CTR068457 SPSP MCDPH A1 FOR SIGNATURE.PDF
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INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF PROCUREMENT 150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007 Contract No.: CTR068457 IGA Amendment No: 1 Procurement Officer: Brandon Durick Page 1 of 1 Revised 05/29/2024 SUICIDE PREVENTION STAFFING AND PROGRAMMING It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 1. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is hereby revised with the following: 1. The Contract No. CTR068457 is revised and replaced with CTR075828 as a result of an invalid Supplier ID in the APP system. ALL CHANGES ARE REFLECTED IN RED All other provisions of this agreement remain unchanged. MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH Contractor Name: County Authorized Signature 4041 N Central Avenue #1400 Address: Print Name Phoenix AZ 85012 City State Zip Title and Date Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined that this Intergovernmental Agreement is in proper form and is within the powers and authority granted under the laws of Arizona This Intergovernmental Agreement Amendment shall be effective the date indicated. The Public Agency is hereby cautioned not to commence any billable work or provide any material, service or construction under this IGA until the IGA has been executed by an authorized ADHS signatory. State of Arizona Signature Date Signed this day of 2024. Print Name Procurement Officer Contract No.: CTR068457, which is an Agreement between public agencies, has been reviewed 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 and authority granted under the laws of the State of Arizona. Signature Date Assistant Attorney General Print Name