ADOH COVID19 RENTAL ASSISTANCE AMENDMENT 2.PDF

Contract No.: 
532-20 
Termination Date: 
12-31-2020 
Amendment No. 
#2 
 
 
AMENDMENT TO  
FUNDING AGREEMENT 
Between 
STATE OF ARIZONA 
DEPARTMENT OF HOUSING 
and 
MARICOPA COUNTY 
 
This Amendment is made and entered into by and between the State of Arizona, Department of Housing 
(HOUSING), and Maricopa County, administered by its Human Services Department (Recipient) 
(“Amendment”). 
 
Whereas Housing administers the Housing Trust Fund (“HTF”) pursuant to A.R.S. § 41-3955; through such 
administration, Housing implemented the Rental/Eviction Prevention Funding Program (“Eviction Program”).   
 
Whereas, HOUSING and Recipient have entered into a Funding Agreement (“Contract”) for an award from 
the Eviction Program relating solely to the COVID-19 (“COVID-19 Eviction Assistance”) to Recipient for the 
purpose outlined in the Scope of Work attached as Attachment A (“SOW”) to the Contract; the terms defined 
in the Contract shall apply to this Amendment unless otherwise defined herein; and 
 
Whereas, a revision to said Contract is necessary to provide for certain increase(s) in the amount of the award 
to Recipient, upon the terms and conditions set forth herein, and; 
 
Whereas, HOUSING and Recipient agree that the revision is in the best interest of all parties, including 
beneficiary low-income households;  
 
WHEREFORE, in consideration of the agreements and covenants set forth in the Contract and other good and 
valuable consideration, the receipt of which is hereby acknowledged, HOUSING and Recipient hereby agree 
to amend the Contract as follows: 
 
Section 13.     COMPENSATION AND METHOD OF PAYMENT 
  
Recipient is decreasing their budget by $400,000 in the Rental Assistance line item for the purpose 
set forth in the Scope of Work based upon funding available to Housing under the Eviction 
Prevention Program related to COVID-19 Assistance.  A revised Request for Payment attached 
as Attachment D reflects the decreased allocation.   
C-22-20-027-3-02

Any and all portions of subject Contract that are not herein specifically amended shall remain unchanged and 
in full force and effect. 
                                                                                                                             
In Witness Whereof, HOUSING and Recipient have executed this Amendment that shall become effective 
when signed by HOUSING. 
 
THE STATE OF ARIZONA, 
MARICOPA COUNTY  
DEPARTMENT OF HOUSING 
RECIPIENT 
 
 
BY: 
 
BY: 
 
 
Carol L. Ditmore 
 
Clint Hickman 
TITLE: 
Director 
TITLE: 
Chair, County Board of Supervisors 
 
DATE: 
 
 
DATE: 
 
 
 
 
 
 
 
 
 
 
 Manager’s Approval: _____________ 
 Attorney General No. : KR02-0085 
C-22-20-027-3-02

HTF Rental/Eviction Prevention Assistance- Maricopa County
Attachment D- Page 32
ARIZONA DEPARTMENT OF HOUSING REQUEST FOR PAYMENT SUMMARY SHEET PAGE 1 OF 2 
Recipient Maricopa County 
Vendor No. PZ000013779
Date
Contract No 532-20
Contract Period: from 03/27/2020-12/31/2020 
Pay Req. No/Mo
Activity  HTF Administration, Support Services, Prevention Assistance
Direct Wire Dep
Yes   X    No
Recipient Address 234 N. Central Ave. Suite 3000
City Phoenix
Contact Person Sandra Mendez
ZIP 85004
Phone 602-506-2316
Sandra.Mendez@Maricopa.gov
Fax
Program Specialist Chavon Woods
Chavon.Woods@azhousing.gov
County Maricopa
Itemized Payment Statement (Sheet 2 of 2) must accompany this form.  Include copies of timesheets and other backup
documentation. ORIGINAL SIGNATURES are required for processing.
a
b
c
e
f
g
h
Budget Line Item or
IDIS 
HTF
CCSNF
Total Amount
Balance in 
Amount of this
New 
Activity No. 
Act No.
2020/2021
2020
Req. to Date
Account
Request
Balance
Act. 1 Administration
$69,984.00
$69,984.00
69,984.00
$                                 
Act. 2 Support Services
$140,016.00
$140,016.00
140,016.00
$                               
Act. 3 Prevention Assist. 
$440,000.00
$440,000.00
440,000.00
$                               
Act. 4 Temporary Workers
$252,264.00
$252,264.00
252,264.00
$                               
-
$                      
-
$                                           
-
$                      
-
$                                           
-
$                      
-
$                                           
-
$                      
-
$                                           
Total 
650,000.00
$             
252,264.00
$             
-
$                    
902,264.00
$          
-
$                     
902,264.00
$                               
Recipient Authorized Signature 
Title
Recipient Authorized Signatory certifies that all activities undertaken by the contractor with funds provided under this contract have been carried 
out in accordance with the contract.  Attach wiring information if not previously submitted. Attach alternate mailing address if necessary. 
Performance Reports
Current  
For ADOH Use
Only
ADOH Program Specialist Approval
ADOH Program Administrator ApprovaDate
C-22-20-027-3-02

HTF Rental/Eviction Prevention Assistance-Maricopa County
ARIZONA DEPARTMENT OF HOUSING REQUEST FOR PAYMENT -ITEMIZED PAYMENT STATEMENT  PAGE 2 OF 2
Recipient Maricopa County Human Services Department
Date
Contract No    532-20
Contract Period:  from  03/27/2020 to 12/31/2020
Pay Req. No 
Budget Line
Description of 
Paid (or Payable) to
Date 
Check # 
Invoice
Balance 
Name of other
Item or
Expense (List in 
Paid
Invoice
Amount
paid by
source
Activity No
according to 
PO
Charged to
other 
funding source)
COC/HTF
source
Totals
C-22-20-027-3-02