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Pass-Through Entity (PTE) Subrecipient Awarding Agency Project Title Amount Funded This Action Total Amount of Funds Obligated to Date Amendment(s) to Original Terms and Conditions This Amendment revises the above-referenced Subaward Agreement as follows: All other terms and conditions of this Subaward Agreement remain in full force and effect. By an Authorized Official of PTE: Name Date Title Subaward No For clarity: all amounts stated in this amendment are in United States Dollars. Subrecipient Cost Share Start Date: End Date: FDP Subaward Amendment Amendment No Additional Budget Period No Cost Extension Additional Funding Carryover is Revised 10/2020 PTE/Prime Award No. Entity Name Contact Email Principal Investigator Subject to FFATA Carryover Authorized The Subrecipient is not required to countersign this amendment. Unilateral acceptance of this modification does not bypass internal approval processes of the Subrecipient. If Subrecipient would like to terminate this action, a request should be directed to PTE's Administrative Contact. Detailed Budget/Scope of Work Attached For all other contractual changes, the PTE must use the bilateral modification template Cumulative Budget Period(s) (Agreement Start Date) (End Date of Latest Budget Period) (If changing carryover restrictions from prior Agreement, PTE must use the bilateral modification template) 3 547365 Arizona Board of Regents, University of Arizona Maricopa County Public Health Department Subawards@email.arizona.edu barbara.lu@maricopa.gov Scott C Carvajal Mark Gallegos Health Promotion and Disease Prevention Research Centers - 2019 6 U48DP006413-01-03 National Institutes of Health (NIH) 09/30/2019 09/29/2022 $ 55,000.00 $ 94,992.87 I I I Additional budget period 09/30/2021 - 09/29/2022 is hereby added to this Subaward. Additional funding in the amount of $ 55,000.00 is hereby obligated to this Subaward. Not Automatic Carryover across budget periods requires prior approval. If carryover is not automatic, the "Total Amount of Funds Obligated to Date" stated above may not reflect the actual balance available. The Subrecipient is responsible for tracking unobligated balances and subsequent carryover approvals from prior budget periods. In the event that funding was not fully expended by the Subrecipient during the prior period, the Subrecipient is not authorized to use funds from any prior periods, unless approval is granted by the PTE. I (Select any that apply) I New Budget Supplemental Budget Notice of Award Revised Budget Carryover Budget The selected document(s) are hereby incorporated by attachment to this Amendment. The scope of work remains unchanged. Contract Manager, Subawards Melissa Kramer Melissa Kramer Digitally signed by Melissa Kramer Date: 2021.12.09 13:27:33 -07'00' FOR AND ON BEHALF OF MARICOPA COUNTY By: ______________________________________ Jack Sellers, Chairman, Board of Supervisors, Date ATTEST: __________________________________ Office of the Clerk of the Board Date APPROVE AS TO FORM: ____________________________________ Attorny for County Date