Item 34A

Authorize to amend agreements with 13 vendors as detailed in letter dated March 28, 2014, (12 agreements were originally approved by G&C on 6-20-12, items 125,126,127,128,129,130,131,132,133,134,135,136, and 1 originally approved by G&C on 7-11-12, item #31), to provide primary care services, by increasing the price by $4,293,569 from $5,173,800 to $9,467,369. This amount includes a request to retroactively enter into sole source amendments in an amount of $648,347, effective retroactive to July 1, 2013 through June 30, 2014 and to exercise a one year renewal option with the same 13 vendors in an amount of $3,645,222, extending the completion date from June 30, 2014 through June 30, 2015. 13% Federal, 87% General Funds.