HomeMy WebLinkAboutP-22-020 Amendment 1 Community Health Sys.pdf co
County of Fresno
INTERNAL SERVICES DEPARTMENT
0 185610 Facilities • Fleet•Graphics• Purchasing •Security•Technology
AMENDMENT NUMBER ONE (1)
Agreement Number: P-22-020
October 31, 2022
Community Hospitals of Central California Foundation
dba Community Health System
1560 E. Shaw Ave
Fresno, Ca 93710
Contract Number P-22-020 covering Health System Champion for the Prevention Forward Program is
amended as follows:
Include revised budget as described in revised Attachment"A". This amendment will be effective July 1,
2022 through June 30, 2023. Prices will be firm for the contract period. Amendment Provisions shall
remain in full force and effect with any contract renewals.
Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as
provided in this section.
A. An "electronic signature" means any symbol or process intended by an individual signing this
Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed
version of an original handwritten signature; or(3)an electronically scanned and transmitted (for
example by PDF document) of a handwritten signature.
B. Each electronic signature affixed or attached to this Agreement(1) is deemed equivalent to a valid
original handwritten signature of the person signing this Agreement for all purposes, including but not
limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force
and effect as the valid original handwritten signature of that person.
C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in
the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section
1633.1).
D. Each party using a digital signature represents that it has undertaken and satisfied the requirements
of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each
other party may rely upon that representation.
This Agreement is not conditioned upon the parties conducting the transactions under it by electronic
means and either party may sign this Agreement with an original handwritten signature.
Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS.
If you have any questions, please contact Erin Jones, Purchasing Analyst, at(559) 600-7110 or email
eiones()fresnocountvca.pov.
333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110
*The County of Fresno is an Equal Employment Opportunity Employer*
CONTRACT NO. P-22-020 Page 2
Community Hospitals of Central California Foundation
dba Community Health System
October 31, 2022
FOR THE COUNTY OF FRESNO
ligitally signed by Gary Connuelle
Gary C O rn U e l l e Date:2022.11 02 09:52:49-07 00'
Gary E. Cornuelle
Purchasing Manager
333 W. Pontiac Way
Clovis, CA 93612
GEC:EJ
P-22-020 Amendment 1 Community Health Sys.docx
CONTRACT NO. P-22-020 Page 3
Community Hospitals of Central California Foundation
dba Community Health System
October 31, 2022
CONTRACTOR TO COMPLETE:
I 1
Company: N I tA�S L If
Type of Entity: rhtKAN
U Individual Limited Liability Company
Sole Proprietorship g Limited Liability Partnership
Corporation General Partnership
Signature
Print Name and Title Date
r
Signatu
4Y
Print Name and Title Date
N M al 1 CPS�rtatQ�t 5 �1)D C 1 v yi s �� �13G I
Address City State Zip
55g1. &2q. 3-71 q �Z �iI�C C�rnmltnrhl Nl �iCA l,o''�j
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
ACCOUNTING USE ONLY
ORG No.: 52601556
Account No.: 7295
Requisition No.: 5622300350
(8/2022)
P-22-020 Amendment 1 Community Health Sys.docx
CONTRACT NO. P-22-020 Page 4
Community Hospitals of Central California Foundation
dba Community Health System
October 31, 2022
Revised Attachment "A "
Diabetes Care Center at CRMC
Prevention Forward REVISED Budget for 07/01/2022-06/30/2023
Year 1 Year 2 Year 2
1/3/2022- Original REVISED
6/30/2022 7/1/2022- 7/1/2022-
6/30/2023 6/30/2023
Patient Outreach
Develop of Program Materials $3,000.00 $1,500.00 $4,500.00
Printing of Program Materials $3,000.00 $3,000.00 $6,000.00
Provider Training
Physician Symposium (CME) $7,500.00 $7,500.00 $15,000.00
Health Care Worker Training (RN, RD, $2,500.00 $2,000.00 $4,500.00
LCSW,LVN, etc.
Total $16,000.00 $14,000.00 $30,000.00
P-22-020 Amendment 1 Community Health Sys.docx