HomeMy WebLinkAboutMINUTES - 01102006 - C.67 TO: gpt1RD OF SUPERVISORS
� 6
FROM: John Sweeten, County Administrator r ontra
CostaDATE: January 10, 2006
SUBJECT: Amend Contract with Single Source, Inc. .
for Consultation Services J ro°" County
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
APPROVE and AUTHORIZE the Risk Manager to execute a contract amendment with Single
Source Inc. to increase the payment limit from $108,000 to $123,000 with no change in contract
date. This contract is being amended to pay for additional consulting services to the County
Administrator's Office and Risk Manager.
FINANCIAL IMPACT:
Costs for consulting services are funded through the Workers' Compensation Self-Insurance
Trust Fund. J
BACKGROUNDIREASONS FOR RECOMMENDATION:
Single Source Consulting is owned)and operated by Tony Su, MBA and ARM. The services are
being contracted to review, evaluate and consult with the Risk Manager, Assistant Risk
Manager/Workers' Compensation and County Administrator's Office.
CONTINUED ON ATTACHMENT: YES SIGNATURE: (104
— RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
i—APPROVE OTHER
SIGNATURES: '
ACTION OF BOR ON J (/(��LM I �O, ).Do fo APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
UNANIMOUS (ABSENT ) OF SUPERVISORS ON THE DATE SHOWN.
AYES: NOES:
ABSENT: ABSTAIN:
ATTESTED dT�
Ws-riskm2k3\users$ygridusVy Documents\Board Orders\BO2OD5\BO- JOHN SWEETEN,&LERK OIrTHE BOARD OF
SingSrceAmend124)5Con.doc SUPERVISORS AND COUNTY ADMINISTRATOR
Contact: Ron Harvey(3351443)
Cc: CAO—Risk Management
Auditor-Controller
Single Source Consulting BY DEPUTY
Contra Costa County CON TRACT AMENDM NT AGREE.ML T TT Number L�<, / p -2--)
Standard Form L-7 (Purchase of Services-Long Form) Fund/Org
Revised 2002 Account#
Other#
1. Identification of Contract to be Amended.
Number: - 3
Effective Date: February 1, 2005
Department: Risk Management - CAO
Subject: Consulting Services
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: Single Source Consulting
Capacity: Limited Liability Corporation
Address: P.O. Box 287, S Ian Ramon, CA 94583
3. Amendment Date. The effective date of this Contract Amendment Agreement is November 1,
2005. I
4. Amendment Specifications. The Contract identified above is hereby amended as set forth in the
"Amendment Specifications" attach i d 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: Clerk of the Board of Supervisors
By: By:
C r
Chairman/Designe f Deputy
CONTRACTOR
Name of Business Entity Name of Business Entity
By. I By:
(Signature of individual or officer) (Signature of individual or officer)
(Print name and Title A, if applicablei (Print name and Title A, if applicable
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 ac owledged as set forth on Form L-2.
6 7 3 ,
Contra Costa County CONTRACT AMENDMENT AGREEMENT Number
Standard Form L-7 (Purchase of Services—Long Form) Fund/Org
Revised 2002 Account #
Other#
AMENDMENT SPECIFICATIONS
' P Contract
In consideration for Contractor's agreement to continue providing services under the Con ac
identified herein, County and Contractor agree to amend said Contract as specified below,while all
other parts of the Contract rernain unchanged and in full force and effect.
Pa3nent Limit Increase: The contract payment limit in paragraph 4 of the above-described contract
between the parties hereto is hereby increased from$108,00 to a new total Contract payment limit of
$123,000. 1
In exchange for the increased payment]unit, Contractor will provide additional consulting services to
the County Administrator's Office and the Risk Manager that were unanticipated under the original
contract.
\\fs riskm2k3\users$\jgricius\MyDocuments\CONTRACTS\CONTRACTS 2005\SSAmendCon05.doc
Contra Costa County APPROVALS/ACKNOWLEDGMENT Number 48031 67 f
Standard Form L-2 (Purchase of Services-Long Form)
Revised 2002
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
COUNTY COUNSEL
By: _ By:
Designee Deputy
APPROVED: COUNTY ADMINISTRATOR
�
By: I
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
ACTIN7L-2
(by Co prns6an,Pa6ndship,x In&vidual)
(Civil Cads§7789)
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