DATE: March 17, 2026
TO: Board of Supervisors
SUBMITTED BY: Paul Nerland, County Administrative Officer
SUBJECT: Third Amendment, State and Local Fiscal Recovery Funds Subrecipient Agreement with Fresno Community Hospital and Medical Center
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a Third Amendment to Subrecipient Agreement No. 22-340 with Fresno Community Hospital and Medical Center (Subrecipient) for provision of American Rescue Plan Act - State and Local Fiscal Recovery Funds (ARPA-SLFRF), which will revise the expenditure plan with no change to the maximum compensation ($2,712,835).
REPORT
There is no Net County Cost associated with the recommended action, which will revise the expenditure plan in Subrecipient Agreement No 22-340. The recommended amendment will update line-item costs in the expenditure plan in the Agreement. On April 23, 2025, the Subrecipient informed the County that the project is complete. Based on all final invoices, the Subrecipient represents that approximately $322,139 in costs initially coded under final installation and adaptation expenditures have since been identified and reclassified as costs for the Subrecipient's purchase of the Computed Tomography (CT) scanner. This item pertains to locations in Districts 3 and 5, however benefits are countywide.
ALTERNATIVE ACTION(S):
If the recommended action is not approved, the current expenditure plan in the Subrecipient Agreement will remain the same. Funding availability identified under the Scanner Installation and Adaptation Costs line-item will not become available to fully reimburse the Subrecipient for the purchase of the CT scanner.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The program is fully funded with ARPA-SLFRF. Sufficient appropriations are included in the FY 2025-26 Adopted Budget for the Auditor-Controller/Treasurer-Tax Collector Org. 1033 - Disaster Claiming, Fund 0026, Sub...
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