Okaloosa County BOCC — 2013 meeting #1139 (date undetermined) — Amendment 5 & Task Order — reading text

STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED MEDICAID NON-EMERGENCY TRANSPORTATION (NET) PROGRAM SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT AMENDMENT NO.: 5 AGREEMENT #: BDN10 FINANCIAL PROJECT ID#: 41604318201 F.E.1L.D. # 59-6000765-049 THIS amendment, entered into on June 30, 2013 by and between the State of Florida, Commission for the Transportation Disadvantaged, hereinafter called “Commission” and Okaloosa County Board of County Commissioners, 1804 Lewis Turner Blvd., Ste-206, Fort Walton Beach, Florida 32547 _, hereinafter called “Subcontracted Transportation Provider” for Okaloosa County(ies). WHEREAS, this amendment is necessitated by the amendment of the contract between the Commission and the Agency for Health Care Administration for Medicaid Non-Emergency Transportation (NET) services. WHEREAS, this amendment is for the mutual benefit of both parties; and NOW, THEREFORE, the aforesaid Agreement is hereby amended in the following respects only: 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. 3s Renewal of Agreement: The Term of this agreement is hereby renewed until June 30, 2014. 4. Compensation and Payment: This agreement is increased by $253,230.00 for a total maximum amount of $1,234,548.00. 5. Exhibit B, Method of Compensation, of said Agreement is replaced by Amendment Number 5 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 1/1/2009 and amendments 1, 2, 3 and 4, shall remain in full force and effect. This amendment cannot be executed unless all previous amendments to this Agreement have been fully executed. In witness whereof, the authorized representatives of the parties hereto have executed this AMENDMENT, effective June 30, 2013. STATE OF FLORIDA Okaloosa Board of County Commissioners COMMISSION FOR THE TRANSPORTATION DISADVANTAGED SIGNATURE SIGNATURE Executive Director CHAIRMAN TITLE TITLE Steven Holmes DON _R_AMUNDS PRINTED NAME PRINTED NAME AGREEMENT NO.: BDN10 COUNTY NAME: Okaloosa AMENDMENT NO. 5 EXHIBIT B METHOD OF COMPENSATION This Exhibit defines the limits of compensation to be made to the contractor for the services set forth in Exhibit “A” and the method by which payments shall be made. i, Project Compensation: For the satisfactory performance of services detailed in Exhibit “A”, the Subcontracted Transportation Provider shall be paid up to a Maximum Amount of $1,234,548.00. The remaining Project Amount shall be made up of the following limiting amounts: $ 253,230.00 from Fiscal Year 13/14 The total amount of this contract is expected to be funded by multiple appropriations and the State of Florida’s performance and obligation to pay under this contract is contingent upon annual appropriation by the Legislature. 2. PROGRESS PAYMENTS AND DISBURSEMENT SCHEDULE OF FUNDS: The STP shall submit monthly invoices in a format acceptable to the Commission. FY 13/14 Payment July $ 21,103.00 August $ 21,103.00 September | $ 21,103.00 October $ 21,103.00 November $ 21,103.00 December $ 21,103.00 January $ 21,103.00 February $ 21,103.00 March $ 21,103.00 April $ 21,103.00 May $ 21,103.00 June $ 21,097.00 Contracted Transportation Services Task Order No. 28 Amendment No. 5 Contractor: Okaloosa County Transit (OCT) Contract No.: C03-0927-GM, Agreement for Operation of Okaloosa County Public Transit Task Order Description Provide passenger trips to eligible Medicaid beneficiaries. OCT to provide monthly invoices. Funding is being provided by the following grant and therefore all terms and conditions apply: Grant Program: Medicaid Non-Emergency Transportation Program Granting Agency: Florida Commission for the Transportation Disadvantaged (FDOT) Grant No.: BDN10 CFDA: 93.778 Financial Proj Id: 41604318201 Period of Services: July 1, 2013 through June 30, 2014. Cost of Services: Based on the amended grant reimbursement amount of $253,230.00 OCT has been informed of, understands, and agrees to comply with the applicable compliance requirements. Authorization Okaloosa County Transit (OCT) Okaloosa County Board of County Commissioners OCT has been informed of, understands, (approved in accordance with the Purchasing Policy) and agrees to comply with the applicable compliance requirements. Ruth Lovejoy, CCTM, Executive Director Elliot Kampert, AICP, Director 06/11/2013 06/18/2013 Signature and Date Signature and Date Don R. Amunds, Chairman Approved by Name, Title 06/18/2013 Signature and Date