Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the Third Amendment to Professional and Call Coverage Services Agreement with Sweet, Renfer & Milanesa MD to provide urology services at NMC effective July 1, 2015, extending the term by twenty-four months and adding $600,000 for a revised not to exceed amount of $1,740,000 for the full term of the Agreement, July 1, 2011 to June 30, 2017; and
b. Authorize the Deputy Purchasing Agent for NMC to execute 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 Third Amendment to Professional and Call Coverage Services Agreement with Sweet, Renfer & Milanesa MD to provide urology services at NMC effective July 1, 2015, extending the term by twenty-four months and adding $600,000 for a revised not to exceed amount of $1,740,000 for the full term of the Agreement, July 1, 2011 to June 30, 2017; and
b. Authorize the Deputy Purchasing Agent for NMC to execute 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 with Sweet, Renfer & Milanesa MD, a California general partnership to provide 24 hours, 7 days a week, 365 days a year for urology call coverage in the emergency department as well as urology clinic in the outpatient specialty clinic. The agreement was amended July 1, 2012 and July 1, 2013 to extend the terms. NMC wishes to enter into this Third Amendment with Sweet, Renfer & Milanesa MD to extend the term an additional 24 months and add to the amount payable for services provided during the extended term. This amendment does not change the rate of pay for services. Sweet, Renfer & Milanesa MD is paid a daily rate for call coverage services and a daily rate for clinic 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 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 April 23, 2015 and Board of Trustees on May 1, 2015.
FINANCING:
The cost for this Amendment is $600,000. The total not to exceed amount of this Agreement is $1,740,000 for the period July 1, 2011 to June 30, 2017. $244,243 was disbursed in Fiscal Year 2011/2012; $270,000 was disbursed in Fiscal Year 2012/2013; $291,850 was disbursed in Fiscal Year 2013/2014; and $229,450 has been disbursed in Fiscal Year 2014/2015. $300,000 is included in the Fiscal Year 2015/2016 Recommended Budget. The remaining amount will be budgeted in subsequent fiscal years. 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:
First-Third Amendment
Agreement
Attachments on file at the Clerk of the Board