CTR055638 A4 DRAFT.PDF

Maricopa County — Formal (2024-04-24)

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INTERGOVERNMENTAL AGREEMENT (IGA) 
 
Amendment  
 
ARIZONA DEPARTMENT 
OF HEALTH SERVICES 
150 18th Ave Suite 530 
Phoenix, Arizona 85007 
 
AGREEMENT NO.: 
CTR055638 
AMENDMENT NO: 4 
PROCUREMENT 
OFFICER 
DARRNELL WELCH 
 
1 
 
COVID-19 Disease Mitigation and Community Outreach 
It is mutually agreed that the Intergovernmental Agreement (IGA) referenced in this Amendment No. Four (4) is amended 
as follows: 
 
1. Pursuant to the Terms and Conditions, Provision Four (4) Contract Administration and Operation, Section 4.2. 
Contract Renewal: the IGA is hereby extended through July 31, 2026, Year 5 of the contract. 
 
2. Pursuant to Terms and Conditions, Provision Six (6), Contract Changes, Section 6.1, Amendments, Purchases 
Orders, and Change Orders, the amendment is hereby revised with the following: 
 
2.1. The Price Sheet is revised and replaced. 
 
ALL REVISIONS ARE INDICATED IN RED 
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.: CTR055638, 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 
 
AGREEMENT NO.: 
CTR055638 
AMENDMENT NO: 4 
PROCUREMENT 
OFFICER 
DARRNELL WELCH 
 
2 
 
 
 
Cost-Reimbursement Price Sheet 
July 31, 2024 – July 31, 2026 
 
 
ACCOUNT CLASSIFICATION 
           LINE-ITEM TOTALS 
PERSONNEL EXPENSES 
 
$17,404,159.00 
EMPLOYEE RELATED EXPENSES 
 
$7,231,862.00 
EQUIPMENT 
 
$3,184,500.00 
SUPPLIES 
 
$254,000.00 
PROFESSIONAL AND OUTSIDE SERVICES 
 
$3,720,000.00 
ASSISTANCE TO OTHERS 
 
$26,378,581.00 
 
INDIRECT 
 
$2,463,602.00 
TOTAL   $60,636,704.00 
The Contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between line 
items.  
 
Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.