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Revised 01/24 <br /> <br />NORTH CAROLINA <br />CONTRACT AMENDMENT <br />ORANGE COUNTY <br /> <br /> <br />THIS CONTRACT AMENDMENT (“Amendment”) is made and entered into this 11tht day of November, 2025 by and <br />between ORANGE COUNTY (hereinafter referred to as “County”) and EXPRESS CARE TRANSPORT L.L.C. <br />(hereinafter referred to as “Provider”). <br /> <br /> <br />WITNESSETH: <br /> <br />THAT WHEREAS, the County and Provider entered into a contract dated July 1, 2025, (hereinafter the “Original <br />Agreement”), for the provision of services for non-emergency medical transportation; and <br /> <br />WHEREAS, the County and Provider desire to amend the Original Agreement while keeping in effect all terms and <br />conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. <br /> <br />NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to <br />amend the Original Agreement as follows: <br /> <br />1. ATTACMENT B Section C to the Original Contract is amended to reduce the rate per unit of service paid to <br />the Provider: Ambulatory: $38.80/one way trip; Wheelchair: $48.50/one way trip. This change is the result of <br />NC Medicaid 3% rate reduction to NEMT services and is effective for all trips completed on or after October <br />1, 2025. <br /> <br />2. Except for the changes made herein, the Original Agreement shall remain in full force and effect to the extent <br />it is not inconsistent with this Amendment. In the event there is a conflict between the terms of the Original <br />Agreement and the terms of this Amendment, this Amendment shall control. <br /> <br /> <br /> IN TESTIMONY WHEREOF, this Amendment has been executed by the parties hereto, as of the date first above <br />written. <br /> <br />ORANGE COUNTY PROVIDER <br /> <br />______________________________ __________________________________ <br /> Corey Gatling <br />County Manager Owner <br /> <br /> <br />Docusign Envelope ID: B18415CD-3B94-4CD7-B7B7-4DFAE51A121A