CN-700000-18025-AMD#1.pdf

ATC-18-025

Amendment #1

Amendment #1

Specimen Cups

This Amendment (“Amendment”), effective November 14, 2018, or the date fully executed below, whichever occurs last, to the Agency Term Contract ATC-18-025 (“Contract”) is between the State of

Florida, Department of Corrections (“Department”) and Medline Industries, Inc. (“Contractor”). The

Department and Contractor are collectively referred to herein as the “Parties.” All capitalized terms used herein shall have the meaning assigned to them in the Contract, unless otherwise defined herein.

1.0 MODIFICATIONS

In accordance with Section V. Amendments, of the above-referenced Contract, the following modifications are hereby applied:

1.1 Section XIV, Other Conditions, C. Disputes is revised as follows:

C. Disputes

Any dispute concerning performance of the terms of this Contract shall be resolved informally by the Contract Managers. Any dispute that cannot be resolved informally shall be reduced to writing and delivered to the Department’s Chief Financial Officer (CFO), or designee. The

Department’s CFO, or designee, shall decide the dispute, reduce the decision to writing, and deliver a copy to the parties, the Contract Managers and the Department’s Contract

Administrator.

1.2 Section XIV, Other Conditions, K. Scrutinized Companies Contractor Certification is revised as follows:

K. Scrutinized Companies Contractor Certification

If the Contract exceeds $1,000,000.00 in total, not including renewal years, Contractor certifies that they are not listed on either the Scrutinized Companies with Activities in Sudan

List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or the

Scrutinized Companies that Boycott Israel List created pursuant to Sections 215.473, F.S. and

215.4725, F.S. Pursuant to Section 287.135(5), F.S., and 287.135(3), F.S., Contractor agrees the Department may immediately terminate the Contract for cause if the Contractor is found to have submitted a false certification or if the Contractor is placed on the Scrutinized

Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran

Amendment #1

Petroleum Energy Sector List, or the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel during the term of the Contract.

The Contractor certifies they are not listed on the Scrutinized Companies that Boycott Israel

List, created pursuant to Section 215.4725, F.S., and they are not currently engaged in a boycott of Israel. If the resulting Contract exceeds $1,000,000.00 in total, not including renewal years, the Contractor certifies that they are not listed on either the Scrutinized Companies with

Activities in Sudan List, or the Scrutinized Companies with Activities in the Iran Petroleum

Energy Sector List created pursuant to Sections 215.473, F.S., and 215.4725, F.S., and further certifies they are not engaged in business operations in Cuba or Syria. Pursuant to Sections

287.135(5), F.S., and 287.135(3), F.S., the Contractor agrees the Department may immediately terminate the resulting Contract for cause if the Contractor is found to have submitted a false certification or if the Contractor is placed on the Scrutinized Companies with Activities in Sudan

List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, the

Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, or has engaged in business operations in Cuba or Syria during the term of the resulting Contract. Any company that submits a bid or proposal for a Contract, or intends to enter into or renew a

Contract with an agency or local governmental entity for goods or services, of any amount, must certify that the company is not participating in a boycott of Israel.

1.3 EXHIBIT B, MEDLINE INDUSTRIES, INC., PRICE PAGE, has been revised and is replaced in its entirety. The revised EXHIBIT B is now attached hereto.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

REVISED

EXHIBIT B

MEDLINE INDUSTRIES, INC.

PRICE PAGE

FDC ITB-18-052

GROUP IV, SPECIMEN CUPS

Description of Goods Brand Proposed (A)

Unit Cost Per Case

(B) Estimated Quantity Of Cases

(C=A x B) Extended

Cost

1 4 oz. cup with lid and patient label, sterile, 100 per case

Medline: DYND30330

100 EA/CS, 1 CT/CS

$ 15.00

$ 6,000.00

5 oz. cup with lid and patient label, sterile, 100 per case

Medline: DYND30350

$ 17.00

$ 6,800.00

Antiseptic Towelettes 5” x 7”

(Case=10 boxes of 100 individual wipes)

Medline: MDS094181

$ 13.00

$ 13,000.00

5 oz. translucent plastic cup without lid

Medline: NON03005

2500 EA/CS

$ 35.22

$ 2,817.60

GROUP IV, GLOVES

GRAND TOTAL PRICE

(SUM OF COLUMN C)

$28,617.60

$25,800.00

Medline Industries, Inc. 36-2596612

NAME OF VENDOR FEIN#

Signature on File 3/8/2018

SIGNATURE OF AUTHORIZED

REPRESENTATIVE

DATE