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FIRST EXTENSION AND AMENDMENT TO AGREEMENT FOR MEDCIAL SERVICES FOR PERSONS WITH SPECIAL NEEDS SHELTER This First Extension and Amendment to that certain Agreement to provide Medical Services for Persons with Special Needs Shelter is entered into effective as of October 11, 2025, by and between Indian River County, a political subdivision of the State of Florida ("County") and Critical Response Strategies, LLC ("Provider"). BACKGROUND RECITALS WHEREAS, the County and the Provider entered into an Agreement for Medical Services for Persons with Special Needs Shelter effective October 11, 2022; and WHEREAS, Paragraph 3 of the Agreement contains the term and renewal provisions; and WHEREAS, the first term commenced effective as of October 11, 2022, and will end on October 10, 2025; and WHEREAS, pursuant to the Agreement, the parties desire to extend the Agreement for an additional one year; and WHEREAS, the parties wish to Amend the Agreement to include new Termination for Breach Language; NOW, THEREFORE, in consideration of the foregoing, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the County and the Provider agree as follows: The background recitals are true and correct and form a material part of this First Extension and Amendment. 2. The first renewal term shall commence effective October 11, 2025, and shall end on October 10, 2026. There are two additional one-year renewals available on the contract. 3. ARTICLE 11 — TERMINATION OF CONTRACT is amended to include: D. (4) A vendor or service provider that breaches such contract during an emergency recovery period (1 -year period that beings on that date that the Governor initially declared a state of emergency for a natural emergency) is to pay a $5,000 penalty and damages, which may be either actual and consequential damages or liquidated damages. 4. All other terms and provisions of the Agreement shall be unchanged and remain in full force and effect.