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HomeMy WebLinkAboutAgreement A-16-361-2 with Non-DMC Vendor List.pdfAgreement No. 16-361-2 1 AMENDMENT II TO AGREEMENT 2 THIS AMENDMENT is made and entered into this 1st day of May , 2018, by and 3 between the COUNTY OF FRESNO, a political subdivision of the State of California, hereinafter 4 referred to as "COUNTY", and each Provider listed in Revised Exhibit A, "Non-DMC Vendor List" 5 attached hereto and by this reference incorporated herein, collectively hereinafter referred to as 6 "PROVIDERS", and such additional PROVIDERS as may, from time to time during the term of this 7 Agreement, be added by COUNTY. Reference in this Agreement to "party" or "parties" shall be 8 understood to refer to COUNTY and each PROVIDER, unless otherwise specified. 9 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement 10 No. A-16-361, effective July 1st, 2016, and COUNTY Amendment No. 16-361-1, effective July 1st, 2017 11 (hereafter collectively referred to as COUNTY Agreement No. 16-361); and 12 WHEREAS the parties desire to amend the Agreement, regarding changes-as stated below and 13 restate the Agreement in its entirety. 14 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions, 15 hereinafter set forth, the sufficiency of which is acknowledged, the parties agree as follows: 16 1. That Paragraph Four (4), Subsection A. of the Agreement, entitled "COMPENSATION," 17 beginning on Page Three (3), Line Twenty-Three (23) and ending on Page Four (4), Line Four (4) be 18 deleted and the following inserted in its place: 19 "4. COMPENSATION 20 A. COMPENSATION -For claims submitted for services rendered under this Agreement, 21 COUNTY agrees to pay PROVIDER and PROVIDER agrees to receive compensation for costs 22 associated with the delivery of outpatient SUD services provided by PROVIDER in accordance with the 23 State-set "Proposed Drug Medi-Cal rates for Fiscal Year 2016-17," attached hereto as Exhibit Band by 24 this reference incorporated herein, and updated annually, for each term of this Agreement. It is 25 understood that all expenses incidental to PROVIDER'S performance of services under this Agreement 26 shall be borne by PROVIDER. In no event shall the total compensation for actual service performed 27 under this Agreement be in excess of Five Hundred Thousand and No/100 Dollars ($500,000) during 28 the period of July 1, 2016 through June 30, 2017. In no event shall the total compensation for actual 1 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 service performed under this Agreement be in excess of Four Hundred Thousand and No/100 Dollars ($400,000) for each twelve (12) month period from July 1, 2017 through June 30, 2019. PROVIDER shall be reimbursed to the extent that funds are available.” 2.That Revised Exhibit A “Non-DMC Services Vendor List” be deleted and replaced with “Revised Exhibit A-1 “Non-DMC Services Vendor List” 3.COUNTY and CONTRACTOR agree that this Amendment II is sufficient to amend Agreement No. 16-361 and Amendment II together with the Agreement shall be considered the Agreement. 4.The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants, conditions, and promises contained in the Agreement and not amended herein shall remain in full force and effect. This Amendment II shall be effective May 1, 2018. EXECUTED AND EFFECTIVE as of the date first above set forth. 2 3 PROVIDER($) 4 SEE REVISED EXHIBIT A-1 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: COUNTY OF FRESNO Sal of ATTEST: · person of the Board _,_..i.u...,,e County of Fresno Bernice E. Seidel Clerk of the Board of Supervisors County of Fresno , State of California By: ~~~\s))O"f> Deputy 3 1 2 3 4 5 6 Print Name & Title ( .J-1-l MY (J. 5~ ~ f(OL --£~LM) ~ q ~ 1/ / 7 Mailing Address 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: 4 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (Authorized Signature) ~6 /V\1,vb~ Pfe(_,dJvg U1',Rt¼,.- Print Name & Title . 4i+H N, CQkr 4=f ( aPs Mailing Address FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: 6 1 ('.1Si1s View Corporation 2 l��(NV�\ (Authorized Signature)3 4 '(l(VL.c;;::\I l-\:"''"'-" I co�\ ,Print Name & Title Mailing· ilc,'.'y cvvA-\ l!trLS<-fd<'.._ AJe-�1:>;;i 5 6 7 8 9 FOR ACCOUNTING USE ONLY: 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ORG No.: 56302081 Account No.: 7295 Requisition No.: 7 5f'cr-J[ld/..._ C,f\ "1. 3Le ~ 7 ddress 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (Authorized Signatu James C. Calla~han, Jr. President& CEO Print Name & Title C\4tt1f; ·£c1rnbaM fne_.e_+ Mailing Address FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: 8 : P~-----/(Authorized Signature) -✓ : a,/{, ·o {ow, "; ~ /::cf C<.. \ o ✓ Print Name & Title 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 3\ '5"" ;i ~ . M.: \ \ \?< ou l c ~ 0 Mailing Address FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: 9 1 3 4 EiZL1'.,J L\.J~ i "/\. -f i N[¥.}Ck,_. Q\i2-£orVi2-5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Print Name & Title 7 12.-.0 ,J . 'i1 f.§.2,,~~ A \J'i-S' v , ~ \ \ ~ ; F-~J'iu. OJ?,. °l 1, \ \ Mailing Address FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Transitions Children's Services --/l{}J.~,(_, wt ~w (Authorized Signature) Print Name & Title tqt{-, "1. We.\= A-v:r:. Free.NJ, ct4-q3?-2+ Mailing A~dress FOR ACCOUNTING USE ONLY: ORG No.: 56302081 Account No.: 7295 Requisition No.: < eo :+,-/of 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 ('lh ..-<' ~ r, J 0 .,_ , o 41,v,J c/.uiK1"s ~r, , ce ·-( f"e.-t,it.-e,,,.f-Print Name & Title Mailing Address FOR ACCOUNTING USE ONLY: ORG No.: 56302081 18 Account No.: 7295 Requisition No.: 19 20 21 22 23 24 25 26 27 28 12 REVISED EXHIBIT A-1 Page 1 of 1 NON-DMC SERVICES VENDOR LIST Vendor Phone Annual Maximum Contract Central California Recovery, Inc. (559) 273-2942 $65,000 Delta Care, Inc. (559) 276-7558 $30,000 Fresno New Connections, Inc. (559) 248-1548 $70,000 Kings View Corporation (559) 875-6300 $50,000 Mental Health Systems (559) 225-9117 $20,000 Panacea Inc. (559) 241-0364 $40,000 Promesa Behavioral Health, Inc. (559) 439-5437 $5,000 Transitions Children’s Services (559) 222-5437 $10,000 WestCare California, Inc. (559) 237-3420 $50,000