DATE: July 13, 2021
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Interim Director, Department of Public Health
Hollis Magill, Director of Human Resources
SUBJECT: Retroactive Amendment I to Agreement No. A-21-067, COVID-19 Vaccination
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive First Amendment to Agreement No. A-21-067 with Pinnacle Training Systems, LLC expanding COVID-19 vaccination portability to additional County departments, and expanding COVID-19 vaccination to the general public, with no change to the term of February 15, 2021 through December 31, 2021, or compensation maximum of $500,000.
REPORT
There is no increase in Net County Cost associated with the recommended action. Approval of the recommended action will expand vaccine portability to any county department to allow services to clinics held through community medical/vaccination events or through employers, and to allow for additional vaccine administration to the general public. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board choose to not approve the recommended action, the County would need to discontinue use of Pinnacle for vaccination administration services to Fresno County residents, which will cause delays in the public getting vaccinated.
RETROACTIVE AGREEMENT:
The recommended Amendment is retroactive to February 15, 2021 due to the immediate need to provide COVID-19 vaccinations to County employees in accordance with the State of California’s tiered vaccination schedule. Due to the limited availability of contractors and the ongoing need to provide vaccination services to Fresno County residents, Pinnacle Training Systems, LLC (Pinnacle) transitioned to offer vaccination services to the general public on March 27, 2021, prior to finalizing the amendment.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended action. All costs associated with this agreement will be paid for with a combination of funding from the CARES Act allocation and State funding. The compensation rates are being changed to align with DPH’s contracted vendors providing similar services. There are no pending outstanding invoices related to this agreement. Sufficient appropriations and estimated revenues will be included in the Department’s Org 5620 FY 2021-22 Recommended Budget.
DISCUSSION:
On March 9, 2021, your Board made a finding that it was in the best interest of the County to suspend the competitive bidding process in an emergency when goods or services are immediately necessary for the preservation of public health, welfare, or safety, or for the protection of County property, consistent with Administrative Policy No. 34, for urgent and necessary COVID-19 vaccination services for County of Fresno Employees. At that time, your Board also executed a retroactive agreement with Pinnacle to provide urgent and necessary COVID-19 vaccination services to County employees. Through April 2021, Pinnacle has administered 272 doses of COVID-19 vaccine to County staff.
The ongoing COVID-19 pandemic created an urgent need to provide vaccination services to Fresno County residents as soon as possible. Pinnacle has been designated as an approved vendor of COVID-19 vaccination services by the Department of Public Health and possess mobilization capability enabling them to be highly utilized.
Through June 6, 2021, Pinnacle has participated at 8 clinics organized by DPH and administered 1,181 doses of COVID-19 vaccine to Fresno County residents. DPH and Pinnacle anticipate 9 more events through the end of June 2021. Compensation for services will be based on vaccine clinic hours.
Approval of the recommended action provides the County the opportunity to increase vaccination services to the community by adding additional community vaccine clinics in various County selected areas staffed by Pinnacle staff. The County and Pinnacle will work together to assure maximization of resources and meeting of expected vaccination goals.
REFERENCE MATERIAL:
BAI #31 March 9, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- Amendment I to Agreement A-21-067
CAO ANALYST:
Ron Alexander