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INTERGOVERNMENTAL AGREEMENT AMENDMENT ARIZONA DEPARTMENT OF ECONOMIC SECURITY 1789 W. Jefferson Street, Mail Drop 1541, Phoenix, Arizona 85007 (602) 364-0170 02/10/2021 Intergovernmental Agreement Amendment v4 Page 1 of 1 CONTRACTOR (Name and Address): Services Description: Coordination–Health Assessment Agreement Number: DI18-002141 Maricopa County Department of Public Health 4041 N. Central Ave, Suite 1400 Phoenix, AZ 85012 Amendment Number: Three (3) PURSUANT TO THE INTERGOVERNMENTAL AGREEMENT (IGA) SECTION 9.0 AMENDMENTS, THE PARTIES HEREBY AGREE TO AMEND THE AGREEMENT AS FOLLOWS: In accordance with Section 7.0, Extension, the Contract term is extended from October 1, 2022 through September 30, 2023. The rates are not adjusted for the extension period and shall remain the same as the previous Contract term. 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 Maricopa County Department of Public Health 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 ASSISTANT ATTORNEY GENERAL PUBLIC AGENCY LEGAL COUNSEL DATE DATE