Approve First Amendment to Agreement with ECMO PRN, LLC, relating to providing extracorporeal membrane oxygenation and ambulance transport services, increasing the maximum contract amount by $2,438,000 from $280,000 to $2,718,000, with no change to the term of the Agreement, that has been reviewed and approved by County Counsel as to form and legality. (LA)

County of Santa Clara Santa Clara Valley Health & Hospital System 127446 DATE: April 14, 2026 TO: Board of Supervisors FROM: Paul E. Lorenz, Chief Executive Officer, SCVH SUBJECT: First Amendment to Agreement with ECMO PRN LLC RECOMMENDED ACTION Approve First Amendment to Agreement with ECMO PRN, LLC, relating to providing extracorporeal membrane oxygenation and ambulance transport services, increasing the maximum contract amount by $2,438,000 from $280,000 to $2,718,000, with no change to the term of the Agreement, that has been reviewed and approved by County Counsel as to form and legality. (LA) FISCAL IMPLICATIONS Approval of the recommended action will increase the maximum contract amount by $2,438,000, for a revised total contract amount not to exceed $2,718,000. Funds to support the agreement are included in Santa Clara Valley Healthcare’s (SCVH) Fiscal Year 20252026 current modified budget for services and supplies, and no modification to the budget is recommended. CONTRACT HISTORY On September 1, 2025, the County entered into an Agreement with ECMO PRN, LLC for the provision of extracorporeal membrane oxygenation (ECMO) equipment, clinical staffing, and ambulance...

Docusign Envelope ID: B158897D-17FE-47F3-BF75-7B3DFDB0AB7A 3145BCD1-06CF-4DDE-A58F-798FC86B7E35 FIRST AMENDMENT TO AGREEMENT BETWEEN THE COUNTY OF SANTA CLARA AND ECMO PRN, LLC The Agreement (“Agreement”) effective September 1, 2025, by and between the County of Santa Clara, a political subdivision of the State of California, dba County of Santa Clara Health System (“County” and/or “Health System”) and ECMO PRN, LLC (“Contractor”) for provision of extracorporeal membrane oxygenation (“ECMO”) services and ambulance transport services, is hereby amended as set forth below effective April 14, 2026 (“First Amendment”). Background The purpose of this First Amendment is to increase the maximum contract amount by $2,438,000 from $280,000 to $2,718,000, and revise County provisions. The Agreement is amended as follows: 1. Section 2. Compensation and Payment, subsection 2.5, is revised and shall read as follows: “2.5 County does not guarantee any minimum compensation payable under this Agreement. The maximum compensation for all work performed under this Agreement shall not exceed $2,718,000 for the term of this Agreement.” 2. Section 26. Compliance, is hereby revised to read as follows:...

April 14, 2026 127446 April 14, 2026 127446

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