Item 13 - First Amendment to Agreement for Inmate Health Care Services

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Docusign Envelope ID:4E85DF72-FC46-4EC7-841A-13E64o46841F EXHIBIT 1 FIRST AMENDMENT TO THE AGREEMENT WITH CALIFORNIA FORENSIC MEDICAL GROUP, INC. AND WELLPATH FOR INMATE HEALTH CARE SERVICES THIS FIRST AMENDMENT to the above -referenced agreement is entered into on September 16, 2025, by and between California Forensic Medical Group, Inc., and Wellpath (hereinafter referred to as, "Contractor" or "CFMG" ), a California Professional Medical Corporation and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). WHEREAS, the parties entered into Agreement No. A-2022-187 on September 20, 2022, by which CFMG agreed to provide quality health chare to Inmates and Detainees ("City Inmates/Detainees") housed at the Santa Ana Detention Facility ("Agreement"); and WHEREAS, the term of the Agreement commenced on October 1, 2022 and continues for a three-year period until September 30, 2025 with the option to renew the tern of the Agreement for up to two (2) additional one-year periods; and WHEREAS, the Agreement is current and in -effect and the parties agree to exercise the first one-year renewal of the Agreement, and the Contractor has agreed to continue providing services during that period; and WHEREAS, the Parties have mutually agreed to recognize modifications to the staffing matrix more effectively aligning resources to needs, and have determined these changes to be cost -neutral; and WHEREAS, in accordance with Section 11.17, the Parties desire to amend the Agreement to memorialize such changes. NOW, THEREFORE, in consideration of the mutual covenants herein contained and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the City and Contractor agree as follows: 1. AMEND SECTION 9.0, TERM. The parties agree to exercise the first of two (2) additional one-year periods to renew the tern of the Agreement through September 30, 2026. 2. AMEND ARTICLE VIII — COMPENSATION AND ADJUSTMENTS. Pursuant to Section 9.0.1. upon the renewal of the Agreement, the parties agree to amend Article VIII - Compensation and Adjustments. In accordance with the provisions of Section 9.0.1.1 — CPI INCREASES, the annual compensation amount is increased by 4%, resulting in an annual amount of $3,523,309.92, payable in 12 monthly installments of $293,609.16. The total amount to be expended during the term of this Agreement is amended to $13,843,555.92 inclusive of an additional $250,000 for emergency or other necessary services provided by CFMG, during the term of this Agreement, at the City's sole discretion. 3. AMEND SECTION 2.0, STAFFING HOURS. The Parties agree that the Staffing