5348 Addendum - Trident Ext 2020.pdf
PDF 436 KB Posted
- Attached to
- Diagnostic Imaging Services, DOC; BHS
- Contract number
- 410008-M16-ELB5348-RFB-01
- Issued by
- Wisconsin
About this file
This is Addendum Number 2 to Contract Number 410008-M16-ELB5348-RFB-01, a contract extension agreement between the Wisconsin Department of Corrections (DOC) and TridentUSA Health Services, Inc. The DOC is headquartered at 3099 E. Washington Ave., P.O. Box 7925, Madison, WI 53707-7925, while TridentUSA Health Services operates from 930 Ridgebrook Road, Sparks, MD 21152. The addendum was executed on October 21, 2020, and signed by Jeff Hooper as President of TridentUSA and Kevin A. Carr as Secretary of the Wisconsin Department of Corrections.
The original contract for services was established for the period from November 1, 2015, through October 31, 2020. This addendum extends the contract term to May 1, 2021, while maintaining all existing terms and conditions unchanged. The document does not specify the nature of the health services provided, pricing details, contract amounts, or other commercial terms, focusing solely on the time extension. The addendum was processed through DocuSign with envelope ID 406802EA-E09B-4300-9E40-2A85292053EE.
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Other files
| File | Type | Posted |
|---|---|---|
| 5348 Contr Ann Mobilex.doc | DOC document | |
| - CaseLetter.KHJ8331.pdf | ||
| 3334_2.DOCX | DOCX document | |
| 5348 New Contacts.pdf | ||
| 5348 Ren CY20 MobileX.pdf | ||
| 3334_0.DOC | DOC document | |
| 3334_1.PDF | ||
| 5348 Ren FY18 MobileX.pdf | ||
| 5348 Ren MobilX FY19.pdf |
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Text version
Contract Number: 410008-M16-ELB5348-RFB-01 Addendum Number 2
Addendum
Service:
WHEREAS, the State of Wisconsin Department of Corrections, whose principal business address is 3099 E. Washington Ave., P.O. Box 7925, Madison, WI 53707-7925, hereinafter referred to as DOC, and TridentUSA Health Services, Inc, whose principal business address is930 Ridgebrook Road, Sparks MD, 21152, hereinafter referred to as Service Provider, entered into a Contract for Services (the “Contract”) for the initial period of 11/1/ 2015 through
10/31/2020
WHEREAS, the DOC and Service Provider wish to enter into an Addendum to the original contract between the parties, Now, therefore, it is mutually agreed as follows: The term of the contract will be extended to
May 1, 2021 with all terms remaining the same.
In WITNESS THEREOF, the undersigned authorized officers have subscribed their names on behalf of the parties to this Contract.
Service Provider's Authorized Representative Date
Name:
WI Department of Corrections Date
Kevin A. Carr, Secretary
Jeff Hooper - President
October 21st, 2020
DocuSign Envelope ID: 406802EA-E09B-4300-9E40-2A85292053EE
10/27/2020
| 2020-10-27T12:14:54-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .