CN-680000-ME219-A1.pdf

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Attached to
Master Agreement FL|80111502-19-1|ME219|863a259a858ea436281773348ba73347
Contract number
ME219
Issued by
Florida

About this file

This document is an Amendment (Amendment No. 1) to AHCA Contract No. MED219, executed between the State of Florida's Agency for Health Care Administration (the "Agency") and Myers and Stauffer LC (the "Vendor") in February 2020. The amendment specifically modifies the contract's Section III, Sub-Section B, which pertains to Contract Managers, updating the Agency's Contract Manager contact information.

The amendment updates the Agency's Contract Manager details to reflect Takeira Lewis from the Agency for Health Care Administration, with contact information including a Tallahassee, Florida address (2727 Mahan Drive, MS #38), phone number (850-412-4233), and email address. The document maintains that all other provisions of the original contract not in conflict with this amendment remain in effect. The amendment was signed by Robert Hicks (Member) from Myers and Stauffer LC on 5/12/2022 and Simone Marstiller (Secretary) from the Agency for Health Care Administration on 5/13/2022.

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CN-680000-ME219.pdf PDF
CN-680000-ME219-A4.pdf PDF
CN-680000-ME219-A2.pdf PDF
CN-680000-ME219-A3.pdf PDF

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Text version

AHCA CONTRACT NO. MED219

AMENDMENT NO. 1

AHCA Contract No. MED219, 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:

Takeira Lewis Agency for Health Care Administration 2727 Mahan Drive, MS #38 Tallahassee, Florida 32308

(850) 412-4233 Takeira.Lewis@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: 2F5F4F69-E5C0-41A1-8456-4CBC7F433C6B

Member

5/12/2022

Robert Hicks

5/13/2022

Secretary

Simone Marstiller

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