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BRANCH OFFICE CLERK OF THE CIRCUIT COURT BRANCH OFFICE 3117 OVERSEAS HIGHWAY MONROE COUNTY 88820 OE y 1
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MARATHON, FLORIDA 33050 500 WHITEHEAD STREET PLANTATION KEY, FLORIDA 33070
TEL. (305) 289-6027 KEY WEST, FLORIDA 33040 TEL. (305) 852 -7145
FAX (305) 289 -1745 TEL. (305) 292 -3550 FAX (305) 852 -7146
FAX (305) 295 -3660
I
MEMORANDUM
TO: Peter Horton, Director
Division of Community Services
Attn: Gwen Rodriguez, Director
In -Home Services
FROM: Isabel C. DeSantis, Deputy Clerk So.G,D,
Date: November 21, 1996
At the November 12, 1996 Commissioner's meeting, the Board
granted approval and authorized execution of Amendment 11 to
Contract #KG009 between the Department of Health and
Rehabilitative Services and the Monroe County Board of County
Commissioners /Monroe County In -Home Services.
Attached hereto are four duplicate originals of the above
document executed by Monroe County. It is my understanding that I'
your office will follow- through on this matter with HRS. Please
be sure that a fully- executed copy is returned to this office as
quickly as possible.
Should you have any questions concerning the above, please
do not hesitate to call.
cc: County Attorney
County Administrator, w/o document I;
Finance
File 64006c,
MEMORANDUM
TO: ISABEL DESANTIS
CLERKS OFFICE <- l
FROM: GWEN RODRIGUEZ, DIRECTOR
MONROE COUNTY IN HOME SERVI
DATE: 12/20/96
SUBJECT: CCDA CONTRACT AMENDMENT
ATTACHED YOU WILL FIND ONE ORIGINAL CONTRACT AMENDMENT #1, TO CCDA
CONTRACT KG -009, NOW FULLY EXECUTED, FOR YOUR FILES.
THANK YOU FOR YOUR CONTINUED ASSISTANCE AND BEST WISHES FOR A HAPPY
HOLIDAY SEASON.
CONTRACT # KG009 AMENDMENT #1
THIS AMENDMENT, entered into between the Department of Health and Rehabilitative Services,
hereinafter referred to as the "Department" and Monroe County In - Home Services. hereinafter
referred to as the "Provider" amends Contract KG009.
1. Standard Contract, Section 11, Paragraph A, (Contract amount), is hereby amended to read:
To pay for contracted services according to the conditions of Attachment I in an amount not to
exceed $113,314.58, subject to the availability of funds. The State of Florida's
performance and obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature. The costs of services paid under any other contract or
from any other source are not eligible for reimbursement under this contract.
2. Attachment I Section C, Sub - Section 1., Paragraphs 1, and 2, (Method of Payment) are hereby
amended to read:
1. The Department shall make payment to the Provider for a total dollar amount not to
exceed $113,314.58 , subject to the availability of funds.
2. The Department shall make payment to the provider for provision of services up to a
maximum number of units of service and at the rates stated below:
Max. #Units to Max. #Clients to
Service Units Unit Rate be delivered be served
Case Management One Hour $34.4271 1,123 50
Meals One Meal $ 3.7722 7,664 40
Homemaker One Hour $20.2998 1,071.5 30
Personal Care One Hour $22.4851 1,067 30
3. Page 21 of this contract is hereby replaced in its entirety with page 3 of this Amendment.
4. Page 22 of this contract is hereby replaced in its entirety with page 4 of this Amendment.
This Amendment and all its attachments and exhibits are hereby made a part of the contract.
This Amendment shall begin on November 1 , 1996, or the date on which the Amendment has been signed
by both parties, whichever is later.
All provisions in the Contract, and any Attachments thereto in conflict with this Amendment are hereby
changed to conform with this Amendment.
All provisions not in conflict with this Amendment are still in effect, and are to be performed at the level
specified in the Contract.
1
CONTRACT KG009 Amendment # 1
Page - 2
IN WITNESS THEREOF, the parties have caused this 4 page Amendment to be executed by their
undersigned agents or officials as duly authorized.
PROVIDER: State of Florida Department
of Health and Rehabilitative
Monroe County In -Home Services Se r ' es AO
BY• k 4:41-9-A44.444"" BY: _ Jr
NAME:_ b r / P 14W7 Cr e e N' ■ : Anita M. Bock
TITLE: Mayor TITLE: District Administrator
DATE: i i- i a- 9 L DATE: 42..2.96
FEDERAL ID # VF59- 6000749029
APPROV ► AS TO F ORM
PROVIDER FISCAL YEAR ENDS: September 30, 1996 AN[? L e • AL SUFFICIENCY
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APPROVED AS TO FORM
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