Exhibit 10.2

THREE RIVERS PROVIDER NETWORK
AGREEMENT WITH

______________________________

This Agreement is made this _____ day of ____________ 2010, by and between Three
Rivers Provider Network, Inc., a Nevada Corporation (“TRPN”) and Sugar Land SA
Services a Provider Group of health care services.  TRPN contracts with
hospitals, physicians, ancillaries and entities hereinafter referred to as
“Provider” rendering medical and health care services at pre-determined rates as
follows.

1.  Clients. Covered Services, Contract Rates: TRPN contracts with insurance
companies, third party administrators, health plans, individuals and entities
hereinafter referred to as “Clients” that directly or indirectly access TRPN
contracted providers for covered services.  Covered Services shall include all
services that are medically necessary including health, workers’ compensation,
automobile and general liability.  The rate used in conjunction with this
Agreement will be a * discount off of Provider’s usual charge for covered
services, less any applicable co-payments, co-insurance or deductibles.  Clients
are obligated to make payment directly to provider only at the contracted rate
as payment in full.  Provider shall not balance bill the patient upon receipt of
payment in full at the contracted rate.  TRPN has no responsibility to make
payments on behalf of Clients.  Payments shall be made within thirty (30)
calendar days of receipt of clean claim.  Where a state mandated fee schedule
exists, provider agrees to accept a * discount below the state
schedule.  Payments made and cashed by the provider shall be accepted as payment
in full and fulfillment of all terms of the agreement, providing the total
payment including the member’s portion is not less than the contracted rate.

2.  Licenses, Standards of Care:  Provider agrees to deliver health care
services that meet all legal standards of care complying with applicable
Federal, State and Local laws and maintains the standards of NCQA and/or
JCAHO.  The provider is delegated by TRPN to carry out and/or assign
credentialing responsibilities.  Evidence of such licenses, certificates and
standards shall be made available to TRPN upon request.

3.  Term and Termination:  This Agreement shall continue in effect for a period
of two (2) years with automatic successive one (1) year terms.  This Agreement
may be terminated by either party without cause with a ninety (90) day prior
written notice to the other party at the mailing addresses listed under the
signatures.  This Agreement may be immediately terminated with cause by TRPN
should Provider lose applicable licenses, malpractice coverage, fail to honor
the applicable contracted rates pursuant to this Agreement, or if any
information provided in Attachment A is illegible, incomplete, or invalid.

4.  Dispute Resolution:  This Agreement shall be construed and interpreted in
accordance with the laws of the State of Nevada.  Provider agrees to meet and
confer in good faith to resolve any disputes that may arise under this
Agreement. If a dispute between TRPN and Provider arises out of this Agreement
and is not resolved, either party may submit the dispute to arbitration which
shall be commenced and conducted in accordance with the Rules of Practice and
Procedures of the Judicial Arbitration and Mediation Services, Inc. (“JAMS”) as
in effect at the time (“JAMS Rules”).

5.  Attachment A:  All information provided in Attachment A of this Agreement is
complete and accurate to the best of Provider’s knowledge and Provider shall
immediately notify TRPN of any changes thereto.  Provider agrees to mark “N/A”
next to any blank that is not applicable to Provider’s business.

6.  Faxed Signatures:  The parties agree that facsimile signatures of authorized
representatives of the parties shall legally bind the parties to the terms and
conditions of this Agreement as if the signatures were original and shall be
considered evidence of a fully executed Agreement.
 
7.  Final Agreement:  All terms and conditions agreed upon by the parties are
contained in this Agreement.  All prior negotiations, promises, agreements and
representations, either spoke or written concerning the subject matter of this
Agreement that are not set forth herein are null and void and have no bearing on
this Agreement.

 

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*
Portions of this document omitted pursuant to an application for an order for
confidential treatment pursuant to Rule 24b-2 under the Exchange Act. 
Confidential portions of this document have been filed separately with the
Securities and Exchange Commission.

 
 
 
 

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IN WITNESS WHEREOF, the authorized parties hereto have executed this Agreement
and intend to be bound thereby.
 
 

PROVIDER GROUP NAME (Please Print):       ATTENTION:LANI HAZELTON         TRPN
CONTRACTING SPECIALIST             SUGAR LAND SA SERVICES      THREE RIVERS
PROVIDER NETWORK  

 

            Signature: 
 /s/ Jaime Olmo    
  Signature:
/s/ Todd Breeden   
  Title: 
Chief Operating Officer     
  Name: 
Todd Breeden, C.O.O.
  Date: 
12/2/2010   
  Mailing Address:
910 Hale Place, Suite 101
          Chula Vista, CA  91914             
Phone:  (619) 600-4832
Date:  12/8/2010
 

 
 
ATTACHMENT A: PROVIDER INFORMATION
(Please attach a roster of all Providers that will be participating under this
Agreement, use Addendum A)
 
 

Last Name:     Group/Practice Name: Sugar Land  SA Services           First
Name:      Primary Address: P.O. Box 481,         Alief, TX  77411 Tax ID:
35-2318357             County: Harris National Provider Identifier (NPI):  
Phone: (713) 779-9800  Fax:  (713) 779-9862           1295989218   
Email:  jaimeolmo@me.com   (If there is more than one NPI Number, please attach
a listing.)             Other Practice and/or Billing Address:  Yes □  /  No □
Specialty:   LSA, CSA, SA-C, CST/CFA, CRNFA, RN, CNOR   If “yes”, attach page
with additional information           Subspecialty: Surgical Assistant  
Hospital Affiliations (list name, date and type):
  First Assistant                    

 
Provider agrees to mark “N/A” next to any blank that is not applicable to
Provider’s business.
 
 
 

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ADDENDUM A:

PROVIDER LISTING & FACILITY LOCATIONS

_______________________________

 
i.
The attached roster of providers and or locations will be participating under
this Agreement between Sugar Land SA Services and Three Rivers Provider Network
and shall include Tax Identification Numbers, NPI Numbers, Address(s), Phone and
Fax Numbers.

 
 

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Provider List
12/2/2010

Name  Credentials   License Number       National Provider Identifier          
CANTU, AIMEE A
CSA
3554
 
 
CALLEGARI, ANDRES A
LSA
SA00108
 
 
DARWISHS-SALAMA, ALFREDO
LSA
SA00315
 
 
GARCIA, ABEL
LSA
SA00073
 
 
LARA, ATAHUALPA
SA-C
09-129
 
 
PARMAR, ABRAHAM
LSA
SA00020
 
 
ABORDO, BELTRAN
LSA
SA00024
 
 
CHAMBERLAIN, BLAND
LSA
SA00237
 
 
EATON, BRENT
NP-C
F0510035
 
 
ZHONG, BING TANG
LSA
SA00158
 
 
BENITEZ, CARLOS
LSA
SA00163
 
 
CAMPOS, CRISTINA
SA-C
09-165
 
 
FONTENOT, CHRISTINE
CSA
S169
 
 
GARCIA-MAYORCA, CARLOS
LSA
SA00313
 
 
NINA-WOSU, CHI
LSA
SA00085
 
 
PITTY, CATALINO
 
LSA
SA00279
 
 

 
 
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Provider List
12/2/2010

Name Credentials License Number     National Provider Identifier          
SEAMANS, CINDY R
SA-C
06-177
 
 
ARCEO, DIANA
SA-C
10-147
 
 
DUNLAP, DWAYNE
LSA
SA00388
 
 
GRIFFITH, DAWN
 
 
CSA
07336
BESSON, DORKA G
LSA
SA00291
 
 
MURANOVIC, DUBRAVKA
LSA
SA00084
 
 
FLORES, ELEAZAR
 
 
CST/CFA
88303
GLORIA, EDUARDO
LSA
SA00270
 
 
RODRIGUEZ, EDUARDO
LSA
SA00091
 
 
CHAFI, FARIBORZ
 
 
CST/CFA
119805
MEDINA, FELIPE
LSA
SA00335
 
 
AGUILAR, HUGO
 
LSA
SA00289
 
 
THEIS, HELEN K
RN
081124
 
 
AUTREY, HEATHER N
CST,CFA
114315
 
 
PANAGUA, HENRY
CSA
08-207
 
 
ROA, HERNAN
LSA
SA00276
 
 

 
 
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Provider List
12/2/2010

Name Credentials License Number      National Provider Identifier          
AYUB, ILIA
LSA
SA00329
 
 
VELEZ-VEGA, IVELISSE
LSA
SA00191
 
 
ASPORT, JORGE
LSA
SA00304
 
 
CHAPA, JOSE
LSA
SA00255
 
 
CONSECO, JOSE
LSA
SA00110
 
 
DELEON, JUAN CARLOS
SA-C
09136
 
 
LORES, JULIO
LSA
SA00324
 
 
OLMO, JAIME A
LSA
SA00184
 
 
MACHADO, JANETSY
LSA
SA00322
 
 
RUSSELL, JAMES
CST/CFA
111677
 
 
SKORUPPA, JACOB
CST/CFA
109194
 
 
PITA, KLEBER
LSA
SA00274
 
 
PATEL, KIRAN
CSA
05-217
 
 
PERALTA, LEOPOLDO
LSA
SA00327
 
 
PATRONE, LOUIS
LSA
SA00138
 
 
WU, LARRY
LSA
SA00336
 
 

 
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Provider List
12/2/2010
 

Name Credentials License Number      National Provider Identifier          
ALALAM, MOHD
LSA
SA00309
 
 
ATHANS, MARK
LSA
SA00029
 
 
CHAUDHRY, MUBASHIR
LSA
SA00277
 
 
COLELLO, MARY
SA-C
07272
 
 
EMAN, MAGDY
LSA
SA00119
 
 
GOEN, MARIA E
CSA
08-223
 
 
FARAG, MAURICE
LSA
SA00038
 
 
LEON, MARITZA
LSA
SA00346
 
 
MAYOR, MASOUDA
LSA
SA00298
 
 
RODRIGUEZ, MANUEL
CSA
3114
 
 
SHOKRALLA, MAHER
LSA
SA00269
 
 
NASGAR, NAYEF
LSA
SA00135
 
 
AKUPUE, OKECHUKWU
LSA
SA00307
 
 
MARTINEZ, OMAR
LSA
SA00286
 
 
PERERA, PRIYANTHA
SAC
10-138
 
 
SLAVCHEV, PLAMEN
LSA
SA00316
 
 

 
 
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Provider List
12/2/2010
 

Name  Credentials License Number      National Provider Identifier          
TROMBLEY, PATRICIA
LSA
SA00156
 
 
TAMARGO, PEDRO
CSA
08120
 
 
BABURI, OASIM
LSA
SA00160
 
 
ARAGON, RECTO
LSA
SA00954
 
 
FOGLE, ROSA
LSA
SA00170
 
 
FRAZIER, ROBERT
CSA
3457
 
 
MACHADO, RAUL
LSA
SA00129
 
 
RODELA, ROBERT
SA-C
07252
 
 
VILLARREAL, ROSENDO
LSA
SA00249
 
 
ZAMARRON, ROGER
LSA
SA00056
 
 
ADIL, SAYED
LSA
SA00289
 
 
DEVI, SAVITRI
SA-C
09-230
 
 
KHAN, SOSON
LSA
SA00272
 
 
KAZEMI, SHAMILA
SA-C
09-285
 
 
MAMLOUK, SAMUEL
LSA
SA00263
 
 
ROBIN, SCOTT
LSA
SA00090
 
 

 
 
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Provider List
12/2/2010

Name  Credentials License Number      National Provider Identifier          
MARTINEZ, THERESA
SA-C
08-316
 
 
BATTAD, VENERANDO
LSA
SA00290
 
 
BARCES, VICENTE
LSA
SA00161
 
 
CRUZ, VIRGINIA
LSA
SA00325
 
 
ARANZA, WALTER
LSA
SA00330
 
 
BERRY, WILLIAM
CST/CFA
109540
 
 
ELGAMAL, ZAK
LSA
SA00011
 
 

6