AMENDMENT TO AGREEMENT

BETWEEN THE COUNTY OF SAN MATEO AND

JACKSON & COKER LOCUM TENENS, LLC

THIS AMENDMENT TO THE AGREEMENT, entered into this _____ day of _______________, 20_____, by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Jackson and Coker Locum Tenens, LLC, 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 with Jackson Tenens Locum Tenens, LLC for services on December 1, 2009; and

WHEREAS, the Agreement was amended, effective as of February 1, 2010, to increase the maximum amount payable thereunder by $70,000, from $25,000 to 95,000: and

WHEREAS, the parties wish to amend the Agreement to increase the maximum amount payable thereunder by $255,000, from $95,000, to $350,000.

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

1.

Paragraph 3, Payments of the Agreement is hereby amended in its entirety, to read as follows: 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 "A". 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. The County reserves the right to withhold payment if the County determines that the quantity or quality of the work performed is unacceptable. In no event shall total payment for services under this Agreement exceed THREE HUNDERED FIFTY THOUSAND DOLLARS, [$350,000].

2.

All other terms and conditions of the Agreement dated December 1, 2009, between the County and Contractor shall remain in full force and effect.