HANSENS EXTENSION (12).PDF

DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and
Services Administration
Office Acquisitions Management and Policy
5600 Fishers Lane, Room 14W25B
C-86-14-016-3-12 Rockville, MD 20857
VIA EMAIL
December 22, 2017
Reference: Contract # HHSH258201300005C- Hansen’s Disease (HD) Ambulatory Care
County of Maricopa
Maricopa County Department of Public Health
1645 E. Roosevelt Street
Phoenix, AZ 85006
Attention: Angelito Bravo
Email: angelitobravo@mail.maricopa.gov
Dear, Dr. Bravo:
The attached modification is in reference to your existing contract for Hansen’s Disease (HD) Ambulatory
Care and extends the performance period for a 30-day period. To provide acceptance of the modification,
the County of Maricopa is required to continue performance of the services identified in contract
HHSH258201300005C through January 31, 2018. This modification is being issued on a unilateral basis.
In accordance with FAR 52.217-8, the County of Maricopa shall continue to provide the required services
at the same price established under option period 4 of the contract referenced above.
If there are any questions or concerns regarding this modification, you may contact Ms. Charisse Whitney
at cwhitney@hrsa.gov or Mr. Russell Grabill at rgrabill@hrsa.gov.
Sincerely,
Jennifer M. Digitally signed by Jennifer M. Lohmeier -S
DN: c=US, o=U.S. Government, ou=HHS, ou=HRSA,
ou=People, 0.9.2342.19200300.100.1.1=2000486593,
Lohmeier -S cn=Jennifer M. Lohmeier -S
_____________________________________________ Date: 2017.12.22 11:49:37 -05'00'
Jennifer M. Lohmeier, Contracting Officer
Office of Acquisitions Management and Policy
Division of Primary Care and Health Infrastructure Services
Attachment: Standard Form (SF) 30 – Modification of Contract

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ATTACHED TO AND A PART OF:
Modification 0012 to National Hansen’s Disease Program
HHSH258201300005C
C-86-14-016-3-12
IN WITNESS WHEREOF, the parties agree to enter into this Agreement and its Amendments:
FOR AND ON BEHALF
OF MARICOPA COUNTY
By_____________________________
Chairman, Board of Supervisors
_______________________________
Date
ATTEST:
_______________________________
Clerk of the Board
_______________________________
Date
APPROVED AS TO FORM:
_______________________________
Attorney for Maricopa County
_______________________________
Date