ADES REFUGEE IGA AMEND 3.PDF

Maricopa County — Formal (2022-07-27)

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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 
Maricopa County Department of Public Health 
4041 N. Central Ave, Suite 1400 
Phoenix, AZ 85012 
Agreement Number: 
DI18-002141 
Amendment Number: 
Three (3) 
PURSUANT TO THE INTERGOVERNMENTAL AGREEMENT (IGA) SECTION 9.0 AMENDMENTS, THE PARTIES 
HEREBY AGREE TO AMEND THE AGREEMENT AS FOLLOWS: 
To extend this IGA for the period of October 1, 2022 through September 30, 2023. 
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 
PUBLIC AGENCY LEGAL COUNSEL, ANNE LONGO 
ASSISTANT ATTORNEY GENERAL  
DATE 
DATE 
ATTEST:
Name
Title
Signature
Date
Juanita Garza
Clerk of the Board
Bill Gate
Chairman, Board of Supervisors
SIGNATURE
C-86-18-010-3-08