Board of Supervisors Regular Meeting

FAIR STATEMENT OF PROCEEDINGS FOR THE SAN BERNARDINO COUNTY BOARD OF SUPERVISORS REGULAR MEETING Tuesday, May 7, 2024 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 Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. SUPERVISORS PRESENT: Col. Paul Cook (Ret.) SUPERVISORS ABSENT: 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. James Barkan v. County of San Bernardino, et al., San Bernardino County Superior Court Case No. CIVSB2129134 2. Jaaye Person-Lynn v. County of San Bernardino, et al., United States Central District Court Case No. 2:20-cv-11578-DSF(ASx) 3. Frances Enyart, et al. v. County of San Bernardino, et al., United States Central District Court Case No. 5:23-cv-00540-RGK-SHK Conference with Real Property Negotiator (Government Code section 54956.8) 4. Property address/description: APN 0239-031-32, 0239-031-04 County/Entity Negotiator: Terry Thompson Parties with whom negotiating: 215 Table Top LLC, Jim Mauge Negotiation will concern: Price, Terms of Payment 1) Page 1 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Public Employee Appointment (Government Code section 54957) 5. Title: Director of Arrowhead Regional Medical Center Conference with Legal Counsel - Anticipated Litigation - Significant Exposure (Government Code section 54956.9(d)(2)) 6. One case. BOARD GOVERNED COUNTY SERVICE AREAS Conference with Labor Negotiator (Government Code section 54957.6) 7. Agency designated representative: Leo Gonzalez Employee organization: · International Brotherhood of Electrical Workers, Local 47 - Water & Sanitation Unit 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 - Fourth District Pastor Ethel Rucker of the Christian Development Center in Montclair Memorial Adjournments Board of Supervisors First District – Supervisor Col. Paul Cook (Ret.) • Patricia Cartwright, 71, of Apple Valley • Donald A. Cox, 88, of Apple Valley • Esperanza “Espie” Guerra, 44, of Victorville • Rebecca “Beckie” Noelle Lindsey, 55, of Victorville • Robert Scott Nygaard, 67, of Apple Valley • Robert Lewis Raupp 85, of Hesperia • Robert Thomas Richards, 38, of Pinon Hills • Sarah “Sally” Lorene (Perry) Webb, 81, of Apple Valley Second District – Supervisor Jesse Armendarez • Josefina Santos Baltazar, 74, of Fontana • Jack Dale Beavers, 90, of Upland • Toly Gonzalez, 72, of Rancho Cucamonga • Fernando Guzman, 74, of Fontana • Dolores Marleen Higgins, 84, of Fontana • James Presley Keltner, 77, of Rancho Cucamonga • Albert Remorin Manzano, 59, of Fontana • Selvakumar Purushotham, 75, of Rancho Cucamonga • James Thomas Tredinnick, 78, of Fontana • Carlos Daniel Pedroza Villalobos, 24 of Fontana • Madeline L Webb, 81, of Rancho Cucamonga Third District – Supervisor Dawn Rowe • John Friel, 80, of Big Bear Lake • Phyllis Gradillas, 87, of Lake Arrowhead • Paul Van Hook, 89, of Johnson Valley • Silvio Hoshek, MD., 81, of Yucaipa • Steven Kessler, 75, of Yucca Valley • David North, 75, of Yucca Valley • Paul Francis Smith, 82, of Twentynine Palms Fourth District – Supervisor Curt Hagman • Sandra Hernandez-Campbell, 65, of Chino Hills • Leonila Dimalanta Carr, 80, of Chino • Peter Cavaretta, 90, of Ontario Page 2 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

• Rodolfo Corlew, 81, of Ontario • Anthony Wayne Dilley, 54, of Chino Hills • Mario Rene R Fernandez, 76, of Ontario • Benjamin Steven Gonzales, 68, of Chino • Thomas Oscar Halliday, 84, of Upland • Pamela Sue Haynes, 73, of Ontario • Benjamin D. Hernandez, 57, of Chino Hills • Silvia Lorena Morales, 67, of Ontario • Nancy Jane Mullen, 97, of Upland • Oziel C Pereda, 74, of Ontario • Edgarldo Rodriguez, 71, of Ontario • Moses Rodriguez, 92, of Chino • Gabriel Rosas, 29, of Ontario • Jacob Tuscher, 94, of Rancho Cucamonga • Mary Emma White, 98, of Chino • Sharon Irene Wilkins, 82, of American Fork, Utah • Hector Zepeda, 62, of Ontario Fifth District – Supervisor Joe Baca, Jr. • Eugene Alarid Sr., 57, of San Bernardino • Rachel Avila, 84, of Colton • Dan L. Gleason, 71, of San Bernardino • Maria L. Gonzalez, 56, of San Bernardino • William E. Harrison, 86, of San Bernardino • Maxine S. Jackson, 73, of Rialto • Mary Ann Keats, 89, of San Bernardino • Aaron Michael Mlynarski, 41, of San Bernardino • Leota Mae North, 87, of Rialto • Lawrence J. Rich, 93, of San Bernardino • Cecilia A. Valeria, 76, of Colton • William Matheny Wixom, 93, of San Bernardino Special Presentations, Resolutions and Proclamations - None Reports from County Counsel and Chief Executive Officer County Counsel, Tom Bunton, stated the Board of Supervisors, in Closed Session, voted 4-0, with Supervisor Cook absent, to appoint Andrew Goldfrach as Hospital Director of the Arrowhead Regional Medical Center effective June 1, 2024. Individual Board Member Comments Fourth District Supervisor Curt Hagman provided an update on the following boards he sits on: Ontario International Airport Authority, Inland Empire Health Plan, and Southern California Association of Governments. He stated that they welcomed Chinese Consul, Guo Shaochun to visit the County last week. Supervisor Hagman is hosting the Fourth Annual District Job Fair and Expungement Event. He will be attending the County City Conference on May 16-17, 2024. Fifth District Supervisor Joe Baca, Jr. provided an update on the following board he sits on: Omnitrans. He attended the following events: Take your Child to Work Day, Sheriff’s PaYS program, and Children’s Memorial Flag Day. Supervisor Baca hosted a Glen Helen Master Plan community meeting. He stated it is teacher appreciation week and his district has honored five teachers. Supervisor Baca congratulated Jayden Daniels for being the second overall draft pick in the NFL. He highlighted the following items on the agenda: 24, 52, 58. Second District Supervisor Jesse Armendarez hosted the following events: commissioner roundtable Page 3 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

event and a community clean-up in Fontana. He attended the following events: Maria Merced Williams and John Rains House open house, Fontana Days Parade, SEAT HEAT competition. Supervisor Armendarez said he distributed cake to seniors at the Senior Center. He highlighted Item No. 27 on the agenda. Chair and Third District Supervisor Dawn Rowe thanked the Colorado River Station Sheriff Department. 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. Supervisor Baca, Jr. declared a conflict for Item No. 39 Recommendation No. 5. On August 28, 2023, San Bernardino County Medical Center made a $500 contribution to his campaign. 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 Desiree Morris upon her retirement after more than 25 years of valuable service to San Bernardino County. Third District Adopt resolution recognizing California Highway Patrol Sergeant, Jeffrey Secrist on his retirement. 2) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve the following appointments, reappointments and vacancies as detailed below: Chair and Third District Supervisor Dawn Rowe a. Approve the appointment of Jennifer M. Hiramoto to Seat 17 on the Workforce Development Board for the remaining 2-year term, expiring 12/31/2025 (At Large). b. Approve the reappointment of Roy George to Seat 7 on the Equal opportunity Commission for a 4-year term, expiring 12/31/2027 (Third District). 3) Page 4 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Vice Chairman and First District Supervisor Col. Paul Cook (Ret.) c. Approve the appointment of Rebekah Swanson to Seat 1 on the Civil Service Commission for the remaining 4-year term, expiring 1/31/2025. Fifth District Supervisor Joe Baca, Jr. d. Declare and post vacancy per Maddy Act for the remaining 3-year term, expiring 1/31/2025 for Seat 3 held by Gil Navarro on the Behavioral Health Commission. APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Arrowhead Regional Medical Center Approve Amendment No. 4 to Product Supply Agreement No. 21-302 with Linde Gas & Equipment Inc., for the continued delivery of bulk medical gases, medical gas cylinders, and the provision of an onsite manager for site gas services, extending the term by 60 days, for a total term of August 22, 2017 through July 17, 2024, with no change to the total amount of $2,953,000. (Presenter: William L. Gilbert, Director, 580-6150) 4) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve an Agreement with Sanofi Pasteur, Inc., including non-standard terms, for the purchase of influenza vaccines in an amount not-to-exceed $350,000, effective May 7, 2024 through December 31, 2024. (Presenter: William L. Gilbert, Director, 580-6150) 5) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Approve Amendment No. 1 to Agreement No. 23-273 with Intuitive Surgical, Inc. for the continued lease and service of a Da Vinci Xi Dual Console Robotic Surgical System, increasing the amount by $2,547,651, from $704,000 to $3,251,651 plus applicable taxes, and extending by three years for a total term of June 12, 2023 through June 11, 2027. 2. Approve Amendment No. 1 to Agreement No. 23-274 with Intuitive Surgical, Inc. for the continued purchase of instruments and accessories for use with the Da Vinci Xi Dual Console Robotic Surgical System, increasing the amount by $3,000,000, from $600,000 to $3,600,000, and extending by three years for a total term of June 12, 2023 through June 11, 2027. (Presenter: William L. Gilbert, Director, 580-6150) 6) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve non-financial Transfer Agreement, including non-standard terms, with GnanaDev ASC Holdings, LLC, for the transfer of patients who require a higher level of care services to 7) Page 5 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Arrowhead Regional Medical Center, retroactively effective October 16, 2023 through October 15, 2028. (Presenter: William L. Gilbert, Director, 580-6150) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve Professional Services Agreement, including non-standard terms, with City of Hope Medical Foundation, Inc., for the provision of medical oncology services at Arrowhead Regional Medical Center, at an annual cost of $1,480,000, for a total of $4,440,000 for the period of July 1, 2024 through June 30, 2027. Presenter: William L. Gilbert, Director, 580-6150) 8) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve Contract with CPS Solutions, LLC, including non-standard terms, to administer inpatient and outpatient pharmacy services, in the total amount not-to-exceed $60,000,000, for the period of July 1, 2024 through June 30, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 9) Public Comment: None DEFERRED/APPROVED Motion/Second: Curt Hagman/Joe Baca, Jr. AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Approve non-financial Transfer Agreement with Community Hospital of San Bernardino, including non-standard terms, for the transfer of patients who require a higher level of care to Arrowhead Regional Medical Center, effective May 15, 2024 through May 14, 2029. 2. Approve non-financial Transfer Agreement with St. Bernardine Medical Center, including non-standard terms, for the transfer of patients who require a higher level of care to Arrowhead Regional Medical Center, effective May 15, 2024 through May 14, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 10) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve non-financial Affiliation Agreement with Grand Canyon University to provide nursing students clinical rotations at Arrowhead Regional Medical Center, for the five-year period effective May 7, 2024 through May 6, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 11) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve Amendment No. 1 to Memorandum of Understanding No. 22-59 with the California12) Page 6 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Department of Justice, California Justice Information Services Division, Justice Data and Investigative Services Bureau Version 3.0A, for continued access to the Controlled Substance Utilization Review and Evaluation System, increasing the total cost by $50,000, from $50,000 to $100,000, and extending the term for an additional two years for a total term of April 12, 2022 through June 30, 2026. (Presenter: William L. Gilbert, Director, 580-6150) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve non-financial Affiliation Agreement with Western Governors University for its Nursing, Health Information Management, Master’s in Business Administration in Healthcare Management, and Master’s in Leadership and Management Students to obtain onsite training at Arrowhead Regional Medical Center from May 7, 2024 through May 6, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 13) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Approve non-financial Participation Agreement with Inland Empire Health Plan for participation in the Inland Empire Health Plan Hospital Pay for Performance Program, which will remain in effect through completion of the program. 2. Approve non-financial Business Associate Agreement with Dexur Enterprises Inc. required to access the Dexur unified software solution for participation in the Inland Empire Health Plan Hospital Pay for Performance Program, for the period of May 7, 2024 through the earlier of May 6, 2029, or completion of Arrowhead Regional Medical Center’s participation in the program. (Presenter: William L. Gilbert, Director, 580-6150) 14) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve the Medi-Cal Graduate Medical Education Payment Program Provider Participation Agreement with the California Department of Health Care Services, for the provision of reimbursements at an estimated revenue of $54,000,000, for direct and indirect costs associated with the operations of the Graduate Medical Education Program at Arrowhead Regional Medical Center, with the agreement term of July 1, 2024 through June 30, 2027. (Presenter: William L. Gilbert, Director, 580-6150) 15) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Approve the 2024-25 Physician Residency Program Master Employment Agreement for Arrowhead Regional Medical Center resident physicians in the following programs: a. Anesthesia b. Cardiology Fellowship c. Emergency Medicine 16) Page 7 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

d. Emergency Medical Services Fellowship e. Family Medicine f. General Surgery g. Integrated Vascular Surgery Program h. Internal Medicine i. Maternal Fetal Medicine Fellowship j. Neurology k. Obstetrics/Gynecology l. Psychiatry m. Pulmonary Critical Care Fellowship n. Radiology o. Surgical Critical Care Fellowship 2. Authorize the Director of Arrowhead Regional Medical Center to execute individual resident physician employment agreements on behalf of the County, pursuant to the 2024-25 Physician Residency Program Master Employment Agreement identified in Recommendation No. 1. (Presenter: William L. Gilbert, Director, 580-6150) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve the naming of the Trauma Center at Arrowhead Regional Medical Center as the Dev A. Gnanadev Trauma Center. (Presenter: William L. Gilbert, Director, 580-6150) 17) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Assessor/Recorder/County Clerk Approve Amendment No. 2 to Contract No. 23-1006 with The Software Revolution, Inc., revising the scope of work to include additional engineering support services for the Property Information Management System Upgrade Project and increasing the contract amount by $250,000, from $1,000,000 to $1,250,000, with no change to the term of January 23, 2023 through January 22, 2025. (Presenter: Chris Wilhite, Assessor-Recorder-County Clerk, 382-3208) 18) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Behavioral Health Approve Amendment No. 2 to Contract No. 21-433, effective January 1, 2024, with Institute for Public Strategies for the provision of Environmental Prevention Strategies and Services, updating standard contract language, expanding its service area to include the Central Valley, and increasing the total contract amount by $891,158 from $3,025,033 to $3,916,191, with no change to the total contract period of July 1, 2021 through December 31, 2025. (Presenter: Georgina Yoshioka, Director, 252-5142) 19) Page 8 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve contract with 3 Olives Media, LLC to provide for an eight-week Fentanyl Awareness Media Campaign, in the amount of $231,000, for the contract term of April 29, 2024 through June 23, 2024. (Presenter: Georgina Yoshioka, Director, 252-5142) 20) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve Amendment No. 2 to the following contracts, effective January 1, 2024, for the provision of Substance Use Disorder and Recovery Services Early Intervention, Outpatient Treatment, Intensive Outpatient Treatment and Recovery Services, expanding their service areas, updating standard contract language, and increasing the combined contract amount by $1,749,158 from $7,116,745 to $8,865,903, with no change to the contract period of July 1, 2022 through June 30, 2027: 1. High Desert Child, Adolescent and Family Services Center, Inc., Contract No. 22-471, increasing the total contract amount by $810,465 from $2,290,745 to $3,101,210. 2. Inland Valley Recovery Services, Contract No. 22-473, reflecting the legal name change to Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services, and increasing the total contract amount by $938,693 from $4,826,000 to $5,764,693. (Presenter: Georgina Yoshioka, Director, 252-5142) 21) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Community Development and Housing Department Approve Amendment No. 1 to Affordable Housing Loan Agreement No. 21-1033 with Eagle Hesperia 55 II, L.P., for the affordable housing development located at 13590 Avenal Street in Hesperia, to extend the construction completion date from February 1, 2023, to August 15, 2024, with no change to the agreement amount of $5,500,000. (Presenter: Carrie Harmon, Director, 382-3983) 22) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Approve the Final Program Year 2024-25 United States Department of Housing and Urban Development Annual Action Plan for the estimated grant allocation of $11,208,852 under the Community Development Block Grant, HOME Investment Partnerships Program, and the Emergency Solutions Grant. 2. Direct the Assistant Executive Officer or Director of the Community Development and Housing Department to submit the Final Program Year 2024-25 United States Department of Housing and Urban Development Annual Action Plan to the United States Department of Housing and Urban Development, including any comments received during the public comment process. 23) Page 9 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

3. Authorize the Chief Executive Officer, Assistant Executive Officer, or Director of the Community Development and Housing Department, upon award from the United States Department of Housing and Urban Development, to accept and execute the Community Development Block Grant Agreement (Agreement No. B24UC060503), HOME Investment Partnerships Act Grant Agreement (Agreement No. M24DC060532), and the Emergency Solutions Grant Agreement (Agreement No. E24UC060503), and all other subsequent amendments and documents related to the acceptance or administration of the grants, including documents necessary for the administration of loans made with United States Department of Housing and Urban Development grants, subject to County Counsel review. 4. Direct the Director of the Community Development and Housing Department to transmit the grant agreements and amendments in Recommendation No. 3 to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Carrie Harmon, Director, 382-3983) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve Amendment No. 1 to Agreement No. 23-1370 with SB Express One, LLC dba Super 8 Motel San Bernardino for the provision of non-congregate shelter for homeless individuals residing in encampments in the Santa Ana Riverbed, to expand services, with no change to the total agreement amount of $807,507 or agreement period of December 19, 2023, through June 30, 2024. (Presenter: Carrie Harmon, Director, 382-3983) 24) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) County Administrative Office 1. Approve Amendment No. 1 to Contract No. 22-741 with the City of Twentynine Palms for the Twentynine Palms Sewer Project, decreasing the contract by $220,820 from a not-to-exceed amount of $1,000,000 to $779,180, and modifying the beginning date for obligating project costs to extend the contract term by six months, for a total contract period of January 1, 2022 through December 31, 2026, for American Rescue Plan Act funding for eligible projects in accordance with the Board of Supervisors’ approved Coronavirus Local Fiscal Recovery Fund Spending Plan. 2. Authorize the Chief Executive Officer or County Chief Financial Officer to execute any amendments to the American Rescue Plan Act contracts that decrease the not-to-exceed contract amount, make non-substantive changes, or execute any additional documentation required in connection with the standardized American Rescue Plan Act contracts that were previously executed and ratified by the Board of Supervisors, subject to review by County Counsel, provided that such documents do not increase the total not-to-exceed amounts, or the total contract terms. 3. Direct the County Chief Financial Officer to transmit all amendments in relation to Recommendation No. 2 to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Luther Snoke, Chief Executive Officer, 387-4811) 25) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Page 10 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

ABSENT: Col. Paul Cook (Ret.) 1. Accept grant (Grant Award No. 2023-0006) in the amount of $557,970 from the California Governor’s Office of Emergency Services for the Fiscal Year 2023 Emergency Management Performance Grant program to continue to support comprehensive emergency management programs and encourage the improvement of mitigation, preparedness, response, and recovery capabilities for all hazards, with a grant performance period of July 1, 2023, through June 30, 2025. 2. Approve the Subrecipient Agreement/Assurances template to be entered between the County and all grant subrecipient cities/towns identified in the grant application documents, ensuring that the subrecipients comply with all applicable terms and conditions of Grant Award No. 2023-0006. 3. Authorize the Chair of the Board of Supervisors, the Chief Executive Officer, the Deputy Executive Officer, or the Director of Emergency Management of the Office of Emergency Services to accept and execute the Subrecipient Agreement/Assurances from each subrecipient of Grant Award No. 2023-0006. (Presenter: Crisanta Gonzalez, Director of Emergency Management, 356-3998) 26) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 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 Contract No. ARPA21-PRJN-041-CCC with Chaffey Communities Cultural Center for the Cooper's Museum Renovation Project, in the not-to-exceed amount of $150,000, for the contract term of August 7, 2023 through December 31, 2026 for American Rescue Plan Act funding for eligible projects in accordance with the Board of Supervisors approved Coronavirus Local Fiscal Recovery Fund Spending Plan. (Presenter: Luther Snoke, Chief Executive Officer, 387-4811) 27) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) .Recommendation Approve annual adjustments to internal service fund rates and department recharges, effective July 1, 2024, as outlined in Attachments A through J. (Presenter: Matthew Erickson, County Chief Financial Officer, 387-5423) 28) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Human Resources 1. Authorize the County to participate in County of Ventura Contract No. 7914, as amended, which provides subscription-based information technology research and advisory services, was approved on March 12, 2019, and is in effect through April 30, 2025. 2. Approve Proposal with Gartner, Inc., subject to the contract in Recommendation No. 1, to provide consulting services for the replacement of the County’s existing Employee Management and Compensation System to a new Human Capital Management System, in an amount not to exceed $1,800,000, plus optional services, beginning May 7, 2024 29) Page 11 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

through April 30, 2025. 3. Authorize the Auditor-Controller/Treasurer/Tax Collector to post necessary budget adjustments for the Human Capital Management System Project to the 2023-24 budget as detailed in the Financial Impact section (Four votes required). (Presenter: Michael Bowers, Director, 387-8304) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Innovation and Technology 1. Approve non-financial End User License Agreement, including non-standard terms, with Dell Products, L.P. for the use of open-source Live Optics software used to document configuration and performance of information technology infrastructure, for the period commencing on the date of first use of the software and continuing until terminated. 2. Approve non-financial Terms of Service, including non-standard terms, with Hewlett Packard Enterprise, Inc. for the use of open-source CloudPhysics software used to identify the optimal configuration of new and existing information technology cloud infrastructure, for the period commencing on the date of first use of the software and continuing until terminated. 3. Authorize the Chief Information Officer or Assistant Chief Information Officer to electronically accept the End User License Agreement in Recommendation No. 1, with Dell Products, L.P., and the Terms of Service in Recommendation No. 2, with Hewlett Packard Enterprise, Inc., and any future updates for either agreement, as they pertain to changes to the use of software, subject to review by County Counsel, provided that such updated terms do not substantively modify the terms of the original agreements. 4. Direct the Chief Information Officer or Assistant Chief Information Officer to transmit printed copies of any updated terms to the End User License Agreement and Terms of Service in Recommendation Nos. 1 and 2 related to the use of the software, that are electronically accepted, to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Lynn Fyhrlund, Chief Information Officer, 388-5501) 30) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Museum Authorize the Auditor-Controller/Treasurer/Tax Collector to post the budget adjustments, as detailed in the Financial Impact section, to the Museum’s 2023-24 budget to reflect the utilization of salary savings in the amount of $230,000, to fund general maintenance and exhibit improvement costs. (Presenter: David Myers, Director, 798-8601) 31) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Preschool Services 1. Approve Amendment No. 7 to the following agencies to provide Early Head Start and Head32) Page 12 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Start Program services, extending the contracts by an additional year, for a total contract period of July 1, 2020, through June 30, 2025, with no change to the total combined contract amount of $8,236,331: a. Colton Joint Unified School District, Contract No. 20-494, in the amount of $4,799,776. b. Fontana Unified School District, Contract No. 20-496, in the amount of $1,625,773. c. Needles Unified School District, Contract No. 20-497, in the amount of $1,810,782. 2. Approve Amendment No. 8 to Contract No. 20-495 with Easter Seals of Southern California, Inc., to provide Early Head Start and Head Start Program services, increasing the total contract amount by $437,535 from $20,537,075 to $20,974,610, and extending the contract by an additional year, for a total contract period of July 1, 2020, through June 30, 2025. (Presenter: Jacquelyn Greene, Director, 383-2005) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Probation 1. Find that the 2024 San Bernardino County Probation Department Peer Support Program Poker Run, to be held at 12221 Poplar Street in Hesperia on October 19, 2024, assists in meeting the social needs of the citizens of the County. 2. Find that the 2024 San Bernardino County Probation Department Poker Run fundraising activity will be conducted in cooperation with the San Bernardino County Probation Department Peer Support Program, a nonprofit charitable organization. 3. Authorize County officials and employees to solicit funds and provide administrative support during work hours, when necessary, and utilize County resources in support of the 2024 San Bernardino County Probation Department Peer Support Poker Run. (Presenter: Tracy Reece, Chief Probation Officer, 387-5692) 33) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Project and Facilities Management 1. Find that the Glen Helen Island Tower Building Demolition and Amenity Installation Project is exempt under California Environmental Quality Act Guidelines, Class 1, Section 15301, Subsection (I)(4), existing facilities, and Class 3, Section 15303, Subsection (e), new construction. 2. Approve the plans and specifications for the Glen Helen Island Tower Building Demolition and Amenity Installation Project located at 2555 Glen Helen Parkway, in San Bernardino. 3. Authorize the Director of the Project and Facilities Management Department to advertise for competitive bids for the Glen Helen Island Building Demolition and Amenity Installation Project. 4. Direct the Project and Facilities Management Department to file the Notice of Exemption for the Glen Helen Island Tower Building Demolition and Amenity Installation Project in accordance with the California Environmental Quality Act. (Presenter: Don Day, Director, 387-5000) 34) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. Page 13 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

ABSENT: Col. Paul Cook (Ret.) 1. Find that the Lake Gregory San Moritz Prefabricated Restroom Project in Lake Gregory is exempt under the California Environmental Quality Act Guidelines, Class 3, 15303(c) for new construction or conversion of small commercial structures in urbanized areas not exceeding 10,000 square feet. 2. Approve plans and specifications for the Lake Gregory San Moritz Prefabricated Restroom Project located at 24746 San Moritz Way in Crestline. 3. Authorize the Director of Project and Facilities Management Department to advertise for competitive bids for the Lake Gregory San Moritz Prefabricated Restroom Project. 4. Direct the Project and Facilities Management Department to file the Notice of Exemption for the Lake Gregory San Moritz Prefabricated Restroom Project in accordance with the California Environmental Quality Act. (Presenter: Don Day, Director, 387-5000) 35) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Find that the Lake Gregory Commerce Prefabricated Restroom Project in Lake Gregory is exempt under the California Environmental Quality Act Guidelines, Class 3, 15303(c) for new construction or conversion of small commercial structures in urbanized areas not exceeding 10,000 square feet. 2. Approve plans and specifications for the Lake Gregory Commerce Prefabricated Restroom Project located at 24383 Lake Drive in Lake Gregory. 3. Authorize the Director of Project and Facilities Management Department to advertise for competitive bids for the Lake Gregory Commerce Prefabricated Restroom Project. 4. Direct the Project and Facilities Management Department to file the Notice of Exemption for the Lake Gregory Commerce Prefabricated Restroom Project in accordance with the California Environmental Quality Act. (Presenter: Don Day, Director, 387-5000) 36) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Find that the Prado Tent Campground Restroom Addition Project is exempt under the California Environmental Quality Act Guidelines, Class 3, Section 15303, subsection (e) new construction. 2. Approve plans and specifications for the Prado Tent Campground Restroom Addition Project located at 16700 Euclid Avenue in Chino. 3. Authorize the Director of Project and Facilities Management Department to advertise for competitive bids for the Prado Tent Campground Restroom Addition Project. 4. Direct the Project and Facilities Management Department to file the Notice of Exemption for the Prado Tent Campground Restroom Addition Project in accordance with the California Environmental Quality Act. (Presenter: Don Day, Director, 387-5000) 37) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Page 14 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Approve Amendment No. 1 to Contract No. 23-849 with Santa Fe Janitorial Maintenance Services, Inc. to provide custodial services at one additional location, increasing the contract amount by $516,264, from an amount not to exceed $1,184,471 to $1,700,735, with no change to the contract term of September 1, 2023, through October 31, 2026. (Presenter: Don Day, Director, 387-5000) 38) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Public Health Approve Amendments to the following contracts to mitigate impacts associated with COVID-19 and reduce related health disparities, extending the term an additional two years for a total contract period of March 15, 2022, through May 31, 2026, with no change to the total combined contract amount of $7,100,000 and as detailed below: 1. El Sol Neighborhood Educational Center, Amendment No. 3 to Contract No. 22-195, in the amount of $500,000. 2. Inland Empire Health Plan, Amendment No. 3 to Contract No. 22-196, in the amount of $3,300,000. 3. Reach Out, Amendment No. 2 to Contract No. 22-197, in the amount of $1,000,000. 4. Roman Catholic Bishop of the Diocese of San Bernardino, Amendment No. 2 to Contract No. 22-198, in the amount of $500,000. 5. San Bernardino County Medical Society, Amendment No. 2 to Contract No. 22-199, in the amount of $150,000. 6. St. Mary’s Medical Center, Amendment No. 4 to Contract No. 22-200, in the amount of $1,250,000. 7. Young Scholars for Academic Empowerment dba TruEvolution, Inc., Amendment No. 2 to Contract No. 22-201, in the amount of $200,000. 8. Young Visionaries Youth Leadership Academy, Amendment No. 2 to Contract No. 22-202, in the amount of $200,000. (Presenter: Joshua Dugas, Director, 387-9146) 39) APPROVED REC. NO. 5 Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman ABSENT: Col. Paul Cook (Ret.) ABSTAIN: Joe Baca Jr. APPROVED REC. NOS. 1, 2, 3, 4, 6, 7 & 8 Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Accept allocation (Award No. 24-HCV29) from the California Department of Public Health, Sexually Transmitted Diseases Control Branch for the Hepatitis C Virus Prevention and Collaboration Program, in the amount of $1,154,705, for a four-year period of July 1, 2024 through June 30, 2028. 2. Authorize the Chief Executive Officer or the Director of the Department of Public Health to accept and execute any subsequent non-substantive amendments and documents for the period of July 1, 2024 through June 30, 2028, in relation to the Hepatitis C Virus Prevention and Collaboration Program (Award No. 24-HCV29), subject to review by County Counsel. 3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments for the Hepatitis C Virus Prevention and Collaboration Program (Award No. 24 40) Page 15 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

-HCV29), to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Joshua Dugas, Director, 387-9146) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Accept amended grant award, Amendment No. 1 to Contract No. 24-211 (Award No. 6 H80CS00657-23-02), from the United States Department of Health and Human Services, Health Resources and Services Administration for the Service Area Competition under the Health Center Program for continued operational support of the Federally Qualified Health Centers, increasing the amount by $100,000, from $1,145,920 to $1,245,920, for the period of March 1, 2024 through February 28, 2025. 2. Authorize the Chair of the Board of Supervisors, the Chief Executive Officer, or the Director of the Department of Public Health to execute any subsequent non-substantive amendments and documents for Contract No. 24-211, subject to review by County Counsel. 3. Direct the Director of the Department of Public Health to transmit all non-substantive amendments for Contract No. 24-211 to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Joshua Dugas, Director, 387-9146) 41) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Accept the loaned no-cost QuantStudio 5 Dx laboratory equipment used for running polymerase chain reaction tests, from the California Department of Public Health, through its contractor Helena Health, retroactively from April 23, 2024 until terminated by Helena Health, the County, or until the manufacturer stops supporting the equipment. 2. Approve the End User License Agreement with Life Technologies, including non-standard terms, as required for installing the QuantStudio 5 Dx laboratory equipment. 3. Authorize the Director of the Department of Public Health or the Laboratory Director to electronically accept the End User License Agreement and any future non-substantive updated terms of the agreement, subject to review by County Counsel. 4. Direct the Director of the Department of Public Health to transmit a printed copy of the End User License Agreement, and any future non-substantive updated terms that are electronically accepted of the agreement, to the Clerk of the Board of Supervisors within 30 days of acceptance or execution. (Presenter: Joshua Dugas, Director, 387-9146) 42) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Approve the EZ1 Service Agreement with QIAGEN, including non-standard terms, for preventive maintenance service for the QIAGEN EZ1 instrument, in a total amount not-to-exceed $31,692, effective May 12, 2024 through June 30, 2029. 2. Approve the Master Purchase Agreement with QIAGEN, including non-standard terms, for the purchase of QuantiFERON® test kits used to test for latent tuberculosis infection, in a total amount not-to-exceed $1,250,000, effective March 20, 2024 through February 26, 2029. 3. Authorize the Director of the Department of Public Health or Assistant Director of the 43) Page 16 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Department of Public Health to electronically accept the terms and conditions of the EZ1 Service Agreement with QIAGEN, and any future non-substantive amendments, on behalf of the County, subject to review by County Counsel. 4. Direct the Director of the Department of Public Health to transmit all non-substantive amendments in relation to the EZ1 Service Agreement with QIAGEN to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Joshua Dugas, Director, 387-9146) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Public Works-Special Districts Approve agreement between Inland Empire Utilities Agency, Speedway SBC Development, LLC, the City of Fontana, and San Bernardino County, for the provision of sewer service, effective on the date SBC Development, LLC acquires any portion of the property and continues for a term of 60 years. (Presenter: Noel Castillo, Director, 387-7906) 44) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Public Works-Transportation 1. Certify that the Final Environmental Impact Report/Environmental Assessment (SCH No. 2021040231) for the National Trails Highway at 10 Bridges Project has been completed in compliance with the California Environmental Quality Act Guidelines that it has been reviewed and considered prior to approving the project, and that the report reflects the independent judgement of the Board of Supervisors. 2. Adopt the Findings of Fact and Statement of Overriding Considerations relating to the National Trails Highway at 10 Bridges Project Final Environmental Impact Report in compliance with the California Environmental Quality Act Guidelines. 3. Adopt the Mitigation Monitoring and Reporting Program for the National Trails Highway at 10 Bridges Project. 4. Direct the Department of Public Works to file the Notice of Determination in accordance with the California Environmental Quality Act. (Presenter: Noel Castillo, Director, 387-7906) 45) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Approve Agreement [State Agreement No. X24-5954(206)] with the State of California Department of Transportation to exchange the remaining $1,094,369 of San Bernardino County’s 2023-24 apportionment of Federal Regional Surface Transportation Program funds for non-federal State Highway Account funds, and for the State of California Department of Transportation to pay San Bernardino County $100,000 from the unobligated State Match Program funds for 2023-24. (Presenter: Noel Castillo, Director, 387-7906) 46) Page 17 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) 1. Find that approvals of the Pipeline License Agreement with BNSF Railway Company, and the Pipeline Crossing Agreement with Union Pacific Railroad Company, for non-exclusive licenses for continued permitted use of an approximately 192-foot crossing, and 100-foot crossing, respectively, for the Glen Helen Parkway Bridge Over Cajon Wash Project in the Devore Area is an exempt project under the California Environmental Quality Act Guidelines Section 15282(g) for railroad grade separation projects as set forth in Section 21080.13 of the Public Resource Code. 2. Approve Pipeline License Agreement with BNSF Railway Company, including non-standard terms, in an amount of $3,700 and for a term of 25 years, for a non-exclusive license for continued permitted use of an approximately 192-foot crossing for the Glen Helen Parkway Bridge Over Cajon Wash Project in the Devore Area. 3. Approve Pipeline Crossing Agreement with Union Pacific Railroad Company, including non-standard terms, in an amount of $13,870 for an undefined term, for a non-exclusive license for continued permitted use of approximately 100-foot crossing for the Glen Helen Parkway Bridge Over Cajon Wash Project in the Devore Area. 4. Direct the Department of Public Works to file the Notice of Exemption in accordance with the California Environmental Quality Act. (Presenter: Terry W. Thompson, Director, 387-5000) 47) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Real Estate Services 1. Find that approval of an option to a lease agreement and a new ground lease with Orange County Flood Control District for land to develop an overflow parking lot, and other uses, is an exempt project under the California Environmental Quality Act Guidelines Section 15061(b)(3) - Common Sense. 2. Approve an Option Agreement for the Ground Lease in Recommendation No. 4, with a two-year option period and one six-month extension for San Bernardino County to complete planning and entitlement for development, commencing upon the execution of the Option Agreement by both parties, for a minimum cost for the Option Agreement of a $1 option price, $15,000 administrative fee, plus permit fees. 3. Authorize the Director of Real Estate Services to exercise an available option in the Option Agreement to provide San Bernardino County more time, if needed, to meet all conditions and requirements that are outlined in the Option Agreement. 4. Approve a Ground Lease Agreement with Orange County Flood Control District for 10 years, commencing upon San Bernardino County’s substantial completion of improvements, the acceptance of improvements by Orange County Flood Control District, and receipt of a final certificate of occupancy, projected to be April 1, 2026 through March 30, 2036, with two 10-year options to extend the term of the lease, for the use of approximately 65.64 acres of unimproved land (portion of Assessor’s Parcel Numbers 105639103, 105639104, and 105645105) located at the southwest corner of Euclid Avenue and Pine Avenue at San Bernardino County’s Prado Regional Park in Chino, for a minimum cost for the ground lease of $361,195 in rents and 20% in gross revenues, generated from the on-site use of the premises. 5. Direct the Real Estate Services Department to file the Notice of Exemption in accordance 48) Page 18 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

with the California Environmental Quality Act. (Presenter: Terry W. Thompson, Director, 387-5000) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Risk Management Approve Assignment and Consent to Assignment of Contract No. 21-29, effective March 8, 2024, from the Law Offices of Pelayes & Yu, APC to the Law Offices of Pelayes & Bolander, APC, for the provision of legal defense services to the County’s self-insured Public Liability Program, with no changes to the contract’s hourly rates or contract period of April 15, 2021, through April 14, 2026 (Four votes required). (Presenter: Victor Tordesillas, Director, 386-8623) 49) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) San Bernardino County Employees' Retirement Association Approve adjustments to the Retirement Contribution Rates effective June 29, 2024 (Pay Period 15/24) as follows: 1. Decrease the County retirement contribution rate for Tier 1 General Members from 25.54% to 24.21% of compensation earnable. 2. Decrease the County retirement contribution rate for Tier 2 General Members from 22.53% to 21.57% of pensionable compensation. 3. Decrease the County retirement contribution rate for Tier 1 Safety Members from 61.93% to 61.41% of compensation earnable. 4. Decrease the County retirement contribution rate for Tier 2 Safety Members from 53.58% to 52.82% of pensionable compensation. 5. Decrease the Superior Court retirement contribution rate for Tier 1 General Members from 27.72% to 26.06% of compensation earnable. 6. Decrease the Superior Court retirement contribution rate for Tier 2 General Members from 24.71% to 23.42% of pensionable compensation. 7. Decrease the South Coast Air Quality Management District retirement contribution rate for Tier 1 General Members from 44.18% to 42.00% of compensation earnable. 8. Decrease the South Coast Air Quality Management District retirement contribution rate for Tier 2 General Members from 38.81% to 37.45% of pensionable compensation. 9. Decrease the Other General (Non-County/Special Districts) retirement contribution rate for Tier 1 General Members from 35.90% to 34.98% of compensation earnable. 10. Decrease the Other General (Non-County/Special Districts) retirement contribution rate for Tier 2 General Members from 31.03% to 29.08% of pensionable compensation. 11. Decrease the Other General Local Agency Formation Commission retirement contribution rate for Tier 1 General Members from 30.19% to 28.34% of compensation earnable. 12. Decrease the Other General Local Agency Formation Commission retirement contribution rate for Tier 2 General Members from 25.32% to 23.16% of pensionable compensation. 13. Decrease the Other General Law Library retirement contribution rate for Tier 1 General Members from 35.90% to 33.06% of compensation earnable. 14. Decrease the Other General Law Library retirement contribution rate for Tier 2 General Members from 31.03% to 27.88% of pensionable compensation. 15. Revise the employee retirement contribution rates for General Members and Safety 50) Page 19 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

Members as set forth in Exhibit III. 16. Decrease the General Member employee survivor benefit contribution rate for employer and employee from $0.92 to $0.90 each per bi-weekly pay period. (Presenter: Debby Cherney, Chief Executive Officer, 885-7980) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Sheriff/Coroner/Public Administrator 1. Approve the purchase of the following unbudgeted assets for detention facilities: a. Four washing machines in an amount not to exceed $220,000. b. Five gas dryers in an amount not to exceed $150,000. 2. Authorize the Purchasing Agent to issue a non-competitive Purchase Order to Western State Design, Inc. in an amount not to exceed $332,610, for the purchase and installation of four industrial washing machines and five gas dryers for use at the West Valley Detention Center. (Presenter: Ernie Perez, Deputy Chief, 387-3760) 51) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) SEPARATED ENTITIES Bloomington Recreation and Park District Acting as the governing body of Bloomington Recreation and Park District: 1. Find that the Kessler Park Dream Field Project is exempt under the California Environmental Quality Act Guidelines, Title 14 of the California Code of Regulations Section 15302(b), Class 2 (Replacement and Reconstruction). 2. Approve the Kessler Park Dream Field Project, as defined in the Notice of Exemption. 3. Approve the plans and specifications for the Kessler Park Dream Field Project. 4. Authorize the Director of the Department of Public Works - Special Districts to advertise the Kessler Park Dream Field Project for competitive bids. 5. Direct the Department of Public Works - Special Districts to file and post the Notice of Exemption in accordance with the California Environmental Quality Act. (Presenter: Noel Castillo, Director, 387-7906) 52) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Board Governed County Service Areas Acting as the governing body of County Service Area 18 Cearpines: 1. Find that the County Service Area 18 Cedarpines Roads Project is exempt under the California Environmental Quality Act Guidelines, Title 14 of the California Code Regulations Section 15301 (c) Class 1, Existing Facilities and Section 15302(b), Class 2 (Replacement and Reconstruction). 2. Approve the County Service Area 18 Cedarpines Roads Project as defined in the Notice of Exemption. 53) Page 20 of 27Fair Statement of Proceedings for Tuesday, May 7, 2024

3. Approve the plans and specifications for the County Service Area 18 Cedarpines Roads Project. 4. Authorize the Director of the Department of Public Works - Special Districts to advertise the County Service Area 18 Cedarpines Roads Project for competitive bids. 5. Direct the Department of Public Works - Special Districts to file and post the Notice of Exemption in accordance with the California Environmental Quality Act. (Presenter: Noel Castillo, Director, 387-7906) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) Acting as the governing body of County Service Area 82 Searles Valley: 1. Find that the County Service Area 82 Searles Valley - Sewer Improvement Project is exempt under the California Environmental Quality Act Guidelines, Title 14 of the California Code of Regulations Section 15301 Class 1 (Existing Facilities), and Section 15302 Class 2 (Replacement and Reconstruction). 2. Approve the County Service Area 82 Searles Valley - Sewer Improvement Project as defined in the Notice of Exemption. 3. Approve plans and specifications for the County Service Area 82 Searles Valley - Sewer Improvement Project. 4. Authorize the Director of the Department of Public Works - Special Districts to advertise the County Service Area 82 Searles Valley - Sewer Improvement Project for competitive bids. 5. Direct the Department of Public Works - Special Districts to file and post the Notice of Exemption in accordance with the California Environmental Quality Act. (Presenter: Noel Castillo, Director, 387-7906) 54) APPROVED (CONSENT CALENDAR) Motion/Second: Joe Baca, Jr./Curt Hagman AYE: Jesse Armendarez, Dawn Rowe, Curt Hagman, Joe Baca Jr. ABSENT: Col. Paul Cook (Ret.) In-Home Supportive Services Public Authority Acting as the governing body of the In-Home Supportive Services Public Authority: 1. Approve the renewal of the In-Home Supportive Services Public Authority’s various Liability Insurance programs through Public Risk Innovation, Solutions, and Management with the following coverages, for an estimated total premium of $163,000, for the one-year period of July 1, 2024 through July 1, 2025: a. General Liability I Insurance Program with Public Risk Innovation, Solutions, and Management with a coverage limit of $25,000,000, for a premium cost of approximately $126,000. b. Optional Excess Liability Insurance Program with Public Risk Innovation, Solutions, and Management with a coverage limit

CONSOLIDATED AGENDA FOR THE SAN BERNARDINO COUNTY BOARD OF SUPERVISORS REGULAR MEETING Tuesday, May 7, 2024 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, or an item within its jurisdiction but not on the agenda, complete and submit a request to speak by utilizing the speaker kiosk available at each meeting location. Requests must be submitted 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 after the posting of the agenda and prior to the start of the meeting will be forwarded to the Board for Page 1 of 21Consolidated Agenda for Tuesday, May 7, 2024

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 and through the conclusion of the meeting will be provided to the Board after the meeting adjourns. Comments received outside of this timeframe will not be forwarded. 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. James Barkan v. County of San Bernardino, et al., San Bernardino County Superior Court Case No. CIVSB2129134 2. Jaaye Person-Lynn v. County of San Bernardino, et al., United States Central District Court Case No. 2:20-cv-11578-DSF(ASx) 3. Frances Enyart, et al. v. County of San Bernardino, et al., United States Central District Court Case No. 5:23-cv-00540-RGK-SHK Conference with Real Property Negotiator (Government Code section 54956.8) 4. Property address/description: APN 0239-031-32, 0239-031-04 County/Entity Negotiator: Terry Thompson Parties with whom negotiating: 215 Table Top LLC, Jim Mauge Negotiation will concern: Price, Terms of Payment Public Employee Appointment (Government Code section 54957) 5. Title: Director of Arrowhead Regional Medical Center Conference with Legal Counsel - Anticipated Litigation - Significant Exposure (Government Code section 54956.9(d)(2)) 6. One case. BOARD GOVERNED COUNTY SERVICE AREAS Conference with Labor Negotiator (Government Code section 54957.6) 7. Agency designated representative: Leo Gonzalez Employee organization: · International Brotherhood of Electrical Workers, Local 47 - Water & Sanitation Unit 1) PUBLIC SESSION 10:00 A.M. – RECONVENE MEETING OF THE BOARD OF SUPERVISORS – Covington Chambers, First Floor, County Government Center Page 2 of 21Consolidated Agenda for Tuesday, May 7, 2024

Invocation and Pledge of Allegiance - Fourth District Memorial Adjournments Board of Supervisors First District – Supervisor Col. Paul Cook (Ret.) • Patricia Cartwright, 71, of Apple Valley • Donald A. Cox, 88, of Apple Valley • Esperanza “Espie” Guerra, 44, of Victorville • Rebecca “Beckie” Noelle Lindsey, 55, of Victorville • Robert Scott Nygaard, 67, of Apple Valley • Robert Lewis Raupp 85, of Hesperia • Robert Thomas Richards, 38, of Pinon Hills • Sarah “Sally” Lorene (Perry) Webb, 81, of Apple Valley Second District – Supervisor Jesse Armendarez • Josefina Santos Baltazar, 74, of Fontana • Jack Dale Beavers, 90, of Upland • Toly Gonzalez, 72, of Rancho Cucamonga • Fernando Guzman, 74, of Fontana • Dolores Marleen Higgins, 84, of Fontana • James Presley Keltner, 77, of Rancho Cucamonga • Albert Remorin Manzano, 59, of Fontana • Selvakumar Purushotham, 75, of Rancho Cucamonga • James Thomas Tredinnick, 78, of Fontana • Carlos Daniel Pedroza Villalobos, 24 of Fontana • Madeline L Webb, 81, of Rancho Cucamonga Third District – Supervisor Dawn Rowe • John Friel, 80, of Big Bear Lake • Phyllis Gradillas, 87, of Lake Arrowhead • Paul Van Hook, 89, of Johnson Valley • Silvio Hoshek, MD., 81, of Yucaipa • Steven Kessler, 75, of Yucca Valley • David North, 75, of Yucca Valley • Paul Francis Smith, 82, of Twentynine Palms Fourth District – Supervisor Curt Hagman • Sandra Hernandez-Campbell, 65, of Chino Hills • Leonila Dimalanta Carr, 80, of Chino • Peter Cavaretta, 90, of Ontario • Rodolfo Corlew, 81, of Ontario • Anthony Wayne Dilley, 54, of Chino Hills • Mario Rene R Fernandez, 76, of Ontario • Benjamin Steven Gonzales, 68, of Chino • Thomas Oscar Halliday, 84, of Upland • Pamela Sue Haynes, 73, of Ontario • Benjamin D. Hernandez, 57, of Chino Hills • Silvia Lorena Morales, 67, of Ontario • Nancy Jane Mullen, 97, of Upland • Oziel C Pereda, 74, of Ontario • Edgarldo Rodriguez, 71, of Ontario • Moses Rodriguez, 92, of Chino • Gabriel Rosas, 29, of Ontario • Jacob Tuscher, 94, of Rancho Cucamonga • Mary Emma White, 98, of Chino • Sharon Irene Wilkins, 82, of American Fork, Utah Page 3 of 21Consolidated Agenda for Tuesday, May 7, 2024

• Hector Zepeda, 62, of Ontario Fifth District – Supervisor Joe Baca, Jr. • Eugene Alarid Sr., 57, of San Bernardino • Rachel Avila, 84, of Colton • Dan L. Gleason, 71, of San Bernardino • Maria L. Gonzalez, 56, of San Bernardino • William E. Harrison, 86, of San Bernardino • Maxine S. Jackson, 73, of Rialto • Mary Ann Keats, 89, of San Bernardino • Aaron Michael Mlynarski, 41, of San Bernardino • Leota Mae North, 87, of Rialto • Lawrence J. Rich, 93, of San Bernardino • Cecilia A. Valeria, 76, of Colton • William Matheny Wixom, 93, 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 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 Desiree Morris upon her retirement after more than 25 years of valuable service to San Bernardino County. Third District Adopt resolution recognizing California Highway Patrol Sergeant, Jeffrey Secrist on his retirement. 2) Approve the following appointments, reappointments and vacancies as detailed below:3) Page 4 of 21Consolidated Agenda for Tuesday, May 7, 2024

Chair and Third District Supervisor Dawn Rowe a. Approve the appointment of Jennifer M. Hiramoto to Seat 17 on the Workforce Development Board for the remaining 2-year term, expiring 12/31/2025 (At Large). b. Approve the reappointment of Roy George to Seat 7 on the Equal opportunity Commission for a 4-year term, expiring 12/31/2027 (Third District). Vice Chairman and First District Supervisor Col. Paul Cook (Ret.) c. Approve the appointment of Rebekah Swanson to Seat 1 on the Civil Service Commission for the remaining 4-year term, expiring 1/31/2025. Fifth District Supervisor Joe Baca, Jr. d. Declare and post vacancy per Maddy Act for the remaining 3-year term, expiring 1/31/2025 for Seat 3 held by Gil Navarro on the Behavioral Health Commission. Arrowhead Regional Medical Center Approve Amendment No. 4 to Product Supply Agreement No. 21-302 with Linde Gas & Equipment Inc., for the continued delivery of bulk medical gases, medical gas cylinders, and the provision of an onsite manager for site gas services, extending the term by 60 days, for a total term of August 22, 2017 through July 17, 2024, with no change to the total amount of $2,953,000. (Presenter: William L. Gilbert, Director, 580-6150) 4) Approve an Agreement with Sanofi Pasteur, Inc., including non-standard terms, for the purchase of influenza vaccines in an amount not-to-exceed $350,000, effective May 7, 2024 through December 31, 2024. (Presenter: William L. Gilbert, Director, 580-6150) 5) 1. Approve Amendment No. 1 to Agreement No. 23-273 with Intuitive Surgical, Inc. for the continued lease and service of a Da Vinci Xi Dual Console Robotic Surgical System, increasing the amount by $2,547,651, from $704,000 to $3,251,651 plus applicable taxes, and extending by three years for a total term of June 12, 2023 through June 11, 2027. 2. Approve Amendment No. 1 to Agreement No. 23-274 with Intuitive Surgical, Inc. for the continued purchase of instruments and accessories for use with the Da Vinci Xi Dual Console Robotic Surgical System, increasing the amount by $3,000,000, from $600,000 to $3,600,000, and extending by three years for a total term of June 12, 2023 through June 11, 2027. (Presenter: William L. Gilbert, Director, 580-6150) 6) Approve non-financial Transfer Agreement, including non-standard terms, with GnanaDev ASC Holdings, LLC, for the transfer of patients who require a higher level of care services to Arrowhead Regional Medical Center, retroactively effective October 16, 2023 through October 15, 2028. (Presenter: William L. Gilbert, Director, 580-6150) 7) Approve Professional Services Agreement, including non-standard terms, with City of Hope Medical Foundation, Inc., for the provision of medical oncology services at Arrowhead Regional Medical Center, at an annual cost of $1,480,000, for a total of $4,440,000 for the period of July 1, 2024 through June 30, 2027. Presenter: William L. Gilbert, Director, 580-6150) 8) Approve Contract with CPS Solutions, LLC, including non-standard terms, to administer inpatient and outpatient pharmacy services, in the total amount not-to-exceed $60,000,000, for the period of July 1, 2024 through June 30, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 9) Page 5 of 21Consolidated Agenda for Tuesday, May 7, 2024

1. Approve non-financial Transfer Agreement with Community Hospital of San Bernardino, including non-standard terms, for the transfer of patients who require a higher level of care to Arrowhead Regional Medical Center, effective May 15, 2024 through May 14, 2029. 2. Approve non-financial Transfer Agreement with St. Bernardine Medical Center, including non-standard terms, for the transfer of patients who require a higher level of care to Arrowhead Regional Medical Center, effective May 15, 2024 through May 14, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 10) Approve non-financial Affiliation Agreement with Grand Canyon University to provide nursing students clinical rotations at Arrowhead Regional Medical Center, for the five-year period effective May 7, 2024 through May 6, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 11) Approve Amendment No. 1 to Memorandum of Understanding No. 22-59 with the California Department of Justice, California Justice Information Services Division, Justice Data and Investigative Services Bureau Version 3.0A, for continued access to the Controlled Substance Utilization Review and Evaluation System, increasing the total cost by $50,000, from $50,000 to $100,000, and extending the term for an additional two years for a total term of April 12, 2022 through June 30, 2026. (Presenter: William L. Gilbert, Director, 580-6150) 12) Approve non-financial Affiliation Agreement with Western Governors University for its Nursing, Health Information Management, Master’s in Business Administration in Healthcare Management, and Master’s in Leadership and Management Students to obtain onsite training at Arrowhead Regional Medical Center from May 7, 2024 through May 6, 2029. (Presenter: William L. Gilbert, Director, 580-6150) 13) 1. Approve non-financial Participation Agreement with Inland Empire Health Plan for participation in the Inland Empire Health Plan Hospital Pay for Performance Program, which will remain in effect through completion of the program. 2. Approve non-financial Business Associate Agreement with Dexur Enterprises Inc. required to access the Dexur unified software solution for participation in the Inland Empire Health Plan Hospital Pay for Performance Program, for the period of May 7, 2024 through the earlier of May 6, 2029, or completion of Arrowhead Regional Medical Center’s participation in the program. (Presenter: William L. Gilbert, Director, 580-6150) 14) Approve the Medi-Cal Graduate Medical Education Payment Program Provider Participation Agreement with the California Department of Health Care Services, for the provision of reimbursements at an estimated revenue of $54,000,000, for direct and indirect costs associated with the operations of the Graduate Medical Education Program at Arrowhead Regional Medical Center, with the agreement term of July 1, 2024 through June 30, 2027. (Presenter: William L. Gilbert, Director, 580-6150) 15) 1. Approve the 2024-25 Physician Residency Program Master Employment Agreement for Arrowhead Regional Medical Center resident physicians in the following programs: a. Anesthesia b. Cardiology Fellowship c. Emergency Medicine d. Emergency Medical Services Fellowship e. Family Medicine f. General Surgery g. Integrated Vascular Surgery Program h. Internal Medicine 16) Page 6 of 21Consolidated Agenda for Tuesday, May 7, 2024

i. Maternal Fetal Medicine Fellowship j. Neurology k. Obstetrics/Gynecology l. Psychiatry m. Pulmonary Critical Care Fellowship n. Radiology o. Surgical Critical Care Fellowship 2. Authorize the Director of Arrowhead Regional Medical Center to execute individual resident physician employment agreements on behalf of the County, pursuant to the 2024-25 Physician Residency Program Master Employment Agreement identified in Recommendation No. 1. (Presenter: William L. Gilbert, Director, 580-6150) Approve the naming of the Trauma Center at Arrowhead Regional Medical Center as the Dev A. Gnanadev Trauma Center. (Presenter: William L. Gilbert, Director, 580-6150) 17) Assessor/Recorder/County Clerk Approve Amendment No. 2 to Contract No. 23-1006 with The Software Revolution, Inc., revising the scope of work to include additional engineering support services for the Property Information Management System Upgrade Project and increasing the contract amount by $250,000, from $1,000,000 to $1,250,000, with no change to the term of January 23, 2023 through January 22, 2025. (Presenter: Chris Wilhite, Assessor-Recorder-County Clerk, 382-3208) 18) Behavioral Health Approve Amendment No. 2 to Contract No. 21-433, effective January 1, 2024, with Institute for Public Strategies for the provision of Environmental Prevention Strategies and Services, updating standard contract language, expanding its service area to include the Central Valley, and increasing the total contract amount by $891,158 from $3,025,033 to $3,916,191, with no change to the total contract period of July 1, 2021 through December 31, 2025. (Presenter: Georgina Yoshioka, Director, 252-5142) 19) Approve contract with 3 Olives Media, LLC to provide for an eight-week Fentanyl Awareness Media Campaign, in the amount of $231,000, for the contract term of April 29, 2024 through June 23, 2024. (Presenter: Georgina Yoshioka, Director, 252-5142) 20) Approve Amendment No. 2 to the following contracts, effective January 1, 2024, for the provision of Substance Use Disorder and Recovery Services Early Intervention, Outpatient Treatment, Intensive Outpatient Treatment and Recovery Services, expanding their service areas, updating standard contract language, and increasing the combined contract amount by $1,749,158 from $7,116,745 to $8,865,903, with no change to the contract period of July 1, 2022 through June 30, 2027: 1. High Desert Child, Adolescent and Family Services Center, Inc., Contract No. 22-471, increasing the total contract amount by $810,465 from $2,290,745 to $3,101,210. 2. Inland Valley Recovery Services, Contract No. 22-473, reflecting the legal name change to Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services, and increasing the total contract amount by $938,693 from $4,826,000 to $5,764,693. (Presenter: Georgina Yoshioka, Director, 252-5142) 21) Community Development and Housing Department Page 7 of 21Consolidated Agenda for Tuesday, May 7, 2024

Approve Amendment No. 1 to Affordable Housing Loan Agreement No. 21-1033 with Eagle Hesperia 55 II, L.P., for the affordable housing development located at 13590 Avenal Street in Hesperia, to extend the construction completion date from February 1, 2023, to August 15, 2024, with no change to the agreement amount of $5,500,000. (Presenter: Carrie Harmon, Director, 382-3983) 22) 1. Approve the Final Program Year 2024-25 United States Department of Housing and Urban Development Annual Action Plan for the estimated grant allocation of $11,208,852 under the Community Development Block Grant, HOME Investment Partnerships Program, and the Emergency Solutions Grant. 2. Direct the Assistant Executive Officer or Director of the Community Development and Housing Department to submit the Final Program Year 2024-25 United States Department of Housing and Urban Development Annual Action Plan to the United States Department of Housing and Urban Development, including any comments received during the public comment process. 3. Authorize the Chief Executive Officer, Assistant Executive Officer, or Director of the Community Development and Housing Department, upon award from the United States Department of Housing and Urban Development, to accept and execute the Community Development Block Grant Agreement (Agreement No. B24UC060503), HOME Investment Partnerships Act Grant Agreement (Agreement No. M24DC060532), and the Emergency Solutions Grant Agreement (Agreement No. E24UC060503), and all other subsequent amendments and documents related to the acceptance or administration of the grants, including documents necessary for the administration of loans made with United States Department of Housing and Urban Development grants, subject to County Counsel review. 4. Direct the Director of the Community Development and Housing Department to transmit the grant agreements and amendments in Recommendation No. 3 to the Clerk of the Board of Supervisors within 30 days of execution. (Presenter: Carrie Harmon, Director, 382-3983) 23) Approve Amendment No. 1 to Agreement No. 23-1370 with SB Express One, LLC dba Super 8 Motel San Bernardino for the provision of non-congregate shelter for homeless individuals residing in encampments in the Santa Ana Riverbed, to expand services, with no change to the total agreement amount of $807,507 or agreement period of December 19, 2023, through June 30, 2024. (Presenter: Carrie Harmon, Director, 382-3983) 24) County Administrative Office 1. Approve Amendment No. 1 to Contract No. 22-741 with the City of Twentynine Palms for the Twentynine Palms Sewer Project, decreasing the contract by $220,820 from a not-to-exceed amount of $1,000,000 to $779,180, and modifying the beginning date for obligating project costs to extend the contract term by six months, for a total contract period of January 1, 2022 through December 31, 2026, for American Rescue Plan Act funding for eligible projects in accordance with the Board of Supervisors’ approved Coronavirus Local Fiscal Recovery Fund Spending Plan. 2. Authorize the Chief Executive Officer or County Chief Financial Officer to execute any amendments to the American Rescue Plan Act contracts that decrease the not-to-exceed contract amount, make non-substantive changes, or execute any additional documentation required in connection with the standardized American Rescue Plan Act contracts that were previously executed and ratified by the Board of Supervisors, subject to review by County Counsel, provided that such documents do not increase the total not-to-exceed amounts, or the total contract terms. 3. Direct the County Chief Financial Officer to transmit all amendments in relation to Recommendation No. 2 to the Clerk of the Board of Supervisors within 30 days of 25) Page 8 of 21Consolidated Agenda for Tuesday, May 7, 2024

execution. (Presenter: Luther Snoke, Chief Executive Officer, 387-4811) 1. Accept grant (Grant Award No. 2023-0006) in the amount of $557,970 from the California Governor’s Office of Emergency Services for the Fiscal Year 2023 Emergency Management Performance Grant program to continue to support comprehensive eme