CTR066198_Contract_Amendment_2.pdf
PDF 145 KB Posted
- Attached to
- Master Agreement AZ|CTR066198
- Contract number
- CTR066198
- Issued by
- Arizona
About this file
This document is a Contract Amendment issued by the Arizona Department of Economic Security, located in Phoenix, Arizona. The amendment involves Contract Number CTR066198 with Mariposa Community Health Center, Inc., and is specifically labeled as a Domestic Violence - Statewide contract. This is Amendment Number Two to the original contract.
The amendment modifies the Itemized Service Budget for the period of July 1, 2023, through June 30, 2024, increasing the contract reimbursement ceiling from $88,660.52 to $127,380.00. The change is made in accordance with the Special Terms and Conditions, Section 27, Levels of Service. All other requirements, specifications, and terms remain unchanged, and the amendment will be executed through electronic approval in an application system (APP).
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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:
CTR066198 Two (2)
DESCRIPTION/ LABEL: Domestic Violence - Statewide
CONTRACTOR NAME: Mariposa Community Health Center, Inc.
THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:
In accordance with the Special Terms and Conditions, Section 27., Levels of Service, the purpose of this amendment is to revise the Itemized Service Budget for the period of July 1, 2023, through June 30, 2024. The contract reimbursement ceiling is changed from $88,660.52 to $127,380.00.
Therefore, the revised Itemized Service Budget for the period of July 1, 2023, through June 30, 2024, 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 .