HomeMy WebLinkAboutMINUTES - 09141993 - 1.106 TO: " BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director Contra
. By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: August 20, 1993 Count
SUBJECT: Approval of Contract Amendment Agreement #24-567-5 � �`
with James S. Goodman,' M.D.
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 #24-567-5,
effective August 31, 1993, to amend Mental Health Specialist Contract
#24-567-4 with James S. Goodman, M.D. , to extend the term of the
Contract to January 31, 1994 and to increase the Contract Payment
Limit from $16, 834 to a new total payment limit of $58,919.
II. FINANCIAL IMPACT:
Funding for this Contract is included in the Department's Fiscal Year
1993-94 Budget, and the source of funding is County/Realignment, off-
set by Medi-Cal, Medicare, and insurance billed by the Department.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For a number of years the County has contracted with Medical, Dental
and Mental Health Specialists to provide specialized professional
services which are not otherwise available in its hospital and
clinics. On July 13 , 1993, the Board of Supervisors approved Mental
Health Specialist Contract #24-567-4 with James S. Goodman, M.D. , .to
provide specialized professional psychiatric services to County's
patients at Merrithew Memorial Hospital (J-Ward) through August 31,
1993 .
Approval of this Contract will continue Dr. Goodman's professional
psychiatric services through January 31, 1994.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEND10 OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON E P I L 4 I.N.1APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: �- NOES: �- AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: /�_ AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Lorna Bastian (313-6411) SEP 1 4 1993
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,&A of the Board of .
Auditor—Controller Suvery sors and County AdMinistra,tor.,
Contractor
M362/7-83 BY DEPUTY
C6ntra`K Costa County Standard Form 1/87
' CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 24-567-5
Fund/Org # 6314
Account # 2861
Other #
1. Identification of Contract to be Amended.
Number: 24-567-4
Effective Date: July 1, 1993
Department: Health Services - Mental Health Division
Subject: Provision of Services in Contractor's Medical
Specialty(ies)
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: JAMES S. GOODMAN, M.D.
State Medical License #G 42197
Capacity: Self-employed individual Taxpayer ID # 558-74-3358
Medical Specialty: Psychiatry
Address: 2955 Shattuck Avenue, Suite 3, Berkeley, California 94705-1800
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is August 31, 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
IOYYI /D'12���.S�i By 9
Chairman/Designee DYputJY
CONTRACTOR
By By XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
elf-em to ed individual XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
ignate 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.
Contra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 24-567-5
APPROVALS
RECOMME ED BY DEPARTMENT FORM APPROVED
By By
Designee
APPROVED: COUNTY ADMINISTRATOR
By
ACKNOWLEDGEMENT
State of California ACKNO CEMENT (By Corporation,
artnership, or Individual)
County of
The person(s) signing above f Con actor, personally known to me in the
individual or business capa y(ies) sta d, or proved to me on the basis of
satisfactory evidence to b the stated indivi al or the representatives) of the
partnership or corpora on named above in the pacity(ies) stated, personally
appeared before me oday and acknowledged that e/she/they executed it, and
acknowledged to that the partnership named above ecuted it or acknowledged
to me that t corporation named above executed it pur ant to its bylaws or a
resolutio of its board of directors.
D ted:
[Notarial Seal]
Notary Public/Deputy County Clerk
-2-
AMENDMENT SPECIFICATIONS
Number 24-567-5
In consideration for Contractor's willingness to provide additional
service under the Contract identified herein, County agrees to
increase the Contract Payment Limit. County and Contractor agree
therefore to amend said Contract as set forth 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 specified in
Paragraph 3 . (Term) is hereby extended from August 31, 1993 to
January 31, 1994 .
2 . Payment Limit Increase. The payment limit set forth in
Contract Paragraph 4. (Payment Limit) is hereby increased by
$42, 085, from $16, 834 to a new total payment limit of $58,919.
3 . Increased Amount of Service.
a. The number of hours set forth in Additional Provisions
Paragraph 1. (Payment) , subparagraph a. , is hereby increased by 630
hours, from 252 hours, to a new total of 882 hours ofservice.
b. The number of on-call shifts set forth in Additional
Provisions Paragraph 1. (Payment) , subparagraph b. , is hereby
increased by 10 shifts, from 4 shifts to a new total of 14 shifts.
Initial?otrEctor
_P� ��✓r'
County Dept.