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HomeMy WebLinkAboutMINUTES - 08171982 - COB BOX 69 THE ®OAR® OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on May 17 , 1933 by the following vote: AYES: Supervisors Powers , Fanden, McPeak, Torlakson , Schroder . NOES: None. ABSENT: None. ABSTAIN: None . SUBJECT: Approval of Contract Cancellation Agreement 1/26-•113-1 The Board on August 17, 1982, having approved Contract 1126-113 with Ernest A. Bates, M.D., Ltd. [dba American Shared Hospital Services (ASHS)] for computerized tomographic scanning, and The Board having considered the recommendations of the Director, Health Services Department, regarding cancellation of Contract 1126-•113 effective May 18, 1983, IT IS BY THE BOARD ORDERED that said contract cancellation agreement is hereby APPROVED and the Chairman is AUTHORIZED to execute the cancellation as follows: Number: 26-113-1 Department: Health Services - Medical Care Division Contractor: Ernest A. Bates, M.D., Ltd. [dba American Shared Hospital Services (ASHS)] Contract to be Cancelled: 26-113 Original Term: August 18, 1982 through August 17, 1983 Effective Date of Cancellation: May 18, 1983 Service: Computerized Tomographic Scanning The Board further AUTHORIZES the Health Services Contracts and Grants Administrator to submit to contractor a thirty-day written notice of termination in accordance with Contract General Conditions Paragraph S (Termination) in order to protect the County should Ernest A. Bates, M.D., Ltd. [dba American Shared Hospital Services (ASHS)] fail to execute and return Contract Cancellation Agreement 1126-113-1. 1 hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisprs on the/date shown.. ATTESTED: ! �o J.R. OLSSON, COUNTY CLERK and ex officio Clerk of the Board 13Y Deputy Orig. Dept.: Health Services/CGU CC: County Administrator Auditor-Controller Contractor DG:sh 3 CONTRACT CANCELLATION AGREEMENT Number 26-113-1 1. Identification of Contract to be Cancelled. Number: 26-113 Department: Health Services (Medical Care Division) Subject: Computerized Tomographic Scanning Effective Date of Contract to be Cancelled: August 18, 1982 Original Term: August 18, 1982 through August 17, 1983 2. Parties. The County of Contra Costa, California (County), for its Department named above, and the following named Contractor mutually agree and promise as follows: Contractor: Ernest A. Bates, M.D., Ltd. [dba American Shared Hospital Services (ASHS)] Capacity: A California Limited Partnership Address: 350 Parnassus Avenue, Suite 401, San Francisco, California 94117 3. . Mutual Consent Cancellation. Pursuant to General Conditions Paragraph 5. (Termination) of the contract identified above, County and Contractor hereby agree to cancel (i.e., terminate) said Contract immediately by mutual consent, effective on the close of the workday on Wednesday, May 18, 1983. 4. Signatures. These signatures attest the parties' agreement hereto: i47-c- QF- e119G/tro�,PA//A- /Ty Y t �A17Y AP-S5 yV �.P A&l5!:b COUNTY&esignee, Board CALIFORNIA CONTRACTOR R NQST �ri°S Mp L Ty )A [P By f� Supervisors ByX6RAI-e-�TA g319 00 �r s " - 6sen e3-a 1 00r-> (Designate official capacity) Attest: J) J. R. Olsson, County Clerk California By C% /�/I,/I'. �,P,/ State of6AA17i '/>♦/ 0155' S. Deputy County of r ntra C _ ) Recommended by Department ACKNOWLEDGEMENT (CC 1190.1) The person signing above for Contractor, a known to me in those individual and By business capacities, personally appeared Designee before me today and acknowledged that he/they signed it and that the corporation or partnership named above executed this Form Approved: instrum t pursuant to its bylaws or a r on of its board of directors. By Q. - No ary Pu Approved: County Administrator Dated: + gify /3 L By&aM4Z 164, Designee OFFICIAL SEAL S. C. Motincgey-Dennison ® NOTARY PUBLIC-CALIFORNIA City and County ct SAN FRANCISCO My Commission Expires Aug.26, 1983 =� CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT r�.4Y 1 C! TO: M. G. Wingett, County Administrator Date: May 10, 1983 0 1983 Attention: C. L. Van Marter Count Office Of m;n�.St, From: Arnold S. Leff, M.D., Director Subject: CONTRACT CANCELLATION AGRE " By: Elizabeth A. Spooner, Acting Contracts an Ta is Administrator i / Attached for presentation to the Board of Supervisors is the following Contract Cancellation Agreement for the Department's Medical Care Division: Number: 26-113-1 Department: Health Services (Medical Care Division) Contractor: Ernest A. Bates, M.D., Ltd. [dba American Shared Hospital Services (ASHS)] Contract To Be Cancelled: 426-113 Original Term: August 18, 1982 through August 17„ 1983 Payment Limit: $150,000 Service: Computerized Tomographic Scanning Medical Care Division is negotiating an exclusive contract with AMI Diagnostic Services, Inc. for the subject services and is, therefore, requesting cancellation of the County's contract with American Shared Hospital Serivices. This contract cancellation agreement has been approved by the Department's Contracts and Grants Administrator in accordance with the guidelines approved by the Board's Order of December 1, 1981 (Guidelines for contract preparation and processing, Health Services Department) . To expedite cancellation by May 18, 1983, it is recommended that this cancellation agreement be approved and submitted to the Board at their next meeting on Tuesday, May 17, 1983. rA DG:sh Attachments PEC IV'EICIP f IAY/ 1983 ZARD"80 PEHVISOtto A-41 3/81 _ C� 0 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on August 17 , 1982 by the following vote: AYES: Supervisors Powers , Fanden, Schroder , Torlakson, McPeak. NOES: None . ABSENT: None. ABSTAIN: None . SUBJECT: Approval of Contract 1126-113 with Ernest A. Bates, M.D., Ltd. (dba American Shared Hospital Services) The Board having considered the recommendations of the Director, Health Services Department, regarding approval. of Contract 1126-113 with Ernest A. Bates, M.D. , Ltd. for on-site computerized tomographic scanning services, IT IS BY THE BOARD ORDERED that said contract is hereby APPROVED and the Chair is AUTHORIZED to execute the contract as follows: Number: 26-113 Department: Health Services - (Medical Care Division) Contractor: Ernest A. Bates, M.D, , Ltd. (dba American Shared Hospital Services) Term: August 18, 1982 through August 17, 1983, with an automatic five-month extension through January 17, 1984 Payment Limit: $200,000 plus $83,330 during the automatic contract extension for FY 83-84 t hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: AUG 17 7982 J.R. OLSSON, COUNTY CLERK and ex officio Clerk of the Board By Deputy 0. M 8tthewQ Orig. Dept.: Health Services Dept./CGU CC: County Administrator Auditor-Controller Contractor DG:ta /tr.s. Costa County- Standard Form '1 `• STANDARD CONTRACT (Purchase of Services) 1. Contract Identification. Number 26 - 113 Department: Health Services (Medical Care Division/Radi-o ogy Subject : Computerized Tomographic Scanning 2. Parties . The County of Contra Costa, California (County) , for its Department named above, and the following named Contractor mutually agree and promise as follows : Contractor : Ernest A. Bates, M.D. , Ltd. [dba American Shared Hospital Services (ASHS) ] Capacity : A California Limited Partnership Address : 350 Parnassus Avenue, Suite 401, San �. 4"J;r nFrancisco, California 94117 3 . Term. The effective a of this Contract isr� , 12 and it terminate,t/9&1 ;� , 1983 unless sooner terminated. as provided herein. 4. Payment YL mit. County' s total payments to Contractor under this Contract shall not exceed $ 200,000 5 . County' s Obligations . County shall make to the dont:ractor those payments described in the Payment Provisions attached hereto, whic:h are incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 6 . Contractor ' s Obligations . Contractor shall provide those services and carry out that work described in the Service Plan attached hereto which is incorporated herein by reference, subject to all the terms and conditions contained or incorporated herein. 7 . General and Special Conditions. This Contract is subject to the General Conditions and Special Conditions (if any) attached hereto , which are incorpo- rated herein by reference. 8 . Project. This Contract implements in whole or in part the following described Project, the application and approval documents of which are incorporated herein by reference: Not Applicable 9 . Legal Authority. This Contract is entered into under and subject to the following legal authorities: California Government Code Section 31000. 10. Signatures . These signatures attest the parties ' agreement hereto : COUNTY OF CONTRA COSTA, CALIFORNIA CONTRAC .fit By ""�` - BY Designee, Board of Supervisors G°�+ e�c�b AJC4, (Designate official capacity) Attest * J.,Jt. Olsson, County Clerk B yam/ State of California ) as. Deputy County of Contra Costa ) Recommended by Department ACKNOWLEDGEMENT (CC 1190. 1) The person signing above for Contractor, By known to me in those individual and Designee business capacities , personally appeared before me today and acknowledge that he/ Form Ap roved: they signed it and that the corporation j executed this instrument pursuant to its By - bylaws or a resolution of its board of directors. (� �n {� �i 0NOTARY OFF!C1,aL SEAL --------- \� UYl°M. ELE Notary Public D putyCountyClerk PUBLIC - CALIFORNIA SAN FRANCISCO COUNTY Dated(6-5-80) My comm. expires MAR '45, 1983 Contra Costa County Standard Form PAYMENT PROVISIONS (• (Fee Basis Contracts) .' Number 2 6 - 1 1 3 I. Payment Amounts. Subject to the Payment Limit of this Contract and subject to the following Payment Provisions, County will pay Contractor the following fee: [Check one alternative only. ] [ ] a. $ monthly, or [ ] b. $ per unit, as defined in the Service Plan, or [ ] c. $ after completion of all obligations and conditions herein and as full compensation for all services, work, and expenses provided or incurred by Contractor hereunder. [X] d. (1) Cranial Tomographic Studies using GE 8800 Unit or Delta Unit, as follows: GE 8800 Unit Delta Unit (a) $ 215.00 or $ 195.00 per non-contrast media tomographic study. (b) $ 240.00 or $ 215.00 per contrast media cranial tomographic study. [Non-contrast media cranial study listed above, if required, included as part of contrast_ study price".] (2) Body Tomographic Studies using GE 8800 Unit: (a) $ 235.00 per non-contrast media body tomographic study, including 14 slices (views); additional charge of $20.00 for each additional slice (view) . (b) $ 260.00 per contrast media body tomographic study, including 14 slices (views); additional charge of $20.00 for each additional slice (view) . [Non--contrast media body study listed above, if required, included as part of contrast study price.] (3) Fee Rate Adjustment. Prices may be adjusted to reflect increased costs, but not to exceed the annual rate of inflation as published by the United States Department of Labor for the San Francisco Bay Area. Price adjust- ments will be effective 30 days after receipt of said U.S. Department of Labor publication from Contractor together with Contractor's written notice. to County. 2. Payment Demands. Contractor shall submit written demands. Said demands shall be made on County Demand Form D15 and in the manner and form prescribed by County. Contractor shall submit said demands for payment for services rendered no later than 90 days from the end of the month in which said services are actually rendered. Upon approval of said payment demands by the head of the County Department for which this Contract is made, or his designee, County will make payments as specified in Para- graph 1. (Payment Amounts) above. 3. Right to Withhold. County has the right to withhold payment to the Contractor when, in the opinion of the County expressed in writing to the Contractor, (a) the Contractor's performance, in whole or in part, either has not been carried out. or is insufficiently documented, (b) the Contractor has neglected, failed or refused to furnish information or to cooperate with any inspection, review or audit of its program, work or records, or (c) Contractor has failed to sufficiently itemize or document its demand(s) for payment. 4. Audit Exceptions. Contractor agrees to accept responsibility for receiving, reply- ing to, and/or complying with any audit exceptions by appropriate County, State or Federal audit agencies occurring as a result of its performance of this Contract. Contractor also agrees to pay to the County within 30 .days of demand by County the full amount of the County's liability, if any, to the State and/or Federal government resulting from any audit exceptions, to the extent such are attributable to the Contractor's failure to perform properly any of its obligations under this Contract. Initials: (6-4-80) Contractor County 3 ?,0"00, SERVICE PLAN Number 2 6 1. Contractor's Obligations. Contractor attests and certifies that it has established a shared services program to provide computerized tomographic scanning services within the Northern California Area and that it has mobile equipment and duly licensed and qualified staff to provide services required by this Contract. Contractor shall keep said licenses in effect during the term of this Contract and comply with all applicable American Board of Radiology, federal, state, and local regulations governing such services. Services rendered pursuant to the terms of this Contract shall be in accordance with the standards and recommendations of the Joint Commission on Accreditation of Hospitals. The standards for computerized tomographic studies performed for County shall be approved by the medical staff of County Hospital, which approval will not arbitrarily or unreasonably be withheld. County's interest and responsibility is to insure that services provided by Contractor pursuant to terms of this Contract are performed and rendered in a competent, efficient, and satisfactory manner. Contractor shall provide services as follows: a. Mobile Scanner Unit. Contractor shall provide the mobile scanner unit, its staff, all labor and technical personnel services, and all related equipment necessary for performance of computerized tomographic studies. Contractor shall, at . its own expense, keep and maintain all such equipment in good order and repair; except for any damage caused to said equipment as a result of the negligence and/or inten- tional wrongdoing of the County or its employees or agents. b. Computerized Tomographic Scanning Services. At the request of the Health Services Director, or his designee, Contractor shall provide to designated County patients computerized tomographic scanning services specified below. (1) Cranial Tomographic Studies. Contractor shall provide cranial tomographic studies using GE 8800 or Delta equipment as follows: (a) Non-contrast media cranial tomographic study. (b) Contrast media cranial tomographic study. Non-contrast media cranial study listed above, if required, included as part of contrast study price. (2) Body Tomographic Studies. Contractor shall provide body tomographic studies using GE 8800 equipment as follows: (a) Non-contrast media body tomographic study. (b) Contrast media body tomographic study. Non-contrast media body study listed above, if required, included as part of contrast study price. c. Schedule of Services. Contractor shall establish with County's Health Services Director, or his designee, a schedule of time to perform the tests as ordered by County staff. After the initial schedule is agreed upon between both parties, said schedule may from time to time be altered to reflect County needs. Said schedule and any alterations thereto shall be given County in writing fourteen (14) working days in advance of any change or alteration. Contractor shall endeavor to adhere to the scheduling established with County. Contractor shall reschedule testing, if possible, for patients who are unable to be served under the established schedule. In the event of an inability to meet the requirement of such special schedule, or in the event of equipment failure, Contractor shall not be responsible for rescheduling necessary studies. d. Medical Treatment and Advice. Contractor shall not provide medical treatment, including the ordering of computerized tomographic studies, interpretation of study results, the monitoring of patients for any reaction and initiation of appropriate medical treatment, or medical advice to County patients. Initials: nt actor County Dept. -1- , 3v SERVICE PLAN Number 26 — lel e. Payments for Services. Contractor shall bill County for services pro- vided under this Contract as set forth in the Payment Provisions of this Contract. In no event shall Contractor independently bill physicians or patients for services ren- dered pursuant to the terms of this Contract. f. Exclusive Use by County. During the time Contractor's Mobile Scanner Unit is located on County Hospital premises, Contractor will provide services exclu- sively to County-referred patients. 2. County's Obligations. In addition to payments to Contractor described in the Payment Provisions of this Contract, County's obligations under this Contract are as follows: a. Location of Mobile Scanner Unit. County shall make available at no cost to Contractor a mutually agreed upon appropriate, safe, and convenient site (parking space) on County Hospital premises for the performance of computerized tomographic studies in the mobile scanner unit. County shall provide at no cost to Contractor all external electrical and communication systems sources required to operate the mobile scanner unit. b. Medical Services. Medical treatment, including the ordering of com- puterized tomographic studies, interpretation of study results, the monitoring of patients for any reaction and initiation of appropriate medical treatment will be ren- dered solely by physicians and surgeons who are members of the medical staff of County Hospital. c. Materials, Supplies, and Transport Personnel Services. County shall pro- vide at no cost to Contractor the following materials, supplies and transport person- nel services: (1) All contrast media/administration sets. (2) All film. (3) All necessary medical supplies. (4) Magnetic Tape (as required for maintenance of patient information under County Hospital policy) . (5) Medical transport personnel to accompany patients to and from Mobile Scanner Unit. d. Patients. The hospital inpatient clinical record shall accompany each hospital inpatient referred to Contractor for examination. Said record shall have entered on the Doctor's order sheet a request for the scheduled examination which has been signed by the requesting physician. Patients shall be given necessary instruc- tions regarding preparation for examinations and/or prepared for said examinations by County staff. e. Special Schedules. In the event of an inability of Contractor to meet the requirement of a special schedule for patients who are unable to be served under the established schedule, or in the event of equipment failure, County shall be responsible for rescheduling necessary studies. f. Exclusive Use of Mobile Scanner Services. County agrees to exclusively utilize Contractor's mobile scanner service for all mobile scans required during the term of this Contract. In the event County utilizes any other person or entity to provide mobile computerized tomographic scan service, County agrees to remunerate Contractor as if Contractor had performed said services. Initials: ontractor County ept. -2- SPECIAL CONDITIONS Number 26 1143 1 . Termination. Paragraph 5. (Termination) of the General Conditions is modified to read as follows: "5. Termination. a. Written Notice. This Contract may be terminated by either party, at their sole discretion, upon thirty-day advance written notice thereof to the other, and may be cancelled immediately by written mutual consent. b. Failure to Perform. Should the Contractor fail to perform properly any of its obligations hereunder, County shall give Contractor written notice of such failure to perform and allow Contractor 21 days to rec- tify the situation. Should Contractor fail to rectify the situation within the 21-day period, County may immediately terminate this Contract. In the event of such termination, the County may proceed with the work in any reasonable manner it chooses . c. Cessation of Funding. Notwithstanding Paragraph 5.a. above, in the event that Federal, State, or other non-County funding for this Contract ceases, this Contract is terminated without notice." 2 . Indemnification. Paragraph 18 (Indemnification) of the General Conditions is modified to read as follows; "18. Indemnification. The Contractor shall defend, ,save harmless and indemnify the County and its officers, agents and employees from all liabilities and claims for damages for death, sickness or injury to persons or property, including without limitation, all consequential damages, from any cause whatsoever arising from or connected with the operations or the services of the Contractor hereunder, resulting from the conduct, negligent or other- wise, of the Contractor, its agents or employees. The County shall defend, save harmless and indemnify the Contractor and its officers, agents and employees from all liabilities and claims for damages for death, sickness or injury to persons or property, including without limitation, all consequential damages, from any cause whatsoever arising from or connected with the opera- tions or the services of the County hereunder, resulting from the conduct, negligent or otherwise, of the County, its agents or employees." 3. Malpractice Insurance Coverage. Paragraph 19.a (Liability Insurance) of the General Conditions is hereby modified by adding the following sentence: "In addition to the above comprehensive liability insurance coverage, Contractor shall also provide and keep in effect a policy or policies of pro- fessional liability insurance (malpractice) with a minimum coverage limit of $1,000,000 per occurrence for all damages resulting from professional services provided by Contractor under this Contract. .'ORM AP 'ROVED .urin UCLA EN, ou Cuu Initials: .4Y bap ) Contractor County Dept. l - 1 - i V SPECIAL CONDITIONS Number 26 - 113 4. Automatic Contract Extension. Notwithstanding Paragraph 3. (Term) of this Contract, unless this Contract is terminated prior to August 17, 1983, by either party pursuant to Paragraph 1. (Termination) of these Special Conditions, the term of this Contract shall be automatically extended for the five-month period from August 18, 1983 through January 17, 1984. The purpose of the automatic five-month contract extension is to allow for continuation of services as specified in this Contract during which time County will, if necessary and appropriate, complete for Contractor and County Board of Supervisors approval a contract for the following fiscal year. As to any five-month extension of this Contract: a. If this Contract is automatically extended for five-months, the Contract Payment Limit, specified in Paragraph 4. (Payment Limit) of this Contract, is increased by $83,330 (the five-month Payment Limit) and County's total payments to Contractor for said five-month extension period shall not exceed this five-month Payment Limit. b. Contractor shall continue to provide services as set forth in the Service Plan, subject to any amendments thereto. c. Said five-month contract extension shall be subject to any further agreement which Contractor and County may enter into covering the provision of services. 5. Reporting Requirements. Pursuant to Government Code 57750, Contractor shall include in all documents or written reports completed and submitted to County in accord- ance with this Contract, a separate section setting forth the numbers and dollar amounts of all contracts and subcontracts relating to the preparation of each such document or written report. This section shall apply only if the payment limit under this Contract exceeds $5,000. 6. Access to Books and Records of Contractor, Subcontractor. Pursuant to Section 1861 (v) (1) of the Social Security Act, and any regulations promulgated thereunder, Contractor shall, upon written request and until the expiration of four years after the furnishing of services pursuant to this Contract, make available to the Secretary of Health and Human Services or to the Comptroller General, or any of their duly authorized representatives, this Contract and books, documents, and records of Contractor that are necessary to certify the nature and extent of all costs and charges hereunder. Further, if Contractor carries out any of the duties of this Contract through a sub- contract with a value or cost of $10,000 or more over a twelve--month period, such sub- contract shall contain a clause to the effect that upon written request and until the expiration of four years after the furnishing of services pursuant to such subcontract, the subcontractor shall make available, to the Secretary or to the Comptroller General, or any of their duly authorized representatives, the subcontract and books, documents, and records of the subcontractor that are necessary to verify the nature and extent of all costs and charges hereunder. This special condition is in addition to any and all other terms regarding the main- tenance or retention of records under this Contract and is binding on the heirs, suc- cessors, assigns and representatives of Contractor. Initials: ontractor Co n D t. -2- Contra Costa County •` • Standard Form' GENERAL CONDITIONS (Purchase of Services) 8 . Modifications and Amendments. a . General Amendments. This Contract may be modified or amended by a written document executed by the Contractor and the Contra Costa County Board of Supervisors or, after Board approval, by its designee, subject to any required State or Federal approval. b. Administrative Amendments. Subject to the Payment Limit, the Payment Provisions and the Service Plan may be amended by a written administrative amendment executed by the Contractor and the County Administrator or his designee, subject to any required State or Federal approval, provided that such administrative amendments may not materially change the Payment Provisions or the Service Plan. 9. Disputes. Disagreements between the County and Contractor con- cerning the meaning, requirements, or performance of this Contract shall be subject to final determination in writing' by the head of the County Department for which this Contract is made or his designee or in accordance with the applicable procedures (if any) required by the State or Federal Government . 10. Choice of Law and Jurisdiction. a. This Contract is made in Contra Costa County -and shall be governed and construed in accordance with the laws of the State of California. b. Any action relating to this Contract shall be instituted and prosecuted in the courts of Contra Costa County , State of California. 11 . Conformance with Federal and State Regulations. Should Federal or State regulations touching upon the subject of this Contract be adopted or revised during the term hereof , this Contract shall be amended to assure conformance with such Federal or State requirements. 12. No Waiver by .County. Subject to Paragraph 9. (Disputes) of these General Conditions, inspections or approvals, or statements by any officer , agent or employee of the County indicating the Contractor' s performance or any part thereof complies with the requirements of this Contract, or acceptance of the whole or any part of said performance , or payments there- for, or any combination of these acts, shall not relieve the Contractor ' s obligation to fulfill this Contract as prescribed ; nor shall the County be thereby estopped from bringing any action for damages or enforcement arising from any failure to comply with any of the terms and conditions of this Contract . 13 . Subcontract and Assignment. This Contract binds the heirs, suc- cessors, assigns and representatives of Contractor . The Contractor shall not enter into subcontracts for any work contemplated under this Contract and shall not assign this Contract or monies due or to become due, without the prior written consent of the County Administrator or his designee, subject to any required State or Federal approval. 14 . Independent Contractor Status. This Contract is by and between two independent contractors and is not intended to and shall not be con- strued to create the relationship of agent, servant, employee, partnership , joint venture or association. I ' I (A-4616 REV 6/80) -2- I I 1 Contra Costa County Standard Form GENERAL CONDITIONS (Purchase of Services) 1. Compliance with Law. Contractor shall be subject to and comply with all Federal, State and local laws and regulations applicable with respect to its performance under this Contract, including but not limited to, licensing, employment and purchasing practices; and wages, hours and conditions of employment. 2 . Inspection. Contractor 's performance, place of business and records pertaining to this Contract are subject to monitoring, inspection, review and audit by authorized representatives of the County, the State of California, and the United States Government. 3 . Records. Contractor shall keep and make available for inspection and copying by authorized representatives of the County, the State of California, and the United States Government, the Contractor ' s regular business records and such additional records pertaining to this Contract as may be .required by the County. 4 . Retention of Records. Contractor shall retain all documents per- taining to this Contract for five years from the date of submission of Contractor 's final payment demand or final Cost Report; for any further period that is required by law; and until all Federal/State audits are complete and exceptions resolved for this contract ' s funding period. Upon request, Contractor shall make these records available to authorized representatives of the County, the State of California, and the United States Government. 5. Termination. a. Written Notice. This Contract may be terminated by either party, at their sole discretion, upon thirty-day advance written notice thereof to the other, and may be cancelled immediately by written mutual consent. b. Failure to Perform. The County, upon written notice to Contractor , may immediately terminate this Contract should the Contractor fail to perform properly any of its obligations hereunder. In the event of such termination, the County may proceed with the work in any reason- able manner it chooses. The cost to the County of completing Contractor ' s performance shall be deducted from any sum due the Contractor under this Contract, without prejudice to the County ' s rights otherwise to recover its damages. C. Cessation of Funding. Notwithstanding Paragraph 5.a. above, in the event that Federal, State, or other non-County. funding for this Contract ceases , this Contract is terminated without notice. .6 . Entire Agreement. This Contract contains all the terms and con- ditions agreed upon by the parties . Except as expressly provfded herein, no other understandings, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or to bind any of. the parties hereto. 7 . Further Specifications for Operating Procedures . Detailed speci- fications of operating procedures and budgets required by this Contract, including but not limited to, monitoring, auditing, billing , or regulatory changes , may be developed and set forth in a written Informal Agreement between the Contractor and the County. Such Informal Agreements shall be designated as such and shall not be amendments to this Contract except to the extent that they further detail or clarify that which is already re- quired hereunder. Such Informal Agreements may not enlarge in any manner the scope of this Contract, including any sums of money to be paid the Contractor as _provided herein. Informal Agreements may be approved and signed by the head of the County Department for which this Contract is made or his designee. (A-4616 REV 6/80) -1- Contra Costa County • • Standard Form GENERAL CONDITIONS, (Purchase of Services) C. Certificate of Insurance. The Contractor shall provide the County with (a) certificate(s) of insurance evidencing liability and workers' compensation insurance as required herein no later than the effective date of this Contract. If the Contractor should renew the insurance policy (ies) or acquire either a new insurance policy(ies) or amend the coverage afforded through an endorsement to the policy at any time during the term of this Contract, then Contractor shall provide (a) current certificate(s) of insurance . d. Additional Insurance Provisions. The insurance policies pro- vided by the Contractor shall include a provision for thirty (30) days written notice to County before cancellation or material change of the above specified coverage. Said policies shall constitute primary insurance as to the County, the State and Federal Governments, and their officers, agents, and employees, so that other insurance policies held by them or their self- insurance program(s) shall not be required to contribute to any loss covered under the Contractor ' s insurance policy or policies. 20. Notices . All notices provided for by this Contract shall be in writing and may be delivered by deposit in the United States mail , postage prepaid . Notices to the County shall be addressed to the head of the County Department for which this Contract is made. Notices to the Contractor shall be addressed to the Contractor ' s address designated herein. The effective date . of notice to the Contractor shall be the date of deposit in the mails or of other delivery. The effective date of notice to the County shall be the date of receipt by the head of the County Department for which this Contract is made. 21 . Primacy of General Conditions . Except for Special Conditions which expressly supersede General Conditions , the Special Conditions (if any) and Service Plan do not limit any term of the General Conditions. 22 . Nonrenewal. Contractor understands and agrees that there is no representation,. implication, or understanding that the services provided by Contractor under this Contract will be purchased by County under a new con- tract following expiration or termination of this Contract, and waives all rights or claims to notice or hearing respecting any failure to continue purchase of all or any such services from Contractor . 23. Possessory Interest. If this Contract results in the Contractor having possession of, claim to or right to the possession of land or improve- ments, but does not vest ownership of the land or improvements in the same person, or if this Contract results in the placement of taxable improvements on tax exempt land (Revenue & Taxation Code §107 ) , such interest or improve- ments may represent a possessory interest subject to property tax, and Contractor may be subject to the payment of property taxes . levied on such interest. Contractor agrees that this provision complies with the notice requirements of Revenue & Taxation Code §107 . 6 , and waives all rights to further notice or to damages under that or any comparable statute. (A-4616 REV 6/80) -4- �Con'tra Costa County • • Standard Form GENERAL CONDITIONS (Purchase of Services) 15 . Conflicts of Interest . Contractor promises and attests that the Contractor and any members of its governing body shall avoid any actual or potential conflicts of. interest. If Contractor is a corporation, Contractor agrees to furnish to the County upon demand a valid copy of its most recently adopted bylaws and also a complete and accurate list of its governing body (Board of Directors or Trustees) and to timely update said bylaws or the list of its governing body as changes in such governance occur . 16 . Confidentiality. Contractor agrees to comply and to require its employees, agents and partners to comply with all applicable State- or Federal statutes or regulations respecting confidentiality , including but not limited to , the identity of persons served under this Contract, their records, or services provided them, and assures that : a. All applications and records concerning any individual made or kept by Contractor or any. public officer or agency in-connection with the administration of or relating to services provided under this Contract will be confidential , and will not be open to examination for any purpose not directly connected with the administration of such service . b. No person will publish or disclose or permit or cause to be published or disclosed , any list of persons receiving services, except as may be required in the administration of such service. Contractor agrees to inform all employees , agents and partners of the above provisions, and that any person knowingly and intentionally disclosing such information other than as authorized by law may be guilty of a misdemeanor . 17 . Nondiscriminatory Services . Contractor agrees that all goods and services under this Contract shall be available to all qualified persons regardless of age, sex, race, religion, color, national origin, or ethnic background , or handicap , and that none shall be used , in whole or in part, for religious worship or instruction. 18 . Indemnification . The Contractor shall defend , save harmless and indemnify the County and its officers, agents and employees from all lia- bilities and claims for damages for deat-h, sickness or injury to persons or property, including without limitation, all consequential damages, from any cause whatsoever arising from or connected with the operations or the ser- vices of the Contractor hereunder , resulting from the conduct , negligent or otherwise, of the Contractor , its agents or employees. 19 . Insurance. During the entire term of this Contract and any extension or modification thereof , the Contractor shall keep in effect insurance policies meeting the following insurance requirements unless otherwise expressed in Special Conditions : a. Liability Insurance. The Contractor shall provide compre- hensive liability insurance, including coverage for owned and non-owned Automobiles , with a minimum combined single- limit coverage of $500, 000 for all damges , including consequential damages, due to bodily injury, sickness -or disease, or death to any person or damage to or destruction of property, including the loss of use thereof , arising from each occurrence. Such insurance shall be endorsed to include the County and its- officers and employees as additional named insureds as to- all ser- vices performed by Contractor under this agreement. b. Workers ' Compensation. The Contractor shall provide workers' compensation insurance coverage for its employees. (A-4616 REV 6/80) -3- CONTRA COSTA COUNTY 1. 35 / HEALTH SERVICES DEPARTMENT To: M. G. Wingett, County Administrator Date: August 11, 1982 Attention: C. L. Van Marter From: Arnold S. Leff, M.D. , Director Subject: CONTRACT #26-113 with By: Eugene J. Mo Ernest A. Bates , M.D., Ltd. Contract Grants A ministrator (dba American Shared Hospital Services) Attached for presenta o to the Board of Supervisors is the following contract for the De r ent's Medical Care Division: Number: 26-113 Contractor: Ernest A. Bates , M.D., Ltd. (dba American Shared Hospital Services) Term: August 18, 1982 through August 17, 1983, with an automatic five-month extension through January 17, 1984 Payment Limit: $200,000 plus $83,330 during the automatic contract extension through January 17, 1984 Funding: Enterprise Fund Service: Computerized Tomographic Scanning Services A memo f m Walter Carr, M.D. , explaining the need for this contract, is attac Extensive negotiations with the contractor's attorney have delayed implementation of this service. This contract has been approved as to legal form by County Counsel's Office, and the Special Conditions of this contract have been reviewed and approved by your office. It is , therefore, recommended that this contract be approved and submitted to the Board at their next meeting on Tuesday, August 17, 1982. DG:ta Attachments cc: Clerk of the Board Walter Carr, M.D. a ..'. Bob Pierce ' RECEIVE® P LS ON 3L K RD D pEHVISORS Deputy A-41 3/81