Contract 2021-093A M2REAL FLORIDA - REAL CLOSE,
MODIFICATION OF CONTRACT
Modification Number:Two (2)
Effective Date: 4/22/2022
Contracting Officer: Gretchen Bechtel
E-mail: gbechtel@lakecountyfl.gov
Telephone Number: (352) 343-9765
Issued By:
Procurement Services
Lake County Administration Building
315 W. Main St., Suite 441
Tavares, Florida 32778-7800
Contract Number: 20-0701
Title: Gasoline, Diesel, Fuel, Kerosene, LP Gas, and
Bio-Diesel
Effective Date: 4/22/2020
Contractor Name and Address:
Name: Port Consolidated, Inc.
Address: P. O Box 350430
City: Fort Lauderdale, FL 34736
ATTENTION: Dannv Simmons, Vice -President
INSTRUCTIONS: Contractor shall sign Signature Block showing acceptance of the below written modification and return
this form to Procurement Services within ten (10) days after receipt. Once fully executed, a copy of this modification will be
returned to the Contractor to attach to the original Contract.
DESCRIPTION OF MODIFICATION: Contract Modification to extend for one (1) year expiring April 21, 2023.
CONTRACTOR SIGNATURE BLOCK
Signature:
Print Name:
Title: 1/1e.0- R'e4
Date: 1/ 17-/ZoZZ
E-mail: c.�5i�.+tivlav►S�Pc++-14or►so/fo�al�afcu.►-�
Secondary E-mail-
Distribution:
Original — Bid File
Copy — Contractor
Contracting Officer
LAKE COUNTY SIGNATURE BLOCK
Signature: Diaitallv sianed by
Print Name: Gretchen Isecht0, Gretchen Bechtel, CPPB,
-cm- eibdLliny Contracting Officer
Title: Contra 8p�TTfcer iyDate: 2022.01.12
Date: 11:38:28-05'00'
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