CN-680000-ME210-A3.pdf
PDF 157 KB Posted
- Contract number
- ME210
- Issued by
- Florida
About this file
This document is Amendment No. 3 to AHCA Contract No. MED 210, an agreement 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, Jeffery Mistich, providing his current contact details at the Agency for Health Care Administration in Tallahassee, Florida.
The amendment does not appear to modify the substantive terms of the original contract, as it explicitly states that all provisions not in conflict with this amendment remain in effect and are to be performed at the previously specified level. The document was executed on August 10, 2022, with signatures from Robert Hicks (Member) from Myers and Stauffer LC and Simone Marstiller (Secretary) from the Florida Agency for Health Care Administration. The amendment ensures continuity of the existing contract by maintaining all previously established terms while updating the contract management contact information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-680000-ME210-A1.pdf | ||
| CN-680000-ME210-A4.pdf | ||
| CN-680000-ME210.pdf | ||
| CN-680000-ME210-A2.pdf | ||
| CN-680000-ME210-A5.pdf |
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Text version
AHCA CONTRACT NO. MED 210
AMENDMENT NO. 3
AHCA Contract No. MED 210 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 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:
Jeffery Mistich Agency for Health Care Administration 2727 Mahan Drive, MS #23 Tallahassee, Florida 32308
(850) 412-4119 Jeffery.Mistich@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.
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.
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: C62CAD90-DF60-4687-A9A5-437B558DD6D7
8/10/2022
Member
Robert Hicks
Secretary
Simone Marstiller
8/10/2022
File details come from the government source that posted it. Updated .