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4. 07/01/2007 to 12/31/2008 1st Amendment 01/28/2009 DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: February 3, 2009 TO: Community Services FROM: Sheryl Graham PamelaG.}{anc~ Deputy Clerk c:~ ATTN: At the January 28, 2009, Board of County Commissioners' meeting the Board granted approval and authorized execution of an Amendment to Agreement between Monroe County and Monroe County Community Transportation Coordinator/Guidance Clinic of the Middle Keys for contract period of 0 1/0 1/2008 through 12/31/2008. Enclosed are two duplicate originals of the above-mentioned for your handling. Should you have any questions, please do not hesitate to contact our office. cc: County Attorney Finance FileV' STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED MEDICAID NON-EMERGENCY TRANSPORTATION (NET) PROGRAM SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT AMENDMENT NO 1 This agreement, entered into on January 1, 2008, by and between the Guidance Clinic of the Middle Keys, hereinafter called "Coordinator" and Monroe County Board of County Commissioners, hereinafter called "Subcontracted Transportation Provider". WITNESSETH: WHEREAS, the Coordinator and the Subcontracted Transportation Provider heretofore on July 1, 2007, entered into an Agreement, hereinafter called the Original Agreement; WHEREAS, the Coordinator desires to participate in all eligible items of development for this project as outlined in the attached amended Exhibit B. WHEREAS, this amendment is necessitated by the amendment of the contract between the Coordinator, and the Commission for Transportation Disadvantaged. NOW, THEREFORE, THIS INDENTURE WITNESSETH; that for and in consideration of the mutual benefits to flow from each to the other, the parties hereto agree that the above described Agreement is to be amended as follows: 1. Purpose of Agreement: The purpose of the agreement is not changed. 2. Accomplishment of the Agreement: The accomplishment of the agreement is not changed. 3. Expiration of Agreement: Paragraph 2, TERM of said agreement is amended to be December 31,2008. 4. Amount: The reimbursement amount for this amendment has not changed. The Provider shall be paid up to a maximum amount of $70.000. The Provider shall submit monthly trip data in a format acceptable to the Coordinator. The Provider will be paid, after the Coordinator has received payment from the Commission in the amount of $3.00 per mile with a 5 mile minimum, $2.00 per mile for preauthorized out-of-County trips and $3.00 flat rate per client per mulitload for Medicaid eligible trips. 5. Exhibit B of said Agreement is replaced by Amended Exhibit B and Is attached hereto and made a part hereof. EXCEPT as hereby modified, amended, or changed, all other terms of the Agreement dated January 1, 2007, shall remain in full force and effect. This amendment cannot be executed unless all previous amendments to this Agreement have been fully executed. AGREEMENT AMENDMENT DATE: January 1, 2008 EXHIBIT B AMENDMENT # 1 METHOD OF COMPENSATION For the satisfactory performance of the services and the submittal of Encounter Data as outlined in Exhibit A, Scope of Services, the Subcontracted Transportation Provider payments shall be paid up to a maximum amount of $70.000. The Provider shall submit monthly trip data in a format acceptable to the Coordinator. The Provider will be paid, after the Coordinator has received payment from the Commission in the amount of $3.00 per mile with a 5 mile minimum, $2.00 per mile for preauthorized out-of-County trips and $3.00 flat rate per client per mulitload for Medicaid eligible trips. The Subcontracted Transportation Provider shall submit invoices in a format acceptable to the Coordinator. The Subcontracted Transportation Provider will be paid after the Coordinator has received payment from the Commission. 1. Project Cost: The Subcontracted Transportation Provider shall request payment through submission of a properly completed invoice to the Coordinator. Once the Coordinator has signed the invoice for approval, the Coordinator shall submit the approved invoice to the Commission for Transportation Disadvantaged. 3: 0 ~ .." ~~;r;. :: ;=: ::U."2: i9 F'T1 0[:;;3 0 f"r!::u- o::<:r- , ..... 00;" Co) 0 c::-C) :::0 2;?,,.... " :::0 In witness whereof, the parties hereto have caused these presents to be executed, the i4~ ye~rs(TI above written. "l1' ~ ~ g r- 1"11 Q :::0 Board of County Commissioners, Monro~ou~ County: Monroe 2. Disbursement Schedule of Funds January 1, 2008 - December 31,2008: nollo exceed $70,000.00 Guidance Clinic of the Middle Keys, Inc. 1lJp'M." ~~ IG ATURE / A~~.. n~,e.<f-. SIGNATURE Transportation Director TITLE Mayor/Chairman TITLE Maureen Grynewicz PRINTED NAME :R1NlfD ~A~E"gpn' 01/28/2009 PEDRC ,J ASSISTAt"T en Da -- \\ ';"-.,.' .{j,...'T'~~~ nCPUTY CLERK ...-1-0