CTR046941 HRPP MARICOPA COUNTY A4.PDF

CONTRACT AMENDMENT 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N 18th Ave., Ste. #530 
Phoenix, Arizona 85007 
CONTRACT NO.: CTR046941 
AMENDMENT NO.: 4 
Procurement Officer 
Diana Landeros 
HRPP Community Health Nursing (Maricopa County Department of Public Health) 
Effective upon signature by both parties, it is mutually agreed that the Contract referenced in this amendment is amended 
as follows: 
1.
Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions (5 Year Maximum), the
Contract is hereby extended through June 30, 2023, the fourth (4) year of the Contract.
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY 
Contractor hereby acknowledges receipt and acceptance of 
above amendment and that a signed copy must be filed 
with the Procurement Office before the effective date 
The above referenced Contract Amendment is hereby 
executed this _____ day of __________ 20______ at 
Phoenix, Arizona 
(To be filled out by Procurement Office) 
Contractor Signature 
Contractor Signature Date 
Authorized Signatory’s Name and Title 
Maricopa County 
Contractor’s Name 
Procurement Officer Signature 
Bill Gates, Chairman, Board of Supervisors
ATTEST: 
 
 
 
 
 
 
________________________ 
 
Juanita Garza, Clerk of the Board 
_____________  
Date
APPROVED AS TO FORM: 
________________________ 
 
Anne Longo, Attorney for Maricopa County 
_____________  
Date