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#14-6293 Amendment No. 1 (Millennium Physician Group) FIRST AMENDMENT TO AGREEMENT#14-6293 "COLLIER COUNTY ON-SITE MEDICAL CLINIC" BETWEEN COLLIER COUNTY AND MILLENNIUM PHYSICIAN GROUP,LLC THIS AGREEMENT, made and entered into on this Io day of 0 c dpRr 2017, by and between Millennium Physician Group, LLC,authorized to do business in the State of Florida, whose business address is 6321 Daniels Parkway, Suite 201, Fort Myers, Florida 33921 (the "Provider" and "Millennium") and Collier County, a political subdivision of the State of Florida, (the "County" or "Owner"). WHEREAS,on September 9,2014, Item 16.E.7,the County entered into an Agreement with Provider to provide on-site primary care health services; and WHEREAS,the parties desire to amend the Agreement to expand services under all four(4) clinic model options to provide onsite limited pharmacy services for the disbursement of commonly prescribed medications and flu shot vaccinations through the Med Center; and WHEREAS, by amending the current clinic Model Option 1 to include limited pharmacy services, the future exercise of any of the other three (3) expanded clinic options will automatically include those services; and WHEREAS, the Provider will request reimbursement from the County for the actual cost paid by Provider with no additional markup to the County. 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 **Remainder of this page left blank intentionally** ®: Page 1 of 3 ' Agreement#14-6293 Collier County On—Site Medical Clinic Exhibit A Scope of Services * * * * * 3. CLINIC OPTIONS—BRIEF DESCRIPTIONS This Agreement provides for four (4) clinic options. Option 4 is not anticipated at this time, but may be considered for implementation in the future. These options are: Option 1: Current Clinic—The current clinic services, along with the provision of onsite limited sharmac servi es a furt er s-t f.rth in Section 4 Clinic O.ti.n —Detailed D-s ri.tions * * * * * 4. CLINIC OPTIONS—DETAILED DESCRIPTIONS Option 1 —Current Clinic Model—Duplicate the current clinic model, including the provision of on-site limited pharmacy services to be provided under all clinic model options under this Agreement, which will stock and dispense medications to treat acute episodic illness and chronic d•se. e o incl_a e cut not limite• t.• Fl_ V ine antibiotics . d Steroid ..cks. Millennium will purchase medications directly from supplier and the County will reimburse Provider at actual cost paid with no additional markup to County. Staffing to match what is in the pricing sheet in Exhibit B. * * * * * (SIGNATURE PAGE TO FOLLOW) Page 2 of 3 IN WITNESS WHEREOF,the parties hereto,have each,respectively,by an authorized person or agent, have executed this Amendment on the date and year first written above. ATTEST: Dwight E. Brock, Clerk of Courts BOARD OF COUNTY COMMISSIONERS COLLIE' rip Y, FLORIDA 0 A /&dece.../ �By: . L Ili ' '°' Penny Taylor airman , Dated: ` 161l - -- (SEAL) Attest as to Chairman's signature only. Provider tresses: P .vider • Mile 1 i mum Ph sician Grou i LLC Fi t ►;�! ess 104 1704iLl By; IMEL, � � Si lc .tore TT se/print to• nameT a , V._ 3 4'-'11-7 " /' OW-- TType/print signature and title :.cord es• ,,�jj��, ' / ` nes- A) 6/u- 2/Lka l`�v) /0014712 ll-)e — (--ct4-k TType/ptint witness nameT Date A roved ass to F./ay.Id Legality: zslAlk VC it/,‘-.4A____ Deputy County Attorney e...> 'if g -7-e--.44., Prin ame 971 Page 3 of 3 ..