RESOLUTION NO. _____________

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

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RESOLUTION 1) AUTHORIZING AN AMENDMENT TO THE AGREEMENT WITH ALLIANCE IMAGING, INC. TO REVISE PERSONNEL, UNIT DESCRIPTION, AND SCHEDULING IN EXHIBITS A AND B, TO EXTEND THE TERM BY 18 MONTHS TO APRIL 15, 2008, AND TO INCREASE THE MAXIMUM AMOUNT BY $850,000 AND

2) AUTHORIZING THE CHIEF EXECUTIVE OFFICER OF SAN MATEO MEDICAL CENTER TO EXECUTE SUBSEQUENT AMENDMENTS AND MINOR MODIFICATIONS NOT TO EXCEED $25,000AND TO MAKE MINOR CHANGES IN THE TYPE OF SERVICES AND ACTIVITIES PROVIDED UNDER THE AGREEMENT

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

WHEREAS, on October 7, 2003, the Board of Supervisors, by Resolution Number 66294. authorized an Agreement in the amount of $1,700,000 for the term October 1, 2003 to October 15, 2006 for the purpose of providing magnetic resonance imaging (MRI) services; and

WHEREAS, San Mateo Medical Center has improved the quality of and access to health care, reduce costs, generate new revenue, and improved physician satisfaction by having such services onsite; and

WHEREAS, Within the last two years, the quality of the scans has significantly declined, to the extent that physicians are referring again to off-site, better quality MRI units; and

WHEREAS, SMMC has negotiated w Alliance Imaging to provide a newer model, a 1.5 MRI, which would enhance the quality of images being produced, improve physician satisfaction and reduce off site utilization at no increase in monthly cost; and

WHEREAS, the parties wish to amend the Agreement by revising Exhibits A and B, increasing the maximum amount of the Agreement by $850,000 changing the Agreement obligation from $1,700,000 to $2,550,000, and extending the term of the Agreement beyond the three-year term by 18 months, making the new term of the Agreement October 15, 2003 to April 15, 2008; and

WHEREAS, the Board has been presented with the Amendment to the Agreement 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 Agreement for and on behalf of the County of San Mateo, and the Clerk of this Board shall attest the President's signatures thereto.

BE IT FURTHER RESOLVED, that the Chief Executive Officer of San Mateo Medical Center shall be authorized to execute subsequent amendments and minor modifications not to exceed $25,000 and to make minor changes in the type of services and activities provided under the Agreement.

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