4th Amendment 05/20/2009
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
May 27, 2009
TO:
Teresa Aguilar
Employee Service~
Pamela G. Hanco"ck!b. C.
FROM:
~o
At the May., 2009, Board of County Commissioner's meeting, the Board granted
approval and authorized execution of Contract Agree~ents for the County's Third Party
Administrator - Wells Fargo and Utilization Review/Case Management and Local Network
Provider - Keys Physician Hospital Alliance.
Enclosed js a duplicate original of the Agreemen~ with Wells Fargo and a copy of the
Agreement witlYKPHA for your handling. Should you hate any questions please do not hesitate
to contact this office.
cc: County Attorney
Finance
File /
FOURTH AMENDM~NT
TO EMPLOYER-PROVIDER N TWORK AND
UTILIZATION REVIEW AND CASE MANAGEMENT
SERVICES AGREEME T
THIS FOURTH AMENDMENT, made and entered into this 20th day of
_May_ 2009, by and between Board of County Commissioners of Monroe County
(hereinafter called "County") and Keys Physician-Hospital Alliance ("KPHA").
WHEREAS, on March 1, 2004, County and KPHA entered into an agreement
for the provision of utilization review and case management services ("Agreement");
and
WHEREAS, the term of the Agreement was subsequently extended by
amendments dated May 18,2005, January 1,2007, and April 16, 2008; and
WHEREAS, a Request for Proposals ("RFP") was completed in February, 2009;
and
WHEREAS, after review of the proposals s4bmitted in response to that RFP,
the County has determined that it is in the best in~erests of the County and serves a
public purpose to continue with the services provided by KPHA; and
WHEREAS, KPHA wishes to continue with the service it provides County,
NOW THEREFORE, in consideration of the mutual promIses and
considerations, the parties agree to amend the Agreement as follows:
1) Section 10. TERM shall be amended as follows:
The terms of this Agreement shall be effective May 20, 2009 and
continue for a period of one year. Thereafter, the Agreement shall
automatically renew for two (2) consecutive one (1) year terms.
KPHA agrees to provide the Employer with at least ninety (90) days
written notice of the intent to terminate, non-renew, or amend this
Agreement. The County agrees to provide KPHA with at least
ninety (90) days written notice of the intent to terminate or non-
renew this agreement. Any modifications of the terms of this
agreement may occur upon the np.utual agreement of the parties.
i
2) In all respects the terms and cqnditions of the original agreement
remain in full force and effect. '
IN WITNESS WHEREOF, the parties hereto ~ave executed this Agreement as of
the date first written above. I
A'ITEST: DANNY L. KOLHAGE
BY:Cl~~
./
Deputy Clerk
MAY 2 0 2009
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B<j>ard of County Commissioners
ot Monroe County
By: ~~~.. 'rJoI.4,e.<f-.
Mayor
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Rdbin Lockwood, President
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