CTR055214 A5.PDF

Maricopa County — Formal (2024-11-06)

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INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 5 
Procurement Officer: 
Hana Hehman 
 
Page 1 of 3 
Revised 05/29/2024 
 
PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM  
 
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows: 
 
1. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is 
hereby revised with the following: 
 
1.1. The Price Sheet is revised and replaced.  
 
1.2. Exhibit A is revised and replaced.  
 
ALL CHANGES ARE REFLECTED IN RED 
 
All other provisions of this agreement remain unchanged. 
Maricopa County 
 
 
Contractor Name:  
 
County Authorized Signature 
4041 North Central Ave. 
 
 
Address:  
 
Print Name 
Phoenix 
AZ 
85012 
 
 
City 
State 
Zip 
 
Title and Date 
 
Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined 
that this Intergovernmental Agreement is in proper form and is within the powers and 
authority granted under the laws of Arizona 
This Intergovernmental Agreement Amendment shall be 
effective the date indicated.  The Public Agency is hereby 
cautioned not to commence any billable work or provide any 
material, service or construction under this IGA until the IGA has 
been executed by an authorized ADHS signatory.  
 
State of Arizona 
 
Signature 
Date 
 
Signed this                          day  of                                  2024. 
 
 
Print Name 
 
Procurement Officer 
 
 
Contract No.: CTR055214, which is an Agreement between public agencies, has been 
reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has 
determined that it is in proper form and is within the powers and authority granted 
under the laws of the State of Arizona.  
 
 
 
Signature 
Date 
 
Assistant Attorney General 
Print Name

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 5 
Procurement Officer: 
Hana Hehman 
 
Page 2 of 3 
Revised 05/29/2024 
 
PRICE SHEET 
 
PHEP GRANT 
 
Cost Reimbursement 
 
Description 
Amount 
Funds to enhance current PHEP activities per the deliverables in the 
attached ADHS PHEP Grant Deliverables document and upon ADHS 
approval of monthly Contractor Expenditure Reports (CER’s). 
 
$1,991,093.00 
Funds to enhance current PHEP activities (which includes CRI 
jurisdictional requirements) per the deliverables in the attached ADHS 
PHEP Grant Deliverables document and upon ADHS approval of the 
monthly Contract Expenditure Reports (CERs). 
$1,233,476.00
TOTAL ANNUAL AMOUNT 
NOT TO EXCEED 
$3,224,569.00 
 
WORKFORCE DEVELOPMENT GRANT 
July 1, 2020 through June 30, 2025 
 
Cost Reimbursement 
 
Description 
Amount 
Funds pertaining to the Workforce Development Grant Scope of Work and 
upon ADHS approval of quarterly Contractor Expenditure Reports (CERs). 
$3,207,415.00

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
 
150 N. 18th Ave., Suite 530 
Phoenix, Arizona 85007 
Contract No.: CTR055214 
IGA Amendment No: 5 
Procurement Officer: 
Hana Hehman 
 
Page 3 of 3 
Revised 05/29/2024 
 
 
7/12/2024 
7/01/2024-6/30/2025 
$1,991,093.00 
$6,820,439.00