COOS COUNn' CLERK
AUG 16 2011

COOS COUNTY FILING COVER SHEET

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I ILL

TO:

Coos County Clerk's Office

FROM:

Coos County Sheriff's Office

BY_ _ _-+DEPUn'

Please file the attached document in the selected category indicated in
the box below using the following information:
Board of Commissioners
Special Districts
Registry of Offices
Elections

X

Contracts & Agreements
Vacation Proceedings
Demand for Just Compensation

INDEXING INFORMATION

Resolution #
Order#
First Party:

Conmed, Inc.

Second Party: Sheriffs Office
SUBJECT OF ITEM BEING FILED:
(Brief description - minutes, contracts, etc.)

Contract Amendment

DOCUMENT REMARKS:
Amendment to CA #173 dated 6/15/09
to increase compensation by two and one half percent (2.5%)

MEETING DATE: (or date of document):

BOC signed 8/8/2011

CONTRACT/GRANTSUMMARYFORM
Clerk's File C&A No.:_____ (complete alter filed with Clerk)

Internal Contract/Agreement or Grant No.: _ _

Name/Agency Name and Address: Conmed, Inc: 7250 Parkway Dr.,Ste.400, Hanover, MD 21076
Contact Person: Larry F. Doll

Phone No. 410-567-5537

Amount of Contract/Grant Award: $ 421 .831 .08
Payment Terms: monthly payments in advance

(state lump sum or amount and time of payments)

Start Date: 7/01/11 End Date: 6/30/201 2
County Department and Employee Responsible for Performance: Sheriff Zanni/Delphine Green
Description: Amendment to CA#173 dated 6/15/09 to increase compensation by two and one half percent (2.5%}

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STATE%

OTHER %

FEDERAL%
(CFDA # Reauired)

.

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,·

Catalog of Federal Domestic Assl
•(CFDA) Number

.

*CFDA is a five digit number m the following fonnat xx.xxx. The first two dgits designate the federal agency and the last three the grant description .
The following is a partial listing of the two digit agency identifier:
10.xxx USDA
14.xxx HUD
20.xxx USDOT
66.xxx EPA
64.xxx Dept. of Education
11.xxx Dept. of Commerce 16.xxx USDOJ 39.xxx General Svs. Adm in. 83.xxx FEMA 93.xxx USDHHS
NOTE: If the contract/grant Is associated with more than one COFA number, each segment must have It's own swnmary form.

D

New D Renewal 1:8:1 Modification
Previous Amount $ 411,525.00
Original Amount: $ 395,925.00
Previous Date:
Original Date: 6/15/09
Automatic Renewal? □Yes [8:INo
Staff Requirements: □New [8:IExisting □Subcontract
Will unemployment cost be incurred? □Yes [8:INo

Method of Selection:
0 Bid
O None
0 Quote
O Other _ _
O Proposal

· ~ miiiic~••oiiiiiiii: Type of Contract:

0 New (complete sections below)

0 Renewal (no need to complete sections below)
181 Modification (no need to complete sections below)

Bpe of Contract:
Goods and Services - If Not Using Bid or Proposal. Mark Exemption:

0
0

0

0
0

D

Under $5000
Under $50,000 for Quotes
Under $150,000 & Approval from Board for Quotes
Sole Source
Contract with Public Agency

D
D

O

Used Vehicles
State Purchasing
Other _ _

0

Alternative Contracting Method Approved by Board

Public Improvement - If Not Using Bid. Mark Exemption:

D Under $5000

0
0

Under $50,000 for Quotes
Under $100,000 & Not a Transportation Project for
Quotes

D

0 Equipment Maintenance
O Office Supplies

□ Other _ _

Personal Services Contract - If Not Using Proposal, Mark Exemption:

0
0

Under $50,000
Under $150,000 & Approval from Board

Will project be reported to Bureau of Labor for Prevailing Wages under ORS 279C.800? □Yes □ No
Certificate of insurance required? □Yes □ No
Form of contract: D Oral 1:8:1 Written (attach the written contract)

Contract and Grant Summary Fonn

Revised 6128/05

CONTRACT AMENDMENT FOR JAIL MEDICAL SERVICES
COOS COUNTY JAIL

This Contract Amendment is entered into on the date last set forth below
by and between Coos County, a political subdivision of the State of Oregon
acting by and through its Board of Commissioners and hereinafter referred to
as "County", and Conmed, Inc. hereinafter referred to as "Contractor", which
parties do hereby agree as follows:
WHEREAS, County and Contractor have a Contract dated June 15, 2009 and
filed in the records of the Coos County Clerk at 2009 CA 1173, providing for
medical services in the Coos County Jail; and
WHEREAS, County and Contractor desire to amend the compensation
provisions for the remainder of the Contract term to reflect an increase in
the cost of services pursuant to Exhibit A Section 3 ; and
WHEREAS , County and Contractor desire to amend the Contract to update
t he County' s representative for administration of the Contract;
NOW, THEREFORE, IT IS HEREBY AGREED by and between the parties hereto
that the Contract be amended as follows :
A. EXHIBIT A SECTION 3 COMPENSATION: For the period of July 1, 2011 through
June 30, 2012 the annual service charge shall be increased by Two and
one half percent (2.5%) from the prior year; for a monthly rate of
$35,151.09, with the full compensation for such term not to exceed
$ 421 , 831.08 ; and
B. SECTION 3 NOTICE : County' s representative for administration of this
Contract is Sheriff Craig Zanni;
AND IT IS FURTHER AGREED that in all other respects the terms and
conditions of the original Contract thereto shall continue in full force and
effect.
CONMED, Inc.

Commissioner___

__

d

~R-~
ommlssioner

Conmed Inc.
7250 Parkway Drive Suite 400
Hanover, MD 21076
(410)567-5537

Date

1/r,f (

Coos County Courthouse
250 N. Baxter Street
Coquille, OR 97423
(541)396-3121 Ext. 225

Date