File #: A 23-351    Name: Advanced Gastroenterology Fourth Amendment
Type: BoS Agreement Status: Passed
File created: 7/11/2023 In control: Board of Supervisors
On agenda: 7/25/2023 Final action: 7/25/2023
Title: a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute the Fourth 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, 2023 to July 31, 2024) for a revised full agreement term of August 1, 2019 to July 31, 2024, and adding $650,000 for a revised total not to exceed amount of $3,250,000 in the aggregate; and b. Authorize the Chief Executive Officer for NMC 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, do not cause an increase of more than 10% ($65,000) of the original contract amount and do not increase the total contract amount above $3,315,000.
Attachments: 1. Board Report, 2. Advanced Gastroenterology of Monterey County Fourth Amendment, 3. Advanced Gastroenterology of Monterey County Third Amendment, 4. Advanced Gastroenterology of Monterey County Second Amendment, 5. Advanced Gastroenterology of Monterey County First Amendment, 6. Advanced Gastroenterology of Monterey County Agreement, 7. Completed Board Order Item No. 28
Related files: A 19-281, A 20-282, A 21-405, A 22-408
Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute the Fourth 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, 2023 to July 31, 2024) for a revised full agreement term of August 1, 2019 to July 31, 2024, and adding $650,000 for a revised total not to exceed amount of $3,250,000 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC 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, do not cause an increase of more than 10% ($65,000) of the original contract amount and do not increase the total contract amount above $3,315,000.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or his designee to execute the Fourth 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, 2023 to July 31, 2024) for a revised full agreement term of August 1, 2019 to July 31, 2024, and adding $650,000 for a revised total not to exceed amount of $3,250,000 in the aggregate; and
b. Authorize the Chief Executive Officer for NMC 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, do not cause an increase of more than 10% ($65,000) of the original contract amount and do not increase the total contract amount above $3,315,000.

SUMMARY/DISCUSSION:
NMC 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 i...

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