HomeMy WebLinkAboutMINUTES - 08021994 - 1.4 (2) _S7�lg
TO:`" BOARD OF SUPERVISORS � 7U
FROM: Mark Finucane, Health Services Director W. --Contra�'
By: Elizabeth A. Spooner, Contracts AdministratoCOSta
DATE: July 20, 1994 19 County
SUBJECT: Approval of Contract Extension Agreement #26-846-15
with James Dowling, 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 #26-846-15, to extend Medical Specialist Contract
#26-846-14 with James E. Dowling, M.D. (Specialty: Ophthalmology) , 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. Dowling
has been providing Ophthalmology Services for the County since 1982 .
Approval of Contract Extension Agreement #26-846-15 will allow Dr.
James Dowling to continue providing professional Ophthalmology
Services through September 30, 1994 .
CONTINUED ON ATTACHMENT: YES SIGNATURE: ,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN TIO OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON ,a j
APPROVED 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: Frank Puglisi (370-5100)
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,&A of the Board df
Auditor-Controller Supervisors and County Administrator
Contractor
M3132/7-83 BY �2C/� �4.� �, DEPUTY
Contra--Costa County Number 26-846-15
Standard Form 1/88 SHORT FORM SERVICE Fund/Org ;#.- 65, 0
CONTRACT EXTENSION AGREEMENT Account #
Other #
1. Identification of Contract to be Extended.
Number: 26-846-14
Effective Date: July 1, 1993
Department: Health Services - Hospital and Clinics
Subject: Provision of services in Contractor's Medical
Specialty(ies)
2 . Parties. The C ty of Contra Costa, California (County) , for its
Department a bove, and the following named Contractor mutually
agree a xt, follows:
Cont ES E. DOWLING, M.D.
Capac . Self-employed individual Medical License # A 23289
Taxpayer ID # 570-97-1480
Address: 5355 Alhambra Valley Road, Martinez, California 94553
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 term of the contract, the maximum
amount payable by the County under this Contract shall not exceed
$Not Applicable.
5. Other Provisions. As to the term during which the above described
contract is extended, the parties mutually agree to those Special
Provisions (if any) attached hereto, which are incorporated herein by
reference.
5. Signatures. These signatures attest the parties' agreement hereto:
COUNTY OF CONTRA COSTA, CALIFORNIA CONTRACTOR
d
By B
Designee .
Approved: County Administrator Designate official capacity)
By
Designee
Recommended by Department
By (Form approved by County Counsel)
Designee