Approve retroactive Second Amendment to Administrative and Professional Services Agreement with CEP America-Anesthesia, PC, relating to providing anesthesia coverage for surgical and obstetrics services, increasing the maximum contract amount by $13,171,894 from $10,352,186 to $23,524,080, and extending the agreement for a 12-month period through March 31, 2027, 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). (LA)
The document outlines a recommendation for the Board of Supervisors to approve a retroactive Second Amendment to the Administrative and Professional Services Agreement with CEP America-Anesthesia, PC. This amendment aims to increase the maximum contract amount and extend the agreement for an additional 12 months to ensure continued anesthesia coverage for surgical and obstetric services at the Regional Medical Center. The recommendation is based on the necessity to maintain essential services and the contractor's established reliability.
Key points
The Second Amendment increases the maximum contract amount from $10,352,186 to $23,524,080.
The agreement is extended for 12 months through March 31, 2027.
The amendment is necessary to ensure uninterrupted anesthesia services critical for surgical and obstetric care.
CEP America-Anesthesia, PC has been the contractor since 2016 and has a strong working relationship with the County.
A single-source exception to competitive procurement was approved.
The recommended action supports SCVH’s Business Plan related to Hospital Patient Flow and Capacity.
Limitations
The document does not provide specific details about the initial contract or the first amendment beyond the financial amounts.
Unresolved placeholders and blank fields are present, affecting the completeness of the summary.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 6,164 chars
County of Santa Clara Santa Clara Valley Health & Hospital System 128007 DATE: April 14, 2026 TO: Board of Supervisors FROM: Paul E. Lorenz, Chief Executive Officer, SCVH SUBJECT: Second Amendment with CEP America-Anesthesia, PC RECOMMENDED ACTION Approve retroactive Second Amendment to Administrative and Professional Services Agreement with CEP America-Anesthesia, PC, relating to providing anesthesia coverage for surgical and obstetrics services, increasing the maximum contract amount by $13,171,894 from $10,352,186 to $23,524,080, and extending the agreement for a 12-month period through March 31, 2027, 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). (LA) FISCAL IMPLICATIONS Approval of the recommended action will not require modification to the Santa Clara Valley Healthcare (SCVH) Fiscal Year (FY) 2025-2026 Adopted Budget. Funds to support this agreement are included in the services and supplies budget. Actual expenditures are expected to continue at approximately the...
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Second Amend -CEP America-Anesthesia-RMC-signed by legal & vendor
The source text indicates this attachment appears to be a draft document.
This document is a Second Amendment to the Administrative and Professional Services Agreement for Anesthesia Services between the County of Santa Clara and CEP America-Anesthesia, PC. It amends the original agreement effective April 1, 2025, to include additional anesthesia services, increase the maximum financial obligation, and revise various provisions. Key changes include revisions to compensation, term, and the deletion and replacement of several exhibits related to contracted services and insurance requirements. The amendment specifies that the County's maximum financial obligation will not exceed $23,524,080 and outlines the responsibilities of the contractor regarding anesthesia services.
Key points
The Second Amendment is effective April 1, 2026.
The maximum financial obligation is increased by $13,171,894.
Compensation and term sections of the agreement are revised.
Exhibit A-2 is replaced with Exhibit A-3, and several other exhibits are deleted and replaced.
The agreement allows for a potential extension of up to six months beyond the stated term.
Limitations
The document contains unresolved placeholders and incomplete sections.
Specific dates and details regarding the execution of the amendment are not fully provided.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 33,176 chars
Docusign Envelope ID: 3B49C6E4-D058-4DCA-95DB-0BACA322E219 SECOND AMENDMENT TO THE ADMINISTRATIVE AND PROFESSIONAL SERVICES AGREEMENT FOR ANESTHESIA SERVICES BETWEEN THE COUNTY OF SANTA CLARA AND CEP AMERICA-ANESTHESIA, PC The Administrative and Professional Services Agreement for Anesthesia Services (inclusive of all amendments the “Agreement”), effective April 1, 2025 by and between the County of Santa Clara, a political subdivision of the State of California, dba Santa Clara Valley Healthcare (“County”) and CEP America-Anesthesia, PC (“Contractor”) is hereby amended as set forth below effective April 1, 2026 (“Second Amendment”). Background The purpose of this Second Amendment is for the Parties to add additional anesthesia services as of the dates shown below in Exhibit A-3, increase the maximum financial obligation (“MFO”) by $13,171,894 and revise standard provisions. The Agreement is hereby amended as set forth below: Amendment 1. Section 2.1 (Compensation) is hereby revised to read as follows: 2.1 Compensation. In consideration of the contracted services provided to County by Contractor, the County shall pay Contractor for all undisputed charges in accordance with the...
The document appears to be related to the CEP America-Anesthesia-RMC-Levine Act and is associated with matter file SCC-128007. The only date mentioned is April 14, 2026.
The source text indicates this attachment appears to be a draft document.
This document outlines a justification for exceptions to competitive procurement for anesthesia services at Regional Medical Center (RMC) by CEP America-Anesthesia, PC (Vituity). The proposed contract is valued at $23,524,080.00 and is intended to cover anesthesia services for surgical and obstetric patients from April 1, 2025, to March 31, 2027. The justification includes reasons for not conducting competitive bidding, emphasizing the unique qualifications of the contractor and the critical need for consistent anesthesia services. The document also details the scope of work, market research findings, and future plans for addressing barriers to competition.
Key points
Proposed contractor: CEP America-Anesthesia, PC (Vituity)
Total estimated value of the award: $23,524,080.00
Contract duration: April 1, 2025, to March 31, 2027
Anesthesia services provided 24/7 for surgical and OB patients at RMC
Current contractor since 2019, with a revenue guarantee agreement
Justification for sole source procurement due to lack of available qualified anesthesiologists
Market research indicates other local health systems cannot provide consistent coverage
Scope of work includes comprehensive anesthesia services and quality improvement participation
Limitations
The document contains unresolved placeholders such as 'Date of Submission' and lacks specific details in some sections.
The document appears to be a draft as indicated by the presence of revision dates and incomplete sections.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 11,516 chars
Docusign Envelope ID: 22015561-CB77-47E3-B7F8-9E68B94F7146 84CDF60E-DBA5-4E2C-AD8F-F1D543653728 JUSTIFICATION FOR EXCEPTIONS TO COMPETITIVE PROCUREMENT It is the policy of the Board that the County conduct an open, fair and full competitive solicitation process for the procurement of goods and/or services, with exemptions for certain goods, services and classes of procurement, and case-by-case exceptions, subject to a detailed review and approval process. The residents of Santa Clara County are best served when sound business decisions are made through a full and open competitive bidding processes. There may be certain instances when exceptions are warranted and justifiable. When a County agency/department recommends that competitive bidding is not practicable or in the best interest of the tax payers, appropriate justification supporting an exception must be submitted to the Procurement Department. Should you have any questions, please do not hesitate to contact: Matthew Hada, Director of Procurement at (408) 491-7401. Date of Submission: Submit Document via Requisition Refer to the Contact and Commodity Assignment List for buyer code guidance. SECTION I Proposed Contractor/...
This document is a First Amendment to the Professional Services Agreement for Anesthesia Services between the County of Santa Clara and CEP America-Anesthesia, PC. The amendment, effective June 1, 2025, adds additional anesthesia services and increases the maximum financial obligation by $3,072,186, bringing the total to $10,352,186. It outlines the scope of services, compensation structure, and adjustments to various exhibits related to the agreement. The document includes details on coverage hours, performance standards, and the responsibilities of the contractor.
Key points
The amendment is to the Professional Services Agreement for Anesthesia Services.
Effective date of the amendment is June 1, 2025.
Increases the maximum financial obligation by $3,072,186, totaling $10,352,186.
Details additional anesthesia services and adjustments to compensation.
Includes provisions for coverage hours and performance standards.
Limitations
The document contains unresolved placeholders such as contact names and phone numbers.
Certain sections appear to be truncated, limiting the completeness of the summary.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 24,358 chars
Docusign Envelope ID: 184428A2-A900-40CD-B6C8-E1D2B8EEEA4C CD8CDB07-AFEF-433C-9E62-978847F194A5 RMC RESOLUTION TRACKING FORM Delegation of Authority (DOA), Resolution No. BOS-2024-120. This DOA expires on September 24, 2029. TO BE COMPLETED BY DEPARTMENT / AGENCY SCVH Contracts Department Submitting Request: ___________________________________________________________ 4089472592 Barbara Mellin Contact Name: _______________________________ Contact Phone Number: _____________________ barbara.mellin@hhs.sccgov.org Contact Email: ________________________________ Type of request (Please select one): X Amendment to existing County Contract New County Contract Assumed Contract CT55571 Agreement Number: ____________________ Type of contract (Please select one): Professional Services Goods and Related Services Revenue X Physician Services Technology Services Solution Facilities and Fleet Other __________________ Location of Services: System-wide X RMC CEP America-Anesthesia, PC Vendor/Contractor: _____________________________ Michael Paige, MD Contact Name: __________________________ 2100 Powell Street, Suite 400, Emeryville, CA Address:...
This document is an Administrative and Professional Services Agreement between the County of Santa Clara and CEP America-Anesthesia, PC, effective April 1, 2025. The Agreement outlines the responsibilities of the Contractor to provide medical and administrative services at various County facilities, including the Regional Medical Center. It includes provisions for the Medical Director's duties, professional services, compliance with medical staff requirements, and conditions for payment. The Agreement incorporates multiple exhibits detailing specific services and requirements.
Key points
The Agreement is between the County of Santa Clara and CEP America-Anesthesia, PC.
Effective date is April 1, 2025.
Contractor will provide medical and administrative services at County facilities.
Includes provisions for the Medical Director's duties and responsibilities.
Contractor must ensure compliance with medical staff requirements and other applicable laws.
Payment is conditioned upon fulfilling specified duties and maintaining required records.
Limitations
The text is truncated and does not provide complete information about the Agreement.
Exhibits referenced in the Agreement are not included in the extracted text.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 168,040 chars
Docusign Envelope ID: F7E68329-780E-48A2-8FE7-467212993044 D684BA07-4E7B-4043-AD01-D9CCDABFFC1A ADMINISTRATIVE AND PROFESSIONAL SERVICES AGREEMENT This Administrative a n d P r o f e s s i o n a l Services Agreement (“Agreement”) is entered into as of April 1, 2025 (the “Effective Date”) by and between the County of Santa Clara, a political subdivision of the State of California d/b/a Santa Clara Valley Healthcare (“County”) and CEP America- Anesthesia, PC, a California professional corporation (“Contractor”). County and Contractor may be referred to herein individually as a “Party” and collectively as the “Parties.” RECITALS WHEREAS, County provides medical services to patients through general acute care hospitals commonly known as the County provides medical services to patients through general acute care hospitals commonly known as the Santa Clara Valley Medical Center (“SCVMC”), O’Connor Hospital (“O’Connor”), St. Louise Regional Hospital (“St. Louise”) and Regional Medical Center (“RMC”) and clinics and other health care facilities owned or operated by County. SCVMC, O’Connor, St. Louise and Regional Medical Center are operated on a consolidated license and, unless...