HomeMy WebLinkAboutMINUTES - 01111994 - 1.5 (3) TO: BOARD OF SUPERVISORS' _
FROM: " Mark Finucane, Health Services Director ate` — �r 9 Contra
By: Elizabeth A. Spooner, Contracts Administrator -4.
(`oS+a
DATE: December 28, 1993 County
SUBJECT: Approval of Contract Amendment Agreement #26-807-18 with
John Hutchison, 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 #26-807-18, to amend Medical Specialist Contract
#26-807-16 (as extended and amended by various Board Orders) , with
John Hutchison, M.D. (Specialty: Orthopedics) , to extend the term of
the Contract from December 31, 1993 through June 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. .
Under Contract Amendment Agreement #26-807-18, John Hutchison, M.D.
has agreed to provide orthopedic clinic coverage at Merrithew Memorial
Hospital and Clinics through June 30, 1994 .
CONTINUED ON ATTACHMENT: _ YES SIGNATURE: _
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENATI N OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON j7 I �J S� APPROVED AS RECOMMENDED OTI4ER
VOTE OF SUPERVISORS
__ZUNANIMOUS (ABSENT — ) 1 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
Contact: Frank Puglisi, Jr. (370-5100) OF SUPERVISORS ON THE DATE SHOWN.
CC: Realth Services (Contracts) ATTESTED
Risk Management Phil itthelor,clvtk Of t Ie Board Of
Auditor-Controller Supenisots 2nd County Administrator
Contractor
M382/7-88 BY
�_�. DEPUTY
Contra Costa County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 2-6-807-18
Fund/Org # 6500
Account #
Other #
1. Identification of Contract to be Amen Ab
u, ,
Number: 26-807-16 (as amended by s.gbsequent extensions and
Contract Amendment Agreement #26-807-17)
Effective Date: November 1, 1990
Department: Health Services - Hospital and Clinics 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: JOHN HUTCHINSON, M.D.
Medical License #C-14069
Capacity: Professional corporation Taxpayer ID # 94-1397121
Address: 2023 Vale Road, San Pablo, California 94806
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is December 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 SII ERVISO the Board of Supervisors and Coun
Administrator
By
Ch rman/Design e Deputy
CONTRACTOR
By ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
(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.
�N
Contra' Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 26-807-18
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
By By
Designee
APPROVED: COUNTY ADMINISTRATOR
By
ACKNOWLEDGEMENT
State of California ACKNOWLED MENT (By Corporation,
P tnership, or Individual)
County of
The person(s) signing above for Contract p sonally known to me in the individual or
business capacity(ies) stated, or proved to a on the basis of satisfactory evidence to
be the stated individual or the repres tati (s) of the partnership or corporation
named above in the capacity(ies) st ed, perso lly appeared before me today and
acknowledged that he/she/they execu ed it, and ackno edged to me that the partnership
named above executed it or acknow edged to me that the c potation named above executed
it pursuant to its bylaws or resolution of its board o irectors.
Dated:
ZotarialSeal]
Notary Public/Deputy County Clerk
-2
AMENDMENT SPECIFICATIONS
Number 26-807-18
In consideration for Contractor's willingness to provide additional
services under the Contract (as extended and amended) identified
herein, County agrees to extend the term of the Contract. 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) (as extended by various orders of the Board of
Supervisors) is hereby extended from December 31, 1993 to
June 30, 1994
2 . Revision of Attachment B. Contractor shall provide services
in accordance with the Revised Attachment B which is attached
hereto and incorporated herein by reference.
Initials:
Contractor County Dept.
REVISED ATTACHMENT B
Contract Number: 26-807-18
Contractor: John Hutchison, M.D.
SCHEDULE
Contractor will be contacted as needed. However,
Contractor will only staff orthopedic clinics.
Contractor will not perform surgery, and Contractor will
not be required to be on-call.