The URL can be used to link to this page

Home My WebLink AboutMINUTES - 12082001 - C.96 TO: ti BOARD OF SUPERVISORSk4) ...... FROM: William Walker, M.D. , Health Services Director .,: Al ;;. Contra By: Ginger Ma'rieiro, Contracts Administrator COSta DATE: December 4, 2001 County SUBJECT: Approval of Contract Amendment Agreement #22-767-3 with Toni Guy SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director or his designee (Wendel Brunner, M.D. ) to execute on behalf of the County, Contract Amendment Agreement #22-767-3 with Toni Guy, effective November 1, 2001, to amend Contract #22-767-1 (as amended by Contract Amendment Agreement #22-767-2) , to increase the Contract Payment Limit by $2 , 971 from $64 , 629 to a new payment limit total of $67, 600 . This Contractor provides consultation and technical assistance with regard to the countywide comprehensive violence prevention plan. FISCAL IMPACT• This Contract is 15 . 5% State funded and 84 . 5% County funded. BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : On November 14 , 2000, the Board of Supervisors approved Contract #22-767-1 (as amended by Contract Amendment #22-767-2) with Toni Guy to provide consultation and technical assistance with regard to development of a countywide comprehensive violence prevention plan including, but not limited to, acting as a Violence Prevention Planning and Resource Development consultant; implementing an action plan and conducting violence prevention planning and resource development, through December 31, 2001 . Approval of Contract Amendment Agreement #22-767-3 will allow Contractor to provide additional services, through December 31 , 2001 . CONTINUED ON ATTACHMENT: Y 4S SIGNATURE / �/RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE _/APPROVE _OTHER SIGNATURES): ACTION OF BOARD �' APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JOHN SWEETEN, CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Wendel Brunner, M.D. (313-6712) CC: Health Services Dept. (Contracts) Auditor-Controller Risk Management BY. 61�' DEPUTY Contractor Contra Costa County Standard Form 3/01 CONTRACT AMENDMENT AGREEMENT t (Purchase of Services) Number 22-767-3 Fund/Org # 5777 Account # 2310 Other # 1 . Identification of Contract to be Amended. Number: 22-767-1 (as amended by Contract Amendment Agreement #22-767-2) Effective Date: November 1, 2000 Department: Health Services - Public Health Division Subject: Consultation and technical assistance regarding the Violence Prevention Program 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: TONI GUY Capacity: Self-Employed Individual Taxpayer ID t Address: 22171 Montgomery Street, Hayward, California 94541 3 . Amendment Date. The effective date of this Contract Amendment Agreement is November 1, 2001 . 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 BOARD OF SUPERVISORS ATTEST: John Sweeten, Clerk of the Board of Supervisors and County Administrator By xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx - Ghairffl /Designee Depttty CONTRACTOR By By XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Self-Employed Individual 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 § 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 22-767-3 APPROVALS RECOMMENDED BY DEPARTMENT FORM APPROVED COUNTY GO TATSE By By Designee Dem 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) ti AMENDMENT SPECIFICATIONS Number 22-767-3 In consideration for Contractor' s agreement to provide additional hours of services under the Contract identified herein (as amended by Contract Amendment Agreement #22-767-2) , 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 Contract Amendment Agreement #22-767-2 , Amendment Specifications Paragraph 2 . (Payment Limit Increase) , is hereby increased by $2, 971 from $64 , 629 to a new total Contract Payment Limit of $67, 600 . 2 . Modification of Payment Provisions . Contract Amendment Agreement #22-767-2, Amendment Specifications, Paragraph 3 . (Modification of Payment Provisions) is hereby deleted and replaced with a new paragraph to read as follows : If 3 . Modification of Pavment Provisions . Payment Provisions Paragraph 1 . (Payment Amounts) subparagraph d. , is hereby deleted and replaced with a new subparagraph d. to read as follows : [X] d. (1) $30 . 90 per hour of service, not to exceed a total payment of $65, 100 ; and (2) In addition, County will reimburse Contractor an amount not to exceed $2 , 500 as follows : a) for allowable miscellaneous expenses actually incurred in the provision of services hereunder during the term of this Contract; b) for mileage for travel in her/his personal vehicle as required by service activities under this contract . Such reimbursement shall be paid at the same rate and in the same manner as if Contractor were a County employee and c) for conference registration and travel on behalf of the County, approved in advance by the Public Health Director. " Initials• Contractor County Dept.