Title
a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Fourth Amendment to the Agreement (A-12234) with Danny Tan DDS to provide dental services to NMC patients, extending the Agreement to June 30, 2015 and adding $45,000 for a revised total Agreement amount not to exceed $255,000 in the aggregate (for the period February 1, 2011 to June 30, 2015); and
b. Authorize the Purchasing Manager 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 Purchasing Manager for Natividad Medical Center (NMC) to execute the Fourth Amendment to the Agreement (A-12234) with Danny Tan DDS to provide dental services to NMC patients, extending the Agreement to June 30, 2015 and adding $45,000 for a revised total Agreement amount not to exceed $255,000 in the aggregate (for the period February 1, 2011 to June 30, 2015); and
b) Authorize the Purchasing Manager 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:
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/Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Amendment/Agreement as to fiscal provisions. The CAO-Budget and Analysis Division has advised to inform the BOS the spending authority (appropriations) associated with NMC's FY 2014 Adopted Budget has been exceeded and approval and authorization for modification of NMC's appropriation budget should be presented to the BOS. Since NMC is an Enterprise Fund, this does not present continued expenditures and is not a legal requirement, but it is considered good public policy, transparency and fiscal management. The Amendment/Agreement has also been reviewed and approved by Natividad Medical Center's Finance Committee on May 22, 2014 and Board of Trustees on June 6, 2014.
FINANCING:
The total cost for this Agreement is $255,000. $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 and $35,329 has been disbursed to date in Fiscal Year 2013/2014 (8 months). $45,000 is included in the Fiscal Year 2014/2015 Recommended Budget. NMC is confirming its appropriations position and if its spending authority has been exceeded will return to the Board. 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-Fourth Amendment
Attachments on file with the Clerk to the Board's Office