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Res 2022-162R Authorizing a change in service to the agreement with Dr. Tania Glenn & Assoicates, PA
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Res 2022-162R Authorizing a change in service to the agreement with Dr. Tania Glenn & Assoicates, PA
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10/12/2022 9:02:25 PM
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EXHIBIT B <br /> AUTHORIZATION OF CHANGE IN SERVICE <br /> NUMBER: 220-200 <br /> and Care <br /> CONTRACT NAME: First Responder Clinical Advisor <br /> CONTRACTOR: Dr.Tania Glenn&Associates,PA <br /> ORIG.CONTRACT DATE: April 23,2020 RESOLUTION NO: 2022-xxxR <br /> CITY REPRESENTATIVE: Linda Spacek DEPT: Human Resources <br /> DATE: August 2,2022 ACIS NO.: I <br /> DESCRIPTION OF WORK TO BE ADDED TO OR DELETED FROM SCOPE OF SERVICES: <br /> This change in service establishes and defines the contract term dates as April 23 to April 22 of the following <br /> consecutive year to include annual renewals. <br /> The annual contract amount is hereby established in the sum of $32,000 per contract year for continued <br /> services. <br /> Annual contract extensions will be completed administratively. <br /> Original Contract Amount not to exceed: April 23,2020,Through August 2,2022 $49,500.00 <br /> Expended to Date $48,790.00 <br /> Remaining on Contract $710.00 <br /> This Anticipated Annual Contract Amount $32,000.00 <br /> CUMMLATIVE CONTACT AMOUNT $81,500.00 <br /> CONTRACTOR: <br /> Signature Date <br /> Print Full Name/Title(if not in individual capacity) <br /> CITY: <br /> r <br /> Si natur Date <br /> Print Nam -ATiilr <br /> City Department Use Only Below This Line(EM,POC,etc.). <br /> Account Number(s): Amount Date <br /> 02/21/17 Rev.05.25.2021 Page I of 1 <br />
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