HomeMy WebLinkAboutMINUTES - 12191995 - C72 TO
TO: BOARD OF SUPERVISORS �1t
FROM: Mark Finucane, Health Services Director Contra
Costa
DATE: December 7, 1995 County
SUBJECT: Approval of Contract Amendment Agreement #24-769-3 with
Eileen T. Eya
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) ac BACKGROUND AND JUSTIFICATION
' I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Chuck Deutschman) , to execute on behalf of the County, Contract
Amendment Agreement #24-769-3 with Eileen T. Eya, effective November
1, 1995, to amend Standard Contract #24-769-1 (as amended by Contract
Amendment Agreement #24-769-2) to modify the Payment Provisions to
transfer funds from one expense category to another, with no increase
in the Contract Payment limit.
II. FINANCIAL IMPACT:
None. There is no change in the Contract Payment Limit, and this
Contract is funded 100% by Federal (HIV Set-Aside) Block Grant funds.
No County funds are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On October 4, 1994, the Board of Supervisors approved Novation
Contract #24-769-1 (as amended by Contract Amendment Agreement #24-
769-2) with Eileen T. Eya for consultation and technical assistance to
the Department with regard to implementing an HIV/Communicable Disease.
Testing and Education Program. Contractor is providing services under
the Automatic Extension of Contract #24-769-1.
This Contract Amendment Agreement decreases the maximum reimbursement
amount for seminar/conference expenses and increases the maximum
amount the county will reimburse Contractor for mileage and
miscellaneous expenses, to allow the contractor to continue to travel
on behalf of the County through December 31, 1995.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF B ARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON 9 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: Chuck Deutschman (313-6350)
CC: Health Services (Contracts) ATTESTED 4 eA.6,&-e1
Risk Management Phil Batchelor,Clerk of the Board of T-
Auditor-Controller Supervisors and County Admin0rator
Contractor
M382/7-99 13Y DEPUTY
riontra Costa County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Nueiber 14-769-3
Fund/Org # 5936
Account # 2310
Other #
1. Identification of Contract to be Amended.
Number: 24-769-1 (as amended by Contract Amendment Agreement
#24-769-2)
Effective Date: July 1, 1994
Department: Health Services - Substance Abuse Division
Subject: Consultation and technical assistance to the Department
with regard to implementing an HIV/Communicable Disease
Testing and Education ProlffEw
2 . Parties. The Count o
County f Contra Costa, Califrn
lifYa County) , for its
Department named above, and the following named Contractor mutually
agree and promise as follows:
Contractor: EILEEN T. EYA
Capacity: Self-employed Individual Taxpayer ID# 567-74-3661
Address: 859 Warfield Avenue, #1, Oakland, California 94610
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is November 1, 1995.
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:
C ONTRA COSTA CALIFORNIA
ATTEST: Phil Batchelor, Clerk of
BOARD OF SUPERVISORS the Board of Supervisors and County
Administrator
By
Ghairmn/Designee Deputy
CONTRACTOR
By By XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Self-employed Individual XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
(Designate business capacity A) (Designate business eapaelty 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 § 1190 and Corporations Code
§ 313) . All signatures must be acknowledged as set forth on page two.
Contra Costa County Standard Form(Rev. 1/95)
APPROVALS/ACKNOWLEDGMENT
Number 24-769-3
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
COUNTY GOUNSEL
By By
Designee Depu
APPROVED: COUNTY ADMINISTRATOR
By:
Designee
ACKNOWLEDGMENT
STATE OF CALIFORNIA )
ss.
COUNTY OF CONTRA COSTA )
On , before me,
(insert name and title of the officer), personally appeared
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s)whose name(s)
is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the
entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS MY HAND AND OFFICIAL SEAL.
(Seal)
Signature
ACKNOWLEDGMENT(by Corporation, Partnership,or Individual)
(Civil Code§1189)
}
AMENDMENT SPECIFICATIONS
Number 24-769-3
In consideration for Contractor's willingness to continue to travel
on behalf of the . County while providing services under Contract
#24-769-1 identified herein, County agrees to increase the amount it
will reimburse Contractor for mileage and needed supplies. 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. Increase in Mileage Expense Reimbursement. The reimbursement
amount set forth in Special Conditions Paragraph 3 . (Automatic
Contract Extension) , subparagraph b. (2) . , for needed supplies
and for daily use of a private automobile following arrival at
the work site at the rate of 29 cents per mile, is hereby
increased by $650, from 750 to a new total amount not to exceed
$1,400.
2 . Decrease in seminars and Conference Expense Reimbursement. The
reimbursement amount set forth in Special Conditions Paragraph
3 . (Automatic Contract Extension) , subparagraph b. (3) . , for
allowable expenses actually incurred while attending training
seminars and conferences on behalf of the County, is hereby
decreased by $650, from 750 to a new total amount not to exceed
100.
Initials
Contractor County Dept.