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File #: A 25-283    Name: Amendment No. 9 to Best Best and Krieger Agreement
Type: BoS Agreement Status: Agenda Ready
File created: 6/17/2025 In control: Board of Supervisors
On agenda: 6/24/2025 Final action:
Title: a. Authorize the County Counsel to execute amendment No. 9 to the agreement (A-13923) with Best Best & Krieger, LLP for legal advice related to healthcare services, adding $300,000, for a total revised agreement amount of $1,295,000, with no change to the term of May 1, 2017 through April 30, 2026; and b. Authorize the County Counsel to execute up to one (1) future amendment that does not exceed 10% ($8,000) of the original Agreement amount, does not significantly alter the scope of work, and does not exceed a revised maximum amount of $1,303,000.
Attachments: 1. Board Report, 2. Amendment No. 9 Best Best and Krieger Agreement, 3. Amendment No. 8 to Best Best & Krieger Agreement, 4. Amendment No. 7 to Best Best and Krieger Agreement, 5. Amendment No. 6 to Best Best and Krieger Agreement, 6. Renewal and Amendment No. 5 to Best Best and Krieger Agreement, 7. Amendment No. 4 to Best Best & Krieger Agreement, 8. Amendment No. 3 Best Best & Krieger, 9. Amendment No. 2 to Best Best & Krieger, 10. Amendment No. 1 to Best Best & Krieger Agreement, 11. Original Agreement with Best Best & Krieger, 12. Completed Board Order Item No. 22
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Title
a. Authorize the County Counsel to execute amendment No. 9 to the agreement (A-13923) with Best Best & Krieger, LLP for legal advice related to healthcare services, adding $300,000, for a total revised agreement amount of $1,295,000, with no change to the term of May 1, 2017 through April 30, 2026; and
b. Authorize the County Counsel to execute up to one (1) future amendment that does not exceed 10% ($8,000) of the original Agreement amount, does not significantly alter the scope of work, and does not exceed a revised maximum amount of $1,303,000.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:
a. Authorize the County Counsel to execute amendment No. 9 to the agreement (A-13923) with Best Best & Krieger, LLP for legal advice related to healthcare services, adding $300,000, for a total revised agreement amount of $1,295,000, with no change to the term of May 1, 2017 through April 30, 2026; and
b. Authorize the County Counsel to execute up to one (1) future amendment that does not exceed 10% ($8,000) of the original Agreement amount, does not significantly alter the scope of work, and does not exceed a revised maximum amount of $1,303,000.


SUMMARY/DISCUSSION:

Best Best & Krieger, LLP provides advice and consultation with the Office of the County Counsel on a variety of healthcare-related issues to Natividad Medical Center. The firm performs specialized legal attorney services related to healthcare law, including, but not limited to, the Health Insurance Portability and Accountability Act (HIPAA), Stark and Anti-Kickback laws and laws pertaining to intellectual property law. They provide guidance on Business Associate Agreements, commercial law, and a variety of issues related to confidentiality of medical information.

OTHER AGENCY INVOLVEMENT:

County Counsel reviewed and approved this renewal and amendment No. 9 as to legal form, and the Auditor-Controller reviewed and approved as to payment provisions. The amendment No. 9 was rev...

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