File #: A 19-003    Name: Anastasia Klick MD First Amendment
Type: BoS Agreement Status: Passed - Natividad Medical Center
File created: 2/1/2019 In control: Board of Supervisors
On agenda: 2/26/2019 Final action: 2/26/2019
Title: a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional Services Agreement with Anastasia R. Klick, M.D. to provide family medicine services at NMC, extending the term by twenty-four months (April 1, 2019 to March 31, 2021) for a revised full agreement term of March 1, 2018 to March 31, 2021, and adding $200,000 for a revised total not to exceed amount of $300,000 in the aggregate; and b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign 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.
Attachments: 1. Board Report, 2. Anastasia R. Klick First Amendment.pdf, 3. Anastasia Klick MD Agreement 033119, 4. 32. Completed Board Order
Title
a. Authorize the Deputy Purchasing Agent for Natividad Medical Center (NMC) or his designee to execute the First Amendment to the Professional Services Agreement with Anastasia R. Klick, M.D. to provide family medicine services at NMC, extending the term by twenty-four months (April 1, 2019 to March 31, 2021) for a revised full agreement term of March 1, 2018 to March 31, 2021, and adding $200,000 for a revised total not to exceed amount of $300,000 in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign 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 First Amendment to the Professional Services Agreement with Anastasia R. Klick, M.D. to provide family medicine services at NMC, extending the term by twenty-four months (April 1, 2019 to March 31, 2021) for a revised full agreement term of March 1, 2018 to March 31, 2021, and adding $200,000 for a revised total not to exceed amount of $300,000 in the aggregate; and
b. Authorize the Deputy Purchasing Agent for NMC or his designee to sign 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:
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. The Residency Program must arrange for patient care and supervision of its residents by qualified family medicine physicians. NMC has an agreement with Dr. Klick to provide famil...

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