DES AMEND 2 FOR CASE MANAGEMENT.PDF

Intergovernmental Agreement
CONTRACT AMENDMENT C-22-15-064-3-02
1. CONTRACTOR (Name and address) 2. CONTRACT ID NUMBER
Maricopa County Administered by its Human Services Department ADES15-089115
234 N. Central Ave., Suite 3000
Phoenix, Arizona 85004 3. AMENDMENT NUMBER
Two (2)
4. THE PARTIES AGREE TO THE FOLLOWING AMENDMENT
The purpose of this Amendment is to revise the Case Management Service Budget for the period of July 1, 2015 through
June 30, 2016.
Pursuant to the Terms and Conditions Section 32.7 Levels of Service, this Amendment revises the Case Management Service
Budget for the period of July 1, 2015 through June 30, 2016 as follows:
Per the Alert issued on October 9, 2015 the contract reimbursement ceiling for the period of July 1, 2015 through June 30, 2016 is
revised from $4,867,037 to $4,869,437.
The Community Services Budget of $1,062,016 remains the same.
Therefore, the Case Management Service Budget for the period beginning July 1, 2015 through June 30, 2016 is revised and
attached.
5. EXCEPT AS PROVIDED HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT AS HERETOFORE CHANGED AND/OR
AMENDED REMAIN UNCHANGED AND IN FULL FORCE AND EFFECT. THE AMENDMENT SHALL BECOME EFFECTIVE ON THE DATE
OF LAST SIGNATURE UNLESS OTHERWISE SPECIFIED HEREIN. BY SIGNING THIS FORM ON BEHALF OF THE CONTRACTOR, THE
SIGNATORY CERTIFIES HE/SHE HAS THE AUTHORITY TO BIND THE CONTRACTOR TO THIS CONTRACT.
6. 7. NAME OF CONTRACTOR
ARIZONA DEPARTMENT OF ECONOMIC SECURITY Maricopa County Administered by its Human Services
Department
SIGNATURE OF AUTHORIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL
TYPED NAME TYPED NAME
Pam Giroux
TITLE TITLE
Procurement Manager
DATE DATE
IN ACCORDANCE WITH ARS §11-952 THIS CONTRACT AMENDMENT HAS BEEN REVIEWED BY THE UNDERSIGNED WHO HAVE DETERMINED THAT THIS
CONTRACT AMENDMENT IS IN APPROPRIATE FORM AND WITHIN THE POWERS AND AUTHORITY GRANTED TO EACH RESPECTIVE PUBLIC BODY.
ARIZONA ATTORNEY GENERAL’S OFFICE
BY: BY:
ASSISTANT ATTORNEY GENERAL PUBLIC AGENCY LEGAL COUNSEL
DATE: DATE:
Revised: 8/22/13