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C-22-15-063-3-02 Amendment No. 2 AMENDMENT NO. 2 TO THE CONTRACT BETWEEN MARICOPA COUNTY AE1MINISTERED BY ITS HUMAN SERVICES DEPARTMENT AND LODESTAR DAY RESOURCE CENTER I. Maricopa County entered in to Contract C-22-15-063-3-00 with Lodestar Day Resource Center on April 15, 2015, for the provision of homeless emergency shelter and coordination of social services. Amendment No. 1 was approved on June 24, 2015, increasing funding from $302,892 to $350,000. The Parties mutually desire to amend the Contract to: A. Extend the Contract term from November 15, 2015 to June 30, 2016 B. Increase Contract amount by $190,789 from $350,000 to $540,789 for use during the limited period of July 1, 2015 to June 30, 2016. C. Replace Attachment B Monthly Payment Request The foregoing paragraphs contain all the changes to the Agreement. All other terms of the original Agreement and Amendment No. 1 not amended hereby, remain in full force and effect. IN WITNESS THEREOF, the Parties have signed this Amendment: FOR AND ON BEHALF OF LODESTAR DAY FOR AND ON BEHALF OF MARICOPA RESOURCE CENTER: COUNTY: Steve Chucri, Chairman of the Board ICI(22115 NOV 10 2015 Date Date NOV 10 2015 McCarroll, Clerk of the Board ' Date iC:;1.4iS- This Amendment has been reviewed by the undersigned Attorney who has determined that is proper in forin and within the power and authority granted under the laws of the State of A4z6ria. - .- 11 eputy County Attorney Date C-22-15-063-3-02 Amendment No. 2 ATTACHMENT B Maricopa County Human Services Department Community Development Division Payment Request Claim Form 'TIME STAMP ABOVE Subrecipient Lodestar Day Resource Center Month & Year Address: 1125 W. Jackson i Contract # C-22-15-063-3-00 City/State/Zip: Phoenix, AZ 85007 Contract Start Date April 15, 2015 Contact Person: David Bridge Contract End Date June 30 2016 Phone Number: 602-223-3419 Date Submitted E-mail Address: dbridge@hSC-az org B. Amount A. Contract Budget Requested YTD C. Amount of this D. New Total Line Item Expenditures Requested YTD 6' New Balance in Amount (from D. previous Request Budget (A-0) claim) (B+C) 1. Shelter Operations (4/15/15-5/14/15) $26,907 $ - $ - $ 26,907 2. Shelter Operations (5/15/15-6/30/15) $168,681 $ - $ - $ - 168,681 3. Shelter Operations (7/1/15-11/15/15) $154,412 $ - $ - $ - 154,412 4. Sheller Operations (7/1/15-6/30/16) $190,789 $ - $ $ .. 190,789 TOTALS: 540,789 - - — 0.00 540,789 Signature certifies that all activities performed with contracted funds have been carried out in accordance with the contract to the best of the signer's knowledge. Authorized Signature Title Date PayMobt.Re.OlreffiePtS:.•.Art .Okitheriked signature Is required. After signature, please SCAN AND EM4JL this form . An incomplete Or iiicOrreolf payment racjaaot#440:rettirned for correction and.rney.'delayPayinehL':... Supporting d.9060.0taticin...M0#.0.01 .:•SttbtrlItte0iiiilfthis:OlSiM:...FrOM::4/..15/14Sveitable:tUnqs:shaltbei....$28.907:. Starling :.$1.10-01.$0/15P.Perutir)g: .00.ts:.t6t .al.:. of.siskS61... tortinOitittol -.I.ift0W000rating.:Cp0Oiktia".th :tpUriaititiai payments of $38 603/month Amendment #2 funding of $190 789 is for expenses for thati*Oefic0..of ....om.:oplOomatiiikare:nOt.OrOicq4 reimbursed and lkill:Onlii.:t4rolrn bui sad with correct supporting documentation :MCBSDiCIIOSE ONLY ,: Project Manager Date Assistant Director Date Grants Accountant Date