Common Contracts

INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT ARIZONA DEPARTMENT OF HEALTH SERVICES150 North 18th Avenue, Suite 260Phoenix, Arizona 85007(602) 542-1040(602) 542-1741 Fax Agreement No: ADHS17-133182 Amendment No: 3 Procurement Officer:Russell Coplen

Intergovernmental Agreement • June 5th, 2017

• Contract Type
  Intergovernmental Agreement
• Filed
  June 5th, 2017

Emergency Preparedness Program Effective upon signature, it is mutually agreed that the Agreement referenced above is amended as follows: 1. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and Change Orders, the Scope of Work is revised to add the Scope of Work of this Amendment Two (2). 2. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and Change Orders, The Contract Price Sheet is revised to include the Price Sheet of this Amendment Two (2). 3. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and Change Orders, Attachment A is added to the Scope of Work of this Amendment Two (2). All other provisions shall remain in their entirety. Gila County CONTRACTOR SIGNATURE Contractor Name 5515 S. Apache Ave. Suite 400 Contractor Authorized Signature AddressGlobe AZ 85501 Printed Name City State Zip Title CONTRACTOR ATTO