Legislation Details

File #: A 26-433    Name: Dopamine Therapeutics, Inc. Fifth Amendment
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 10/2/2026 In control: Board of Supervisors
On agenda: 10/20/2026 Final action:
Title: a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or their designee to execute the Fifth Amendment to the Professional Services Agreement (A-15115) with Dopamine Therapeutics, Inc. to provide family medicine services, extending the term of the agreement by eighteen months through December 31, 2028, for a revised full agreement term of August 1, 2019 through December 31, 2028, and adding $100,000 for a revised amount not to exceed $500,000 in the aggregate; provided, however, that the Fifth Amendment shall become effective upon execution by all parties; and b. Authorize the Interim Chief Executive Officer for Natividad Medical Center or their designee to sign up to three (3) amendments to these agreements where the total amendments do not significantly change the scope of work, do not exceed 10% ($10,000) of the original contract amount and do not increase the total contract amount above $510,000.
Attachments: 1. Board Report, 2. Dopamine Therapeutics Inc (formerly Nathaniel Lepp MD) Amendment 5, 3. Dopamine Therapeutics Inc (formerly Nathaniel Lepp MD) Amendment 4, 4. Dopamine Therapeutics Inc (formerly Nathaniel Lepp MD) Amendment 3, 5. Dopamine Therapeutics Inc (formerly Nathaniel Lepp MD) Amendment 2, 6. Dopamine Therapeutics Inc (formerly Nathaniel Lepp MD) Amendment 1, 7. Dopamine Therapeutics Inc and Nathaniel Lepp MD Assignment & Assumption Agreement, 8. Nathaniel Lepp MD Agreement
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Title
a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or their designee to execute the Fifth Amendment to the Professional Services Agreement (A-15115) with Dopamine Therapeutics, Inc. to provide family medicine services, extending the term of the agreement by eighteen months through December 31, 2028, for a revised full agreement term of August 1, 2019 through December 31, 2028, and adding $100,000 for a revised amount not to exceed $500,000 in the aggregate; provided, however, that the Fifth Amendment shall become effective upon execution by all parties; and
b. Authorize the Interim Chief Executive Officer for Natividad Medical Center or their designee to sign up to three (3) amendments to these agreements where the total amendments do not significantly change the scope of work, do not exceed 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:

a. Authorize the Interim Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or their designee to execute the Fifth Amendment to the Professional Services Agreement (A-15115) with Dopamine Therapeutics, Inc. to provide family medicine services, extending the term of the agreement by eighteen months through December 31, 2028, for a revised full agreement term of August 1, 2019 through December 31, 2028, and adding $100,000 for a revised amount not to exceed $500,000 in the aggregate; provided, however, that the Fifth Amendment shall become effective upon execution by all parties; and
b. Authorize the Interim Chief Executive Officer for Natividad Medical Center or their designee to sign up to three (3) amendments to these agreements where the total amendments do not significantly change the scope of work, do not exceed 10% ($10,000) of the original contract amount and do not increase the total contract amount above $510,000.

SUMMARY :
Nati...

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