HomeMy WebLinkAboutMINUTES - 04062004 - C91-C96 TO: BOARD OF SUPERVISORSm v✓"
FROM: William Walker, M.D., Health Services Director
Contra
By: Jacqueline Pigg, Contracts AdministratorCosta
DATE: March 23, 2004 County
SUBJECT: -- `
Approval of Contract Amendment Agreement#26-305-12 with Vista Staffing Solutions
SPECIFIC REQUESTS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
REC
Approve and authorize the Health Services Director, or his designee (Steve Tremain, M.D.) to
execute on behalf of the County, Contract#26-305-I2 with Vista Staffing Solutions, a corporation,
effective March 1, 2004, to amend Contract#26-305-10 (as amended by Contract#26-305-11), to
increase the total Contract Payment Limit by $561,000 from $375,004 to a new total payment limit
of$936,000, with no change in the original term through September 30, 2004.
FISCALL IMPACT:
Funding for this contract is included in the Health Services Department Enterprise I budget. As
appropriate, patients and/or third-party payors will be billed for services.
BACKGR D ILEA: QN 5 O Cts E A IU' S
On October 7, 2003, the Board of Supervisors approved Contract #26-305-10 (as amended by
Contract Amendment Agreement #26-305-11) with 'Vista: Staffing Solutions, for the period from
October 1, 2003 through September 30, 2004, to present locum tenens',physicians to work as
temporary employees to ensure appropriate medical staff coverage to the inpatient psychiatric unit
at Contra Costa Regional Medical Center, and the County's Main Detention Facility.
At the time of negotiations, the payment limit was under estimated by both parties. The levels of
utilization during the term of Contract #26-305-10 (as amended by Contract Amendment
Agreement #26-305-11) was actually higher than originally anticipated. The Department is
requesting approval of Contract Amendment Agreement #26-305-12 to allow the Contractor to
provide additional hours of temporary physician coverage services through September 30, 2004.
CONTINUED QN AnACNT: YES $ T "
4--' RECOMMENDATION OF COUNTY ADMINISTRATOR R OMMENDATION OF BOARD COMMITTEE
_'APPROVE OTHER
SIQNATRE(SQI: �',
ACTION OF BOARDt'. .%i APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
{( I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT. ` ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: ANIS ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
E y "
t F
ATTESTED ,
,IOH SWEETEN,CLE OF THE BOJkRD OF
SU RVISORS AND COUNTY ADMINISTRATOR
Contact Person: S tear T a n (370-5122)
CC: Health 5ervicesebe�Y18`on'tracts) ;#
Auditor-Controller
i2iSlt Management BY DEPUTY
Contractor
11 ''I'll'-,...-...........I.......................................................-............... .................................... ..........................
. . .......................
TO: BOARD OF SUPERVISORS
FROM: William Walker,M.D.,Health Services Director
By: Jacqueline Pigg,Contracts Administrator Contra
Costa
DATE- March 23,2004 County
SUBJECT, Approval of Contract Amendment Agreement#22-384-9 with Jennifer Balogh
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS):
Approve and authorize the Health Services Director, or his designee (Wendel Brunner)to execute on
behalf of the County, Contract Amendment Agreement #22-384-9 with Jennifer Balogh, a self-
employed individual, effective March 31, 2004 to amend Contract #22-384-8 to increase the
Contract payment limit by$13,416, from$53,664 to a new total of$67,080 and extend the Contract
term through June 30,2004.
FISCAL IMPACT:
This Contract is funded 22.36% by the Public Health Institute (Childhood Asthma Management
Program); 15.81% by the California Endowment (Community Action to Fight Asthma); 20.49%
by the City of Walnut Creek (Nurses, Cops and Children in Contra Costa County); 22.36% by the
State DOHS (Tobacco Project); 9.32% by the State DOHS (Foodwise Project); and 9.66% by
County funds(budgeted).
BACKGROUND/REASON(S)FOR RECONEN4ENDATION(S):
On March 18, 2003, the Board of Supervisors approved Contract #22-384-8 with Jennifer Balogh
for the period from April 1, 2003 through March 31, 2004, for the provision of consultation,
technical assistance and training to the Department with regard to data assessment and evaluation
for Community Wellness and Prevention Programs, Family Maternal and Child Health Programs
and to the Office of the Public Health Director.
Approval of Contract Amendment Agreement #22-384-9 will allow the Contractor to continue
providing services through June 30,2004.
QNTINUED ON ATTACHMENT. YES SIGNATURE*
__/',RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
✓ APPROVE OTHER
ACTION OF BOARD N APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT it AND CORRECT COPY OF AN ACTION TAKEN
AYES: NO F- AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT; —ABSTAIN:-- OF SUPERVISORS ON THE DATE SHOWN.
Ti
ATTESTED
JOHV SWEETEN,CLeRWOF THE BOARD OF
Contact Person: Wendel Brunner,IVM 313-6712 SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services Dept- (Contracts)
Auditor-Controller
Risk Management BY A DEPUTY
x'
Contractor
..................................................... -................
TO: BOARD OF SUPERVISORS '
FROM: William Walker, M.D., Health. Services Director i Contra
By: Jacqueline Pigg, Contracts Administrator Costa
DATE: March 23, 2004 County
SUBJECT: Approval of Cancellation Agreement#26-817-27 and Contract#26-817-28 with East Bay X01" ,
_ Nephrology Medical Group, Inc.
SPECIFIC REQUEST(S)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
Approve and authorize the Health Services Director, or his designee (Kathryn Grazzini), to execute on behalf
of the County as follows:
1. Cancellation Agreement#26-817-27 with East Bay Nephrology Medical Group (Specialty:
Nephrology), a corporation, for the provision of Nephrology services, effective on the close of
business on March 31, 2004; and
2. Contract #26-817-28 with East:Bay Nephrology Group, (Specialty: Nephrology), a corporation, for
the period from April 1, 2004 through June 30, 2006, in an amount not to exceed $197,400, for the
provision of professional Nephrology services for patients at Contra Costa Regional Medical Center.
FISCAL IMPACT:
This Contract is funded by Enterprise I Budget. Cost to the County depends upon utilization. As
appropriate, patients and/or third party payors will be billed for services.
BACKGROUND REASONS) FOR RECOMMENDATIO&SI:
On July 8, 2003, the Board of Supervisors approved Contract#26-817-26 with East Bay Nephrology Medical
Group, to provide Nephrology services including clinic coverage, training, and medical and/or surgical
procedures for patients at Contra Costa Regional Medical Center, for the period from July 1, 2003 through
June 30, 2006.
The County and the Contractor have renegotiated this Contract to allow the Contractor to provide
Hemofiltration Program services at Contra Costa Regional Medical Center. Therefore, the Department and
the Contractor have mutually agreed to renegotiate the Contract Payment Provisions, to reflect the intent of
the parties. Therefore, in accordance with Paragraph 3. (Term) of the Contract, the Department and
Contractor have agreed to a mutual cancellation of Contract#26-817-26. Approval of Cancellation
Agreement#26-817-27 will accomplish this termination.
Under Contract#26-8817-28, Contractor will provide professional Nephrology services, including,
consultation, training, medical and/or surgical procedures and Hemofiltration Program services, through June
30, 2006.
CONTINUED :
r' RECOMMENDATION OF COUNTY ADMINISTRATOR COMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
l NAT RE _': l
ACTION OF BOARD O 71:
.,C�( F APPROVED AS RECOMMENDED OTHER
(7
VOTE Of SUPERVISORS s
t1 e I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT f ) AND CORRECT COPY Of=AN ACTION TAKEN
AYES. NOE AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
r
ATTESTED
JOH1.RVISORS AND COUNTY ADMINISTRATORSWEETEN,CLERK/OF THE B•ARD OF
Contact Person: Kathryn Grazzni (370-5120) SUP
CC: Health Services Dept. (Contracts)
Auditor-Controller _ `
Risk Management BYr �r C' Xj 16C DEPUTY
Contractor
TO: BOARD OF SUPERVISORS
FROM: William Walker, Health Services Director
By: Jacqueline Pigg, Contracts Administrator Contra
DATE: March 23, 2004 Costa
County
SUBJECT: Acknowledge Termination of Contract #26-976-3 with �.
Arthritis & Rheumatology Medical Association, Inc.
SPECIFIC REQUEST{S}OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
REQ0MHE AjjQ 3
Acknowledge receipt of notice from Arthritis & Rheumatology Medical
Associate Inc. , a corporation, requesting termination of Contract #26-
976-3 , for the provision of Rheumatology Services, effective at the
end of the workday on March 1, 2004 .
FISCAL IMPACT:
This Contract was funded 100% by Enterprise I Budget .
REASONS FOR RECO LT10NSf bACXr~RQ=.
On June 3, 2003, the Board of Supervisors approved Contract #26-976-3
with Arthritis & Rheumatology Medical Association, Inc. , for the
period from July 1, 2003 through June 30, 2004, for the provision of
professional Rheumatology services for patients at Contra Costa
Regional Medical Center.
The purpose of this Board Order is to advise the Board of Supervisors
that Arthritis & Rheumatology Medical Association, Inc . , has
terminated their Contract #26-976-3 with the County in accordance with
Paragraph 4 . (Termination) by giving a thirty (30) days advance
written notice to the Department .
CONTINUE ._QN ATTACHMMI, YE
I
P
RO vfENDATION
APOF COUNTY ADMINISTRATOR OMMENDATION 03F BOARD OMMITTEE
APPROVE OTHER
GN
ACTION OF BOARD APPROVED AS RECOMMENDED? OTHER
VOTE OF SUPERVISORS
UNANIMOUS ABSENTA I HEREBY CERTIFY THAT THIS IS A TRUE
t ) AND CORRECT CONY OF AN ACTION TAKEN
AYES: NO AND ENTERED ON THE MINUTES OF THE BOARD
ABSI=NT: AE3STAIN: OF SUPERVISORS ON THE DATE SHOWN.
q �
ATTESTED
JON -SWEETEN,CLER OF THE BOAIkD OF
ContactPerson: Sieve Tremain,. M.D. .(370-5122) SUPERVISORS AND COUNTY ADMINISTRATOR
CC: Health Services Dept. (Contracts) ,£
Auditor-Controller
Risk Management BY '�-, ` ....
Contractor DEPUTY
FEB--13-2004 08:42 CCHS - CONTRACTS & GRANTS 925 646 9238 P.02
NORTHERN CALrFOR.NIA. ARTMUTIS CrENTER
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CadaWAmwim bond of bWmW Mare&nammWaV
February 9,2004
Contra Costa Health Services
Arta. Jacqueline Pigg,Contracts&Grants
525 Green St.
Martnev, CA 94553-1631
RE: Contract#26-976-3
Dear Ms. Pigg:
.)unclosed please find two signed copies of the Contraact#26-976-3.
Services provided in July, August, September and October of 2003 have not yet
been reimbursed. We were told that payment for these services would be released upon
receipt of a sued contract.
CIf
se also consider this our 30-day notice of termination of this contract.
ditional information is required, please contact me at(925)210-1050.
i y,
Barbara Del Prado
Manager
Enc1'
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TOTAL P.02
.................................................................................................I.....1 1.111,11.1.1
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...............................
"TO: BOARD OF SUPERVISORS
FROM: William Walker, M. D. , Health Services Director Contra
By: Jacqueline Pigg, Contracts Administrator
DATE: March 24, 2004 Costa
County
SUBJECT: - Approve Termination of Medical Specialist Contract #26-879-19 with
Lorre T. Henderson 0115,
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION
RECOOMN—DED ACTION:
Approve and authorize the Health Services Department to issue a
90-day advance written notice to Lorre T. Henderson, M. D. to
terminate Medical Specialist Contract #26-879-19, effective close
of business on July 6, 2004 .
FINMIAL IMPACT:
None. Cost to the County depends upon utilization.
U&SONS F _PZCQj2ZNPAT10
BA Ft
On October 14, 2003, the Board of Supervisors approved Medical
Specialist Contract #26-879-19 with Lorre T. Henderson, M.D. , for
the period from October 1, 2003 through September 30, 2006, for
the provision of professional Otolaryngology services for Contra
Costa Regional Medical Center and Contra Costa Health Centers .
Approval by the Board of Supervisors will allow the Health
Services Department to issue a ninety-day advance written notice
to the Contractor, in accordance with Paragraph 4 . (Termination) ,
subparagraph e. of the Additional Provisions, that Contract #26-
879-19 is terminated effective close of business on July 6, 2004 .
CONTINUEQ.QN ATTACHMENT: YES SIGNATURE�._44'rtfi�'�
4'6�' COMMENDATION OF COUNTY ADMINISTRATOR RECAMMENDATION OF BOARD COMM/ITTIE
APPROVE OTHER
SIGNATUREfS):
ACTION OF BOARD APPROVED AS RECOMMENDED OTHER
VOTE F SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENTAIdY, AND CORRECT COPY OF AN ACTION TAKEN
AYES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED
JOHWSWEETEN,CLER"F THE BOA OF
Contact Person: JeffUPERVISORS AND COUNTY ADMINISTRATOR
rV,CeS M.D.Mf DtS�370-5113)
CC: Health Se epittCon ra
Auditor-Controller
Risk Management By_� DEPUTY
Contractor
CO
Lorre T . Henderson,M.D.
1314 Brown Street
Martinez, California 94553
Dear Dr. Henderson:
Termination Notice
Contract Number #26-879-19
The purpose of this letter is to notify you that the County' s
contract with you (Medical Specialist #26-879-19 for
Otolaryngology services) is being terminated.
Therefore, this letter provides you with ninety (90) days formal
advance written notice that Medical Specialist Contract #26-879-19
is hereby terminated effective July 6, 2004, in accordance with
Paragraph 4 . (Termination) , subparagraph e. of the Additional
Provisions set forth in the Contract. Please direct your
questions regarding the termination of contract services to me at
(925) 370-5113 .
Sincerely,
Jeff Smith, M. D.
Executive Director
Of Contra Costa Regional Medical Center
JS : jp
cc: County Administrator' s Office
Auditor-Controller (Accounts Payable)
William Walker, M. D.
George Washnak
Contracts and Grants Unit
Hospital Admin
3
C114
TO: BOARD OF SUPERVISORS
FROM: Maurice Shiu, Public Works Director
DATE: April 6, 2004
SUBJECT: APPROVE and AUTHORIZE the Public Works Director, or designee, to execute a contract
amendment with A.S. Dutchover & Associates Landscape Architectural Services to increase the
payment limit by$260,000 to a new payment limit of$650,000,and to extend the term from June 18,
2004 to June 30,2006,Alamo and San Ramon areas.(District III)Project Nos.0651-6L081 C,0651-
6L082B, and 7520-6B8451
Specific Request(s)or Recommendation(s) & Background &Justification
I. RECOMMENDED ACTION:
APPROVE and AUTHORIZE the Public Works Director, or designee, to execute a contract amendment
with A.S.Dutchover&Associates Landscape Architectural Services effective March 1,2004,to increase the
payment limit by$260,000 to a new payment limit of$650,000,and to extend the term from June 18,2004
to June 30, 2006.
II. FISCAL IMPACT:
The estimated cost of the amended contract increase is$260,000,funded by Developer's Fees(57.7%)and
Flood Control Zone 3B (42.3%) funds.
Continued on Attachment: X SIGNATURE:
,,✓RECOMMENDATION OF COUNTY ADMINISTRATOR
RECOMMENDATION OF BOARD COMMITTEE
—L-XPI'ROVE OTHER
SIGNATURES t
ACTION OF A ON ^-Y^^7� � Ls A►PPROV .It AUECOMMENDED OTHER
A-E OF SUPERVISORS ;
UNANIMOUS(ABSENT �% {C
AYES: NOES:
ABSENT: ABSTAIN: I hereby certify that this is a true and correct
copy of an action taken and entered on the
minutes of the Board of Supervisors on the date
TT:cmm:sr shown.
G:\GrpData\EngSvc\ENVIRO\BO\2004\(44-06-04)CSA-Dutchover-Amend#2.doc
Orig.Div:Public Works Environmental) ;
Contact: Cece Sellgren(313-2296) ATTESTED Uif s r/I'
cc: County Administrator,E.Kuevor JOHN SWEFJfEN, Clerk./of the Board of
Auditor-Controller Supervisors and County Administrator
PW Engineering Services-T.Ric
Enviro.-T.Torres _
s
By =- }- ; ' _,Deputy
_........ ......... ......... ....._... ............... ... _
. ...... __ .... .......... ........ ........................._. .......
SUBJECT: APPROVE and AUTHORIZE the Public Works Director, or designee, to execute a contract
amendment with A.S. Dutchover & Associates Landscape Architectural Services to increase the
payment limit by$260,000 to a new payment limit of$650,000,and to extend the term from June 18,
2004 to June 30,2006,Alamo and San Ramon areas. (District III)Project Nos.0651-61,08 IC,0651-
6L082B, and 7520-6B8451
DATE: April 6, 2004
PAGE: 2
IIL REASONS FOR RECOMMENDATION/BACKGROUND:
The amendment to the Consulting Services Agreement is necessary in order to conduct additional work
associated with the San Ramon Creek Channel Improvements Mitigation Planting project and landscape
inspection services for Dougherty Valley Development.
In 2001 the Public Works Department conducted extensive outreach in an effort to hire qualified landscape
architect firms to provide landscape plan review and landscape installation inspection services. Only two
firms responded to the Request for Qualifications. The Department entered into contracts with both firms.
This amendment will allow for additional pian review and inspection services in support of rapid
development in the Dougherty Valley area.
In 2003,the Contra Costa County Flood Control and Water Conservation District amended the contract with
A.S, Dutchover and Associates to include landscape architecture services associated with the San Ramon
Creek Mitigation Planting Project. The District is retaining A.S.Dutchover and Associates to prepare plans
and specifications for the repair of flawed irrigation systems and replanting of the mitigation site, and
provide inspection services during the irrigation and plant installation.
IV. CONSEQUENCES OF NEGATIVE ACTION:
Delay in approving the amendment may result in reduced services from A.S. Dutchover and Associates to
ensure that the project is constructed in accordance with the Department's Landscape Standards, and an
inability to correct failed mitigation for the San Ramon Creek Mitigation Planting project in a timely manner
in accordance with negotiated regulatory permits.
CONSULTING SERVICES AGREEMENT Number
AMENDMENT AGREEMENT# 2 . Fund/Org#
Account#
1. Identification of Contract to be Amended. Other#
Number:
Consulting Services Agreement with A.S.Dutchover&Associates Landscape Architectural Services
Effective Date: June 18, 2002 to June 18, 2004
Department: Public Works Department
Subject: Dougherty Valley Landscape Architectural Services, San Ramon Consultant Duties
Payment Limit (s): $390,000
2. Parties. The County of Contra Costa, Ca€€fomia (County),for its Department named above,and
the following named Consultant mutually agree and promise as follows:
Consultant Name: A.S. Dutchover &Associates Landscape Architectural Services
Capacity: Consultant
Address: 40 California Avenue, Suite M
Pleasanton, CA 94566
3. Amendment date. The effective date of this Contract Amendment/Extension Agreement is
March 1, 2004.
4. Amendment Specifications. The Contract identified above is hereby amended as follows:
T. Extension of Term
II. Payment Limit Increase
5. Extension of Term. The term of the above-described Contract between the parties hereto is hereby
extended from June 18. 2004 to June 30. 2006 unless sooner terminated as provided in said
contract.
6. Amendment Payment Limit. Increase the payment limit by 12fiQ,000 from $390,000 to the new
total payment limit of 650 000.
7. Signatures. These signatures attest the parties' agreement hereto:
COUNTY OF CONTRA COSTA, CALIFORNIA CONSULTANT
Public Agency Consultant
B (1) By__A.
Maurice M. Shiu ( Tint name)
Public Works Director j
(Signature and business capacity)
RECO ENDED R OVAL:
By ''2' (2) By
Cece Sellgren (print name)
Environmental Planner
(Signature and business capacity)
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.
G:IGrpDatatEngSvclENVIRo1CSA's120041Amendments\Dutchover&Assoc-SRCk Mit PI-Dough(#2).doc
Page 1 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
State of t 1.Z Z-12k&1 /L A OPTIONAL SECTION
County of rag-r" C.�t7c5`rrA CAPACITY CLAIMED BY SIGNER
On Q 4 ,before me, 1`rai rL -- KA)LAT-60Ai Though statute dues not require the Notary toflit
/DATENAME,TITLE OF OFFICER E.G.,-JANE DOE,NOTARY PUBLIC- in the data below,doing so may prove invaluable
personally appeared_ }?/�T 6OxAtt 1�-1l( 11�fL_ to persons relying on the document.
NAME(S)OFSiGNER(S) ❑ INDIVIDUAL
d personally known to me-OR proved to me on the basis of satisfactory evidence to ❑ CORPORATE OFFICER(S)
be the person(s)whose name(s)isiare TITLE(S)
subscribed to the within instrument and
acknowledged to me that helshetthey 0 PARTNE=R(S) ❑ LIMITED
executed the same in histherltheir 0 GENERAL
authorized capacity(ies),and that by
GERALD L.KNUTSt)N his/her/their signature(s)on the Instrument 0 ATTORNEY-IN-FACT
CommiMion# 1468124 the person(s)or the entity upon behalf of ❑ TRUSTEE(S)
Notary Public .CO MOM10 which the person(s)acted,executed the 0 GUARD IAN/CONSERVATOR
Comm Costa county instrument. 0 OTHER:
My Comm Expires Feb 3.2b08 W i SS m�a an Ici see SIGNER IS REPRESENTING:
[!1 t NAME OF PERSONS)OR ENTITY(tES))
SIGNATURE OF NOTARY
OP'T'IONAL SECTION
THIS CERTIFICATE MUST BE ATTACHED Title or Type of Document
TO THE DOCUMENT AT RIGHT. Number of Pages
Though the data below is not required by law,it may prove valuable Date of Document
to persons relying on the document and could prevent fraudulent Signer(s)Other Than Named Above
re-attachment of this form
INSTRUCTIONS TO NOTARY
The following information is provided in an effort to expedite processing of the documents.
Signatures required on documents must comply with the following to be acceptable to Contra Costa County.
I. FOR ALL SIGNATURES -The name and interest of the signer should be typed or printed BENEATH the signature.
The name must be signed exactly as it is typed or printed.
11. SIGNATURES FOR INDIVIDUALS-The name must be signed exactly as it is printed or typed. The signer's interest in
e property must be stated.
Ill. SIGNATURES FOR PARTNERSHIPS - Signing party must be either a general partner or be authorized in writing to
have Me authority to sign for ana Bind the partnership.
IV. SIGNATURES FOR CORPORATIONS
acumen s sFould be signed y two officers, one from each of the following two groups:
GROUP 1. (a)The Chair of the Board
{b)The President
{c Any Vice-President
GROUP 2. jai The Secretary
b An Assistant Secretary
c The Chief Financial Officer
d The Assistant Treasurer
If signatures of officers from each of the above two groups do not appear on the instrument,a certified copy of a resolution of
the Board of Directors authorizing the person signing the instrumenf to execute instruments of the type in question is required.
A currently valid power of attorney, notarized,will suffice.
Notarization of only one corporate signature or signatures from only one group, must contain the following phrase:
.and acknowledged to me that such corporation executed the within instrument pursuant to its by-laws or a resolution of its
Board of Directors."
JC:rrw
Rev.Auguxt 1,2001