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AGREEMENT NO: C-86-20-024-3-03 AMENDMENT NO: 3 AMENDMENT TO INTERGOVERNMENTAL AGREEEMENT (IGA) Between MARICOPA COUNTY By and Through its DEPARTMENT OF PUBLIC HEALTH and ARIZONA STATE BOARD OF PHARMACY I. The above named IGA contract is hereby amended as specified below: 3. Agreement Amount: change the agreement amount total from $89,632 to $101,632. A ($12,000.00 increase in supplies) for the budget period September 1, 2020 through August 31, 2021; II. ATTACHMENT A budget is revised III. All other terms and conditions of the original contract and its amendments shall remain in full force and effect. IN WITNESS WHEREOF, the parties agree to the changes indicated herein: FOR AND ON BEHALF OF FOR AND ON BEHALF OF MARICOPA COUNTY ARIZONA BOARD OF PHARMACY By________________________________ By________________________________ Clint Hickman Douglas Skvarla, Director Chairman, Board of Supervisors __________________________________ __________________________________ Date Date ATTEST: ATTEST: __________________________________ __________________________________ Clerk of the Board __________________________________ __________________________________ Date Date APPROVED AS TO FORM: APPROVED AS TO FORM: __________________________________ __________________________________ Attorney for Maricopa County _________________________________ __________________________________ Date Date AGREEMENT NO: C-86-20-024-3-03 AMENDMENT NO: 3 ATTACHMENT A -BUDGET For Arizona State Board of Pharmacy For the Period September 1, 2020 to August 31, 2021 AZ Board of Pharmacy Year 2 Itemized Budget A. Salaries and Wages $ 55,000 B. Fringe Benefits $ 23,348 C. Consultant Costs D. Equipment E. Supplies $ 12,950 F. Travel $ 1,000 G. Other Categories H. Contractual $ 1,500 I. Total Direct Charges (sum of a-h) $ 81,798 J. Total Indirect Charges $ 7,835 K. TOTALS (sum of I and J) $ 101,632