Title
a. Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to the Professional Services Agreement (A-12095) with Monterey Bay GI Consultants to provide gastroenterology services at NMC, extending the Agreement to June 30, 2015 and adding $220,000 for a revised total Agreement amount not to exceed $520,000 in the aggregate; 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:
- Authorize the Purchasing Manager for Natividad Medical Center (NMC) to execute the Second Amendment to the Professional Services Agreement (A-12095) with Monterey Bay GI Consultants to provide gastroenterology services at NMC, extending the Agreement to June 30, 2015 and adding $220,000 for a revised total Agreement amount not to exceed $520,000 in the aggregate; and
- 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 September 1, 2011, amended September 1, 2012, with Monterey Bay GI Consultants to provide 24 hour gastroenterology call coverage in the emergency department. A Second Amendment was prepared and presented to the Board of Supervisors on August 28, 2012 to add outpatient surgery and clinic services to the Agreement. That Second Amendment was to be effective within 120 days of the First Amendment, but was never fully executed and outpatient surgery and clinic services were not added. NMC now wishes to amend the Agreement with Monterey Bay GI Consultants and enter into a Second Amendment to extend the term for an additional twenty two (22) months in order to continue to provide 24 hour 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 Agreement as to legal form and risk provisions. Auditor-Controller has reviewed and approved this Agreement as to fiscal provisions. The Agreement has also been reviewed and approved by Natividad Medical Center's Board of Trustees.
FINANCING:
The total cost for this Agreement is $520,000 for the forty eight (46) month period. $73,613 was disbursed in Fiscal Year 2011/2012 (10 months); $102,305 was disbursed in Fiscal Year 2012/2013; $172,041 is included in the Fiscal Year 2013/2014 Adopted Budget and the remaining $172,041 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: Harry Weis, Chief Executive Officer, 783.2553
Attachments: First-Second Amendment, Agreement
Original on File at the Clerk of the Board