County of Monterey - File #: A 17-146

• File #: A 17-146
• Name: Sweet, Renfer & Milanesa MD Fourth Amendment
• Type: BoS Agreement
• Status: Passed
• File created: 5/4/2017
• In control: Board of Supervisors
• On agenda: 6/6/2017
• Final action: 6/6/2017
• Title: a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to Professional and Call Coverage Services Agreement (A-11828) with Sweet, Renfer & Milanesa MD to provide urology services, extending the term by twenty-four (24) months (July 1, 2017 to June 30, 2019) for a revised full agreement term of July 1, 2011 to June 30, 2019, and adding $500,000 for a revised total not to exceed amount of $2,240,000 in the aggregate; and b. Authorize the Deputy Purchasing Agent for NMC to sign up to three (3) future amendments to this agreement where the total amendments do not exceed the term by more than twelve (12) months, do not significantly change the scope of work, and do not cause an increase of more than ten percent 10% ($27,000) of the original contract amount per each amendment.

Date	Action By	Action	Result
6/6/2017	Board of Supervisors	approved	Pass

Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to Professional and Call Coverage Services Agreement (A-11828) with Sweet, Renfer & Milanesa MD to provide urology services, extending the term by twenty-four (24) months (July 1, 2017 to June 30, 2019) for a revised full agreement term of July 1, 2011 to June 30, 2019, and adding $500,000 for a revised total not to exceed amount of $2,240,000 in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC to sign up to three (3) future amendments to this agreement where the total amendments do not exceed the term by more than twelve (12) months, do not significantly change the scope of work, and do not cause an increase of more than ten percent 10% ($27,000) of the original contract amount per each amendment.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to Professional and Call Coverage Services Agreement (A-11828) with Sweet, Renfer & Milanesa MD to provide urology services, extending the term by twenty-four (24) months (July 1, 2017 to June 30, 2019) for a revised full agreement term of July 1, 2011 to June 30, 2019, and adding $500,000 for a revised total not to exceed amount of $2,240,000 in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC to sign up to three (3) future amendments to this agreement where the total amendments do not exceed the term by more than twelve (12) months, do not significantly change the scope of work, and do not cause an increase of more than ten percent 10% ($27,000) of the original contract amount per each amendment.

SUMMARY/DISCUSSION:
NMC must arrange for the care and treatment of patients who present to the emergency department or outpatient clinic in need of medical care. NMC has an agreement with Sweet, Renfer & Milanes...