Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) to execute the Third Amendment to the Professional and Call Coverage Services Agreement with Monterey Bay GI Consultants to provide gastroenterology services at NMC effective July 1, 2015, extending the term by twenty-four months and adding $150,000 for a revised not to exceed amount of $670,000 for the full term of the Agreement September 1, 2011 to June 30, 2017; and
b. Authorize the Deputy Purchasing Agent for NMC 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 Third Amendment to the Professional and Call Coverage Services Agreement with Monterey Bay GI Consultants to provide gastroenterology services at NMC effective July 1, 2015, extending the term by twenty-four months and adding $150,000 for a revised not to exceed amount of $670,000 for the full term of the Agreement September 1, 2011 to June 30, 2017; and
b. Authorize the Deputy Purchasing Agent for NMC 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 September 1, 2011 with Monterey Bay GI Consultants to provide 24 hour gastroenterology call coverage in the emergency department. The Agreement was amended September 1, 2012 and September 1, 2013 to extend the terms. NMC wishes to enter into this Third Amendment with Monterey Bay GI Consultants to extend the term an additional twenty four (24) months in order to continue to provide gastroenterology services to patients without interruption.
Monterey Bay GI Consultants is paid a daily rate for call coverage services. The amount of call coverage provided may increase, but will not exceed the maximum liability of the agreement or increase the rate of pay for 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 the Board of Trustees May 1, 2015.
FINANCING:
The cost of this Amendment is $300,000. The total cost for this Agreement is $820,000 for the period September 1, 2011 to June 30, 2017. $98,121 was disbursed in Fiscal Year 2011/2012 (10 months); $102,811 was disbursed in Fiscal Year 2012/2013; $113,440 was disbursed in Fiscal Year 2013/2014; and $110,000 has been disbursed in Fiscal Year 2014/2015. $150,000 is included in the Fiscal Year 2015/2016 Recommended Budget, the actual cost is dependent on the amount of call coverage the group provides. 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:
Third Amendment
Second Amendment
First Amendment
Agreement
Attachments on File at the Clerk of the Board