~00SCOUNTY CLERK
COOS COUNTY FILING COVER SHEET

TO:

Coos County Clerk's Office

FROM:

Coos County Sheriff's Office

M.4R2 6.2013
FILE;)Q/J (}/J__# .:b 7
BY_ __ _ O~PUl

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: Sheriff's 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%)
Contract Period 7/1/13 - 6/30/14

MEETING DATE: (or date of document):

BOC signed 3/19/13

CONTRACT/GRANT SUMMARY FORM
Cler1<'s File C&A No.:

Internal Contract/Agreement or Grant No.: _ _

(complete after filed wtth Clerk)

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

Phone No. 410-567-5541

Amount of Contract/Grant Award: $ 443.167 .44
Payment Terms: monthly payments in advance (state lump sum or amount and time of payments)
Start Date: 7/01/13 End Date: 6/30/14
County Department and Employee Responsible for Performance: Sheriff Craig Zanni/Sgt Darius Mede
Description: Amendment to CA#173 dated 6/15/09 to increase compensation by two and one half percent (2.5%)

STATE%

FEDERAL %
(CFDA # Reauiredl

OTHER%

Catalog of Federal Domestic Asst.
*(CFDA) Number

..

*CFDA is a five digit number in the following fonnat: xx.xxx. The first two d1g1ts 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
84.xxx Dept. of Education
11.xxx Dept. of Commerce 16.xxx USDOJ 39.xxx General Svs. Admin. 83.xxx FEMA 93.xxx USDHHS
NOTE: If the contract/grant I• aasoclated with more than one CDFA number, each segment must have It'• own summary fonn.

D New

D Renewal

Previous Amount: $
Previous Date:
Automatic Renewal? □Yes □ No
Will unemployment cost be incurred? □Yes □No

0 Modification
Original Amount $
Original Date:
Staff Requirements: □ New □ Existing □Subcontract

Method of Selection:
D None
D Other
D Proposal
--

Type of Contract:
D New (complete sections below)
D Renewal (no need to complete sections below)
~ Modification (no need to complete sections below)

D Bid
D Quote

t)pe of Contract:
Goods and Services - If Not Using Bid or Proposal. Mari< Exemption:

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

0

Public Improvement- If Not Using Bid, Mari< Exemption:

0
0
0

Under $5000
Under $50,000 for Quotes
Under $100,000 & Not a Transportation Project for
Quotes

D

0 Equipment Maintenance
O Office Supplies
D Used Vehicles
O State Purchasing
O Other _ _
0

Alternative Contracting Method Approved by Board
_

□ Other _

Personal Services Contract - If Not Using Proposal. Mari< 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 ONo
Form of contract: D Oral C8J 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 #173, providing for medical services in the Coos
County Jail ("Contract"}; and
WHEREAS, County and Contractor have executed an Amendment to the Contract dated
September 8, 2010 removing the Dental Program from the Scope of Work and applying a credit
to Coos County for amounts paid towards the Dental Program for services and equipment and
supplies; 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
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, 2013 through June
30, 2014 the annual service charge shall be increased by two and one half percent
(2.5%} from the prior year; for a monthly rate of $36,930.62, with the full
compensation for such term not to exceed $443,167.40.
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.
BOARD OF COMMISSIONERS

. CaivJ GJ4\
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Commissioner

Conmed, Inc.
7250 Parkway Drive Suite 400
Hanover, MD 21076

Coos County Courthouse
250 N. Baxter Street
Coquille, OR 97423

410.567.5537 / ,

541.396.7535

;;/4,3

Date

I

Date