REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
April 8, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with ACCO Engineered Systems, Inc. for Unforeseen and Unexpected Repairs for Heating, Ventilation, Air Condition, and Refrigeration at Arrowhead Regional Medical Center
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 21-359 with ACCO Engineered Systems, Inc., for unforeseen and unexpected repair services for the heating, ventilation, air conditioning, and refrigeration system, increasing the not-to-exceed contract amount by $700,000 from $2,383,710 to $3,083,710, with no change to the contract term of June 1, 2021 through May 31, 2026.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost) as the cost of $700,000 is funded by State Medi-Cal, Federal Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2024-25 budget and will be included in the 2025-26 recommended budget.
BACKGROUND INFORMATION
The Amendment with ACCO Engineered Systems, Inc. (ACCO) will increase the funds of Contract No. 21-359 by $700,000 to allow for additional unexpected or unforeseen repairs to the heating, ventilation, air conditioning, and refrigeration systems (HVACR) at ARMC. The HVACR systems provide for the required environment of care standards, as it relates to infection control plans and procedures that are reviewed by California Occupational Safety and Health Administration, Centers for Medicaid/Medicare Services and The Joint Commission annually. A licensed third-party contractor specializing in HVACR systems is required to provide legal and mandated scheduled monitoring and monthly maintenance of the ARMC HVACR systems, ensuring that regulatory compliance standards are met.
The HVACR systems are essential to ARMC life support systems as they provide positive, neutral and negative pressures to procedure areas, operating rooms and intensive care units. HVACR systems assist with infection control through required indoor air exchanges, ambient temperatures, and humidity levels necessary to maintain operation licenses.
On May 18, 2021 (Item No. 13), as the result of solicitation No. ARMC121-ARMC-4044, the Board of Supervisors (Board) approved Contract No. 21-359 with ACCO Engineered Systems, Inc. for unforeseen and unexpected repair services in the amount of $2,383,710, effective June 1, 2021 through May 31, 2026.
ARMC recommends the approval of the Amendment with ACCO to enable the continued purchase of the services necessary for ARMC facilities department to perform unexpected repairs and ensure reliable operation of the heating, ventilation, air conditioning, and refrigeration systems.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on January 29, 2025; Purchasing (Veronica Pedace, Buyer III, 387-2464) on February 25, 2025; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on March, 13, 2025; Finance (Jenny Yang, Administrative Analyst, 387-4884) on March 18, 2025; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on March 18, 2025.