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LINE ITEM NUMBER
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COMMODITY TYPE
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STATE TERM CONTRACT ID
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AGENCY SOLICITATION NUMBER
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Quantity |
Unit Price |
Total Unit Price |
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1
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Health system evaluation services
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2.0000
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$600.0000
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$1,200.00
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| Mary Jane Valbracht, ARNP agrees to provide specialized consulting services to the Correctional Medical Authority (CMA) as an independent contractor. The Contractor will participate as a team member i... |
| Line Item Description: Mary Jane Valbracht, ARNP agrees to provide specialized consulting services to the Correctional Medical Authority (CMA) as an independent contractor. The Contractor will participate as a team member in the survey and evaluation of health care services at the Institution subject to availability within the schedule established by the CMA. See the attached and incorporated Scope of Services applicable to all services performed by the Contractor. Contractor's area of expertise: Physical Health Survey Inspection Institution: Holmes Correctional Institution Bonifay, FL On-Site Survey Location: Holmes Correctional Institution 3142 Thomas Drive, Bonifay, FL 32425-0190 On-Site Survey Schedule Date(s): August 5-6, 2026 CMA Survey Team Leader(s): Jerris W. Castro, BSN Monica Dodrill, RN Rona Thompson, MSW Christine Swift, LCSW Lynne Babchuck, LCSW Jane Holmes-Cain, LCSW *Contractual Invoice will state On-Site Health Care Survey scheduled date(s), the Institution that was evaluated, and a team leader from the list above will confirm that the named individual participated and met all minimum performance standards as contractually agreed in the survey inspection on the date(s) stated. **Reimbursement Voucher will state On-Site Health Care Survey travel date(s) for the Institution that was evaluated. If necessary, service and travel amount will be updated to reflect actual cost with a change order. If headquarter is the same city as destination, reimbursement for travel will be a zero-dollar reimbursement. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64240000000 - |
| Object Code and Description: 131300 - |
| Account Code: 64-10-1-000319-64100200-00-100777-00 |
| Split Amount: $1,200.00 |
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2
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Health administration services
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80.0000
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$1.0000
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$80.00
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| Per Diem - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. Reimbursement ... |
| Line Item Description: Per Diem - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64240000000 - |
| Object Code and Description: 261104 - |
| Account Code: 64-10-1-000319-64100200-00-040000-00 |
| Split Amount: $80.00 |
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3
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Health administration services
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55.0000
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$1.0000
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$55.00
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| Meals - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. |
| Line Item Description: Meals - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64240000000 - |
| Object Code and Description: 261204 - |
| Account Code: 64-10-1-000319-64100200-00-040000-00 |
| Split Amount: $55.00 |
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4
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Health administration services
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123.4400
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$1.0000
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$123.44
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| Rental/Fuel - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. |
| Line Item Description: Rental/Fuel - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64240000000 - |
| Object Code and Description: 261038 - |
| Account Code: 64-10-1-000319-64100200-00-040000-00 |
| Split Amount: $123.44 |
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5
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Health administration services
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382.5000
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$1.0000
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$382.50
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| Lodging - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. |
| Line Item Description: Lodging - Reimbursement of travel expenses associated with the delivery of specialized consulting services. All travel costs will be reimbursed in accordance with section 112.061, F.S. |
| Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.] |
Line Split Details:
| Split Accounting Line Number: 1 |
| FLAIR Contract ID: |
| Org. Code and Description: 64240000000 - |
| Object Code and Description: 261409 - |
| Account Code: 64-10-1-000319-64100200-00-040000-00 |
| Split Amount: $382.50 |
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