Resolution approving Amendment No. 4 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Medline Industries, Inc., for bulk medical, surgical, and laboratory supplies and services, to extend the term by four years from June 30, 2026, for a new term of July 1, 2021, through June 30, 2030; to increase the amount by $70,835,221.36 for a new total not to exceed amount of $165,038,293; to update the Medline Master Distribution Agreement, and to authorize DPH to enter into amendments or modifications to the agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the agreement or this Resolution.