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HomeMy WebLinkAboutAgreement A-23-591 Amendment III to Master Agreement for Locum Tenens.pdf Agreement No. 23-591 1 AMENDMENT III TO AGREEMENT 2 THIS AMENDMENT, hereinafter referred to as Amendment III, is made and entered into this 7th 3 day of November , 2023, by and between the COUNTY OF FRESNO, a Political Subdivision of the 4 State of California, hereinafter referred to as "COUNTY", and each CONTRACTOR to be listed in 5 Revised Exhibit A"List of Contractors," collectively hereinafter referred to as "CONTRACTORS". 6 Reference in this Agreement to party or"parties" shall be understood to refer to COUNTY and each 7 individual CONTRACTOR(S), unless otherwise specified. 8 WITNESSETH: 9 WHEREAS, COUNTY through its Department of Behavioral Health (DBH) has a need for licensed 10 psychiatrists in order to provide psychiatric services to patient/clients, as well as additional services as 11 stated in the Agreement; and 12 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement No. 13 19-200, effective May 7, 2019, Amendment I, identified as COUNTY Agreement No. 23-081, effective 14 February 28, 2023, and Amendment II, as identified as COUNTY Agreement No. 23-305, collectively 15 referred to as the "Agreement," whereby CONTRACTORS are qualified and willing to source, screen, 16 present, and coordinate certain logistics for locum tenens psychiatrists; and 17 WHEREAS, the COUNTY now desires to add CONTRACTORS Lavaca Street Ventures, LLC and 18 Orbit Health, A Professional Corporation to COUNTY Agreement No. 19-200; and 19 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is 20 hereby acknowledged, the parties agree as follows: 21 1. That all references in the Agreement to "Revised Exhibit A-1" shall be deemed 22 references to "Revised Exhibit A-2", which is attached and incorporated by this reference. 23 2. The CONTRACTORS' Exhibit B sub-parts, "Rates of Reimbursement," as indicated on 24 Revised Exhibit A-2, are attached and incorporated by this reference. 25 3. CONTRACTORS hereby agree to all terms of the Agreement, as amended, and agree to 26 be bound by the terms of the Agreement, as amended. CONTRACTORS hereby acknowledge that 27 they have received a complete copy of the Agreement, as amended. 28 4. The parties agree that upon execution of this Amendment III, COUNTY Agreement No. 1 1 19-200 is further revised, updated and amended to add CONTRACTORS: (1) Lavaca Street Ventures, 2 LLC and (2) Orbit Health, A Professional Corporation. 3 5. The parties agree that this Amendment III is sufficient to amend the Agreement; and that 4 upon execution of the Agreement, Amendment I, Amendment II, and Amendment III together shall be 5 considered the Agreement. 6 6. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 7 covenants, conditions, and promises contained in the Agreement and not amended herein shall remain in 8 full force and effect. This Amendment III shall be effective upon execution. 9 10 11 12 /// 13 /// 14 /// 15 /// 16 /// 17 /// 18 /// 19 /// 20 /// 21 /// 22 /// 23 /// 24 /// 25 /// 26 /// 27 28 2 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III to 2 Agreement as of the date first above set forth. 3 4 5 Please see attached signatures COUNTY OF FRESNO 6 7 S Q in ro, 8 C haitfn an e Board of Supervisors of 9 the County of Fresno 10 11 12 13 ATTEST: 14 Bernice E. Seidel Clerk of the Board of Supervisors 15 County of Fresno, State of California 16 17 By: Deputy 18 19 20 21 22 23 24 FOR ACCOUNTING USE ONLY: Fund/Subclass: 0001/10000 25 ORG No.: 56302999 56302175 26 56302246 Account No.: 7295/0 27 28 3 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III to 2 Agreement No. 19-200 as of the date first above set forth. 3 4 LAVACA STREET VENTURES, LLC 5 dba MONROE & WEISBROD, LLC 6 By: 7 8 Print Name: 9 10 Title: bn\-e_A- 11 m C-Cry h Chi w- Chairan of Board, or President or any Vice President 12 Date: ` 13 14 15 By: 9AA/ 16 1 Print Name: eAhlrov%. �h Atl/ e 17 18 Title: COD C r 0 19 Secretary (of Corporation), or any Assistant Secretary. 20 or Chief Financial Officer or any Assistant Treasurer 21 Date: D /-L J-z 3 ?� 23 Mailing Address: 24 7514 N. Mopac Expressway, Suite 200 Austin, TX 78731 25 26 Phone No.: (512) 270-2886 Contact: Celeste Madison 27 28 COUNTY OF FRESNO Fresno.CA 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III to 2 Agreement No. 19-200 as of the date first above set forth. 3 4 ORBIT HEALTH, A PROFESSIONAL CORPORATION By: Edw n cr ard Kaitaan„MD(O3,202310:45 PDT) 6 7 Print Name: Edward Kaftarian, M.D. 8 9 Title: Executive Chairman Chairman of Board, or President or any Vice President 10 11 Date: Oct 3,2023 12 13 _-- - 14 By: 15 Print Name: Josephine Tseng 16 17 Title: Director of Operations 18 Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer or any Assistant Treasurer 20 Date: 10/03/2023 21 22 Mailing Address: 23 26565 West Agoura Road, Suite 200 Calabasas, CA 91302 24 25 Phone No.: (925) 997-9093 Contact: Josephine Tseng 26 27 28 1 — COUNTY OF FRESNO Fresno,CA Revised Exhibit A-2 LOCUM TENENS SERVICES LIST OF CONTRACTORS CONTRACTOR NAME RATES OF REIMBURSEMENT (Exhibit B sub-part) 1. Jackson & Coker LocumTenens, LLC Exhibit B-1A 2655 Northwinds Parkway Alpharetta, GA 30009 Attention: Dana Massey Phone No.: (770) 522-1890 2. LocumTenens.com, LLC Exhibit B-2 2575 Northwinds Parkway Alpharetta, GA 30009 Attention: Kristopher Ware Phone No.: (678) 690-7358 3. ExMed, Inc. Exhibit B-3 4550 Kearny Villa Road, Suite 224 San Diego, CA 92123 Attention: Adam Exum Phone No.: (619) 665-3789 4. DR.Wanted.com, LLC Exhibit B-4 4170 Ashford Dunwoody Road NE, Suite #485 Atlanta, GA 30319 Attention: Nate Hancock Phone No.: (678) 359-3136 5. Curative Talent, LLC Exhibit B-5 370 Las Colinas Blvd W STE 104 Irving, TX 75039 Attention: Kim Hickingbotham Phone No.: (469) 202-4033 6. Cross Country Staffing, Inc. DBA Cross Country Locums Exhibit B-6 4775 Peachtree Industrial Blvd, #300 Berkeley Lake, GA 30092 Attention: Anne Anderson Phone No.: (800) 780-3500 Page 1 of 2 Revised Exhibit A-2 7. Lavaca Street Ventures, LLC DBA Monroe & Weisbrod, LLC Exhibit B-7 7514N. Mopac Expressway, Suite 200 Austin, TX 78731 Attention: Celeste Madison Phone No.: (512) 270-2886 8. Orbit Health, A Professional Corporation Exhibit B-8 26565 West Agoura Road, Suite 200 Calabasas, CA 91302 Attention: Josephine Tseng Phone No.: (925) 997-9093 Page 2 of 2 Exhibit B-7 Locum Tenens Services Rates of Reimbursement Contractor: Lavaca Street Ventures, LLC DBA Monroe &Weisbrod, LLC SERVICE TYPE RATES Dail All-inclusive Rate— Psychiatrist This rate is for services provided between 8:OOam- Psychiatrist: $ 330-400/hr 5:OOpm Monday through Sunday, with a 40-hour Nurse Practitioner: $ 185-220/hr maximum per week. Dail All-inclusive Rate - Forensic Services This rate is for services provided between 8:OOam- Psychiatrist: $ 300-420/hr 5:OOpm Monday through Sunday with a 40-hour Nurse Practitioner: $ 185-220/hr maximum per week, with an emphasis on services performed in the County Jail or at trial evaluations. Weekend Call Rate This rate is for carrying a pager and taking calls via Psychiatrist: $ 1,200-1,500/hr phone from Saturday at 5:OOpm through Monday at Nurse Practitioner: $ 1,000-1,300/hr 8:OOam, when the psychiatrist is scheduled less than eight hours on Saturday or Sunday. In-House Call Rate This rate is for carrying a pager and taking calls via Psychiatrist: $ 1,650-2,050/hr phone from Saturday at 5:OOpm through Monday at Nurse Practitioner: $ 1,350-1,750/hr 8:OOam, when the psychiatrist is scheduled to work an eight-hour shift on Saturday or Sunday between 8:OOam and 5:OOpm. Weeknight Call Rate This rate is for carrying a pager and taking call via Psychiatrist: $ 1,090/hr phone from Monday at 5:OOpm through Saturday at Nurse Practitioner: $ 900/hr 8:OOam, no matter whether the psychiatrist is scheduled to work a shift Monday through Friday. Overtime Rate This rate is for hours worked after 40 hours per week Psychiatrist: $ 450-600/hr or in the instance the psychiatrist is called back into Nurse Practitioner: $ 350-500/hr the facility while on call. Acquisition Fee This rate is what the County will pay to the Contractor Psychiatrist: $ 50,000 in the event a psychiatrist is hired and placed as a Nurse Practitioner: $ 38,000 permanent staff psychiatrist by the County. Page IofI Exhibit B-8 Locum Tenens Services Rates of Reimbursement Contractor: Orbit Health, A Professional Corporation SERVICE TYPE RATES Dail All-inclusive Rate— Psychiatrist This rate is for services provided between 8:OOam- Psychiatrist: $ 340-380/hr 5:OOpm Monday through Sunday, with a 40-hour Nurse Practitioner: $ 185-220/hr maximum per week. Dail All-inclusive Rate— Psychiatrist & Nurse Practitioner Telehealth This rate is for services provided between 8:OOam- Psychiatrist: $ 250-270/hr 5:OOpm Monday through Sunday, with a 40-hour Nurse Practitioner: $ 195-205/hr maximum per week. The rate for NP supervision is for NP Supervision: $ 300/1 hr per 1 hour per 1 FTE per week. 1 FTE per week Dail All-inclusive Rate - Forensic Services This rate is for services provided between 8:OOam- Psychiatrist: $ 330-385/hr 5:OOpm Monday through Sunday with a 40-hour Nurse Practitioner: $ N/A maximum per week, with an emphasis on services performed in the County Jail or at trial evaluations. Weekend Call Rate This rate is for carrying a pager and taking calls via Psychiatrist: $ 1,200-1,500/hr phone from Saturday at 5:OOpm through Monday at Nurse Practitioner: $ 900/hr 8:OOam, when the psychiatrist is scheduled less than eight hours on Saturday or Sunday. In-House Call Rate This rate is for carrying a pager and taking calls via Psychiatrist: $ 1,600-2,000/hr phone from Saturday at 5:OOpm through Monday at Nurse Practitioner: $ 1,050/hr 8:OOam, when the psychiatrist is scheduled to work an eight-hour shift on Saturday or Sunday between 8:OOam and 5:OOpm. Weeknight Call Rate This rate is for carrying a pager and taking call via Psychiatrist: $ 700-800/hr phone from Monday at 5:OOpm through Saturday at Nurse Practitioner: $ N/A 8:OOam, no matter whether the psychiatrist is scheduled to work a shift Monday through Friday. Overtime Rate This rate is for hours worked after 40 hours per week Psychiatrist: $ 340-380/hr or in the instance the psychiatrist is called back into Nurse Practitioner: $ 185-220/hr the facility while on call. Acquisition Fee This rate is what the County will pay to the Contractor Psychiatrist: $ 65,000 in the event a psychiatrist is hired and placed as a Nurse Practitioner: $ 40,000 permanent staff psychiatrist by the County. Page 1 of 1