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<br />. f" <br /> <br />CI) <br />LLJ <br />~ <br />UJO~~ ~ <br />:::! t::: u.J l ::::! ~ <br />w....üü ~ \ <br />z:~~ :::> \}.,. <br />°a...e:::, 0 \ <br />u.J :::> "U <br />U :;;: en ,w.... ~ <br />~:;:~ \ 0"- <br />oc:::<::::! ::.c:: ûj <br />::JCI::.- 5.- <br />(/) 0 Z .-oJ '" <br />?::~::::> uO <br /> <br />~.' fD <br />Fi ~J}L <br /> <br />PiN <br /> <br />8 <br /> <br />A-2003-177 <br /> <br />8 <br /> <br />FOURTH AMENDMENT TO AGREEMENT FOR THE PROVISION OF <br />INMATE MEDICAL SERVICES <br />BETWEEN CITY OF SANTA ANA AND <br />CORRECTIONAL MANAGED CARE MEDICAL CORPORATION <br /> <br />THIS FOURTH AMENDMENT TO AGREEMENT, is entered into this 1#V day of <br />~ ' 2003, by and between the City of Santa Ana, a charter city and <br />mu . Ipal corporation organized and eXisting under the Constitution and laws of the State <br />of California ("City"), and Correctional Managed Care Medical Corporation ("Contractor") <br /> <br />RECITALS: <br /> <br />.~ <br />'>t <br />A City and Contractor entered into Agreement No. ~-98-049 for the Provision of <br />Inmate Medical Services, dated September 1, 1998, hereinafter referred to as "said <br />Agreement". <br /> <br />B. The Parties have amended said Agreement to extend the term of said <br />Agreement and increase the maximum obligation to be expended for services. <br /> <br />C. City and Contractor wish to again extend the term, amend the Scope of Services <br />and increase the maximum obligation to be expended for services provided <br />pursuant to said Agreement. <br /> <br />NOW, THEREFORE, in consideration of the mutual and respective promises, and subject <br />to all the terms and conditions of said Agreement, and Amendments to Agreement, except <br />as herein modified, the parties agree as follows: <br /> <br />1. The Referenced Contract Provisions shall be amended to read as follows: <br /> <br />a.) The term shall be extended to August 31,2004. <br /> <br />b.) The Maximum Baseline Obligation shall be increased to $794,244.00 as set <br />forth in Exhibit A, attached hereto and made a part hereof by reference. The <br />amount the City is obligated to pay for services which are included in Exhibit <br />D - Cost Schedule for Chargeback Services shall not exceed $110,000.00. <br />The total obligation of the City shall not exceed Nine Hundred Four <br />Thousand, Two Hundred Forty Four Dollars ($904,244.00), during the 2003- <br />04 fiscal year. <br /> <br />2. The Cost Schedule for Chargeback Services shall be amended to increase the fee <br />for X ray services from $48/58 each to $85.00 each. <br /> <br />3. Exhibit A, Paragraph III, SERVICES, shall be amended to add a subparagraph 12, to <br />read as follows: <br />