CN-680000-ME206-A1.pdf
PDF 185 KB Posted
- Contract number
- ME206
- Issued by
- Florida
About this file
This document is Amendment No. 1 to AHCA Contract No. MED206, an agreement between the State of Florida's Agency for Health Care Administration (the "Agency") and Florida State University (the "Vendor"). The amendment, dated February 2020 and executed in November 2021, modifies the original contract's contact management section to update the Agency's Contract Manager contact information.
The amendment specifically updates the contact details for Sherina Gonzalez, the Agency's Contract Manager, providing her name, agency affiliation, address (2727 Mahan Drive, MS #38, Tallahassee, Florida 32308), phone number ((850) 412-4764), and email address (sherina.gonzalez@ahca.myflorida.com). While the specific goods or services are not detailed in this amendment, the document indicates that all other provisions of the original contract remain in effect and are to be performed at the previously specified level. The amendment was signed by Russell Lentz (for Laurel Fulkerson, Interim Vice President for Research) from Florida State University and Simone Marstiller, Secretary of the Agency for Health Care Administration, on November 3, 2021.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-680000-ME206-A3.pdf | ||
| CN-680000-ME206-A4.pdf | ||
| CN-680000-ME206.pdf | ||
| CN-680000-ME206-A2.pdf | ||
| CN-680000-ME206-A5.pdf |
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Text version
AHCA CONTRACT NO. MED206
AMENDMENT NO. 1
AHCA Contract No. MED206, Amendment No. 1, Page 1 of 1 February 2020
THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the “Agency” and FLORIDA STATE UNIVERSITY, hereinafter referred to as the “Vendor”, is hereby amended as follows:
1. Standard Contract, Section III., The Vendor and Agency Hereby Mutually Agree, Sub-
Section B., Contract Managers, Item 1., is hereby amended to now read as follows:
1. The Agency’s Contract Manager’s contact information is as follows:
Sherina Gonzalez Agency for Health Care Administration 2727 Mahan Drive, MS #38 Tallahassee, Florida 32308
(850) 412-4764 sherina.gonzalez@ahca.myflorida.com
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 is hereby made a part of this Contract.
IN WITNESS WHEREOF, the Parties hereto have caused this one (1) page Amendment to be executed by their officials thereunto duly authorized. This Amendment is not valid until signed and dated by both Parties.
FLORIDA STATE UNIVERSITY STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED
BY:
SIGNED
BY:
NAME: NAME:
TITLE: TITLE:
DATE: DATE:
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DocuSign Envelope ID: 7536C210-CF4D-46FF-834B-1A525CDB5252
Interim Vice President for Research
Russell Lentz for Laurel Fulkerson, Interim VP for Research
11/3/2021
Simone Marstiller
Secretary
11/3/2021
File details come from the government source that posted it. Updated .