DES AMENDMENT 11.PDF

Maricopa County โ€” Formal (2019-02-13)

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DEPARTMENT OF ECONOMIC SECURITY
Your Partner For A Stronger Arizona
Intergovernmental Agreement
CONTRACT AMENDMENT
1. CONTRACTOR (Name and address) 2. CONTRACT ID NUMBER
Maricopa County Human Services Department ADES15-089115
234 N. Central Ave. Suite 3000
Phoenix, AZ 85004 3. AMENDMENT NUMBER
Eleven (11)
Pursuant to the Terms and Conditions, Section 32.0 Levels of Service, this Amendment revises the Case Management
Service Budget as follows:
In accordance with the Alert issued December 14, 2018 the revisions is:
The Case Management service reimbursement ceiling for the period of July 1, 2018 through June 30, 2019 is revised
from $5,417,168.00 to $5,532,903.00.
Therefore, the revised Service Budget for Case Management for the period beginning July 1, 2018 through June 30,
2019 is attached.
5. EXCEPT AS PROVIDED HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT AS HERETOFORE CHANGED AND/OR
AMENDED REMAIN UNCHANGED AND IN FULL FORCE AND EFFECT. THE AMENDMENT SHALL BECOME EFFECTIVE ON THE DATE
OF LAST SIGNATURE UNLESS OTHERWISE SPECIFIED HEREIN. BY SIGNING THIS FORM ON BEHALF OF THE CONTRACTOR, THE
SIGNATORY CERTIFIES HE/SHE HAS THE AUTHORITY TO BIND THE CONTRACTOR TO THIS CONTRACT.
8. 7. NAME OF CONTRACTOR
ARIZONA DEPARTMENT OF ECONOMIC SECURITY Maricopa County Human Services Department
SIGNATURE OF AUTHORIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL
TYPED NAME TYPED NAME
TITLE TITLE
DATE DATE
IN ACCORDANCE WITH ARS ยง11-952 THIS CONTRACT AMENDMENT HAS BEEN REVIEWED BY THE UNDERSIGNED WHO HAVE DETERMINED THAT THIS
CONTRACT AMENDMENT IS IN APPROPRIATE FORM AND WITHIN THE POWERS AND AUTHORITY GRANTED TO EACH RESPECTIVE PUBLIC BODY.
ARIZONA ATTORNEY GENERAL'S OFFICE
By: By:
Assistant Attorney General Public Agency Legal Counsel
Date: Date:
Revised:: 8/22/13