Title
a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute renewal and the Second Amendment to the Professional Services Agreement with Advanced Gastroenterology of Monterey County to provide gastroenterology services at NMC, extending the Agreement to June 30, 2015 and adding $481,000 for a revised total Agreement amount not to exceed $861,000 in the aggregate (for the period August 1, 2011 to June 30, 2015); and
b. Authorize the Purchasing Manager for NMC to execute to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
- Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to the Professional Services Agreement with Advanced Gastroenterology of Monterey County to provide gastroenterology services at NMC, extending the Agreement to June 30, 2015 and adding $481,000 for a revised total Agreement amount not to exceed $861,000 in the aggregate (for the period August 1, 2011 to June 30, 2015); and
- Authorize the Purchasing Manager for NMC to execute to sign up to three (3) amendments to this agreement where the total amendments do not exceed 10% of the original contract amount, and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
NMC currently has an agreement with Advanced Gastroenterology of Monterey County to provide gastroenterology call coverage in the emergency department. NMC wishes to amend the agreement with Advanced Gastroenterology of Monterey County to add physician assistant services and to extend the term of the agreement an additional twenty three months and to increase the amount payable by $481,000 for services provided during the extended term of the agreement.
Advanced Gastroenterology of Monterey County is paid according to the terms of this agreement for the actual number of call coverage provided, which may increase due to patient volume and the need for coverage, but will not increase the rate of pay or exceed the aggregate maximum liability amount. NMC has obtained an independent opinion of fair market value supporting the payment terms of this Agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment/Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment/Agreement as to fiscal provisions. The Amendment/Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The total cost for this Amendment/Agreement $861,000 for the period August 1, 2011 to June 30, 2015. $150,762 was disbursed in Fiscal Year 2011/2012; $167,264 was disbursed in Fiscal Year 2012/2013; $271,487 is included in the Fiscal Year 2013/2014 Adopted Budget; the remaining $271,487 will be included in subsequent Fiscal Year. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Harry Weis, Chief Executive Officer, 783.2553
Attachments:
Agreement, First-Second Amendment
Originals on File at the Clerk of the Board