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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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3.0000
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$600.0000
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$1,800.00
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| Mary Jane Wynn, LCSW, agrees to provide specialized consulting services to the Correctional Medical Authority (CMA) as an independent contractor. The Contractor will participate as a team member evalu... |
| Line Item Description: Mary Jane Wynn, LCSW, agrees to provide specialized consulting services to the Correctional Medical Authority (CMA) as an independent contractor. The Contractor will participate as a team member evaluating and assessing institutional compliance by conducting health care service interviews at 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. Survey Inspection Institution(s): Santa Rosa Correctional Institution Annex - Milton, FL Contractor's area of expertise: Interview Coordinator On-Site Survey Location: 5850 East Milton Road, Milton, FL 32583-7914 On-Site Survey Schedule Date(s): September 15-17, 2026 CMA Survey Team Leader(s): Rona Thompson, MSW Jerris W. Castro, BSN Monica Dodrill, RN Christine Swift, LCSW Lynne Babchuck, LCSW Jane Holmes-Cain, LCSW *Contractual Invoice will state On-Site 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 Survey travel date(s) for the Institution that was evaluated. 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: $1,800.00 |
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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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277.7600
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$1.0000
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$277.76
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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: $277.76 |
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