CN-640000-MOE29-R1.pdf

This document is an Amendment to Hospital Participation Agreement for the Trauma Quality Improvement Program, involving the Florida Department of Health and the American College of Surgeons (ACS). The amendment is dated 4/4/2023 and modifies the existing Cooperation Agreement between these two entities, with the hospital's federal identification number F362192800003 and located at 4052 Bald Cypress Way, Bin A23 in Tallahassee, FL.

The amendment extends the Term of the Cooperation Agreement for an additional three (3) years, effective from July 1, 2023, through June 30, 2026. The document was signed by Gay Vincent, Chief Financial Officer of the American College of Surgeons on 4/4/2023, and by Douglas Woodlief, Director of the Division of Emergency Preparedness and Community Support for the Florida Department of Health on 3/31/23. The amendment maintains the original agreement's terms and provides for continued collaboration on the Trauma Quality Improvement Program during the extended period.