AMENDMENT TO AGREEMENT

BETWEEN THE COUNTY OF SAN MATEO AND
Pacific Cardiovascular Surgeons, Inc.

 

THIS AMENDMENT TO THE AGREEMENT, entered into this _____ day of _______________, 20_____, by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Pacific Cardiovascular Surgeons, Inc. , 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 cardiology services to medically indigent adult (MIA) patients referred by San Mateo Medical Center (SMMC) to other facilities; and

 

WHEREAS, the parties wish to amend the Agreement to increase the contract by SIXTY FIVE THOUSAND DOLLARS ($65,000.00) to ONE HUNDRED AND FIFTEEN THOUSAND DOLLARS ($115,000.00).

 

NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES HERETO AS FOLLOWS:

   

1.

Amount and Source of Payment of the agreement is amended to read as follows:

Contractor will be reimbursed 100% of the Medicare Part B Participating Fee Schedule for San Mateo County. Contractor shall bill and be paid per HCFA coding guidelines. Funds are included in the 2006-07 Adopted Budget and will be included in the 2007-08 Budget. Under no circumstances shall this agreement exceed ONE HUNDRED AND FIFTEEN THOUSAND DOLLARS ($115,000.00)

   

2.

All other terms and conditions of the agreement dated January 27, 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:

 

President, Board of Supervisors, San Mateo County

 
 

Date:

 

ATTEST:

 

By:

Clerk of Said Board

 

Pacific Cardiovascular Surgeons, Inc.

 
 
 

Contractor’s Signature

 

Date: