AMENDMENT TO WORK EXPERIENCE AGREEMENT.PDF

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[Contractor name] 
AMENDMENT TO THE 
WORK EXPERIENCE AGREEMENT  
BETWEEN 
MARICOPA COUNTY  
ADMINISTERED BY ITS  
HUMAN SERVICES DEPARTMENT  
AND 
[NAME OF ORGANIZATION] 
 
Worksite Agreement #: 
 
Amendment Amount:  
 
Agreement Start Date:  
 
Agreement Termination Date:  
 
 
I. 
Maricopa County (“County”) administered by its Human Services Department and [Name 
of Organization] (“Employer”) entered into a financial Affiliation Agreement (“Agreement”) 
on or about [Date of final signature]. The purpose of this Agreement is for the Parties to 
increase the practice readiness of New Graduate Nurses (NGNs) yielding a more 
confident and practice-prepared nurse who can transition to the workplace more 
efficiently. Employer shall provide NGNs with hands-on training opportunities for the 
County’s Student Nurse Practice Readiness Program (the “Program”).  
 
The Employer and the County are collectively referred to as the “Parties” and individually 
as a “Party.” 
 
II. 
The Parties agree to enter into this Amendment No. 1 to amend the Agreement as follows: 
A. 
Extend the termination of the Agreement from December 31, 2022, through 
December 31, 2026. 
B. 
The Employer shall continue to work with Robin Schaeffer Consulting, LLC., the 
(“Project Manager”) between the County and the Employer for the Program 
activities. 
C. 
The Employer shall provide XX number of NGNs per year to receive hands-on 
training. 
D. 
The Employer shall also recruit prior employee nurses back into part-time practice 
to work as wisdom/legacy nurses and extra set of hands during student 
nurse/preceptor rotations. One wisdom/legacy nurse per 2 student/preceptor 
groups.  
E. 
The County shall provide the Employer with funds for Agreement extension period: 
1. 
Pay $50/hour x 8 hours= $400 (per shift) 
a. BSN student maximum of 12 shifts = $4,800; 
b. ADN student maximum of 6 shifts = 2,400 
2. 
The total funding amount for the extension period shall not exceed $XXXX 
F. 
Revise Paragraph 13.0 (Relationships) by removing in its entirety and replacing 
with the following: 
13.0  Relationship of the Parties  
Each Party is a separate and independent institution, and this Agreement 
shall not be deemed to create a relationship of agency, employment, or 
partnership between or among them. Each Party understands and agrees 
that this Agreement establishes a bona fide educational training

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[Contractor name] 
relationship, and the agents and employees of each respective Party are 
not employees or agents of the other Party. 
 
III. 
Section II above contains all the changes made by this Amendment No. 1. All other terms 
and conditions of the Agreement shall remain in full force and effect as executed by the 
Parties. 
IV. 
The Parties authorized the undersigned to execute this Amendment No. 1 on their behalf, 
and it shall be effective upon approval and signature by the Parties. 
 
IN WITNESS, the Parties have approved and signed this Agreement: 
 
FOR [EMPLOYER] 
 
 
____________________________________ 
[Signer name]                                          Date 
[Title] 
 
FOR MARICOPA COUNTY: 
 
 
_______________________________________ 
Chairman                                      Date 
Board of Supervisors 
 
 
 
 
Attested to: 
 
_______________________________________  
Clerk of the Board                 Date 
 
 
 
Approved as to form: 
 
By:  
 
_________________________________________ 
Deputy County Attorney                                Date