ADHS AZ MULTI-HSG AMD 3 (05).PDF

Maricopa County — Formal (2017-09-20)

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C-86-15-053-3-05
ARIZONA DEPARTMENT OF
HEALTH SERVICES
150 N. 18th Avenue, Suite 260
INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT Phoenix, Arizona 85007
(602) 542-1040
(602) 542-1741 Fax
Senior Procurement Specialist
Contract No: ADHS15-084012 Amendment No. 3
Maureen Curley
ARIZONA MULTI-HOUSING PROJECT
Effective upon signature. It is mutually agreed that the Intergovernmental Agreement referenced is amended as
follows:
1. Pursuant to Terms and Conditions, Provision Four (4), Contract Administration and Operation, subsection 4.2,
Contract Renewal, this agreement is hereby extended through October 31. 2018.
ALL OTHER PROVISIONS OF THIS AGREEMENT REMAIN UNCHANGED
Maricopa County by and through CONTRACTOR SIGNATURE
Maricopa County Department of Public Health
Contractor Name Contractor Authorized Signature
4041 North Central Ave., suite 1400 Denny Barney
Address Printed Name
Phoenix Arizona 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 _______________________ 2017__
Signature Date
MCAO
Printed Name Procurement Officer
RESERVED FOR USE BY THE SECRETARY OF STATE
Attorney General Contract No. P0012014000078, which is an
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 proper form and is within the powers and authority
granted under the laws of the State of Arizona.
Signature Date
Assistant Attorney General
Printed Name:
ATTEST:______________________________________
Clerk of the Board
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