File #: A 13-091    Name: MONTEREY COUNTY EYE ASSOCIATES SECOND AMENDMENT
Type: BoS Agreement Status: Passed
File created: 5/20/2013 In control: Board of Supervisors
On agenda: 6/18/2013 Final action: 6/18/2013
Title: a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Services Agreement (A-11827) with Monterey County Eye Associates to provide ophthalmology services at NMC, extending the term of the agreement to June 30, 2015 and adding $352,800, for an amount not to exceed $705,600 in the aggregate (for the period July 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.
Attachments: 1. MONTEREY COUNTY EYE SECOND AMENDMENT, 2. Completed Board Order
Related files: A 12-049
Title
a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Services Agreement (A-11827) with Monterey County Eye Associates to provide ophthalmology services at NMC, extending the term of the agreement to June 30, 2015 and adding $352,800, for an amount not to exceed $705,600 in the aggregate (for the period July 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:
  1. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to Professional Services Agreement (A-11827) with Monterey County Eye Associates to provide ophthalmology services at NMC, extending the term of the agreement to June 30, 2015 and adding $352,800, for an amount not to exceed $705,600 in the aggregate (for the period July 1, 2011 to June 30, 2015); and
  1. 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 has an agreement effective July 1, 2011, and amended July 1, 2012, with Monterey County Eye Associates to provide 24 hours a day, 7 days a week ophthalmology call coverage in the emergency department and to provide initial evaluation of high risk premature infants in the neonatal intensive care unit (NICU).  NMC wishes to enter into the Second Amendment with Monterey County Eye Associates to extend the term of the agreement an additional twenty (24) months and to increase the maximum liability of the agreement, but not increase the rate of pay for services.
 
The total expenditure by fiscal year is as follows:
 
Fiscal Year 2011/2012      $176,400
Fiscal Year 2012/2013      $176,400
 
Monterey County Eye Associates is paid a monthly rate for call coverage services.  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 is $705,600 for the forty eight (48) month period.  $176,400 was disbursed in Fiscal Year 2011/2012; $176,400 was disbursed in Fiscal Year 2012/2013; $176,400 is included in the Fiscal Year 2013/2014 Recommended Budget and the remaining $176,400 will budgeted in subsequent fiscal years.  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 Amendment; Second Amendment
 
Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Harry Weis, Chief Executive Officer, 783.2553
 
Originals on file at the Clerk of the Board