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Home My WebLink AboutMINUTES - 04271993 - 1.61 e /fin TO: BOARD OF SUPERVISORS /*v r , FROM: Mark Finucane, Health Services Director iv � Contra By:By: Elizabeth A. Spooner, Contracts Administrato Costa DATE: April 15, 1993 County SUBJECT: Approval of Contract Amendment Agreement #26-247-2 with Diablo Valley Radiology 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 #26-247-2 , effective January 1, 1993, to amend Standard Contract #26-247 (as amended by Contract Amendment Agreement #26-247-1) with Diablo Valley Radiology (dba San Ramon Valley Imaging Associates, Diablo Valley Nuclear Medicine Medical Group) , for provision of nuclear medicine studies, to increase the contract payment limit by $12, 000, from $50, 000 to a new total payment limit of $62, 000. II. FINANCIAL IMPACT: This Contract is included in the Health Services Department Enterprise I budget. As appropriate, patients and/or third party payers will be billed for services. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: On May 15, 1992, the County Administrator's Office approved and the Purchasing Agent executed Standard Contract #26-247 (as amended by Contract Amendment Agreement #26-0247-1, approved by the Board on October 13 , 1992) with Diablo Valley Radiology, for nuclear medicine studies for County-referred patients. Since the closure of the VA Hospital, Martinez, the Department has had to utilize this Contractor as one of the primary sites for nuclear medicine studies. The increase in the payment limit is due to increased patient activity which the Department has experienced and expects to continue. Approval of Contract Amendment Agreement #26-247-2 will allow the Department to pay the Contractor for nuclear medicine services provided to patients of Merrithew Memorial Hospital and Clinics. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM DA ON OF BOAR COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 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 Contact: Frank Puglisi, Jr. (370-5100) OF SUPERVISORS ON THE DATE SHOWN._ CC: Health Services (Contracts) ATTESTED 3 Risk management Phil Ba helor,Clerk of the Board of Auditor-Controller SuGen;isor andCcuntyAdmiristratr)r Contractor M382/7-83 BY �it� DEPUTY ► . b/ Contra Costa County Standard Form 1/87 CONTRACT AMENDMENT AGREEMENT (Purchase of Services) Number 26-247-2 Fund/Org # 6359 Account # 2861 1.Identification of Contract to be Amended. Number: 26-247 (as amended by Contract Amendment Agreement #26-247-1) Effective Date: April 1, 1992 Department: Health Services - Hospital and Clinics Subject: Nuclear Medicine Studies 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: DIABLO VALLEY RADIOLOGY .(dba San Ramon Valley Imaging Associates, Diablo Valley Nuclear Medicine Medical Group) Capacity: California Corporation Taxpayer ID # 94-2810467 Address: 122 La Casa Via, Suite 120, Walnut Creek, California 94598 Mailing Address: 3160 Crow Canyon Road, #180, San Ramon, CA 94583 3. Amendment Date. The effective date of this Contract Amendment Agreement Janvo nuj IAO*\ Oe I/ is Leh 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 QS (Designate business capacity A) (Designate busin ss 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 r Number 26-247-2 APPROVALS RECOMMENDED7 TMENT FORM APPROVED Y Y /. B B -,<<_�.%•tel - e APPROVED: COUNTY ADMINISTRATOR By ACKNOWLEDGEMENT State of California ACKNOWLEDGEMENT (By Corporation, Partnership, or Individual) County of Cow— . `'� 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 representatives) 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: , M3 JEANNIE KLERK • :� COMM,#972503 C Notary"IC-Coutornia NN CONTRACO6TACOUNTY N otar Public De ut Count Clerk N `' C nn*sbn Expires Y / P Y Y C AuCW 31,1996 -2- ti AMENDMENT SPECIFICATIONS Number 26-247-2 In consideration of Contractor's agreement to provide additional services under the Contract identified herein, County and Contractor agree 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 Contract Payment Limit amount set forth in Standard Contract Paragraph 4 . (Payment Limit) is hereby increased by $12 , 000, from $50, 000 to a new total Payment Limit of $62 , 000. Initials: dz5fitractor Co my Dept.