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CONTRACT NO: C-86-20-019-3-00 / PH RFP 200131 AMENDMENT NO: 1 AMENDMENT TO CONTRACT Between MARICOPA COUNTY By and Through DEPARTMENT OF PUBLIC HEALTH and H.S. MEDICAL BILLING SERVICES dba PractiSynergy I. The above-named contract is hereby amended as specified below: A. Exhibit A, PRICING shall be updated to include: i. CREDENTIALING/CONTRACT MAINTENANCE at a rate of $75 per provider, per month. B. Section 6.0 TERMS AND CONDITIONS, shall be updated to include: i. 6.38 WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-393.01: If Contractor engages in for-profit activity and has 10 or more employees, and if this agreement has a value of $100,000 or more, Contractor certifies it is not currently engaged in, and agrees for the duration of this agreement to not engage in, a boycott of goods or services from Israel. This certification does not apply to a boycott prohibited by 50 U.S.C. § 4842 or a regulation issued pursuant to 50 U.S.C. § 4842. ii, 6.39 WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-394: Contractor warrants and certifies that it does not currently, and agrees for the duration of the Agreement, that it will not use: 1. the forced labor of ethnic Uyghurs in the People's Republic of China, 2. any goods or services produced by the forced labor of ethnic Uyghurs in the People's Republic of China, 3. any contractors, subcontractors or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People's Republic of China. If Contractor becomes aware during the term of this Agreement that the Contractor is not in compliance with this paragraph, Contractor shall notify the County within five business days after becoming aware of the noncompliance. If the Contractor fails to provide a written certification to the County that the Contractor has remedied the noncompliance within 180 days after notifying the County of its noncompliance, then the agreement terminates, except that if the agreement termination date occurs before the end of the 180-day period, the agreement terminates on the agreement termination date. Il. All other terms and conditions of the original contract shall remain in full force and effect. IN WITNESS WHEREOF, the parties agree to the changes indicated herein: Page 1 of 2 CONTRACT NO: C-86-20-019-3-00 / PH RFP 200131 AMENDMENT NO: 1 FOR AND ON BEHALF OF FOR AND ON BEHALF O} MARICOPA COUNTY By: Chairman, Board of Supervisors jo] 3: ] 4023 Date Date ATTEST Clerk of the Board Date APPROVED AS TO FORM Attorney for Maricopa County Date Page 2 of 2