ADHS14-071224 MARICOPA AMD 6 (07).PDF
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C-86-15-020-3-07 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES AMENDMENT 150 N. 18th Avenue, Suite 260 Phoenix, Arizona 85007 PROCUREMENT OFFICER CONTRACT No.: ADHS14-071224 AMENDMENT No.: 6 Jeffery Jones SEXUALLY TRANSMITTED DISEASE SERVICES (STD) Effective upon signature, it is mutually agreed that the Intergovernmental Agreement (IGA) referenced is amended as follows: 1. Pursuant to the 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 is hereby replaced with the Price Sheet in this Amendment Six (6). ALL OTHER PROVISIONS OF THIS AGREEMENT SHALL REMAIN IN THEIR ENTIRETY CONTINUED ON NEXT PAGE Maricopa County, By and through its CONTRACTOR SIGNATURE Department of Public Health Contractor Name Contractor Authorized Signature 4041 N Central Avenue, Suite 1400 Steve Chucri Address Printed Name Phoenix AZ 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 _______________________ 20_____ Signature Date Attorney for County Printed Name Procurement Officer Attorney General Contract, No. P0012014000078, which is an RESERVED FOR USE BY THE SECRETARY OF STATE 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 the proper form and is within the powers granted under the laws of the State of Arizona to those parties to the Under House Bill 2011, A.R.S. § 11-952 was amended Agreement represented by the Attorney General. to remove the requirement that Intergovernmental The Attorney General, BY: Agreements be filed with the Secretary of State. Signature Date Assistant Attorney General Printed Name: ATTEST:_____________________________________, Office of Clerk of the Board ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT (IGA) HEALTH SERVICES AMENDMENT 150 N. 18th Avenue, Suite 260 Phoenix, Arizona 85007 PROCUREMENT OFFICER CONTRACT No.: ADHS14-071224 AMENDMENT No.: 6 Jeffery Jones REVISED PRICE SHEET Effective THROUGH December 31, 2018 COST REIMBURSEMENT LINE ITEMS BUDGETED AMOUNT Personnel Services and Employee Related Expenses (ERE) $411,052.00 Professional & Outside Services Travel $4,192 Occupancy Expense Other Operating Capital Outlay Expenses Other $60,578.00 Indirect TOTAL $475,822.00 NOTE: “The Contractor is authorized to transfer up to thirty-five percent (35%) or $50,000, whichever comes first, of the total budget amount between line items. Transfers of funds are only allowed between funded line items and must be in accordance with the CDC grant objectives. Transfers exceeding the above mentioned amount shall require an amendment.”