CTR066489 A1 PRS-9C2D67BD COUNTY SIGNATURE.PDF

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
AMENDMENT  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
CONTRACT NO.: CTR066489 
AMENDMENT NO: ONE (1) 
 
PROCUREMENT OFFICER 
RYAN GARCIA 
 
 
1 
 
Tuberculosis Control 
 
It is mutually agreed that the Intergovernmental Agreement (IGA) referenced in this Amendment One (1) is amended as 
follows: 
 
1.1. Pursuant to the Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1, Amendments, it is 
mutually agreed that the IGA referenced is amended as follows:  
 
1.2. The Price Sheet is revised and replaced. 
 
 
All revisions are indicated in red font. 
All other provisions of this agreement remain unchanged. 
Maricopa County Department of Public Health 
 
 
Contractor Name:  
 
County Authorized Signature 
4041 N. Central Ave., Suite 1400 
 
 
Address:  
 
Print Name 
Phoenix, 
AZ 
85012 
 
 
City 
State 
Zip 
 
Title and Date 
 
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                                  2024. 
 
 
Print Name 
 
Procurement Officer 
 
 
Contract No.: CTR066489, 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

INTERGOVERNMENTAL AGREEMENT (IGA) 
 
AMENDMENT  
 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
CONTRACT NO.: CTR066489 
AMENDMENT NO: ONE (1) 
 
PROCUREMENT OFFICER 
RYAN GARCIA 
 
 
2 
 
 
Price Sheet 
 
LINE ITEM 
BUDGET AMOUNT 
Personnel Services 
   $162,676.00 
ERE 
 $76,458.00 
Professional and Outside Services 
$0.00 
Travel Expenses 
$2,418.00 
Other Operating Expenses 
  $21,269.61 
Capital Outlay Expenses 
$0.00 
Other Indirect 
 $43,628.39 
Total Annual Not to Exceed 
    $306,450.00 
 
Note: With prior approval from the ADHS TB Program Manager, the Contractor is authorized to transfer up 
to a maximum of thirty-five percent (35%) of the total budget amount between line items. Transfers of funds 
are only allowed between funded line items. Transfers exceeding thirty-five percent (35%) or to a non-
funded item shall require an amendment.