REFERENCED CONTRACT PROVISIONS. Term provision and Amount Not toTo Exceed, is provision, of the Contract are deleted in itstheir entirety and replaced with the following: ““Term: July 1, 2018 through June 30, 2023 Period One means the period from July 1, 2018 through June 30, 2019 Period Two means the period from July 1, 2019 through June 30, 2020 Period Three means the period from July 1, 2020 through June 30, 2021 Period Four means the period from July 1, 2021 through June 30, 2022 Period Five means the period from July 1, 2022 through June 30, 2023 Amount Not To Exceed: Period One Amount Not Period Two Amount Not to To To to Exceed: $ 1,033,697 Exceed: 1,033,697 Period Three Amount Not toTo Exceed: 1,033,697 Period Four Amount Not toTo Exceed: 1,179,786 Period Five Amount Not To Exceed: 1,379,390 TOTAL AMOUNT NOT TO EXCEED:$ 4,280,8775,660,267”
REFERENCED CONTRACT PROVISIONS. 2 3 “Term: July 1, 2017 through June 30, 2019 through June 30, 2024 4 Period One means the period from July 1, 20172019 through June 30, 2020 Period Two means the period from July 1, 2020 through June 30, 2021 5 Period Three means the period from July 1, 2021 through June 30, 20182022 6 Period TwoFour means the period from July1, 2018July 1, 2022 through June 30, 7 20192023 Period Five means the period from July 1, 2023 through June 30, 2024 9 Aggregate Maximum Obligation: 10 Period One Aggregate Maximum Obligation: $ 11,133,043913,726 11 Period Two Aggregate Maximum Obligation: 11,522,699 12 12,330,706 Period Three Aggregate Maximum Obligation: 12,762,281 13 Period Four Aggregate Maximum Obligation: 14,572,507 14 Period Five Aggregate Maximum Obligation: 14,951,877 15 TOTAL AGGREGATE MAXIMUM OBLIGATION: $22,655,742 $ 66,531,097” 16 Basis for Reimbursement: Fee for Service 17 18 Payment Method: Monthly in Arrears 19 20 Notices to COUNTY and CONTRACTOR: COUNTY: County Exhibit A of Orange Health Care Agency 23 the Contract Services 24 000 Xxxx 0xx Xxxxxx, Xxxxx 000 25 Santa Ana, CA 92701-4637 «LC_NAME» «CONTACT» 2 CONTRACTOR: «LC_DBA» «ADDRESS» 5 «CITY_STATE_ZIP» «CONTACT_EMAIL» 7 // 8 // 9 // 10 // // 11 // 12 // 13 // // 14 15 16 17 18 19 20 21 22 24
REFERENCED CONTRACT PROVISIONS. Term: May 1, 20182020 through June 30, 20202021 Period One means the period from May 1, 2018 through June 30, 2019 Period Two means the period from July 1, 2019 through June 30, 2020 Period Two means the period from July 1, 2020 through June 30, 2021 6
REFERENCED CONTRACT PROVISIONS. 2 Term: July 1, 20122011 through June 30, 20142012 3 Period One means the period from July 1, 2012 through June 30, 2013 4 Period Two means the period from July 1, 2013 through June 30, 2014 5 Aggregate Maximum Obligation: 6 Period One Maximum Aggregate Obligation: $2,869,243 7 Period Two Maximum Aggregate Obligation: 2,869,243 8 TOTAL AGGREGATE MAXIMUM OBLIGATION: $5,738,486 9 Basis for Reimbursement: Actual Cost 10 11 Payment Method: Provisional Amount 12 14 Notices to COUNTY and CONTRACTOR: 15 COUNTY: County of Orange 16 Health Care Agency 17 Contract Development and Management 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 20 CONTRACTOR: «LC_PROV» 21 «CONTACT» 22 «ADDR» «CITY_STATE_ZIP» 24 25 CONTRACTOR’s Insurance Coverages: 26 Coverage Minimum Limits 27 Commercial General Liability $1,000,000 per occurrence 28 $2,000,000 aggregate 30 Automobile Liability, including coverage $1,000,000 per occurrence for owned, non-owned and hired vehicles 32 Workers' Compensation Statutory 33 34 Employer's Liability Insurance $1,000,000 per occurrence Professional Liability Insurance $1,000,000 per claims made or 36 per occurrence 37 2 Sexual Misconduct $1,000,000 per occurrence 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 The following standard definitions are for reference purposes only and may or may not apply in their ACRONYMS
REFERENCED CONTRACT PROVISIONS. 2 3 Master Agreement Term: July 1, 2018 through June 30, 2022 4 Period One means the period from July 1, 2018 through June 30, 2019 5 Period Two means the period from July 1, 2019 through June 30, 2020 6 Period Three means the period from July 1, 2020 through June 30, 2021 7 Period Four means the period from July 1, 2021 through June 30, 2022 8 9 Aggregate Maximum Obligation: 10 Period One Aggregate Maximum Obligation: $ 800,000 11 Period Two Aggregate Maximum Obligation: $1,280,000 12 Period Three Aggregate Maximum Obligation: $1,200,000 13 Period Four Aggregate Maximum Obligation: $1,500,000 Master Agreement Term: July 1, 2018 through June 30, 2023 Period One means the period from July 1, 2018 through June 30, 2019 Period Two means the period from July 1, 2019 through June 30, 2020 Period Three means the period from July 1, 2020 through June 30, 2021 Period Four means the period from July 1, 2021 through June 30, 2022
REFERENCED CONTRACT PROVISIONS. 2 Term: July 1, 20122011 through June 30, 20142012 3 Period One means the period from July 1, 2012 through June 30, 2013 4 Period Two means the period from July 1, 2013 through June 30, 2014 Period One Maximum Obligation: $248,264 Period Two Maximum Obligation: 248,264 TOTAL MAXIMUM OBLIGATION: $496,528 5 Maximum Obligation: $222,764 6 7 8 9 Basis for Reimbursement: Actual Cost 10 Payment Method: Actual Cost 11 12 Notices to COUNTY and CONTRACTOR: 14 COUNTY: County of Orange 15 Contract Development and Management 00 000 Xxxx 0xx XxXxxxxx, 0xx Xxxxx 17 Santa Ana, CA 92701-4637 19 CONTRACTOR: Executive Director Straight Talk Clinic, Inc. 00 0000 Xxxx Xxxxxx 21 Cypress, CA 90630 22 24 CONTRACTOR’s Insurance Coverage’sCoverages: 25 26 Coverage Minimum Limits 27 Commercial General Liability $1,000,000 per occurrence 28 $2,000,000 aggregate 29 Automobile Liability, including coverage $1,000,000 per occurrence 30 for owned, non-owned and hired vehicles 32 Workers' Compensation Statutory 33 Employer's Liability Insurance $1,000,000 per occurrence 34 35 Professional Liability Insurance $1,000,000 per claims made or per occurrence 37 Sexual Misconduct $1,000,000 per occurrence
REFERENCED CONTRACT PROVISIONS. 3 Term: July 1, 20092010 through June 30, 20102011 4 Maximum Obligation: $300,000 5 6 Basis for Reimbursement: Fee for Service 7 8 Payment Method: Fee for Service 9 11 Notices to COUNTY and CONTRACTOR: 13 COUNTY: County of Orange Health Care Agency 14 Contract Development and Management 00 000 Xxxx 0xx Xxxxxx, Xxxxx 000 16 Santa Ana, CA 92701-4637 17 CONTRACTOR: Western Pacific Re-hab 18 Xxxx X. Xxxxxxx 00 0000 Xxx Xxxxxxxx Xxxx 00 Xxxxxxxx, XX 00000 21 23 CONTRACTOR’s Insurance Coverages: 24 Coverage Minimum Limits 26 CommercialComprehensive General Liability with $1,000,000 combined single limit broad form Property damage and Combined Single limit per occurrence 27 contractual liability $2,000,000 Aggregateaggregate 29 Automobile Liability, including coverage $1,000,000 combined single limit 30 for owned, non-owned and hired vehicles Combined Single limit per occurrence
REFERENCED CONTRACT PROVISIONS. 3 Term: October 1, 2017 through June 30, 2021 4 Period One means the period from October 1, 2017 through June 30, 2018 5 Period Two means the period from July 1, 2018 through June 30, 2019 6 Period Three means the period from July 1, 2019 through June 30, 2020 7 Period Four means the period from July 1, 2020 through June 30, 2021 9 Maximum Obligation: 10 Period One Maximum Obligation: $ 837,803 11 Period Two Maximum Obligation: 1,064,770 12 Period Three Maximum Obligation: 1,064,770 13 Period Four Maximum Obligation: 1,064,770 14 TOTAL MAXIMUM OBLIGATION: $ 4,032,113 Period Five means the period from July 1, 2021 through June 30, 2022 Period Four means the period from July 1, 2020 through June 30, 2021 Period Three means the period from July 1, 2019 through June 30, 2020 Period Two means the period from July 1, 2018 through June 30, 2019 Period One means the period from October 1, 2017 through June 30, 2018 Term: October 1, 2017 through June 30, 2022 16 17 18 19 20 21 Maximum Obligation: 22 Period One Maximum Obligation: $ 837,803 Period Two Maximum Obligation: 1,064,770 Period Three Maximum Obligation: 1,064,770 Period Four Maximum Obligation: 1,064,770 Period Five Maximum Obligation: 1,494,303 23 24 25 26 27 TOTAL MAXIMUM OBLIGATION: $ 5,526,416 28 29 30 31 Basis for Reimbursement: Actual Cost 32 33 Payment Method: Monthly in Arrears 34 35 CONTRACTOR DUNS Number: 00-000-0000 36 37 CONTRACTOR TAX ID Number: 00-0000000 2 Notices to COUNTY and CONTRACTOR: 3 4 COUNTY: County of Orange 6 Contract Services 7 000 Xxxx 0xx Xxxxxx, Xxxxx 000 0 Xxxxx Xxx, XX 00000-0000 10 CONTRACTOR: Olive Crest 11 0000 X. 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, Xxxxxxxxxx 00000 13 Xxxxxx Xxxxxxx, Chief Executive Office 14 Xxxxxx-xxxxxxx@xxxxxxxxxx.xxx 16 // 17 // 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 6 of 41
REFERENCED CONTRACT PROVISIONS. 2 3 Term: July 1, 2008 through June 30, 2009 $3,845,330 4 Maximum Obligation: $3,645,330 5 6 Basis for Reimbursement: Actual Cost 7 Payment Method: Provisional Amount 8 10 Notices to COUNTY and CONTRACTOR: 12 COUNTY: County of Orange Health Care Agency 13 Contract Development and Management 14 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 18 CONTRACTOR: Telecare Corporation 19 0000 Xxxxxx Xxxxxxx Xxxxxxx, Xxxxx 000 00 Xxxxxxx, XX 00000 22 CONTRACTOR’s Insurance Coverages: 23 Minimum Limits Coverage per Occurrence 25 Workers' Compensation Statutory 26 27 Employer's Liability $1,000,000 28 29 Professional Liability $1,000,000 30 Comprehensive General Liability Insurance $1,000,000 31 32 Sexual Misconduct $1,000,000 34 Comprehensive Automobile Liability Insurance, ) $1,000,000 35 covering the owned, non-owned and hired ) (Combined Single Limit) 36 automobile hazards, including any COUNTY- ) 37 loaned vehicles )
REFERENCED CONTRACT PROVISIONS. 2 3 Term: July 1, 2016 through June 30, 2018 4 Period One means the period from July 1, 2016 through June 30, 2017 5 Period Two means the period from July 1, 2017 through June 30, 2018 Period One Maximum Obligation: $ 700,000 Period Two Maximum Obligation: 700,000 TOTAL MAXIMUM OBLIGATION: $1,400,000 7 Maximum Obligation: 8 9 10 11
