AHCCCS AND MARICOPA COUNTY IGA AMENDMENT C-26-08-011-0-14.PDF

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MAHCCCS

~" Arizona Health Care Cost Containment System

INTERGOVERNMENTAL AGREEMENT

AMENDMENT
1. Amendment | 2. CONTRACT NUMBER: 3. EFFECTIVE DATE OF AMENDMENT: 4. PROGRAM:
14 YHO8-0073 July 1,2022 DFSM
C-26-08-011-0-14

5. CONTRACTOR/PROVIDER NAME AND ADDRESS:

Maricopa County on behalf of

Correctional Health Services

234 N. Central, Suite 5000
Phoenix, AZ 85004

6. PURPOSE: To extend the term ofthe agreement for an additional (12)twelve months.

7. The above referenced contract is herebyamended as stated below:

A. Pursuant to Paragraph 6.1, Term of Agreement, the contract term is hereby extended for an additional
twelve months through July 1, 2022 to June 30, 2023.

NOTE: Please return scanned copy to: Toni Cota, Procurement Specialist at: anntonia.cota@azaheces.gov

unchanged and in full effect.

8. Exceptas provided for herein, all terms and conditions ofthe original contractnot heretofore changed and/or amended remain

In witness whereof the parties hereto sign their names in agreement.

9. Maricopa County on behalf of Correctional Health
Services

10. Arizona Health Care Cost Containment System

SIGNATURE OF AUTHORIZED INDIVIDUAL: SIGNATURE:
ae Aldea. Vpris Saies aT
TYPED NAME: TYPED NAME:
Meggan LaPorte, MSW, CPPO
TITLE: TITLE:
Chairman, County Boardof Supervisors Chief Procurement Officer
DATE: DATE:

Apr 13, 2022

11. Inaccordance with state statutes, county rules, and bylaws,
this agreement has been reviewed by the undersigned who
has determined that this agreementis in appropriate form
and is within the power and 3: ‘ty granted to the county.

bated tts ey CLT 2022

BY,

42. inaccordance with § A.R.S. 11-952, this amendments in proper form and
is within the power and authority granted to the administration under §
A.RS. 36-2903 et seq. and §36-2932 et seq.

day of APE 2022

this 13th

Deputy County Attorney

tegal counsel for the administration