To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Amendment/Extension #76-572-5 with Kan-Di-Ki, LLC (dba TridentCare)
☒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/Extension #76-572-5 with Kan-Di-Ki, LLC (dba TridentCare), a limited liability company, effective March 1, 2025, to amend Contract #76-572-3 (as amended by Amendment Agreement #76-572-4), to increase the payment limit by $315,000, from $200,000 to a new payment limit of $515,000, and to extend the termination date from August 31, 2025 to August 31, 2027, for additional on-site diagnostic imaging services at the County’s detention facilities.
FISCAL IMPACT:
Approval of this Amendment/Extension will result in additional expenditures of up to $315,000 and will be funded 100% by County General Funds for Detention Services Revenues. (Rate increase)
BACKGROUND:
Due to the limited number of specialty providers available within the community, Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers relies on contracts to provide necessary specialty health services to its patients. Contractor provides laboratory, radiology, electrocardiogram (EKG), x-ray, and ultrasound services for detainees at the Martinez Adult Detention Facility (MDF) and the West County Detention Facility (WCDF) in Richmond. Contractor has been providing diagnostic imaging services for the county since February 2017. This Contract was entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000 and was approved by Health Services Personnel to ensure there is no conflict with labor relations.
On August 9, 2022, the Board of Supervisors approved Contract #76-572-3 with Kan-Di-Ki, LLC (dba TridentCare), in an amount not to exceed $100,000, for the provision of on-site diagnostic imaging services at the MDF and the WCDF for the period September 1, 2022 through August 31, 2025. This Contract included mutual indemnification to hold harmless both parties for any claims arising out of the performance of this contract.
On January 16, 2024, the Board of Supervisors approved Amendment Agreement #76-572-4 with Kan-Di-Ki, LLC (dba TridentCare), effective January 15, 2024, to increase the payment limit by $100,000 to a new payment limit of $200,000 for additional on-site diagnostic imaging services with no change in the term.
Approval of Contract Amendment/Extension Agreement #76-572-5 will allow the Contractor to provide additional on-site diagnostic imaging services through August 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment/Extension is not approved, patients requiring on-site diagnostic imaging services at the MDF, WCDF and the West County Reentry and Housing Facility in Richmond will not have access to Contractor’s additional services.