HomeMy WebLinkAboutMINUTES - 03091993 - 1.36 __N7 1 -
TO: BOARD OF SUPERVISORS 36
FROM: Mark Finucane, Health Services DirectorM� Contra
By: Elizabeth A. Spooner, Contracts Administrator (-`�S+a
DATE: February 25, 1993 County
SUBJECT: Approval of Contract Amendment Agreement #26-910-1
with Violet Smallhorne, M.D.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Frank Puglisi, Jr. ) , to execute on behalf of the County, Contract
Amendment Agreement #26-910-1, effective January 1, 1993, to amend
Medical Specialist Contract #26-910 (effective September 1, 1992
through August 31, 1993) with Violet Smallhorne, M.D. , to increase the
Contract Payment Limit by $4, 189.80 from $178,716 to a new total
Payment Limit of $182 ,905.80.
II. FINANCIAL IMPACT:
Cost of Dr. Smallhorne's services to the County depends upon
utilization. As appropriate, patients and/or third party payers will
be billed for services.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On September 22, 1992, the Board approved Medical Specialist Contract
#26-910 with Violet Smallhorne, M.D. for provision of general, plastic
and reconstructive surgery services at Merrithew Memorial Hospital and
Clinics.
At the time of contract negotiations, it was the intent of the
Department to reimburse Dr. Smallhorne for an adjustment in the
Contractor's annual malpractice insurance premium. However, due to
the mutual mistake of the parties, the amount of the Contractor's
insurance premium was miscalculated.
Approval of Contract Amendment Agreement #26-910-1 will allow the
County to reimburse the Contractor for the costs of her malpractice
insurance premium adjustment consistent with the oral agreement
between the Contractor and the Department.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM D ION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON 2� 3 APPROVED AS RECOMMENDED >< OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: Jai V . NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: _:Z—= ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Frank Puglisi, Jr. (370-5100)
CC: Health Services (Contracts) ATTESTED
Risk Management Phil Batchelor,Clerk of the Board of
Auditor—Controller Supervisors and CcuntyAdministrator
Contractor
M382/7-e8 BY DEPUTY
1 -36
Contra Costa County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 26-910-1
Fund/Org # 6500
Account #
Other #
1.Identification of Contract to be Amended.
Number: 26-910
Effective Date: September 1, 1992
Department: Health Services - Hospital and Clinics
Subject: General Surgery
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: VIOLET SMALLHORNE, M.D.
Capacity: Self-employed individual Taxpayer ID # 072-50-6096
Address: 3810 Twin Oaks Way, Oakland, California 94605
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is January 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
Administrator
By
Chairman/Designee Deputy
CONTRACTOR
By ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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 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/ACKNOWLEDGEMENT
Number 26-910-1
APPROVALS
RECOMMENDED BY DEPARTMENT FORM APPROVED
By By
Designee
APPROVED: COUNTY ADMINISTRATOR
By
ACKNOWLEDGEMENT
State of California ACKNOWLEDGEMENT (By Corporation,
Partnership, or Individual)
County of
The person(s) signing above for Contractor, personally known to me in the
individual or business capacity(ies) stated, or proved to me on the basis of
satisfactory evidence to be the stated individual or the representative(s) of the
partnership or corporation named above in the capacity(ies) stated, personally
appeared before me today and acknowledged that he/she/they executed it, and
acknowledged to me that the partnership named above executed it or acknowledged
to me that the corporation named above executed it pursuant to its bylaws or a
resolution of its board of directors.
Dated:
[Notarial Seal]
Notary Public/Deputy County Clerk
-2-
AMENDMENT SPECIFICATIONS
Number 26-910-1
In consideration for Contractor's agreement to continue providing
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 in full force and effect:
1. Payment Limit Increase. The Contract Payment Limit
specified in Additional Provisions Paragraph 1. (Payment) , is
hereby increased by $4 , 189 .80, from $178, 716 to a new Contract
Payment Limit of $182,905.80 .
2 . Payment Provision Modification. Additional Provisions
Paragraph 1. (Payment) , subparagraph b. , is amended to read as
follows:
"b. $1, 304 payable quarterly, to cover expense of malpractice
insurance coverage for treating County's patients, and an
additional amount not to exceed $5,689.80 in the event of an
adjustment in the annual malpractice insurance premium amount, NOT
TO EXCEED A TOTAL OF $10,805.80;11
Initials:
Contractor County Dept.