MARICOPA_MEDEXAM_4THAMEND_TSA_FINAL 1-14-15.PDF

FOURTH AMENDMENT TO
TEACHING SERVICES AGREEMENT
THIS FOURTH AMENDMENT TO TEACHING SERVICES AGREEMENT (this
“Amendment”) is made effective the later of February 1, 2015, or the last date this agreement has
been executed by both parties, by and between DIGNITY HEALTH, a California nonprofit
public benefit corporation d/b/a ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER
(“Hospital”) and MARICOPA COUNTY OFFICE OF THE MEDICAL EXAMINER, a
Maricopa County office in the State of Arizona (the “Group”).
Hospital and Group are parties to a certain Teaching Services Agreement effective April
8, 2008 and its subsequent amendments (collectively, the “Agreement”). For good and valuable
consideration, the parties agree that the Agreement is amended as follows:
1. Section 6(a), Term. The term of this Agreement is renewed from February 1,
2015 and extended through January 31, 2017.
2. Section 12, Insurance. Section 12 is deleted from the Agreement in its
entirety and replaced with Section 12, Insurance, as follows: “Both parties
shall maintain professional liability insurance or self-insurance and general
liability insurance or self-insurance in the minimum amounts of $2,000,000
per occurrence/$4,000,000 annual aggregate throughout the term of this
Agreement. If such insurance is on a “claims-made” basis, and such
coverage is later terminated, or converted to an “occurrence” coverage (or
vice versa), both parties shall also acquire “prior acts” or “tail” coverage (as
applicable), in the above amounts, covering all periods that this Agreement is
or has been in force. Each party shall provide the other party with written
evidence of such insurance upon request. This Section 12 shall survive the
expiration or termination of the Agreement.”
3. Master List. The Parties acknowledge that this Agreement, together with any
other contracts between Hospital and Physician/Group, will be included on
the master list of physician contracts maintained by Dignity Health.
If there is any conflict or inconsistency between this Amendment and the Agreement, the
provisions of this Amendment shall control and govern in the interpretation and construction of the
Agreement. Except as otherwise amended by this Amendment, all of the terms and conditions of the
Agreement shall remain in full force and effect.
SIGNATURES ON NEXT PAGE
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SIGNATURES
Date: ____________________ DIGNITY HEALTH, a California nonprofit
public benefit corporation d/b/a ST.
JOSEPH'S HOSPITAL AND MEDICAL
CENTER
Approved as to Form:
Joseph A. Mislove, Esq.
By: _______________________________
Date: 1/7/2015 Patty White, President/CEO
632139.doc
Dignity Health Legal Department - Phoenix
Office
APPROVALS
MARICOPA COUNTY
_________________________________________
Chairman, Board of Supervisors
Date_____________
ATTEST:
Clerk of the Board
DETERMINATIONS OF COUNSEL
Pursuant to A.R.S. § 11-251.08, the Agreement has been reviewed by the undersigned
attorney for Maricopa County who has determined that it is in proper form and is within
the powers and authority granted under the laws of the State of Arizona.
________________________________________
Signature Date
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