HomeMy WebLinkAboutMINUTES - 05031994 - 1.5 (2) TO: R BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director contra
taBy: Elizabeth A. Spooner, Contracts Administrat Cos
DATE: April 21, 1994 (" County
SUBJECT., Approval of Contract Amendment Agreement #22-470-1 with
Edward White
I
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee
(Wendel Brunner, M.D. ) , to execute on behalf of the County, Contract
Amendment Agreement #22-470-1 with Edward .White, effective April 15,
1994, to amendi, Contract #22-470 (effective November 1, 1993 through
July 31, 1994) ; to increase the paymqnt limit by $7,000, from $21,500
to a newContract payment limit of $28,500.
II. FINANCIAL IMPACT:
This Contract is funded by 100% by State of California, Office of
AIDS. No County funds are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
In November, 1993, the County Administrator approved, and the
Purchasing Services Manager executed, Short Form Service Contract #22-
470 with Edward White, to provide consultation and technical
assistance to the County's AIDS Program.
Approval of Contract Amendment Agreement #22-470-1 will allow the
Contractor to provide additional units of service through the end of
the current contract term.
e--
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM DA ION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OFBOARD ON t=,a-A- ,3 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
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Wendel Brunner, M.D. (313-6712)
CC: Health Services (Contracts) ATTESTED
Risk Management Phil 91tcho-bA&A of the Board of
Auditor-Controller Suvervisors and County Administrator
Contractor
M382/7-83 BY DEPUTY
I.5C/
Contra Costa County Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 22-470-1
Fund/Org # 5825
Account # 2310
Other #
1. Identification of' Contract to be Amended.
Number: 22-470 K FT
Effective Date: November 1, 1993 D A
Department: Health Services - Public Health Division
subject: Consultation and technical assistance to County's AIDS Program
2 . Parties. u • f Contra Costa, California (County) , for its
Departm am 41lows:
' , and the following named Contractor mutually
agree a 40 a
Contractor: EDWARD WHITE
Capacity: Self-employed individual
Address: 1310 Marin Avenue, Albany, California 94706
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is April 15 , 1994
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' a reemet ereto:
OUNTY OF CONTRA COSTA CALIFORN
lT
n ATTEST: P1 Batchelor, Clerk of
BOARD R,21k
RS 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.
r �
Contra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 22-470-1
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 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:
[Notarial Seal]
Notary Public/Deputy County Clerk
-2-
a �+ AMENDMENT SPECIFICATIONS
Number 22-470-1
In consideration of Contractor's agreement 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 said Contract remain unchanged and in full force and effect.
1. Term. The Term of the Contract set forth in Paragraph 3. (Term) is hereby
modified to terminate June 30, 1994.
2. Payment Limit Increase. The Contract Payment Limit amount set forth in Paragraph
5. (Payment Limit) , is hereby increased by $7,000 from $21,500 to a new total Payment Limit
of $28,500.
3. Modification of Payment Provisions. Payment Provisions Paragraph 1. (Payment
Amounts) , subparagraph d. , is hereby modified to read as follows:
"[%] d. (1,) $20.00 per service unit as defined below, not to exceed 1.350
service units, or a total payment of $27,000; and
(2) In addition, County will reimburse Contractor an amount not to
exceed $1,500 as follows: a) for miscellaneous expenses actually incurred in the provision
of services hereunder during the term of this Contract; b) at the rate of 28 cents per mile
for the use of a private automobile required in the provision of services hereunder; and c)
for conference registration and travel on behalf of the County, approved in advance by the
Assistant Health Services Director--Public Health.
A unit of service, for payment purposes, shall be defined as the provision of one full hour
of services as specified in Paragraph 2. (Service Activities) of the Additional Provisions.
Portions of a service hour spent by Contractor in providing services shall not be reported,
except as the cumulative totals equal one full hour. "
4. Modification of Additional Provisions.
a. Additional Provisions Paragraph 4. (Workers' Compensation) is hereby
replaced by a new Paragraph 4. to read as follows:
11
4. Withholding and FICA Deductions. Notwithstanding Paragraph 10.
(Independent Contractor Status) , for purposes of withholding state and federal taxes and
Social Security only from payments due, the Contractor will be treated as an employee and the
Auditor-Controller will make deductions for these purposes as if Contractor was an employee.
Contractor agrees that for all other purposes, Contractor is not a County employee and
remains an independent contractor. Contractor further agrees that the County has no
obligation to provide, and Contractor will not be provided with, worker's compensation
insurance or fringe benefits, including but not limited to, vacation, sick leave, retirement
and health plan coverage. "
b. Additional Provisions Paragraphs 5. (Tax Withholding) , 6. (Immunity and
Indemnification) , and 7. (Claims Waiver) are hereby deleted in their entirety.
Initials:
Contractor County Dept.