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CONTRACT UNIT RELEASE ORDER
1. CONTRACTOR (Name and address)
Maricopa County Department of Public Health
4041 N Central Ave., Suite 1400
Phoenix, AZ 85012
2. CONTRACT ID NUMBER
DI18-002141
3. Release Order Number
Four (4)
4. Effective Date
10/01/2020
5. This Release Order authorizes the following:
Contract Service: Coordination – Health Assessment
Contract Period: 10/01/2020 to 09/30/2021
Units authorized are to be utilized throughout the identified contract period at approximately equal
amounts each month. Periodic adjustments to the number of units require the re-proportioning of
billed units by Contractor to ensure continuation of services throughout the contract period. The
Department reserves the right to adjust units based on available funding.
Unit of Service
Status
Units
Rate
Amount
Staff Hours
Initial
2,400
$110.00
$264,000.00
TOTAL
2,400
$110.00
$264,000.00
6. ARIZONA DEPARTMENT OF ECONOMIC SECURITY
Signature of Authorized Person
Title
Manager, DAAS Contracts Management Unit
Date
9/22/20
C-86-18-010-3-06
FOR COUNTY
____________________________
Clint Hickman Date
Chairman, Board of Supervisors
APPROVED AS TO FORM
___________________________
Attorney for County Date
ATTEST
__________________________________
Office of the Clerk of the Board Date