DI24-02411 IGA AMENDMENT 1 ADES DME REFUGEES.PDF

INTERGOVERNMENTAL
AGREEMENT AMENDMENT
ARIZONA DEPARTMENT OF 
ECONOMIC SECURITY
1789 W. Jefferson Street,
Mail Drop 1541,
Phoenix, Arizona 85007
(602) 364-0170
02/10/2021Intergovernmental Agreement Amendment v4Page 1 of 1
CONTRACTOR (Name and Address):
Services Description:
Coordination 
Health Assessment
Maricopa County Department of Public 
Health
4041 N. Central Ave, Suite 1400
Phoenix, AZ. 85012
Agreement Number:
DI24-002411
Amendment Number:
One (1)
PURSUANT TO THE INTERGOVERNMENTAL AGREEMENT (IGA) SECTION 17 AMENDMENTS, THE PARTIES 
HEREBY AGREE TO AMEND THE AGREEMENT AS FOLLOWS:
The Itemized Service Budget for the period October 1, 2024 through September 30, 2025 is being added. The
Agreement reimbursement ceiling is $950,000.00.
Section 14.0 Exhibit A - Itemized Service Budget is attached.
EXCEPT AS PROVIDED HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT SHALL REMAIN UNCHANGED AND 
IN FULL FORCE AND EFFECTS.  THE AMENDMENT SHALL BECOME EFFECTIVE ON THE DATE OF LAST SIGNATURE UNLESS 
OTHERWISE SPECIFIED HEREIN.  BY SIGNING THIS AMENDMENT ON BEHALF OF THE CONTRACTOR, THE SIGNATORY CERTIFIES 
HE/SHE HAS THE AUTHORITY TO BIND THE CONTRACTOR TO THIS CONTRACT.
Agency Name
Name of Contractor
Arizona Department of Economic Security
Authorized Signature
Authorized Signatory
Type Name
Type Name
Title
Title
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
PUBLIC AGENCY LEGAL COUNSEL 
ASSISTANT ATTORNEY GENERAL 
DATE
DATE