
determined that this Intergovernmental Agreement is in proper form and is any billable work or provide any material, service or construction under
within the powers and authority granted under the laws of the State of this IGA until the IGA has been executed by an authorized ADHS
Arizona. signatory.
State of Arizona
Signed this ______ day of _______________________ 20____
Signature Date
Printed Name Attorney for County Procurement Officer
RESERVED FOR USE BY THE SECRETARY OF STATE
Attorney General Contract No. ADHS17-163348, which is an Agreement
between public agencies, has been reviewed pursuant to A.R.S. § 11-952 Under House Bill 2011, 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 was amended to remove the requirement
the laws of the State of Arizona. that Intergovernmental Agreements be filed
with the Secretary of State.
Signature Date
Assistant Attorney General
Printed Name:
ATTEST:__________________________________, Office of the Clerk of the Board
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ARIZONA DEPARTMENT OF
HEALTH th SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT 150 N. 18 Ave.Suite 260
Phoenix, Arizona 85007
Contract No: ADHS17-163348 Amendment No. 2 Procurement Specialist
Bariah Steiner
SCOPE OF WORK
3. Tasks
3.1.4. To facilitate an annual vector conference infectious disease exercise and training for state and local
healthcare providers, including but not limited to; infection control practitioners, public and community health
nurses, health educators, epidemiologists, sanitarians, correctional facility representatives, animal control
agencies, preparedness coordinators, laboratorians, border health counterparts, and university faculty and
students. Sessions will be led by experts in the field of infectious disease and emphasize current diseases
and trends, such as Zika virus.
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ARIZONA DEPARTMENT OF
HEALTH th SERVICES
INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT 150 N. 18 Ave.Suite 260
Phoenix, Arizona 85007
Contract No: ADHS17-163348 Amendment No. 2 Procurement Specialist
Bariah Steiner
PRICE SHEET
FIXED COST
Description Quantity Unit Amount
Zika case investigation, surveillance, control and prevention 1 Year $1,918,000.0
awareness – Year 1
Annual Vector Conference facilitation and hosting fees 1 Each $20,000.00
Total $1,938,000.00
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