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C-number: C-86-10-143-M

C-number: C-86-10-143-M-00
Item: #44
Revision: 00
Item Text
44. FACILITY USE/REVOCABLE LICENSE AGREEMENT WITH CATHOLIC HEALTHCARE WEST DBA CHANDLER REGIONAL MEDICAL CENTER FOR ORAL HEALTH SERVICES Approve full service Facilities Use/Revocable Agreement No. P50135 with Catholic Healthcare West, a California non-profit public benefit Corporation d/b/a Chandler Regional Medical Center, Licensee, for the user of clinic space to perform Oral Health Services to uninsured WIC eligible children ages 0 to five, their families and pregnant women, at the WIC clinic located at 635 East Broadway, Mesa, AZ 85204. The term of the Agreement is from June 1, 2010 through May 31, 2011. License agrees to provide the services at no cost to the County and the recipients. County agrees to provide access and promotion assistance without monetary remuneration. (C-86-10-143-M-00)

C-number: C-86-10-143-M-01
Item: #41
Revision: 01
Item Text
41. AMENDMENT TO FACILITY USE AGREEMENT WITH CATHOLIC HEALTHCARE WEST D/B/A CHANDLER REGIONAL MEDICAL CENTER Approve Amendment No. 1 to full service Facilities Use/Revocable Agreement No. P50135 between Catholic Healthcare West, a California non-profit public benefit Corporation d/b/a Chandler Regional Medical Center, Licensee, and Maricopa County by and through its Department of Public Health, WIC Agency, for the user of clinic space to perform Oral Health Services to uninsured WIC eligible children ages 0 to five, their families and pregnant women, at the WIC clinic located at 635 East Broadway, Mesa, AZ 85204 . The term of the Agreement is from June 1, 2010 through May 31, 2011. This Amendment adds the following paragraph to Section 10. Insurance: 10.8 The User shall have in effect at all times during the term of this Agreement insurance or comparable self-insurance that is adequate to protect the County, its officers, employees, property, and equipment against the losses set forth below. The User shall provide the County with a certificate of insurance or a certified copy of the insurance policy naming the County as an additional insured, or, if the User is self-insured, shall provide the County with a letter indicating that it is self-insured. All other terms and conditions of the original Agreement shall remain in full force and effect. (C-86-10-143-M-01)

C-number: C-86-10-143-M-03
Item: #55
Revision: 03
Item Text
55. AMENDMENT TO FACILITY USE REVOCABLE LICENSE AGREEMENT WITH CHW CHANDLER REGIONAL MEDICAL CENTER FOR ORAL HEALTH HEARING AND VISION SCREENINGS AT CHANDLER WIC Approve Amendment No. 2 to full service Facilities Use/Revocable License Agreement (P50136) between the Catholic Healthcare West, a California non-profit public benefit corporation d/b/a Chandler Region Medical Center (CRMC), Licensee, and Maricopa County by and through its Department of Public Health, Women, Infant and Children (WIC) Agency, for the user of clinic space to perform Oral Health, Hearing and Vision screening to underserved WIC eligible children ages zero (0) to five (5), their families and pregnant women at the WIC clinic located at 3002 North Arizona Avenue, Chandler, AZ 85225. The term of the Amendment starts from June 1, 2011 and ends May 31, 2012. Licensee agrees to provide the services at no cost to the County and the recipients. County agrees to provide access without monetary remuneration. All other terms and conditions of the original agreement shall remain in full force and effect. This Use Permit Agreement allows for CRMC the use of clinic space at the Chandler WIC facility as scheduled on Exhibit “A”. The Facility Review Committee has reviewed this Facility Use/Revocable Agreement. (C-86-10-143-M-03)

C-number: C-86-10-143-M-02
Item: #58
Revision: 02
Item Text
58. AMENDMENT TO FACILITY USE REVOCABLE LICENSE AGREEMENT WITH CHW CHANDLER REGIONAL MEDICAL CENTER FOR ORAL HEALTH HEARING AND VISION SCREENINGS AT BROADWAY WIC Approve Amendment No. 2 to full service Facilities Use/Revocable License Agreement (P50135) between the Catholic Healthcare West, a California non-profit public benefit corporation d/b/a Chandler Region Medical Center (CRMC), Licensee, and Maricopa County by and through its Department of Public Health, Women, Infant and Children (WIC) Agency, for the user of clinic space to perform Oral Health, Hearing and Vision screening to underserved WIC eligible children ages zero (0) to five (5), their families and pregnant women at the WIC clinic located at 635 East Broadway, Mesa, AZ 85204. The term of the Amendment starts from June 1, 2011 and ends May 31, 2012. Licensee agrees to provide the services at no cost to the County and the recipients. County agrees to provide access without monetary remuneration. All other terms and conditions of the original agreement shall remain in full force and effect. This Use Permit Agreement allows for CRMC the use of clinic space at the Broadway WIC facility as scheduled on Exhibit “A”. The Facility Review Committee has reviewed this Facility Use/Revocable Agreement. (C-86-10-143-M-02)

C-number: C-86-10-143-M-03
Item: #100
Revision: 03

Vote: approved

Item Text
100. ADMINISTRATIVE CORRECTION TO AMENDMENT TO FACILITY USE REVOCABLE LICENSE AGREEMENT WITH CHW CHANDLER REGIONAL MEDICAL CENTER FOR ORAL HEALTH HEARING AND VISION SCREENINGS AT CHANDLER WIC Approve administrative correction to C-86-10-143-M-03 approved on June 8, 2011 regarding Facility Use Revocable License Agreement with CHW Chandler Region Medical Center. This agreement should be linked to C-86-10-141-M. Therefore, this action amends the C# approved on June 8, 2011 to be C-86-10-141-M correctly linking this amendment to the proper base agreement. The Facility Review Committee has reviewed this Facility Use/Revocable Agreement. (C-86-10-143-M-04) 101. AFFILIATION AGREEMENT WITH KINDRED HOSPITALS WEST, L.L.C. DBA KINDRED HOSPITALS ARIZONA – PHOENIX, DBA KINDRED HOSPITALS ARIZONA – SCOTTSDALE, DBA KINDRED HOSPITALS ARIZONA – NORTHWEST FOR CLINICAL TRAINING EXPERIENCE Approve the Affiliation Agreement with Kindred Hospitals West, L.L.C. dba Kindred Hospitals Arizona – Phoenix, dba Kindred Hospitals Arizona – Scottsdale, dba Kindred Hospitals Arizona – Northwest to provide clinical nutrition training experience for graduate students in the dietetic internship. The agreement is non-financial, and the term is to be from July 1, 2011 through June 30, 2016. (C-86-12-011-3-00)

C-number: C-86-10-143-M-03
Item: #101
Revision: 03

Vote: approved

Item Text
100. ADMINISTRATIVE CORRECTION TO AMENDMENT TO FACILITY USE REVOCABLE LICENSE AGREEMENT WITH CHW CHANDLER REGIONAL MEDICAL CENTER FOR ORAL HEALTH HEARING AND VISION SCREENINGS AT CHANDLER WIC Approve administrative correction to C-86-10-143-M-03 approved on June 8, 2011 regarding Facility Use Revocable License Agreement with CHW Chandler Region Medical Center. This agreement should be linked to C-86-10-141-M. Therefore, this action amends the C# approved on June 8, 2011 to be C-86-10-141-M correctly linking this amendment to the proper base agreement. The Facility Review Committee has reviewed this Facility Use/Revocable Agreement. (C-86-10-143-M-04) 101. AFFILIATION AGREEMENT WITH KINDRED HOSPITALS WEST, L.L.C. DBA KINDRED HOSPITALS ARIZONA – PHOENIX, DBA KINDRED HOSPITALS ARIZONA – SCOTTSDALE, DBA KINDRED HOSPITALS ARIZONA – NORTHWEST FOR CLINICAL TRAINING EXPERIENCE Approve the Affiliation Agreement with Kindred Hospitals West, L.L.C. dba Kindred Hospitals Arizona – Phoenix, dba Kindred Hospitals Arizona – Scottsdale, dba Kindred Hospitals Arizona – Northwest to provide clinical nutrition training experience for graduate students in the dietetic internship. The agreement is non-financial, and the term is to be from July 1, 2011 through June 30, 2016. (C-86-12-011-3-00)

C-number: C-86-10-143-M-07
Item: #56
Revision: 07
Item Text
56. AMENDMENT TO FACILITY USE REVOCABLE LICENSE AGREEMENT WITH DIGNITY HEALTH FOR ORAL HEALTH, EDUCATION, HEARING AND VISION SCREENINGS AT BROADWAY WIC Approve Amendment No. 4 to full service Facilities Use/Revocable License Agreement (FURL) (P50136) between the Dignity Health, a California non-profit public benefit corporation d/b/a Chandler Region Medical Center (CRMC), Licensee, and Maricopa County by and through its Department of Public Health (MCDPH), Women, Infant and Children (WIC) Agency, for the use of clinic space to perform Oral Health, Hearing and Vision screening and; Oral Health Education to underserved WIC eligible children ages zero (0) to five (5), their families and pregnant women at the WIC clinic located at 635 East Broadway, Mesa, AZ 85283.. The Agreement term is extended one (1) year, commencing June 1, 2013 to May 31, 2014. This amendment also removes and replaces Exhibit A. All other terms and conditions of the original agreement and its amendments shall remain in full force and effect. The Facility Review Committee has reviewed this Facility Use/Revocable Agreement at the March 2013 meeting. This Use Permit Agreement also allows for CRMC the use of clinic space at the Mesa WIC facility as scheduled on Exhibit “A”. Licensee agrees to provide the services at no cost to the County and the recipients. County agrees to provide access without monetary remuneration. (C-86-10-143-M-07)

C-number: C-86-10-143-M-08
Item: #37
Revision: 08
Item Text
37. AMENDMENT TO LICENSE AGREEMENT WITH DIGNITY HEALTH, D/B/A CHANDLER REGIONAL MEDICAL CENTER FOR BROADWAY WIC CLINIC SPACE Approve and authorize the Chairman to execute, Amendment No. 5 Facilities Use Revocable License Agreement (FURL) P-50135 between Dignity Health, a California non-profit public benefit corporation, d/b/a Chandler Regional Medical Center (CRMC), Licensee, and Maricopa County by and through its Department of Public Health (MCDPH), Women, Infant and Children (WIC) Agency, for the use of clinic space to perform oral health, hearing and vision screening and oral health education to underserved WIC eligible children ages zero (0) to five (5), their families and pregnant women at the WIC clinic located at 635 East Broadway, Mesa, Arizona. The term will be extended one year and will commence June 1, 2014 and expire May 31, 2015. This amendment also updates Exhibit “A” with new dates and times. All other terms and conditions of the original agreement and its amendments remain the same and in full force and effect. This Facility Use Agreement also allows for CRMC the use of clinic space at the Broadway WIC facility as scheduled on Exhibit “A”. Licensee will provide services at no cost to Maricopa County and the recipients. County agrees to provide access without remuneration. This general type of Real Estate action was endorsed by the Facilities Review Committee during August of 2013. (C-86-10-143-M-08)
Attachments (1)

C-number: C-86-10-143-M-09
Item: #53
Revision: 09
Item Text
53. AMENDMENT TO LICENSE AGREEMENT WITH DIGNITY HEALTH, DBA CHANDLER REGIONAL MEDICAL CENTER FOR BROADWAY WIC CLINIC SPACE Approve and authorize the Chairman to execute, Amendment No. 6 Facilities Use Revocable License Agreement (FURL) P-50135 between Dignity Health, a California non-profit public benefit corporation, d/b/a Chandler Regional Medical Center (CRMC), Licensee, and Maricopa County by and through its Department of Public Health (MCDPH), Women, Infant and Children (WIC) Agency, for the use of clinic space to perform oral health, hearing and vision screening and oral health education to underserved WIC eligible children ages zero (0) to five (5), their families and pregnant women at the WIC clinic located at 635 East Broadway, Mesa, Arizona. The term will be extended seven months and will commence June 1, 2015 and expire December 31, 2015. This amendment also updates Exhibit “A” with new dates and times. All other terms and conditions of the original agreement and its amendments remain the same and in full force and effect. This Facility Use Agreement also allows for CRMC the use of clinic space at the Mesa WIC facility as scheduled on Exhibit “A”. Licensee will provide services at no cost to Maricopa County and the recipients. County agrees to provide access without remuneration. The short renewal term allows a transition to a new program approach to deliver oral services to the WIC clients. (C-86-10-143-M-09)
Attachments (1)

9 item(s) sharing C-number base C-86-10-143-M