Legislation Details

File #: A 26-126    Name: ESO Agreement Amendment No. 5
Type: BoS Agreement Status: Passed
File created: 4/9/2026 In control: Board of Supervisors
On agenda: 5/12/2026 Final action: 5/12/2026
Title: a. Approve and authorize the Director of Health Services or designee to execute a retroactive Renewal and Amendment No. 5 to the Electronic Patient Care Reporting (ePCR) Agreement A-13507 between the County of Monterey and ESO Solutions, Inc., to extend the Agreement term for two years through March 30, 2028 adding $326,841 for an aggregate term of March 20, 2017 through March 31, 2028 and to increase the County’s not-to-exceed amount to $1,347,388; b. Approve non-standard indemnification and insurance provisions as recommended by the Director of Health Services; and c. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not exceed 10% ($134,738) of the original agreement per amendment, do not significantly change the scope of services, and do not increase the total not-to-exceed amount above $1,751,604.
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. Unified Electronic Patient Care Reporting (ePCR) Solution Agreement
Related files: A 24-216, A 22-338, A 17-092, A 21-594
Title
a. Approve and authorize the Director of Health Services or designee to execute a retroactive Renewal and Amendment No. 5 to the Electronic Patient Care Reporting (ePCR) Agreement A-13507 between the County of Monterey and ESO Solutions, Inc., to extend the Agreement term for two years through March 30, 2028 adding $326,841 for an aggregate term of March 20, 2017 through March 31, 2028 and to increase the County’s not-to-exceed amount to $1,347,388;
b. Approve non-standard indemnification and insurance provisions as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not exceed 10% ($134,738) of the original agreement per amendment, do not significantly change the scope of services, and do not increase the total not-to-exceed amount above $1,751,604.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute a retroactive Renewal and Amendment No. 5 to the Electronic Patient Care Reporting (ePCR) Agreement A-13507 between the County of Monterey and ESO Solutions, Inc., to extend the Agreement term for two years through March 30, 2028 adding $326,841, for an aggregate term of March 20, 2017 through March 31, 2028 and to increase the County’s not-to-exceed amount to $1,347,388;
b. Approve non-standard indemnification and insurance provisions as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not exceed 10% ($134,738) of the original agreement per amendment, do not significantly change the scope of services, and do not increase the total not-to-exceed amount above $1,751,604.

SUMMARY:
The Director of Health Services seeks authorization to execute a retroactive Renewal and Amendment No. 5 to the Agreement b...

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