COOS COUNTY FILING COVER SHEET

TO:

Coos County Clerk's Office

FROM:

Coos County Sheriff's Office

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

!example

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,r COOS COUNTY, OREGON

Commissioners'
Journal

CJ 2015-000279

05/22/2015 8:36:21 AM

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 ~ompensation by two point forty three percent (2.43%)
Contract Period 7/1/15 - 6/30/16

MEETING DATE: (or date of document):

BOC signed si19/15

CONTRACT/GRANTSUMMARYFORM
Clerk's F!fe C&A No.:_____ (complete after filed with Clerk)

Internal Contract/Agreement or Grant No.: _ _

Name/Agency Name and Address: Conmed, Inc: 1283 Murfressboro Rd, Suite 500 Nashville. TN 37217
Contact Person: Stevens J Hyppolite

Phone No. 302-399-7345 / 800-592-2974

Amount of Contract/Grant Award: $ 475738.80
Payment Terms: monthly payments in advance (state lump sum or amount and lime of payments)
Start Date: 07/01/15 End Date: 06/30/16
County Department and Employee Responsible for Performance: Sheriff Zanni / Darius Mede
Description: Amendment to CA#173 dated 6/15/09 to increase compensation by two point forty three percent (2.43%) and
increase the aggregate cap to $10,000.

. FiNANCIAL INFORMATION :
STATE%

OTHER%

FEDERAL%
(CFDA # ReQuired)

Catalog ofFederal Domestic Asst.
*(CFDA) Number

. .

*CFDA is a five digit number in the following format: xx.XJO(. 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.XJO( USDA
14.XJO( HUD
20.XJO( USDOT
66.XJO( EPA
84.XJO( Dept. of Education
11.xxx Dept. of Commerce 16.xxx USDOJ 39.xxx General Svs. Admin. 83.xxx FEMA 93.XJO( USDHHS
NOTE: If the contract/grant is associated with more than one CDFA number, each segment must have it's own summary form.

D New D Renewal ~ Modification
Previous Amount:$ 454,689.79
Original Amount $ 395,925.00
Previous Date: 7/1/14 - 6/30/15
Original Date: 7/1/09
Automatic Renewal? □Yes !8]No
Staff Requirements: □New ~Existing □ Subcontract
Will unemployment cost be incu rred? □Yes ~ No

Method of Selection:
D Bid
D None
D Quote
D Other _ _
D Proposal

PUBLIC.! CONTRACTING INFORMATION.·.:·
Type of Contract:

:•>·

D New (complete sections below)
D Renewal (no need to complete sections below)
t8l Modification (no need to complete sections below)

Type of Contract:
D Goods and Services - If Not Using Bid or Proposal, Mark Exemption:

D
D
D
D
D

D

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

Equipment Maintenance
Office Supplies
Used Vehicles
State Purchasing
Other _ _

·Public Improvement - If Not Using Bid, Mark Exemption:

D
D

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

D

D
D
D
D
D

D Alternative Contracting Method Approved by Board
□ Other _ _

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

D
D

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

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

r - - - - - - - - - - - - - - - - -·

CONTRACT AMENDMENT FOR JAIL MEDICAL SERVICES
COOS COUNTY JA!L
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. (Conmed), 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; 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;
NOW, THEREFORE, IT IS HEREBY AGREED by and between the parties hereto that the
Contract be amended as follows:
EXHIBIT A , SECTION 3 COMPENSATION: For the period of July 1, 2015 through June 30, 2016
the annual service charge shall be increased by 2.43% from the prior year and shall have an
aggregate cap increase of $10,000; for a monthly rate of $39,644.90, with the full compensation
for the year not to exceed $475,738.80.
AND IT IS FURTHER AGREED that in all other respects the terms and conditions of the original
Contract thereto shall cor:itinue in full force and effect.

CONMED, INC.

BOARD OF COMMISSIONERS

~UNTY,OREGON
Chair
Secretary

··Af;J•· {Y1 .
~

Conmed, Inc.
1283 Murfreesboro Road, Suite 500
Nashville, TN 37217
800-592-297 4

Coos County Courthouse
250 N. Baxter Street
Coquille, OR 97423
541 .396.7535

Date

Date