HomeMy WebLinkAboutMINUTES - 04191994 - 1.118 I,IIS
TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director " �7 ' Contra
By: Elizabeth A. Spooner, Contracts Administrato Costa
DATE: March 17, 1994 County
SUBJECT: Approval of Contract Amendment Agreement #27-105-3
with Bill D. Burr, M.D.
SPECIFIC REQUESTS) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Milt Camhi) , to execute on behalf of the County, Contract Amendment
Agreement #27-105-3 with Bill D. Burr, M.D. , effective March 1, 1994,
to amend Standard Contract #27-105-2 (effective August 1, 1993 through
July 31, 1995) , to increase the payment limit by $2,800, from $197,448
to a new Contract Payment Limit of $200,248. This Contractor provides
professional services as Medical Director for the Contra Costa Health
Plan (CCHP) .
II. FINANCIAL IMPACT:
This Contract is funded in the Department's budget by CCHP member
premiums.
III. REASONS FOR RECOMMENDATIONSJBACRGROUND:
On August 17, 1993, the Board of Supervisors approved Standard
Contract #27-105-2 with Bill D. Burr, M.D. , for professional services
as Medical Director for CCHP, and consultation with regard to the
Health First Program.
This Amendment increases the maximum amount the County will reimburse
Contractor for travel, mileage and miscellaneous expenses, to allow
the Contractor to provide additional travel on behalf of the County
through July 31, 1995.
CONTINUED ON ATTACHMENT: YES SIGNATURE: ( /
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM ATI N OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON Q.I,442 t9-T1�9`� APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
— UNANIMOUS (ABSENT 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: !97 NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
Contact: Milt Camhi (313-5604) OF SUPERVISORS ON THE DATE SHOWN.
CC: Health Services (Contracts) ATTESTED Q,.o,..4 tigT19q
Risk Management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and County Administrator
Contractor n
M382/7-88 BY ACL, \ A a-& - DEPUTY
Contra. Costa County CONTACT EMPLOWIlEandard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 27-105-3
Fund/Org # 6114
Account # 2886
Other #
1. Identification of Contract to be Amended.
Number: 27-105-2
Effective Date: August, 1, 1993 s:
Departm t: Health Services - Contra Costa Health la - '
Subject: [tra Costa Health Plan (CCHP) MedicalDirector
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: BILL D. BURR, M.D.
Capacity: Self-employed individual Taxpayer ID # 506-32-9653
Address: 11163 Meadow Brook Drive, Auburn, California 95602
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is March 1, 1994
4. Amendment Specifications. The Contract identified above is hereby
amended as set forth in the "Amendment Specificat, o_ s" attached hereto
which are incorporated herein by reference.
5. Si nai4 a e attest the parties' agre m . . , h eto:
-OUMrnatures
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 ByXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
(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.
E Contra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 27-105-3
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 27-105-3
In consideration for Contractor's willingness to continue to travel
on behalf of the County while providing services under the Contract
identified herein, County agrees to increase the amount it will
reimburse Contractor for travel, mileage, and miscellaneous
expenses. County and Contractor agree, therefore, to amend said
Contract as set forth below while all other provisions of the
Contract remain unchanged and in full force and effect.
1. Payment Limit Increase. The payment limit set forth in
Contract Paragraph 4. (Payment Limit) is hereby increased by
$2,800, from $197 , 448 to a new total Payment Limit of $200,248.
2 . Modification of Contract Payment Provisions. The amount set
forth in Payment Provisions Paragraph 1. (Payment Amounts) ,
subparagraph d. (3) is hereby increased by $1,400, from $3 , 600 to a
new total of $S.000 annually.
Initials•
•Contractor County Dept.