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File #: A 25-399    Name: Katharina Pellegrin Amendment No.3
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 9/29/2025 In control: Board of Supervisors
On agenda: 10/21/2025 Final action:
Title: a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement with Katharina Pellegrin, MD Inc. to provide general and critical care surgical services, extending the term by 12 months (July 1, 2026 to June 30, 2027) for a revised full agreement term of October 1, 2021 to June 30, 2027 and adding $200,000 for a revised not to exceed amount of $400,000 in the aggregate; 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% ($10,000) of the original contract amount and do not increase the total contract amount above $410,000.
Attachments: 1. Board Report, 2. Katharina Pellegrin MD Amednment No. 3, 3. Katharina Pellegrin MD Amendment No. 2, 4. Katharina Pellegrin MD Amendment No. 1, 5. Katharina Pellegrin MD Agreement
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Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement with Katharina Pellegrin, MD Inc. to provide general and critical care surgical services, extending the term by 12 months (July 1, 2026 to June 30, 2027) for a revised full agreement term of October 1, 2021 to June 30, 2027 and adding $200,000 for a revised not to exceed amount of $400,000 in the aggregate; 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% ($10,000) of the original contract amount and do not increase the total contract amount above $410,000.
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 Third Amendment to the Professional and Call Coverage Services Agreement with Katharina Pellegrin, MD Inc. to provide general and critical care surgical services, extending the term by 12 months (July 1, 2026 to June 30, 2027) for a revised full agreement term of October 1, 2021 to June 30, 2027 and adding $200,000 for a revised not to exceed amount of $400,000 in the aggregate; 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% ($10,000) of the original contract amount and do not increase the total contract amount above $410,000.

SUMMARY:
Natividad 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. In order to provide 2...

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