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Police Department <br />www.santa-ana.org/police <br />Item # 8 <br />City of Santa Ana <br />20 Civic Center Plaza, Santa Ana, CA 92701 <br /> Staff Report <br />March 7, 2023 <br />TOPIC: Santa Ana Jail Inmate Medical Services <br />AGENDA TITLE: <br />Final Payment to Naphcare, Inc. in the amount of $66,772 for Inmate Medical Services <br />(General Fund) <br />RECOMMENDED ACTION <br />Authorize final payment to Naphcare, Inc. for past services rendered in the amount of <br />$66,772. <br />DISCUSSION <br />On October 1, 2017, the City entered into agreement #A-2017-249 with NaphCare, Inc, <br />for the provision of medical and mental health services for persons incarcerated in the <br />Santa Ana Jail. Upon expiration of the initial two year term of this agreement on <br />September 30, 2019, the Police Department had incurred expenses totaling $218,580 <br />over the not to exceed limit due to higher than anticipated need for pharmaceutical <br />services and X-ray procedures that exceeded the annual $50,000 contingency included <br />in the agreement. Additionally, the monthly parking stipend amount was inadvertently <br />not included in the not-to-exceed contract total amount. <br />Three subsequent one-year extensions to this agreement were executed on October 1, <br />2019, October 1, 2020, and October 1, 2021 that increased the aggregate not to <br />exceed total amount for these services to $13,400,361.15. These amendments <br />increased the annual contingency amount to cover the pharmaceutical services, X-ray <br />procedures, and the monthly parking. However, the imbalance from the original term of <br />the agreement was not addressed appropriately because the Police Department did not <br />have a mechanism to track this vendor’s payments properly. As a result, staff was <br />unaware that there was an over-expenditure in the first agreement period and relied on <br />the overall not to exceed amount (Exhibit 1). <br />Through the implementation of improved budgetary and accounting practices, staff <br />identified the net overage for the life of the agreement and all extensions as <br />66,772. Due to insufficient contract authority remaining on the not-to-exceed amount of