File #: A 23-038    Name: Amendment No. 5 to Agreement No. A-14311 with California Rural Legal Assistance
Type: BoS Agreement Status: Passed
File created: 1/26/2023 In control: Board of Supervisors
On agenda: 2/7/2023 Final action: 2/7/2023
Title: a. Approve and authorize the Director of Health or their designee to sign Amendment No. 5 to Agreement No. A-14311 ("Agreement") with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) extending the term to July 31, 2023, for a revised full term of May 21, 2019, through July 31, 2023, and increasing the total contract amount by $125,000 for a new agreement total of $1,058,445 for continued legal services to patients of the Monterey County Health Department Clinic Services Bureau ("Clinic Services") addressing social determinants of health. b. Authorize the Director of Health, or Assistant Director of Health to sign up to two (2) future amendments where the amendments do not exceed 10% ($105,844) of the agreement amount and do not significantly change the scope of work.
Attachments: 1. Board Report, 2. Amendment No. 5, 3. Amendment No. 4, 4. Amendment No. 3, 5. Amendment No. 2, 6. Amendment No. 1, 7. Agreement, 8. Completed Board Order No. 18
Related files: A 20-328, A 22-119
Title
a. Approve and authorize the Director of Health or their designee to sign Amendment No. 5 to Agreement No. A-14311 ("Agreement") with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) extending the term to July 31, 2023, for a revised full term of May 21, 2019, through July 31, 2023, and increasing the total contract amount by $125,000 for a new agreement total of $1,058,445 for continued legal services to patients of the Monterey County Health Department Clinic Services Bureau ("Clinic Services") addressing social determinants of health.
b. Authorize the Director of Health, or Assistant Director of Health to sign up to two (2) future amendments where the amendments do not exceed 10% ($105,844) of the agreement amount and do not significantly change the scope of work.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or their designee to sign Amendment No. 5 to Agreement No. A-14311 ("Agreement") with California Rural Legal Assistance (CRLA) Medical-Legal Partnership (MLP) extending the term to July 31, 2023, for a revised full term of May 21, 2019, through July 31, 2023, and increasing the total contract amount by $125,000 for a new agreement total of $1,058,445 for continued legal services to patients of the Monterey County Health Department Clinic Services Bureau ("Clinic Services") addressing social determinants of health.
b. Authorize the Director of Health, or Assistant Director of Health to sign up to two (2) future amendments where the amendments do not exceed 10% ($105,844) of the agreement amount and do not significantly change the scope of work.

SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau (Clinic Services) operates ten community clinic sites designated as Federally Qualified Health Centers (FQHCs) which provide preventive, primary, and specialty medical care services.

CRLA is a non-profit legal service program created to help lo...

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