County of Monterey  
Board of Supervisors Chambers  
168 W. Alisal St., 1st Floor  
Salinas, CA 93901  
Meeting Agenda - Final  
Friday, June 14, 2024  
12:00 PM  
50+ page Advance Reports for the Board of Supervisors meeting on Tuesday,  
June 25, 2024.  
Advance Reports Over 50 Pages  
The following reports are scheduled for the Board of Supervisors meeting on Tuesday, June 25,  
2024. The reports are being distributed 11 + days prior to the Board of Supervisors meeting due to  
the large volume of information. These reports are not numbered at this time.  
Natividad Medical Center - Consent  
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee  
to execute the Fourth Amendment to the Professional Services Agreement (A-13218) with CEP  
America-California, d.b.a. Vituity to provide emergency medicine services, extending the term by  
twenty-four months (July 1, 2024 to June 30, 2026) for a revised full agreement term of July 2016 to  
June 30, 2026, adding $4,400,000, for a revised amount not to exceed $18,426,277 in the aggregate;  
and  
b. Authorize the CEO for NMC or his designee to sign up to three (3) amendments to this Agreement  
where the total amendments do not significantly change the scope of work, do not exceed 10%  
($301,266) of the original contract amount and do not increase the total contract amount above  
$18,727,543.  
Attachments:  
Board Report  
CEP America - California dba Vituity Amendment 4  
CEP America - California dba Vituity Amendment 3  
CEP America - California dba Vituity Amendment 2  
CEP America - California dba Vituity Amendment 1  
CEP America - California Agreement  
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee  
to execute the Fourth Amendment to the Professional Services Agreement (A-15373) with The  
Regents of the University of California, on behalf of the University of California, San Francisco, School  
of Medicine, Department of Pediatrics (UCSF) to provide pediatric hospitalist services, extending the  
term by twenty-four months (July 1, 2024 to June 30, 2026) for a revised full agreement term of July 1,  
2021 to June 30, 2026, with no change to the previously approved total not to exceed amount of  
$433,520 in the aggregate; 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% ($23,352) of the original contract amount and increase the total contract amount above  
$456,872.  
Attachments:  
Board Report  
UCSF - Pediatric Hospitalist Amendment 4  
UCSF - Pediatric Hospitalist Amendment 3  
UCSF - Pediatric Hospitalist Amendment 2  
UCSF - Pediatric Hospitalist Amendment 1  
UCSF - Pediatric Hospitalist Agreement  
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 Monterey Bay Radiology  
Associates to provide radiology services for the period July 1, 2024 to June 30, 2027 for an amount  
not to exceed $15,300,000; 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% ($1,530,000) of the original contract amount and do not increase the total contract amount above  
$16,830,000.  
Attachments:  
Board Report  
Monterey Bay Radiology Associates Agreement  
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 Central Coast Nephrology to  
provide nephrology services July 1, 2024 to June 30, 2027 for an amount not to exceed $1,050,000 in  
the aggregate; and  
b. Authorize the CEO for NMC or his designee to sign up to three (3) amendments to this agreement  
where the total amendments do not significantly change the scope of work, do not exceed 10%  
($105,000) of the original contract amount and do not increase the total contract amount above  
$1,155,000.  
Attachments:  
Board Report  
Central_Coast_Nephrology Agreement  
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee  
to execute the Fifth Amendment to the Professional and Call Coverage Services Agreement  
(A-14-299) with Cardiopulmonary Associates Medical Group (CPA) to provide pulmonary medicine  
and critical care services, extending the term by twenty-four months (July 1, 2024 to June 30, 2026)  
for a revised full agreement term of July 1, 2016 to June 30, 2026, but with no change to the aggregate  
not to exceed amount of $600,000; and  
b. Authorize the CEO for NMC or his designee to sign up to three (3) amendments to the 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:  
Board Report  
Cardio-Pulmonary Associates Medical Group Amendment 5  
Cardiopulmonary Associates Medical Group Amendment 4  
Cardiopulmonary Associates Medical Group Amendment 3  
Cardiopulmonary Associates Medical Group Amendment 2  
Cardiopulmonary Associates Medical Group Amendment 1  
Cardiopulmonary Associates Medical Group Agreement  
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 Joel Weinstein MD to provide  
general surgery services for the period July 1, 2024 to June 30, 2026 for an amount not to exceed  
$800,000 in the aggregate; and  
b. Authorize the CEO for NMC or his designee to sign up to three (3) amendments to this agreement  
where the total amendments do not significantly change the scope of work, do not exceed 10%  
($80,000) of the original contract amount and do not increase the total contract amount above  
$880,000.  
Attachments:  
Board Report  
Joel Weinstein MD Agreement  
Criminal Justice - Consent  
Approve and Authorize the Contracts and Purchasing Officer or their designee to execute a  
non-standard Government Price Quotation with Carahsoft Technology Corporation, for software  
subscription, incorporating the terms of the NASPO Master Contract Number AR2472, Contract  
Number 7-17-70-40-05, to purchase software subscriptions, such as Guardian and Pathfinder, from  
July 1, 2024, through June 30, 2027, in the amount of $664,441.  
Attachments:  
Board Report  
Non-Standard Government Price Quote with Carahsoft Tech.  
Corp.  
State of Utah Cooperative Master Contract AR2472  
Cloud Computing Special Provisions for SaaS  
GSPD 401 IT ADA Final 92721  
NASPO AR2472 Reseller License Agreement  
State of Utah California Participating Addendum  
NASPO Agreement Cover Page  
Public Works and Facilities - Consent  
Adopt resolutions for County Service Areas 1, 9, 15, 19, 20, 23, 24, 25, 26, 30, 31, 32, 33, 35, 37,  
38, 41, 44, 45, 47, 50, 51, 52, 53, 54, 56, 58, 62, 66, 68, 72, and 75:  
a. Certifying compliance with State law with respect to the levying of general and specific taxes,  
assessments, and property-related fees and charges for the respective County Service Area; and  
b. Authorizing and directing the Auditor-Controller to enter the amount of the charges against the  
respective lots or parcels as they appear in the assessment roll for FY 2024-25 as described in Exhibit  
1 and Exhibit 2 (CSA 45 Oak Hills Subdivision only) of each Resolution.  
Attachments:  
Board Report  
Attachment A - Annual Assessments FY24-25  
Attachment B - RES CSA Assesssments - CSA 1  
Attachment C - RES CSA Assessments - CSA 9  
Attachment D - RES CSA Assessments - CSA 15  
Attachment E - RES CSA Assessments - CSA 19  
Attachment F - RES CSA Assessments - CSA 20  
Attachment G - RES CSA Assessments - CSA 23  
Attachment H - RES CSA Assessments - CSA 24  
Attachment I - RES CSA Assessments - CSA 25  
Attachment J - RES CSA Assessments - CSA 26  
Attachment K - RES CSA Assessments - CSA 30  
Attachment L - RES CSA Assessments - CSA 31  
Attachment M - RES CSA Assessments - CSA 32  
Attachment N - RES CSA Assessments - CSA 33  
Attachment O - RES CSA Assessments - CSA 35  
Attachment P - RES CSA Assessments - CSA 37  
Attachment Q - RES CSA Assessments - CSA 38  
Attachment R - RES CSA Assessments - CSA 41  
Attachment S - RES CSA Assessments - CSA 44  
Attachment T - RES CSA Assessments - CSA 45  
Attachment U - RES CSA Assessments - CSA 47  
Attachment V - RES CSA Assessments - CSA 50  
Attachment W - RES CSA Assessments - CSA 51  
Attachment X - RES CSA Assessments - CSA 52  
Attachment Y - RES CSA Assessments - CSA 53  
Attachment Z - RES CSA Assessments - CSA 54  
Attachment AA - RES CSA Assessments - CSA 56  
Attachment BB - RES CSA Assessments - CSA 58  
Attachment CC - RES CSA Assessments - CSA 62  
Attachment DD - RES CSA Assessments - CSA 66  
Attachment EE - RES CSA Assessments - CSA 68  
Attachment FF - RES CSA Assessments - CSA 72  
Attachment GG - RES CSA Assessments - CSA 75