RFGA2022-003-007 AMENDMENT 2 (1).PDF

GRANT 
 AMENDMENT 
ARIZONA DEPARTMENT OF 
HEALTH SERVICES 
OFFICE OF PROCUREMENT 
150 N 18th Ave., Ste. #530 
Phoenix, Arizona 85007 
GRANT NO.: RFGA2022-003-
007 
AMENDMENT NO.: 2 
Procurement Officer 
Lucas Terry 
 
Home Visiting Services for MIECHV 
 
Effective January 14, 2023, it is mutually agreed that the Grant referenced in this Amendment Two (2) is amended as follows: 
 
1. Pursuant to the Terms and Conditions, Provision 3.2. Contract Renewal, the Grant is hereby extended through 
       January 13, 2027. 
 
 
 
 
 
 
 
 
 
 
 
 
 
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY 
 
Contractor hereby acknowledges receipt and acceptance of 
above amendment and that a signed copy must be filed 
with the Procurement Office before the effective date 
 
 
 
 
 
The above referenced Contract Amendment is hereby 
executed this _____ day of __________ 20______ at 
Phoenix, Arizona 
 
 
 
(To be filled out by ADHS Procurement Office) 
Contractor Signature 
 
 
 
Contractor Signature Date 
 
 
Authorized Signatory’s Name and Title 
 
Maricopa County Department of Public Health 
 
Contractor’s Name 
Procurement Officer Signature