REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
May 18, 2021
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title v
Rider to the Agreement with Praxair Distribution Inc. for the Provision of INOtherapy Services
End
RECOMMENDATION(S)
Recommendation
Approve the Rider to Product Supply Agreement No. 21-302 with Praxair Distribution Inc. for the provision of INOtherapy services, extending the contract period to May 17, 2024, for a total contract period of August 22, 2017 through May 17, 2024, with no change to the not to exceed amount of $1,930,000.
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item with Praxair Distribution Inc. (Praxair) will not result in the use of Discretionary General Funding (Net County Costs). There are no costs associated with this additional provision to the agreement. Sufficient appropriation for the agreement has been included in the Arrowhead Regional Medical Center (ARMC) 2020-21 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
Approval of this item will allow ARMC to receive INOtherapy services from Praxair, which consists of the pharmaceutical drug Noxivent (nitric oxide) for inhalation and the delivery devices needed to administer the drug. The INOtherapy services will be used at the Neonatal Intensive Care Unit (NICU) at ARMC. Inhaled nitric oxide is a specific pulmonary medication that dilate blood vessels. It affects the muscles in the walls of the arteries and veins, preventing the muscles from tightening and the walls from narrowing. As a result, blood flows more easily through the vessels, reducing blood pressure and increasing oxygen supplies in the blood. Inhaled nitric oxide has been a proven safe and effective treatment for term and late preterm infants with respiratory failure.
On August 22, 2017 (Item No. 7), the Board of Supervisors (Board) authorized the Purchasing Agent to issue a Master Blanket Purchase Order No. 183463 with Praxair, for the delivery of bulk medical gases, medical gas cylinders, and site gas services to ARMC, in the total amount of $1,180,000, for the term of August 22, 2017 through August 21, 2022. The Master Blanket Purchase Order No. 183463 was subsequently converted to Contract No. 4400005501.
On February 9, 2021 (Item No. 12), the Board approved an increase to Contract No. 4400005501 with Praxair increasing the not to exceed amount by $750,000 from $1,180,000 to $1,930,000, with no changes to the term of August 22, 2017 through August 21, 2022, for the delivery of bulk medical gases, medical gas cylinders, and site gas services to ARMC. Contract No. 4400005501 was subsequently converted to Agreement No. 21-302.
On May 4, 2021 (Item No. 7), The Board approved Approve Amendment No. 1 to the Product Supply Agreement No. 21-302 with Praxair Distribution Inc., increasing the not-to-exceed amount by $750,000 from $1,180,000 to $1,930,000, with no changes to the term of August 22, 2017 through August 21, 2022, for the delivery of bulk medical gases, medical gas cylinders and site gas services to Arrowhead Regional Medical Center.
PROCUREMENT
This is a non-competitive procurement based on the current contract. County Purchasing supports this non-competitive procurement.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Deputy County Counsel, 387-5465) on April 26, 2021; Purchasing Department (Ariel Gill, Buyer, 777-0722) on April 29, 2021; ARMC Finance (Chen Wu, Finance Budget Officer, 580-3165) on April 27, 2021; Finance (Yael Verduzco, Administrative Analyst, 387-5285) on April 29, 2021; and County Finance and Administration (Matthew Erickson, County Chief Financial Officer, 387-5423) on May 2, 2021.