#12-5874 Amendment #2 SECOND AMENDMENT TO AGREEMENT#12-5874
BETWEEN COLLIER COUNTY
AND
ADVANCED DATA PROCESSING,INC,DIB/A INTERMEDIX
FOR
EMS BILLING
THIS AGREEMENT, made and entered into on this day of Stvkmbe,`c 2017, by and
between Advanced Data Processing, Inc, d/b/a Intermedin, a corporation, authorized to do business
in the State of Florida, whose business address is 6451 North Federal Highway, Suite 1000. Fort
Lauderdale, Florida 33308 (the "Contractor")and Collier County,a political subdivision of the State of
Florida, (the "County"):
WHEREAS, on November 13, 2012, Item 16.E.6, the County entered an Agreement with
Contractor to provide billing services for Collier County Emergency Medical Services;
WHEREAS, on November 15, 2016, Item 16.E.6, the County approved an Amendment to
the Agreement to include consulting services to County to enroll in the Florida EMS PEMT (Public
Emergency Medical Transports)Medicaid program,and to provide ongoing consulting/costing services
for both the Florida CPE(Certified Public Expenditures)PEMT which includes Medicaid managed care
transports revenue programs.
WHEREAS,the parties desire to amend the Amendment No. 2 to correct a Scrivener's error
to now say Amendment No. 1 as no prior amendment was executed prior to this second amendment;
WHEREAS,the parties desire to further amend the Agreement to add one additional one year
period extension to allow the Contractor time to invoice for accounts filed through September 30, 2017
along with any payment due for processing Certified Public Expenditure data through Public Consulting
Group;
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the parties as follows:
Words Struck-Through are deleted; Words Underlined are added
Page 1 of 3
* * * * *
1. COMMENCEMENT.The contract shall be for a two(2)year period,commencing on Board
approval date, and terminating two years from that date.
The County may, at its discretion and with the consent of the Contractor, renew the
Agreement under all the terms and conditions contained in this Agreement for three (3)
additional one (1) year periods. The County shall give the Contractor written notice of the
County's intention to extend the Agreement term not less than ten(10)days prior to the end
of the Agreement term then in effect.
The Parties agree to renew the Agreement for a period of one-year from November 13, 2017
through November 13,2018,for the limited purpose of processing accounts received prior to
October 1, 2017.
2. STATEMENT OF WORK. The Contractor shall provide billing services in accordance
with the terms and conditions of RFP #12-5874 and the Contractor's proposal referred to
herein and made an integral part of this agreement. This Agreement contains the entire
understanding between the parties and any modifications to this Agreement shall be mutually
agreed upon in writing by the Contractor and the County Project or Contract Manager or his
designee, in compliance with the County Purchasing Policy and Administrative Procedures
in effect at the time such services are authorized.
The Contractor shall not accept from the County any additional accounts for processing after
October 1, 2017.
* * * * *
SIGNATURE PAGE TO FOLLOW
**Remainder of this page left blank intentionally**
Page 2 of 3
IN WITNESS WHEREOF,the parties hereto,have each, respectively, by an authorized person or
agent, have executed this Agreement on the date and year first written above.
ATTEST:
Dwight E.Brock, Clerk of Courts BOARD OF COUNTY COMMISSIONERS
COLLI.i9 TY, FLORIDA
By: n-C - By: ///, an.,/,.,/, _, _
'envy aye,. • .
ti
Dated:
(SEAL} �Attest'az Chairman's
signature only.
t O( 1 C ice, Advanced Data Processing, Inc, d/b/a
Fi' t Witness Intermedix
Linda Smith Contractor
TType/print witness nameT I
By:
Signature
Z_ Melissa Leigh, SVP and General Counsel
,AZ--
Se ; d Witness TType/print signature and titleT
Adam Holman
TType/print witness nameT
A ro edg to F d ality:
Depu County Attorney
4 1 0 L 4L
Print Name
Page 3 of 3
Detail by Entity Name Page 1 of 3
Florida Department of State DIVISION OF CORPORATIONS
.org
Department of State / Division of Corporations / Search Records / Detail By Document Number/
Detail by Entity Name
Foreign Profit Corporation
ADVANCED DATA PROCESSING, INC.
Filing Information
Document Number F02000005151
FEI/EIN Number 22-3875190
Date Filed 10/11/2002
State DE
Status ACTIVE
Principal Address
6451 N. FEDERAL HIGHWAY
SUITE 1000
FORT LAUDERDALE, FL 33308
Changed: 01/14/2011
Mailing Address
6451 N. FEDERAL HIGHWAY
SUITE 1000
FORT LAUDERDALE, FL 33308
Changed: 01/14/2011
Registered Agent Name&Address
REGISTERED AGENT SOLUTIONS, INC.
155 OFFICE PLAZA DR
STE.A
TALLAHASSEE, FL 32301
Name Changed: 09/26/2011
Address Changed: 09/26/2011
Officer/Director Detail
Name&Address
Title Director
SHAMON, DOUG
6451 N. FEDERAL HIGHWAY, SUITE 1000
FORT LAUDERDALE, FL 33308
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 8/18/2017
Detail by Entity Name Page 2 of 3
Title President, Director
COOKE, KEN
6451 N. FEDERAL HIGHWAY
SUITE 1000
FORT LAUDERDALE, FL 33308
Title VP
WILLIAMS, BRAD
6451 N. FEDERAL HIGHWAY,SUITE 1000
FORT LAUDERDALE, FL 33308
Title D
ABBRECHT,TODD
100 FEDERAL STREET 35TH FLOOR
BOSTON, MA 02110
Title D
nelson,Josh
100 FEDERAL STREET 35TH FLOOR
BOSTON, MA 02110
Title D
PRENIER, MEGAN
100 FEDERAL STREET 35TH FLOOR
BOSTON, MA 02110
Title D
BOROM, MICHAEL
100 FEDERAL STREET 35TH FLOOR
BOSTON, MA 02110
Title CEO
portice,Joel
6451 N. FEDERAL HIGHWAY
SUITE 1000
FORT LAUDERDALE, FL 33308
Title Secretary
Leigh, Melissa
6451 N. FEDERAL HIGHWAY
SUITE 1000
FORT LAUDERDALE, FL 33308
Annual Reports
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Detail by Entity Name Page 3 of 3
Report Year Filed Date
2015 05/01/2015
2016 04/14/2016
2017 05/18/2017
Document Images
05/18/2017--ANNUAL REPORT View image in PDF format
04/14/2016--ANNUAL REPORT View image in PDF format
05/01/2015--ANNUAL REPORT View image in PDF format
04/27/2014--ANNUAL REPORT View image in PDF format
04/18/2013--ANNUAL REPORT View image in PDF format
03/27/2012--ANNUAL REPORT View image in PDF format
09/26/2011--Req.Agent Change View image in PDF format
01/14/2011--ANNUAL REPORT View image in PDF format
01/28/2010--ANNUAL REPORT View image in PDF format
01/21/2009--ANNUAL REPORT View image in PDF format
04/28/2008--ANNUAL REPORT View image in PDF format
04/23/2007--ANNUAL REPORT View image in PDF format
03/03/2006--ANNUAL REPORT View image in PDF format
04/18/2005--ANNUAL REPORT View image in PDF format
03/19/2004--ANNUAL REPORT View image in PDF format
04/04/2003--ANNUAL REPORT View image in PDF format
10/11/2002--Foreign Profit View image in PDF format
Florida Department of State,Division of Corporations
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