HomeMy WebLinkAboutMINUTES - 10041994 - 1.3 (3) TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director
��• Contra
By: Elizabeth A. Spooner, Contracts Administrator19 Costa
DATE: September 16, 1994 County
SUBJECT: Approval of Contract Amendment Agreement #26-916-2 with
Jerrold J. Schwartz, 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 #26-916-2, effective August 1, 1994 , to amend
Medical Specialist Contract #26-916-1 with Jerrold J. Schwartz, M.D.
(Specialty: Family Practice) , to increase the hourly payment rate
from $47.00 to a new total hourly payment rate of $49.35.
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 August 16, 1994, the Board of Supervisors approved Medical
Specialist Contract #26-916-1 with Jerrold J. Schwartz, M.D. , for the
period from August 1, 1994 through July 31, 1995, to provide Family
Practice services for patients at the Brentwood Health Center.
Approval of Contract Amendment Agreement, #26-916-2 will increase Dr.
Schwartz's hourly rate to reflect the recent increase granted to
County's Medical Staff Physicians.
CONTINUED ON ATTACHMENT: YES SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM DAT NOF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
4 1994
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: 7lKAXI NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: -71- AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Frank Puglisi (370-5100) OCT 419%
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Suvervisors and County Administrator
Contractor
Mee2/7-ee BY >5L �' ' �/ DEPUTY
/-fo .
Contra- Costa County Standard Form 1/87
. CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 26-916-2
Fund/Org # 6500
Account #
Other #
1. Identification of Contract to be Amended.
Number: 26-916-1
Effective Date: August 1, 1994
Department: Health Sery s.ess Hospital and Clinics
Subject: Provision of se' ces in Contractor's medical
specialty (Family Practice)
2 . Parties. The Count of Contra Costa Califo i1a Count
County � (County) , for its
Department named above, and the following named Contractor mutually
agree and promise . as follows: �`` •.
Contractor: JERROLD J. SCHWARTZ, M.D. Medical License #G-2424
Capacity: Professional Corporation Taxpayer ID# 94-2362009
Address: 227 Cove Court, Byron, California 94514
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is Aucfust 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 SUPERVISORS the Board of Supervisors and County
Administrator
By
Chairman/Designee Deputy
CONTRACTOR
By ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Professional Corporation 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.
Contra Costa County Standard Form 1/87
i APPROVALS/ACKNOWLEDGEMENT
Number 26-916-2
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 26-916-2
In consideration for Contractor's willingness to provide additional
professional services under the Contract identified herein, County
agrees to increase the amount of its payment to Contractor. 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.
Payment Increase. The hourly payment rate specified in the
Additional Provisions Paragraph 1. (Payment) is hereby increased
from $47. 00 to a new hourly payment rate of $49.35.
Initials•
Contractor County Dept.