INTERGOVERNMENTAL AGREEMENT SIGNATURE PAGE.PDF

Maricopa County — Formal (2014-02-12)

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INTERGOVERNMENTAL AGREEMENT
MARICOPA COUNTY
by and through the
RYAN WHITE PART A PROGRAM
301 West Jefferson, Suite 3200, Phoenix, AZ 85003
1. Agreement Number ___________________ 2. Agreement Type: Fee for Service/Cost Reimbursement
3. Agreement Amount: ___$2,935,000.00 __ 4. Purpose: Ryan White Part A Program Services
5. Start Date: ______3/01/2014___________ 6. Expiration Date: ___2/28/2015____________
This Agreement is entered into by and between the Maricopa County Special Health Care District dba Maricopa Integrated Health System (MIHS),
referred to hereinafter as Contractor, and Maricopa County by and through its Ryan White Part A Program referred to hereinafter as County.
Contractor, for and in consideration of the covenants and conditions set forth herein, shall provide and perform the services as set forth below. All
rights and obligations of the parties shall be governed by the terms of this document its exhibits, Attachments and Appendices, including any
Subcontracts or Amendments as forth herein and in:
Section I - General Provisions Section III - Work Statement Section V - Attachments
Section II - Special Provisions Section IV – Compensation
This Agreement contains all the terms and conditions agreed to by the parties. No other understanding, oral or otherwise regarding the subject
matter of this Agreement shall be deemed to exist or to bind any of the parties hereto. Nothing in this Agreement shall be construed as consent
to any suit or waiver of any defense in a suit brought against Maricopa County or its departments, employees, agents or representatives, or
Contractor, in any State or Federal Court.
Legal Notice under this Agreement shall be given by personal delivery or by registered mail to the addresses set forth below and be effective upon
receipt by the party to whom addressed unless otherwise indicated in said notice.
Notice to Contractor: ________________________________________________ Phone: ________________________________________
Address: _______________________________________________________________________________________________________________
Notice to County: _______________________________________________ Phone: ________________________________________
Address: _______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
IN WITNESS WHEREOF the parties enter into this Agreement
CONTRACTOR MARICOPA COUNTY BOARD OF SUPERVISORS
Signature: _____________________________________ Signature: ______________________________________________
Name: _____________________________________ Name: ________________________________________________
Title: _____________________________________ Title: ________________________________________________
Date: _____________________________________ Date: ________________________________________________
ATTEST:
Signature _____________________________________________
Clerk of the Board
Date: _______________________________________________
Pursuant to A.R.S. _11-952, the undersigned public agency s Pursuant to A.R.S. _11-952, the Maricopa County Attorney’s Office has
Intergovernmental Agreement is in proper form and is within the determined that this Intergovernmental Agreement is in proper form
powers and authority granted under the laws of the State of Arizona. and is within the powers and authority granted under the laws of the
State of Arizona.
Signature: _____________________________
Signature: _____________________________
Date: _____________________________
Date: _____________________________