CTR069518 - IGA TEPSS - Hopi Exe.pdf

DocuSign Envelope ID: 3B70A9A1-20BC-4FC2-BECB-69D6C970CF39

ARIZONA DEPARTMENT OF HEAL TH

• INTERGOVERNMENTAL AGREEMENT SERVICES

150 North 18"' Avenue. Suite 530

(IGA)

Contract No. CTR069518

Project Title: Hopi Tribe. Tobacco Education and Prevention Services

Geographic Service Area: State of Arizona ___ ---------

Phoenix. Arizona 85007

Procurement Officer Brandon Durick

Begin Date: January 1"1. 2024

Termination Date: December 31'', 2029

Arizona Department of Health Services has authority to contract for services specified herein in accordance with A.RS.§§ 11-951, 11-952, 36- 104 and 36-132. The Contractor represents that ii has authority to contract for the performance of the services provided herein pursuant to:

Counties: A.R.S. §§ 11-201, 11-951, 11-952 and 36·182.

Indian Tribes: A.R.S. §§ 11-951, 11-952 and the rules and sovereign authority of the contracting Indian Nation.

School Districts: A.R.S. §§ 11 ·951, 11-952, and 15-342.

City of Phoenix: Chapter II, §§ 1 & 2, Charter, City of Phoenix.

City of Tempe: Chapter 1, Article 1, §§ 1.01 & 1.03, Charter, City of Tempe.

Amendments signed by each of the parties and attached hereto are hereby adopted by reference as a part of this Contract. from the effective date of the Amendment, as if fully set out herein.

--r:.m, Dana Russell -1

FOR CLARIFICATION, CONTACT: Arizona Transaction {Sales) Privilege:

Federal Employer Identification No.:

Contractor Name:

J Address:

r·

1 CONTRACTOR SIGNATURE:

The Contractor agrees to perform all the services set forth in the Agreement and Work Statement.

Signature of Person Authorized to Sign Date

I Print Name and Title lcoNTRACTOR ATTORNEY SIG�ATURE: lPursuant to A.RS.§ 11-952, the undersigned Contractor's Attorney has determined that this Intergovernmental Agreement is in proper form and is within the powers and authority granted under the laws of Arizona.

I Signature of Person Authorized to Sign l Print Name and Title

Revised 6/1312023

Date j Phone: '"''9'""2"'8._) 7�3�4�-1�1�0�1 ____ _

I FM No: f92BJ 734-1158 ______ _ i E-mail: DRussell@hopi.nsn.us I

·---------·-- ------ ______ J I This Contract shall henceforth be refened to as Contract I

I No. CTR069518 The Contractor is hereby cautioned not to commence any billable work or provide any material, service or construction under this l Contract until Contractor receives a fully executed copy of the Contract.

I State of Arizona Si g ned this __ day of__ ___ -· . 202_

I --- ------ --- - - I Procu r ement Officer ___ ·- ______ ----------� j Co n tract, No. CTR069518, is an Agreement between public agencies, has been I reviewed pursuanl to A.RS. § 11-952 by the undersigned Assistant Attorney

I General, who has determined that it is in the proper form and is within the powers granted under the laws of the State of Arizona to those parties to the

I Agreement represented by the Attorney General.

The Attorney General, BY:

l S i gn a tu r e ___________________ D=--� I

Assistant Attorney Genera!: _________J

Timothy L. Nuvangyaoma, Chairman

Docusign Envelope ID: 8CF51437-7341-4164-A1AF-C06FBA826219

8/7/2024

Carlene Tenakhongva, Deputy General Counsel

8/7/2024

Elise Phalen Digitally signed by Elise Phalen DN: cn=Elise Phalen, o=Arizona Attorney General's Office, ou, email=elise.phalen@azag.gov, c=US Date: 2024.08.13 12:25:42 -07'00'

Jacqueline S.

Ortega-Avila

Digitally signed by Jacqueline S.

Ortega-Avila Date: 2024.08.13 15:37:41 -07'00'

Docusign Envelope ID: 8CF51437-7341-4164-A1AF-C06FBA826219