CM-2015-933 - 10/16/2015PENDING FINAL SIGNATURE
FROM OTHER PARTY
CITY OF ROUND ROCK §
STATE OF TEXAS §
COUNTY OF TRAVIS §
COUNTY OF WILLIAMSON §
KNOW ALL BY THESE PRESENTS:
SUPPLEMENTAL AGREEMENT NO. I
TO "CITY OF ROUND ROCK AGREEMENT
FOR ON SITE MEDICAL CLINIC SERVICES
WITH
HEALTHSTAT, INC."
THIS SUPPLEMENTAL AGREEMENT NO. 1 to "City of Round Rock Agreement for
On Site Medical Clinic Services with Healthstat, Inc.," hereinafter called "Supplemental
Agreement No. 1," is made by and between the City of Round Rock, Texas, a home -rule
municipality, hereinafter called "City" and Healthstat, Inc., hereinafter called the "Services
Provider."
WHEREAS, City and Services Provider executed the referenced "City of Round Rock
Agreement for On Site Medical Clinic Services with Healthstat, Inc.," hereinafter called the
"Agreement," on January 23, 2014 by Resolution No. R -14-01-23-G2; and
WHEREAS, the Agreement provided in the appended Exhibit "C" ("Service Cost") that
the City shall pay Services Provider Program Administration Fees in the amount of $61.81 per
Clinic Participant per month to cover the cost of operating the On Site Medical Clinic (the
"Clinic") for a monthly fee of $48,211.80; and
WHEREAS, a part --time Medical Office Assistant has been added to the staff of the
Clinic resulting in an increase in the Clinic's operating costs;
NOW THEREFORE, in consideration of the mutual promises and obligations in the
Agreement and this Supplemental Agreement No. 1, City and Services Provider agree that said
Agreement is amended and supplemented as follows:
I.
Exhibit "C" of the Agreement is hereby amended as follows:
Program Administration Fees. During the initial term of this Agreement, Employer shall pay
Healthstat a fee of $61.8-1- $67.22 per Clinic Participant per month to cover the cost to support
effective on-going operation of the program unless Employer does not pay by ACH.
00343707/ss2
0ys-2cx�'-jq 33
Clinic Location
Minimum Program Administration Fee
Billed Per Month
Round Rock, Texas
$493244-.80 52 433.69
II.
This Supplemental Agreement No. 1 shall amend the original Agreement only as set forth
herein with no other changes in terms or conditions of the original Agreement.
IN WITNESS WHEREOF, City and Services Provider have executed this Supplemental
Agreement to be effective as of the last date of due execution by both parties.
CITY OF ROUND ROCK, TEXAS
By:
Printed Nme:
Title: G�
Date Signed: /99- P5,
ATTEST:
By: %M'14
Sara L. White, City Clerk
FOR CITY, PPROVEID AS TO FORM:
By: 4..
Stephan . Sheets, City Attorney
HEALTHSTAT, INC.
By:
Printed Name:
Title:
Date Signed: .
z
City of Round Rock
ROUND ROCK
TEXAS Agenda Item Summary
Agenda Number:
Title: Suppl #1 - Fee increase due to employee addition at clinic
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 10/16/2015
Dept Director:
Cost:
Indexes:
Attachments: Healtstat LAF 10 8 15
Department:
Text of Legislative File CM -2015-933
Suppl #1 - Fee increase due to employee addition at clinic
This is the amendment for the fee increase for the additonal staff person at Rockcare. This additional
staff was needed to open the clinic to employee dependents age 5 and up.
Staff recommends approval
City of Round Rock Page 1 Printed on 10115/2015