CTR059105_Contract_Amendment_Summary_Two__2_.pdf

CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR059105 Two (2)

DESCRIPTION/ LABEL: Assisted Living Facility

CONTRACTOR NAME: Marshall Home For Men

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

In accordance with the Special Terms and Conditions, Section 13, Contract Term & Option to Extend, the Contract term is extended from May 01, 2023, through April 30, 2024. The rates are not adjusted for the extension period and shall remain the same as the previous Contract term.

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.

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