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File #: A 25-436    Name: Marta Zulik MD Third Amendment
Type: BoS Agreement Status: Passed
File created: 10/28/2025 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 Third Amendment to the Professional Services Agreement (A-14537) with Marta Zulik, M.D. Inc. to provide pulmonology critical care services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2019 to December 31, 2027, with no change to the total contract amount of $400,000; and b. Authorize the CEO for NMC 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 exceed 10% ($40,000) of the original contract amount and do not increase the total contract amount above $440,000.
Attachments: 1. Board Report, 2. Marta Zulik MD Third Amendment, 3. Marta Zulik MD Second Amendment, 4. Marta Zulik MD First Amendment, 5. Marta Zulik MD Agreement
Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Third Amendment to the Professional Services Agreement (A-14537) with Marta Zulik, M.D. Inc. to provide pulmonology critical care services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2019 to December 31, 2027, with no change to the total contract amount of $400,000; and
b. Authorize the CEO for NMC 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 exceed 10% ($40,000) of the original contract amount and do not increase the total contract amount above $440,000.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Third Amendment to the Professional Services Agreement (A-14537) with Marta Zulik, M.D. Inc. to provide pulmonology critical care services, extending the term by 24 months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2019 to December 31, 2027, with no change to the total contract amount of $400,000; and
b. Authorize the CEO for NMC 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 exceed 10% ($40,000) of the original contract amount and do not increase the total contract amount above $440,000.

SUMMARY:

NMC operates a ten (10) bed intensive care unit (ICU) for the care and treatment of hospitalized patients facing life-threatening illness or injury and an outpatient clinic with over nineteen medical specialties, including pulmonary medicine. To ensure 24-hour a day coverage of the ICU and follow-up care in the clinic, it requires a team of critical care employees and independent contracto...

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