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Home My WebLink AboutMINUTES - 02151994 - 1.5 (2) TO. BOARD OF SUPERVISORS P FROM:. Mark Finucane, Health Services Director 'h.' - Contra By: Elizabeth 'A. Spooner, Contracts Administrato Costa DATE: February 1, 1994 County SUBJECT: Approval of Contract Amendment Agreement #22-451-1 with Staff Builders Services, Inc. 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 'lCounty, Contract Amendment Agreement #22-451-1 with Staff Builders Services, Inc. , . effective December 1, 1993, to amend Contract #22-451 (effective April 1, 1993 through June 30, 1994) , to increase the payment limit by $35, 000, from $20, 000 to a new Contract payment limit off $55, 000. This Contractor provides in-home attendant care to AIDS and ARC patients. II. FINANCIAL IMPACT: This Contract is funded by Federal Ryan White (Care Act, Title I) and AIDS Medical Waiver funds. No County funds are required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: In June, 1993 , 1the County Administrator approved, and the Purchasing Services Manager executed, Short Form Service Contract #22-451 with Staff Builders Services, Inc. , to provide in-home attendant care to County-referred AIDS and ARC patients. Approval of Contract Amendment Agreement #22-451-1 will allow the Contractor to p'`rovide additional services, including twenty-four (24) hour live-in attendant care, through June 30, 1994. i I i I CONTINUED ON ATTACHMENT: YES SIGNATURE: — e RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME ATI N OF BOARD COIXMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON OALh APPROVED AS RECOMMENDED OTHER Pi I VOTE F SUPERVISORS UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES'I AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. Contact: Wendel Brunner, M.D. (313-6712) g - CC: Health Services (.Contracts) ATTESTED Risk Management Phil Batchelor,Clerk oftd@m Boardd . Auditor-ControllerSupervisors and Countyg— strator,, Contractor M3e2/7.83 BY (4Lt �� r DEPUTY i Coa;tra costa County A - Standard Form 1/87 CONTRACT AMENDMENT AGREEMENT (Purchase of Services') Number 22-451-1 Fund/Org # 5836-38 Account # 2310 Other # 1. Identification of Contract to be Amended. Number: 22-451 Effective Date: April 1, 1993 Department: Health Services - Public Health Division Subject: In-Home Health Care for AIDS or ARC Patients 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: STAFF BUILDERS SERVICES, INC. Capacity: New York Corporation Taxpayer ID # 13-2594932 Address: 877 Ygnacio Valley Road, # 209, Walnut Creek, California 94598 Mailing Address: 1981 Marcus Avenue, Lake Success, New York 11042 3 . Amendment Date. The effective date of this Contract Amendment Agreement is December 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 SUPE ORS the Board of Supervisors and County Admi�nistrato n,-n l By - Cha rman/Designee Deputy CONTRACTOR By By SHARol,l HAmtvrotJ DAIAZ SAV�-MKy 5e.oiof Vi✓tcPRF_S+ SAJr MGAt_-t„ CARE CPER,A-r�OJJS e<ec.unyeyic.E PRES�VEJ_Tr and S'ex2EiR�2�/ (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. " Co " a Costa County Standard Form 1/87 APPROVALS/ACKNOWLEDGEMENT Number 22-451-1 APPROVALS RECOMMENDE Y DEPARTMENT FORM APPROVED By k:� B l E . Designee APPROVED: COUNTY ADMINISTRATOR By 5 ACKNOWLEDGEMENT State of Caad&a=z&a ACKNOWLEDGEMENT (Byorporati�iota MFaJ�oR� ep�lnne mmmcla�;��4��) County of 11JASSPrLL The person(s) signing abate 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 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 sAluemabibp corporation named above executed it pursuant to its bylaws or a resolution of its board of directors. Dated: [Notarial Seal] C. Notary Public/Deputy County Clerk -2- STEVEN C.STACK Notaryubl c,State of New York No.oualified in Nassau County Commission Expires jO d! AMENDMENT SPECIFICATIONS Number 22-451-1 In consideration for Contractor's willingness to provide additional services under the Contract identified herein, County and Contractor agree to amend said Contract as specified below while all other parts of the Contract remain unchanged and in full force and effect. 1. Payment Limit Increase. The payment limit set forth in Paragraph 5. (Payment Limit) Increase) is hereby increased by $35,000 from $20, 000 to a new total Contract Payment Limit of $55, 000. 2 . Modification of Payment Provisions. a. Payment Provisions Paragraph 1. (Payment Amounts) , subparagraph d. is hereby modified to read as follows: " [XJ d. As set forth in Paragraph 1. (Payment) of the Additional Provisions, but not to exceed the Contract Payment Limit of $55, 000. " b. Additional Provisions Paragraph 1. (Payment) of the Additional Provisions is hereby deleted and replaced with the following new paragraph: "1. Payment. Upon request received by Contractor from County's AIDS Program Case Manager, or her designee (AIDS Program Coordinator) , and subject to the payment limit of this Contract, Contractor shall provide its employees, in the below listed job classifications and at the specified billing rates, to do temporary work for County for specified peak loads, temporary absences, or emergency situations. Personnel providing services under this contract are not County employees. Contractor agrees to exhaust all other sources of payment, including third- party payors, as appropriate, before billing County for services. Contractor will hold harmless both the State and County's clients in the event the County cannot or will not pay for services performed for County's clients pursuant to this Contract. Copies of all billings to patients and/or third- party payors and (if applicable) copies of payments received from private pay patients or third-party payors, specifying the number of hours by date and the total charges, will be submitted to County. After all other sources of payment are exhausted, ; County will pay Contractor the remaining fee amounts which Contractor is unable to collect from such payment sources up to the applicable fee per hour, per visit, or per day of temporary work, as follows: Initials: Contractor County Dept. 1 AMENDMENT SPECIFICATIONS Number 22-451-1 NOT TO EXCEED THE BILLING RATE SPECIFIED BELOW FOR TEMPORARY WORK JOB CLASSIFICATION Hourly Rate Registered Nurse $ 28.55 Licensed Vocational Nurse $ 22 .20 Home Health Aide (2 Hour Minimum) $ 12 . 59 Homemaker $ 7 .45 Nutritional Counseling $ 33 .48 Psychosocial Counseling $ 33 . 48 County will also pay the following additional rates, as applicable: a. Short notice reimbursement according to Paragraph 2 . (Short Notice Reimbursement) , below; b. Holiday compensation according to Paragraph 3 . (Holiday Compensation) , below; C. Overtime compensation according to Paragraph 4 . (Overtime Compensation) , below; d. 754 per hour, added to the applicable hourly fee rate specified above, per visit or shift for actual travel, charting/documentation, training and supervision time associated with providing skilled nursing care, nutritional/psychosocial counseling, attendant care and homemaker services; and e. ,$150. 00 per shift for live-in attendant care that is provided in the home of a County referred client by one of Contractor's Home Health Aides, or other classification approved in advance by County' s Aids Program Case Manager (or her designee) , for any uninterrupted twenty-four (24) hour period. Contractor's Demand Form (billing statement) must include dates of service, type of service, hours of service, amount received from third-party payors, and total amount due from County. Demand Forms are to be mailed to: Contra Costa County AIDS Program, . Health Services Department, 597 Center Avenue, Suite 200, Martinez, California 94553 . " Initials: Contractor County Dept. 2