Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the Fourth Amendment to Professional Services Agreement (A-12830) with Kalle Varav, M.D. to provide pain management services at NMC, extending the term by twenty-four months (January 1, 2019 to December 20, 2020), for a revised term of January 1, 2013 to December 31, 2020 and a total not to exceed amount $500,000 (no change from the previously approved amount) in the aggregate; 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 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 Fourth Amendment to Professional Services Agreement (A-12830) with Kalle Varav, M.D. to provide pain management services at NMC, extending the term by twenty-four months (January 1, 2019 to December 20, 2020), for a revised term of January 1, 2013 to December 31, 2020 and a total not to exceed amount $500,000 (no change from the previously approved amount) in the aggregate; 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 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 so that Dr. Varav may continue to provide pain management services without interruption. NMC has obtained an independent opinion of fair market value supporting the payment terms.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Amendment as to legal form. Auditor-Controller has reviewed and approved this Amendment as to fiscal provisions. The Amendment has also been reviewed and approved by Natividad Medical Center’s Finance Committee on October 25, 2018 and Board of Trustees on November 2, 2018.
FINANCING:
There is no cost this this Fourth Amendment because the original amount was not been fully disbursed. The total not to exceed amount of the Agreement is $500,000 for the period January 1, 2013 to December 31, 2020. $50,000 is included in the Fiscal Year 2018/19 Adopted Budget. The remaining balance will be budgeted for subsequent fiscal years.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
The services rendered in this agreement provide NMC with the additional support it needs in order to provide reliable and high quality patient care which improves the health and quality of life for patients and their families.
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Prepared by: Jeanne-Ann Balza, Management Analyst, 783.2506
Approved by: Gary Gray D.O., Chief Executive Officer, 783.2553
Attachments: Agreement; First-Fourth Amendment
Attachments on File at the Clerk of the Board