CM-2023-002 - 1/6/2023 SECOND AMENDMENT
TO
CLINIC SERVICE AGREEMENT
This Second Amendment to Clinic Service Agreement(this"Second Amendment')entered into as of the
last signature date below by and between City of Round Rock ("City") and Direct Care Medical PLLC
("DCM")Assignee under Assignment effective January 1, 2021 of that certain Clinic Service Agreement
dated November 20, 2018 (the "Agreement"), by and between CareATC, Inc. ("CareATC") and City.
Each a"Party"or together"Parties".
WHEREAS,City and CareATC entered into the Agreement,pursuant to which CareATC provides Covered
Services through its private medical clinics to City for the benefit of eligible employees and other eligible
participants;and
WHEREAS,City and DCM desire to amend the terms of the Agreement;
NOW, THEREFORE, in consideration of the mutual covenants, promises and representations contained
herein and, in the Agreement,City and DCM agree as follows:
1. Section 3 "Rate and Performance Guarantee" of the Agreement, the first paragraph is amended as
follows:
The Fees set forth in Exhibit B effective with the third renewal shall remain the same(unchanged) for
the fourth renewal term of this Agreement.
2. Exhibit B"Clinic Monthly Fees"of the Agreement is amended as follows:
The Parties agree that the monthly administration fee for the fourth renewal term will remain unchanged
from the third renewal term rate of$56,010.72. This fee is calculated using our half day rate of
$1,293.55 for 10 blocks per week.
3. Except as amended by this Second Amendment,all terms,provisions,and conditions of the Agreement
remain unchanged and shall continue in full force and effect. The Agreement, as amended by this
Second Amendment, constitutes the complete and entire understanding of City and DCM with respect
to the subject matter thereof. In the event of a conflict between the terms and conditions of the
Agreement and this Second Amendment, the terms and conditions of this Second Amendment shall
govern with respect to the subject matter hereof. This Second Amendment may be executed in
counterparts, each of which will be deemed an original and all of which together will constitute one
and the same document. Signature pages may be transmitted by facsimile, PDF, e-signature or other
electronic means and shall be deemed original.
�- 220 2-32-
Parc 112
DocuSign Envelope ID:72731 DAF-49EF-4392-80ACACDE1 101 CF87
IN WITNESS WHEREOF,the parties hereto have executed this Second Amendment as of the last signature
date below.
Direct Care Medical PLLC City of Round Rock
(DCM) DocuSigned by:
L jALj 4,�/L
Name: JeffMmoni Name.4"ftttrie4"A"i"It�r 6vvilk(,4/,Lf
&S;-SI
Title: Chief Financial Officer Title.)�ity Manager
Date: 2/7/2023 Date: OJ — D4" - P,2—
y
City of Round Rock
J!ROUNO ROCK
TSS Agenda Item Summary
Agenda Number:
Title: Consider executing a Second Amendment to a Clinic Service Agreement with
Direct Care Medical PLLC(formerly CareATC).
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 1/6/2023
Dept Director: Valerie Francois,Human Resources Director
Cost: $0.00
Indexes: Self-Funded Health Insurance
Attachments: CareATC Renewal
Department: Human Resources
Text of Legislative File CM-2023-002
This agreement provides Covered Services through its private medical clinic to the City for the benefit of
eligible employees and retirees and other eligible participants.
Cost:0%rate increase. This is an extension of the current contract.
Source of Funds:Self-Funded Health Insurance.
City of Round Rock Page i of 1