Contract 2021-093A M3COUNTY, FL
MODIFICATION OF CONTRACT
Modification Number:Three (3)
Effective Date: 4/22/2023
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, 2024.
CONTRACT SIGNATU_,RE BLOCK
Signature: -
Print Name:
Title:
Date: Z / Z% ZDz 3
E-mail: g ivta3n15ae pC)4tcn56%�L�G �4.Q. �e)s~r
Secondary E-mail:
Distribution:
Original - Bid File
Copy - Contractor
Contracting Officer
LAKE COUNTY SIGNATURE BLOCK
Signature:
Digitally signed by
Cwchsr.
Print Name:
Gretchen Bechtel,
Bechtel, CPPB, CPPB. Contractina
Title: Contracting Officer
Contracting Officerll
Officer II Date:2023.02.03
Date:
08:43:45-05'00'
PROCL RI-Ml_N1' SF.RVICI'S -DIVISION OF OFFICF, OF' MAN aGI A'Ir: NT AND 13iTDG1 t SERVICES
P.O. I3OX -800 -315 W_ M AIti ST- TAVARI S. FL 32 'S • P 3,'.343.9S39 • F ,43.94-,
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