Consider recommendations regarding a First Amendment with Medical Doctors Associates DBA Cross Country Locums Agreement, as follows: (4/5 Vote Required) a) Approve, ratify, and authorize the Chair to execute the First Amendment to the professional services Agreement with Medical Doctors Associates DBA Cross Country Locums to increase the amount by $575,000.00 for substitute (Locums Tenens), to add temporary healthcare professional services, and to add direct hire services for a revised total Agreement amount not to exceed $1,110,000.00 within the period of performance July 1, 2023, through June 30, 2024; and b) Approve and authorize the Director of Public Health, or designee, to approve rate changes for Temporary Placements in accordance with Exhibit B-2 Section E so long as such increase does not result in an increase to the total amount of the Agreement, upon review and approval by the Auditor-Controller, Risk Management, and County Counsel, subject to the Board’s ability to rescind the authority at any time; and c) Approve Budget Revision Request No. 0009518 in the amount of $575,000.00 to pay for current temporary staffing fees; and d) Determine that the proposed actions do not constitute a “Project” within the meaning of California Environmental Quality Act (CEQA), pursuant to Section 15378(b)(4) of the CEQA Guidelines, because they consist of the creation of government funding mechanisms or other government fiscal activities, which do not involve any commitment to any specific project which may result in a potentially significant impact on the environment.

Administrative Item Agenda Ready Introduced March 8, 2024

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