Supplemental Sheet, Consent Calendar  
					Natividad Medical Center  
					31.  
					a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee  
					to execute the Professional and Call Coverage Services Agreement with Advanced Gastroenterology  
					of Monterey County Medical Corporation to provide gastroenterology services for an amount not to  
					exceed $1,352,000 for the period October 1, 2025 to September 30, 2027; and  
					b. Authorize the CEO 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 exceed  
					10% ($135,200) of the original contract amount and do not increase the total contract amount above  
					$1,487,200.  
					Approved  
					32.  
					a. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute  
					renewal & amendment No. 8 to the agreements with Receivable Solutions, Inc. (A-13319) and Credit  
					Consulting Services, Inc. (A-13320) pursuant to the Request for Proposal (RFP) #9600-64 for debt  
					collection services, to extend an additional one-year period (July 1, 2025 through June 30, 2026) for a  
					revised full agreement term of October 1, 2016 through June 30, 2026 and adding $3,500,000 for a  
					revised total aggregate amount for all contracts not to exceed $16,470,000.  
					b. Authorize the Chief Executive Officer for Natividad Medical Center or his designee to execute up to  
					three (3) future amendments to the agreement which do not significantly alter the scope of work and do  
					not cause an increase of more than 10% ($240,000) of the original cost of the agreement.  
					Approved  
					33.  
					a. Authorize the County Counsel to execute an Amendment No. 3 to an Agreement for Specialized  
					Attorney Services (“Agreement”) with Foley & Lardner, LLP for independent consulting and legal  
					services with respect to healthcare matters at Natividad Medical Center (“Natividad”), adding two  
					years for a revised full term of July 1, 2021, through June 30, 2028, and adding $300,000 for a revised  
					total agreement amount not to exceed $1,400,000; and  
					b. Authorize the County Counsel to execute up to three (3) future amendments to this Agreement  
					where the total amendments do not exceed 10% ($80,000) of the agreement amount, for a revise total  
					agreement amount of $1,480,000 and do not significantly change the scope of work.  
					Approved  
					34.  
					a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee  
					to execute the Professional and Call Coverage Services Agreement with Mohamed Kerala Serio, M.D.  
					to provide cardiology services for an amount not to exceed $1,268,800 for the period of October 1,  
					2025 to September 30, 2027; and  
					b. Authorize the CEO 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 exceed  
					10% ($126,880) of the original contract amount and do not increase the total contract amount above  
					$1,395,680.