NACCHO MIL HRTS AMD 1 (01).PDF

Maricopa County — Formal (2018-03-07)

View PDF Item 31 Meeting page

Extracted text (via pymupdf_layout) 2633 characters
C-86-18-043-3-01
Modification I to Contract # 2018-010401
Modification of Agreement
This Modification of Agreement (“Modification”) is entered into, effective as of the date of the
later signature indicated below, by and between the National Association of County and City
Health Officials (hereinafter referred to as “NACCHO”), with its principal place of business at
1201 (I) Eye Street NW 4th Fl., Washington, DC 20005, and the following Contractor,
hereinafter referred to as “Contractor:”
Maricopa County dba Department of Public Health 86-6000472
Contractor Federal Tax ID Number
4041 N. Central Avenue, Suite 1400
Address
Phoenix, Arizona 85012 602-372-8444
City, State and Zip Phone
WHEREAS, the parties entered into Contract # 2018-010407 on the 24th day of January, 2018
(“Agreement”) and,
WHEREAS, the general purposes of the Agreement are unchanged; and
WHEREAS, both parties wish to make modifications to the Agreement, as described below;
THEREFORE, for the mutual consideration described in the Agreement, the parties agree to the
modifications below through the signatures of the person(s) who have the authority to bind the
parties to the changes in the Modification:
1. Payment for Services: Article I, Section 3 of the Agreement is modified to amend
payment by NACCHO to Contractor for services performed as follows:
Original Contract Amount : $25,000.00
Mod I Amount : $5,000.00
Total Contract Award Amount: $30,000.00
Invoice No. Period of Performance, Invoice and Progress Due date
Reports
Invoice I January 17th, 2018- March 1st, 2018; NTE $12, March 15th, 2018
500.00
Invoice II March 1st, 2018 – May 1st, 2018; NTE $8,750.00 May 15th, 2018
Interim Progress Report covers May 1st –June 10th June 15th, 2018
Report
Invoice III May 1st, 2018 – June 30th, 2018; Final progress June 30th, 2018
report summary; NTE $8,750.00
1

2. Scope of Work: The Scope of Work attached hereto as Attachment I to the Modification
is incorporated into the Agreement and made a part thereof.
3. All other terms and conditions of the Agreement remain unchanged.
NACCHO: CONTRACTOR: Maricopa County by and through its
Department of Public Health
By: By: ___________________________
Name: Jerome Chester Name: ___________________________ Steve Chucri
Title: Chief Financial Officer Title: ___________________________ Chairman, Board of Supervisors
Date: Date: ___________________________
Approved as to Form_____________________________
MCAO
ATTEST:________________________________
Clerk of the Board
2

C-86-18-043-3-01
NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS
MODIFICATION OF AGREEMENT– ATTACHMENT I
SCOPE OF WORK
3