Amendment_2.pdf
PDF 118 KB Posted
- Attached to
- Master Agreement AZ|CTR057399
- Contract number
- CTR057399
- Issued by
- Arizona
About this file
This is a Contract Amendment issued by the Arizona Department of Economic Security (ADES) for Contract Number CTR057399, Amendment Number Two. The contract involves the Maricopa County Special Health Care District and pertains to a Refugee Program-Health Promotion initiative.
The amendment establishes an initial service reimbursement ceiling of $184,640.65 for the period from October 1, 2022, through September 30, 2023. An initial Itemized Service Budget is to be added and attached to the contract. The amendment maintains all other existing requirements, specifications, and terms unchanged, and will be executed through electronic approval in an application system (APP). No other specific details about the scope of health promotion services are provided in this document.
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Text version
CONTRACT AMENDMENT
Arizona Department of Economic Security
1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007
CONTRACT NUMBER: AMENDMENT NUMBER:
CTR057399 Two [2]
DESCRIPTION/ LABEL: Refugee Program-Health Promotion
CONTRACTOR NAME: Maricopa County Special Health Care District
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
1. Pursuant to the Special Terms and Conditions, Section 28, Levels of Service, the initial service reimbursement ceiling for the period of October 1, 2022 through September 30, 2023 is $184,640.65.
Therefore, the initial Itemized Service Budget is added and attached.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Amendment shall be fully executed by means of electronic approval in APP.
File details come from the government source that posted it. Updated .