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File #: A 25-451    Name: David R. Flemming, MD Amendment No2
Type: BoS Agreement Status: Passed
File created: 11/7/2025 In control: Board of Supervisors
On agenda: 12/9/2025 Final action: 12/9/2025
Title: a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-16660) with David R. Flemming, MD to provide urology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2022 to December 31, 2027 and adding $100,000 for a revised not to exceed amount of $500,000 in the aggregate; and b. Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($10,000) of the original contract amount and do not increase the total contract amount above $510,000.
Attachments: 1. Board Report, 2. David R. Flemming MD Second Amendment, 3. David Flemming MD Amendment No. 1, 4. David Flemming MD Agreement
Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-16660) with David R. Flemming, MD to provide urology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2022 to December 31, 2027 and adding $100,000 for a revised not to exceed amount of $500,000 in the aggregate; and
b. Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($10,000) of the original contract amount and do not increase the total contract amount above $510,000.


Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-16660) with David R. Flemming, MD to provide urology services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2022 to December 31, 2027 and adding $100,000 for a revised not to exceed amount of $500,000 in the aggregate; and
b. Authorize the CEO or a designee to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work, do not cause an increase of more than 10% ($10,000) of the original contract amount and do not increase the total contract amount above $510,000.

SUMMARY:
NMC must arrange for the professional consultation and treatment for patients who present to the emergency department and hospitalized patients in need of medical care or treatment in urology. In order to provide 24/7 care, it is necessary to maintain a core team of quality surgeons to provide daily call...

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