C-86-14-045-3-01 AMD 1 AVONDALE ELEMENTARY HE.PDF

Maricopa County — Formal (2014-04-09)

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AGREEMENT NO: C-86-14-045-3-01 AMENDMENT NO:1
AMENDMENT NO.1
TO INTERGOVERNMENTAL AGREEMENT
BETWEEN
IVIARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
AND
Avondale Elementary School District
I. The above named Agreement is hereby amended as specified below,
A. Cover Page, line 3, Contract Amount is increased by $10,000 for a total contract
amount of $18,000.
B. List of Participating schools and stipend amount is Attachment 'A".
C. This Amendment is effective upon execution by both parties.
Ali other term and conditions of the original Agreement that have not been amended by this
or previous amendments shall remain in full force and effect.
Avondale ESD FY14 SHIP 1 of 3

IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF MARICOPA COUNTY BOARD OF
AVONDALE ELEMENTARY SCHOOL SUPERVISORS
DISTRICT
By By
Mark Gonzale-s, GoveniinOoard President Chairman, Board of Supervisors
Date Date
ATTEST; ATTEST:
:731tt..)iitfargrov-e, Superintendent Clerk of the Board
Date Date
APPROVED AS TO FORM: APPROVED AS TO FORM:
Signature Attorney for Marloopa County
/2 2 eJ/
Date Date
Avondale ESD FY14 SHIP 2 of 3

SECTION V ATTACHMENT A 1013ACCO & CHRONIC DISEASE PREVENTION
School Health Implementation Plan
:School Health „ Improvement Plan
;School District or Charter: Avondale Elementary School District
[District Contact: Dr. Nell Stafford
;Title: Director of Exceptional Student Services
;Email: nstaffsaavendale.k12.az.us,
.; one: 623-772-6034
114all Contract to;
Name: Dr. Neil Stafford
; ;Title: Director of Exceptional Student Services
, !Email: _j.9 nstaf .92_ idate.k12.az.us
,
:Address 1Clty State1 101.;
Address; 1222 W. La Canada Blvd irrrnirixd1HL )1;1
lSchool(s)
;Name of School(s) Address 1City [State! bp; AMO un t
1 Eliseo C Felix 40 E La Pasada Blvd Goodyear 863381 $2,000
Lathe Coor School 1406 N Central Ave Avodii 853231 $2000
Centerra Wage 15151 W Centerra Dr Goodyear Az 853381 $2,000
4 Copper Trails 16875W Canyon Trails Blvd Goodyear AZ 853381 $2000 1
5 Wildflower Elementary 325 S Wildflower Dr. Goodyear AZ 863381 $2,000
Total1$10,000
Avondale ESD FYI4 SHIP 3 o13