File #: A 15-197    Name: Sweet, Renfer & Milanesa Third Amendment
Type: BoS Agreement Status: Passed
File created: 6/9/2015 In control: Board of Supervisors
On agenda: 6/23/2015 Final action: 6/23/2015
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.
Attachments: 1. Board Report, 2. Sweet, Renfer & Milanesa Third Amendment.pdf, 3. Sweet, Renfer & Milanesa Second Amendment.pdf, 4. Sweet, Renfer & Milanesa First Amendment.pdf, 5. Sweet, Renfer & Milanesa Agreement.pdf, 6. Completed Board Order
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 t...

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