County of Monterey  
Board of Supervisors Chambers  
168 W. Alisal St., 1st Floor  
Salinas, CA 93901  
Meeting Agenda  
Friday, June 28, 2024  
12:00 PM  
50+ page Advance Reports for the Board of Supervisors meeting on Tuesday, July  
9, 2024.  
Advance Reports Over 50 Pages  
The following reports are scheduled for the Board of Supervisors meeting on Tuesday, July 9, 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 Seventh Amendment to the Professional and Call Coverage Services Agreement  
(A-13611) with Mohamed Kerala Serio, M.D. to provide cardiology services, extending the term by  
fourteen months (August 1, 2024 to September 30, 2025) for a revised full agreement term of July 1,  
2017 to September 30, 2025, and adding $712,000 for a revised total not to exceed amount of  
$5,032,000 in the aggregate; and  
b. Authorize the Chief Executive Officer for NMC to sign up to three (3) future amendments to this  
agreement where the amendments do not significantly change the scope of work, do not cause an  
increase of more than ten percent 10% ($122,000) of the original contract amount and do not increase  
the total contract amount above $5,154,000.  
Attachments:  
Board Report  
Mohamed Kerala Serio MD Amendment 7  
Mohamed Kerala Serio MD Amendment 6  
Mohamed Kerala Serio MD Amendment 5  
Mohamed Kerala Serio MD Amendment 4  
Mohamed Kerala Serio MD Amendment 3  
Mohamed Kerala Serio MD Amendment 2  
Mohamed Kerala Serio MD Amendment 1  
Mohamed Kerala Serio MD 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-14453) with Advanced Gastroenterology of Monterey County to provide gastroenterology services  
extending the term by fourteen months (August 1, 2024 to September 30, 2025) for a revised full  
agreement term of August 1, 2019 to September 30, 2025, and adding $750,000 for a revised total  
not to exceed amount of $4,000,000 in the aggregate; and  
b. Authorize the CEP 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 $4,065,000.  
Attachments:  
Board Report  
Advanced Gastroenterology of Monterey County Amendment 5  
Advanced Gastroenterology of Monterey County Amendment 4  
Advanced Gastroenterology of Monterey County Amendment 3  
Advanced Gastroenterology of Monterey County Amendment 2  
Advanced Gastroenterology of Monterey County Amendment 1  
Advanced Gastroenterology of Monterey County Agreement