HomeMy WebLinkAboutMINUTES - 10181994 - 1.47 TO: BOARD OF SUPERVISORS W7
FROM: Mark Finucane, Health Services Director
Contra
By: Elizabeth A. Spooner, Contracts AdministratoJEW"Q Costa
DATE: October 5, 1994 County
SUBJECT: Approval of Contract Extension Agreement #26-879-10
with Lorre Henderson, 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 #26-879-10, to extend Medical Specialist Contract
#26-879-8 (as amended by Contract Extension Agreement #26-879-9) with
Lorre Henderson, M.D. (Specialty: Otolaryngology) , to extend the term
of the Contract from September 30, 1994 through November 30, 1994.
II. FINANCIAL IMPACT:
Cost to the County depends upon utilization. As appropriate, patients
and/or third party payors 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.
Henderson has been providing Otolaryngology Services for the County
since 1987 .
Approval of Contract Extension Agreement #26=879-10. will allow Dr.
Lorre Henderson to continue providing professional Otolaryngology
Services through November 30, 1994.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME DATI N OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON OCT 1 8 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) QCT 1 8
CC: Health Services (Contracts) ATTESTE_ D 10
Risk Management Phil gat Chew,Clerk of the Board of
Auditor-Controller Supervisors and CountyAdministrator
Contractor
M382/7-e3 BY & `, DEPUTY
Contra Costa County Number 726-879-10
Standard Form 1/88 SHORT FORM SERVICE Fund/Org # 6500
CONTRACT EXTENSION AGREEMENT Account #
Other #
1. Identification of Contract to be Extended.
Number: 26-879-8 (as amended by Contract Extension
Agreement #26-879-9)
Effective Date: July 1, 1
Department: Health Services - tal and Clinics
Subject: Provision of services to 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: LORRE HENDERSON, M.D.
Capacity: Self-employed individual Medical License # C-41977
Taxpayer ID # 464-76-5609
Address: 16 Crest View Drive
Orinda, California 94563
3 . Extension of Term. The term of the above described contract between
the parties hereto is hereby extended from September 30, 1994 to
November 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
co fact is extended, the parties mutually agree to those Special
Provis" -mss ik any) attached hereto, which are incorporated herein by
reference. lop
6. Signatures: These s' atures attest the parties ' agreement hereto:
COUNTY OF CONTRA COSTA, CALIFORNIA CONTRACTOR
By By
Designee
Approved: County Administrator (Designate official capacity)
By
Designee
Recommended by Department
By (Form approved by County Counsel]
Designee