AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND RAVENSWOOD FAMILY HEALTH CENTER
THIS AMENDMENT TO THE AGREEMENT, entered into this _____ day of _______________, 2007, by and between the COUNTY OF SAN MATEO, hereinafter called "County," and RAVENSWOOD FAMILY HEALTH CENTER, hereinafter called "Contractor";
W I T N E S S E T H:
WHEREAS, pursuant to Government Code, Section 31000, County may contract with independent contractors for the furnishing of such services to or for County or any Department thereof;
WHEREAS, the parties entered into an Agreement for the purpose of providing comprehensive primary care including care coordination to homeless adults and children on January 10, 2006, by Resolution 67765 (the “Agreement”); and
WHEREAS, the parties wish to amend the Agreement to revise, in their entirety, Exhibits A and B thereto, increase the maximum amount payable under the Agreement by $54,000 to $162,000, extend the term of the Agreement by six months to April 30, 2007, and add the Ordinance Code’s Jury Duty provisions to the Agreement.
NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES HERETO AS FOLLOWS:
1.	Exhibits A and B of the original Agreement are amended in their entirety and replaced with the revised attached Exhibits A and B.
2.	Section 3, Payments, of the Agreement is amended in its entirety to read as follows:
	3.	Payments In consideration of the services rendered in accordance with all terms, conditions and specifications set forth herein and in Exhibit "A", County shall make payment to Contractor in the manner specified herein and in Exhibit "B". In the event that the County makes any advance payments, Contractor agrees to refund any amounts in excess of the amount owed by the County at the time of contract termination. In no event shall total payment for services under this Agreement exceed ONE HUNDRED SIXTY-TWO THOUSAND DOLLARS ($162,000).
3.	First paragraph in Section 4, Term and Termination, of the original Agreement is amended, in its entirety, to read as follows:
	3.	Subject to compliance with all terms and conditions of this Agreement, the term of this Agreement shall be from November 1, 2005 through April 30, 2007.
4.	Compliance with Contractor Employee Jury Service Ordinance language is added as paragraph G of Section 11 to the Agreement.
	G.	Compliance with Contractor Employee Jury Service Ordinance. Contractor shall comply with the County Ordinance with respect to provision of jury duty pay to employees and have and adhere to a written policy that provides that its employees shall receive from the Contractor, on an annual basis, no less than five days of regular pay for actual jury service in San Mateo County. The policy may provide that employees deposit any fees received for such jury service with the contractor or that the Contractor deduct from the employees regular pay the fees received for jury service.
5.	All other terms and conditions of the agreement dated January 10, 2006, between the County and Contractor shall remain in full force and effect.

IN WITNESS WHEREOF, the parties hereto, by their duly authorized representatives, have affixed their hands.
							COUNTY OF SAN MATEO
							By:
							Board of Supervisors, San Mateo County
							Date:
ATTEST:
By:
Clerk of Said Board
RAVENSWOOD FAMILY HEALTH CENTER
Contractor’s Signature
Date:
Exhibit “A”
I.	For the period November 1, 2005 to October 31, 2006, Contractor shall provide primary care services. Services will include the following goals and objectives:
	GOAL A:			To provide access and referral as appropriate to client centered medical care, health education, behavioral health and social services to three homeless groups in South San Mateo County: street homeless, those in treatment settings and the near homeless living in doubled up accommodations.
				Objective A.1:	To provide comprehensive primary care that includes referrals for additional health and social services to 625 homeless adults and 75 homeless children through 2,100 encounters annually either on the Mobile Clinic or at our 1798 Bay Road, East Palo Alto Facility
	GOAL B:			Engage, screen and refer the most vulnerable homeless street population living in parks, cars, “crack houses” and substandard housing to appropriate health and social services
				Objective B.1:	To provide 200 street outreach contacts annually for 75 homeless adults living on the streets, providing health education, screenings, and medical assessment and referrals
	GOAL C:			Improve Chronic Disease Outcomes and Reduce Unnecessary Emergency Room and Inpatient Utilization for the Homeless Population in South San Mateo County
				Objective C.1:		To provide care coordination to 75 high-risk individuals.
II.	For the period November 1, 2006 to April 30, 2007, Contractor shall provide the primary care services. Service will include the following goals and objectives:
	GOAL A:			To provide access and referral as appropriate to client centered medical care, health education, behavioral health and social services to three homeless groups in South San Mateo County: street homeless, those in treatment settings and the near homeless living in doubled up accommodations.
				Objective A.1:		To provide comprehensive primary care that includes referrals for additional health and social services to 260 homeless adults and 36 homeless children through 875 encounters annually either on the Mobile Clinic or at our 1798 Bay Road, East Palo Alto Facility
	GOAL B:			Engage, screen and refer the most vulnerable homeless street population living in parks, cars, “crack houses” and substandard housing to appropriate health and social services
				Objective B.1:		To provide 80 street outreach contacts annually for 36 homeless adults living on the streets, providing health education, screenings, and medical assessment and referrals
	GOAL C:			Improve Chronic Disease Outcomes and Reduce Unnecessary Emergency Room and Inpatient Utilization for the Homeless Population in South San Mateo County
				Objective C.1:		To provide care coordination to 36 high-risk individuals.
III.		Contractor shall attend and participate in the following related meetings and complete the following reporting requirements on a monthly basis:
		A.	Submit Monthly Data Reports by the 10th day of each month.
		B.	Submit Monthly Invoices by the 10th day of each month.
		C.	Attend the Monthly HCH Provider Meeting.
		D.	Complete Annual Chart Review.
		E.	Complete Annual Administrative Review.
		F.	Participate in other Continuous Quality Improvement Activities.
		G.	Submit any other required documentation.