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3rd Amendment 04/16/2008 DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: April 28, 2008 TO: Maria Z. Fernandez-Gonzalez Senior Administrator-Benefits Pamela G. Hanc~ Deputy Clerk FROM: At the April 16, 2008, Board of County Commissioner's meeting the Board granted approval and authorized execution of the Third Amendment to Employer-Provider Network and Utilization Review and Case Management Services Agreement between Monroe County and Keys Physician-Hospital Alliance. Enclosed is a duplicate original of the above-mentioned for your handling. Should you have any questions please do not hesitate to contact this office. cc: County Attorney Finance File THIRD AMENDMENT TO EMPLOYER-PROVIDER NETWORK AND UTILIZATION REVIEW AND CASE MANAGEMENT SERVICES AGREEMENT {I-~ THIS THIRD AMENDMENT, made and entered into this & day of 2008, by and between Board of County Commissioners of Monroe County (her inafter called "County") and Keys Physician-Hospital Alliance ("KPHA"). WHEREAS, the Agreement between the parties was to terminate on September 31, 2008; and WHEREAS, the parties have mutually agreed to continue the Agreement; and WHEREAS, it is in the best interest of the County and serves a public purpose to continue with the services provided by KPHA; and WHEREAS, KPHA wishes to continue with the service it provides County, and NOW THEREFORE, in consideration of the mutual promises and considerations, the parties agree to amend the Agreement as follows: 1) Section 10. TERM shall be amended as follows: 19) The terms of this Agreement shall be effective October 1, 2008 and continue for a period of one year. Thereafter, the Agreement shall automatically renew for two (2) consecutive one (1) year terms. KPHA agrees to provide the Employer with at least ninety (90) days written notice of the intent to terminate, non-renew, or amend this Agreement. The County agrees to provide KPHA with at least ninety (90) days written notice of the intent to terminate or non-renew this agreement. Any modifications of the terms of this agreement may occur upon the mutual agreement of the parties. 2) In all respects the terms and conditions of the original agreement remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first written above. \;-;:'I>-""""<\ ATT'a,*;riNN~Y L. KOLHAGE Bc:L-~ ~.. Deputy Cl"k Date: APH 1 6 2008 Witnesst~oKPHA: ~ . ~ Signature ./d;&' L /dYAd Print Name /./ -:::; .L Date: f:/&>I//,y M ...:l" <,' < -' N L,:~ ~ 0:: c: .C:-'-.'::-.> CX) N c>:: a.. ...:: = = = C'oo.l ........:,,~':_.' -:~~ -;,,;;ucc :;;. z ,- 0 ..J :E :'L Board of County Commissioners Of Mon~ CO~ By: . Charles "Sonny" McCoy, Mayor KPilL ~ Robin Lockwood, President ((0 L III t- 0 c.. few OIl J Print Name Date: if - ~ 1- 0 ~ MONROE COUNTY ATTORNEY ~~~ORM: YNTHIA 1:.. ALL ASSISTANT COUNTY ATTORNEY Date ~-I-Or