CN-680000-ME206-A3.pdf

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Attached to
Master Agreement FL|ME206|54f61b852b90ba48dd490b0073190e80
Contract number
ME206
Issued by
Florida

About this file

This document is Amendment No. 3 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 was executed in February 2020 and finalized on 6/30/2022, with signatures from Julie Wammack (for Mark Riley, Interim Vice President for Research) and Simone Marstiller (Secretary).

The specific purpose of this amendment is to update the Vendor's Contract Manager contact information, replacing the previous contact details with those of Rhonda Collins from Florida State University. The amendment includes her full contact information: address at 1115 West Call Street, Tallahassee, Florida 32306-4300, phone number (850) 645-1781, and email rhonda.collins@med.fsu.edu. The amendment stipulates that all other provisions of the original contract not in conflict with this change remain in effect and are to be performed at the previously specified level.

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Text version

AHCA CONTRACT NO. MED206

AMENDMENT NO. 3

AHCA Contract No. MED206, Amendment No. 3, 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 2., is hereby amended to now read as follows:

2. The Vendor’s Contract Manager’s contact information is as follows:

Rhonda Collins Florida State University 1115 West Call Street Tallahassee, Florida 32306-4300

(850) 645-1781 rhonda.collins@med.fsu.edu

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.

This Amendment cannot be executed unless all previous Amendments to this Contract have been fully executed.

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: D81FD068-CE9D-4E74-8087-88E3B4326EA6

Julie Wammack for Mark Riley

Interim Vice President for Research

6/30/2022

Secretary

6/30/2022

Simone Marstiller

File details come from the government source that posted it. Updated .