DATE: September 23, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Agreement with Syracuse University
RECOMMENDED ACTION(S):
TITLE
1. Under Administrative Policy No. 34 for competitive bids or requests for proposals (AP 34) determine that an exception to the competitive bidding requirement under AP 34 is satisfied and a suspension of competition is warranted due to unusual or extraordinary circumstances, and that the best interests of the County would be served by entering into the Agreement given Syracuse University is the only vendor able to continue serving as the fiscal intermediary for multiple counties for the Psychiatric Advance Directives Innovations Project Phase II;
2. Approve and Authorize the Chairman to execute an Agreement with Syracuse University for fiscal intermediary services related to the multi-county Psychiatric Advance Directives Innovations Project Phase II, effective upon execution through June 30, 2029, total not to exceed $3,000,000; and
3. Approve and Authorize the Department of Behavioral Health Director, or designee, to be the signatory and act as the Fresno County representative on behalf of the Board of Supervisors on associated Syracuse University fiscal intermediary services related to the multi-county Psychiatric Advance Directives Innovations Project reports and forms, without modifying the maximum compensation.
REPORT
There is no increase in Net County Cost associated with the recommended actions. Approval of the recommended actions will allow the Department of Behavioral Health to send funds to Syracuse University (SU) for fiscal intermediary services related to the multi-county collaborative Psychiatric Advance Directives Innovation Project (Project). The Project involves eight California counties. Through the recommended agreement, SU will engage multiple subcontracts on the County's behalf and provide oversight of budgets and invoices including approved dir...
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