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Page 1 of 3 ARIZONA STATE CONTRACT MASTER CONTRACT - TERM Purchase Order No.: ADHS14-071224 Organizational Reference No.: Effective Date: 01/01/2014 Valid Through: 12/31/2018 V Vendor Number: 000010983 I Arizona Department of Health Services E Maricopa County Public Health S Public Health Preparedness N 4041 N. Central Avenue, #1400 S 1740 W. Adams D Phoenix, AZ 85012 U Phoenix, AZ 85007 O E R D Contract No.: ADHS14-071224 B Delilah Gonzalez Title: SEXUALLY TRANSMITTED DISEASE (STD) CONTROL Y SERVICES - MARICOPA COUNTY The following documents make up the Contract and are incorporated herein by reference. Blanket Instructions ADHS14-071224 Maricopa County Department of Public Health (STD Control Program) TERMS AND CONDITIONS set forth in our Bid, Quotation, or Purchase Order ADHS14-071224 Amd 1 Fully Executed.pdf are incorporated herein by reference and become a part of this order. ADHS14-071224 Amd 2 - Maricopa County Executed.pdf Account Code: Payment Terms: Net 30 Shipping Terms: Solicitation (Bid) No.: Delivery Calendar Day(s) A.R.O.: 0 Item Description Requisition Quantity Unit Unit Price Total Class-Item 948-34 1 1.00 EA $ 403,852.00 $ 403,852.00 STD SERVICES - PERSONNEL SERVICES AND EMPLOYEE RELATED EXPENSES Class-Item 948-34 2 1.00 EA $ 0.00 $ 0.00 STD SERVICES - PROFESSIONAL AND OUTSIDE SERVICES Class-Item 948-34 3 1.00 HR $ 0.00 $ 0.00 STD SERVICES - PROFESSIONAL AND OUTSIDE SERVICES: TEMPORARY DATA ENTRY STAFF @ $13.97 PER HR Class-Item 948-34 4 1.00 EA $ 0.00 $ 0.00 STD SERVICES - TRAVEL EXPENSES Page 2 of 3 ARIZONA STATE CONTRACT MASTER CONTRACT - TERM Class-Item 948-34 5 1.00 EA $ 0.00 $ 0.00 STD SERVICES - OCCUPANCY EXPENSES Class-Item 948-34 6 1.00 EA $ 0.00 $ 0.00 STD SERVICES - CAPITAL OUTLAY EXPENSES Class-Item 948-34 7 1.00 EA $ 60,578.00 $ 60,578.00 STD SERVICES - OTHER Class-Item 948-34 8 1.00 QTR $ 0.00 $ 0.00 STD SERVICES - QUARTERLY Class-Item 948-34 9 20000.00 EA $ 0.05 $ 1,000.00 Vouchers / Cards: Effective December 1, 2015 - June 30, 2016. Class-Item 948-34 10 1450.00 EA $ 20.00 $ 29,000.00 Clinic Visits: Effective December 1, 2015 - June 30, 2016. TOTAL: $ 494,430.00 Approved By: Delilah Gonzalez Phone No.: (602) 364-1482 ATTACHED TO AND A PART OF C-86-15-020-3-03 Arizona State Contract, ADHS14-071224 Health Resources and Services Administration IN WITNESS WHEREOF, the parties agree to enter into this Contract and its Amendments: FOR AND ON BEHALF OF MARICOPA COUNTY By Chairman, Board of Supervisors Date ATTEST: Clerk of the Board Date APPROVED AS TO FORM: Attorney for Maricopa County Date Page 3 of 3