RESOLUTION NO. _____________

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

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RESOLUTION 1) AUTHORIZING THE PRESIDENT OF THE BOARD TO EXECUTE AN AGREEMENT WITH TOTAL RENAL CARE, INC. TO PROVIDE ACUTE DIALYSIS SERVICES FOR PATIENTS AT SAN MATEO MEDICAL CENTER FOR A TERM OF SEPTEMBER 1, 2008 THROUGH AUGUST 31, 2011 IN AN AMOUNT NOT TO EXCEED $1,500,000 AND 2) AUTHORIZING THE CHIEF EXECUTIVE OFFICER (CEO) OF SAN MATEO MEDICAL CENTER OR THE CEO’S DESIGNEE TO EXECUTE CONTRACT AMENDMENTS WHICH MODIFY THE COUNTY’S MAXIMUM FISCAL OBLIGATION BY NO MORE THAN $25,000 (IN AGGREGATE), AND/OR MODIFY THE CONTRACT TERM AND/OR SERVICES SO LONG AS THE MODIFIED TERM OR SERVICES IS/ARE WITHIN THE CURRENT OR REVISED FISCAL PROVISIONS

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

WHEREAS, as San Mateo Medical Center (SMMC) does not provide acute dialysis services for in-patients, it is necessary to use an outside provider; and

WHEREAS, a Request for Proposal for the provision of acute care and continuous ambulatory peritoneal was published in May 2008 and Total Renal Care, Inc. was the only proposer capable of meeting the needs of SMMC; and

WHEREAS, SMMC staff recommends that Total Renal Care be awarded the contract to provide acute dialysis services; and

WHEREAS, there has been presented to the Board of Supervisors for its consideration and acceptance an Agreement, reference to which is hereby made for further particulars, whereby Total Renal Care, Inc. shall provide acute care and continuous ambulatory peritoneal dialysis services for the term September 1, 2008 through August 31, 2011, for an amount not to exceed $1,500,000; and

WHEREAS, the Board has considered the Agreement and approved it as to both form and content and desires to enter into it.

NOW, THEREFORE, IT IS HEREBY DETERMINED AND ORDERED that the President of the Board of Supervisors be, and is hereby authorized and directed to execute said 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 (CEO) of San Mateo Medical Center or the CEO’s designee shall be authorized to execute contract Amendments which modify the County’s maximum fiscal obligation by no more than $25,000 (in aggregate), and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.

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