AMENDMENT NUMBER 1 TO THE AGREEMENT

THIS AMENDMENT, entered into this 2nd day of March 2004 by and between the INFORMATION SERVICES DEPARTMENT OF THE COUNTY OF SAN MATEO, hereinafter called "County" and Data Systems Group hereinafter called "Contractor",

WITNESSETH:

WHEREAS, on September 17, 2002, the parties hereto entered into an agreement (hereinafter referred to as the "Original Agreement"), to provide software support and hardware maintenance; and

WHEREAS, it is now the mutual desire and intent of the parties hereto to amend and modify the Original Agreement;

NOW THEREFORE, IT IS HEREBY AGREED between the parties that the Original Agreement is amended and modified as follows:

2. Contract Term

The contract term shall be extended to June 30, 2005, unless terminated earlier by County.

3. Payments

In no event shall the County's total fiscal obligation under this contract exceed $331,828.

13. Merger Clause

This Agreement, including Schedules "A", "B", "C", "D", and "E" attached hereto and incorporated herein by reference, constitutes the sole Agreement of the parties hereto and correctly states the rights, duties, and obligations of each party as of this document's date. Any prior agreement, promises, negotiations, or representations between the parties not expressly stated in this document are not binding. All subsequent modifications shall be in writing and signed by the parties. In the event of a conflict between the terms, conditions, or specifications set forth herein and those in Schedules "A- E" attached hereto, the terms, conditions, or specifications set forth herein shall prevail.

NOW THEREFORE, IT IS HEREBY AGREED between the parties that the Schedule E is added to the Original Agreement as follows:

Schedule E

I. Description of Services

Contractor will provide implementation for software installation at Burlingame Health Center:

Software Modules

Implementation Fee

Monthly License Fee

Claims/RA DataBase Management System

Existing

Existing

Additional User Licenses

4 - @ $540.00:

· 2 for Revenue Services

· 2 for Burlingame Health Center

$2,160.00

$20.00

Add Batch Printing Capabilities for Revenue Services - Identify and specify claims for Revenue Services and provide access to view and edit claims

$3,000

Medi-Cal LTC - EDS - Existing

Addition of Burlingame Health Center Programming for Medicare and Commercial Insurance billing for the LTC Facility is included in the above implementation Fees.

$2,000.00

$300.00

Two Days of Training and System Review.

$2,000.00

CHDP Billing Module:

Provides FQHC billing of CHDP to EDS- Medi-cal

$3,000

$350.

Tax on User Licenses 8.25%

$178.20

$55.28

System Software / Programming Total

$12,338.20

$725.28

NOW THEREFORE, IT IS HEREBY AGREED between the parties that :

This amendment and modification is hereby incorporated and made part of the Original

Agreement and subject to all provisions therein. In the event of a conflict between the terms,

conditions, or specifications set forth herein and those in the Original Agreement and/or

Schedules "A - D" attached thereto, the terms, conditions, or specifications set forth herein shall

prevail. All other prices, terms, and conditions of the Original Agreement remain unchanged.

IN WITNESS WHEREOF, the parties hereto, by their duly authorized representatives, have affixed their hands.

COUNTY OF SAN MATEO

By:

Mark Church, President

Board of Supervisors, County of San Mateo

Date:

ATTEST:

By:

Clerk of Said Board

Data Systems Group(Contractor)

Contractor's Signature

Date: