HomeMy WebLinkAboutMINUTES - 08161994 - 1.6 (2) To:" BOARD OF SUPERVISORS L Contra Mark Finucane, Health Services Director V
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FROM: By: Elizabeth A. Spooner, Contracts Administrato
Costa
DATE: July 29, 1994 County
SUBJECT: Approval of Contract Extension Agreement #26-879-9 with
Lorre Henderson, M.D.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Frank Puglisi, Jr. ) , to execute on behalf of the County, Contract
Extension Agreement #26-879-9, to extend Medical Specialist Contract
#26-877-8 with Lorre Henderson, M.D. (Specialty: Otolaryngology) , to
extend the term of the Contract from June 30, 1994 through September
30, 1994 .
II. FINANCIAL IMPACT:
Cost to the County depends upon utilization. As appropriate, patients
and/or third party payers will be billed for services.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For a number of years the County has contracted with Medical and
Dental Specialists to provide specialized professional services which
are not otherwise available in its Hospital and Clinics. Dr.
Henderson has been providing Otolaryngology Services for the County
since 1987.
Approval of Contract Extension Agreement #26-879-9 will allow Dr.
Lorre Henderson to continue providing professional Otolaryngology
Services through September 30, 1994 .
CONTINUED ON ATTACHMENT: YES SIGNATURE: Q
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME AT N OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON ) APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
ZUNANIMOUS (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
O
Contact: Frank Puglisi (370-5100) F SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED
Risk Management Phil BateheQ Clerk of the 8 rd of
Auditor-Controller Supervisors and CauntyAdminis?ratu
Contractor
M382/7-83 BY , r DEPUTY
ContZa Costa County Number 26-879-9!'
Standard Form 1/88 SHORT FORM SERVICE Fund/Org # 6500
CONTRACT E%TENSION AGREEMENT Account #
Other #
1. Identification of Contract to be Extended.
Number: 26-879-8
Effective Date: July 1, 1993
Department: Health Services - Hospital and Clinics
Subject: P ovision of services in Contractor's Medical
• cialty(ies)
2 . Parties. a of Contra Costa, California (County) , for its
Departmenna; above, and the following named Contractor mutually
agree andlproise as follows:
• .3
Contractor: LORRE HENDERSON, M.D.
Capacity: Self-employed individual Medical License # C-41977
Taxpayer ID # 464-76-5609
Addtess: 16 Crest View Drive
Orinda, California 94563
3 . Extension of Term. The term of the above described contract between
the parties hereto is hereby extended from June 30 , 1994 to
September 30, 1994 , unless sooner terminated as provided in said
contract.
4 . Payment Limit. Including the extended terof he contract, the maximum
amount payable by the County under thi ra t shall not exceed
$Not Applicable.
5. Other Provisions. As to the t ng which the above described
contract is extended, the parti` mutually agree to those Special
Provisions (if any) attached heret which are incorporated herein by
reference.
5. Signatures. These signatures attest the parties' agreement hereto:
COUNTY OF CONTRA COSTA, CALIFORNIA CONTRACTOR
By By
Designee
Approved: County Administrator (Designate official capacity)
By
Designee
Recommended by Department
BY [Form approved by County Counsel]
Designee