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<br />ADDENDUM NUMBER ONE TO AMENDED AGREEMENT <br />DATED SEPTEMBER 10,1990, BETWEEN L. P. McCUISTION COMMUNITY <br />HOSPITAL, dba McCUISTION REGIONAL MEDICAL CENTER, <br />ST. JOSEPH'S HOSPITAL AND HEALTH CENTER <br />AND THE CITY OF PARIS, PARIS, TEXAS <br /> <br />STATE OF TEXAS ~ <br />~ <br />COUNTY OF LAMAR ~ <br /> <br />KNOW ALL MEN BY THESE PRESENTS, that this Addendum to Amended <br /> <br />Agreement dated September 10, 1990, between 1. P. McCUISTION COMMUNITY <br /> <br />HOSPITAL, dba McCUISTION REGIONAL MEDICAL CENTER, ST. JOSEPH'S <br /> <br />HOSPITAL AND HEALTH CENTER and the CITY OF PARIS, PARIS, TEXAS, made <br /> <br />this 10th day of April, 1995, by and between 1. P. McCUISTION COMMUNITY <br /> <br />HOSPITAL, dba McCUISTION REGIONAL MEDICAL CENTER, by and through its <br /> <br />Administrator, Anthony A. Daigle, duly authorized, ST. JOSEPH'S HOSPITAL AND <br /> <br />HEALTH CENTER, by and through its Chief Executive Officer, Monty McLaurin, duly <br /> <br />authorized, and the CITY OF PARIS, PARIS, TEXAS, by and through its Mayor, Don <br /> <br />Shelton, duly authorized, does hereby amend the above described Amended Agreement by <br /> <br />adding paragraph 6 to Specific Resoonsibilities of Citv of Paris, as follows: <br /> <br />"6. In accordance with the laws of the State of Texas, which state that the <br />provision of advanced life support must be under medical supervision and a <br />licensed physician's control, CITY shall appoint, from the staffs of HOSPITALS, <br />one or more physicians to serve as medical director or co-medical directors for the <br />Emergency Medical Service of the City of Paris. " <br /> <br />EXECUTED on this the 10th day of April, 1995. <br /> <br />CITY OF PARIS, PARIS, TEXAS <br /> <br />Don Shelton, Mayor <br /> <br />EXHIBIT A <br />