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File #: 23-1308    Name: Amendment to State Local Fiscal Recovery Funds Subrecipient Agreement with Fresno Community Hospital and Medical Center
In control: Administrative Office
On agenda: 11/28/2023 Final action: 11/28/2023
Enactment date: Enactment #: Agreement No. 23-625
Title: 1. Approve and authorize the Chairman to execute First Amendment to Subrecipient Agreement No. 22-340 for American Rescue Plan Act - State Local Fiscal Recovery Funds (ARPA-SLFRF) with Fresno Community Hospital and Medical Center to revise the expenditure plan, modification clause, and update the hold harmless clause, with no increase to maximum compensation ($2,720,670); and 2. Authorize the County Administrative Officer or designee to approve and execute written changes to line items in the project budget, which, when added together during the term of the Agreement do not exceed ten percent (10%) of the total maximum compensation payable to Subrecipient, and which do not result in any change to the maximum compensation amount payable to the Subrecipient.
Attachments: 1. Agenda Item, 2. Agreement A-23-625 Amend. to Agt. w/ Fresno Community Hospital
DATE: November 28, 2023

TO: Board of Supervisors

SUBMITTED BY: Paul Nerland, County Administrative Officer

SUBJECT: Amendment to State Local Fiscal Recovery Funds Subrecipient Agreement with Fresno Community Hospital and Medical Center

RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute First Amendment to Subrecipient Agreement No. 22-340 for American Rescue Plan Act - State Local Fiscal Recovery Funds (ARPA-SLFRF) with Fresno Community Hospital and Medical Center to revise the expenditure plan, modification clause, and update the hold harmless clause, with no increase to maximum compensation ($2,720,670); and

2. Authorize the County Administrative Officer or designee to approve and execute written changes to line items in the project budget, which, when added together during the term of the Agreement do not exceed ten percent (10%) of the total maximum compensation payable to Subrecipient, and which do not result in any change to the maximum compensation amount payable to the Subrecipient.
REPORT
There is no Net County Cost associated with the recommended actions, which will revise the expenditure plan of Fresno Community Hospital and Medical Center (Subrecipient) to maximize the use of available funds. The recommended amendment also updates the Hold Harmless section to align with the most recent language used in standard County agreements. Recommended action item 2 delegates limited authority to the County Administrative Officer or designee to make the requested revisions to the budget, as long as the revisions, when added together during the term of the Agreement, do not exceed 10% of the Agreement maximum. This item is countywide.

ALTERNATIVE ACTION(S):

If the recommended action is not approved, the maximum allocation of ARPA-SLFRF would not become available to the Subrecipient to fund the installation of a new computed tomography (CT) scanner that will replace an aging CT scanner at the Clovis Community Medical Center which ...

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