1st Amendment 10/20/1994 AMENDMENT #1 CONTRACT # KG191
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 KG191.
1. Attachment I, Section D (Special Provisions" is amended
to include Sub - Section e, to read:
"The Provider agrees to disclose the exact amount of
contract funding used to compensate each employee or
subcontractor to the Provider on an individual basis.
The Provider will submit a FINAL REPORT OF EXPENDITURES
no later than 45 days following the ending date of the
contract. This expenditure report will show the total
amount of compensation from the contract (including
salaries, wages, fringe benefits, bonuses, perquisite,
etc.), to each employee of the Provider, byname, posi-
tion title, and rate of pay.
If the compensation to an employee of the Provider, is
made up, in whole or in part by funds received by the
Provider under other department (HRS) contract (s) the
report must include additional columns in order to inden-
tify these amounts by HRS Contract Number.
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Each subcontractor of the Provider will be considered the
same as an employee for the purposes of this report.Sub-
contractors are not required to report compensation paid
to each employee on an individual basis."
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2. This Amendment shall begin on October 1, 1994 , 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.
•
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AMENDMENT #1 CONTRACT #KG191
PAGE f2
This Amendment, and all its Attachments are hereby made part
of the Contract
IN WITNESS WHEREOF, the parties have caused this 2 page
Amendment to be executed by their officals thereunto duly
authorized.
PROVIDER: STATE OF FLORIDA DEPARTMENT
MONROE COUNTY IN - HOME SERVICES OF HEALTH AND REHABILITATIVE
SERVICES:
BY: - ‘t-e
BY:
NAME : XECIKAXmooduri A. Earl Cheal
NAME: Anita M. Bock
TITLE :Mayor pro Tem TITLE: District Administrator
DATE: October 20, 1994 DATE:
PROVIDER'S FEDERAL I.D. NUMBER
VF 59- 6000749029
ATTEST: DANNY L. KOLHAGE, CLERK
Bari 4./ L:.Qil tty Clerk
PPROVED 'F
r T9S MICI:
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