Consider recommendations regarding a Fourth Amendment to the Agreement with Medical Doctors Associates DBA Cross Country Locums, as follows: a) Approve and authorize the Chair to execute the Fourth Amendment to the Agreement with Medical Doctors Associates DBA Cross Country Locums for professional services to increase the amount by $858,000.00 for a revised total Agreement amount not to exceed $3,688,900.00, without a change to the period of performance of July 1, 2024, through June 30, 2026; and b) Determine that the recommended action does not constitute a “Project” within the meaning of the California Environmental Quality Act (CEQA), and is exempt pursuant to Section 158378(b)(4) of the CEQA Guidelines, since the recommended action is the creation of government funding mechanisms or other government fiscal activities, which does not involve any commitment to any specific project which may result in a potentially significant physical impact on the environment.

Administrative Item Agenda Ready Introduced October 3, 2025

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