CTR056454 - STD PROGRAM CONGENITAL SYPHILIS INTERVENTION PROJECT A1.PDF

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
Contract No.: 
CTR056454 
IGA Amendment No: 1 
Arizona Procurement Portal Amendment No.: 1 
Procurement Officer 
Kailee Gray 
 
1 
 
 STD Program Congenital Syphilis Intervention Project 
 
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 
 
1. Pursuant to Terms and Conditions, Provision Six (6), Contract Changes, 6.1., Amendments, Purchase Orders and 
Change Orders, the Termination Date is extended to August 1, 2023.  
 
 
 
 
 
 
 
 
 
 
 
All other provisions of this agreement remain unchanged. 
 
 
 
Contractor Name: Maricopa County Department of Public Health 
 
Authorized Signature 
 
4041 North Central Avenue, Suite #1400 
 
 
Address:  
 
Print Name 
Phoenix 
AZ 
85012 
 
 
City 
State 
Zip 
 
Title 
 
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                                  2022. 
 
 
Print Name 
 
Procurement Officer 
 
 
Contract No.: CTR056454, 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