DES ADES15-089115 AMEND 1.PDF

Maricopa County — Formal (2015-11-04)

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Intergovernmental Agreement
C-22-15-064-3-01
CONTRACT AMENDMENT
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
One (1)
4. THE PARTIES AGREE TO THE FOLLOWING AMENDMENT
Pursuant to the Terms and Conditions, Amendments or Modifications section and Levels of Service section, the purpose of this
amendment is to:
Funding for the contract period July 1, 2015 through June 30, 2016:
The reimbursement ceiling for the service Case Management is increased from $3,687,971 to $3,805,021. This is an increase of
$117,050.
The reimbursement ceiling for the service Community Services is increased from $818,510 to $1,062,016. This is an increase of
$243,506.
The cumulative reimbursement ceiling for the contract period July 1, 2015 through June 30, 2016 is $4,867,037.
Therefore, the Itemized Service Budget for the services of Case Management (Attachment A) and Community Services (Attachment
B) are revised and attached.
ADD
Terms and Conditions, Levels of Service, section 32.7
A Contractor may request, and the Department may approve, the coordination and provision of emergency assistance outside the
designated geographic service area for a specified timeframe. No amendment to the contract shall be required.
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 Steve Chucri
TITLE TITLE
Procurement Manager Chairman Board of Supervisors
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