HomeMy WebLinkAboutMINUTES - 03161993 - 1.48 TO: � %0ARD OF SUP 1 -48
SUPERVISORS
FROM: Mark Finucane, Health Services Director 'o Cwtra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: March 1, 1993 courly
SUBJECT: Approval of Contract Amendment Agreement #26-225-4 with _n
Phyllis Wilks, RPT �h
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair, Board of Supervisors, to execute: on behalf of the
County, Contract Amendment Agreement #26-225-4, effective February 1, 1993, to amend
Rehabilitation Services Contract #26-225-3 with Phyllis Wilks, RPT, for provision
of physical therapy services at Merrithew Memorial Hospital and Clinics, with a
$10,000 increase in the contract payment limit, from $50,000 to a new total payment
limit of $60,000.
II. FINANCIAL IMPACT:
This Contract is included in the Health Services Department Enterprise I budget for
FY 1992-93, to be funded by salary savings generated through vacant physical therapy
positions. As appropriate, patients and/or third party payers will be billed for
services.
III. REASONS FOR RECOMMENDATIONS/BACKGROIIND:
On May 5, 1992, the Board approved Contract #26-225-3 with Phyllis Wilks, RPT, for
physical therapy services at Merrithew Memorial Hospital and Clinics for the period
May 1, 1992 through March 31, 1993. The Department continues to be up-able to fill
vacant- physical therapy positions, and although registry therapists are used when
they are available, this Contract with Phyllis Wilks provides more predictable
coverage than the registry.
The increase in the payment limit is due to increased patient activity which the
Hospital has experienced and expects to continue. Approval of Contract Amendment
Agreement #26-225-4 will allow the contractor to continue providing physical therapy
services through March 31, 1993.
CONTINUED ON ATTACHMENT:_ YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN AT NOF BOARD C MMITTEE
_—_ APPROVE .__ OTHER
SIGNATURE(S)
ACTION OF BOARD ON 77/7_ APPROVED AS RECOMMENDED X, OTHER
VOTE OF SUPERVISORS
�1L 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 SUPERVISO ON THE DATE SHOWN.
Contact: 'Frank Puglisi (370-5100)
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and County Administrator
Contractor
M382/7-83 BY _ DEPUTY
1 -48
Contra Costa County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services)
Number 26-225-4
Fund/Org # 6370
Account # 2821
Other #
l.Identification of Contract to be Amended.
Number: 26-225-3
Effective Date: May 1, 1992
Department: Health Services - Hospital and Clinics
Subject: Physical Therapy 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: PHYLLIS WILRS, RPT
Capacity: Self-employed individual Taxpayer ID # 564-74-4868
Address: 705 Everitt Memorial Highway, Mt. Shasta, California 96067
3. Amendment Date. The effective date of this Contract Amendment Agreement
is February 1, 1993 .
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 SUPERVISORS the Board of Supervisors and County
Adminis rator
BY
Chairman/Designee T Deputy
G CONTRACTOR
B ✓- �-�c /� . �/ ..ilk,: By XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Y
,}�F � '�•/ . ✓/�.. �/}� ice✓ 1 il. r� XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
(Desi nate busi- ess 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 1/87
APPROVALS/ACKNOVLEDGEMENT
Number 26-225-4
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
By By 11• o-e� ,�J
Desi gVe
APPROVED: COUNTY ADMINISTRATOR
By d
ACKNOWLEDGEMENT
State of Cali rnia ACKNOWLEDGEMENT (By rporation,
Partnership, Individual)
County of
The person(s) signing above Contractor, p sonally known to me in the
individual or business capacity(i ) stated, proved to me on the basis of
satisfactory evidence to be the state indiv' al or the representatives) of the
partnership or corporation named above ' the capacity(ies) stated, personally
appeared before me today and acknowl g that he/she/they executed it, and
acknowledged to me that the partners p name above executed it or acknowledged
to me that the corporation named ove execute it pursuant to its bylaws or a
resolution of its board of dire tors.
Dated:
[Notar' 1 Seal]
Notary Public/Deputy Cou Clerk
-2- -
AMENDMENT SPECIFICATIONS
Number 26-225-4
In consideration for Contractor's availability 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:
Payment Limit Increase. The payment limit specified in
Paragraph 4 . (Payment Limit) is hereby increased by $10, 000
from $50, 000 to a new total payment limit of $60.000.
Initials: *�
Contractor ty Dept.