Skip to main content
File #: A 25-177    Name: RGTACS, INC Amendment No1
Type: BoS Agreement Status: Passed
File created: 5/14/2025 In control: Board of Supervisors
On agenda: 6/3/2025 Final action: 6/3/2025
Title: a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement with RGTACS INC PROFESSIONAL CORPORATION, a California professional corporation dba RGTACS INC., to provide acute care surgical services, adding $300,000 for a total not to exceed amount of $500,000, but with no change to the original term of the agreement June 1, 2024 to June 30, 2026; and b.Authorize the CEO or his 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% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.
Attachments: 1. Board Report, 2. NMC AGT PSCC (1st Amendment) with RGTACS Inc. (Dr. Ginwalla Rashna MD), 3. RGTACS, INC. Assignment and Assumption Agreement of Professional Services, 4. RGTACS, INC. Agreement
Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement with RGTACS INC PROFESSIONAL CORPORATION, a California professional corporation dba RGTACS INC., to provide acute care surgical services, adding $300,000 for a total not to exceed amount of $500,000, but with no change to the original term of the agreement June 1, 2024 to June 30, 2026; and
b.Authorize the CEO or his 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% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional and Call Coverage Services Agreement with RGTACS INC PROFESSIONAL CORPORATION, a California professional corporation dba RGTACS INC., to provide acute care surgical services, adding $300,000 for a total not to exceed amount of $500,000, but with no change to the original term of the agreement June 1, 2024 to June 30, 2026; and
b.Authorize the CEO or his 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% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.

SUMMARY:
Natividad received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires acute critical care surgeons to be available in-house with a 15-minute response time for Level II Trauma Centers. In order to provide 24/7 care, it is necessary to maintain ...

Click here for full text