CTR070152_A1_OD2A_Navajo_County_-_EXECUTED_with_Debarments.pdf

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT

OF HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007

Contract No.: CTR070152 IGA Amendment No: 1 Procurement Officer:

Stacy Buske

Revised 05/29/2024

CDC Overdose Data to Action – OD2A-S Navajo County

It is mutually agreed that the Intergovernmental Agreement referenced is amended as follows:

1. Pursuant to Terms and Conditions, Provision Six (6) Contract Changes, subsection 6.1 Amendments, the Contract is hereby revised with the following:

1.1. The Price Sheet is revised and replaced.

1.2. The Contract Term is being amended so that it is consistent with the date that funding was awarded.

From: January 1, 2024 – December 31, 2029

To: September 1, 2023 – August 31, 2028

ALL CHANGES ARE REFLECTED IN RED

All other provisions of this agreement remain unchanged.

Navajo County

Contractor Name: County Authorized Signature

Address: Print Name

City State Zip Title and Date

Pursuant to A.R.S. § 11-952, the undersigned public agency attorney has determined that this Intergovernmental Agreement is in proper form and is within the powers and authority granted under the laws of Arizona

This Intergovernmental Agreement Amendment shall be effective the date indicated. The Public Agency is hereby cautioned not to commence any billable work or provide any material, service or construction under this IGA until the IGA has been executed by an authorized ADHS signatory.

State of Arizona

Signature Date Signed this day of 2024.

Print Name Procurement Officer

Contract No.: CTR070152, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney, who has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona.

Signature Date

Assistant Attorney General Print Name

Signature

County AuAuAuuAuAuAuuuuuuAuAuAuuAuuuuuuAuAuuuuAuAuuuAuuAuuAuuAuuuuAuuuuAuuAAuuAuAuAuAAAuAuuuuAAuAAuuAAAAuuuAAAuAAAAAAuAAAAAAAAAAAAAAAAAAAAAA thththtththtthththhthhthththttthttttththhhthhthttthhthtthttttttttttt ororororororororororororrrrorororororrroorrororrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrriziziziiziiziiiiiiiiiiiiiiiiiiiiiiiz

Alice Perepech

Digitally signed by Alice Perepech DN: cn=Alice Perepech, o=Arizona Attorney General's Office, email=Alice.Perepech@azag.gov, c=US Date: 2024.11.13 16:00:18 -07'00'

Jacqueline S.

Ortega-Avila

Digitally signed by Jacqueline S.

Ortega-Avila Date: 2024.11.15 00:05:30 -07'00'

INTERGOVERNMENTAL AGREEMENT (IGA)

Amendment

ARIZONA DEPARTMENT

OF HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N. 18th Ave., Suite 530 Phoenix, Arizona 85007

Contract No.: CTR070152 IGA Amendment No: 1 Procurement Officer:

Stacy Buske

Revised 05/29/2024

PRICE SHEET

COST REIMBURSEMENT

ACCOUNT CLASSIFICATION TOTAL BUDGET

Personnel* $55,987.00

ERE* $16,032.00

Professional & Outside Services $0.00 Travel $3,881.00 Occupancy $0.00 Other Operating $499.00 Capital Outlay $0.00 *Indirect (5%) $3,601.00

TOTAL (ANNUAL NOT TO EXCEED) $80,000.00

*Indicated indirect rate calculation

With prior written approval from the Program Manager, the contractor is authorized to transfer up to a maximum of ten percent (10%) of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding ten percent (10%) or to a non-funded line item shall require an amendment.

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COUNTY OF NAVAJO

Entity Information

Unique Entity ID

FH3HTA8K5456

CAGE/NCAGE

37ET7 Jun 28, 2025

Physical Address

100 E Code Talkers DR Holbrook, Arizona 86025-3479, United States

Mailing Address Navajo County Finance PO Box 668 Holbrook, Arizona 86025-3479, United States

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