3rd Amendment 07/18/2012 DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE: July 26, 2012
TO: Sheryl Graham, Director
Social Services Department
FROM: Pamela G. Han •. I.C.
At the July 18, 2012, Board of County Commissioner's meeting the Board granted
approval and authorized execution of the following:
Item B10 Contract between Monroe County and the Community Transportation
Coordinator /Guidance Care Center, Inc. for a contract period of 07/01/2012 through 06/30/2013.
Enclosed is one duplicate original.
Item B11 Amendment between the Monroe County Community Transportation
Coordinator /Guidance Care Center, Inc. and the Monroe County Board of County
Commissioners for contract period 07/01/2012 through 06/30/2013. Enclosed are two duplicate
originals.
Please be sure to have all signatures, on any agreements, that are sent to our office
notarized or witnessed by two people UNLESS the person who is signing is the President of
V- President. Should you have any questions, please do not hesitate to contact our office.
cc: County Attorney
Finan e
File
STATE OF FLORIDA
COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
MEDICAID NON - EMERGENCY TRANSPORTATION (NET) PROGRAM
SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT
AMENDMENT NO. 3
This amendment entered into on July 1, 2012, by and between the Guidance /Care Center, Inc.,
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
January 1, 2010, 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
June 30, 2013.
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, 2010, 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: July 1, 2012
EXHIBIT B
AMENDMENT # 3 ;=
METHOD OF COMPENSATION
-;-,
For the satisfactory performance of the services and the submittal of Encounter Data as outlined 01
in Exhibit A, Scope of Services, the Subcontracted Transportation Provider payments shall be pad up g
a maximum amount of $70.000. The Provider shall submit monthly trip data in a format accepta126 to time
Coordinator. The Provider will be paid, after the Coordinator has received payment fronrlhe Corgnissn
in the amount of $3.00 per mile with a 5 mile minimum, $2.00 per mile for preauthorized ou • -C iantyo
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.
County: Monroe
2. Disbursement Schedule of Funds
July 1, 2012 — June 30, 2013: not to exceed $70,000.00
In witness whereof, the parties hereto have caused these presents to be executed, the day and year first
above written.
Guidance /Care Center, Inc. Board of County Commissioners, Monroe County
• •
(-A-) SIG URE 1 SIGNATU E
Director of Transportation 06/06/12 Mayor Pro Tem 07/18/2012
TITLE DATE TITLE DATE
Maureen Grynewicz Kim Wigington
PRINTED NAME PRINTED NAME
MO "I E COUNTY A ORN
RO/ D AS f
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PEDRO J.'M- •CADO
,..-- ASSISTANT • ■ •`
DEPUTY CLERM'