RESOLUTION NO. _____________

BOARD OF SUPERVISORS, COUNTY OF SAN MATEO, STATE OF CALIFORNIA

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RESOLUTION 1) AUTHORIZING EXECUTION OF A THIRD AMENDMENT TO THE PREVIOUS AGREEMENT WITH GAMBRO HEALTHCARE RENAL CARE, INC., A NEVADA CORPORATION TO PROVIDE ACUTE DIALYSIS AT SAN MATEO MEDICAL CENTER; 2) AUTHORIZING EXECUTION OF AN AGREEMENT WITH GAMBRO HEALTHCARE RENAL CARE, INC., A NEVADA CORPORATION TO PROVIDE ACUTE DIALYSIS AT SAN MATEO MEDICAL CENTER; AND
3) AUTHORIZING THE CHIEF EXECUTIVE OFFICER OF SAN MATEO MEDICAL CENTER TO EXECUTE AMENDMENTS NOT TO EXCEED $25,000

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RESOLVED, by the Board of Supervisors of the County of San Mateo, State of California, that

WHEREAS, on September 9, 2003, your Board approved Resolution 66259, that authorized an Agreement with Gambro Healthcare Renal Care, Inc., a Nevada Corporation, to provide acute inpatient dialysis services to medically indigent adults at San Mateo Medical Center; the Agreement was subsequently amended on July 27, 2004 by Resolution No. 66846, that authorized a fee for an aborted procedure; and on June 28, 2005 by Resolution No. 06742, that authorized an increase of $37,000, bringing the total obligation to $437,000; and

WHEREAS, the parties wish to further Amend the Agreement by increasing the amount by $1,350, changing the Agreement obligation from $437,000 to $438,350 for the purpose of paying pending invoices incurred due to unanticipated increased need for services; and

WHEREAS, there has been presented to this Board of Supervisors for its consideration and acceptance a new Agreement, reference to which is hereby made for further particulars, whereby Gambro Healthcare Renal Care, Inc., a Nevada Corporation shall provide acute inpatient dialysis services to medically indigent adults at San Mateo Medical Center; and

WHEREAS, the parties wish to enter into a new Agreement with Gambro Healthcare Renal Care, Inc., A Nevada Corporation, to provide acute inpatient dialysis services to medically indigent adults at San Mateo Medical Center, for the period July 1, 2005 to June 30, 2007, with an option for a third year, for a total obligation of $620,000 for the two-year term; and

WHEREAS, there has been presented to this Board of Supervisors for its consideration and acceptance, an Amendment to the previous Agreement and a new Agreement between the County of San Mateo and Gambro Healthcare Renal Care, Inc., a Nevada Corporation, reference to which is hereby made for further particulars, and the Board of Supervisors has examined and approved both as to form and content and desires to enter into same.

NOW, THEREFORE, IT IS HEREBY RESOLVED that the Board of Supervisors be and is hereby authorized and directed to execute said Amendment to the previous Agreement and said new Agreement for and on behalf of the County of San Mateo, and the Clerk of this Board shall attest the President’s signature thereto.

BE IT FURTHER RESOLVED that the Chief Executive Officer of San Mateo Medical Center shall be authorized to execute subsequent amendments increasing the County’s maximum fiscal obligation, provided however, that such authority is limited to increasing the County’s maximum fiscal obligation to an amount not to exceed $25,000.

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