County of Monterey  
Board of Supervisors Chambers  
168 W. Alisal St., 1st Floor  
Salinas, CA 93901  
Meeting Agenda - Final  
Friday, November 15, 2024  
12:00 PM  
50+ page Advance Reports for the Board of Supervisors meeting on Tuesday,  
December 3, 2024.  
Advance Reports Over 50 Pages  
The following reports are scheduled for the Board of Supervisors meeting on Tuesday, December 3,  
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 County Counsel to execute amendment No. 7 to the agreement (A-13923) with Best  
Best & Krieger, LLP for specialized attorney services, adding $180,000, for a total revised agreement  
amount of $895,000, with no change to the term of May 1, 2017 through April 30, 2026; and  
b. Authorize the County Counsel to execute up to one (1) future amendment that does not exceed 10%  
($8,000) of the original Agreement amount, does not significantly alter the scope of work, and does not  
exceed a revised maximum amount of $903,000.  
Attachments:  
Board Report  
Best Best & Krieger Amendment 7  
Best Best & Krieger Amendment No. 6  
Best Best & Krieger Renewal and Amendment No. 5  
Best Best & Krieger Amendment No. 4  
Best Best & Krieger Amendment No. 3  
Best Best & Krieger Amendment No. 2  
Best Best & Krieger Amendment No. 1  
Best Best & Krieger LLP Agreement  
a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee  
to execute the Sixth Amendment to the Professional and Call Coverage Services Agreement  
(A-13164) with Central Coast Head & Neck Surgeons to provide otolaryngology and audiology  
services, extending the term by twenty-four (24) months (January 1, 2025 to December 31, 2026) for  
a full revised term of July 1, 2016 to December 31, 2026 , and add $1,500,000 to the original  
amount not to exceed $7,500,000 in the aggregate; and  
b. Authorize 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%  
($150,000) of the original contract amount and do not increase the total contract amount above  
$7,650,000.  
Attachments:  
Board Report  
Central Coast Head & Neck Surgeons Amendment 6  
Central Coast Head & Neck Surgeons Amendment 5  
Central Coast Head & Neck Surgeons Amendment 4  
Central Coast Head & Neck Surgeons Amendment 3  
Central Coast Head & Neck Surgeons Amendment 2  
Central Coast Head & Neck Surgeons Amendment 1  
Central Coast Head & Neck Surgeons Agreement  
a.Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or his designee  
to execute the First Amendment to the Professional and Call Coverage Services Agreement with  
Andrew Wang, MD, Inc. to provide acute care surgical services, adding $1,000,000 for a total not to  
exceed amount of $1,200,000, but with no change to the original term of the agreement May 1, 2024  
to June 30, 2026; and  
b. Authorize the CEO 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% ($20,000) of the original contract amount and do not increase the total contract  
amount above $1,220,000.  
Attachments:  
Board Report  
Andrew Wang MD INC First Amendment  
Andrew Wang MD Agreement