DYSART USD DENTAL SEALANT IGA AMD 3.PDF

Maricopa County — Formal (2022-06-22)

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CONTRACT NO:  C-86-20-017-3-03  
AMENDMENT NO: 3   
 
 
AMENDMENT TO INTERGOVERNMENTAL AGREEMENT 
BETWEEN MARICOPA COUNTY  
BY AND THROUGH ITS 
DEPARTMENT OF PUBLIC HEALTH 
AND DYSART UNIFIED SCHOOL DISTRICT  
 
I. 
The above named IGA is hereby amended as specified below. 
 
A. Extend the term for one year (1) to begin July 1, 2022 and end June 30, 2023 
unless terminated by either party.   
 
II. 
All other terms and conditions of the original IGA shall remain in full force and 
effect. 
 
In witness whereof, the parties agree to the changes indicated herein: 
 
For and on behalf of 
Maricopa County: 
 
 
Signature                                       Date 
 
 
Name                                            Title 
 
 
 
Attest: 
 
 
Signature                                              Date 
 
 
Name                                                    Title 
 
 
Approved as to form: 
 
 
Signature                                              Date 
 
 
Name                                                    Title            
         
 
 
 
For and on behalf of 
Dysart Unified School District: 
 
 
Signature                                       Date 
 
 
Name                                            Title 
 
 
 
Attest: 
 
 
Signature                                              Date 
 
 
Name                                                    Title 
 
 
Approved as to form: 
 
 
Signature                                              Date 
 
 
Name                                                    Title