ACAA URRD AMENDMENT 1.PDF

Maricopa County — Formal (2016-11-16)

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Amendment No. One (1) to the 2016-2017
Independent Contractor Agreement
Contract No. 07012016-17
The Independent Contract Agreement dated July 1, 2016, between Arizona Community Action
Association (ACAA) and Maricopa County, administered by its Human Services
Department/Community Development Division (hereinafter “Contractor”) to conduct
application intake and eligibility determination for utility bill assistance and deposits is hereby
amended as follows:
Purpose of the Amendment:
1. To disburse Southwest Gas Energy Share – Repair/Replacement funds in the amount of
$8,813.00 (Total Allocation).
2. Replace Exhibit A with revised Exhibit A Home Energy Assistance Fund (HEAF) Policy
Manual FY2017, Parties will comply with the HEAF Policy Manual FY 17 and any
amendments thereto.
3. Incorporate by reference Exhibit C Instructions for Assisting Clients in the Southwest
Gas Customer- Owned Yard Line (COYL) Program Using Southwest Gas Energy Share -
Repair/Replacement Funds.
4. Incorporate by reference Exhibit D Southwest Gas Meter Relocation Agreement for
Customer-Owned Yard Line Program (used to verify client participation in the program).
Amendment to:
Section I. Services and Programs – 1.2 Fund Sources:
Southwest Gas Energy Share – Repair/Replacement funds: To disburse a Direct Service
amount of $8,011.82 and a Program Delivery amount of $801.18. The total allocation of
Southwest Gas Energy Share – Bill Assistance will be $8,813.00 (Direct Service +
Program Delivery). Refer to Exhibit A, Attachment 2 – Southwest Gas Energy Share
Repair/Replacement Program Summary. Refer to Exhibit C and Exhibit D.
Whole Agreement:
Unless otherwise noted herein, all other provisions of the original Agreement will remain in
place for the duration of the original Agreement.
[Signature page follows]

IN WITNESS WHEREOF, the undersigned have executed this Amendment No. One (1),
effective as of the effective date.
CONTRACTOR: Arizona Community Action Association,
Maricopa County an Arizona nonprofit corporation
By:
By:_______________________________________
Name: Cynthia Zwick
Name: _Clint L. Hickman_______________
Title: Executive Director
Title: Chairman, Board of Supervisors________
Date:
Date:________________________________________
Address:
2700 North 3rd Street, Suite 3040
Attested to: Phoenix, Arizona 85004
Fax No.: 602-604-0644
By: _______________________________________ E-mail: czwick@azcaa.org
Fran McCarroll
Title: Clerk of the Board______________________
Date:______________________________________
Approved as to Form:
By:_______________________________________
Name: ______________________________________
Title: _Deputy County Attorney___________________
Date:______________________________________

List of Attached Exhibits:
Exhibit A Home Energy Assistance Fund (HEAF) Policy Manual FY2017–
Updated 9-22-16
Exhibit C Instructions for Assisting Clients in the Southwest Gas Customer-
Owned Yard Line (COYL) Program Using Southwest Gas Energy
Share - Repair/Replacement Funds
Exhibit D Southwest Gas Meter Relocation Agreement for Customer-Owned Yard
Line Program (used to verify client participation in the program).