AMENDMENT TO AGREEMENT

BETWEEN THE COUNTY OF SAN MATEO AND
DUC MARCEL NGUYEN, MD

THIS AMENDMENT TO THE AGREEMENT, entered into this _____ day of _______________, 20_____, by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Duc Marcel Nguyen, MD, 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 Duc Marcel Nguyen, MD orthopedic services on April 1, 2009; and

WHEREAS, the parties wish to amend the Agreement to increase the maximum amount payable thereunder by $150,000, from $425,000 to $575,000.

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

1.

Section III of Exhibit A, Services, of the Agreement is amended to read as follows:

For the period July 1, 2010 through March 31, 2011, Contractor may additionally provide:

A. Half-day clinics, four (4) hours each.
B. Half-day surgery blocks, approximately four (4) hours each.

2.

Sections VI and VII of Exhibit B, Payments, of the Agreement are amended to read as follows:

VI. Additional clinic and/or surgery blocks as described in Exhibit A, Section III, will be paid monthly at a rate of $1,800 per block.

VII. The term of this Agreement is April 1, 2009 through March 31, 2011. Total payment for services performed under this Agreement shall not exceed FIVE HUNDRED SEVENTY FIVE THOUSAND DOLLARS ($575,000).

4.

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