To: Board of Supervisors
From: Warren Lai, Public Works Director/Chief Engineer
Report Title: Design Build Procurement for the Upgrade Nurse Call System at CCRMC
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Public Works Director to issue a Request for Qualifications (RFQ) and a Request for Proposals (RFP) for the selection of a Design-Build entity for the Upgrade Nurse Call System at CCRMC project located at 2500 Alhambra Avenue, Martinez.
The Statement of Qualifications will be due to be received on or about April 9, 2026, and upon selection of shortlisted Design-Build entities, the Request for Proposals (RFP) will be issued on or about April 29, 2026 and proposals due on or about June 18, 2026. RFP addenda, as needed, for clarification of RFP documents, will be issued provided that the changes do not significantly increase the construction cost estimate.
FISCAL IMPACT:
There is no immediate fiscal impact from these actions. The selection of the Design-Build entity and the awarding of the Design-Build Stipulated Sum Contract will be presented to the Board for approval at upcoming meetings.
The Upgrade Nurse Call System at CCRMC project has a preliminary construction estimate of $3.84 million. The total construction cost (100%) is expected to be covered by Enterprise 1 funding source.
BACKGROUND:
Contra Costa Regional Medical Center is a full-service County hospital and offers a complete array of patient-centered health care services. The building is a 6-story, approximately 200,000 square feet, 164-bed hospital. The existing nurse call system is original to the building designed in 1997. The system is obsolete and parts are no longer available. When the system fails, it creates lengthy repair times and impacts patient care and safety.
The new nurse call system will provide a complete working Nurse/Patient Communications Network and will provide necessary nurse call services for the patients and hospital staff, while meeting the latest standards and code requirements. The work includes interior renovations and no exterior work or sitework is needed.
This project will be under the jurisdiction of the California Department of Health Care Access and Information (HCAI) and will be categorized as an HCAI level 1 project, which has the most stringent requirements for a hospital project. The Design-Build entity will secure all required permits from HCAI necessary to complete the work.
The advantage of the Design-Build project delivery process is that it allows the County to select the firm that best aligns with the performance and design criteria established by the County and hospital staff. This fosters an ongoing partnership throughout the design, permitting, and installation phases.
Construction start date is estimated to be on or around Q4, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
The failing system is driving the urgency of installing the new nurse Call System at CCRMC. Without Board of Supervisors’ approval the nursing staff will not be able to meet current standards for code requirements and optimal care to patients.