Legislation Details

File #: A 26-450    Name: PSA Alan Smith, DPM_Amend No.1
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 10/8/2026 In control: Board of Supervisors
On agenda: 10/20/2026 Final action:
Title: a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with Alan Smith D.P.M. to provide podiatry services, extending the term by twenty-four months (January 1, 2027 to December 31, 2028) for a revised full agreement term of September 1, 2024 to December 31, 2028, and adding $200,000 for a revised total not to exceed amount of $400,000 in the aggregate; and b. Authorize the Interim CEO for NMC or a designee to sign up to three future amendments to this Agreement where the total amendments do not significantly change the scope of work and do not cause and increase of more than 10% ($20,000) of the original contract amount and do not increase the total contract amount above $420,000.
Attachments: 1. Board Report, 2. PSA Alan Smith, DPM Amend No.1, 3. PSA Alan Smith, DPM Agreement
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Title
a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with Alan Smith D.P.M. to provide podiatry services, extending the term by twenty-four months (January 1, 2027 to December 31, 2028) for a revised full agreement term of September 1, 2024 to December 31, 2028, and adding $200,000 for a revised total not to exceed amount of $400,000 in the aggregate; and
b. Authorize the Interim CEO for NMC or a designee to sign up to three future amendments to this Agreement where the total amendments do not significantly change the scope of work and do not cause and increase of more than 10% ($20,000) of the original contract amount and do not increase the total contract amount above $420,000.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Interim Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute the First Amendment to the Professional Services Agreement with Alan Smith D.P.M. to provide podiatry services, extending the term by twenty-four months (January 1, 2027 to December 31, 2028) for a revised full agreement term of September 1, 2024 to December 31, 2028, and adding $200,000 for a revised total not to exceed amount of $400,000 in the aggregate; and
b. Authorize the Interim CEO for NMC or a designee to sign up to three future amendments to this Agreement where the total amendments do not significantly change the scope of work and do not cause and increase of more than 10% ($20,000) of the original contract amount and do not increase the total contract amount above $420,000.


SUMMARY:
Natividad Medical Center operates the D’Arrigo Family Specialty Services Outpatient Clinic offering over fifteen different specialty care services including podiatry.

DISCUSSION:
NMC has an agreement with Alan Smith, D.P.M. to provide podiatry services in the outpatient specialty clinic....

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