HomeMy WebLinkAboutMINUTES - 10181994 - 1.51 TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director F Contra
By: Elizabeth A. Spooner, Contracts AdministratCosta
DATE: October 3, 1994 cip County
SUBJECT: . Approval of Contract Amendment Agreement #27-109-2 with
Jacqueline Valentine
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SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Milt Camhi) , to execute on behalf of the County, Contract Amendment
Agreement #27-109-2 with Jacqueline Valentine, effective September 1,
1994, to amend, Standard Contract #27-109-1 (effective June 1, 1994
through May 31 1995) , to increase the payment limit by $3 , 000, from
$60, 960 to a new Contract Payment Limit of $63,960. This Contractor
provides consultation and technical assistance for the Contra Costa
Health Plan (CCHP) with regard to the advice nurses, targeted case
management, and quality assessment and improvement programs.
II. FINANCIAL IMPACT:
This Contract is funded in the Department' s budget by CCHP member
premiums.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
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On June 21, 1994 , the Board of Supervisors approved Standard Contract
#27-109-1 with "Jacqueline Valentine, for consultation and technical
assistance for the Contra Costa Health Plan (CCHP) with regard to the
advice nurses, j,targeted case management, and quality assessment and
improvement programs.
This Amendment :increases the maximum amount the County will reimburse
Contractor for "travel, mileage and miscellaneous expenses, to allow
the Contractor to continue to travel on behalf of the County through
May 31, 1995.
CONTINUED ON ATTACHMENT: YES SIGNATURE: Qi 1 l
RECOMMENDATION OF COUNTY+ADMINISTRATOR REC MME AT N OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON 11 L APPROVED AS RECOMMENDED _ OTHER
VOTE OF SUPERVISORS
X 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 SUPERVISORSONOqW
N THE DATE SHOWN.
ConCC Health Services (Contracts)
act OCT 1 S
94
Milt Camhi (313-5'604)
ATTESTED
Risk Management Phil Batchelor,CMA of the Board of .
Auditor-Controller Suvervisors and CountyAdministra,tor
Contractor
.M3e2/7-e3 BY DEPUTY
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•Conti-a Coata County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 27-109-2
Fund/Org # 6119
Account # 2822
Other #
1. Identification of�' Contract to be Amended.
Number: 27-109-1
Effective Date: June 1, -3.9.94
Department: Health Service �A tra Costa Health Plan
Subject: Consultation and techn'i al assistance for the
Contra Costa Health Plan
2 . Parties. The County of Contra Costa, California (County) , for its
Department named above, and the following named Contractor mutually
agree and promisej' as follows:
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Contractor: JACQUELINE VALENTINE
Capacity: Self-employed individual Taxpayer ID # 382-60-3589
Address: 102 Chelsea Hills Drive, Benicia, California 94510
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is September 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. ' _ natures attest the parties ' agreement hereto:
FIr
COUNTY CONTRA COSTA CALIFORNIA
ATTEST: Phil Batchelor, Clerk of
BOARD OF SUPERVISORS the Board of Supervisors and County
Administrator
By
Chairman/Designee Deputy
CONTRACTOR
By ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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.
• ji _ 1 I�
Contra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 27-109-2
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 27-109-.2
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In consideration for Contractor's willingness to continue to travel
on behalf of the Q I ounty while providing services under the Contract
identified herein, County agrees to increase the amount it will
reimburse Contractor for travel, mileage, and miscellaneous
expenses. County and Contractor agree, therefore, to amend said
Contract as set forth below while all other provisions of the
Contract remain unchanged and in full force and effect.
1. Payment Limit Increase. The payment limit set forth in
Contract Paragraph 4. (Payment Limit) is hereby increased by
$3,000, from $60 ,1.960 to a new total Payment Limit of $63,960.
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2 . Modificationiof Contract Payment Provisions. The amount set
forth in Payment Provisions Paragraph 1. (Payment Amounts) ,
subparagraph d. (31i) is hereby increased by $3, 000, from $1 , 800 to a
new total of $4,8!00.
Initials:
Contractor County Dept.
y.