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1st Amendment 10/17/2012 DANNY L. KOLHAGE CLERK OF THE CIRCUIT COURT DATE: November 5, 2012 TO: '[Teresa Aguiar Employee Services ATTN: Christine Diaz FROM: Isabel C. DeSanlis, D.C. N" At the Februa , 2012 Board of County Commissioner's meeting, the following was approved: Oc obi t7 7 V I2 Item C7 Amendment to contract with Dr. Samess, M.D. to provide employment physical services, to add Fishermen's Hospital as a party to the agreement. Enclosed is a fully executed copy of the above-mentioned for your handling. Should you have any questions please do not hesitate to contact this office. cc: County Attorney Finance File AMENDMENT TO CONTRACT FOR EMPLOYMENT PHYSICAL SERVICES This is an amendment ("Amendment") to the Contract for Employment Physical Services ("Agreement") by and between Monroe County ("County") and Ronald R. Samess, M.D. ("Dr. Samess" or"Contractor") made and entered into by the County and Dr. Samess on April 20, 2011. WHEREAS, the County and Contractor entered into an Agreement on April 20, 2011, whereby Dr. Samess agreed to furnish employment physical services; and WHEREAS, on or about July 1, 2012, Dr. Samess became an employee of Fishermen's Hospital in Marathon, Florida; and WHEREAS, the County continues to need the services listed in the Agreement; and WHEREAS, it is necessary to amend the Agreement in order to add the name of Fishermen's Hospital because all invoices for services provided under the Agreement will now be issued under the name of Fisherman's Hospital, Inc. ; NOW THEREFORE, for good and valuable consideration, the parties agree to the terms and conditions set forth below. 1. Fishermen's Hospital, Inc., 1st Professional Centre, 5701 Overseas Highway, Ste. 17, Marathon FL 33050 is added as a party to the Agreement. 2. By executing this Amendment, Fisherman's Hospital indicates its consent to be bound by the terms and conditions of the Agreement, as amended hereto, and Dr. Samess and the County indicate their consent to the addition of Fishermen's Hospital as a party. 3. The person signing below on behalf of Fishermen's Hospital warrants that he has all necessary authority to execute this Amendment on behalf of Fishermen's Hospital and to bind Fishermen's Hospital to the terms and conditions of the Agreement and this Amendment. 4. This Amendment is made retroactive to July 1, 2012. 5. All other terms and conditions of the Agreement remain in full force and effect. 1 IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed the day and year first above written. (SEAL) Board of County Commissioners Attest: Danny L. Kolhage, Clerk of Monroe County Deputy Clerk /pA?pad Mayor/Chairman Fishermen's Hospital, Inc. Hal W. Le h, DBA, FACHE Chief E cutive Officer Ronald R. Samess, M.D. o N Ronald R. Sames c w o_ kw cr MO R E COUNTY ATTORNEY O T FQ�Pt.M: L_ YNTHIA L. AC N _ ASSIST NT COUNTY ATTORNEY Date 10 —10— 20l"2, 2