Approve Twelfth Amendment to Agreement with Toyon Associates, Inc., relating to providing cost report and reimbursement services, increasing the maximum contract amount by $3,661,947 from $9,340,000 to $13,001,947, and extending the agreement for a 60-month period through June 30, 2031, that has been reviewed and approved by County Counsel as to form and legality. A single source exception to competitive procurement has been approved by the Office of Countywide Contracting Management pursuant to Board of Supervisors Policy 5.6.5.1(D)(2)(a). An exception to Board of Supervisors Policy 5.4.5.4, Length of Term of Contracts, has been approved by the Office of Countywide Contracting Management. (LA)

The source text indicates this attachment appears to be a draft document.

The document outlines the Twelfth Amendment to the Agreement with Toyon Associates, Inc., which includes an increase in the maximum contract amount and an extension of the agreement. The amendment is intended to enhance cost report and reimbursement services for the Santa Clara Valley Health & Hospital System.

Key points

• The Twelfth Amendment increases the maximum contract amount by $3,661,947, from $9,340,000 to $13,001,947.
• The agreement is extended for a 60-month period through June 30, 2031.
• A single source exception to competitive procurement has been approved.
• The recommended action does not require modification to the Fiscal Year 2025-2026 Budget.
• Toyon has agreed to reduce fees for certain years, resulting in estimated savings of $800,000 over the extension period.
• The amendment is justified to avoid significant financial and programmatic risks to the County.

Limitations

• The document appears to be a draft as it includes placeholders and lacks finalized details in some sections.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

The Twelfth Amendment to the Agreement between the County of Santa Clara and Toyon Associates, Inc. extends the contract term to June 30, 2031, increases the maximum contract amount to $13,001,947, revises provisions, and updates exhibits. Key changes include amendments to compensation terms, hourly rates for various positions, addition of Regional Medical Center to the Business Associate Agreement, deletion of COVID-19 requirements, and new accessibility standards for web content and mobile applications. All other terms of the original Agreement remain in effect unless contradicted by this Amendment.

Key points

• The Agreement is effective from July 1, 2014, to June 30, 2031.
• Maximum contract amount increased from $9,340,000 to $13,001,947.
• Hourly rates for various positions are specified with effective dates.
• Regional Medical Center added to the Business Associate Agreement.
• COVID-19 requirements section deleted.
• New section added for accessibility of web content and mobile applications.

Limitations

• The text contains unresolved placeholders for hourly rates effective dates.
• The text does not specify the exact dates for the execution of the amendment.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

The source text indicates this attachment appears to be a draft document.

This document is an approval request for extending a contract with Toyon Associates, Inc. beyond five years. The current contract, which started on July 1, 2014, is set to end on June 30, 2026, with a total current value of $9,340,000. The request proposes a 60-month extension, increasing the total contract value to $13,001,947. The services provided include cost report preparation, appeals, and reimbursement services for healthcare systems. The document outlines the contract history, reasons for the extension, and the anticipated impacts of continuing the contract.

Key points

• User Agency/Department: Health and Hospital System
• Current Contract Start Date: July 1, 2014
• Current Contract End Date: June 30, 2026
• Total Current Value of Agreement: $9,340,000
• Proposed Extension: 60 months
• Recommended Total Contract Value after Extension: $13,001,947
• Services include cost report preparation, appeals, and reimbursement services.

Limitations

• The document contains unresolved placeholders such as the anticipated contract start and end dates in Section I.
• The document appears to be a draft, as indicated by the presence of incomplete sections and placeholders.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

This document outlines a justification for exceptions to competitive procurement for Toyon Associates, Inc. to provide cost report, appeals, and reimbursement services to Santa Clara Valley Medical Center. The total estimated value of the award is $13,001,947.00, with a contract period from July 1, 2014, to June 30, 2031. The justification highlights Toyon's unique expertise and the significant financial impact of their services, including securing over $10 million for SCVMC through appeals. The document also discusses market research indicating that while other vendors exist, they do not offer the comprehensive services required by the public health care system. The document includes sections on the purpose of the purchase, market research, and future plans to promote competition. It is noted that the item will be presented to the Board of Supervisors for approval.

Key points

• Proposed Contractor: Toyon Associates, Inc.
• Total Estimated Value: $13,001,947.00
• Contract Period: 07/01/2014 to 06/30/2031
• Services include cost report preparation, audit appeals, and reimbursement assistance.
• Toyon has secured over $10 million for SCVMC through successful appeals.
• Market research indicates Toyon offers unique services not provided by other vendors.
• Future plans include promoting competition and refining scopes of work.

Limitations

• The document contains unresolved placeholders such as 'Date of Submission' and 'Name of Requestor' which are not filled in.
• The document does not provide specific details on the conditions of approval or any additional comments.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

The source text indicates this attachment appears to be a draft document.

The Eleventh Amendment to the Agreement between the County of Santa Clara and Toyon Associates, Inc. extends the term of the Agreement to June 30, 2026, adds additional funding, updates an exhibit, and includes provisions related to the County's anticipated acquisition of the Regional Medical Center of San Jose. The maximum compensation under this amendment is set at $1,300,000 for the period from January 1, 2025, to June 30, 2026. The amendment also revises the scope of work and compensation details, including hourly rates for various positions and fixed fees for specific services.

Key points

• The Agreement is effective from July 1, 2014, to June 30, 2026.
• The maximum compensation under this amendment is $1,300,000 for the period from January 1, 2025, to June 30, 2026.
• The amendment includes provisions for the anticipated acquisition of the Regional Medical Center of San Jose.
• Revisions to the scope of work include various reimbursement services.
• Hourly rates for various positions are specified, with some rates effective from January 1, 2025.

Limitations

• The text includes placeholders for some hourly rates and fees that are not filled in.
• The document appears to be a draft as it includes execution dates that are not finalized.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.