1st Amendment 05/25/1993 4
•
0
AMENDMENT # 1
THIS AMENDMENT, entered into between the State of Florida,
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 # KG162.
1. Section II.A. Page 3 is hereby amended to read,
Contract Amount
To pay for contracted services according to the conditions of
Attachment I in an amount no to exceed $127,323, 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 begisla
The costs of services paid under any other contict_ or ufrom;�
any other source is not eligible for reimbursem- .index thus
contract.
N
2. Attachment I, Sections C.1. and C.2., Pages 5 and_6 arm'
hereby amended to read, -
Method of Payment
1. The department shall make payment to the provider for a
total dollar amount not to exceed $127,323 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 rate(s) stated below:
Services to be Units of
Provided Service Unit Rate Maximum Units
Case Management One -hour $22.27 1257.5
Home Delivered
Meals One -Meal $4.18 6207
Homemaking One -Hour $19.07 1385
Personal Care One -Hour $19.66 1802
Respite One -Hour $12.32 935
The additional services in homemaking, personal care and 'respite
are needed to provide the full array of services needed by our
clients in order to prevent institutionalization.
Page 2
Amendment # 1
KG162
3. Page 3 of this amendment hereby replaces page 16 of the
original contract.
4. This amendment shall begin on May 1, 1993 or the date on
which it 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 in the contract and any attachments thereto
not in conflict with amendment are still in effect and are to
be performed at the level specified in the contract.
This amendment and all of its attachments are hereby made a
part of this contract.
IN WITNESS WHEREOF, the parties hereto have caused this 3 page
amendment to be executed by their officials thereunto duly
authorized.
PROVIDER: MONROE COUNTY STATE OF FLORIDA
IN -HOME SERVICES DEPARTMENT OF HEALTH
AND REHABILITATIVE
SERVICES
SIGN SIGNED
BY:
I L�% L� BY: / �''•
N• Jack London NAM'. Anita M. Bock
LE: Mayor TITLE: Deputy District
Administrator
DATE: .S- o?cS = '13 DATE: . d
FEDERAL ID NUMBER:
VF596000749029
APP OVED AS TO FORA
- I' • LEGAL SUFFICIEN•
By I %� '4.11
• ttomey's ice p
Date u��f
I 1
r r r r r+ r r r r r ._
01 LT In
c y Vf . W N r O 10 CO -4 CT V1 . W N r x
C o
H t� c
U 0 N N 0 c c 0 y m � O a O C a
C C > y
L. ° y 0 y H o o > c 2 r y a n o
H - c ti H C y C1 C1 1n y H •-r• r < N .2 M
H H -
, a . t" '0 r H .- n 3' H C CJ C7 O
; 0 tit N p '-3 0 a M M Z Z r. Z r Z O •
o H o 0 d
H .. a C ."J 7 C) H n Z n • 0 M C
M y > H M r a O Z 1 N C H r 7 H
•
m x , O 0 7 O X s , ¢' H <
s n tr. .a
< O b1 M b H y -. z: C n Z
M H n M M M O O n H .0 .... Y
° n N O '^ . r
r. r a 3 'J
'"� C7 [7 H H y H w N 0 M C
y Yn M M Cn .-
co M
1-,
Q�
n
N i iiiii tL
'La ' ..:,,,
v
o
G kg
IIIIIIIUNINII ij
n "7 •
az
Cn
e a
N - 21 Z P1
owe
O' In N N 10
NO N T p p C I W
v r Co 10 0 111111111 o r H
10 1p ° O O. M N
/-• OD In O. r W .-. f I .
;� In U O. O O W ,O O O _ 0 O O • 0 r p O. H •
F N O O N O O = O O O p W n r-i
P w • ° O 10 00 O o o p 1,,. M Z
n
•-• W 9 Cron d
l r «-. MM en 1-i
.
w o z°
— 1111111111 0 10 0 ° 1111 N < a n
1
M
111 p W ° N 1111 1111 1 1
bf
illilliniliifilM M
xi
H
n
M
'Z a9c
_.-