HomeMy WebLinkAboutMINUTES - 11141995 - C54 To: ' BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director Contra
Costa
DATE: October 27, 1995 County
SUBJECT: Approval of Contract Amendment Agreement #27-115-1 � '�1
with Pauline Jones
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 #27-115-1 with Pauline Jones, effective November 1, 1995, to
amend Standard Contract #27-115, for consultation and technical
assistance to the Contra Costa Health Plan (CCHP) with regard to the
Psychiatric Services Program. This amendment extends the term of the
contract through December 31, 1997, and increases the payment limit by
$117,800, from $64,200 to a new Contract Payment Limit of $182 , 000.
II. FINANCIAL IMPACT:
This Contract is funded in the Department's Enterprise II Budget by
CCHP member premiums.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On May 2, 1995, the Board of Supervisors approved Standard Contract
#27-115 with Pauline Jones, for the period from May 1, 1995 through
April 30, 1996, for consultation and technical assistance to CCHP with
regard to the Psychiatric Services Program, including but not limited
to, selection of psychiatric nursing staff, development of training
programs, and supervision of staff in the Advice Nurse Program.
Approval of Contract Amendment Agreement #27-115-1 will allow the
Contractor to expand her scope of services to provide nurse management
services to the CCHP Advice Nurse and Care Coordination Programs,
which are currently without on-site nurse management support, through
December 31, 1997.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (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: Milt Camhi (313-5604)' OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED Q��e ..� .� l�� -s-
Risk
Risk Management Phil Batchelor,Clerk of the Board of)
Auditor-Controller Suvervisors and CcuntyAdministrator
Contractor
M382/7-83 BY DEPUTY
Contra Costa County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 27-115-1
Fund/Org # 6109
Account # 2822
Other #
1. Identification of Contract to be Amended.
Number: 27-115
Effective Date: May 1, 1995
Department: Health Services - Contra Costa Health Plan
Subject: Consultation axgk technical assistance to Contra
Costa Health P Mf,
2 . Parties. The County of Contra Costa, a�fornia (County) , for its
Department named above, and the following named Contractor mutually
agree and promise as follows:
Contractor: PAULINE S. JONES
Capacity: Self-employed individual Taxpayer ID # 546-06-5211
Address: 727 Lafayette Street, Martinez, California 94553
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:
COUNTY OF CONTRA COSTA, CALIFORNIA
ATTEST: Phil Batchelor, Clerk of
BOARD OF SUPERVISORPr the Board of Supervisors and County
Administrator
By
Chairman/Designee Deputy
CONTRACTOR
gy By XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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(Rev. 1/95)
APPROVALS/ACKNOWLEDGMENT
Number 27-115-1
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
COUNTY COUNSEL
By By
Designee Deputy
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 wividmi)
(Civil Code§1189)
AMENDMENT SPECIFICATIONS
Number 27-115-1
In consideration for Contractor's agreement to provide additional services
under the Contract identified herein, County agrees to increase the Contract
Payment Limit. County and Contractor agree, therefore, to amend said
Contract as specified below, while all other parts of the Contract remain
unchanged and in full force and effect:
1. Payment Limit Increase. The Payment Limit set forth in Paragraph 5.
(Payment Limit) is hereby increased by $117,800, from $64,200 to a new total
contract payment limit of $182,000.
2 . Extension of Term. The contract term set forth in Paragraph 3 . (Term)
is hereby extended through December 31, 1997 .
3 . Additional Services. Service Plan Paragraph 2 . (Service Activities) is
hereby deleted and replaced with a new paragraph to read as follows:
112. Service Activities. Contractor shall provide consultation,
technical assistance and management services as required by the Contra
Costa Health Plan (Health Plan) Executive Director, or his designee,
with regard to the Psychiatric Services Program, Advice Nurse Program,
and Care Coordination Program. In performing services hereunder,
Contractor' s activities shall include, but may not be limited to, the
following:
a. Supervising and directing the activities of subordinate staff
assigned to the Psychiatric Services, Advice Nurse and Care
Coordination Programs;
b. Assisting the Health Plan Executive Director, or his designee, with
the development of staffing requirements, including the number and
minimum qualifications of assigned staff;
C. Assisting, in the time and manner required by County, with
development of written job descriptions;
d. Developing and/or revising, in the time and manner required by
County, training manuals, protocols, forms, and utilization and
productivity standards;
e. Providing assistance with regard to monitoring and evaluating the
automated and manual information systems which support the programs
specified above;
f. Making recommendations to the Health Plan Executive Director, in
the time and manner required by County, for improvements in the
information systems specified above;
Initials:
1 Contractor County Dept.
. AMENDMENT SPECIFICATIONS
Number 27-115-1
g. Assisting, in the time, form and manner required by County, with
development and implementation of plans and activities to assure
the quality of care and services provided; and
h. Other tasks as may be required by the Health Plan Executive
Director, or his designee. "
4 . Modification of Payment Provisions. Payment Provisions Paragraph 1.
(Payment Amounts) , subparagraph d. , is hereby modified to read as follows:
" [%] d. (1) $5, 225 monthly for services performed during the months
of May 1995, through December, 1995;
(2) $5 , 425 monthly for services performed during the months
of January 1996, through June 1996;
(3) $5, 625 monthly for services performed during the months
of July 1996, through December 1996; and
(4) $5, 825 monthly for services performed during the months
of January 1997, through December 1997.
(5) In addition, County will reimburse Contractor an amount
not to exceed $4, 000 as follows: (a) for travel on
behalf of the County, approved in advance by the Health
Plan Executive Director, or his designee; (b) for
miscellaneous expenses actually incurred in the provision
of services hereunder; and (c) at the rate of 300 per
mile for the use of a private automobile required in the
provision of services hereunder. "
5. Modification of Withholding Paragraph. Special Conditions Paragraph 2.
(Withholding and FICA Deductions) is hereby deleted and replaced with a new
paragraph to read as follows:
" 2 . Withholding and FICA Deductions. Notwithstanding Paragraph 14 of
the General Conditions, for purposes of withholding state and federal taxes
and Social Security only from payments due, the Auditor-Controller will make
deductions for these purposes. Contractor is not a County employee.
Contractor further understands that the County has no obligation to provide,
and the Contractor will not be provided fringe benefits, including but not
limited to, vacation, sick leave, retirement, and health plan coverage. The
County will provide workers ' compensation coverage and unemployment insurance
if County has right to control way in which work is done. "
Initials:
2 Contractor County Dept.