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Home My WebLink AboutWESTERN MEDICAL CENTER OF SANTA ANA (WMC-SA) 1B - 2008 '..* 1_'... 'NSlJRANCE ON FILE NORK MAY PROCEED UNTIL INSURANCE EXPIRES ./1-/-C7 g;f~:~A YOr~ 2008 (1 C -'-" (2') \..,I."C.\ b,-> V'J (\1~c: r, A-2008-089 FIRST AMENDMENT TO PROVIDER AGREEMENT THIS FIRST AMENDMENT TO AGREEMENT, is entered into on February 28, 2008, by and between WMC-SA, Inc., a California corporation DBA Western Medical Center Santa Ana (hereinafter "Provider"), and the City of Santa Ana, a charter city and municipal corporation ofthe State of California ("City"). RECITALS: A. The parties entered into the certain Agreement #A-2005-261-01, dated February 5, 2007, (hereinafter "said Agreement") by which Provider has provided the Santa Ana Fire Department medical pharmaceuticals to restock paramedic vans as needed. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term for an additional one-year period and amend the price list for purchas of the pharmaceuticals. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: 1. Section 2, COMPENSA nON, shall be deleted in its entirety and replaced with the following: "a. City agrees to pay, and Provider agrees to accept as total payment for its services from December 1, 2007 through January 31, 2008, the rates and charges identified in Exhibit A to said Agreement. From February 1, 2008 through November 31,2008, City will purchase pharmaceuticals at the prices listed on Exhibit A-I, attached hereto and incorporated by this reference. The total sum to be expended under this Agreement shall not exceed $40,000.00, annually, during the term ofthis Agreement. 2. Section 3, TERM, shall be amended to extend the termination date to November 31, 2008. 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. II II II t. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. CITY OF SANTA ANA ATTEST: PATRICIA E. HEALY Clerk of the Council ~v~t0f, ) J . DAVIDN. RE City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney . /\"'" .' /'~, . ,.J / By. i!1(/(tA-:-'d..L1.-'.f..(;, . r Laura Sheedy Assistant City Attorney WMC-SA, INC., a California Corporation DBA WESTERN MEDICAL CENTER SANTA ANA APPROVED AS TO CONTENT: lJ/vtM c... ~j. MARC MARTIN Fire Chief --- ~ (NAME) bA"" 6R..::Jrl-t MA-rJ (Title) Q.. E:7J . .... Santa Ana Fire Department 1439 South Broadway Street Santa Ana, CA 92707 (714) 647-5700 Pricing from Western Medical Center Santa Ana Pharmacy February 1, 2008 OLD AWP Increase NEW Item Description AWP 2008 or AWP+ decrease 10% Adenosine 6 mg 2 mL 24.51 40.94 + 45.03 Albuterol 3 mL (2.5 mg) (Pillow) 1.21 1.21 no change 1.33 Atropine Amp 1 mg / 1 mL 0.85 2.01 + 2.21 Atropine Syringe 1 mg 10 mL (prefiIled) 3.73 3.90 + 4.29 Bacitracin Zinc Oint 1/32 oz 0.14 0.14 no change 0.15 Chemstrip Blood Sugar Bottle 25 / bottle 51.19 56.25 + 61.88 Dextrose 50% Syringe, 50 mL 25 gm 5.03 5.03 no change 5.53 Diphenhydramine Syringe 50 mg / mL (prefilled) ) 4.33 4.35 + 4.79 Dopamine 400 mg / 5 mL vial 0.88 4.10 + 4.51 Epinephrine Amp 1-1000 1.25 1.30 + 1.43 Epinephrine Syringe 1-10,000 short (prefiIled) 2.64 2.86 + 3.15 Epinephrine Vial 1-1000 (1 mg / mL)) 30 mL 9.00 5.63 + 6.19 Glucagon Amp 1 mg / 1 mL (vial) 87.50 87.50 no change 96.25 Glucose Solution 10 oz / 100 gm 1.03 2.54 + 2.79 Lidocaine Syringe 100 mg / 5 mL (prefilled) 3.98 3.13 + 3.44 Narcan Amp 2 mg / 2 mL (prefilled) 15.00 15.00 no change 16.50 Narcan Vial 0.4 mg mL (10 vial)) 3.55 19.69 + 21.66 Nitroglycerine Spray gr 1/150 69.48 97.40 + 107.14 Normal Saline Vial 10 mL (vial) 0.39 0.41 + 0.45 Sodium Bicarbonate 44.6 mE / 50 mL 0.79 0.85 + 0.94 j ~ " f\ _ -," ,- ACORD* CERTIFICATE OF LIABILITY INSURANCE OP 10 S~ DATE (MMlDDIYYYY) WMCSA01 03/26/08 , PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Haake Companies A-2008-089 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4650 College Blvd., Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Overland Park KS 66211 Phone: 913-491-1999 Fax: 913-906-0088 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Lexington Insurance Company INSURER B: WMC-SA1 Inc. d/b/a Western INSURER c: Medi.ca Center - Santa Ana 1001 North Tustin Avenue INSURER 0: Santa Ana CA 92705-3502 INSURER E: COVERAGES THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 'THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR[ TYPE OF INSURANCE POLICY NUMBER DATE IMMlDDIYYJ I'MT'E'(M"h~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - 04/01/08 04/01/09 A X COMMERCIAL GENERAL LIABILITY 6794437 PREMISES lEa occurence) $ - :J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ - X Healthcare CLAIMS MADE PERSONAL & ADV INJURY $ Professional Liab 3-8-05 GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS, COMP/OP AGG $ I POLICY n ~f~ n LOC SEE BELOW ** AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $N/A - ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY $N/A - SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY $N/A - NON-OWNED AUTOS (Per accidenl) - PROPERTY DAMAGE $N/A (Per accidenl) GARAGE LIABILITY AUTO ONLY, EA ACCIDENT $N/A R ANY AUTO OTHER THAN EA ACC $N/A AUTO ONLY: AGG $N/A EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 A I!J OCCUR ~ CLAIMS MADE 6794437 04/01/08 04/01/09 AGGREGATE $ 5,000,000 $ SEE BELOW* * R DEDUCTIBLE RETRO $ RETENTION $ DATE $ 3-8-05 WORKERS COMPENSATION AND ITORYLlMlTSl jU~lt EMPLOYERS' LIABILITY $N/A ANY PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E.L. DISEASE, EA EMPLOYEE $N/A ~~~:s~~V1~~S below E.L DISEASE, POLICY LIMIT $N/A OTHER ,'" IlESCR/POON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ;et~1 (/"2- ** EXCESS LIMIT IS OVER: $2,000,000/$10,000,000 HEALTHCARE PROFESSIONAL LIABILITY AND COMMERCIAL GENERAL LIABILITY. THE CITY OF SANTA ANA, ITS / '- -.'- OFFICERS , EMPLOYEES ,AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSUREDS ON THE GENERAL LIABILITY BUT ONLY AS RESPECTS THE INSUREDS OPERATIONS. ::ERTIFICA TE HOLDER CLERK OF THE CITY COUNCIL CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M-30) PO BOX 1988 SANTA ANA CA 92702-1988 CANCELLATION CTYSTAN SHOUlD AP('( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ESENTATIV @ ACORD CORPORATION 1988 ICORD 25 (2001J08) ,-~ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) 25.1. AGMT NO. 2008-084 - STREET LIGHTING REPAIRS - With Econolite Traffic Engineering and Maintenance, Inc. in the amount not to exceed $1,125,000 - Public Works Agency Mayor Pulido abstained on Item 25.1 due to the proximity of the project to his residence 25.J. AGMT NO. 2008-085 - DESIGN ENGINEERING SERVICES FOR MEMORIAL POOL RENOVATION AND FOUNTAIN NO. 3 REHABILITATION (PROJECTS 08-6016 and 08-9097) - With Pacific Advanced Civil Engineering Inc. (PACE), in the amount not to exceed $91,050 including a 15% contingency - Public Works Agency 25.K. AGMT NO. 2008-086 - ON-CALL AERIAL MAPPING AND SURVEYING SERVICES - With Johnson-Frank & Associates Inc., in the amount not to exceed $300,000 - Public Works Agency 25.L. AGMT - LEASE AGREEMENT FOR CELLULAR SITE AT FIRE STATION NO.5 Motion: 1. AGMT NO. 2008-087 - With Omnipoint Communications Inc. for a rental fee of $27,300 per year - Community Development Agency 2. Receive and file Categorical Exemption for Environmental Review No. 2007-207 for Fire Station No.5. 25.M. AGMT NO. 2008-088 - CONSULTING SERVICES - With Alternet Networks, Inc. by $45,000 for a total aggregate amount not to exceed $90,000 - Police Department 25.N. AGMT NO. 2008-089 - MEDICAL SUPPLIES AND PHARMACEUTICALS - With Western Medical Center in an amount not to exceed $40,000 annually - Fire Department 25.0. AGMT NO. 2008-090 - SPACE AT THE SANTA ANA REGIONAL TRANSPORTATION CENTER - With Tres Estrellas De Oro for a fee of $6,612.50 per month for the term of May 1, 2008 through September 30, 2009 - Community Development Agency 25.P. AGMT NO. 2008-091 - WAGES AND OTHER TERMS AND CONDITIONS OF EMPLOYMENT - With the Fire Management Association - Personnel Services Agency 25.0. AGMTS - PARK RESTROOM JANITORIAL SERVICES - PARKS, RECREATION & COMMUNITY SERVICES AGENCY CITY COUNCIL MINUTES 10 MAY 5, 2008