MIHS IGA AMENDMENT.DOCX

Maricopa County — Formal (2014-09-24)

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MARICOPA COUNTY RYAN
DRAFT WHITE PART A PROGRAM
301 W. Jefferson Street,
INTERGOVERNMENTAL AGREEMENT (IGA) AMENDMENT Suite 3200
Phoenix, Arizona 85003
Procurement #14022
Agreement No.: 40-14-145-1 Amendment No. 2
RYAN WHITE PART A PROGRAM SERVICES
Effective October 1, 2014, it is mutually agreed that the referenced Intergovernmental Agreement is amended as follows:
Pursuant to:
1. Page Twenty Three (23), Section III: Work Statement Paragraph 1 is revised to included d. Treatment Adherence
Counseling
2. Section IV: Compensation is revised to include 6. Treatment Adherence Counseling – Treatment. Adherence Counseling
shall be provided in accordance with the cost of providing services as provided in the approved budget and funding
allocation, plus 10% of direct service fees.
3. Section V: Attachment 6 is added entitled Treatment Adherence Counseling and includes 6a Service Definition and 6b
Budget & Schedule of Deliverables.
ALL OTHER PROVISIONS OF THIS AGREEMENT REMAIN UNCHANGED.
CONTRACTOR: COUNTY:
On behalf of: On behalf of:
MARICOPA COUNTY SPECIAL HEALTHCARE DISTRICT THE MARICOPA COUNTY BOARD OF SUPERVISORS
dba: MARICOPA INTEGRATED HEALTH SYSTEM
Signature: ________________Date: _______ Signature: ____________________________Date: _______
Name: Mary A. Harden, RN Name: Wes Baysinger
Title: Chair Board of Directors Title: Director, Office of Procurement Services
Attest: _______________________ Date: ________
Melanie Talbot, Clerk of the Board
Pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, Pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney,
who has determined that it is in proper form and is within the powers 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. and authority granted under the laws of the State of Arizona.
Signature Date
Signature: ________________________________ Date: _________ Signature: ________________________________ Date: _________
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