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Contract 2022-113A M4LA E
C O U N `i' Y, FL
41 AI FIP111n1 • of Al r) 0IF
MODIFICATION OF CONTRACT
Modification Number:%ur (4)
Contract Number. 22-730C
6ffactiv+c Dow 3/13/2024
Title: Fire Equipment, Supplies, and Servkes
l;ffectivc Date: 0$/01/2022
Conowging OBiew. Gretchen Bcchtcl, CPPB
Contractor Name and Address:
E-mail: Gmtchhen.bechtcl@lakecountyfl.gov
Tclel+hone Number. 352-343-9765
Name; Fisher Scientific Company, L.L.C.
Address: 5907 Hampton Oaks P1cwy, S?E D
155uod By:
Procurement Services
City: Tampa, FL 33610
Lake County Administration Building
ATTENTION: Mike Botet
315 W. Main St., Suite 441
Tavares, Florida 32778-7800
Mike.botet(i�y'thermofisher.corn
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 remove vendor from contract.
FIMSled 2.W1, 45 days yes httos:/lfiresledhtness con
CONTRACTOR SIGNATU BLOCK
LAKE COUNTY SIGNATURE BLOCK
Signature:
Signature: Digitally signed by
Print Name: Ian I ckcte( o-�+
Print Name: Gretchen Bechtel, Gretchen Bechtel,
Title: - {q e S %I'1oA at
Title: Contracting Contracting Officer 11
Officer II Date: 2024.03.13
Date: 14:59:01-04'00'
Date. 33 a
E-mail: ANI ke . 13o-P+cf oAs-�je/`, Co
Secondary E-mail: hh652G /a 3 9►' I`l . C o r
Distribution:
Original — Bid He
copy - contractor
Contracting Officer
PROCUREMENT SERVICES - DIVISION OF OFFICE OF MANAGEMENT AND BUDGET SERVICES
P.O. BOX 7800. 315 W. MAIN ST., TAVARE:.S, FL 32778 - P 352.343.9839 - F 352.343.9473
BaLod of Caney Carwm.nuI rs 9 w- M'.AArc f %. '
