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File #: 13865   
Type: Consent Status: Agenda Ready
File created: 3/19/2026 Department: Arrowhead Regional Medical Center
On agenda: 3/24/2026 Final action:
Subject: Revenue Agreement with South Coast Air Quality Management District for Procurement of Mobile Medical Clinics
Attachments: 1. COV - ARMC - 3-24-26 - South Coast Air Quality Management District, 2. CON - ARMC - 3-24-26 - South Coast Air Quality Management District
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REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

March 24, 2026

FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center

SUBJECT
Title
Revenue Agreement with South Coast Air Quality Management District for Procurement of Mobile Medical Clinics
End

RECOMMENDATION(S)
Recommendation
Approve Revenue Agreement with South Coast Air Quality Management District, including non-standard terms, to accept up to $1,000,000, to assist in the procurement of two zero-emission mobile medical clinics and retire an existing gas-powered mobile medical clinic, effective upon full execution through April 30, 2028.
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 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 will not result in the use of Discretionary General Funding (Net County Cost). The recommendation will allow Arrowhead Regional Medical Center (ARMC) to accept up to $1,000,000 from the South Coast Air Quality Management District (SCAQMD) to procure two zero-emission mobile medical clinics.

BACKGROUND INFORMATION
On February 28, 2023 (Item No. 17), the Board of Supervisors (Board) approved Contract No. 23-149 with SCAQMD, including non-standard terms, to accept up to $1,000,000 to assist in the procurement of two zero-emission mobile medical clinics and retire an existing gas-powered mobile medical clinic (Project), effective upon full execution through April 30, 2025. The Board also approved an allocation of $500,000 from the 2022-23 Fifth District's Board of Supervisors Discretionary Fund - District Specific Priorities Program budget to fully fund the Project.

The two zero-emission mobile medical clinics were procured with the help of Fleet Management and partial pay...

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