Approve retroactive Second Amendment to Administrative and Professional Services Agreement with CEP America-Anesthesia, PC, relating to providing anesthesia coverage for surgical and obstetrics services, increasing the maximum contract amount by $13,171,894 from $10,352,186 to $23,524,080, and extending the agreement for a 12-month period through March 31, 2027, that has been reviewed and approved by County Counsel as to form and legality. A single source exception to competitive procurement has been approved by the Office of Countywide Contracting Management pursuant to Board of Supervisors Policy 5.6.5.1(D)(2)(a). (LA)

County of Santa Clara Santa Clara Valley Health & Hospital System 128007 DATE: April 14, 2026 TO: Board of Supervisors FROM: Paul E. Lorenz, Chief Executive Officer, SCVH SUBJECT: Second Amendment with CEP America-Anesthesia, PC RECOMMENDED ACTION Approve retroactive Second Amendment to Administrative and Professional Services Agreement with CEP America-Anesthesia, PC, relating to providing anesthesia coverage for surgical and obstetrics services, increasing the maximum contract amount by $13,171,894 from $10,352,186 to $23,524,080, and extending the agreement for a 12-month period through March 31, 2027, that has been reviewed and approved by County Counsel as to form and legality. A single source exception to competitive procurement has been approved by the Office of Countywide Contracting Management pursuant to Board of Supervisors Policy 5.6.5.1(D)(2)(a). (LA) FISCAL IMPLICATIONS Approval of the recommended action will not require modification to the Santa Clara Valley Healthcare (SCVH) Fiscal Year (FY) 2025-2026 Adopted Budget. Funds to support this agreement are included in the services and supplies budget. Actual expenditures are expected to continue at approximately the...

Docusign Envelope ID: 3B49C6E4-D058-4DCA-95DB-0BACA322E219 SECOND AMENDMENT TO THE ADMINISTRATIVE AND PROFESSIONAL SERVICES AGREEMENT FOR ANESTHESIA SERVICES BETWEEN THE COUNTY OF SANTA CLARA AND CEP AMERICA-ANESTHESIA, PC The Administrative and Professional Services Agreement for Anesthesia Services (inclusive of all amendments the “Agreement”), effective April 1, 2025 by and between the County of Santa Clara, a political subdivision of the State of California, dba Santa Clara Valley Healthcare (“County”) and CEP America-Anesthesia, PC (“Contractor”) is hereby amended as set forth below effective April 1, 2026 (“Second Amendment”). Background The purpose of this Second Amendment is for the Parties to add additional anesthesia services as of the dates shown below in Exhibit A-3, increase the maximum financial obligation (“MFO”) by $13,171,894 and revise standard provisions. The Agreement is hereby amended as set forth below: Amendment 1. Section 2.1 (Compensation) is hereby revised to read as follows: 2.1 Compensation. In consideration of the contracted services provided to County by Contractor, the County shall pay Contractor for all undisputed charges in accordance with the...

April 14, 2026 128007

Docusign Envelope ID: 22015561-CB77-47E3-B7F8-9E68B94F7146 84CDF60E-DBA5-4E2C-AD8F-F1D543653728 JUSTIFICATION FOR EXCEPTIONS TO COMPETITIVE PROCUREMENT It is the policy of the Board that the County conduct an open, fair and full competitive solicitation process for the procurement of goods and/or services, with exemptions for certain goods, services and classes of procurement, and case-by-case exceptions, subject to a detailed review and approval process. The residents of Santa Clara County are best served when sound business decisions are made through a full and open competitive bidding processes. There may be certain instances when exceptions are warranted and justifiable. When a County agency/department recommends that competitive bidding is not practicable or in the best interest of the tax payers, appropriate justification supporting an exception must be submitted to the Procurement Department. Should you have any questions, please do not hesitate to contact: Matthew Hada, Director of Procurement at (408) 491-7401. Date of Submission: Submit Document via Requisition Refer to the Contact and Commodity Assignment List for buyer code guidance. SECTION I Proposed Contractor/...

Docusign Envelope ID: 184428A2-A900-40CD-B6C8-E1D2B8EEEA4C CD8CDB07-AFEF-433C-9E62-978847F194A5 RMC RESOLUTION TRACKING FORM Delegation of Authority (DOA), Resolution No. BOS-2024-120. This DOA expires on September 24, 2029. TO BE COMPLETED BY DEPARTMENT / AGENCY SCVH Contracts Department Submitting Request: ___________________________________________________________ 4089472592 Barbara Mellin Contact Name: _______________________________ Contact Phone Number: _____________________ barbara.mellin@hhs.sccgov.org Contact Email: ________________________________ Type of request (Please select one): X Amendment to existing County Contract  New County Contract  Assumed Contract  CT55571 Agreement Number: ____________________ Type of contract (Please select one):  Professional Services  Goods and Related Services  Revenue  X Physician Services  Technology Services Solution  Facilities and Fleet  Other __________________ Location of Services:  System-wide X RMC  CEP America-Anesthesia, PC Vendor/Contractor: _____________________________ Michael Paige, MD Contact Name: __________________________ 2100 Powell Street, Suite 400, Emeryville, CA Address:...

Docusign Envelope ID: F7E68329-780E-48A2-8FE7-467212993044 D684BA07-4E7B-4043-AD01-D9CCDABFFC1A ADMINISTRATIVE AND PROFESSIONAL SERVICES AGREEMENT This Administrative a n d P r o f e s s i o n a l Services Agreement (“Agreement”) is entered into as of April 1, 2025 (the “Effective Date”) by and between the County of Santa Clara, a political subdivision of the State of California d/b/a Santa Clara Valley Healthcare (“County”) and CEP America- Anesthesia, PC, a California professional corporation (“Contractor”). County and Contractor may be referred to herein individually as a “Party” and collectively as the “Parties.” RECITALS WHEREAS, County provides medical services to patients through general acute care hospitals commonly known as the County provides medical services to patients through general acute care hospitals commonly known as the Santa Clara Valley Medical Center (“SCVMC”), O’Connor Hospital (“O’Connor”), St. Louise Regional Hospital (“St. Louise”) and Regional Medical Center (“RMC”) and clinics and other health care facilities owned or operated by County. SCVMC, O’Connor, St. Louise and Regional Medical Center are operated on a consolidated license and, unless...