PARTIALLY EXECUTED AMENDMENT - CDCF-MARICOPA COUNTY 11.27.2023.PDF
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CONTRACT NO: C-86-23-165-X-01
AMENDMENT NO: 1
Page 1 of 3
AMENDMENT TO
COMPETITION IMPRACTICABLE (CI) CONTRACT
between
MARICOPA COUNTY
by and through
DEPARTMENT OF PUBLIC HEALTH
and
CDC FOUNDATION
I.
The above-named contract is hereby amended as specified below:
A. Agreement Term shall be updated from July 1, 2023 – June 30, 2024, to July 1, 2023 - June 30,
2025.
B. Maximum payable amount shall be updated to $586,282.26. This increase is to fund the additional
year as well as to hire an additional Epidemiologist. The revised project budget, Exhibit A, begins
on page 2.
II.
All other terms and conditions of the original contract shall remain in full force and effect.
IN IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF
MARICOPA COUNTY
FOR AND ON BEHALF OF
CDC FOUNDATION
By:
By:
Chairman, Board of Supervisors
CDC Foundation
Date
Date
ATTEST
Clerk of the Board
Date
APPROVED AS TO FORM
Attorney for Maricopa County
Date
DocuSign Envelope ID: 23CA7927-CC2A-4336-B600-997E6A07FB73
11/27/2023 | 2:05:23 PM EST
CONTRACT NO: C-86-23-165-X-01
AMENDMENT NO: 1
Page 2 of 3
Project Budget ID
Maricopa County 49046 - WF Y1 C+
Budget Period
7/1/2023 - 6/30/2025
Budget Category
Total
Salaries and Wages (Employees)
401,726.17
Direct Personnel
76,608.67
Program
Personnel
325,117.50
Fringe Benefits
96,489.56
Direct Fringe
18,510.45
Program Fringe
77,979.11
Supplies
-
Travel
-
Other
-
Contractual
7,200.00
Total Direct:
505,415.74
Exclusions from Base (If Applicable)
-
Indirect Cost Base
505,415.74
Total Indirect (@ 16%) :
80,866.52
Total Proposed (Enter
Project Budget ID):
$586,282.26
Target:
$0.00
+/-:
$586,282.26
DocuSign Envelope ID: 23CA7927-CC2A-4336-B600-997E6A07FB73
CONTRACT NO: C-86-23-165-X-01
AMENDMENT NO: 1
Page 3 of 3
Direct Costs
95,119.12
Program Costs
410,296.61
Indirect Costs
80,866.52
DocuSign Envelope ID: 23CA7927-CC2A-4336-B600-997E6A07FB73
Certificate Of Completion
Envelope Id: 23CA7927CC2A4336B600997E6A07FB73
Status: Completed
Subject: Documents for your DocuSign Signature
DfS Writeback: true
Source Envelope:
Document Pages: 3
Signatures: 1
Envelope Originator:
Certificate Pages: 5
Initials: 0
Matt Budd
AutoNav: Enabled
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Time Zone: (UTC-05:00) Eastern Time (US & Canada)
600 Peachtree Street NE
Ste 1000
Atlanta, GA 30308
mbudd@cdcfoundation.org
IP Address: 13.110.6.8
Record Tracking
Status: Original
11/27/2023 1:04:36 PM
Holder: Matt Budd
mbudd@cdcfoundation.org
Location: DocuSign
Signer Events
Signature
Timestamp
Judith Monroe, MD
jmonroe@cdcfoundation.org
President and CEO
CDC Foundation
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Sent: 11/27/2023 1:05:40 PM
Viewed: 11/27/2023 2:04:42 PM
Signed: 11/27/2023 2:05:23 PM
Electronic Record and Signature Disclosure:
Accepted: 11/3/2020 12:32:28 PM
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Madeline Sobral
msobral@cdcfoundation.org
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Sent: 11/27/2023 2:05:24 PM
Viewed: 11/27/2023 4:04:22 PM
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Electronic Record and Signature Disclosure created on: 2/16/2018 9:02:02 PM
Parties agreed to: Judith Monroe, MD
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