Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Amendment to the Agreement with Stericycle Inc. to Provide Medical Waste Disposal
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Stericycle Inc. to provide medical waste disposal extending the term through May 31, 2021 and increasing the amount by $150,000 to an amount not to exceed $550,000.
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BACKGROUND:
On May 16, 2017, the Board approved an agreement with Stericycle Inc. to provide medical waste disposal. The agreement has been amended multiple times to add emergency response services and service locations.
DISCUSSION:
Due to the recent COVID-19 response, San Mateo Medical Center (SMMC) is requesting the Board extend the term of the agreement through May 31, 2021, with an associated increase in funding. This will allow SMMC time to complete a Request for Proposal for these services and get a new agreement in place.
This amendment is coming to the Board late due to delays related to the COVID-19 response.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
The County’s Contract Compliance Committee has approved a waiver request for a four-year term for this agreement.
It is anticipated that the medical and pharmaceutical waste generated by the Health Services will be disposed of in 100% compliance with the Resource Conservation and Recovery Act (RCRA).
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of medical and pharmaceutical waste generated by the Health Services that will be disposed of in compliance with RCRA |
100% |
100% |
FISCAL IMPACT:
The term of the amended agreement is June 1, 2017 through May 31, 2021. The amount of the agreement is not to exceed $550,000. The amendment increases the amount payable under the agreement by $150,000. Funds in the amount of $12,500 are included in the SMMC FY 2019-20 Adopted Budget. Funds in the amount of $137,500 will be included in the SMMC FY 20-21 Recommended Budget.
Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care is covered by the County’s General Fund contribution to SMMC and is within the existing annual appropriation.