LAVEEN SD AMD 1 TO IGA (01).PDF

Maricopa County — Formal (2018-08-29)

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CONTRACT NO: C-86-18-046-3-01 AMENDMENT NO: 1
AMENDMENT TO INTERGOVERNMENTAL AGREEMENT (IGA)
Between
MARICOPA COUNTY
By and Through
DEPARTMENT OF PUBLIC HEALTH
and Laveen Elementary School District
I. The above named IGA is hereby amended as specified below:
A. Additional funding in the amount of $2,500.00 for the budget period beginning
September 1, 2018 and ending May 31, 2020, for a total, not-to-exceed amount of
$4,500.00 for the IGA term of September 1, 2017 through May 31, 2020.
B. Replace Attachment A with the Revised Attachment A for year 2 funding (SHIP).
3. All other terms and conditions of the original contract 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 COUNTY LAVEEN ELEMENTARY SCHOOL
DISTRICT
By: By:
Steve Chucri
Chairman, Board of Supervisors
Date Date
ATTEST ATTEST
Clerk of the Board
Date Date
APPROVED AS TO FORM APPROVED AS TO FORM
Attorney for Maricopa County
Date Date
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SHI AND SHIP Complete all grey highlighted areas
OSHWI
School District: Laveen Elementary School District Representative:
School District contact: Dr. Joe Roselle
Title: Director, Grants and Partnerships
Email: jroselle@laveenesd.org
Phone No.: 602-237-9100 ext. 3004
Address City State ZIP
Mailing Address: 5001 W Dobbins Rd Laveen AZ 85339
Name of School: Address City State Zip Amount SHI or SHIP
1. Trailside Point School 7275 W. Vineyard Road Laveen AZ 85339 $2,500.00 SHIP (Year
2)
2.
3.
4.
5.
6.
7.
8.
Total Amount: $2,500.00
2