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AMENDMENT TO AGREEMENT
BETWEEN THE COUNTY OF SAN MATEO AND
GENE BRUCE, MD
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THIS AMENDMENT TO THE AGREEMENT, entered into this _____ day of _______________, 20_____, by and between the COUNTY OF SAN MATEO, hereinafter called "County," and Gene Bruce, MD, hereinafter called "Contractor";
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W I T N E S S E T H:
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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;
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WHEREAS, the parties entered into an Agreement for Gene Bruce, MD orthopedic services on April 1, 2009; and
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WHEREAS, the parties wish to amend the Agreement to increase the maximum amount payable thereunder by $35,000, from $220,000 to $255,000.
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NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES HERETO AS FOLLOWS:
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1.
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Section II of Exhibit A, Services, of the Agreement is amended to read as follows:
For the period from April 1, 2009 through March 31, 2011, Contractor will provide:
A. One half-day clinic, four (4) hours each, with a target of 20 patients seen in
each half-day clinic, every other week.
B. One half-day surgery block, approximately four (4) hours each, every other
week.
C. One day of call every other week, including inpatient, ambulatory, and
Emergency Department consults and all follow-up from call, including
operative cases.
For the period January 1, 2011 through March 31, 2011, Contractor may provide:
D. Half-day clinics, four (4) hours each.
E. Half-day surgery blocks, approximately four (4) hours each.
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2.
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Sections V and VI of Exhibit B, Payments, of the Agreement are amended to read as follows:
III. Contractor compensation for orthopedics by County is based on a projected volume of 2290 RVU work units per annum. If the contract terms of service are amended such that the current number of clinic sessions and surgery blocks in Exhibit A are changed, the projected volume of RVU work units and corresponding compensation shall be adjusted accordingly.
If the average monthly work units for Contractors productivity in orthopedics (based on 2290 annual units) vary by fifteen percent (15%) over a six (6) month period, the Chief Medical Officer or designee will review and discuss the compensation metric with Contractor, and it will be changed if appropriate.
Effective January 1, 2011, additional clinic and/or surgery blocks as described in Exhibit A, Section II, will be paid monthly at a rate of $1,800 per block.
Effective January 1, 2011, additional nights of call will be paid at a rate of $300 per night.
VI. The term of this Agreement is April 1, 2009 through March 31, 2011. Total payment for services performed under this Agreement shall not exceed TWO HUNDRED FIFTY FIVE THOUSAND DOLLARS ($255,000).
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4.
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All other terms and conditions of the Agreement dated April 1, 2009, between the County and Contractor shall remain in full force and effect.
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