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TCMA Addendum #02/Exp 2020-09-30ADDENDUM NO. 2 AGREEMENT TO PIGGYBACK A CONTRACT FOR SERVICES BID BY ANOTHER GOVERNMENTAL ENTITY BETWEEN THE CITY OF OKEECHOBEE AND TREASURE COAST MEDICAL ASSOCIATES, INC. FOR MEDICAL SERVICES THIS ADDENDUM is the Second Addendum to the Contract for medical services with Treasure Coast Medical Association, Inc., ("Provider") dated this 7th day of August, 2018, and the terms and conditions set forth below are incorporated herein by reference and made a part of the original Contract with the Provider: WHEREAS, the City of Okeechobee, Florida has determined that entering into a Contract with the Provider for provision of medical services to the employees of the City is in the best interests of the City, which current Piggyback Agreement was entered into on October 3, 2017; and as the Agreement is due to expire September 30, 2018, it is necessary to execute this Second Addendum to extend such services: therefore it is agreed: 1. TERMS: That the City of Okeechobee, Florida, by this Addendum extends the Service Agreement with Provider subject to the terms set forth in the County Contract, found at Article 111, Section 3.1, between the Provider and Okeechobee County, Florida, for a term commencing on October 1, 2018, and terminating on September 30, 2020. The terms, conditions and agreements set out in the Contract between Provider and Okeechobee County dated September 29, 2017, and in addition the Piggyback Agreement dated October 3, 2017, together with Exhibit "A" attached thereto, between Provider and the City, are incorporated by reference into this Addendum as if fully set forth herein. 2. TERMINATION: The parties adopt and incorporate the provisions of Article III, Section 3.2 into this Agreement as the method of terminating this Agreement. IN WITNESS WHEREOF, the City and the Provider have made and executed this Addendum No. 2 to the aforementioned Contracts. AS TO THE CITY: Dowling R. Watford, Jr., Mayor AS TO THE POVIDER: ./14101001/ (c.. on- a► Aber4�lir President, TC ,I.-� ATTEST: x WITNESSES: YOALL-141J.0[� Lane Gamiotea, C C, City Clerk REVIEWED FOR LEGAL SUF ICIENCY: J `" John R. Cook, City Attorney ADDENDUM NO. 2 Page 1 of 1 Exhibit "A" Treasure easure Coos %V iediia/ A o iaies, Inc City of Okeechobee Employee Health Program Pricing Proposal Assumptions: 1. Monthly, the City will be billed for Administrative Fees & Reimbursable Expenses for Staffing. 2. Lab Costs. Fees for !abs will be billed cuarterk; . Meaication Costs: io Be Discussed 4. This Pricing Proposal covers Employee Health Services. Occupational Services will be addressed separately, outside this proposal. Administrative Fees & Reimbursable Expenses includes all Fees and Expenses outlined in this Proposal. Monthly Administrative Fee: • PEPM at $17 PEPM; Employee count to be provided monthly by City. Monthly Reimbursable Expenses: • Staffing allocated at a flat monthly fee of $1,500. Quarterly Reimbursable Expenses • All labs drawn/processed • Medications: Based on outcome of discussion Example of Monthly Invoice (based on 63 Eligible Employees): Admin Fee PEPM — 63 Eligible Employees $ 1,071 Reimbursable Expenses: Staffing Allocation Total Monthly Invoice Amount: 3405 NW Federal Hwy, Jensen Beach, FL 34957 (Ph.) 772-692-8082 (Fax) 772-232-9383 $ 1,500 $ 2,571