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AMENDMENT 1 TO BAKER ACT SERVICES
MEMORANDUM OF AGREEMENT
CONTRACT #C13-2043-PS
This amendment made and entered into on this day of 2013, applies
to the “Baker Act Services” agreement dated June 4, 2013, by and between Fort Walton Beach
Medical Center, hereinafter referred to as “Provider”, and Okaloosa County, hereinafter referred
to as “Contractor” or “County.”
Exhibit A of the contract is replaced with the attached revision changing the Fiscal Year to 2014.
ATTEST/WITNESS:
a Signature
ATTEST:
Gary Stanford
Deputy Clerk of Circuit Court
By:
FORT WALTON BEACH MEDICAL CENTER
By: LEO.
Mitch @pngell, Chief Executive Officer
Date: Gl WH
OKALOOSA COUNTY by and through its
BOARD OF COUNTY COMMISSIONERS
By:
Don R. Amunds, Chairman
APPROVED AS TO FORM AND LEGAL
SUFFICTENCY:
John Dowd, County Attorney
MEMORANDUM OF AGREEMENT
Florida Mental Health (Baker Act) Emergency Services for
Intervention, Assessment and Stabilization Treatment Services
for
Okaloosa County |
with
Fort Walton Beach Medical Center
EXHIBIT ‘A’
Public Safety Emergency Services for: FY 2014
Stabilization Services for Okaloosa County
Current funding not to exceed: $197,115.00
Baker Act In-Patient Services:
For Crisis Stabilization Unit (CSU) to ensure Public Safety $197,115.00
SUBTOTAL $197,115.00
TOTAL ANNUAL BOARD OF COUNTY COMMISSIONER
$197,115.00
FUNDS
3.1 Match from State of Florida