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FOURTH AMENDMENT TO AGREEMENT <br />FOR THE PROVISION OF INMATE MEDICAL SERVICES <br />BETWEEN THE CITY OF SANTA ANA AND <br />CORRECTIONAL MANAGED CARE MEDICAL CORPORATION <br />THIS FOURTH AMENDMENT TO AGREEMENT, is entered into this day of , <br />2011, 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. City and Contractor entered into a First Amendment, Second Amendment, and Third <br />Amendment, which each renewed the term of said Agreement for an additional one-year <br />period and approved the maximum obligation to be expended for services during that <br />renewed term. <br />C. The Parties desire to renew the term of said Agreement for an additional one-year period, <br />approve the maximum obligation to be expended for services during that renewed term, <br />and amend said Agreement to provide for an additional one-year extension. <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 />1. Section 1, TERM, shall be extended for an additional one-year period to August 31, <br />2012. <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 />pharmaceutical, supplies and other services shall not exceed $1,313,075.00, during the <br />renewal term, from September 1, 2011 to August 31, 2012. During that renewal term, the <br />total payments for inmate medical services shall not exceed $1,213,075.00. An additional <br />amount up to $100,000.00 shall be available for Additional Services as listed in Section <br />13 of the RFP, during the renewal term." <br />3. Except as hereinabove modified, all terms and conditions of said Agreement shall remain <br />in full force and effect. <br />25B-3