CN-680000-EX104-A3.pdf
PDF 204 KB Posted
- Contract number
- EX104
- Issued by
- Florida
About this file
This document is Amendment No. 3 to AHCA Contract No. EXD104, an agreement between the State of Florida, Agency for Health Care Administration (the "Agency") and Ausley McMullen, P.A. (the "Vendor"), executed in April 2020 and amended in May 2023.
The amendment extends the contract's term, specifically exercising the first renewal option for a twelve-month period from July 1, 2023, to June 30, 2024. The contract's original start date was July 15, 2022, and it is now set to conclude on June 30, 2024. The amendment follows provisions in Section 287.058 of Florida Statutes, which allows contract renewal for a period not exceeding three years or the original contract term. All other provisions of the original contract remain unchanged, with the amendment being made in accordance with the standard contract terms.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-680000-EX104-A1.pdf | ||
| CN-680000-EX104-A2.pdf | ||
| CN-680000-EX104.pdf |
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Text version
AHCA CONTRACT NO. EXD104
AMENDMENT NO. 3
AHCA Contract No. EXD104, Amendment No. 3, Page 1 of 2 April 2020
THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and AUSLEY MCMULLEN, P.A., hereinafter referred to as the "Vendor," is hereby amended as follows:
1. In accordance with Standard Contract, Section I., The Vendor Hereby Agrees, Sub-
Section W., Requirements of Section 287.058, Florida Statutes, Item 6., which provides for renewal of this Contract for a period that may not exceed three (3) years or the original term of this Contract, whichever is longer, both Parties hereby agree to exercise the first renewal option for a period of twelve (12) months beginning July 1, 2023. Therefore, Standard Contract, Section I., The Vendor Hereby Agrees, Sub-Section W., Requirements of Section 287.058, Florida Statutes, Item 5., is hereby amended to now read as follows:
This Contract shall begin July 15, 2022, and end on June 30, 2024, inclusive.
All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in this Contract.
This Amendment and all its attachments are hereby made a part of this Contract.
This Amendment cannot be executed unless all previous Amendments to this Contract have been fully executed.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DocuSign Envelope ID: 37C630A6-9099-4167-9B6B-F653E9BCA126
AHCA CONTRACT NO. EXD104
AMENDMENT NO. 3
AHCA Contract No. EXD104, Amendment No. 3, Page 2 of 2 April 2020
IN WITNESS WHEREOF, the Parties hereto have caused this two (2) page Amendment to be executed by their officials thereunto duly authorized. This Amendment is not valid until signed and dated by both Parties.
AUSLEY & MCMULLEN, P.A. STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED
BY:
SIGNED
BY:
NAME: NAME:
TITLE: TITLE:
DATE: DATE:
SIGNED
BY:
NAME:
General Counsel, TITLE: Approved as to form and legality
DATE:
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DocuSign Envelope ID: 37C630A6-9099-4167-9B6B-F653E9BCA126
5/1/2023
Rick Figlio
Shareholder
Andrew Sheeran
5/1/2023
5/1/2023
Secretary
Jason Weida
1. In accordance with Standard Contract, Section I., The Vendor Hereby Agrees, Sub-Section W., Requirements of Section 287.058, Florida Statutes, Item 6., which provides for renewal of this Contract for a period that may not exceed three (3) years or ...
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