COMPLETED BOARD ORDER"�|E��33
Before the Board of Supervisors in and for the
County of Monterey, State of California
Agreement No. A-10493
Authorize the Purchasing Manager for Natividad
Medical Center NMC) to execute Amendment No. 5
to the Agreement with Quest Diagnostics Inc. for
Reference Laboratory Testing Services at NMC in an
amount not to exceed $3,825,000 in the aggregate and
$565,000 for the period July 1, 2011 to June 30, 2012
Upon motion of Supervisor Salinas, seconded by Supervisor Armenta, and carried by those
members present, the Board hereby;
Authorized the Purchasing Manager for Natividad Medical Center NMC) to
execute Amendment No. 5 to the Agreement A-10493 with Quest Diagnostics
Inc. for Reference Laboratory Testing Services at NMC in an amount not to
exceed $3,825,000 in the aggregate and $565,000 for the period July 1, 2011 to
June 30, 2012.
PASSED AND ADOPTED on this 14th day of June, 2011, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Parker, and Potter
NOES: None
ABSENT: None
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered in the
minutes thereof of Minute Book 75 for the meeting on June 14, 2011.
Dated: June 17, 2011 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
By M41
Z A(- 4~S~
Deputy
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COMPLETED BOARD ORDER"�|E��Original Agreement No or PO#. A- 10493)
RENEWAL AMENDMENT NO. 5
FOR PROFESSIONAL SERVICE AGREEMENT
BETWEEN Quest Diagnostics Inc. AND
THE NATIVIDAD MEDICAL CENTER
FOR
Reference Laboratory Testing Services
The parties to Professional Service Agreement, dated May 1, 2009 between the County of Monterey, on behalf of
Natividad Medical Center NMC"), and Quest Diagnostics Inc. Contractor), hereby agree to renew their
Agreement No. A- 10493) on the following terms and conditions:
1. Contractor will continue to provide NMC with the same scope of service as stated in the original Agreement
No. A-10493).
2. This Amendment shall become effective on July 1, 2011 and shall continue in full force until June 30, 2012.
3. The total amount payable by County to Contractor under Agreement No. A- 10493) shall not exceed the
total sum of $3,825,000 for the full term of the Agreement and $565,000 for fiscal year 2011-2012.
4. All other terms and conditions of the Agreement shall continue in full force and effect.
5. A copy of this Amendment shall be attached to the original Agreement No. A-10493).
IN WITNESS WHEREOF, the parties hereto are in agreement with this Amendment and Professional
Service Agreement on the basis set forth in this document and have executed this amendment on the day and year
set forth herein.
Printed Name
Signature 2
Printed Nanie
1 /~L t wA1 SN
Dated l~2 Z l
Title +Q7 t o 2-* c 1~
Dated
Title I-R.O &-
INSTRUCTIONS: If CONTRACTOR is a corporation, including limited liability and non-profit corporations, the fill legal name of the
corporation shall be set forth above together with the signatures of two specified officers. If CONTRACTOR is a partnership, the name of
the partnership shall be set forth above together with the signature of a partner who has authority to execute this Agreement on behalf of
the partnership. If CONTRACTOR is contracting in and individual capacity, the individual shall set forth the name of the business, if any
and shall personally sign the Agreement.
NATIVIDAD MEDICAL CENTER
Signature
Pur basing Manager
Signature
NMC CEO
Approved as to Legal Form:
Charles J. McKee, County Counsel
By
Stacy Saetta, Deputy
Attorneys for County and NMC
Dated
Dated
k YY~~,p 2011
N\
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SIGNED BOARD REPORT"�|E���MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: June 14, 2011
AGENDA NO.:
33
SUBJECT: Authorize the Purchasing Manager for Natividad Medical Center NMC)
to execute Amendment #5 to the Agreement #A- 10493) with Quest
Diagnostics Inc. for Reference Laboratory Testing Services at NMC in an
amount not to exceed $3,825,000 in the aggregate and $565,000 for the
period July 1, 2011 to June 30, 2012.
DEPARTMENT: Natividad Medical Center
RECOMMENDATION:
It is recommended that the Board of Supervisors authorize the Purchasing Manager for Natividad
Medical Center NMC) to execute Amendment #5 to the Agreement #A- 10493) with Quest
Diagnostics Inc. for Reference Laboratory Testing Services at NMC in an amount not to exceed
$3,825,000 in the aggregate and $565,000 for the period July 1, 2011 to June 30, 2012.
SUMMARY/DISCUSSION:
This agreement is necessary to pay for reference laboratory testing provided for our patient
population. Physicians at NMC or clinics that send laboratory work to NMC may order tests that the
NMC Laboratory cannot perform on-site. Therefore, these specific tests must be sent to a reference
laboratory. Quest Diagnostics, a multibillion dollar company, is NMC Laboratory's primary
reference laboratory. Quest Diagnostics is the leading provider of diagnostic testing in the nation,
and serves approximately 140 million patients each year. As laboratory technology improves, more
and more esoteric tests are available but the NMC laboratory cannot justify bringing in instruments
or additional staff for the low volume of each individual test. These esoteric tests are used for the
diagnosis of disease or monitoring of disease processes and are critical for patient care. The
laboratory monitors test utilization to look for opportunities to in source any test that has high
volume and methodology that can be incorporated into the Natividad Laboratory.
The laboratory has an interface with Quest diagnostics which allows results to be transferred directly
from the testing laboratory to the patient medical record at Natividad Medical Center. A Natividad
clinical laboratory scientist verifies the validity of the results before they are finalized in the medical
record.
OTHER AGENCY INVOLVEMENT:
The Amendment has been reviewed and approved by County Counsel, the Auditor/Controller's
office and the Natividad Medical Center Board of Trustees.
FINANCING:
The cost for this Amendment is $565,000 and is included in the 2011/2012 Fiscal Year
Recommended Budget. This action will not require any additional General Fund subsidy.
Prepared by:
V, Q-
Andrea Rosenberg, Administrator Harry Weis
755-6285 Chief Executive Officer
May 13, 2011
Attachments: Amendments #1, 2, 3, 4, 5, Original Agreement, Board Order
Attachments on file with the Clerk of the Board
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