To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #23-384-18 with Language Line Services, Inc.(dba LanguageLine Solutions)
☒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/Extension #23-384-18 with Language Line Services, Inc. (dba LanguageLine Solutions), a corporation, effective October 1, 2025, to amend Contract #23-384-16, to increase the payment limit by $981,000, from $981,000 to a new payment limit of $1,962,000, and to extend the termination date from October 31, 2025 to March 31, 2026, for additional Federal and State mandated language interpretation and translation services and back-up telephonic services to our Health Care Interpreter Network (HCIN) for County’s Health Services Department.
FISCAL IMPACT:
Approval of this Amendment will result in additional expenditures of up to $981,000 and will be funded 100% by Hospital Enterprise Fund I budget. (No rate increase)
BACKGROUND:
This Contract allows County to meet Title VI language access regulations and Limited English Proficient (LEP) patient/client needs for the County. Contractor’s services include but are not limited to, over-the-phone interpretation, testing of our in-house healthcare interpreters, acting as a back-up to County’s HCIN, and providing onsite interpretation and translation of written documents for the Health Services Department’s patients/clients. This Contract was entered into under and subject to the following legal authority: California Government Code §§ 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Division Contract monitoring staff meet to ensure monitoring of performance measures set forth in the Contract are upheld. This Contractor has been a part of Contra Costa Health Services providing interpretation and translation services and fostering a deep understanding of the County’s organizations mission, values, and long-term objectives since January 2006. This Contractor was approved by the Public Works Department’s Purchasing Division on April 24, 2025. This one-time basis Sole Source is good through end of the Contract period. The Division is actively working on a Request for Proposal in coordination with Public Works.
On May 13, 2025, the Board of Supervisors approved Contract #23-384-16 with Language Line Services, Inc. (dba LanguageLine Solutions), in an amount not to exceed $981,000, for the provision of Federal and State mandated interpretation and translation services and back-up telephonic services to County’s HCIN for the period May 1, 2025 through October 31, 2025.
Approval of Contract Amendment/Extension Agreement #23-384-18 will allow the Contractor to continue to provide Federal and State mandated services and back-up telephonic services to our HCIN for the Health Services Department through March 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, the Contractor will not be able to provide interpretation and translation services required by State and Federal mandates.