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AMENDMENT TO THE CONTRACT FOR SERVICES AGREEMENT BETWEEN MARICOPA COUNTY ADMINISTERED BY ITS HUMAN SERVICES DEPARTMENT AND CENTRAL ARIZONA SHELTER SERVICES Contract Number: C-22-14-026-3-00 Amendment Number: 01 Contract Amount: $750,000 Contract Term Start: July 1, 2013 Contract Termination: June 30, 2014 CFDA Number: Not applicable A. The purpose of this Amendment is to: 1. Revise Maricopa County Human Services Department Contact as follows: i. County Representative: Amy Jacobson, Community Development Division Address: 234 N. Central Ave., Suite 3000, Phoenix, AZ 85004 Phone: 602-372-1528 E-mail: jacobson@mail.maricopa.gov 2. Increase the Contract funding by $225,000 from $525,000 for a new Contract total of $750,000. 3. Add payments 9 and 10, $112,500 each (total $225,000) i. Documentation Required – Due by the 10th calendar day of the following month (for the months May and June): Payment requests will be made via Attachment A Monthly Financial Report HMIS Program Performance Report Occupancy Information Report ii. The contractor shall, by June 10, 2014 file with the Human Services Department its Fiscal Year 2013 audited financial statement prepared in accordance with federal single audit requirements. iii. Provide monthly reports due on the 10th calendar day of the month on: The number of new admissions into both the CASS shelter and MOS The number of admissions into CASS from the MOS The number of persons exiting both CASS and the MOS B. The foregoing contains all the changes made by this Amendment. All other terms and conditions of the original Contract remain the same and in full force and effect. IN WITNESS THEREOF, the Parties have signed this agreement: Approved By: Approved By: Central Arizona Shelter Services, Inc. MARICOPA COUNTY ___________________________________ ___________________________________ Chief Executive Officer Chairman, Board of Supervisors __________________ __________________ Date Date Attested To: ___________________________________ Clerk, Board of Supervisors Date In accordance with A.R.S. §§ 11-201, and 11-251 use for agreements with organizations, or use A.R.S. § 11.951 for agreements with government agencies (delete the one that does not apply) this agreement has been reviewed by the undersigned attorney(s) who has determined that this agreement is proper in form and within the power and authority granted under the laws of the State of Arizona. Approved as to form: ___________________________________ Deputy County Attorney Date