FIRST AMENDMENT TO PROFESSIONAL SERVICES AGREEMENTFIRST AMENDMENT TO
PROFESSIONAL SERVICES AGREEMENT
This is the First Amendment ("Amendment") to the Professional Services Agreement ("Agreement")
between City of Clearwater ("Client") with offices located at 401 Corbett Street, Suite 401,
Clearwater, Florida 33756 and Evernorth Direct Health, LLC ("Evernorth") with offices located 8888 E.
Raintree Drive, Scottsdale, Arizona 85260 effective October 1, 2023. This Amendment is effective
April 1, 2024 ("Amendment Effective Date"). Client and Evernorth are sometimes referred to herein
individually as a "Party" and collectively as the "Parties."
WHEREAS, the Parties wish to amend the Agreement to add one additional Evernorth Personnel as
further described in accordance with the terms stated herein.
NOW, THEREFORE, for valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, as of the Amendment Effective Date, the Agreement is hereby amended as follows:
1. For purposes of this Amendment, capitalized terms used herein shall be as defined in the
Agreement, as amended, or in any of the Schedules or Appendices attached thereto, unless
otherwise specified.
2. Effective upon this fully executed Amendment, Evernorth will begin the process for implementing
an additional Evernorth Personnel to provide services. Subsection 15.1.1 under Subsection 15.1
(Staffing) under Section 15 (Health Center Staffing) of the Agreement is hereby amended to add
the following Evernorth Personnel:
One (1) Part -Time Nurse Practitioner (regularly working 8 hours per week; and providing
coverage for full-time providers when they are away from work).
3. Subsection 9.1 under Section 9 (Notices) is hereby amended to update the Notice Contact
Information for Client and Evernorth as follows:
If to Evernorth:
Jeffrey T. Perry, DBA
Chief Operating Officer, Vice President
Evernorth Direct Health, LLC
8888 E. Raintree Drive, Suite 300
Scottsdale, Arizona 85260
(602) 320-4629
With an Email Copy to Evernorth:
Jeffrey.Perry@evernorth.com
If to Client:
Tiffany Makras
With an Email Copy to Cigna Legal:
Molly.Phillips@Evernorth.com
City of Clearwater
Human Resources Director
100 South Myrtle Avenue
Clearwater, Florida 33756-5320
4. Appendix 1 (Operating Budget) attached to the Agreement is hereby deleted and replaced with
the Appendix 1 (Operating Budget) attached to this Amendment that includes the additional
Evernorth Personnel (part-time Nurse Practitioner) being added in this Amendment.
5. Except as modified by this Amendment, all other terms and provisions of the Agreement, as
amended, and all Schedules and Appendices attached thereto, shall continue in full force and
effect.
IN WITNESS THEREOF, the Parties hereto have caused this Amendment to be executed and signed
by their respective officers duly authorized to do so, on the dates indicated below. Electronic
signatures are acceptable and have the same binding effects as original signatures.
EVERNORTH DIRECT HEALTH, LLC
By:
7-PmAt Z794
Name: Jeffrey T. Perry, DBA
Title: Chief Operating Officer, VP
Date: 04.01.2024
Owen Kohler
Lead Assistant City Attorney
CITY OF CLEARWATER, FLORIDA
By:
Jennifer Poier
City Manager
1
Rosemarie CaII
City Clerk
APPENDIX 1- OPERATING BUDGET
Evernorth Direct Health LLC
Cost Projection Estimates Prepared for:
City of Clearwater
EVERNORTF�.
Description 1 1011123 - 9130124 1 10/1/24 - 9/30125 1 10/1/25 - 9/30/26
FTE's Physician
Nurse Practitioner
Medical Assistant
Front Office
Licensed Practical Nurse/RN
Total FTE's
Salaries & Benefits
Temp Labor
Other Direct Expenses
Supplies
System Expenses
Admin Fee
Infrastructure & Management Fees
ITotal Onsite Health Center Estimate
1.00
1.20
2.00
1.00
1.00
6.20
887,000
10,000
78,000
166,000
79,000
21,000
404,000
1,645,000
1.00
1.20
2.00
1.00
1.00
6.20
911,000
10,000
79,000
169,000
82,000
21,000
414,000
1,686,000
1.00
1.20
2.00
1.00
1.00
6.20
934,000
10,000
81,000
171,000
84,000
21,000
425,000
1,726,000
CHC - Operating funding incentive 161,777
161,777 161,777
Total Cost Estimate After Cigna Contribution 1,483,223 1,524,223 1,564,223
Assumptions
1) The facility Is staffed as Indicated in the FTE section above
2) Full-time Is considered to be 40 hours per week and represented by 1.00 FTE
3) Cost for cash collection at the site are not included
4) Marketing for communications to those eligible for access to the site is planned at $5000 In year one and $5000 the following years
5) Recruitment cost for staff is projected at $5000 per year (Marketing & Recruitment are pass thru expenses. only charged if incurred)
6) External lab vendor will submit a claim.
7) Includes estimated cost of prepackaged medication
8) Temp labor Is billed if Incurred. the amount provided is an estimate
9) This cost projection may need to be updated lithe scope of operations changes