To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #72-219-4 with Navigating Preparedness Associates, LLC
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #72-219-4 with Navigation Preparedness Associates, LLC, a limited liability company, effective April 1, 2026, to amend Contract #72-219-3, to increase the payment limit by $125,931, from $125,000 to a new payment limit of $250,931, for additional consulting and technical assistance for Contra Costa Health (CCH) for the CCH System Response Plan and Medical Health Operational Area Coordination (MHOAC) program manual and annexes with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of up to $125,931 and is funded as budgeted 39% by Hospital Preparedness Program (HPP), 61% by Public Health Emergency Preparedness (PHEP) and Cities Readiness Initiative (CRI). (No rate increase)
BACKGROUND:
The CCH Public Health Division is required to maintain the CCH System Response Plan and MHOAC program manual and annexes. Each fiscal year the Public Health Administration for strategic preparedness and response (ASPR) requirements are provided and the Health Emergency Response Team (HERU) and HPP, PHEP, CRI work to complete all deliverables including updating any new emergency annexes required for the fiscal year. The goal of this project is to produce comprehensive and cohesive plans that describe the overall health systems response and MHOAC response and workflows while meeting federal guidelines. The key objective is to align comprehensive emergency documentation with the Department of Public Health ASPR requirements. HERU supports the HPP when disaster strikes by providing programs designed to meet new challenges. These programs establish strong plans and partnerships in advance, helping ensure rapid response efforts that protect communities and save lives. County Public Health Division has been contracting with this Contractor since February 1, 2024.
In October 2025, the Purchasing Services Manager approved and executed Contract #72-219-3 with Navigating Preparedness Associates, LLC, in an amount not to exceed $125,000, for the provision of engineering and consulting services required for the MHOAC program manual including editing and reviewing new additions of annexes and new requirements when updates were released by ASPR for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment #72-219-4 will allow Contractor to provide additional consulting and technical assistance to CCH in regard to the CCH System Response Plan and MHOAC program manual and annexes through June 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, Contractor will not be able to continue working on the MHOAC project which may delay completion, and County may become non-compliant with the requirements.