HomeMy WebLinkAboutMINUTES - 09201994 - 1.36 1 ,3
TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director WContra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: September 8, 1994 County
SUBJECT: Approval of Contract Amendment Agreement #26-905-5 with
Howard sturtz, 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
Amendment Agreement #26-905-5, effective July 1, 1994, to amend
Medical Specialist Contract #26-905-4 with Howard Sturtz, M.D.
(Specialty: Orthopedics) , to increase the monthly fee rate from $8,388
per month to a new monthly fee rate of $8,807, to increase the
contract payment limit from $100, 656 to a new total payment limit of
$105, 689 .
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:
On July 19, 1994 , your Board approved and authorized the Health
Services Director to execute on behalf of the County, twenty-nine
Medical Specialist Contracts, which were listed on an attached
addendum, for the provision of professional medical or dental services
to patients at Merrithew Memorial Hospital and Clinics during Fiscal
Year 1994-95.
Approval of Contract Amendment #26-905-5 will allow the Contractor to
provide additional orthopedic services which the Department needs due
to an increase in the orthopedic workload.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR REC MME D ION OF BOAR6 COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
i
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: +_Y NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: '1 ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
Contact: Frank Puglisi, Jr. (370-5100) OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED �0
Risk Management Phil Bate elor,Clerk of the Bo rd of
Auditor-Controller Supervisors and CountyAdmiristrator
Contractor
M382/7-83 BY ."� �• KX�, DEPUTY
t 3�
Contra'-'Cas'ta County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services)
Number 26-905-5
Fund/Org # 6500
Account #
1. Identification of Contract to be Amended.
Number: 26-905-4
Effective Date: July 1, 1994
Department: Health Services - Hospital and Clinics
Subject: Orthopedics
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: HOWARD STURTZ, M.D. Medical License # G10274
Capacity: A Professional Corporation Taxpayer ID # 94-1733531
Address: 1479 Ygnacio Valley, Walnut Creek, California 94598
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is July 1, 1994 .
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 SUPERV -MRSA the Board of Supervisors and County
i�� Administrator
By By
Chairman/Designee Deputy
CONTRACTOR
By ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Professional Corporation XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
(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.
Contra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 26-905-5
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
By By
Designee
APPROVED: COUNTY ADMINISTRATOR
By
ACKNOWLEDGEMENT
State of California ACKNOWLEDGEMENT (By Corporation,
Partnership, or Individual)
County of
The person(s) signing above for Contractor, personally known to me in the
individual or business capacity(ies) stated, or proved to me on the basis of
satisfactory evidence to be the stated individual or the representatives) of the
partnership or corporation named above in the capacity(ies) stated, personally
appeared before me today and acknowledged that he/she/they executed it, and
acknowledged to me that the partnership named above executed it or acknowledged
to me that the corporation named above executed it pursuant to its bylaws or a
resolution of its board of directors.
Dated:
[Notarial Seal]
Notary Public/Deputy County Clerk
-2-
AMENDMENT SPECIFICATIONS
Number 26-905-5
In consideration for Contractor's agreement to provide additional
workload and on-call responsibilities under the Contract identified
herein, County agrees to increase the Contractor' s fee rate.
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.
Payment Increase. The monthly payment specified in the
Additional Provisions Paragraph 1. (Payment) is hereby increased by
419, from $8,388 per month to a new total monthly payment of
$8,807 , and the payment limit is hereby increased from $100,656 to
a new total Contract Payment Limit of $105, 689 .
Initials:
Contractor County Dept.