File #: A 22-408    Name: Advanced Gastroenterology of Monterey County Third Amendment
Type: BoS Agreement Status: Passed
File created: 7/12/2022 In control: Board of Supervisors
On agenda: 7/26/2022 Final action: 7/26/2022
Title: a. Authorize the Chief Executive Officer for Natividad or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-14453) with Advanced Gastroenterology of Monterey County to provide gastroenterology services extending the term by twelve months (August 1, 2022 to July 31, 2023) for a revised full agreement term of August 1, 2019 to July 31, 2023, and adding $650,000 for a revised total not to exceed amount of $2,600,000 in the aggregate; and b. Authorize the Chief Executive Officer for Natividad 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 and do not cause an increase of more than ten percent 10% ($65,000) of the original contract amount.
Attachments: 1. Board Report, 2. Advanced Gastroenterology of Monterey County Third Amendment, 3. Advanced Gastroenterology of Monterey County Second Amendment, 4. Advanced Gastroenterology of Monterey County First Amendment, 5. Advanced Gastroenterology of Monterey County Agreement, 6. Completed Board Order Item No. 32
Related files: A 21-405, A 23-351
Title
a. Authorize the Chief Executive Officer for Natividad or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-14453) with Advanced Gastroenterology of Monterey County to provide gastroenterology services extending the term by twelve months (August 1, 2022 to July 31, 2023) for a revised full agreement term of August 1, 2019 to July 31, 2023, and adding $650,000 for a revised total not to exceed amount of $2,600,000 in the aggregate; and
b. Authorize the Chief Executive Officer for Natividad 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 and do not cause an increase of more than ten percent 10% ($65,000) of the original contract amount.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad or his designee to execute the Third Amendment to the Professional and Call Coverage Services Agreement (A-14453) with Advanced Gastroenterology of Monterey County to provide gastroenterology services extending the term by twelve months (August 1, 2022 to July 31, 2023) for a revised full agreement term of August 1, 2019 to July 31, 2023, and adding $650,000 for a revised total not to exceed amount of $2,600,000 in the aggregate; and
b. Authorize the Chief Executive Officer for Natividad 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 and do not cause an increase of more than ten percent 10% ($65,000) of the original contract amount.

SUMMARY/DISCUSSION:
Natividad must arrange for care and treatment of hospitalized patients as well as patients who present to the emergency department and hospital clinics in need of medical care in the specialty of gastroenterology. Natividad has an agreement with Advanced Gastroenterology of Monterey County, for whi...

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