25Q - AGMT INMATE MEDICAL SERVICES

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FIRST AMENDMENT TO AGREEMENT FOR THE PROVISION OF INMATE MEDICAL SERVICES BETWEEN CITY OF SANTA ANA AND CORRECTIONAL MANAGED CARE MEDICAL CORPORATION THIS FIRST AMENDMENT TO AGREEMENT, is entered into this ] 8`h day of August, 2008, by and between the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"), and Correctional Managed Care Medical Corporation ("Contractor") RECITALS: A. City and Contractor entered into Agreement #A-2007-193, dated August 20, 2007, for the Provision of Inmate Medical Services, hereinafter referred to as "said Agreement". B. The Parties desire to renew the term of said Agreement for an additional one-year period and approve the maximum obligation to be expended for services during the extended term. NOW, THEREFORE, in consideration of the mutual and respective promises, and subject to all the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: Section 1, TERM, shall be extended for an additional one-year period to August 31, 2009. 2. Section 3.a., COMPENSATION, shall be deleted in its entirety and replaced with the following: "a. The Total Annual Sum to be expended under this Agreement for staffing, pharmaceuticals, supplies and other services shall not exceed $1,120,518.00, during the initial one-year term of said Agreement. During the renewal term, from September 1, 2008 through August 31, 2009 (hereinafter "08/09 Renewal Term"), the total payments for inmate medical services shall not exceed $1,100,570.00. An additional amount up to $100,000.00, shall be available for Additional Services as listed in Section 13 of the RFP, during the Renewal Term. The total sum to be expended under this Agreement shall not exceed $1,200,570.00 during the 08/09 Renewal Term." 3. Except as hereinabove modified, all terms and conditions of said Agreement shall remain in full force and effect. 25Q-3