To: Board of Supervisors
From: Warren Lai, Public Works Director/Chief Engineer
Report Title: APPROVE Change Order #04 with M V P Construction LLC for Contra Costa Regional Medical Center Cart Washer Replacement at 2500 Alhambra Avenue, Martinez
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
1. APPROVE Change Order No. 04 in the amount of $313,411 with M V P Construction LLC (“MVP”) for the Contra Costa Regional Medical Center Cart Washer Replacement project.
2. AUTHORIZE the Public Works Director, or designee, to execute the Change Order, which provides for additional expenses, and increases the contract price by $313,411 for a total revised contract value of $2,408,810.
FISCAL IMPACT:
100% Health Services Department Enterprise Fund 1
BACKGROUND:
On May 20, 2025, the Board of Supervisors awarded a construction contract for $1,960,000 to MVP Construction LLC to replace the cart washer at the Contra Costa Regional Medical Center (CCRMC).
Contra Costa Regional Medical Center, located at 2500 Alhambra Avenue in Martinez, has an existing cart washer that has reached the end of its useful life and requires replacement. The cart washer is a critical component of the hospital’s Sterile Processing Department (SPD), as it is essential for the thorough cleaning and sterilization of medical and surgical equipment to ensure patient safety.
This project includes removal of the existing cart washer; modifications to the room to accommodate the new equipment; installation of a deionized water system; installation of a new air compressor and air dryer; and minor ancillary work such as the addition of new countertops, cabinetry and finishes. Construction is currently underway.
During construction, hospital staff requested several scope enhancements to improve hygiene, durability, and long-term maintenance. Specifically, the originally specified cabinetry and millwork were requested to be upgraded to stainless steel units to provide improved hygienic performance and ease of cleaning. In addition, a new stainless steel handwashing sink was requested.
Furthermore, the originally specified air compressor included in the approved design was discontinued by the manufacturer. As a result, an alternate compatible compressor was specified; however, this unit is larger and more costly than the original equipment. Subsequently, hospital facilities staff requested that the originally designed air dryer be upgraded to a desiccant air dryer due to its superior performance and reduced maintenance requirements.
The newly specified compressor and desiccant air dryer are both larger and heavier than originally anticipated and cannot be accommodated within the originally designed second-floor location. Consequently, these components must be relocated to a larger space within the First Floor Boiler Room.
Change Order No. 04 addresses the above-described modifications to the project scope. When combined with the three previously issued Change Orders totaling $135,399, the revised contract amount will be $2,408,810.
When awarding the construction contract on May 20, 2025, the Board of Supervisors authorized the Public Works Director, or designee, to order changes or additions to the work pursuant to Public Contract Code Section 20142. Public Contract Code Section 20142, however, limits such delegation of authority on contracts whose original cost exceeds $250,000, to $25,000 plus 5 percent of the amount of the original contract cost in excess of $250,000, but in no event greater than $210,000. Change Order No. 04 exceeds that threshold. Therefore, the Public Works Director, or designee, does not have authority to approve Change Order No. 04 on their own.
Public Contract Code Section 20136, however, provides that the Board of Supervisors may approve a change order to the construction contract by order adopted by a 2/3 vote of the Board and with consent of the contractor. MVP has approved the proposed change order. Therefore, final approval of the change order now requires a 2/3 vote of the Board.
For the reasons outlined above, the Public Works Director recommends that the Board approve Change Order No. 04.
CONSEQUENCE OF NEGATIVE ACTION:
Board approval of this Change Order is necessary to ensure the installation of required equipment and stainless-steel cabinetry needed for a complete and functional space and to meet California Department of Health Care Access and Information (HCAI) permit requirements. Without approval, the project cannot be completed.