THE REGENTS OF THE UNIVERSITY OF CALIFORNIA Page 1 of 2
FOURTH AMENDMENT
TO THE
MEDICAL DIRECTOR AGREEMENT
BETWEEN
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA AND
THE CITY OF ALAMEDA
THIS FOURTH AMENDMENT is entered into by and between The Regents of the University of California, a corporation described in California Constitution Art. IX, Sec. 9, on behalf of the University of California, San Francisco, School of Medicine, Department of Emergency Medicine (hereinafter referred to as "UCSF"), and City of Alameda, municipal corporation ("City").
RECITALS:
WHEREAS, UCSF and the City, for its Alameda Fire Department, entered into a Medical Director Agreement with an effective date of July 29, 2020, in which UCSF will provide a UCSF Physician to serve as the medical director of Alameda City's Fire Department Division of Emergency Medical Services ("Services), and subsequently, a First amendment with an effective date of January 1, 2022, a Second Amendment with an effective date of March 1, 2022, and a Third Amendment with an effective date of March 1, 2024 (hereinafter collectively referred to as "Agreement").
WHEREAS, UCSF wishes to continue to provide Services, and the City wishes to continue to receive such Services under the Agreement.
NOW THEREFORE, UCSF and the City hereby agree to amend the Agreement, as follows:
1. The effective date of this Fourth Amendment shall commence on March 1, 2026.
2. Section 4.1.a, Compensation, of the Agreement is deleted in its entirety and replaced with the following:
4.1 (a) Compensation. Fire Department shall pay UCSF monthly for services performed under this Agreement as described below:
Period Hours/Month Hourly
Rate
Administrative
Fee
Max
Total/Month*^ Total Period
March 1, 2026 -
June 30, 2026 Up to 20 $406.51 $488 $8,618.20 $34,472.80 July 1, 2026 -
June 30, 2027 Up to 20 $422.77 $508 $8,963.40 $107,560.80 July 1, 2027 -
February 29, 2028 Up to 20 $439.68 $525 $9,318.60 $74,548.80 *Services not to exceed 20 hours/month
^Includes Administrative Fee
Total compensation during the period March 1, 2026 through February 29, 2028, shall not exceed $216,582, for a total compensation not to exceed the amount of $382,079.
3. Section 5.1 Term of Agreement is amended and extended through February 29, 2028.
Except as provided herein, all remaining terms, conditions and provisions of the Agreement are unchanged and unaffected by this Fourth Amendment and shall continue in full force and effect. [SA-0020590]
Docusign Envelope ID: 67083CC3-F0AB-4F32-8D7F-7A825C258378 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA Page 2 of 2
IN WITNESS, WHEREOF, intending to be legally bound, each party has caused this Fourth Amendment to be signed by its duly authorized office as of the day and year written below.
THE REGENTS OF THE UNIVERSITY OF
CALIFORNIA (“UCSF”)
By: _______________________________
PATRICK HA, MD Vice Dean, Clinical
Affairs & Partnerships
UCSF School of Medicine
Read and Acknowledged:
By: ____________________________
Peter Sokolove, MD
Chair of the Department of
Emergency Medicine
By: ____________________________
Mary Mercer, MD
UCSF Physician
CITY OF ALAMEDA A MUNICIPAL
CORPORATION (“CITY”)
By: ________________________________
ADAM POLITZER
Interim City Manager
Recommended for Approval:
Alameda Fire Department
By: _______________________________
Nicholas Luby
Fire Chief
Approved as to form: City Attorney
By: ____________________________________
Douglas W. McManaway
Assistant Deputy City Attorney
[SA-0020590]
12/23/2025
Docusign Envelope ID: 67083CC3-F0AB-4F32-8D7F-7A825C258378 12/27/2025
12/28/2025
UNIVERSITY OF CALIFORNIA
PROOF OF SELF-INSURANCE COVERAGE
The Regents of the University of California are often requested by outside parties to provide evidence of the University’s self-insurance coverage in conjunction with agreements and contracts negotiated by its employees on UC campuses and medical centers. Examples of situations where the University may be required to provide evidence of insurance include:
• Using an off-campus location to host an event, ceremony, athletic event, theatre production, practice space, job fair, educational outreach event, etc. • Leasing or renting equipment, motor vehicle(s), or real estate • Research grant sub-awards
• Affiliation (non-healthcare/medical related) and Professional Services Agreements The University of California self-funds its liability exposures, so does not issue individual certificates of insurance. The UC Office of Risk Services has developed a Certificate of Self-Insurance Coverage document (COC) to illustrate the self-funded retention levels maintained for each liability program.
The COC is available on-line for use by entities conducting business with the university as evidence of the self-funded retention levels, coverage terms, and limits routinely requested. The self-insurance limits accepted in each specific written agreement or contract shall be the limits that apply should a loss arise, regardless of the limits provided in the on-line Certificate of Self-Insurance Coverage document.
The UC COC Site is solely for the use and benefit of the vendors and organizations which contract with the University of California and not for resale or other transfer to or use by or for the benefit of any other person or entity. You may print copies for use within your organization, provided that you do not modify the COC in any way, nor distribute any copies outside your organization. You may not use any of the University of California’s names or marks in any manner that creates the impression such names or marks belong to or are associated with you or imply any endorsement by the University of California, and you acknowledge that you have no ownership rights in and to any of these names or marks. You will not use the Site, the information contained therein or any of the University's names or marks in unsolicited mailings or spam material. You may not link directly to the COC ("deep link") or bring up or present the COC or other content of this site within another web site ("frame").
Official Correspondence must be sent via postal mail to:
Chief Risk Officer
Office of Risk Services
Office of the President
University of California
1111 Franklin St., 6th Floor
Oakland, CA 94607-5200
510-987-9832
[email protected]
Please contact the local Risk Manager at the specific University of California location where you are contracting if you have insurance coverage questions:
• Campus Risk Managers Directory
• Hospital Risk Managers Directory
Docusign Envelope ID: 67083CC3-F0AB-4F32-8D7F-7A825C258378
CERTIFICATE OF
SELF-INSURANCE COVERAGE
Date: June 5, 2025
PRODUCER/INSURED
The Regents of the University of California
Office of the President
Office of Risk Services
1111 Franklin St., 6th Floor
Oakland, CA 94607-5200
510-987-9832
This Certificate is issued as a matter of information only to authorized viewers for their internal use only and confers no rights upon any viewer of this Certificate.
The Certificate does not amend, extend or alter the coverage described below.
This Certificate may only be copied, printed and distributed by an authorized viewer for its internal use. Any other use, duplication or distribution of the Certificate without the written consent of the Regents of the University of California is prohibited.
ENTITIES AFFORDING COVERAGE
PARTICIPATION
COMPANY LETTER A The Regents of the University of California 100 %
COVERAGES
THIS IS TO CERTIFY THAT THE REGENTS OF THE UNIVERSITY OF CALIFORNIA IS A GOVERNMENTAL ENTITY THAT HAS A SELF -FUNDED
RETENTION FOR LIABILITIES DESCRIBED BELOW , NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY WRITTEN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN. THIS SELF-FUNDED PROGRAM IS
SUBJECT TO ALL PROVISIONS OF THE BYLAWS AND STANDING ORDERS OF THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, WHICH
DOES NOT PERMIT ANY ASSUMPTION OF LIABILITY WHICH DOES NOT RESULT FROM THE NEGLIGENT ACTS OR OMISSIONS OF ITS
OFFICERS, AGENTS OR
EMPLOYEES.
CO
LTR
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ Not applicable
A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 5,000,000 CLAIMS MADE X OCCURRENCE Self-Insured July 1, 2025 July 1, 2026 PERSONAL & ADV INJURY $ 5,000,000 CONTRACTUAL LIABILITY $ 5,000,000
EACH OCCURRENCE $ 5,000,000
$
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Not applicable
A ANY AUTO
X ALL OWNED
AUTOS
BODILY INJURY
(PER PERSON)
$ 2,500,000
SCHEDULED
AUTOS
Self-Insured July 1, 2025 July 1, 2026
X HIRED AUTOS BODILY INJURY
(PER ACCIDENT)
$ 2,500,000
X NON-OWNED
AUTOS
GARAGE LIABILITY PROPERTY DAMAGE $ 2,500,000
PROPERTY EACH OCCURRENCE $ 10,000,000
A X FIRE & EXTENDED PERILS Self-Insured July 1, 2025 July 1, 2026 AGGREGATE $ Not applicable $
STA TUTORY LIMITS YES
A WORKERS’ COMPENSATION AND
EMPLOYERS LIABILITY
Self-Insured July 1, 2025 July 1, 2026 EACH ACCIDENT $ As required by California Law
DISEASE - POLICY LIMIT $ As required by
California Law
DISEASE - EACH EMPLOYEE $ As required by
California Law
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
ADDITIONAL COVERED PARTY- AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH RESPECT TO GENERAL LIABILITY AND
AUTOMOBILE LIABILITY
LOSS PAYEE - AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH RESPECT TO PROPERTY COVERAGE
CERTIFICATE HOLDER CANCELLATION
APPLICABLE PARTY AS REQUIRED BY WRITTEN CONTRACT
OR AGREEMENT
SHOULD THE REGENTS ELECT TO DISCONTINUE SELF-INSURING ITS
LIABILITIES, THE REGENTS WILL UPDATE PROOF OF SELF-INSURANCE ON ITS WEBSITE. THE REGENTS SHALL NOT BE OBLIGATED TO PROVIDE INDIVIDUAL NOTICE TO VENDORS OR OTHERS.
By:
KEVI N CONFETTI, AVP & CHIEF RISK OFFICER
company letter
Docusign Envelope ID: 67083CC3-F0AB-4F32-8D7F-7A825C258378 Certificate Of Completion
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Subject: Complete with Docusign: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (EMS)_PSA_Amend 4_SA-002059...
Source Envelope:
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Will Jones
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Time Zone: (UTC-08:00) Pacific Time (US & Canada)
1855 Folsom St
Suite 601
San Francisco, CA 94103
[email protected]
IP Address: 128.218.42.197
Record Tracking
Status: Original
12/22/2025 2:52:22 PM
Holder: Will Jones
[email protected]
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Mary Mercer
[email protected]
Physician
University of California, San Francisco
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Patrick Ha
[email protected]
Vice Dean of Clinical Affairs
University of California, San Francisco
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Peter Sokolove
[email protected]
Peter Sokolove
University of California, San Francisco
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Docusign Envelope ID: 67083CC3-F0AB-4F32-8D7F-7A825C258378