REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 18, 2026
FROM
MOE YOUSIF, Interim Director, Project and Facilities Management Department
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Construction Contract with Healthcare Design & Construction, LLC, for the Arrowhead Regional Medical Center Bi-Plane Angio Room Project
End
RECOMMENDATION
Recommendation
Approve Amendment No. 3 to Construction Contract No. 25-240 with Healthcare Design & Construction, LLC, for the Arrowhead Regional Medical Center Bi-Plane Angio Room Project in Colton, increasing the total contract amount by $264,882, from $14,181,185 to $14,446,067, with no change to the completion date of December 4, 2026 (Four votes required).
(Presenter: Moe Yousif, Interim Director, 387-5000)
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). Amendment No. 3, in the amount of $264,882, will be fully funded within the existing authorized budget for the Arrowhead Regional Medical Center (ARMC) Bi Plane Project (Project) (WBSE 10.10.0248) which has a total authorized budget of $32,375,067. Project funding is provided through State Medi-Cal, Federal Medicare, private insurance reimbursements, and other departmental revenues. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. The Project was approved by the Board of Supervisors (Board) as part of the 2026-27 Capital Improvement Program (CIP) budget on June 9, 2026 (Item No. 126).
BACKGROUND INFORMATION
The Project scope includes the remodel of 7,646 square feet, which encompasses two hybrid operating rooms, four pre/post anesthesia care units, and support spaces. The current rooms and equipment are obsolete and there is an increased demand for additional operating rooms. As a result, the Project scope was expanded to support Neurology, Vascular, and Cardiology services provided by ARMC and to incorporate updated equipment and advanced technology to enhance patient care.
On December 17, 2024 (Item No. 67), the Board authorized the Project and Facilities Management Department (PFMD) to advertise for competitive bids for the Project.
On April 29, 2025 (Item No. 45), the Board awarded Contract No. 25-240 (Contract) for the Project, in the amount of $13,915,578, to Healthcare Design & Construction, LLC (Contractor), the lowest responsive and responsible bidder, for a contract period of 550 calendar days.
On January 13, 2026 (Item No. 34), the Board approved Amendment No. 1 to the Contract increasing the amount by $173,580, from $13,915,578 to $14,089,158, with no change to the contract completion date of December 4, 2026.
On March 10, 2026 (Item No. 23), the Board approved Amendment No. 2 to the Contract increasing the amount by $92,027, from $14,089,158 to $14,181,185, with no change to the contract completion date of December 4, 2026.
Approval of Amendment No. 3 will compensate the Contractor in the amount of $264,882, with no change to the Project completion date, for additional work needed to address unforeseen conditions discovered during construction of the Project and site conditions that deviated from the construction documents. The additional work includes additional demolition of existing utilities and walls not shown on the plans, relocation of existing utilities in conflict with new construction, correction of existing code deficiencies in the same, and updates to the drawings necessary by new regulations. These scope adjustments were not reasonably identifiable at the time of the bid and are necessary to ensure compliance while preserving project schedule and integrity.
This Project is consistent with the County Administrative Office approved CIP Project Request No. 17-114.
Public Contract Code section 20136 requires all construction contract amendments to have four vote approval by the Board.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Daniel Pasek, Deputy County Counsel, 387-5455) on July 8, 2026; Arrowhead Regional Medical Center (Andrew Goldfrach, ARMC Chief Executive Officer, 580-6170) on July 8, 2026; Project and Facilities Management (Jon Aldana, Interim Chief of Project Management, 387-3072) on July 9, 2026; and County Finance and Administration (Yael Verduzco, Principal Administrative Analyst, 387-5285) on July 28, 2026.