HomeMy WebLinkAboutMINUTES - 06281994 - 1.6 (2) BOARD OF SUPERVISORS
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FROM-Mark Finucane, Health Services Director ` 1600-7-."N Contra
By: Elizabeth A. Spooner, Contracts AdministratorCosta
DATE: June 14, 1994 10 County
SUBJECT: Approval of Contract Amendment Agreement #22-469-2 with
Julie Freestone
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 #22-469-2 with Julie Freestone, effective July 1,
1994, to amend Standard Contract #22-469-1 (effective January 1, 1994
through December 31, 1994) , to increase the payment limit by $7,222,
from $33, 050 to a new Contract payment limit of $40,272.
II. FINANCIAL IMPACT:
This Contract is funded 100% by State Tobacco Tax funds. No County
funds are required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
On March 9, 1994, the Board of Supervisors approved Standard Contract
#22-469-1 with Julie Freestone, to provide services as the Media
Coordinator for the Tobacco Prevention Project.
Approval of Contract Amendment Agreement #22-469-2 will allow the
Contractor to provide additional units of service through December 31,
1994.
CONTINUED ON ATTACHMENT: YES SIGNATURE:'_�-��
RECOMMENDATION OF COUNTY ADMINISTRATOR REC(OMMEN TIO OF BOARD C61,14ITTEE
APPROVE OTHER
SIGNATURE(S)
i Q Q LL
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: Wendel Brunner, M.D. (313-6712) OF SUPERVISORS ON THE DATE SHOWN.
CC, Health Services (Contracts) ATTESTED
Risk Management
Auditor-Controller Phil OatieelW,Clerk�01 the card!�ol �
Contractor Supervisors and County Administrator
M382/7-83 BY 1LQa 1 DEPUTY
,Contra Costa County CONTRACT EMPLOYEE
Standard Form 1/87
CONTRACT AMENDMENT AGREEMENT
(Purchase of Services) Number 22-469-2
Fund/Org # 5782
Account # 2310
Other #
1. Identification of Contract to be Amended.
Number: 22-469-1 141
pim
Effective Date: January 1, 1994 D -R16r�'T
Department: Health Services - Public Health Division
Subject: Media Coordinator for the Tobacco Prevention Project
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: JULIE FREESTONE
Capacity: Self-employed individual
Address: 826 - 32nd Street, Richmond, California 94804
3 . Amendment Date. The effective date of this Contract Amendment Agreement
is July 1, 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 ' agreement hereto:
COUNTY OF CONTRA COSTA, CALIFORNIA
ATTEST: Phil Batchelor, Clerk of
BOARD OF SUPERVISORS he Board of Supervisors and County
Administrator
D
_. .__._._ AF
Chairman/Designee _Y 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.
Contra Costa County Standard Form 1/87
APPROVALS/ACKNOWLEDGEMENT
Number 22-469-2
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 tc 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-
1
AMENDMENT SPECIFICATIONS
Number 22-469-2
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. Payment Limit Increase. The Contract Payment Limit
amount set forth in Paragraph 4 . (Payment Limit) , is hereby
increased by $7,222 from $33, 050 to a new total Payment Limit of
$40,272 .
2 . Modification of Payment Provisions. Payment Provisions
Paragraph 1. (Payment Amounts) , subparagraph d. , is hereby modified
to read as follows:
" [xi d. (1) $23 . 00 per service unit as defined below,
not to exceed 1, 664 service units, or a total payment of ,$38 , 272 ;
and
(2) In addition, County will reimburse
Contractor an amount not to exceed $2 , 000 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 "3 .
(Service Activities) of the Service Plan. Portions of a service
hour spent by Contractor in providing services shall not be
reported, except as the cumulative totals equal one full hour. "
Initials:
Contractor County Dept.