AMD RE MULI-HOUSING PROJ SMOKE FREE WITH ADHS.PDF

OSF, 5, 63
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ARIZONA DEPARTMENT OF
INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT HEALTH SERVICES
15Q N. le Ave, Suite 280
Phoenix, Arizona 85007
(602) 542-1040
_1602) 542-1741 Fax
Procurement Specialist
Contract No: ADHS15-084012 Amendment No. 2
Manuel Gonzales
. Arizona Multi Housing Project
It is mutually agreed that the Intergovernmental Agreement referenced is amended, effective upon final signature, as follows:
1. Pursuant to Terms and Conditions, Provision Four (4) Contract Administration and Operation 4.2, Contract
Renewal, the Contract is hereby extended through October 31, 2017.
All other provisions of this agreement remain unchanged.
CONTRACTOR SIGNATURE
Maricopa County by and through its,
Maricopa County Department of Public Health
Contractor Name Contractor Authorized Signature
4041 N. Central Ave, Suite 1400
Clint L. Hickman
Address Printed Name
Phoenix Arizona 85012
Chairman, Maricopa County Board of Supervisors
City State Zip Title
CONTRACT R 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 any billable work or provide any material, service or construction under
form and is within the powers and authority granted under the laws of this IGA until the IGA has been executed by an authorized ADHS
the State of Arizona. signatory.
State of Arizona
Signed this day of 2016
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 1