File #: A 16-371    Name: Varav Third Amendment
Type: BoS Agreement Status: Passed
File created: 11/21/2016 In control: Board of Supervisors
On agenda: 12/13/2016 Final action: 12/13/2016
Title: a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to Professional Services Agreement with Kalle Varav, M.D. to provide pain management services at NMC effective January 1, 2017, extending the term by twenty-four months, for a revised term of January 1, 2013 to December 31, 2018 and adding $200,000, for a revised not to exceed amount of $500,000; 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 the term by more than twelve (12) months, do not exceed 10% ($10,000) of the original contract amount and do not significantly change the scope of work.
Attachments: 1. Board Report.pdf, 2. Kalle Varav Third Amendment.pdf, 3. Kalle Varav Second Amendment.pdf, 4. Kalle Varav First Amendment.pdf, 5. Kalle Varav Agreement.pdf, 6. Completed Board Order
Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Third Amendment to Professional Services Agreement with Kalle Varav, M.D. to provide pain management services at NMC effective January 1, 2017, extending the term by twenty-four months, for a revised term of January 1, 2013 to December 31, 2018 and adding $200,000, for a revised not to exceed amount of $500,000; 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 the term by more than twelve (12) months, 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 Third Amendment to Professional Services Agreement with Kalle Varav, M.D. to provide pain management services at NMC effective January 1, 2017, extending the term by twenty-four months, for a revised term of January 1, 2013 to December 31, 2018 and adding $200,000, for a revised not to exceed amount of $500,000; 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 the term by more than twelve (12) months, 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 with Dr. Varav to extend the term an additional twe...

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