CTR066198_Contract_Amendment_4.pdf
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- 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, AZ. The amendment involves Contract Number CTR066198, specifically Amendment Number Four, and pertains to a Statewide Domestic Violence contract with Mariposa Community Health Center, Inc.
The amendment adds an initial Itemized Service Budget for the period of July 1, 2024 through June 30, 2025, with a total budget allocation of $150,000.00. The purpose is to modify the existing contract's service levels in accordance with Section 27 of the Special Terms and Conditions. All other requirements, specifications, terms, and conditions of the original contract remain unchanged, and the amendment will be executed through electronic approval in an application (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 Four (4)
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 add the initial Itemized Service Budget for the period of July 1, 2024 through June 30, 2025 in the amount of $150,000.00.
Therefore, the initial Itemized Service Budget for the period of July 1, 2024 through June 30, 2025 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 .