CN-370000-GC922-A3.pdf

Contract No. GC922 Amendment No. 3

Rev. 6/18/2024

AMENDMENT NO. 3

TO CONTRACT NO. GC922

BETWEEN

FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION

AND

FLORIDA DEPARTMENT OF HEALTH, PINELLAS COUNTY HEALTH DEPARTMENT

This Amendment to Contract No. GC922, as previously amended, (Contract) is made by and between the Department of Environmental Protection (Department), an agency of the State of Florida, and Florida Department of Health, Pinellas County Health Department, 8751 Ulmerton Road, Largo, Florida, 33771 (Contractor), on the date last signed below.

WHEREAS, the Department entered into the Contract with the Contractor to perform compliance inspections within the jurisdictional (geographical) boundaries of the specified counties, including facilities registered to the Contractor, effective June 26, 2017; and

WHEREAS, the parties wish to amend the Contract as set forth herein.

NOW THEREFORE, the parties agree as follows:

1. Paragraph 5A, is hereby revised to increase the maximum compensation amount of the Contract from $2,964,385.00 to $6,895.588.12 (an increase of $3,931,203.12) to perform and complete routine compliance inspections through the end of June 30, 2027.

2. Attachment E, Contractor Certification Release of Claims Form is hereby deleted in its entirety and replaced with

Attachment E-1, Revised Contractor Certification Release of Claims Form, as attached to this Amendment and hereby incorporated into the Agreement. All references in the Agreement to Attachment E, Contractor Certification Release of Claims Form, shall hereafter refer to Attachment E-1, Revised Contractor Certification Release of Claims For

3. All other terms and conditions of the Contract remain in effect. If and to the extent that any inconsistency may appear between the Contract and this Amendment, the provisions of this Amendment shall control.

The parties agree to the terms and conditions of this Amendment and have duly authorized their respective representatives to sign it on the dates indicated below.

Florida Department of Health, Pinellas County Health Department

Florida Department of Environmental Protection

By: ______________________________ Title:

By: __________________________ Secretary or Designee

Date: ____________________________ Date: _________________________

List of attachments/exhibits included as part of this Contract:

Specify Type / Letter Description

Attachment E-1 Revised Contractor Certification Release of Claims Form

- REMAINDER OF PAGE INTENTIONALLY LEFT BLANK -

Charles Minor Digitally signed by Charles Minor Date: 2025.06.20 08:41:56 -04'00'

Digitally signed by Mara Gambineri Date: 2025.06.23 21:01:29 -04'00'

6/20/25 6/23/25

Environmental Administrator

EXHIBIT E-1

Rev. 4/15/2024

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Revised Contractor Certification / Release of Claims Form

This certification must be completed and signed by the Contractor when requesting final payment for a Florida Department of Environmental Protection (Department) authorized Task Assignment. Final payment for a Task Assignment will not be released until this form is accepted by the Department.

The undersigned certifies as follows:

1. I, am the of (name of person appearing) (title of person appearing) with the authority to (name of Contractor) make this statement on its behalf;

2. (”the Contractor”) entered into an (name of company or person)

Agreement with the Department to perform certain work under Task Assignment No. .

3. Contractor has completed the work in accordance with the aforementioned Task Assignment, including all attachments thereto.

4. All subcontractors have been paid in full.

5. Upon receipt by Contractor from Department of final payment under the aforementioned Task Assignment, Contractor releases Department from any and all claims of Contractor and any of its subcontractors and vendors that may arise under, or by virtue of, the Task Assignment, except those claims that may be specifically exempt and set forth under the terms of this Contract. Exemptions claimed must be attached to this affidavit and reference the Task Assignment number. Any exemptions not attached are waived.

(Signature of Authorized Contractor Representative)