Minor Modification No. 1 to AHCA Contract No. FA972 between WellCare of Florida, Inc. d/b/a HealthEase and State of Florida Agency for Health Care Administration
Contract Categories:
Business Finance
›
Modification Agreements
Summary
This document is a minor modification to an existing contract between WellCare of Florida, Inc. (doing business as HealthEase) and the State of Florida's Agency for Health Care Administration. The modification updates the contact information for the Vendor’s Contract Manager to Hector Feliciano. All other terms and conditions of the original contract remain unchanged. The modification is effective as of November 2012 and is signed by representatives of both parties.
EX-10.36A 3 exhibit1036a.htm EXHIBIT Exhibit 10.36a
Back to 10-K | Exhibit 10.36a |
AHCA CONTRACT NO. FA972
MINOR MODIFICATION NO. 1
WELLCARE OF FLORIDA, INC.
D/B/A HEALTHEASE
8735 Henderson Road
Renaissance 2
Tampa, Florida 33634
AHCA Contract No. FA972, as entered into on the 1st day of September 2012, is hereby revised as follows:
1. | Standard Contract, Section III, Item B., Contract Managers, sub-item 2, is hereby amended to revise the Vendor’s Contract Manager’s information as follows: |
Hector Feliciano
WellCare of Florida, Inc.
d/b/a HealthEase
8735 Henderson Road
Renaissance 2
Tampa, FL 33634
(813) 206-3475
All other terms and conditions of the Contract shall remain unchanged.
WELLCARE OF FLORIDA, INC. D/B/A HEALTHEASE | STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION | |
/s/ Hector Feliciano | /s/ [illegible] | |
Contract Manager | Contract Manager | |
DATE: 11/5/2012 | DATE: 11/19/12 | |
/s/ Christina Cooper 11/6/2012 | APPROVED | |
/s/ Melanie Brown-Woofer | ||
Melanie Brown-Woofer | ||
Bureau Chief of Health Systems Development | ||
Date: 11/ 19 /12 | ||
AHCA Contract No. FA972, Minor Modification No. 1, Page 1 of 1