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A 26-045

a. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to execute the Fifth Amendment to the Professional Services Agreement (A-15734) with Lena Nerjis Malik M.D. to provide pediatric hospitalist services, extending the term by twenty-four months (April 1, 2026 to March 31, 2028) for a revised full agreement term of July 1, 2017 to March 31, 2028, but with no change to the Board approved not to exceed amount of $300,000; and b. Authorize the Chief Executive Officer (CEO) for Natividad Medical Center (NMC) or a designee to sign up to three future amendments to this Agreement where the total amendments do not significantly change the scope of work, do not exceed 10% ($10,000) of the original contract amount and do not increase the total contract amount above $310,000.

BoS Agreement Natividad Medical Center - Consent Introduced February 2, 2026

What this record is

Amount
$310K
Runs until
March 31, 2028 1 years away date quoted from the award document
Type
amendment
Field
Professional services

professional services contracts in CA that end within a year →
Governments publish the end date in the award. That date is when the work goes back out to bid, and it is usually stated years ahead.

Read automatically from the title of the official record. The source document below is authoritative.

Committee
Board of Supervisors
Requested by
Natividad Medical Center
Introduced
February 2, 2026
On agenda
March 10, 2026

Where it was heard

Board of Supervisors Mar 10, 2026 Advance Reports Over 50 Pages Feb 27, 2026

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