Skip to main content
File #: A 25-403    Name: Victoria Chew MD Fourth Amendment
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 10/1/2025 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 Fourth Amendment to the Professional Services Agreement (A-14569) with Victoria Chew, M.D. to provide family medicine services, extending the term by twenty-four months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2018 to December 31, 2027, and adding $200,000 for a revised total agreement amount not to exceed $600,000 in the aggregate; and b. Authorize the CEO for NMC 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 exceed 10% ($10,000) of the original contract amount and do not increase the total contract amount above $610,000.
Attachments: 1. Board Report, 2. Victoria Chew MD Fourth Amendment, 3. Victoria Chew MD Third Amendment, 4. Victoria Chew MD Second Amendment, 5. Victoria Chew MD First Amendment, 6. Victoria Chew MD Agreement
Date Action ByActionResultAction DetailsSearchable Meeting DetailsVideo
No records to display.
Title
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to the Professional Services Agreement (A-14569) with Victoria Chew, M.D. to provide family medicine services, extending the term by twenty-four months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2018 to December 31, 2027, and adding $200,000 for a revised total agreement amount not to exceed $600,000 in the aggregate; and
b. Authorize the CEO for NMC 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 exceed 10% ($10,000) of the original contract amount and do not increase the total contract amount above $610,000.

Report
RECOMMENDATION:

It is recommended the Board of Supervisors:

a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to the Professional Services Agreement (A-14569) with Victoria Chew, M.D. to provide family medicine services, extending the term by twenty-four months (January 1, 2026 to December 31, 2027) for a revised full agreement term of November 1, 2018 to December 31, 2027, and adding $200,000 for a revised total agreement amount not to exceed $600,000 in the aggregate; and
b. Authorize the CEO for NMC 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 exceed 10% ($10,000) of the original contract amount and do not increase the total contract amount above $610,000.

SUMMARY:

NMC operates Family Medicine Residency Program affiliated with the University of California’s San Francisco Medical School with a total of 30 residents that practice in multiple settings including the inpatient labor and delivery unit. It is necessary for the Residency Program to maintain a core team of qua...

Click here for full text