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INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR056454 IGA Amendment Two (2) Arizona Procurement Portal Amendment Two (2) Procurement Officer Michelle Fink 1 STD Program Congenital Syphilis Intervention Project Effective upon signature by both parties, it is mutually agreed that the Intergovernmental Agreement referenced in this Amendment Two (2) is hereby amended as follows: 1. Pursuant to the Terms and Conditions, Provision Four (4), Contract Administration and Operation, 4.2. Contract Renewal, the Contract is extended through August 1, 2024, the third (3rd) year of the Contract. 2. Pursuant to Terms and Conditions, Provision Six (6), Contract Changes, 6.1. Amendments, Purchase Orders and Change Orders, the Exhibit A - CFR 200.332 Form is revised and replaced. ALL CHANGES ARE REFLECTED IN RED. All other provisions of this agreement remain unchanged. Contractor Name: Maricopa County Department of Public Health Authorized Signature 4041 North Central Avenue, Suite #1400 Address: Print Name Phoenix AZ 85012 City State Zip Title 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 2023. Print Name Procurement Officer: Michelle Fink, CPPB, Procurement Supervisor Contract No.: CTR056454, 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 Contract No.: CTR056454 IGA Amendment Two (2) Arizona Procurement Portal Amendment Two (2) Procurement Officer Michelle Fink 2 Exhibit A - 2 CFR 200.332 § 200.332 Requirements for pass-through entities. All pass-through entities must: (a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification. When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward. Prime Awardee: Arizona Department of Health Services UEI # QMWUG1AMYF65 Federal Award Identification (Grant Number): 5 NU50CK000511-04-00 Subrecipient name (which must match the name associated with its unique entity identifier): Maricopa County Department of Public Health, STD Program Congenital Syphilis Intervention Project (CCSP) Subrecipient's unique entity identifier (UEI #): M85MG1513K5 Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant Number): NU50CK000511 Federal Award Date (see the definition of Federal award date in § 200.1 of this part) of award to the recipient by the Federal agency; 7/11/2022 Subaward Period of Performance Start and End Date; 8/1/19 - 7/31/24 Subaward Budget Period Start and End Date: 8/1/2023 - 7/31/2024 Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $ 300,000.00 Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation (how much is available for contracts): $ 300,000.00 Total Amount of the Federal Award committed to the subrecipient by the pass-through entity $ 300,000.00 INTERGOVERNMENTAL AGREEMENT (IGA) Amendment ARIZONA DEPARTMENT OF HEALTH SERVICES 150 18th Ave Suite 530 Phoenix, Arizona 85007 Contract No.: CTR056454 IGA Amendment Two (2) Arizona Procurement Portal Amendment Two (2) Procurement Officer Michelle Fink 3 Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) 93.323 Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass- through entity Centers for Disease Control and Prevention Assistance Listings number and Title; the pass-through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement: 93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) Identification of whether the award is R&D NOT R&D Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414 15.65%