Board of Supervisors Regular Meeting

FAIR STATEMENT OF PROCEEDINGS FOR THE SAN BERNARDINO COUNTY BOARD OF SUPERVISORS REGULAR MEETING Tuesday, September 26, 2023 DAWN ROWE CHAIR Third District Supervisor COL. PAUL COOK (RET.) VICE CHAIRMAN First District Supervisor JESSE ARMENDAREZ Second District Supervisor CURT HAGMAN Fourth District Supervisor County Counsel Tom Bunton JOE BACA, JR. Fifth District Supervisor Clerk of the Board Lynna Monell Chief Executive Officer Luther Snoke ROLL CALL Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. SUPERVISORS PRESENT: OTHERS IN ATTENDANCE Luther Snoke - Chief Executive Officer Tom Bunton - County Counsel Lynna Monell - Clerk of the Board PUBLIC COMMENT ON CLOSED SESSION AGENDA ITEMS CLOSED SESSION 9:00 A.M. – CONVENE MEETING OF THE BOARD OF SUPERVISORS – Magda Lawson Room, Fifth Floor, County Government Center BOARD OF SUPERVISORS Conference with Legal Counsel - Existing Litigation (Government Code section 54956.9(d)(1)) 1. Gloria Rodriguez, et al. v. County of San Bernardino, et al., United States Central District Court Case No. 5:22-cv-01251-SVW-KKx 2. Dana Lewis v. County of San Bernardino, et al., San Bernardino County Superior Court Case No. CIVDS2010698 3. Board of Supervisors of the County of San Bernardino v. Lynna Monell, et al., California Court of Appeal, District 4, Division 2, Case No. E077772 Conference with Legal Counsel - Anticipated Litigation - Significant Exposure to Litigation (Government Code section 54956.9(d)(2)) 4. One case. SAN BERNARDINO COUNTY FIRE PROTECTION DISTRICT Conference with Labor Negotiator (Government Code section 54957.6) 5. Agency designated representative: Diane Rundles Employee organization: · Teamsters Local 1932 - Fire Auxiliary Services Unit and Fire Auxiliary Services Supervisory Unit 1) Page 1 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

PUBLIC SESSION 10:00 A.M. – RECONVENE MEETING OF THE BOARD OF SUPERVISORS – Covington Chambers, First Floor, County Government Center Invocation and Pledge of Allegiance - Fifth District Reverend Craig Henderson of Bridge Church of the Nazarene in Bloomington Memorial Adjournments Board of Supervisors First District – Supervisor Col. Paul Cook (Ret.) • Audon Pacheco Chavez Jr., 83, of Victorville • Brenda Lee Gore, 61, of Oak Hills • Eugene John Mages, 91, of Apple Valley Second District – Supervisor Jesse Armendarez • Jimmy Altamirano, 53, of Rancho Cucamonga • Richard John Anderson, 92, of Fontana • Kathleen Fairley, 80, of Upland • Debra Traister Lee, 64, of Rancho Cucamonga • Harvey Paul Neville, 89, of Upland • William “Bill” Stead, 94, of Mt. Baldy Third District – Supervisor Dawn Rowe • Marilyn Bauer, 87, of Highland • Silvestre “Cy” Zermeño, 86, of Colton Fourth District – Supervisor Curt Hagman • Edna Mae Arreguin, 83, of Chino • James Thomas Crowley, 76, of Upland • Alberto Enriquez, 88, of Ontario • Paul Anthony Evangelista, 72, of Upland • Angel Torrices Fortuna, 82, Ontario • Robert James Galindo, 52, of Chino • Ruth Kelley Griffin, 100, of Upland • John Coito Machado, 78, of Chino • Ubaldo S. Najera, 91, of Chino • Raul Burgess Ramos, 92, of Chino • Esther Gonzales Santoyo, 89, of Chino Fifth District – Supervisor Joe Baca, Jr. • Victor Manuel Abrego, 76, of Rialto • Ronald Donald Alvarez, 62, of San Bernardino • Francisco N. Alvarez, 88, of San Bernardino • Samuel Baber, 85, of Rialto • Shanto Bagani, 77, of Loma Linda • Joseph Calvo, 65, of San Bernardino • Jacob Diego Camarena, 18, of Rialto • Lillian F. Cavola, 81, of San Bernardino • Gloria Esparza, 77, of San Bernardino • Lester D. Koenig, 94, of San Bernardino • Dale Hilda Link, 66, of San Bernardino • Barbara Mariotti, 87, of Bloomington • Ruth Mireya Martinez, 47, of San Bernardino • Araceli Monserrarath Montes, 32, of San Bernardino • Mark Julius Parker, 77, of San Bernardino • Henrietta Resendez, 93, of San Bernardino Page 2 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

• Frank Quiroz Saavedra, 93, of Rialto • Myriam Vanessa Thompson, 45, of San Bernardino Special Presentations, Resolutions and Proclamations - None Reports from County Counsel and Chief Executive Officer County Counsel, Tom Bunton, stated in the case of Board of Supervisors v. Renner, et al., the Board voted 4-1, with Chair Rowe opposed, to file a Petition for Writ of Certiorari in the United States Supreme Court in this case involving Supervisor term and compensation limits. Individual Board Member Comments Fourth District Supervisor Curt Hagman addressed Item No. 31, which is submitting three requests for funding through the American Rescue Plan Act for improvements to the City of Upland to benefit its residents. Fifth District Supervisor Joe Baca, Jr. stated there was a groundbreaking event for Fire Station 226 in San Bernardino last week. He said there was also an animal shelter sign revealing last week for a new animal shelter coming to Bloomington, and he thanked Chief Executive Officer, Luther Snoke, and Assemblymember Eloise Gomez Reyes for their support. Supervisor Baca, Jr. said he went to the San Bernardino County Museum on Saturday for Cosmic Nights and thanked museum staff for their work. He highlighted Item No. 31 and the funding contribution to Eisenhower High School and Rialto High School Baseball Fields. Second District Supervisor Jesse Armendarez thanked Curt Hagman for partnering with him on Item No. 31. He addressed Item No. 4, which is a resolution supporting Brightline West for a safer, faster, and cleaner alternative commute to Las Vegas. Chair and Third District Supervisor Dawn Rowe thanked everyone involved in the Morongo Basin Resource Fair. She thanked the Workforce Development Board and the Public Defender’s Office for their role in the Resource Fair. Presentation of the Agenda a) Consider additions of emergency or urgency items to the agenda to be placed on the Consent or Discussion Calendar at the Board’s discretion pursuant to Government Code section 54954.2(b) or (b)(2). b) Notice of minor revisions to agenda items, items removed or continued from the Board of Supervisors’ Agenda. c) Disclosure pursuant to Government Code Section 84308. CONSENT CALENDAR Items listed on the Consent Calendar are expected to be routine and non-controversial and will be acted upon in one motion as the first item of business on the Discussion Calendar. If the Board directs that an item listed on the Consent Calendar be held for further discussion, the item will be addressed under “Deferred Items,” the second item listed on the Discussion Calendar. COUNTY DEPARTMENTS Board of Supervisors Adoption of Recognitions, Resolutions and Proclamations:2) Page 3 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

Board of Supervisors Adopt resolution recognizing Gerald Lebert upon his retirement after 34 years of valuable service to San Bernardino County. Adopt resolution recognizing Cory Weck being named as the Western San Bernardino County Bar Association Jennifer Brooks Lawyer of the Year. Adopt resolution recognizing Linda King upon her retirement after 31 years of valuable service to San Bernardino County. Adopt proclamation declaring October as “The San Bernardino County Employees’ Combined Giving Campaign” month through the year 2028. Adopt proclamation commemorating VVTA’s 30 year anniversary and declaring October 20th Victor Valley Transit Day through the year 2028. Third District Adopt resolution recognizing Richard “Rick” Daniels on his retirement from the City of Needles. Adopt resolution recognizing Mary Reeves on her retirement from the Big Bear City Community Services District. Adopt resolution recognizing Donnasue Smith Ortiz being named as the Western San Bernardino County Bar Association Charles Althouse Lifetime Achievement Award. APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve the following appointments, reappointments and vacancies as detailed below: Chair and Third District Supervisor Dawn Rowe a. Approve the appointment of Stephanie A. Louis to Seat 9 on the San Bernardino County Health Center Governing Board for the remaining 2-year term, expiring 12/31/2023 (At Large). 3) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Adopt Resolution supporting the Brightline West and State of Nevada Department of Transportation’s application for the Federal-State Partnership for Intercity Passenger Rail Grant. (Presenter: Jesse Armendarez, Second District Supervisor, 387-4833) 4) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Aging and Adult Services Approve contracts with the following agencies to provide real estate broker services for Public Guardian conservatees for the period of October 1, 2023 through September 30, 2026: 1. S.H. Spectrum, Inc. dba Spectrum Realty Services 2. Trusted Realty Advisors 5) Page 4 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

(Presenter: Sharon Nevins, Director, 891-3917) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Amendment No. 1 to Contract No. 18-877 for non-financial Memorandum of Understanding with Riverside County Department of Public Social Services, Adult Services Division, Adult Protective Services Program to provide and obtain courtesy investigations of elder and dependent adult abuse referrals in situations involving a potential conflict of interest, updating standard language, definitions and responsibilities of each county, and extending the term one year, for a total contract period of January 2, 2019 through September 30, 2024. (Presenter: Sharon Nevins, Director, 891-3917) 6) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Arrowhead Regional Medical Center Approve Service Agreement with Canon Medical Systems USA, Inc., including non-standard terms, for maintenance, repairs, and parts for five Canon Medical Imaging Equipment Systems, in the amount of $3,145,736, for the period of October 16, 2023 through October 31, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 7) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve changes within the following categories to the Arrowhead Regional Medical Center Medical Staff and Clinical Privileges, as recommended by the Medical Executive Committee and documented in Attachment A: 1. Applications for Initial Appointment - Medical Staff 2. Applications for Initial Appointment - Advanced Practice Professional Staff 3. Applications for Reappointment - Medical Staff 4. Applications for Reappointment - Advanced Practice Professional Staff 5. Completion of Focused Professional Practice Evaluation with Advancement - Medical Staff 6. Completion of Focused Professional Practice Evaluation with Advancement - Advanced Practice Professional Staff 7. Request for Extension of Focused Professional Practice Evaluation - Medical Staff 8. Request for Extension of Focused Professional Practice Evaluation - Advanced Practice Professional Staff 9. Request for New Clinical Privileges - Medical Staff 10. Voluntary Resignation of Membership and/or Clinical Privileges - Medical Staff 11. Voluntary Resignation of Membership and/or Clinical Privileges - Advanced Practice Professional Staff 12. Voluntary Withdrawal of Application for Membership and/or Clinical Privileges - Medical Staff (Presenter: William L. Gilbert, Director, 580-6150) 8) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Approve Revenue Provider Services Agreement, including non-standard terms, with9) Page 5 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

Physician Health Network for provision of outpatient health care services to designated Medi-Cal Managed Care members, retroactively effective January 1, 2022 through December 31, 2024. 2. Direct the Clerk of the Board of Supervisors to maintain the confidentiality of the Provider Services Agreement pursuant to Health and Safety Code Section 1457(c)(1). (Presenter: William L. Gilbert, Director, 580-6150) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Approve Price Quote with Fujifilm Healthcare Americas Corporation, governed by the Terms and Conditions of Product and Service Agreement No. 23-807 with Summit Imaging, Inc., for software to capture diagnostic images with the endoscopic and bronchoscopic devices, for a total cost of $282,204, retroactively effective July 25, 2023 through July 24, 2028. 2. Approve Amendment No. 1 to Service Agreement No. 23-804 with Fujifilm Healthcare Americas Corporation for ultrasound machine maintenance, increasing the contract amount by $110,000, from $621,592 to $731,592, with no change to the term of 60 months beginning upon installation. (Presenter: William L. Gilbert, Director, 580-6150) 10) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Unified Participation Agreement with American Heart Association, Inc., including non-standard terms, for the subscription and participation in the Get With The Guidelines - Resuscitation and Get With The Guidelines - Stroke Registry programs, in the not-to-exceed amount of $91,700, retroactively effective May 25, 2023 through December 31, 2027. (Presenter: William L. Gilbert, Director, 580-6150) 11) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Amendment No. 1 to Contract No. 23-341 with Tegria Services Group - US, Inc., to add cloud hosting services to the scope of work, with no change to the not-to-exceed amount of $1,600,000, or contract term of May 23, 2023 through May 22, 2028. (Presenter: William L. Gilbert, Director, 580-6150) 12) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Master Subscription Agreement, including non-standard terms, with Aidoc, Inc. for an artificial intelligence operating system in the Arrowhead Regional Medical Center Medical Imaging Department, in the total contract amount of $439,875, for the term of September 26, 2023 through September 25, 2026. (Presenter: William L. Gilbert, Director, 580-6150) 13) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Accept and approve the revisions of policies and the report of the review and certification of the14) Page 6 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

following Arrowhead Regional Medical Center Operations, Policy and Procedure Manuals (included and summarized in Attachments A through K): 1. Information Management Department Policy and Procedure Manual 2. Department of Nursing Policy and Procedure Manual 3. Rehabilitation Services Department Policy and Procedure Manual 4. Ambulatory Services Specialty Care Policy and Procedure Manual (Presenter: William L. Gilbert, Director, 580-6150) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Amendment No. 1 to Contract No. 18-711 for assignment of the Contract and related Business Associate Agreement from the Studer Group, LLC to Huron Consulting Services, LLC, for software access and support services for Rounding Software, increasing the contract amount by $30,900, from $789,197 to a total contract amount not-to-exceed $820,097, and extending the term for six months, for a total contract period of October 1, 2018 through March 31, 2024. (Presenter: William L. Gilbert, Director, 580-6150) 15) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Authorize the reallocation of funds from the Residual Equity Account, in the amount of $21,581,048, to the following: a. Capital Improvement Program Project No. 17-283 (WBSE 10.10.0266) for the Arrowhead Regional Medical Center Air Conditioning in Sterile Processing Project, in the amount of $2,526,819. b. Capital Improvement Program Project No. 18-061 (WBSE 10.10.0453) for the Computed Tomography Scanner Project, in the amount of $1,376,425. c. Capital Improvement Program Project No. 18-066 (WBSE 10.10.0458) for the Arrowhead Regional Medical Center Air Transfer Switch Replacement Project, in the amount of $465,462. d. Capital Improvement Program Project No. 19-068 (WBSE 10.10.0720) for the Arrowhead Regional Medical Center Variable Frequency Device Replacement Project, in the amount of $300,000. e. Capital Improvement Program Project No. 20-011 (WBSE 10.10.0847) for the Replacement Deaerator No. 1 Project, in the amount of $600,000. f. Capital Improvement Program Project No. 21-054 (WBSE 10.10.1061) for the Arrowhead Regional Medical Center Interior Plumb Infrastructure Plan Project, in the amount of $1,010,002. g. Capital Improvement Program Project No. 22-020 (WBSE 10.10.1207) for the Arrowhead Regional Medical Center Behavioral Health Adolescent Unit Project, in the amount of $14,000,000. h. Capital Improvement Program Project No. 17-104 (WBSE 10.10.0239) for the Emergency Department Staff Bathroom Remodel Project, in the amount of $500,000. i. Capital Improvement Program Project No. 18-067 (WBSE 10.10.0459) for the Boiler Motors Uninterrupted Power Source Project, in the amount of $2,340. j. Capital Improvement Program Project No. 17-112 (WBSE 10.10.0246) for the Magnetic Resonance Imaging Replacement Project, in the amount of $800,000. 2. Authorize the Auditor-Controller/Treasurer/Tax Collector to post the necessary budget adjustments to the Arrowhead Regional Medical Center Capital Improvement Program 2023 -24 budget to reallocate funds to several existing projects, as detailed in the Financial 16) Page 7 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

Impact section (Four votes required). (Presenter: William L. Gilbert, Director, 580-6150) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Approve a Master Employment Agreement template to hire and retain program staff for the California Advancing and Innovating Medi-Cal program. 2. Authorize the Chief Executive Officer, or the designated Department Director, to approve and execute individual Employment Agreements for the California Advancing and Innovating Medi-Cal Program and Amendments to the individual agreements, to extend the term for successive one-year periods not to extend beyond June 30, 2026, subject to County Counsel review. (Presenter: William L. Gilbert, Director, 580-6150) 17) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Behavioral Health 1. Approve the following list of certified agencies to provide Deferred Entry of Judgement Program services for San Bernardino County, for the period of October 1, 2023 through September 30, 2024: a. High Desert Child, Adolescent & Family Services Center b. Inland Behavioral & Health Services c. Mental Health Systems, Inc. dba TURN Behavioral Health Services d. Valley Improvement Programs, Inc. 2. Approve the Letter of Certification template for Deferred Entry of Judgement Program in relation to the provision of services by certified agencies for San Bernardino County, exercising the final extension, effective October 1, 2023 through September 30, 2024. 3. Authorize the Assistant Executive Officer or the Director of the Department of Behavioral Health to execute the Letter of Certification template with the individual certified agencies, including any non-substantive changes to the Letter of Certification template in relation to the provision of Deferred Entry of Judgement Program services, for the period of October 1, 2023 through September 30, 2024, on behalf of the County, subject to review by County Counsel. (Presenter: Georgina Yoshioka, Director, 252-5142) 18) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Amendment No. 1 to Contract No. 22-361 with Telecare Corporation for the provision of Crisis Residential Treatment services, to update standard contract language, with no change to the total contract amount of $14,000,000, or the contract period of July 1, 2022 through June 30, 2027. (Presenter: Georgina Yoshioka, Director, 252-5142) 19) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Amendment No. 1 to Contract No. 19-330 with Telecare Corporation to provide20) Page 8 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

Assertive Community Treatment case management services to seriously and persistently mentally ill consumers, increasing the total contract amount by $743,160, from $5,896,875 to $6,640,035, and extending for six months, for a total contract period of July 1, 2019, through March 31, 2024. (Presenter: Georgina Yoshioka, Director, 252-5142) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Accept grant award from the California Department of Health Care Services, for continued funding in the amount of $526,611, for the Federal McKinney Projects for Assistance in Transition from Homelessness program, for the provision of services to individuals who have a serious mental illness, or who have co-occurring serious mental illness and substance use disorders, and who are homeless or at imminent risk of becoming homeless, for the period of July 1, 2023 through June 30, 2024. 2. Authorize the Director of the Department of Behavioral Health, as the County Mental Health Director, to execute any subsequent non-substantive amendments to the grant award for the Federal McKinney Projects for Assistance in Transition from Homelessness program, as required by the California Department of Health Care Services, on behalf of the County, subject to review by County Counsel. 3. Direct the Director of the Department of Behavioral Health, as the County Mental Health Director, to transmit any subsequent non-substantive amendments in relation to the Federal McKinney Projects for Assistance in Transition from Homelessness program, to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Georgina Yoshioka, Director, 252-5142) 21) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Approve the following list of certified agencies to provide Driving Under the Influence Program services for San Bernardino County, for the period of October 1, 2023 through September 30, 2024: a. Dalton & Associates b. Jackson-Bibby Awareness Group c. Mental Health Systems, Inc. dba TURN Behavioral Health Services d. Prodigy Healthcare, LLC e. Valley Improvement Programs, Inc. f. W & G Enterprises dba Alcohol Education and Recovery Services 2. Approve the Letter of Certification template for Driving Under the Influence Program in relation to the provision of services by certified agencies for San Bernardino County, exercising the final extension, effective October 1, 2023 through September 30, 2024. 3. Authorize the Assistant Executive Officer or the Director of the Department of Behavioral Health to execute the Letter of Certification template with the individual certified agencies, including any non-substantive changes to the Letter of Certification template in relation to the provision of Driving Under the Influence Program services, for the period of October 1, 2023 through September 30, 2024, on behalf of the County, subject to review by County Counsel. (Presenter: Georgina Yoshioka, Director, 252-5142) 22) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Page 9 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

Approve Amendment No. 3 to Contract No. 19-326 with Lighthouse Social Service Centers for the provision of Family Stabilization Rapid Re-Housing services, increasing the amount by $2,045,554, from $8,693,606 to $10,739,160, and exercising the last option to extend the contract an additional year, for the total contract period of July 1, 2019 through September 30, 2024. (Presenter: Georgina Yoshioka, Director, 252-5142) 23) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Approve Amendment No. 1, effective September 26, 2023, to the following contracts for the provision of Institution for Mental Disease services, updating contract language that includes incident notification instructions, and increasing the aggregate contract amount by $4,745,000, from $36,159,090 to $40,904,090, with no change to the total contract period of July 1, 2022 through June 30, 2027: a. Braswell Enterprises, Inc. dba Sierra Vista, Contract No. 22-291. b. Golden State Health Centers, Inc. dba Sylmar Health and Rehabilitation Center, Contract No. 22-292. c. Shandin Hills Rehabilitation Center, Inc. dba Shandin Hills Behavioral Therapy Center, Contract No. 22-293. d. View Heights Convalescent Hospital, Contract No. 22-294. 2. Approve contracts with the following agencies for the provision of Institution for Mental Disease services, in the aggregate amount of $40,904,090 referenced in Recommendation No. 1, effective September 26, 2023 through June 30, 2027: a. Generations Healthcare b. Vista Pacifica (Presenter: Georgina Yoshioka, Director, 252-5142) 24) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Amendment No. 1 to Memorandum of Understanding No. 22-976 with the Housing Authority of the County of San Bernardino, for the Continuum of Care In-Kind Supportive Service Match for participants qualified for the Cornerstone CoC Grant Program, extending the term one additional month, with no change to the in-kind supportive service value amount of $908,356, for a revised contract period of October 1, 2022 through October 31, 2023. (Presenter: Georgina Yoshioka, Director, 252-5142) 25) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Children and Family Services Approve Amendment No. 1 to Contract No. 20-288 with Public Consulting Group, Inc. to provide Supplemental Income Advocacy Services for foster care children, increasing the total contract amount by $153,000 from $497,250 to $650,250, extending the contract for one year, and updating standard contract terms and conditions, for the total period of July 1, 2020 through September 30, 2024. (Presenter: Jeany Zepeda, Director, 387-2792) 26) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez Page 10 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve Amendment No. 2 to Contract No. 19-306 with Walden Family Services to provide Independent Living Program Extended Care Services, updating standard contract language, increasing the amount by $225,000, from $1,275,000 to $1,500,000, and extending the contract an additional nine months, for the total contract period of July 1, 2019 through June 30, 2024. (Presenter: Jeany Zepeda, Director, 387-2792) 27) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Clerk of the Board Adopt the San Bernardino County Board of Supervisors annual meeting calendar for 2024 (Attachment A). (Presenter: Lynna Monell, Clerk of the Board, 387-3848) 28) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Community Development and Housing Department 1. Approve Special Needs Housing Program Assignment and Assumption Agreement (CalHFA Development No. 19-083-M), between the California Housing Finance Agency, the County, and Desert Haven Victorville, LP, whereby the County will assume the $2,173,669 promissory note and all of the rights and responsibilities related to the development of the Desert Haven multifamily residential rental housing project offering supportive services, on the date signed by the California Housing Finance Agency. 2. Authorize the Chair of the Board of Supervisors, the Chief Executive Officer, or the Director of Community Development and Housing Department, upon consultation with County Counsel, to make any necessary non-substantive amendments and approve and execute all ancillary documents required for the project’s financing closing. 3. Direct the Director of Community Development and Housing Department to transmit any non-substantive amendments to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Carrie Harmon, Director 382-3983) 29) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. County Administrative Office Receive the list of the Chief Executive Officer approved Capital Improvement Program and Short-Term Proposal Lease requests for the period of July 18, 2023, through September 1, 2023. (Presenter: Matthew Erickson, County Chief Financial Officer, 387-5423) 30) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Ratify the Chief Executive Officer’s exercise of the authority granted by the Board of Supervisors on March 1, 2022 (Item No. 32), in approving the following contracts with 31) Page 11 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

subrecipients for American Rescue Plan Act funding for eligible projects in accordance with the Board of Supervisors approved Coronavirus Local Fiscal Recovery Fund Spending Plan: 1. Contract No. ARPA21-PRJS-034-RIA with the Rialto Unified School District for the Eisenhower High School Baseball Field Improvements Project, in the not-to-exceed amount of $1,500,000, for the contract term of July 31, 2023 through December 31, 2026. 2. Contract No. ARPA21-PRJS-035-RIA with the Rialto Unified School District for the Rialto High School Baseball Field Lighting Project, in the not-to-exceed amount of $1,200,000, for the contract term of July 31, 2023 through December 31, 2026. 3. Contract No. ARPA21-PRJC-033-UPL with the City of Upland for the Baldy View Dog Park Project, in the not-to-exceed amount of $1,000,000, for the contract term of May 1, 2023 through December 31, 2026. 4. Contract No. ARPA21-PRJC-032-UPL with the City of Upland for the Downtown Camera Project, in the not-to-exceed amount of $500,000, for the contract term of May 1, 2023 through December 31, 2026. 5. Contract No. ARPA21-PRJS-022-UPL with the Upland Unified School District for the Upland High School Improvements Project, in the not-to-exceed amount of $999,999, for the contract term of July 1, 2022 through December 31, 2026. (Presenter: Luther Snoke, Chief Executive Officer, 387-4811) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Economic Development Department Approve out-of-country travel request for a four-person delegation of County representatives to travel to Suzhou, China for the period of October 29, 2023 through November 5, 2023, to represent the County at the China-U.S. Sister Cities Conference. (Presenter: Derek Armstrong, Director, 387-4385) 32) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Fleet Management Authorize the Purchasing Agent to issue a non-competitive Purchase Order with Kalmikov Enterprises, dba Fire Apparatus Solution, for the provision of vehicle and equipment parts, in the annual amount of $250,000, and an aggregate amount not-to-exceed $1,250,000, for the period of September 26, 2023, through September 25, 2028. (Presenter: Mark McCullough, Director, 387-7870) 33) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Human Resources Approve the following Amendments to Contract No. 21-909, between San Bernardino County and Voya Retirement Insurance and Annuity Company as the provider for administration, investment, and recordkeeping services for the San Bernardino County and San Bernardino County Superior Court Retirement Medical Trust Plans, adding the following sub-agreements to the contract: 1. Amendment No. 2 to add Voluntary Employees' Beneficiary Association Custodial Agreement with Voya Institutional Trust Company, for the period of September 26, 2023 34) Page 12 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

through December 31, 2026, with an option to extend for one additional two-year term. 2. Amendment No. 3 to add Employer Services Agreement with Voya Retirement Insurance and Annuity Company, including a non-standard term, for the period of September 26, 2023 through December 31, 2026, with an option to extend for one additional two-year term. (Presenter: Diane Rundles, Assistant Executive Officer, 387-5570) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Approve the purchase of the following Cisco switches and license, as unbudgeted fixed assets, for a total not-to-exceed amount of $66,700, to be installed at the Human Resources Department’s new County-owned office space at 412 W. Hospitality Lane, Third Floor in San Bernardino: a. Catalyst 9400 Series 10 slot - $19,000 b. Cisco Catalyst 9400 Series Red Supervisor 2 Module - $12,000 c. Three Cisco Catalysts 9400 Series 48-Port UPOE - $16,500 d. Cisco Catalyst 9400 Series 48-Port UPOE 5G - $7,200 e. Cisco Catalyst 9400 DNA Advantage - Five Year License - $12,000 2. Authorize the Auditor-Controller/Treasurer/Tax Collector to post the necessary budget adjustments as detailed in the Financial Impact section to the Human Resources 2023-24 budget for the purchase of the unbudgeted fixed assets (Four votes required). (Presenter: Diane Rundles, Assistant Executive Officer, 387-5570) 35) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve the facility use agreement with Yucaipa Valley Acres, LLC, including non-standard terms, for the use of The Pavilion at Chapman Ranch, for the estimated cost of $15,012, for the annual one-day Department Head Leadership Training on October 19, 2023. (Presenter: Diane Rundles, Assistant Executive Officer, 387-5570) 36) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Human Services Administration 1. Approve employment contract with Liliana Carlos to provide services to the Children and Families Commission for San Bernardino County as an Office Assistant III, for the estimated annual cost of $54,627 ($38,584 Salary, $16,043 Benefits), for the period of October 7, 2023 through October 2, 2026. 2. Approve employment contract with Ileana Conley to provide services to the Children and Families Commission for San Bernardino County as an Accountant II, for the total estimated annual cost of $82,785 ($57,616 Salary, $25,169 Benefits), for the period of October 7, 2023 through October 2, 2026. 3. Authorize the Assistant Executive Officer to execute amendments to extend the term of the contracts for a maximum of three successive one-year periods, on behalf of the County, subject to County Counsel review. 4. Direct the Assistant Executive Officer to transmit all contract amendments to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Diana Alexander, Assistant Executive Officer, 387-4261) 37) APPROVED (CONSENT CALENDAR) Page 13 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Land Use Services 1. Approve assignment, consent to assignment and first amendment to the road and drainage and water improvement agreements, with HMZ Holdings LLC and accept replacement performance bond securities in the amounts of $205,109 and $133,404, and labor and materials bond securities in the amounts of $102,554 and $66,702, for the construction of the required improvements for Tract No. 18938, which consists of seven residential lots, located north of Merrill Avenue and west of Live Oak Avenue in the Fontana area. 2. Release the existing performance bond securities pledged by Indemnity Company of California for road and drainage and water improvements, in the amounts of $205,109 and $133,404 and labor and materials bond securities in the amounts of $102,554 and $66,702, for Tract No. 18938. (Presenter: Mark Wardlaw, Director, 387-4431) 38) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Museum Approve non-financial Exhibit Agreement with the National Parks Service, including non-standard terms, for display of a temporary museum exhibit at Victor Valley Museum. (Presenter: David Myers, Director,798-8601) 39) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Approve agreement with the National Parks Service for the certification of the Agua Mansa Cemetery as a significant site of historical interest on the Old Spanish Trail. (Presenter: David Myers, Director, 798-8601) 40) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Preschool Services Approve the following Amendments to contracts with the agencies, effective July 1, 2023, to provide Early Head Start and Head Start Program services, increasing the total combined contract amount by $6,808,730, from $21,856,285 to $28,665,015, with no change to the contract period of July 1, 2020 through June 30, 2024: 1. Amendment No. 5 to Contract No. 20-494 with Colton Joint Unified School District, increasing the contract amount by $1,114,394, from $3,622,976 to $4,737,370. 2. Amendment No. 7 to Contract No. 20-495 with Easter Seals Southern California, Inc., increasing the contract amount by $4,873,171, from $15,663,904 to $20,537,075. 3. Amendment No. 5 to Contract No. 20-496 with Fontana Unified School District, increasing the contract amount by $394,800, from $1,208,864 to $1,603,664. 4. Amendment No. 5 to Contract No. 20-497 with Needles Unified School District, increasing the contract amount by $426,365, from $1,360,541 to $1,786,906. (Presenter: Jacquelyn Greene, Director, 383-2005) 41) APPROVED (CONSENT CALENDAR) Page 14 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Project and Facilities Management 1. Find that the Arrowhead Regional Medical Center Central Plant Cooling Tower Replacement Project located in Colton, is exempt under the California Environmental Quality Act Guidelines, Section 15302, Class 2, subsection (b), (c), Replacement or Reconstruction. 2. Approve the plans and specifications for the Arrowhead Regional Medical Center Central Plant Cooling Tower Replacement Project, located at 400 N. Pepper Avenue in Colton. 3. Authorize the Director of the Project and Facilities Management Department to advertise for competitive bids for the Arrowhead Regional Medical Center Central Plant Cooling Tower Replacement Project. 4. Direct the Clerk of the Board of Supervisors to file and post the Notice of Exemption of the Arrowhead Regional Medical Center Central Plant Cooling Tower Replacement Project as required under California Environmental Quality Act. (Presenter: Don Day, Director, 387-5000) 42) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Continue the finding, first made by the Board of Supervisors on September 13, 2022, that there is substantial evidence that the unplanned mechanical failures at 157 and 175 W. 5th Street on August 22, 2022, created an emergency pursuant to Public Contract Code section 22050 requiring immediate action to prevent or mitigate the loss or impairment of life, health, property, and essential public services, necessitating overhaul or replacement of portions of the mechanical system at 157 and 175 W. 5th Street, San Bernardino, to allow staff to provide services, and will not permit the delay resulting from a formal competitive solicitation of bids to procure an urgent mechanical system overhaul or replacement, and delegate authority, originally by Resolution on September 13, 2022, amended July 11, 2023, to the Chief Executive Officer to direct the Purchasing Agent to issue purchase orders and/or execute contracts, in a total amount not to exceed $1,350,000 for any emergency remediation, construction, and modifications of internal and external structures related to the mechanical failures, finding that the issuance of these purchase orders and/or contracts is necessary to respond to this emergency pursuant to the Public Contract Code sections 22035 and 22050 (Four votes required). (Presenter: Don Day, Director, 387-5000) 43) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Continue the finding, first made by the Board of Supervisors on June 28, 2022, that there is substantial evidence that the fire at 172 W. 3rd Street on June 19, 2022, created an emergency pursuant to Public Contract Code section 22050 requiring immediate action to prevent or mitigate the loss or impairment of life, health, property and essential public services, necessitating fire remediation activities at 172 W. 3rd Street and remodel/renovations of portions of 268 W. Hospitality Lane, San Bernardino, to allow staff to provide services, and will not permit the delay resulting from a formal competitive solicitation of bids to procure remediation and construction services, and delegate authority, originally by Resolution on June 28, 2022, amended on September 13, 2022 and on July 25, 2023, to the Chief Executive Officer to direct the Purchasing Agent to issue purchase orders and/or execute contracts, in a total amount not-to-exceed $10,123,681, for any remediation, construction, and modifications of 44) Page 15 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

internal and external structures related to the fire, finding that the issuance of these purchase orders and/or contracts is necessary to respond to this emergency pursuant to Public Contract Code sections 22035 and 22050 (Four votes required). (Presenter: Don Day, Director, 387-5000) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Find that the ISD Radio Site Security Upgrade Project is exempt under the California Environmental Quality Act Guidelines, Section 15303, Class 3, Sub-Section (d) New Construction or Conversion of Small Structures. 2. Find that the specifications for bid for the ISD Radio Site Security Upgrade Project calling for installation of the Genetec Video Management Software System, and not allowing substitution of an equal product is acceptable under Public Contract Code Section 3400(c) (2), as installation of the Genetec Video Management Software System is required in order to match other products in use on a particular public improvement either completed or in the course of completion. 3. Approve plans and specifications for the ISD Radio Site Security Upgrade Project located at radio sites throughout Southern California. 4. Authorize the Director of the Project and Facilities Management Department to advertise for competitive bids for the ISD Radio Site Security Upgrade Project. 5. Direct the Clerk of the Board of Supervisors to file and post the Notice of Exemption for the ISD Radio Site Security Upgrade Project as required under the California Environmental Quality Act Guidelines. 6. Direct the Clerk of the Board of Supervisors to maintain as confidential Exhibits A and B of the Bid Proposal pursuant to California Evidence Code Section 1040, Government Code Section 7923.600(a), Government Code Section 7922.000, and other applicable laws, and forward all requests for these documents to County Counsel. (Presenter: Don Day, Director, 387-5000) 45) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Approve the following Addenda to the Bid Documents: a. Addendum No. 1 to the Bid Documents for General Building Job Order Contractor, dated June 7, 2023, which added a second Mandatory Pre-bid Meeting, changed the Question Deadline, changed the Bid Opening Date, and provided changes to Contact Information and Bid Documents. b. Addendum No. 1 to the Bid Documents for General Engineering Job Order Contractor, dated June 7, 2023, which added a second Mandatory Pre-bid Meeting, changed the Question Deadline, changed the Bid Opening Date, and provided changes to Contact Information and Bid Documents. c. Addendum No. 1 to the Bid Documents for Mechanical Job Order Contractor, dated June 7, 2023, which added a second Mandatory Pre-bid Meeting, changed the Question Deadline, changed the Bid Opening Date, and provided changes to Contact Information and Bid Documents. d. Addendum No. 1 to the Bid Documents for Healthcare General Building Job Order Contractor, dated June 7, 2023, which added a second Mandatory Pre-Bid Meeting, changed the Question Deadline, changed the Bid Opening Date, and provided changes to Contact Information and Bid Documents. e. Addendum No. 1 to the Bid Documents for Healthcare General Engineering Job Order Contractor, dated June 7, 2023, which added a second Mandatory Pre-Bid Meeting, 46) Page 16 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

changed the Question Deadline, changed the Bid Opening Date, and provided changes to Contact Information and Bid Documents. f. Addendum No. 1 to the Bid Documents for Healthcare Mechanical Job Order Contractor, dated June 7, 2023, which added a second Mandatory Pre-Bid Meeting, changed the Question Deadline, changed the Bid Opening Date, and provided changes to Contact Information and Bid Documents. g. Addendum No. 1 to the Bid Documents for Demolition / Abatement Job Order Contractor, dated June 7, 2023, which added a second Mandatory Pre-Bid Meeting, changed the Question Deadline, changed the Bid Opening Date, and provided changes to Contact Information and Bid Documents. h. Addendum No. 2 to the Bid Documents for Demolition / Abatement Job Order Contractor, dated June 29, 2023, which clarified the Bid Documents and provided answers to bidder’s questions. 2. Find the bid proposal from PUB Construction, Inc., in the categories of General Building, General Engineering, Healthcare General Building, and Healthcare General Engineering, to be nonresponsive for failing to include an original bid bond as required in the Bid Documents. 3. Find the bid proposal from Nexville Construction, Inc., in the categories of General Building and Healthcare General Building, to be nonresponsive for failing to meet the minimum requirement of holding no less than two Job Order Contracts or Indefinite Quantity Construction Contracts within the last seven years for General Building, and no less than two Job Order Contracts or Indefinite Quantity Construction Contracts within the last three years with Health Care Access and Information (HCAI) experience for Healthcare General Building, as required in the Bid Documents. 4. Find the bid proposal from Prime Painting Contractors, Inc., in the category of General Building, to be nonresponsive for failure to properly follow the instructions for bid pricing (Zone 2, Adjustment Factor 5 must be 30% higher than Zone 1, Adjustment Factor 1) as required in the Bid Documents. 5. Find the bid proposal from Dalke & Sons Construction, Inc., in the category of General Building, to be nonresponsive for failing to include the Job Order Contract experience form as required in the Bid Documents. 6. Find the bid proposal from Mackone Development Inc., in the category of General Building, to be nonresponsive for failure to properly follow the instructions for bid pricing (Zone 1, Adjustment Factor 4 must be higher than Zone 1, Adjustment Factor 3) as required in the Bid Documents. 7. Find the bid proposal from CSI Services, in the category of General Engineering, to be nonresponsive for failing to meet the minimum requirement of holding no less than two Job Order Contracts or indefinite Quantity Construction Contracts within the last seven years as required in the Bid Documents. 8. Find the bid proposal from GAMA Contracting Services, Inc., in the category of Demolition / Abatement, to be nonresponsive for failing to meet the minimum requirement of holding no less than two Job Order Contracts or Indefinite Quantity Construction Contracts within the last seven years as required in the Bid Documents. 9. Find the proposal from Exbon Development, Inc., in the categories of Healthcare General Building and Healthcare General Engineering, to be nonresponsive for failing to meet the minimum requirement of holding no less than two Job Order Contracts or Indefinite Quantity Construction Contracts within the last three years with Health Care Access and Information (HCAI) experience as required in the Bid Documents. 10. Approve Job Order Contract with Horizons Construction Company International, Inc. in an amount not to exceed $5,700,000, to provide General Building Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 11. Approve Job Order Contract with Exbon Development, Inc., in an amount not to exceed $5,700,000, to provide General Building Job Order Contract services throughout the County Page 17 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

for the period of September 26, 2023, through September 25, 2024. 12. Approve Job Order Contract with SJD&B, Inc., in an amount not to exceed $5,700,000, to provide General Building Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 13. Approve Job Order Contract with Angeles Contractor, Inc., in an amount not to exceed $5,700,000, to provide General Building Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 14. Approve Job Order Contract with Vincor Construction, Inc. in an amount not to exceed $5,700,000, to provide General Building Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 15. Approve Job Order Contract with New Creation Engineering & Builders Inc. DBA New Creation Builders, in an amount not to exceed $5,700,000, to provide General Building Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 16. Approve Job Order Contract with Horizons Construction Company International, Inc. in an amount not to exceed $3,000,000, to provide General Engineering Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 17. Approve Job Order Contract with SJD&B, Inc., in an amount not to exceed $3,000,000, to provide General Engineering Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 18. Approve Job Order Contract with Angeles Contractor, Inc., in an amount not to exceed $3,000,000, to provide General Engineering Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 19. Approve Job Order Contract with Exbon Development, Inc., in an amount not to exceed $3,000,000, to provide General Engineering Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 20. Approve Job Order Contract with New Creation Engineering & Builders Inc. DBA New Creation Builders, in an amount not to exceed $3,000,000, to provide General Engineering Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 21. Approve Job Order Contract with Los Angeles Air Conditioning, Inc. in an amount not to exceed $3,000,000, to provide Mechanical Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 22. Approve Job Order Contract with Athena Engineering Inc., in an amount not to exceed $3,000,000, to provide Mechanical Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 23. Approve Job Order Contract with D. Burke Mechanical Corp., in an amount not to exceed $3,000,000, to provide Mechanical Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 24. Approve Job Order Contract with MIK Construction, Inc., in an amount not to exceed $5,700,000, to provide Healthcare General Building Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 25. Approve Job Order Contract with Angeles Contractor, Inc., in an amount not to exceed $5,700,000, to provide Healthcare General Building Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 26. Approve Job Order Contract with Horizons Construction Company International, Inc., in an amount not to exceed $5,700,000, to provide Healthcare General Building Job Order Contract services throughout the County for the period of September 26, 2023 through September 25, 2024. 27. Approve Job Order Contract with Angeles Contractor, Inc., in an amount not to exceed $5,700,000, to provide Healthcare General Engineering Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. Page 18 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

28. Approve Job Order Contract with Horizons Construction Company International, Inc., in an amount not to exceed $5,700,000, to provide Healthcare General Engineering Job Order Contract services throughout the County for the period of September 26, 2023 through September 25, 2024. 29. Approve Job Order Contract with D. Burke Mechanical Corp., in an amount not to exceed $5,700,000, to provide Healthcare Mechanical Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. 30. Approve Job Order Contract with Mesa Energy Systems Inc., in an amount not to exceed $5,700,000, to provide Healthcare Mechanical Job Order Contract services throughout the County for the period of September 26, 2023, through September 25, 2024. (Presenter: Don Day, Director, 387-5000) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Public Defender 1. Approve Employment Contracts for the following individuals, for the period of October 7, 2023 through March 1, 2025: a. Tyler Reed as Office Assistant III, for the estimated annual cost of $66,841 ($46,100 Salary, $20,741 Benefits). b. Cecilia Smith as Office Assistant III, for the estimated annual cost of $66,841 ($46,100 Salary, $20,741 Benefits). 2. Terminate Employment Contract No. 22-734 and approve a new Employment Contract with Francisco J. Robles as Paralegal, for the estimated annual cost of $79,251 ($69,719 Salary, $9,532 Benefits), for the period of October 7, 2023 through March 1, 2025. (Presenter: Thomas W. Sone, Public Defender, 382-3950) 47) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Public Health 1. Approve Employment Contract Template for the following Department of Public Health Center for Disease Control and Prevention Strengthening Public Health Infrastructure grant positions for the period of September 26, 2023 through November 30, 2027: a. Human Resource Analyst, one position b. Human Resources Business Partner, one position c. Public Health Accountant / Staff Analyst, one position d. Public Health Automated Systems Analyst, one position e. Public Health Automated Systems Technician, one position f. Public Health Business Systems Analyst, two positions g. Public Health Community Health Worker, six positions h. Public Health Health Education Specialist, one position i. Public Health Physician, one position j. Public Health Program Coordinator, one position k. Public Health Program Manager, two positions l. Public Health Program Specialist, two positions m. Public Health Project Coordinator, one position n. Public Health Quality Improvement Coordinator, one position 2. Authorize the Director of the Department of Public Health to execute the individual employment contracts, and amendments to extend the term of the contract, for an additional period that will not exceed a combined total of five years, on behalf of the County, 48) Page 19 of 34Fair Statement of Proceedings for Tuesday, September 26, 2023

subject to County Counsel review. (Presenter: Joshua Dugas, Director, 387-9146) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Jesse Armendarez AYE: Col. Paul Cook (Ret.), Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. 1. Accept grant award (Award No. 5 H76HA00154-32-00) from the United States Department of Health and Human Services, Heal

CONSOLIDATED AGENDA FOR THE SAN BERNARDINO COUNTY BOARD OF SUPERVISORS REGULAR MEETING Tuesday, September 26, 2023 DAWN ROWE CHAIR Third District Supervisor COL. PAUL COOK (RET.) VICE CHAIRMAN First District Supervisor JESSE ARMENDAREZ Second District Supervisor CURT HAGMAN Fourth District Supervisor County Counsel Tom Bunton JOE BACA, JR. Fifth District Supervisor Clerk of the Board Lynna Monell Chief Executive Officer Luther Snoke This consolidated agenda contains a brief description of each item of business for San Bernardino County to be considered by the San Bernardino County Board of Supervisors (Board), also sitting as the Governing Board of the following entities: Big Bear Valley Recreation and Park District; Bloomington Recreation and Park District; Board Governed County Service Areas; San Bernardino County Flood Control District; County Industrial Development Authority; In-Home Supportive Services Public Authority; Inland Counties Emergency Medical Agency; Inland Empire Public Facilities Corporation; San Bernardino County Financing Authority; San Bernardino County Fire Protection District; and Successor Agency to the County of San Bernardino Redevelopment Agency. The agenda and its supporting documents can be viewed online at https://cob.sbcounty.gov/ or in the Office of the Clerk of the Board of Supervisors at 385 N. Arrowhead Ave, 2nd Fl., San Bernardino, CA 92415. The online agenda may not include all available supporting documents or the most current version of documents. Live and archived meeting videos can be viewed at www.sbcounty.gov/Main/Pages/ViewMeetings.aspx or via the San Bernardino County YouTube channel at www.youtube.com/@SBCountyPIO/streams. To address the Board regarding an item on the agenda, complete and submit the yellow form entitled “Calendared Item – Request to Speak.” To address the Board regarding an item within its jurisdiction but not on the agenda, complete and submit the white “Public Comment – Request to Speak” form. Requests must be submitted to the Clerk of the Board of Supervisors before the item is called for consideration. Speakers may address the Board for up to three (3) minutes total on the consent calendar, up to three (3) minutes on each discussion item, and up to three (3) minutes total on Public Comment, not to exceed a total of twelve (12) minutes for the meeting, unless it is determined that a different limit is appropriate. Alternate locations to address the Board by interactive video are available at the Bob Burke Joshua Tree Government Center, 63665 Twentynine Palms Highway, Joshua Tree, CA 92252 and the Jerry Lewis High Desert Government Center, 15900 Smoke Tree Street, Hesperia, CA 92345. NOTE: These alternate locations are being offered as a courtesy and may be closed due to inclement weather, if technology fails, or other unforeseen emergency. If the sites are closed, a notice will be posted by 9:00 a.m. the day of the meeting. Written comments may be submitted via email at BoardMeetingComments@cob.sbcounty.gov, online at www.sbcounty.gov/cob/publiccomments, or via U.S. Mail to San Bernardino County Clerk of the Board of Supervisors, 385 N. Arrowhead Ave, 2nd Fl., San Bernardino, CA 92415. Comments received Page 1 of 28Consolidated Agenda for Tuesday, September 26, 2023

prior to the start of the meeting will be forwarded to the Board for review. Comments relating to matters subject to Board consideration or discussion will also be posted online at https://cob.sbcounty.gov/brown-act-writings-received. Comments received after the meeting begins will be provided to the Board after the conclusion of the meeting. ADA Accessibility: If you require a reasonable modification or accommodation for a disability, please call the Clerk of the Board of Supervisors at (909) 387-3841 or e-mail at COB@sbcounty.gov to request an accommodation at least 72 hours prior to the Board meeting. To obtain additional information on an item, please contact the Presenter listed under each item prior to the meeting to allow the Board to move expeditiously in its deliberations. Except where noted, all scheduled items will be heard in the Covington Chambers of the Board of Supervisors, County Government Center, 385 North Arrowhead Avenue, First Floor, San Bernardino, California. PLEASE SILENCE CELL PHONES AND OTHER ELECTRONIC DEVICES UPON ENTERING THE CHAMBERS PUBLIC COMMENT ON CLOSED SESSION AGENDA ITEMS CLOSED SESSION 9:00 A.M. – CONVENE MEETING OF THE BOARD OF SUPERVISORS – Magda Lawson Room, Fifth Floor, County Government Center BOARD OF SUPERVISORS Conference with Legal Counsel - Existing Litigation (Government Code section 54956.9(d)(1)) 1. Gloria Rodriguez, et al. v. County of San Bernardino, et al., United States Central District Court Case No. 5:22-cv-01251-SVW-KKx 2. Dana Lewis v. County of San Bernardino, et al., San Bernardino County Superior Court Case No. CIVDS2010698 3. Board of Supervisors of the County of San Bernardino v. Lynna Monell, et al., California Court of Appeal, District 4, Division 2, Case No. E077772 Conference with Legal Counsel - Anticipated Litigation - Significant Exposure to Litigation (Government Code section 54956.9(d)(2)) 4. One case. SAN BERNARDINO COUNTY FIRE PROTECTION DISTRICT Conference with Labor Negotiator (Government Code section 54957.6) 5. Agency designated representative: Diane Rundles Employee organization: · Teamsters Local 1932 - Fire Auxiliary Services Unit and Fire Auxiliary Services Supervisory Unit 1) PUBLIC SESSION 10:00 A.M. – RECONVENE MEETING OF THE BOARD OF SUPERVISORS – Covington Chambers, First Floor, County Government Center Invocation and Pledge of Allegiance - Fifth District Memorial Adjournments Board of Supervisors First District – Supervisor Col. Paul Cook (Ret.) • Audon Pacheco Chavez Jr., 83, of Victorville Page 2 of 28Consolidated Agenda for Tuesday, September 26, 2023

• Brenda Lee Gore, 61, of Oak Hills • Eugene John Mages, 91, of Apple Valley Second District – Supervisor Jesse Armendarez • Jimmy Altamirano, 53, of Rancho Cucamonga • Richard John Anderson, 92, of Fontana • Kathleen Fairley, 80, of Upland • Debra Traister Lee, 64, of Rancho Cucamonga • Harvey Paul Neville, 89, of Upland • William “Bill” Stead, 94, of Mt. Baldy Third District – Supervisor Dawn Rowe • Marilyn Bauer, 87, of Highland • Silvestre “Cy” Zermeño, 86, of Colton Fourth District – Supervisor Curt Hagman • Edna Mae Arreguin, 83, of Chino • James Thomas Crowley, 76, of Upland • Alberto Enriquez, 88, of Ontario • Paul Anthony Evangelista, 72, of Upland • Angel Torrices Fortuna, 82, Ontario • Robert James Galindo, 52, of Chino • Ruth Kelley Griffin, 100, of Upland • John Coito Machado, 78, of Chino • Ubaldo S. Najera, 91, of Chino • Raul Burgess Ramos, 92, of Chino • Esther Gonzales Santoyo, 89, of Chino Fifth District – Supervisor Joe Baca, Jr. • Victor Manuel Abrego, 76, of Rialto • Ronald Donald Alvarez, 62, of San Bernardino • Francisco N. Alvarez, 88, of San Bernardino • Samuel Baber, 85, of Rialto • Shanto Bagani, 77, of Loma Linda • Joseph Calvo, 65, of San Bernardino • Jacob Diego Camarena, 18, of Rialto • Lillian F. Cavola, 81, of San Bernardino • Gloria Esparza, 77, of San Bernardino • Lester D. Koenig, 94, of San Bernardino • Dale Hilda Link, 66, of San Bernardino • Barbara Mariotti, 87, of Bloomington • Ruth Mireya Martinez, 47, of San Bernardino • Araceli Monserrarath Montes, 32, of San Bernardino • Mark Julius Parker, 77, of San Bernardino • Henrietta Resendez, 93, of San Bernardino • Frank Quiroz Saavedra, 93, of Rialto • Myriam Vanessa Thompson, 45, of San Bernardino Special Presentations, Resolutions and Proclamations - None Reports from County Counsel and Chief Executive Officer Individual Board Member Comments Presentation of the Agenda Page 3 of 28Consolidated Agenda for Tuesday, September 26, 2023

a) Consider additions of emergency or urgency items to the agenda to be placed on the Consent or Discussion Calendar at the Board’s discretion pursuant to Government Code section 54954.2(b) or (b)(2). b) Notice of minor revisions to agenda items, items removed or continued from the Board of Supervisors’ Agenda. c) Disclosure pursuant to Government Code Section 84308. CONSENT CALENDAR Items listed on the Consent Calendar are expected to be routine and non-controversial and will be acted upon in one motion as the first item of business on the Discussion Calendar. If the Board directs that an item listed on the Consent Calendar be held for further discussion, the item will be addressed under “Deferred Items,” the second item listed on the Discussion Calendar. COUNTY DEPARTMENTS Board of Supervisors Adoption of Recognitions, Resolutions and Proclamations: Board of Supervisors Adopt resolution recognizing Gerald Lebert upon his retirement after 34 years of valuable service to San Bernardino County. Adopt resolution recognizing Cory Weck being named as the Western San Bernardino County Bar Association Jennifer Brooks Lawyer of the Year. Adopt resolution recognizing Linda King upon her retirement after 31 years of valuable service to San Bernardino County. Adopt proclamation declaring October as “The San Bernardino County Employees’ Combined Giving Campaign” month through the year 2028. Adopt proclamation commemorating VVTA’s 30 year anniversary and declaring October 20th Victor Valley Transit Day through the year 2028. Third District Adopt resolution recognizing Richard “Rick” Daniels on his retirement from the City of Needles. Adopt resolution recognizing Mary Reeves on her retirement from the Big Bear City Community Services District. Adopt resolution recognizing Donnasue Smith Ortiz being named as the Western San Bernardino County Bar Association Charles Althouse Lifetime Achievement Award. 2) Approve the following appointments, reappointments and vacancies as detailed below: Chair and Third District Supervisor Dawn Rowe a. Approve the appointment of Stephanie A. Louis to Seat 9 on the San Bernardino County Health Center Governing Board for the remaining 2-year term, expiring 12/31/2023 (At Large). 3) Adopt Resolution supporting the Brightline West and State of Nevada Department of4) Page 4 of 28Consolidated Agenda for Tuesday, September 26, 2023

Transportation’s application for the Federal-State Partnership for Intercity Passenger Rail Grant. (Presenter: Jesse Armendarez, Second District Supervisor, 387-4833) Aging and Adult Services Approve contracts with the following agencies to provide real estate broker services for Public Guardian conservatees for the period of October 1, 2023 through September 30, 2026: 1. S.H. Spectrum, Inc. dba Spectrum Realty Services 2. Trusted Realty Advisors (Presenter: Sharon Nevins, Director, 891-3917) 5) Approve Amendment No. 1 to Contract No. 18-877 for non-financial Memorandum of Understanding with Riverside County Department of Public Social Services, Adult Services Division, Adult Protective Services Program to provide and obtain courtesy investigations of elder and dependent adult abuse referrals in situations involving a potential conflict of interest, updating standard language, definitions and responsibilities of each county, and extending the term one year, for a total contract period of January 2, 2019 through September 30, 2024. (Presenter: Sharon Nevins, Director, 891-3917) 6) Arrowhead Regional Medical Center Approve Service Agreement with Canon Medical Systems USA, Inc., including non-standard terms, for maintenance, repairs, and parts for five Canon Medical Imaging Equipment Systems, in the amount of $3,145,736, for the period of October 16, 2023 through October 31, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 7) Approve changes within the following categories to the Arrowhead Regional Medical Center Medical Staff and Clinical Privileges, as recommended by the Medical Executive Committee and documented in Attachment A: 1. Applications for Initial Appointment - Medical Staff 2. Applications for Initial Appointment - Advanced Practice Professional Staff 3. Applications for Reappointment - Medical Staff 4. Applications for Reappointment - Advanced Practice Professional Staff 5. Completion of Focused Professional Practice Evaluation with Advancement - Medical Staff 6. Completion of Focused Professional Practice Evaluation with Advancement - Advanced Practice Professional Staff 7. Request for Extension of Focused Professional Practice Evaluation - Medical Staff 8. Request for Extension of Focused Professional Practice Evaluation - Advanced Practice Professional Staff 9. Request for New Clinical Privileges - Medical Staff 10. Voluntary Resignation of Membership and/or Clinical Privileges - Medical Staff 11. Voluntary Resignation of Membership and/or Clinical Privileges - Advanced Practice Professional Staff 12. Voluntary Withdrawal of Application for Membership and/or Clinical Privileges - Medical Staff (Presenter: William L. Gilbert, Director, 580-6150) 8) 1. Approve Revenue Provider Services Agreement, including non-standard terms, with Physician Health Network for provision of outpatient health care services to designated Medi-Cal Managed Care members, retroactively effective January 1, 2022 through December 31, 2024. 2. Direct the Clerk of the Board of Supervisors to maintain the confidentiality of the Provider Services Agreement pursuant to Health and Safety Code Section 1457(c)(1). (Presenter: William L. Gilbert, Director, 580-6150) 9) Page 5 of 28Consolidated Agenda for Tuesday, September 26, 2023

1. Approve Price Quote with Fujifilm Healthcare Americas Corporation, governed by the Terms and Conditions of Product and Service Agreement No. 23-807 with Summit Imaging, Inc., for software to capture diagnostic images with the endoscopic and bronchoscopic devices, for a total cost of $282,204, retroactively effective July 25, 2023 through July 24, 2028. 2. Approve Amendment No. 1 to Service Agreement No. 23-804 with Fujifilm Healthcare Americas Corporation for ultrasound machine maintenance, increasing the contract amount by $110,000, from $621,592 to $731,592, with no change to the term of 60 months beginning upon installation. (Presenter: William L. Gilbert, Director, 580-6150) 10) Approve Unified Participation Agreement with American Heart Association, Inc., including non-standard terms, for the subscription and participation in the Get With The Guidelines - Resuscitation and Get With The Guidelines - Stroke Registry programs, in the not-to-exceed amount of $91,700, retroactively effective May 25, 2023 through December 31, 2027. (Presenter: William L. Gilbert, Director, 580-6150) 11) Approve Amendment No. 1 to Contract No. 23-341 with Tegria Services Group - US, Inc., to add cloud hosting services to the scope of work, with no change to the not-to-exceed amount of $1,600,000, or contract term of May 23, 2023 through May 22, 2028. (Presenter: William L. Gilbert, Director, 580-6150) 12) Approve Master Subscription Agreement, including non-standard terms, with Aidoc, Inc. for an artificial intelligence operating system in the Arrowhead Regional Medical Center Medical Imaging Department, in the total contract amount of $439,875, for the term of September 26, 2023 through September 25, 2026. (Presenter: William L. Gilbert, Director, 580-6150) 13) Accept and approve the revisions of policies and the report of the review and certification of the following Arrowhead Regional Medical Center Operations, Policy and Procedure Manuals (included and summarized in Attachments A through K): 1. Information Management Department Policy and Procedure Manual 2. Department of Nursing Policy and Procedure Manual 3. Rehabilitation Services Department Policy and Procedure Manual 4. Ambulatory Services Specialty Care Policy and Procedure Manual (Presenter: William L. Gilbert, Director, 580-6150) 14) Approve Amendment No. 1 to Contract No. 18-711 for assignment of the Contract and related Business Associate Agreement from the Studer Group, LLC to Huron Consulting Services, LLC, for software access and support services for Rounding Software, increasing the contract amount by $30,900, from $789,197 to a total contract amount not-to-exceed $820,097, and extending the term for six months, for a total contract period of October 1, 2018 through March 31, 2024. (Presenter: William L. Gilbert, Director, 580-6150) 15) 1. Authorize the reallocation of funds from the Residual Equity Account, in the amount of $21,581,048, to the following: a. Capital Improvement Program Project No. 17-283 (WBSE 10.10.0266) for the Arrowhead Regional Medical Center Air Conditioning in Sterile Processing Project, in the amount of $2,526,819. b. Capital Improvement Program Project No. 18-061 (WBSE 10.10.0453) for the Computed Tomography Scanner Project, in the amount of $1,376,425. c. Capital Improvement Program Project No. 18-066 (WBSE 10.10.0458) for the Arrowhead Regional Medical Center Air Transfer Switch Replacement Project, in the amount of $465,462. d. Capital Improvement Program Project No. 19-068 (WBSE 10.10.0720) for the 16) Page 6 of 28Consolidated Agenda for Tuesday, September 26, 2023

Arrowhead Regional Medical Center Variable Frequency Device Replacement Project, in the amount of $300,000. e. Capital Improvement Program Project No. 20-011 (WBSE 10.10.0847) for the Replacement Deaerator No. 1 Project, in the amount of $600,000. f. Capital Improvement Program Project No. 21-054 (WBSE 10.10.1061) for the Arrowhead Regional Medical Center Interior Plumb Infrastructure Plan Project, in the amount of $1,010,002. g. Capital Improvement Program Project No. 22-020 (WBSE 10.10.1207) for the Arrowhead Regional Medical Center Behavioral Health Adolescent Unit Project, in the amount of $14,000,000. h. Capital Improvement Program Project No. 17-104 (WBSE 10.10.0239) for the Emergency Department Staff Bathroom Remodel Project, in the amount of $500,000. i. Capital Improvement Program Project No. 18-067 (WBSE 10.10.0459) for the Boiler Motors Uninterrupted Power Source Project, in the amount of $2,340. j. Capital Improvement Program Project No. 17-112 (WBSE 10.10.0246) for the Magnetic Resonance Imaging Replacement Project, in the amount of $800,000. 2. Authorize the Auditor-Controller/Treasurer/Tax Collector to post the necessary budget adjustments to the Arrowhead Regional Medical Center Capital Improvement Program 2023 -24 budget to reallocate funds to several existing projects, as detailed in the Financial Impact section (Four votes required). (Presenter: William L. Gilbert, Director, 580-6150) 1. Approve a Master Employment Agreement template to hire and retain program staff for the California Advancing and Innovating Medi-Cal program. 2. Authorize the Chief Executive Officer, or the designated Department Director, to approve and execute individual Employment Agreements for the California Advancing and Innovating Medi-Cal Program and Amendments to the individual agreements, to extend the term for successive one-year periods not to extend beyond June 30, 2026, subject to County Counsel review. (Presenter: William L. Gilbert, Director, 580-6150) 17) Behavioral Health 1. Approve the following list of certified agencies to provide Deferred Entry of Judgement Program services for San Bernardino County, for the period of October 1, 2023 through September 30, 2024: a. High Desert Child, Adolescent & Family Services Center b. Inland Behavioral & Health Services c. Mental Health Systems, Inc. dba TURN Behavioral Health Services d. Valley Improvement Programs, Inc. 2. Approve the Letter of Certification template for Deferred Entry of Judgement Program in relation to the provision of services by certified agencies for San Bernardino County, exercising the final extension, effective October 1, 2023 through September 30, 2024. 3. Authorize the Assistant Executive Officer or the Director of the Department of Behavioral Health to execute the Letter of Certification template with the individual certified agencies, including any non-substantive changes to the Letter of Certification template in relation to the provision of Deferred Entry of Judgement Program services, for the period of October 1, 2023 through September 30, 2024, on behalf of the County, subject to review by County Counsel. (Presenter: Georgina Yoshioka, Director, 252-5142) 18) Approve Amendment No. 1 to Contract No. 22-361 with Telecare Corporation for the provision of Crisis Residential Treatment services, to update standard contract language, with no change to the total contract amount of $14,000,000, or the contract period of July 1, 2022 through June 30, 2027. 19) Page 7 of 28Consolidated Agenda for Tuesday, September 26, 2023

(Presenter: Georgina Yoshioka, Director, 252-5142) Approve Amendment No. 1 to Contract No. 19-330 with Telecare Corporation to provide Assertive Community Treatment case management services to seriously and persistently mentally ill consumers, increasing the total contract amount by $743,160, from $5,896,875 to $6,640,035, and extending for six months, for a total contract period of July 1, 2019, through March 31, 2024. (Presenter: Georgina Yoshioka, Director, 252-5142) 20) 1. Accept grant award from the California Department of Health Care Services, for continued funding in the amount of $526,611, for the Federal McKinney Projects for Assistance in Transition from Homelessness program, for the provision of services to individuals who have a serious mental illness, or who have co-occurring serious mental illness and substance use disorders, and who are homeless or at imminent risk of becoming homeless, for the period of July 1, 2023 through June 30, 2024. 2. Authorize the Director of the Department of Behavioral Health, as the County Mental Health Director, to execute any subsequent non-substantive amendments to the grant award for the Federal McKinney Projects for Assistance in Transition from Homelessness program, as required by the California Department of Health Care Services, on behalf of the County, subject to review by County Counsel. 3. Direct the Director of the Department of Behavioral Health, as the County Mental Health Director, to transmit any subsequent non-substantive amendments in relation to the Federal McKinney Projects for Assistance in Transition from Homelessness program, to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Georgina Yoshioka, Director, 252-5142) 21) 1. Approve the following list of certified agencies to provide Driving Under the Influence Program services for San Bernardino County, for the period of October 1, 2023 through September 30, 2024: a. Dalton & Associates b. Jackson-Bibby Awareness Group c. Mental Health Systems, Inc. dba TURN Behavioral Health Services d. Prodigy Healthcare, LLC e. Valley Improvement Programs, Inc. f. W & G Enterprises dba Alcohol Education and Recovery Services 2. Approve the Letter of Certification template for Driving Under the Influence Program in relation to the provision of services by certified agencies for San Bernardino County, exercising the final extension, effective October 1, 2023 through September 30, 2024. 3. Authorize the Assistant Executive Officer or the Director of the Department of Behavioral Health to execute the Letter of Certification template with the individual certified agencies, including any non-substantive changes to the Letter of Certification template in relation to the provision of Driving Under the Influence Program services, for the period of October 1, 2023 through September 30, 2024, on behalf of the County, subject to review by County Counsel. (Presenter: Georgina Yoshioka, Director, 252-5142) 22) Approve Amendment No. 3 to Contract No. 19-326 with Lighthouse Social Service Centers for the provision of Family Stabilization Rapid Re-Housing services, increasing the amount by $2,045,554, from $8,693,606 to $10,739,160, and exercising the last option to extend the contract an additional year, for the total contract period of July 1, 2019 th