CN-680000-ME211-A1.pdf

AHCA CONTRACT NO. MED211

AMENDMENT NO. 1

AHCA Contract No. MED211, Amendment No. 1, Page 1 of 3 April 2020

THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and KEPRO ACQUISITIONS, INC., hereinafter referred to as the "Vendor," is hereby amended as follows:

1. Standard Contract, Section II., THE AGENCY HEREBY AGREES, Sub-Section A., Contract Amount, the first sentence is hereby amended to correct a transpositional error in the Contract amount and is replaced as follows:

To pay for contracted services according to the conditions of Attachment I, Scope of Services, in an amount not to exceed $723,265.00, subject to the availability of funds.

2. Standard Contract, Section II., THE AGENCY HEREBY AGREES, Sub-Section A., Contract Amount, the first sentence is hereby amended to read as follows:

To pay for contracted services according to the conditions of Attachment I, Scope of Services, in an amount not to exceed $623,143.00, (a decrease of $100,122.00) subject to the availability of funds.

3. Attachment I, Scope of Services, Section III., Method of Payment, Sub-Section A., Payment Schedule, Table 2, Payment Schedule, is hereby deleted in its entirety and replaced with Table 2-A, Revised Payment Schedule as follows. All references in this Contract to Table 2, shall hereinafter refer to Table 2-A.

TABLE 2-A

REVISED PAYMENT SCHEDULE

State Fiscal Year (SFY)

Deliverable/Service Description Unit Cost Number of Units

SFY 20/21

Implementation (February 15, 2021 through March 14, 2021)

The Vendor shall successfully complete all implementation services, including initial outreach, associated with the Agency approved timeline and Implementation Plan, included herein by reference.

The required monthly reports are the supporting documentation the Agency will use to verify successful completion of services.

$195,312.67 per month

(Not to exceed $195,312.67)

SFY 20/21

Operations (March 15, 2021 through June 30, 2021)

The Vendor shall successfully complete all behavioral health support services, including ongoing monthly outreach, in accordance with the terms of this Contract. The required monthly reports are the supporting documentation the Agency will use to verify successful completion of services.

$47,995.67 per month

$191,982.68)

DocuSign Envelope ID: 8DF00BBA-A44A-465A-B251-456654FCBC44

AHCA Contract No. MED211, Amendment No. 1, Page 2 of 3

SFY 21/22

Continued Operations (July 1, 2021 through February 14, 2022)

The Vendor shall successfully complete all behavioral health support services in accordance with the terms of this Contract. The required monthly reports are the supporting documentation the Agency will use to verify successful completion of services.

$33,692.52 per month for six (6) months

$33,692.53 per month for one (1) month

$235,847.65)

Contract Total $623,143.00

3. Attachment I, Scope of Services, Section VIII., Performance Bond, Sub-Section A., Table 4, Performance Bond Requirements, is hereby deleted in its entirety and replaced with Table 4-A, Revised Performance Bond Requirements. All references in this Contract to Table 4, shall hereinafter refer to Table 4-A.

TABLE 4-A

REVISED PERFORMANCE BOND REQUIREMENTS

Contract Term Annual Contract Amount Performance Bond Amount (10%)

February 15, 2021 – February 14, 2022 $623,143.00 $62,314.30

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AHCA Contract No. MED211, Amendment No. 1, Page 3 of 3

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.

IN WITNESS WHEREOF, the Parties hereto have caused this three (3) page Amendment to be executed by their officials thereunto duly authorized. This Amendment is not valid until signed and dated by both Parties.

KEPRO ACQUISITIONS INC. STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION

SIGNED

BY:

SIGNED

BY:

NAME: NAME:

TITLE: TITLE:

DATE: DATE:

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

Chief Executive Officer

5/10/2021

Dr. Susan Weaver

5/10/2021

Deputy Secretary for Medicaid

Beth Kidder