Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the Fifth Amendment to the Professional Services Agreement (A-12234) with Danny Tan DDS to provide dental services to NMC patients, extending the term by twelve months and adding $45,000 for a revised total not to exceed amount of $300,000 for the full term of the Agreement, February 1, 2011 to June 30, 2016; and
b. Authorize the Deputy Purchasing Agent 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:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the Fifth Amendment to the Professional Services Agreement (A-12234) with Danny Tan DDS to provide dental services to NMC patients, extending the term by twelve months and adding $45,000 for a revised total not to exceed amount of $300,000 for the full term of the Agreement, February 1, 2011 to June 30, 2016; and
b. Authorize the Deputy Purchasing Agent 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:
Danny Tan, DDS has provided dental services at his Salinas office to patients referred by Natividad Medical Center’s NIDO (Natividad Immunology Division Outpatient) Clinic since 2008. The NIDO Clinic is a comprehensive primary care clinic that provides services, including referrals for dental services, to people over the age of 13 with HIV/AIDS and other infectious diseases. Such dental services are funded by the Ryan White Modernization Act Parts B & C grants. The Ryan White Modernization Act Early Intervention Services Program is intended to expand counseling, testing and referral services for persons at high risk for HIV infection in order to expand enrollment in culturally and linguistically appropriate HIV/AIDS medical treatment, with particular emphasis on the Latino community. NMC wishes to amend the current Agreement with Dr. Tan to continue to provide dental services to NIDO patients without interruption.
Funding for this Agreement is contingent upon the availability of grant funds. Should such funding be cancelled, this Agreement may be terminated with little notice according to the terms of the Agreement.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center’s Finance Committee on May 28, 2015 and Board of Trustees on June 5, 2015.
FINANCING:
The cost of this Amendment is $45,000. The total not to exceed amount of this Agreement is $300,000 for the period February 1, 2011 to June 30, 2016. $21,434 was disbursed in Fiscal Year 2010/2011; $53,566 was disbursed in Fiscal Year 2011/2102; $43,120 was disbursed in Fiscal Year 2012/2013; $23,919 was disbursed in Fiscal Year 2013/2014 and $40,637 has been disbursed in Fiscal Year 2014/2015. $45,000 is included in the Fiscal Year 2015/2016 Recommended Budget. There is no impact to the General Fund.
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray D.O., Interim Chief Executive Officer, 783.2553
Attachments:
Fifth Amendment
Fourth Amendment
Third Amendment
Second Amendment
First Amendment
Agreement
Attachments on file at the Clerk of the Board