DATE: June 10, 2025
TO: Board of Supervisors
SUBMITTED BY: Paul Nerland, County Administrative Officer
SUBJECT: Second Amendment to 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 Second 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 scope of the program, and reduce the maximum compensation by $7,835, from $2,720,670 to $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 and reduce the maximum compensation amount in the agreement. On April 23, 2025, the Subrecipient informed the County that the project is complete. There is a cost saving of $444,453 for the line item "Computed Tomography Scanner" and a cost overrun of $436,617 for the line item "Scanner Installation and Adaptation Costs." There will be a total savings to the awarded program of $7,835 if the amended expenditure plan is approved. 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. The cost savings realized from the purchase of the Computed Tomography (CT) scanner will not become available to the Subrecipient and the increased cost for the construction and installation of the CT scanner will not be eligible for reimbursement.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The program is fully funded with ARPA-SLFRF. Suf...
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