To: Board of Supervisors
From: Warren Lai, Public Works Director/Chief Engineer
Report Title: Contract Amendment No. 3 with Truebeck Construction, Inc. for Pre-Construction Services for Contra Costa Regional Medical Center Cafeteria Building Upgrades Project
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Public Works Director, or designee, to execute a contract amendment No. 3 with Truebeck Construction, Inc. to extend the term through September 30, 2027, with no change to the payment limit, to provide pre-construction services for Contra Costa Regional Medical Center’s Cafeteria Building Upgrade project, Martinez area.
FISCAL IMPACT:
No fiscal impact.
BACKGROUND:
On March 25, 2025, the Board of Supervisors approved a Preconstruction Phase progressive design-build contract with Truebeck Construction, Inc., in the amount of $4,266,080.
On January 20, 2026, the Board of Supervisors approved Amendment No. 1 to increase the payment limit by $3,000,000 to a new payment limit of $7,266,080.
On March 31, 2026, the Board of Supervisors approved Amendment No. 2 to extend the term 190 days.
Regulatory Necessity (SB 1953 Compliance): The Contra Costa Regional Medical Center (CCRMC) is subject to the Alfred E. Alquist Hospital Facilities Seismic Safety Act (SB 1953). Under this law, all acute care hospital buildings must achieve SPC-5 (Structural Performance Category) and NPC-5 (Non-Structural Performance Category) compliance by January 1, 2030. This mandates that critical support services-specifically dietary operations-remain fully operational for 72 hours following a major seismic event. The existing cafeteria does not meet these standards, putting the hospital's operating license at risk.
The Department of Health Care Access and Information (HCAI) has issued a permit for demolition and preliminary site upgrades. Construction of site upgrades have begun. A second permit, for the new Cafeteria building, is still under HCAI review, and is delayed due to personnel shortages at HCAI.
Amendment No. 3 extends the pre-construction services contract by 364 days to accommodate unexpected delays in the permit review by HCAI.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to approve this action would leave Public Works without adequate authority to execute the necessary contract changes required to meet State law. This delay would trigger non-compliance penalties against the County, potentially leading to:
1. Financial penalties assessed by the State;
2. Refusal by HCAI to issue future building permits; and
3. The potential closure of CCRMC's food service facilities, which could ultimately force the termination of general acute care services at the Medical Center.