REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 18, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Avante Health Solutions for Preventative Maintenance and Service of Ultrasound Equipment
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 6 to Agreement No. 20-1115 with Avante Health Solutions for preventative maintenance and service of ultrasound equipment, to increase the agreement amount by $173,210, from $814,218 to $987,428, and to extend the term for one year for a total term of December 5, 2020 through December 4, 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). The cost of $173,210 is funded by State Medi-Cal, Federal Medicare, private insurance, 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) 2025-26 budget and will be included in the 2026-27 recommended budget.
BACKGROUND INFORMATION
Amendment No. 6 (Amendment) to Agreement No. 20-1115 (Agreement) will extend the term by one-year and increase the total agreement amount to ensure preventative maintenance and service of ultrasound equipment continues to occur every six months while ARMC completes a new competitive procurement process for a new contract for these services.
On November 17, 2020 (Item No. 22), as the result of informal bids, the Board of Supervisors (Board) approved the Agreement with Avante, in the amount of ...
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