CTR047091_Contract_Amendment_Summary_3.pdf

CONTRACT AMENDMENT

ARIZONA DEPARTMENT

OF HEALTH SERVICES

150 N. 18th Ave., Ste. 530 Phoenix, Arizona 85007

CONTRACT No.:

CTR047091

CONTRACT AMENDMENT No.: 3 ARIZONA PROCUREMENT PORTAL AMENDMENT No.: 3

PROCUREMENT OFFICER

Jacqueline S. Ortega-Avila

REGISTRY STAFFING SERVICES FOR THE ARIZONA STATE HOSPITAL

Effective upon signature, it is mutually agreed that the Contract referenced is amended as follows:

1. Pursuant to the Uniform Terms and Conditions, Provision Five (5), Contract Change, Item 5.1 Amendments, the Scope of Work, Provision Five (5), Tasks, Items 5.11 and 5.12 is hereby effective June 19th, 2020.

5.11 Pursuant to the Hospital's prior approval, the Contractor shall provide an incentive payment to its employees as follows:

5.11.1 A fifteen percent (15%) crisis pay incentive for time worked at the State Hospital; or

5.11.2 A twenty-five percent (25%) hazard pay incentive for time worked at the State Hospital and assigned to a Covid-19 Unit.

5.12 The Contractor shall increase its hourly billable rate to the Hospital to account for the increased incentive rates indicated above. The Hospital will notate the timecards of registry staff to indicate if and when then individual worked on a Covid-19 unit.'

-CONTINUED ON NEXT PAGE-

Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date.

The above referenced Contract Amendment is hereby executed this __________ day of____________________, 2020 at Phoenix, Arizona.

Signature and Date

Authorized Signatory’s Name and Title

CONCENTRIC HEALTHCARE SOLUTIONS, LLC.

Procurement Officer Signature

Contractor Name rbales Typewritten Text Robert Bales rbales Typewritten Text Vice President, Opertations

CONTRACT AMENDMENT

ARIZONA DEPARTMENT

OF HEALTH SERVICES

150 N. 18th Ave., Ste. 530 Phoenix, Arizona 85007

CONTRACT No.:

CTR047091

CONTRACT AMENDMENT No.: 3 ARIZONA PROCUREMENT PORTAL AMENDMENT No.: 3

PROCUREMENT OFFICER

Jacqueline S. Ortega-Avila

2. Pursuant to Uniform Terms and Conditions, Provision Five (5), Contract Change, Item 5.1 Amendments, the Revised Price Sheet is hereby revised and replaced with the Revised Price Sheet of this Amendment Three (3).

The amendment is due to the Covid-19 crisis pay incentive and hazard pay incentive. The Price Sheet for line items

38.0 and 39.0 is hereby added as follows:

LINE

ITEM DESCRIPTION QTY.

UOM

UNIT PRICE

38.0 A fifteen percent (15%) crisis pay incentive for time worked at the Arizona State Hospital. 1 PCT (%) $0.00

39.0 A twenty-five percent (25%) hazard pay incentive for time worked at the Arizona State Hospital and assigned to a Covid-19 Unit. 1 PCT (%) $0.00

3. In APP the “Price List” Tab effective date of the Contract will be revised to reflect the revised effective date of June 19th, 2020 pricing upon execution of this Amendment Three (3).

ALL OTHER PROVISIONS OF THIS CONTRACT SHALL REMAIN IN THEIR ENTIRETY