To: Board of Supervisors
From: Monica Nino, County Administrator
Report Title: Resolution approving the Side Letter between Contra Costa County and the Physicians’ and Dentists’ Organization of Contra Costa
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
ADOPT a Resolution approving the Side Letter between Contra Costa County and the Physicians’ and Dentists’ Organization of Contra Costa (PDOCC) modifying Section 32.4 - Duration of Agreement of the Memorandum of Understanding to extend the contract from October 31, 2025 through November 30, 2025.
FISCAL IMPACT:
This action has no fiscal impact.
BACKGROUND:
This Side Letter extends the current Memorandum of Understanding from October 31, 2025 through November 30, 2025, to allow both parties to work together to negotiate an agreement.
CONSEQUENCE OF NEGATIVE ACTION:
Members will continue working under an expired contract.
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
and for Special Districts, Agencies and Authorities Governed by the Board
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IN THE MATTER OF
The Side Letter Agreement between the County of Contra Costa and the Physicians' and Dentists' Organization of Contra Costa, extending the duration of the current Memorandum of Understanding. The Contra Costa County Board of Supervisors acting solely in its capacity as the governing board of the County of Contra Costa.
NOW, THEREFORE, BE IT RESOLVED
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Effective October 31, 2025, the attached Side Letter of Agreement dated November 07, 2025, between the County of Contra Costa and the Physicians' and Dentists' Organization of Contra Costa, be ADOPTED.