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ARIZONA DEPARTMENT OF C-86-16-112-3-02 HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) 150 North 18th Avenue, Suite 280 Phoenix, Arizona 85007 AMENDMENT (602) 542-1040 (602) 542-1741 Fax Agreement No: ADHS17-133194 Amendment No: 2 Procurement Officer: Russell Coplen Emergency Preparedness Program Effective upon signature, it is mutually agreed that the Agreement referenced above is amended as follows: 1. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and Change Orders, the Price Sheet is revised to include the Price Sheet of this Amendment Two (2). All other provisions shall remain in their entirety. CONTRACTOR SIGNATURE Maricopa County by and through its Department of Public Health Contractor Name Contractor Authorized Signature 4041 N. Central Ave. Suite 1400 Denny Barney Address Printed Name Phoenix AZ 85012 Chairman, Board of Supervisors City State Zip Title CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be Pursuant to A.R.S. § 11-952, the undersigned public effective the date indicated. The Public Agency is hereby agency attorney has determined that this cautioned not to commence any billable work or provide Intergovernmental Agreement is in proper form and is any material, service or construction under this IGA until within the powers and authority granted under the laws of the IGA has been executed by an authorized ADHS the State of Arizona. signatory. State of Arizona Signed this _________ day of _________________ 2017 Signature Date Printed Name Procurement Officer 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 Date: ________________ Page 1 of 3 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 280 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 (602) 542-1741 Fax Agreement No: ADHS17-133194 Amendment No: 2 Procurement Officer: Russell Coplen 2. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and Change Orders, The following terms are added to the Special Terms and Conditions of this Amendment Two (2). 21. Contracting; Procurement; Investment; Prohibitions 21.1 A public entity may not enter into a contract with a company to acquire or dispose of services, supplies, information technology or construction unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of Israel. 21.2 A public entity may not adopt a procurement, investment or other policy that has the effect of inducing or requiring a person or company to boycott Israel. Page 2 of 3 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 280 AMENDMENT Phoenix, Arizona 85007 (602) 542-1040 (602) 542-1741 Fax Agreement No: ADHS17-133194 Amendment No: 2 Procurement Officer: Russell Coplen PRICE SHEET PHEP Refresh Seven (7) Percent Funding Reinstated July 1, 2016 through June 30, 2017 Cost Reimbursement Description Quantity Unit Rate Total Cost Additional funds to enhance current PHEP activities. 1 $146,913.06 $146,913.06 Cities Readiness Initiative (CRI) FY 17 Funds July 1, 2016 through June 30, 2017 Cost Reimbursement Description Quantity Unit Rate Total Cost Additional funds to enhance current PHEP activities. 1 $92,720.70 $92,720.70 PHEP Zika Phase II Funding July 1, 2016 through June 30, 2017 Fixed Price Description Quantity Unit Rate Total Cost Attachment A 1 $178,273.00 $178,273.00 Deliverables and Activities per the Scope of Work TOTAL $417,906.76 Page 3 of 3