CN-680000-ME210-A1.pdf

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Attached to
Master Agreement FL|ME210|a85440bd94ef1b29029bb00617e61fd2
Contract number
ME210
Issued by
Florida

About this file

This document is an Amendment (Amendment No. 1) to AHCA Contract No. MED210 between the State of Florida, Agency for Health Care Administration (the "Agency"), and Myers and Stauffer LC (the "Vendor"). The amendment specifically updates the contact information for the Agency's Contract Manager, identifying Madison Pruett as the new point of contact, with her details listed as working at the Agency for Health Care Administration in Tallahassee, Florida.

The amendment does not appear to modify the substantive terms of the original contract, but rather serves to update administrative contact information. The document was executed in February 2020, with signatures from Robert Hicks (Member) from Myers and Stauffer LC on 11/25/2020 and Shevaun L. Harris (Acting Secretary) from the Agency for Health Care Administration on 11/30/2020. The amendment stipulates that all other provisions of the original contract remain in effect and unchanged, with this modification being incorporated as part of the existing contract.

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CN-680000-ME210-A4.pdf PDF
CN-680000-ME210.pdf PDF
CN-680000-ME210-A2.pdf PDF
CN-680000-ME210-A3.pdf PDF
CN-680000-ME210-A5.pdf PDF

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Text version

AHCA CONTRACT NO. MED210

AMENDMENT NO. 1

AHCA Contract No. MED210, 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 MYERS AND STAUFFER LC, 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:

Madison Pruett Agency for Health Care Administration 2727 Mahan Drive, MS #23 Tallahassee, Florida 32308

(850) 412-4274 Madison.Pruett@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.

MYERS AND STAUFFER LC 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: F9C9C752-9372-46D8-AD98-C7D07960617F

Member

Robert Hicks

11/25/2020

Acting Secretary

11/30/2020

Shevaun L. Harris

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