Title
a. Approve and authorize the Director of Health Services or designee to sign a non-standard Master Service Agreement (Agreement) with M3 Group, Inc. (Mission Mobile) for the purchase of a mobile medical unit and 10 Year Service and Maintenance Support Plan effective upon execution of the Agreement, for a term of eighteen (18) months from date of execution in amount not to exceed $827,910.94, fully funded through the Health Resources and Services Administration (HRSA) American Rescue Plan - Health Center Construction and Capital Improvements (ARP-Capital) funding; and
b. Approve the recommendation of the Director of Health Services or designee to accept and approve all non-standard provisions in the Agreement (indemnification, limitation of liability, right to jury trial, insurance, venue); and
c. Authorize the Director of Health Services or designee to sign up to three (3) future amendments where the amendments in total do not exceed the HRSA ARP-Capital Grant amount of $1,017,066 and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to sign a non-standard Master Service Agreement (Agreement) with M3 Group, Inc. (Mission Mobile) for the purchase of a mobile medical unit and 10 Year Service and Maintenance Support Plan effective upon execution of the Agreement, for a term of eighteen (18) months from date of execution in amount not to exceed $827,910.94, fully funded through the Health Resources and Services Administration (HRSA) American Rescue Plan - Health Center Construction and Capital Improvements (ARP-Capital) funding; and
b. Approve the recommendation of the Director of Health Services or designee to accept and approve all non-standard provisions in the Agreement (indemnification, limitation of liability, right to jury trial, insurance, venue); and
c. Authorize the Director of Health Services or designee to sign up to three (3) future amendments where the amendments in total do not exceed the HRSA ARP-Capital Grant amount of $1,017,066 and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
The Health Department Clinic Services Bureau (Clinic Services) operates ten community clinic sites designated as Federally Qualified Health Centers (FQHCs) which provide preventive, primary, and specialty medical care services.
Clinic Services was awarded an ARP-Capital grant on March 11, 2022 in the amount of $1,017,066 to support construction, expansion, alteration, renovation, and other capital improvements to modify, enhance, and expand health care infrastructure. Clinic Services is utilizing HRSA ARP-Capital funding to purchase a mobile unit through Mission Mobile to function as a dual operatory medical and dental clinic complete with medical grade furniture and equipment. Current build time is 150 days from receipt of deposit, and pricing includes all requested equipment, services, and a 10-year Service and Maintenance Plan and warranty.
This will be the first mobile clinic unit for Clinic Services. The mobile unit will provide critical and timely services to the community, particularly hard-to-reach populations at school-based sites within Monterey County including the Soledad Unified School District, serving the South County area, and Salinas Community School, serving the entirety of Monterey County. Approval of the recommended action will complement existing services and programs and enhance access for students, their families, and the community.
The Director of Health Services requests that the Board accept and approve all non-standard provisions in the Agreement, including payment provisions to allow the payment of a deposit to the vendor, which is a requirement to custom-build the mobile clinic to Clinic Services’ specifications.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan initiatives: 1. Empower the community to improve health; Enhance community health and safety through prevention; 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services; and 4. Engage MCHD workforce and improve operational functions to meet current and developing population health needs. It also supports one or more of the ten essential public health services, specifically: 7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed and approved this Agreement as to form. Auditor-Controller has reviewed the Agreement as to fiscal provisions but does not approve the non-standard payment provisions. Fleet Services assisted in the review of the Agreement. The Health Department recommends moving forward with approval of this Agreement to allow for the purchase of the County’s first mobile medical unit and expand health services to hard-to-reach populations.
FINANCING:
This Agreement will be funded by the HRSA ARP-Capital funding grant awarded on March 11, 2022 in the amount of $1,017,066. ARP-Capital funds must be expended no later than September 14, 2024. This Agreement and any subsequent amendments will not exceed awarded funds. Appropriations for this Agreement are included in the Health Department’s (001-4000-8591-HEA007) FY 2023-24 Adopted Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☒Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Stacey Fiess, Management Analyst II, 796-1329
Approved by:
______________________________ Date__________________
Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment(s):
Board Report
Master Services Agreement