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File #: A 26-055    Name: RGTACS, INC 2nd Amendment
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 2/10/2026 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 Second Amendment to the Professional and Call Coverage Services Agreement (A-17371) with RGTACS Inc Professional Corporation, a California professional corporation dba RGTACS INC., to provide general and acute care surgical services, extending the term by 2 years (June 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2024 to June 30, 2028, but with no change to the Board approved not to exceed amount of $500,000; 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% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.
Attachments: 1. Board Report, 2. RGTACS_Ginwalla Rashna MD 2nd Amendment, 3. RGTACS, INC. Agreement, 4. RGTACS, INC. Amendment No. 1, 5. RGTACS, INC. Assignment and Assumption Agreement of Professional Services
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Title
a.Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-17371) with RGTACS Inc Professional Corporation, a California professional corporation dba RGTACS INC., to provide general and acute care surgical services, extending the term by 2 years (June 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2024 to June 30, 2028, but with no change to the Board approved not to exceed amount of $500,000; 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% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.

Report
RECOMMENDATION:
It is reccomended that the Board of Supervisors:
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Second Amendment to the Professional and Call Coverage Services Agreement (A-17371) with RGTACS Inc Professional Corporation, a California professional corporation dba RGTACS INC., to provide general and acute care surgical services, extending the term by 2 years (June 1, 2026 to June 30, 2028) for a revised full agreement term of June 1, 2024 to June 30, 2028, but with no change to the Board approved not to exceed amount of $500,000; 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% ($20,000) of the original contract amount and do not increase the total contract amount above $520,000.

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 ava...

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