To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract Amendment #76-868-1 with Carsten’s Yearly Analysis, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract Amendment #76-868-1 with Carsten’s Yearly Analysis, Inc., a corporation, to amend Contract #76-868, effective June 1, 2025, to increase the payment limit by $25,000, from $25,000 to a new payment limit of $50,000 to provide additional preventative maintenance of the medical gas and vacuum systems at Contra Costa Regional Medical Center (CCRMC) with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional budgeted expenditures of up to $25,000 funded 100% by Hospital Enterprise Fund I funds. (No rate increase)
BACKGROUND:
CCRMC requires a vendor that is local enough to be able to respond to emergencies that may arise at the facility. Maintenance and repair of the medical gas and vacuum systems is mandatory, both legally and operationally. Contractor will provide comprehensive testing of all components of the medical gas and vacuum system. Annual testing procedures and reports will be conducted for CCRMC to meet and exceed the requirements of the relevant edition of National Fire Protection Association (NFPA) Code 99, Computerized Maintenance Management System (CMMS), Joint Commission Environment of Care Standards, State and Local laws.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. CCRMC’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. Per Administrative Bulletin 600.3 the original payment limit was $25,000 or under and is exempt from solicitation requirements.
On August 15, 2024, the Board of Supervisors approved Contract #76-868 with Carsten’s Yearly Analysis, Inc., in an amount not to exceed $25,000, to provide preventative maintenance of the medical gas and vacuum systems at CCRMC for the period July 1, 2024 through June 30, 2026. This Contract included mutual indemnification to hold harmless both parties for any claims arising out of the performance of this Contract.
Approval of Contract Amendment #76-868-1 will allow the Contractor to provide additional preventative maintenance services through June 30, 2026. The delay of the Contract Amendment was due to the Contractor experiencing unforeseen challenges in generating a finalized payment amount for the additional preventative maintenance services.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, CCRMC will not have access to Contractor’s preventative maintenance for the medical gas and vacuum systems required to meet the standards of Local and State laws.