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File #: 26-231    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 1/6/2026 In control: BOARD OF SUPERVISORS
On agenda: 1/20/2026 Final action:
Title: APPROVE and AUTHORIZE the Public Works Director, or designee, to execute a contract amendment with Truebeck Construction, Inc., to increase the payment limit by $3,000,000 to a new payment limit of $7,266,080 to provide additional pre-construction services for Contra Costa Regional Medical Center’s Cafeteria Building Upgrade project. Martinez area (68% Measure X, 32% Hospital Enterprise Fund I)
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To: Board of Supervisors
From: Warren Lai, Public Works Director/Chief Engineer
Report Title: Authorization to Execute Contract Amendment for Pre-Construction Services for Contra Costa Regional Medical Center Cafeteria Building Upgrades Project
?Recommendation of the County Administrator ? Recommendation of Board Committee


RECOMMENDATIONS:
APPROVE and AUTHORIZE the Public Works Director, or designee, to execute a contract amendment with Truebeck Construction, Inc. to increase the payment limit by $3,000,000.00 to a new payment limit of $7,266,080.41 to provide additional pre-construction services for Contra Costa Regional Medical Center's Cafeteria Building Upgrade project.

FISCAL IMPACT:
The total project budget is currently estimated at approximately $117 million, funded primarily through Measure X ($80 M), with additional funding provided by the Hospital Enterprise Fund ($37 M). This total budget estimate will be finalized and presented to the Board for approval in conjunction with the Phase 2 construction contract.

BACKGROUND:
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.

Solicitation and Original Scope In December 2024, Public Works issued a Request for Proposals (RFP) to procure a Progressive Design-Build entity. During the solicitation process, consultation with Department of Health Care Access and Information (HCAI) and California Department of Public Health (CDPH) confirmed that upgrading t...

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