MARICOPA COUNTY ADHS17-133194 A9.PDF
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INTERGOVERNMENTAL AGREEMENT (IGA)
Amendment
ARIZONA DEPARTMENT OF
HEALTH SERVICES
Office of Procurement
150 N. 18
th Ave., Suite 530
Phoenix, Arizona 85007
Contract No.: ADHS17-133194
IGA Amendment No.: 9
Procurement Officer
Kristine Newton
Page 1 of 3
Public Health Emergency Preparedness
It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:
1.
Pursuant to the Terms and Conditions, Provision Six (6) Contract Changes, Section 6.1 Amendments, Purchase Orders and
Change Orders, the following changes are made under this Amendment Nine (9):
1.1
The Scope of Work, Provision Three (3) Tasks, Section 3.3. Annual Performance Requirements is revised to include the
Scope of Work of this Amendment Nine (9); and
1.2
The Price Sheet is revised to include the Price Sheet of this Amendment Nine (9).
**All other provisions of this agreement remain unchanged.**
Contractor Name: MARICOPA COUNTY
Authorized Signature
Address: 4041 NORTH CENTRAL AVE.
Print Name
PHOENIX
ARIZONA
85012
City
State
Zip
Title
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
20___.
Print Name
Procurement Officer
Contract No.: ADHS17-133194, 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
C-86-16-112-3-10
Clint Hickman
Chairman, Board of Supervisors
Anne Longo, Attorney for County
ATTEST:______________________________________________________
Office of the Clerk of the Board Date
By and Through its Department of Public Health
CONTRACT NUMBER
INTERGOVERNMENTAL AGREEMENT
SCOPE OF WORK
ADHS17-133194
Page 2 of 3
3.3.3. City Readiness Initiative (CRI) Jurisdictional Requirements (Maricopa and Pinal Counties):
3.3.3.1.
Participate in one medical countermeasure (MCM) Dispending full-scale exercise or mass
vaccination full-scale exercise. The exercise will include at least one Point of Dispensing (POD) in
each CRI planning jurisdiction;
3.3.3.2.
Attend quarterly Action Plan meetings each budget period;
3.3.3.3.
Participate in scheduled Operational Readiness Review (ORR);
3.3.3.4.
Complete three (3) annual drills by June of the budget period;
3.3.3.5.
Facility Setup;
3.3.3.6.
Site activation; and
3.3.3.7.
Throughput estimation is now a component of the dispensing full-scale exercise (FSE). If a site
does not participate in the dispensing FSE, oral MCM throughput will be measured and information
submitted at least once during the five (5) year project period.
CONTRACT NUMBER
INTERGOVERNMENTAL AGREEMENT
PRICE SHEET
ADHS17-133194
Page 3 of 3
PHEP Budget Period Two (2) Supplemental
July 1, 2020 – June 30, 2021
Description
Amount
CRI Funding
$1,027,485.00