Extracted text (via pymupdf)
2809 characters
INTERGOVERNMENTAL AGREEMENT (IGA)
Amendment
ARIZONA DEPARTMENT
OF HEALTH SERVICES
150 18th Ave Suite 530
Phoenix, Arizona 85007
Agreement No.: CTR040486
IGA Amendment No.: 4
Procurement Officer
Karla Varela
Page 1 of 2
STD Control Services
1.
Effective upon signature by all parties and pursuant to the Terms and Conditions, Provision Six (6), Contract Changes,
Section 6.1, Amendments, Purchases Orders and Change Orders it is mutually agreed that the Intergovernmental
Agreement referenced is amended as follows under this Amendment Four (4):
1.1 Price Sheet is revised and replaced.
ALL CHANGES ARE REFLECTED BELOW IN RED.
All other provisions of this Agreement remain unchanged.
Maricopa County
By and through its Department of Public Health
Contractor Name:
Authorized Signature
4041 North Central
Address:
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
2021.
Print Name
Procurement Officer
Contract No.: CTR040486, 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-86-19-027-3-05
Jack Sellers
Chairman, Board of Supervisors
Anne Longo, Attorney for County
ATTEST:__________________________________
County office of the Clerk of the Board Date
INTERGOVERNMENTAL AGREEMENT (IGA)
Amendment
ARIZONA DEPARTMENT
OF HEALTH SERVICES
150 18th Ave Suite 530
Phoenix, Arizona 85007
Agreement No.: CTR040486
IGA Amendment No.: 4
Procurement Officer
Karla Varela
Page 2 of 2
PRICE SHEET
Effective through December 31, 2021
COST REIMBURSEMENT LINE ITEMS
BUDGETED
AMOUNT
Personnel Services & ERE
$524,637.00
Professional & Outside Services
$0.00
Travel
$0.00
Other Operating
$3,117.00
Occupancy Expense
$0.00
Capital Outlay Expenses
$0.00
Other
$0.00
Indirect
$122,189.00
ANNUAL TOTAL (Not to exceed)
$649,943.00
• The contractor shall receive a 25% budget increase in 2021. The additional funds will be
allocated for personnel services and other operating expenses.