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File #: A 26-052    Name: Thai Lan N. Tran MD Amendment No.5
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 2/6/2026 In control: Board of Supervisors
On agenda: 3/10/2026 Final action:
Title: a.Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Fifth Amendment to the Professional and Call Coverage Services Agreement (A-14387) with Thai Lan N Tran MD Inc. to provide general and critical care surgical services, extending the term by twenty-four months (July 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2019 to June 30, 2028 and adding $1,800,000 for a revised not to exceed amount of $4,515,000 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% ($65,000) of the original contract amount and do not increase the total contract amount above $4,580,000.
Attachments: 1. Board Report, 2. Thai Lan N Tran MD Amendment No.5, 3. Thai Lan N Tran MD Amendment No.4, 4. Thai Lan N Tran MD Amendment No.3, 5. Thai Lan N Tran MD Amendment No.2, 6. Thai Lan N Tran MD Amendment No.1, 7. Thai Lan N Tran MD Agreement
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Title
a.Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Fifth Amendment to the Professional and Call Coverage Services Agreement (A-14387) with Thai Lan N Tran MD Inc. to provide general and critical care surgical services, extending the term by twenty-four months (July 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2019 to June 30, 2028 and adding $1,800,000 for a revised not to exceed amount of $4,515,000 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% ($65,000) of the original contract amount and do not increase the total contract amount above $4,580,000.


Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a.Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Fifth Amendment to the Professional and Call Coverage Services Agreement (A-14387) with Thai Lan N Tran MD Inc. to provide general and critical care surgical services, extending the term by twenty-four months (July 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2019 to June 30, 2028 and adding $1,800,000 for a revised not to exceed amount of $4,515,000 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% ($65,000) of the original contract amount and do not increase the total contract amount above $4,580,000.

SUMMARY:
NMC received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires critical care surgeons to be available in-house with a 15-minute response time for Level II Trauma Centers. ...

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