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SECOND AMENDMENT TO AGREEMENT FOR THE PROVISION OF <br />INMATE MEDICAL SERVICES <br />BETWEEN <br />CITY OF SANTA ANA <br />AND <br />CORRECTIONAL MANAGED CARE MEDICAL CORPORATION <br />THIS SECOND AMENDMENT TO AGREEMENT, is entered into this 8th day of September, <br />2009, by and between the City of Santa Ana, a charter city and municipal corporation organized <br />and existing under the Constitution and laws of the State of California ("City"), and Correctional <br />Managed Care Medical Corporation ("Contractor") <br />RECITALS: <br />A. City and Contractor entered into Agreement #A-2007-193, dated August 20, 2007, for <br />the Provision of Inmate Medical Services, hereinafter referred to as "said Agreement". <br />B. The Parties desire to renew the term of said Agreement for an additional one-year period <br />and approve the maximum obligation to be expended for services during the extended <br />term. <br />NOW, THEREFORE, in consideration of the mutual and respective promises, and subject to all <br />the terms and conditions of said Agreement, except as herein modified, the parties agree as <br />follows: <br />Section 1, TERM, shall be extended for an additional one-year period to August 31, <br />2010. <br />2. Section 3.a., COMPENSATION, shall be deleted in its entirety and replaced with the <br />following: <br />"a. The Total Annual Sum to be expended under this Agreement for staffing, <br />pharmaceuticals, supplies and other services shall not exceed $1,255,985.00, during the <br />initial one-year term of said Agreement. During the renewal term, from September 1, <br />2009 through August 31, 2010 (hereinafter "09/10 Renewal Term"), the total payments <br />for inmate medical services shall not exceed $1,155,985.00. An additional amount up to <br />$100,000.00, shall be available for Additional Services as listed in Section 13 of the RFP, <br />during the Renewal Term. The total sum to be expended under this Agreement shall not <br />exceed $1,255,985.00 during the 09/10 Renewal Term." <br />3. Except as hereinabove modified, all terms and conditions of said Agreement shall remain <br />in full force and effect. <br />25F-3 <br />