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HomeMy WebLinkAboutMINUTES - 07271993 - 1.47 To: BOARD OF SUPERVISORS �• FROM: Mark Finucane, Health Services Director Contra By: Elizabeth A. Spooner, Contracts Administrator Costa DATE: July 13, 1993 County SUBJECT: Approval of Contract Amendment Agreement #26-250-2 with Kathryn D. Jung SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Contract Amendment Agreement #26-250-2, effective June 1, 1993 , to amend Standard Contract #26-250-1 with Kathryn D. Jung, to extend the Contract and to increase the contract payment limit by $24, 904, from $70, 212 to a new total payment limit of $95, 116. II. FINANCIAL IMPACT: Funding for this Contract is included in the Health Services Department's Enterprise I Budget. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On October 6, 1992, the Board of Supervisors approved Standard Contract #26-250-1 with Kathryn D. Jung, for the period from September 1, 1992 through August 31, 1993, for consultation and technical assistance with regard to Merrithew Memorial Hospital Administrative issues. Approval of Contract Amendment Agreement #26-250-2 will extend the term of this Contract through December 31, 1993 , and increase the payment limit to provide for payment to the Contractor during the extension period, from August 31, 1993 through December 31, 1993 . CONTINUED ON ATTACHMENT: YES SIGNATURE: ` RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEry AT ON OF BOARD C MMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON I q 3 APPROVED AS RECOMMENDED 4 OTHER VOTE OF SUPERVISORS UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE AYES: 3:�_L NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: 2, AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. Contact: Frank Puglisi, Jr. (370-5100) J /, G� CC: Health Services (.Contracts) ATTESTED /� � ( -/ 3 Risk Management Phil B tor,Wilt of the Board of Auditor-Controller Supervisors and County Administra.tor.. Contractor M38e/7•e3 BY DEPUTY 4 f Contra Costa County Standard Form 1/87 CONTRACT AMENDMENT AGREEMENT (Purchase of Services) Number 26-250-2 Fund/Org 6544 Account 2822 1. Identification of Contract to be Amended. Number: 26-250-1 Effective Date: September 1, 1992 Department: Health Services - Hospital and Clinics Subject: Consultation and technical assistance with regard to Merrithew Memorial Hosptial administrative issues 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: KATHRYN D. JUNG Capacity: Self-employed individual Taxpayer ID # 571-72-4697 Old Address: 1916 Tassajara Avenue, Richmond, California 94805 New Address: 1335 Arlington Blvd. , E1 Cerrito, California 94530 3. Amendment Date. The effective date of this Contract Amendment Agreement is June 1, 1993 4. Amendment Specifications. The Contract identified above is hereby amended as set forth in the "Amendment Specifications" attached hereto which are incorporated herein by reference. 5. Signatures. These signatures attest the parties' agreement hereto: COUNTY OF CONTRA COSTA, CALIFORNIA ATTEST: Phil Batchelor, Clerk of BOARD OF SUPERVISORS the Board of Supervisors and County Administrator By/I Lv G� ��2� By Chairman/Designee Deputy CONTRACTOR A By L ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Self-employ individ 1 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX (Designate business capacity A) (Designate business capacity B) Note to Contractor: For corporations (profit or nonprofit) , the contract must be signed by two officers. Signature A must be that of the president or vice-president and Signature B must be that of the secretary or assistant secretary (Civil Code Section 1190 and Corporations Code Section 313) . All signatures must be acknowledged as set forth on page two. ��•=gra Costa County APPROVALS/AC1OVO1i1ED(;Mj;7, standard Fo rm cl/8 7 Number 26-250_2 RECOMMENDED DEPARPP OVALS viTI�NT By t FO" APPROVED ee By "PROVED: COU" AD)f, TRATOR FORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 .ate of California OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER aunty of Contra Costa Though statute does not require the Notary to fill in the data below,doing so may prove > invaluable to persons relying on the document. In July 13. 199efore me, Donna M. Blaisdell ,INDIVIDUAL DATE NAME,TITLE OF OFFICER-E.G.,"JANE E,NOT PUBLIC" [� ersonally appeared_ Kathryn D. Jung CORPORATE OFFICER(S) , NAME(S)OF SIGNER(S) TITLE(S) personally known to me-OR- proved to me on the basis of satisfactory evidence ❑ PARTNER(S) [] LIMITED to be the person(s) whose name(s) is/are [:] GENERAL subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT knowledged to me that he/she/they executed ❑TRUSTEE(S) the same in his/her/their authorized GUARDIAN/CONSERVATOR capacity(ies), and that by his/her/their Q OTHER: Administrator FICIAL SEAL signature(s) on the instrument the person(s), DONNA M.MUM or the entity upon behalf of which the ,'IOIARY PUBLIC•CAIFORNIA CONTRA=TA COUNIY person(s) acted, executed the instrument. AhCorr.n.lror�sAo"z''"g` SIGNER IS REPRESENTING: WITNESS my hand and official seal. NAME OF PERSON(S)OR ENTITY(IES) r,v�� 4.24�ar-_ - SIGNATURE.OF NOTARY OPTIONAL SECTION 'HIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT Contract 4126-250 "HE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES_ !+ DATE OF DOCUMENT 6-1-93 'hough the data requested here is not required by law, could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION-8236 Remmet Ave.,P.O.Box 7184-Canoga Park,CA 91309-7184 AMENDMENT SPECIFICATIONS Number 26-250-2 In consideration for Contractor's availability to provide additional services under the Contract identified herein, County agrees to extend the term of the Contract and to increase the contract payment limit. County and Contractor agree, therefore, to amend said Contract as specified below while all other parts of the Contract remain unchanged and in full force and effect. 1. Extension of Term. The term of the Contract as set forth in Paragraph 3 . (Term) is hereby extended from August 31. 1993 to December 31, 1993. 2. Payment Limit Increase. The payment limit specified in Paragraph 4. (Payment Limit) is hereby increased by $24,904, from $70,212 to a new total payment limit of $95„116. 3. Modification of Payment Provisions. Payment Provisions Paragraph 1. (Payment Amounts) , subparagraph d. , is hereby modified to read as follows: " [x] d. (1) $ 5,851.00 monthly for not less than 173 hours of service per month, or (2) $ 33.83 per hour for any month in which Contractor provides less than 173 hours of service; and (3) County will reimburse Contractor an amount not to exceed $1,500 for conference registration and travel on behalf of the County, approved in advance by the Health Services Director or his designee; for miscellaneous expenses actually incurred in the provision of services hereunder during the term of this Contract; and at the rate of 280 per mile for the use of a private automobile required in the provision of services hereunder. " 3. Insurance Requirements. Special Conditions Paragraph 1. (Deletion of Insurance Requirements) is hereby deleted and replaced with the following paragraph. 111. Insurance Modification. Paragraph 19. (Insurance) of the General Conditions is hereby modified to read as follows: Initials: 1 Cont ctor Co my Dept. 1 AMENDMENT SPECIFICATIONS Number 26-250-2 19. Insurance. a. Automobile Insurance. During the entire term of this Contract and any extension or modification thereof, Contractor shall keep in effect a policy or policies of motor vehicle liability insurance n2LMing the County and its officers and employees as additional. insureds, for any use Contractor makes of a private automobile in the performance of this Contract, as required by State law and in amounts not less than: (1) $100, 000 for personal injury to, or death of one person; (2) $300, 000 for injury to, or death of, two or more persons, per occurrence; and (3) $ 50,000 for property damage. b. Insurance Certificate. Not later than the effective date of this Contract, Contractor shall provide County with a certificate(s) of insurance evidencing the above liability insurance. The policies shall include a provision for thirty (30) days written notice to County before cancellation or material change of the above-specified coverage. " Initials: . 4 Contrictor Co my Dept. 2