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Agreement No.: C-86-11-054-3-08 Amendment No.: 2 Contract No.: 90-16-100-1-02 AMENDMENT TO INTERGOVERNMENTAL LETTER OF AGREEMENT BETWEEN MARICOPA COUNTY By and Through DEPARTMENT OF PUBLIC HEALTH AND Maricopa County Special Health Care District dba Maricopa Integrated Health System (MIHS) 1. The above named Agreement is hereby amended in accordance with Paragraph 4. TERM AND TERMINATION; this Agreement is being extended. a. Amend Paragraph 4. TERM AND TERMINATION as described below. b. The initial term of this Agreement is from January 7, 2016 through January 6, 2019. 2. The effective date of this Amendment shall be January 7, 2019 through January 6, 2021, with the option of an additional extension of two (2) years. 3. All other terms and conditions of the original Agreement and its amendments shall remain in full force and effect. IN WITNESS WHEREOF, the parties agree to the changes indicated herein: FOR AND ON BEHALF OF FOR AND ON BEHALF OF MARICOPA MARICOPA COUNTY INTEGRATED HEALTH SYSTEM By: By: Steve Chucri, Chairman Mark G. Dewan Board of Supervisors Chair, Board VIDirectors (\34)1 1Ci Date ATTEST Clerk of the Board ie Thlbot, Cldrk of th Soit9 Date Date APPROVED AS TO FORM Attorney for Maricopa County Date