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File #: A 18-450    Name: Kalle Varav Fourth Amendment
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 11/9/2018 In control: Board of Supervisors
On agenda: 12/11/2018 Final action:
Title: a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to Professional Services Agreement (A-12830) with Kalle Varav, M.D. to provide pain management services at NMC, extending the term by twenty-four months (January 1, 2019 to December 20, 2020), for a revised term of January 1, 2013 to December 31, 2020 and a total not to exceed amount $500,000 (no change from the previously approved amount) in the aggregate; and b. Authorize the Deputy Purchasing Agent for NMC to execute up to three (3) future amendments to this Agreement where the total amendments do not exceed 10% ($10,000) of the original contract amount and do not significantly change the scope of work.
Attachments: 1. Board Report, 2. Kalle Varav Fourth Amendment.pdf, 3. Kalle Varav Third Amendment.pdf, 4. Kalle Varav Second Amendment.pdf, 5. Kalle Varav First Amendment.pdf, 6. Kalle Varav Agreement.pdf, 7. 28. Completed Board Order
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Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to Professional Services Agreement (A-12830) with Kalle Varav, M.D. to provide pain management services at NMC, extending the term by twenty-four months (January 1, 2019 to December 20, 2020), for a revised term of January 1, 2013 to December 31, 2020 and a total not to exceed amount $500,000 (no change from the previously approved amount) in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC to execute up to three (3) future amendments to this Agreement where the total amendments do not exceed 10% ($10,000) of the original contract amount and do not significantly change the scope of work.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to Professional Services Agreement (A-12830) with Kalle Varav, M.D. to provide pain management services at NMC, extending the term by twenty-four months (January 1, 2019 to December 20, 2020), for a revised term of January 1, 2013 to December 31, 2020 and a total not to exceed amount $500,000 (no change from the previously approved amount) in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC to execute up to three (3) future amendments to this Agreement where the total amendments do not exceed 10% ($10,000) of the original contract amount and do not significantly change the scope of work.

SUMMARY/DISCUSSION:
Natividad Medical Center operates the D'Arrigo Family Specialty Services Outpatient Clinic offering over fifteen different specialty care services including pain management. NMC has an agreement with Kalle Varav, M.D. to provide pain management services in the specialty clinic one day per week and pain management services in outpatient surgery. NMC wishes to amend the Agreement so that Dr. Varav may continue to prov...

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