DEER VALLEY USD SHI-SHIP AMD 1 (01).PDF
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CONTRACT NO: C-86-18-014-3-01 AMENDMENT NO: 1 AMENDMENT TO INTERGOVERNMENTAL AGREEMENT (IGA) Between MARICOPA COUNTY By and Through DEPARTMENT OF PUBLIC HEALTH and DEER VALLEY UNIFIED SCHOOL DISTRICT I. The above named IGA is hereby amended as specified below: A. The addition of Hillcrest Middle School in the School-based Tobacco Use Prevention and Education Services; School Health Index (SHI) and School Health Implementation Plan (SHIP). B. Additional funding in the amount of $2000.00 for a total, not-to-exceed amount of $8,500.00 for the budget period beginning September 1, 2017 through August 31, 2018. C. Replace Attachment A with the Revised Attachment A. II. 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 DEER VALLEY UNIFIED SCHOOL DISTRICT By: By: Denny Barney, 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 1 SCHOOLS SHIP or SHI SHI SRI SHIP SHI Varney Jessica Amount $2000.00 $2000.00 $2500.00 $2,000.00 $8,500.00 Representative: ZIP Zip 85086 85308 85027 85310 Amount: OSHWI State State AZ AZ AZ AZ Total Grants) Grants) District State District State City City Anthem Glendale Phoenix Glendale School and School and Ln (Federal (Federal Peak Garden School, Unified Dawn.Fergusondvusd.ord Unified Gavilan Ave Ave Valley Ferguson Clerk Valley Ferguson Clerk 63rd Rose Middle 71st 623-445-5022 N N W N Deer Dawn Finance Deer Dawn Finance Address Address 40404 Pkwy 19000 2820 Hil!crest 22833 School contact: High Middle High School District: District No.: to: Address: School: Creek Lakes Goldwater Middle A SHIP of School School Title: Email: Phone Contract Name: Title: Email: Mailing Name Boulder Highland School Barry School Hil!crest ATTACHMENT AND SHI Mail 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.