To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Payment for Services for Stericycle, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Auditor-Controller, or designee, to pay Stericycle, Inc. an amount not to exceed $412,092 for bio-hazardous waste management removal services provided at Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers, for the period January 1, 2025 through May 31, 2026, as recommended by the Health Services Director.
FISCAL IMPACT:
Approval of this payment will result in a one-time expenditure of up to $412,092 and will be funded 100% by Hospital Enterprise Fund I revenues.
BACKGROUND:
Contra Costa County has been contracting with Stericycle, Inc. since April 2002 to provide hazardous waste management services to CCRMC and various Health Center locations within the County including pick-up of filled waste containers and delivery of empty, clean containers, on the dates, at the times, and at the designated pick-up sites in each facility.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. CCRMC’s Quality Management, Utilization Management, and monitoring staff meet regularly to ensure monitoring and performance measures in the Contract are upheld. Following a Request for Proposal (RFP), this Contract was awarded to Stericycle, Inc. by Public Works on November 8, 2024.
On April 28, 2025, the Board of Supervisors approved Contact #26-437-17 with Stericycle, Inc., in an amount not to exceed $250,000, for the provision of bio-hazardous waste management removal services for CCRMC and Health Center locations, for the period July 1, 2024 through April 30, 2025.
The Contractor is entitled to payment for the reasonable value of its services under the equitable relief theory of quantum meruit. That theory provides that where a contractor has been asked to provide services without a valid contract, and the contractor does so to the benefit of the County, the Contractor is entitled to recover the reasonable value of those services. The Contractor has provided services at the request of the County while contract terms are negotiated and agreed upon by both parties. As such, the Department recommends that the Board authorize the Auditor-Controller to issue a one-time payment to Stericycle, Inc. in an amount not to exceed $412,092.
CONSEQUENCE OF NEGATIVE ACTION:
If this payment is not approved, the Contractor will not be paid for services requested by County staff and provided by Contractor in good faith.