AMD RE AZ HEALTH ZONE WITH ADHS.PDF

Arizona Department Of
Health Services
GRANT AMENDMENT Office Of Procurement
150 N. 18th Ave., Ste. 260
Phoenix, Arizona 85007
Grant Amendment No.: 2 Procurement Officer
Contract No.: ADHS16-106547 Arizona Procurement Portal Amendment No.: 2 Diana Martinez
Arizona Health Zone-SNAP-Ed Local Implementation Services
(Formerly AzNN Snap-Ed Local Implementation Services)
Effective December 27, 2018, it is mutually agreed that the Contract referenced is amended as follows:
1. Pursuant to Terms and Conditions, Provision Four (4) Grant Amendment, the Grant is hereby amended as follows:
1.1. Provision Fifteen (15) Subcontracts is revised to read as follows:
Subcontracts. The Grantee shall not enter into any subcontract under this Grant for the performance of this Grant
without the advance written approval of the ADHS Program Manager. The Grantee shall clearly list any proposed
subgrantee(s) and the subgrantee(s) proposed responsibilities. The subcontract entered into with the subgrantee(s)
shall incorporate by reference the Terms and Conditions of this Grant.
1.2 Add Provision Twenty Eight (28) Civil Rights Assurance Statement to read as follows:
The Contractor and Subcontractors are subject to Title VI of the Civil Rights Act of 1964, Section 504 of
Rehabilitation Act of 1973, Title II of the Americans with Disabilities Act of 1990, the Age Discrimination Act of 1975,
Title IX of the Education Amendment of 1972, and offers all persons the opportunity to participate in programs or
activities regardless or race, color, national origin, age, sex, or disability. Further, it is agreed that no individual will
be turned away from or otherwise denied access to or benefit from any program or activity that is directly
associated with a program of the RECIPIENT on the basis of race, color, national origin, age, sex (in educational
activities) or disability.
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
Contractor hereby acknowledges receipt and acceptance of above The above referenced Contract Amendment is hereby
amendment and that a signed copy must be filed with the executed this __________ day of ______________,
Procurement Office before the effective date. 20___ at Phoenix, Arizona.
Signature and Date
Authorized Signatory’s Name and Title
Maricopa County by and through its,
MARICOPA COUNTY PUBLIC HEALTH
Procurement Officer Signature
Contractor’s Name
ATTEST: APPROVE AS TO FORM:
______________________________________ _________________________________
Clerk of the Board Date Attorney for Maricopa County Date