File #: A 21-575    Name: Muralidhara R. Raju, M.D. Fourth Amendment
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 11/17/2021 In control: Board of Supervisors
On agenda: 1/11/2022 Final action:
Title: a. Ratify the execution by the Interim Chief Executive Office for Natividad or his designee of the Fourth Amendment to the Professional and Call Coverage Services Agreement (A-13055) with Muralidhara R. Raju, M.D. to provide neurosurgery services, extending the term by twelve months (January 1, 2022 to December 31, 2022) for a revised full term of March 1, 2016 to December 31, 2022, but without adding funds to the aggregate not to exceed amount; and b. Authorize the Interim Chief Executive Officer for Natividad to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($30,000) of the original contract amount per each amendment.
Attachments: 1. Board Report, 2. Muralidhara Raju MD Amendment 4, 3. Muralidhara Raju MD Amendment 3, 4. Muralidhara Raju MD Amendment 2, 5. Muralidhara Raju MD Amendment 1, 6. Muralidhara Raju MD Agreement, 7. Completed Board Order Item No. 35
Related files: A 16-010, A 17-438, A 19-319, A 20-480
Title
a. Ratify the execution by the Interim Chief Executive Office for Natividad or his designee of the Fourth Amendment to the Professional and Call Coverage Services Agreement (A-13055) with Muralidhara R. Raju, M.D. to provide neurosurgery services, extending the term by twelve months (January 1, 2022 to December 31, 2022) for a revised full term of March 1, 2016 to December 31, 2022, but without adding funds to the aggregate not to exceed amount; and
b. Authorize the Interim Chief Executive Officer for Natividad to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($30,000) of the original contract amount per each amendment.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Ratify the execution by the Interim Chief Executive Office for Natividad or his designee of the Fourth Amendment to the Professional and Call Coverage Services Agreement (A-13055) with Muralidhara R. Raju, M.D. to provide neurosurgery services, extending the term by twelve months (January 1, 2022 to December 31, 2022) for a revised full term of March 1, 2016 to December 31, 2022, but without adding funds to the aggregate not to exceed amount; and
b. Authorize the Interim Chief Executive Officer for Natividad to sign up to three (3) future amendments to this agreement where the total amendments do not significantly change the scope of work and do not cause an increase of more than ten percent 10% ($30,000) of the original contract amount per each amendment.

SUMMARY/DISCUSSION:
Natividad received its designation as the Level II Trauma Center for Monterey County in January 2015. The American College of Surgeons requires neurosurgeons provide dedicated call coverage with a 30 minute response time for Level II Trauma Centers. In order to provide 24/7 care, it is necessary to develop and sustain a core team of quality neurosurgeon...

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