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MINUTES - 03081994 - 1.44
TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Seyam rvices Director - t4r• Contra By: Elizabeth A. Spooner, Contracts Administrator ' Costa DATE: February 22 , 1994 County SUBJECT: Approval of Contract Amendment Agreement #22-446-1 with Visiting Nurse Association, Inc. (dba VNA Private Care, Inc. ) SPECIFIC REQUEST(S) OR RECOMMENDATION(S) Sc BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve and authorize the Chair, Board of Supervisors, to execute on behalf of the County, Contract Amendment Agreement #22-446-1 with Visiting Nurse Association, Inc. , effective October 1, 1993 , to amend Contract #22-446 (effective March 1, 1993 through June 30, 1994) , to increase the payment limit by $35, 000, from $20, 000 to a new Contract payment limit of $55, 000. This Contractor provides in-home attendant care to AIDS and ARC patients. II. FINANCIAL IMPACT: This Contract is funded by Federal Ryan White (Care Act, Title I) and AIDS Medical Waiver funds. No County funds are required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: In May, 1993 , the County Administrator approved, and the Purchasing Services Manager executed, Short Form Service Contract #22-446 with Visiting Nurse Association Inc. (dba VNA Private Care, Inc. ) , to provide in-home attendant care to County-referred AIDS and ARC patients. Approval of Contract Amendment Agreement #22-446-1 will allow the Contractor to provide additional services, including twenty-four (24) hour live-in attendant care, through June 30, 1994 . CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN ATI N OF BOARD CO MITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON March 8 , 1994 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS X UNANIMOUS (ABSENT IV ) 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: Wendel Brunner, M.D. (313-6712) OF SUPERVISORS ON THE DATE SHOWN. CC: Health Services (Contracts) ATTESTED March 8 , 1994 Risk Management Phil Batchelor,Clerk of the Board of Auditor-Controller Sup rvisors and CcuntyAdIninistrator Contractor M382/7-e9 BY � -, DEPUTY i Contra Costa County \ ,�" � Standard Form 1/87 CONTRACT AMENDMENT AGREEMENT (Purchase of Services) Number 22-446-1 Fund/Org # 5836-38 Account # 2320 Other # 1. Identification of Contract to be Amended. Number: 22-446 Effective Date: March 1, 1993 Department: Health Services - Public Health Divison Subject: In-Home Health Care for AIDS or ARC Patients 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: VISITING NURSE ASSOCIATION, INC. (dba VNA Private Care, Inc. ) Capacity: California corporation Taxpayer ID # 94-2607708 Address: 1900 Powell Street, #265, Emeryville, California 94608 3 .' Amendment Date. The effective date of this Contract Amendment Agreement is October 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 UPER SORS the Board of Supervisors and County Admi 'str or By 01/ C airman/Designee Deputy CONTRACTOR By l �-- By (Designate busine s capacity A) (Designate busj.ne s c acity B) 3'b k lr. � . 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. , Con'tra Cdsta County Standard Form 1/87 APPROVALS/ACKNOWLEDGEMENT Number 22-446-1 APPROVALS RECOMMENDED BY DEPARTMENT FORM APPROVED By B Desi ne 9 �s APPROVED: COUNTY ADMINISTRATOR By ACKNOWLEDGEMENT CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 State of a or iQ OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of ,A Though statute does not require the Notary to fill in the data below, doing so may prove — — � invaluable to persons relying on the document. On before me, �""/�Q Q �` o / �/ i ❑ INDIVIDUAL DATE NAME,TITLE OF OFFI 7"JANE DOE,NOTARY BLIC" ,�� � � ❑CORPORATE OFFICER(S) personally appeared �i- 'd NAME(S)OF SIGNER(S) TITLE(S) ❑personally known to me-OR-® proved to me on the basis of satisfactory evidence ❑ PARTNER(S) ❑ LIMITED to be the person(s) whose name(s) is/ate [:] GENERAL subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT knowledged to me that hek4mW#&"xecuted ❑TRUSTEE(S) the same in hisih�e*F authorized � t+.,,.i+h�,;. ❑GUARDIAN/CONSERVATOR ERTAaNsDL capacity(ies), and that by his,,,��„- OTHER: ROBERTA NADLIF signature(s) on the instrument the person(s)•, • NOTARY PUBLIC-CALIFORNIA ALAMEDA COUNTY or the entity upon behalf of which the MY COMM. EXP. FEB. 28, 1994 person(s) acted, executed the instrument. SIGNER IS REPRESENTING: SS my hand and official seal. NAME OF PERSON(S)OR ENTITY(IES) SIGNATURE OF NOTARY OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES DATE OF DOCUMENT Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE ©1992 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 AMENDMENT SPECIFICATIONS Number 22-435-2 In consideration for Contractor's willingness 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. 1. Payment Limit Increase. The payment limit set forth in Paragraph 5. (Payment Limit) Increase) is hereby increased by $35, 000 from $20, 000 to a new total Contract Payment Limit of $55,000. 2. Modification of Payment Provisions. a. Payment Provisions Paragraph 1. (Payment Amounts) , subparagraph d. is hereby modified to read as follows: " [X] d. As set forth in Paragraph 1. (Payment) of the Additional Provisions, but not to exceed the Contract Payment Limit of $55, 000. " b. Additional Provisions Paragraph 1. (Payment) of the Additional Provisions is hereby deleted and replaced with the following new paragraph: "1. Payment. Upon request received by Contractor from County's AIDS Program Case Manager, or her designee (AIDS Program Coordinator) , and subject to the payment limit of this Contract, Contractor shall provide its employees, in the below listed job classifications and at the specified billing rates, to do temporary work for County for specified peak loads, temporary absences, or emergency situations. Personnel providing services •uunder this contract are not County employees. 'Contractor agrees to exhaust all other sources of payment, including third- party payors, as appropriate, before billing County for services. Contractor will hold harmless both the State and County's clients in the event the County cannot or will not pay for services performed for County's clients pursuant to this Contract. Copies of all billings to patients and/or third- party payors and (if applicable) copies of payments received from private pay patients or third-party payors, specifying the number of hours by date and the total charges, will be submitted to County. After all other sources of payment are exhausted, County will pay Contractor the remaining fee amounts which Contractor is unable to collect from such payment sources up to the applicable fee per hour, per visit, or per day of temporary work, as follows: Initials: Contractor County Dept. 1 AMENDMENT SPECIFICATIONS Number 22-435-2 NOT TO EXCEED THE BILLING RATE SPECIFIED BELOW FOR TEMPORARY WORK JOB CLASSIFICATION Hourly Rate Registered Nurse $ 28.55 Licensed Vocational Nurse $ 22 .20 Home Health Aide (2 Hour Minimum) $ 12 . 59 Nutritional Counseling $ 33 .48 Psychosocial Counseling $ 33 .48 County will also pay the following additional rates, as applicable: a. Short notice reimbursement according to Paragraph 2. (Short Notice Reimbursement) , below; b. Holiday compensation according to Paragraph 3 . (Holiday Compensation) , below; C.. Overtime compensation according to Paragraph 4. (Overtime Compensation) , bel q4p dY � hour, added to the applicable hourly fee rate specified above, per visit or shift for actual travel, charting/documentation, training and supervision time associated with providing skilled nursing care, nutritional/psychosocial counseling, attendant care and homemaker services; and e. $150. 00 per shift for live-in attendant care that is provided in the home of a County referred client by one of Contractor's Home Health Aides, or other classification approved in advance by County's Aids Program Case Manager (or her designee) , for any uninterrupted twenty-four (2 4) hour period. Contractor's Demand Form (billing statement) must include dates of service, type of service, hours of service, amount received from third-party payors, and total amount due from County. Demand Forms are to be mailed to: Contra Costa County AIDS Program, Health Services Department, 597 Center Avenue, Suite 200, Martinez, California 94553 . " Initials: Contractor County Dept. 2