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HomeMy WebLinkAboutMINUTES - 09192006 - SD.2 L. o Contra TO: BOARD OF SUPERVISORS `�-- �•�� � FROM: William Walker, M.D. o ;;;,:�, Costa, Health Services Director CountyrA couK`� DATE: September 19, 2006 J SUBJECT: DOCTORS MEDICAL CENTER STATUS REPORT %. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: CONSIDER oral report from the Health Services Director on status of Doctors Medical Center San Pablo/Pinole and potential impacts to medical services in West County and Health Services Department operations. FISCAL IMPACT: None at this time BACKGROUND: The governing board of the Doctors Medical Center San Pablo/Pinole is considering various proposals to continue or reduce medical services. The options being considered are strategies to keep the hospital open, not to liquidate itl A possible reduction of services by Doctors Medical Center could significantly affect the operations of the Contra Costa County Health Services Department in West County. The Health Services Director will present an update on the most current information available and potential impacts. CONTINUED ON ATTACHMENT: YES SIG ATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): �/ / ACTION OF BOARD ON / /� /V� APPROVE AS RECOMMENDED X, OTHER 1 . �i��-mac � ". w''"l." ��•�. L��...�i�Gl E%�S�L��\1%VV�(` VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT '�' ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: I C, ATTESTED / i . JOHN CULLEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: BY: ( o Q. C DEPUTY Addendum to SD.2 �i September 19, 2006 On this day the Board accepted update from William Walker, M.D., Health Services Director, on the West Contra Costa Healthcare District discussions regarding possible closure. of Doctors Medical Center San Pablo/Pinole. Dr. Walker told the Board and the public of the immediate situation with regard to the emergency medical services system and also the short and long-term outlook for what needs to be done at Doctors Medical Center in San Pablo/Pinole. He added that a week ago, Doctors Medical Center told Contra Costa County Health Services Department they would not be able to take ambulance traffic because of a staffing crisis in their hospital and in their Emergency Department. Dr. Walker explained the County's Health Services Department for normal diversion policy is to stop taking ambulance traffic for 90 minutes after speaking to the Health Officer on call. He noted Doctors Medical Center being on diversion for a week. Because of Doctors Medical Center being on diversion 11 to 14 extra ambulances go to Kaiser Richmond Medical Center, 3 ito 7 to Contra Costa Regional Medical Center, 1 to 3 to Alta Bates and 1 to 3 to Children's Medical Center. He continued saying Contra Costa Regional Medical Center and Kaiser,Richmond have stepped up to the plate, with American Medical Response placing extra units. Chair Gioia asked how many ambulances AMR delivered with lights and siren. Dr. Walker said they had received 7 lights and siren transports. He said citizens with immediate surgery needs would be transported to John Muir Medical Trauma Center either by ambulance lights and siren or by helicopter and noted this would not be affect the current situation at Doctors Medical Center. He noted this to be the immediate issue for handling life-threatening issues in West County. He noted several meetings over the past week with Doctors Medical Center, with Kaiser and a conference call with State of California, Department of Health Services as well as the California.Medical Assistant's Conunission. He said the conference call would necessitate whether the possibility of a short-term infusion of funds from some source which would allow Doctors Medical Center in San Pablo to meet their payroll on October 13. Dr. Walker said from yesterday afternoon there is no identified source of funding either from the State or from other sources making this an important short- term issue. He continued saying thel long-terns issue is the need for a major restructuring to bring down the daily cost of care down to meet revenues that allows a core and essential scrvices to remain. Dr. Walker noted all residents of West County whether insured or have Med-ical have a choice which hospital to go to and most patients chose to have their deliveries done at Alta Bates Hospital, and said he believes that Obstetrics is something that could be cut. Supervisor Uilkema asked if there have been noticeable diversions to Vallejo. Dr. Walker said Kaiser Vallejo is not receiving any more transports than it did normally. 1 Supervisor Uilkema asked Dr. Walker to explain what the impacts could be to the County's Regional Medical Center. Dr. Walker said before last Monday CCRMC received five transports a day from West County and the number over last week has increased from eight to twelve. He continued saying Kaiser is receiving up to 24 alday from 9 a day. Supervisor Uilkema asked Dr. Walker to explain the urgent issues and the plans being made for flu clinics and transport for seniors. Dr.Walker said he does not see anything that would affect the ability to get vaccinations done. However he noted shortage of Intensive Care beds. He said if Doctors Medical Center Intensive Care beds are not available during the flu season then every other hospital in the County would need to create more beds. Chair Gioia expressed his concern about any short-term strategy that would interfere with the long-term ability to preserve viability with Doctors Medical Center receiving up to $8m a year in parcel and property taxes. Chair Gioia.voiced his concern that more future revenue could be tied up in a short-term strategy and the County could lose revenue for a future solution and end like Los Medanos Hospital closing with residents paying taxes to pay off past debt and yet have no facility. Chair Gioia noted a long-terns solution may be dependent on having some or most of the $81n available to the County and said in the long term interest of whether to bring the Emergency Room down to Urgent care status to stop bleeding dollars. He continued saying private institutions did not want to provide extra funding because it would be hard to provide short-term loans unless there is a tangible long-term plan other than the need to increase the average census by daily 20. Chair Gioia said Kaiser Permanente needs to be a long-term solution. He said one of the issues for him is to have confidence in all the numbers and understanding the details. Dr. Walker said he did not know the exact rate Doctors Medical Center receives from Med- ical but believe it is higher than the County gets. Supervisor DeSaulnier asked Dr. Walker how long under the statute could diversions be allowed? Dr. Walker said this was an extraordinary circumstance and there was no statute but also noted this could not go on forever. He said he.was awaiting the final determination of the Board. He also noted no other hospital in the County since last Monday is allowed to go on diversion. Dr. Walker said normal guidelines for diversion is 90 minutes at a time in one hospital. Supervisor DeSaulnier asked Dr. Walker to explain the extra costs involved in this. Dr. Walker said no discussion has been made on extra costs because of larger transport times. 2 Supervisor DeSaulnier noted a likeness to Los Medanos Hospital and asked if there was anything the County could do to help not only the clients but also the employees and staff. Supervisor Glover asked Dr. Walker,if there has been dialogue from the Doctors Medical Center Board to ask anything formally from Contra Costa County and how we would be able to help simplify anything that would be meaningful. Dr. Walker said the only request that has been made is for money. The Chair called for Public Comment and the following people spoke: • Nancy Casazza, West Contra Costa Healthcare District, said as an elected Healthcare District Board Member she feels the responsibility for some of the failure in Doctors Medical Center, and said in retrospect they should have downsized long ago. She said they do have a plan to downsize and that Mr..Irwin Hansen is working on the plan to be presented in the co nference call today. She urged the Board to keep Doctors Medical Center open and said they need an immediate infusion of money to keep the Hospital open. Nancy added they have been in discussions with Department of Corrections and they have been open to sending business their way. Chair Gioia noted Ms. Casazza's comments and said besides the downsizing patient census needs to increase by 20 per day. • Sandra Falk, Public Employees Union, Local One, asked the Board to work with Local One and consider stationing an Eligibility Worker at the hospital. She also asked the Board consider a subcommittee of Chair Gioia and Supervisor Uilkema to work with Dr. Walker. Ms. Faulk urged the administration to include the Unions in all discussions on the situation at Doctors Medical Center; • Richard Leung, California Nurses Association, reminded the Board of a report done by Emergency Medical Services Agency in 2004, and urged the County to step up to the place, to.take action and to take overactive management of the hospital. He said he has lost confidence.in the current management of Doctors Medical Center; • Barbara Lambarina, California Nurses Association, representing the nurses at Contra Costa Regional Medical Center questioned the capacity of Contra Costa Regional Medical Center to handle the impact of the closure of Doctors Medical CenterCCRMC. She said a plan could be implemented to take on a sudden influx temporarily by turning the Recovery Room of the PACU into patient beds, which would allow for 16 more beds; • Tami Roncskevitz, Registered Nurse at Doctors Medical Center, said she would like to see a partnership between the County Hospital and Doctors Medical Center. She feels there would be many ways both facilities could benefit from a partnership with the removal of the current administration; 3 • Rita Villanueva, Registered Nurse at Doctors Medical Center, read comments for a Nurse Carol Sims urging the Board to take over managing Doctors Medical Center; • John Davenport, UHW West urging the Board to take over managing Doctors Medical Center; • Barbara McLeod, Registered'Nurse at Doctors Medical Center, urging the Board to save Doctors Medical Center for the community; • Charlene Arrington, 964 Beachpoint Way, Rodeo urging the Board to take action to serve the County residents; • John Davenport, Member of United Health Workers, West, said they need a new leadership as they have no confidence in Irwin Hansen. He said the employees of Doctors Medical Center would like Chief Executive Officer, Mr. Irwin Hansen to resign with his team from hospital administration; • John Schnenieder,Registered Nurse, Contra Costa County Regional Medical Center, urging the Board to give strong consideration on the effects of the closure of the Emergency Room at Doctors,Medical Center and asked Supervisor Uilkema to take a lead on emergency preparedness; Supervisor Uilkema referred to page 15 of the Contra Costa County Emergency Medical Services and questioned whether the'Emergency Department visits by payer is still holding . truth today. • Ellen Leng, M.D. Emergency Department, said she would like to try to help find a partnership locally, statewide or federally to preserve status of DMC. Dr.Leng noted being concerned about the Ambulance Care System, EMS System as well as the shortage of beds during wintertime. She spoke of the chemical plant issue from the 1990s incidence. She requested Richmond Health Center to add hours, services for those who are indigent and said it was important for the County to notify the community of other services available for urgent and emergency care. Chair Gioia said Dr. Walker is preparing a list of available outpatient and urgent care facilities in West County so people are aware of outpatient care services. • Reverend Andre Schumake, 400 Harbor Way, Richmond, urging the County to take over Doctors Medical Center and requested administration to come up with a plan to save the hospital; • Ethel Dawson, 396 South Street, Richmond, urging the Board to take over Doctors Medical Center and said there needs to be more alternative medicines which would cut down expenses; 4 • Carol Harried, 3509 Morningside Drive, Richmond, expressed concern where the patients were going to go if Doctors Medical Center closes down. Chair Gioia asked Dr. Walker to talk)briefly about the current structure and respond to issues raised by the speakers. Dr. Walker said the issue of the "County taking over the hospital"is easily said but a difficult, complex issue, and continued saying about the assets of the District, the role of the District Board, the property tax initiatives, the debt remains not the least of which is the potential bankruptcy filing that would come under the jurisdiction of a Court who would appoint a Receiver fie was unclear how the County could handle the keys to management. He said the County would need legal advise for all this. Chair Gioia asked Dr. Walker,to explain about"Special Master" and expressed his knowledge on the Bankruptcy Law the Court would appoint a Receiver. Dr. Walker said the only precedent suggested is the West County School District where the State did appoint a Special Master to run the School District and said he was not sure if that has happened in the Hospital District. Chair Gioia said he was sympathetic to the plan to save the facility, but the County has its own budget issues to make the system work, and noted the County did not want to make any decisions that would bring down the County's Health system that would compound the system even more. He noted lower income groups from West County get their services from the County and said the clinic system should not be jeopardized. Chair Gioia said there are two issues: 1) who is finally making the decisions, and 2)who is ultimately providing the money. He said the County does not have the money and the issue of who manages is a legitimate issue of whom is responsible for making the decisions to try to turn things around. He referred to mention being made about someone brining in a Hospital Crisis Management team and asked if there is such a team assuming they had jurisdiction on the ability to have some control. Dr. Walker said when a hospital management group has been brought into hospitals in crisis to do quick turnarounds are commercially contracted groups. Supervisor Uilkema said she would like an answer regarding the distribution on page 15. Dr. Walker said the only way to find out if that still works is to go back and do another study. Supervisor Uilkema said she did not want to do that. Chair Gioia said it appears that this is still in the ballpark. 5 Superyisor Uilkema asked Silvano Marchesi, County Counsel if bankruptcy is declared there would be several choices available to a Board or to a separate health care district and there would be options available to them that are not under the current financial structure. Mr. Marchesi said he is know knowledLgeable about bankruptcy law but thinks there would be some flexibility once bankruptcy is applied for that the Receiver can have some latitude and reorganizing and conducting the affairs of the District. Supervisor Uilkema expressed her concerns in seeking a pathway without a contribution but if bankruptcy is declared then consultants could be hired to look at capital assets and finally decide ]low that asset should be managed. She said she would need to think more as she does not feel it is the Board's place to come up with solutions for an independent Board. Chair Gioia said as a major Healthcare provider the County needs to have an important role in the long-term solutions that could involve a model, in which.the County could be involved. He said Kaiser Hospital needs to be part of some solution because most of paying patients in West County are Kaiserpatients. Chair Gioia said the County needs to identify a "To Do List and one of them would include understanding the choices available if Doctors Medical Center closes, what is the process in which the County could be involved in bringing back the Hospital under a different model. He addressed the Nurses and said they could easily go out and get other jobs because there is a shortage of Nurses but they want to save the Hospital . Addressing Dr. Walker he said the County needs to understand the legal and practical options if the Hospital closes. "We have to face the worst case scenario," said Chair Gioia: He noted the interest is the long-term health care of the communities in West County. He continued saying there is a opinion issue about the management and trusting and believing numbers in a plan, and it is important there be public confidence in managing the District. He asked the County Auditor to review and understand the numbers in a public visible transparent way. Chair Gioia said he agrees with the public and there needs to be better public discussion of the alternatives and the issues and the public having a sensible expectation of what can work at that!hospital and the final goal is to keep an emergency room in West County open. Chair Gioia said there would be an update this afternoon in a conference call and if nothing changes an immediate decision needs to be made by Doctors Medical Center whether they will receive $8m. Chair Gioia stressed repeatedly the need to focus on the long-term goal as the short-term is in the context of the long term. He expressed the need to have a seismic upgrade plan in Doctors Medical Center. Supervisor DeSaulnier said he approved the idea of a"To Do'List" and added he would like to add on asking the State if there is an administrative cure that would allow a Special Master and would this need the help of the Legislative Delegation. He said this could not be done legislatively in the time frame because the new term would not start till January. He said the County needs to work in a cost effective way being sensitive to patient care. He said the County has to be cautious of taking on new debt and seismic is a big part of that. Supervisor DeSaulnier said the County should focus on remedies rather than blame anyone. Supervisor Glover recalled that the closure of Los Medanos was devastating. Supervisor Glover said the County would deal with several legal issues when it comes to restructuring 6 and that an elective Board has the responsibility for the oversight of Doctors Medical Center. He noted several mistakes and lessons learned with the closure of Los Medanos and said the County does not want to make the same mistake. He thinks everyone is concerned about healthcare in West County and said Kaiser and the County needs to work together to have an emergency plan in place to make sure that those services will continue, understating there is a possibility of closure of the hospital. As a responsibility the County need to continue to allow that those representatives who are part of the West County constituency continue to meet as well as County Administrator's staff to see what resources we can and should be sharing to assure healthcare needs continue to be.in place. He said their needs to be continuous dialogue to understand how to work and partner together. He said federal and state agencies need to be involved, legislative delegation to assure whatever can be done, but it has to be part of an overall plan and said the urgency is to continue dialogue to see how we best deliver in terms of planning for what the future of Doctors Medical Center would look like but putting in plan what will happen to patients service if the closure takes place to reduce risk. Chair Gioia said Senator Perata, Assembly member Hancock and Congressman Miller have personally been involved in taking an active role to get money-into the District as quickly as possible. He said he would like to make sure one of the issues he wants to put on the "To Do List"was looking at a plan how the County could immediately look how it can expand Urgent Care Services to respond to the need of the community. He shared Supervisor Glover's thoughts about Los Medanos Hospital and said the County should not use up all the future revenue on property tax to pay off mounting debt because that would impact the County for twenty years. Addressing Dr. Walker he said the County should: 1) request in writing today the long-term business plan orally discussed on the phone September 25, 2006 and said it isnot a plan that could close the gap; 2) ask in a formal way today how much of the future flow of revenue has already been obligated. Supervisor Uilkema said for the County to be able to invest in the facility she would like to know there is a guarantee of being refundable and there are private lenders willing to invest in the facility based on the long-term plan. Supervisor DeSaulnier said he would like to know where the cost of AMR is being absorbed and how long they could work with Doctors Medical Center without affecting their contract. He said he would expect some communication by the next meeting . Chair Gioia made a motion to incorporate all the comments, suggestions, "To Do List"made by the Board and to return to the Board on September 26, 2006. Supervisor Uilkema said she hopes there would be some communication from the Health Board and that officially there has been no request. By a unanimous vote with Supervisor Piepho absent, the Board of Supervisors took the following action: 7 i REQUESTED staff to incorporate all the comments, suggestions, "To Do List"made by the Board and to return to the Board on September 26, 2006. Note: To view all comments, suggestions and "To Do List"please request Clerk of the Board's Office for a copy of addendum to SD.2 dated September 19, 2006. Please call 925- 335-1900 for a copy of said addendum. i 8 i OPEN' INVITATION OPEN,' TO WEST. COUNTY RESIDENTS i UNITE T SAVE OUR HOSPITAL . (Doctors Medical Center) All concerned residents; business owners and representatives; elected officials; community organizations; Faith and Church organizations and Fellowships; and all those . who are committed to working together to SAVE AND SUPPORT DOCTORS MEDICAL CENTER (Brookside Hospital) arc invited to attend a COMMUNITY ACTION WORKSHOP To Support Doctors Medical Center SATURDAY, OCTOBER 7, 2006 10°00 a.m. - Noon at Local One Community Meeting Room 4197 Lakeside Drive, Suite 1.70 Richmond CA 94806 (see directions below) PLEASE RSVP TO: Local One at 222-5012 This meeting will focus on direct action and specific tasks we can take to demonstrate support of our community hospital. Participants can commit to activities such as: contacting elected officials, writing letters to the editor, increasing community awareness and support, helping with raising funds and other specific actions. Please bring your ideas and input about ways we can all help. We will provide resource infl enation and materials. This is a community-wide grassro Its ACTION workshop and everyone who is committed to working on ways to keep our local hospital--Doctors Medical Center--open is welcome and encouraged to attend. We respect your time and will get down to business right away. Directions: Take freeway 80 towlards Sacramento; exit at Richmond Parkway/Fitzgerald Dr. exit. Turn LEFT onto Fitzgerald Dr/Richmond Pk-rvy and continue on Richinond Parkway to the stoplight at Lakeside. (The YMCA & 'Vest Co. Times Buildings are on the corners) Turn LEFT onto LAKESIDE Dr. Follow Lakeside and turn RIGHT into the parking lot when you get to the Buildings that are white with a turquoise stripe on them. Drive back to the PEU, Local One Office at 4197 Lakeside Dr. # 170. Richmond. For more information and map with directions to the meeting, please go to the Local One web site at www.peuLor-<` (This meeting is sponsored by Public Employees Union,Local One--for the community of`'Jest County) 9/26/06 i i INVITACION ABIERTA A LOS RESIDENTES DEL WEST COUNTY UNIDOS I A SALVAR N U ESTRO HOSPITAL (Doctors Medical Center) Todos los residentes; duenos de negocios y representativos; oficiales electos; organizaciones de comunidades; organizaciones de la Iglecia, la Fe, y la comunidad espiritual, y a todos los que estan iinteresados a trabajar juntos para salvar y apollar a DOCTORS MEDICAL CENTER (Brookside Hospital) estan invitado at atender a ACCION TALLER COMUNITATIVO Para Apollar a Dotors Medical Center SABADO, 7 OCTUBRE , 2006 10:00 A.M. — 12:00 P.M. Local One Comunidad Cuarto De Conferencias 4197 Lakeside Drive, Suite 170 Richmond, CA 94806 (Direcdon abajo) Para Reservacion hable a: Local One (510) 222-5012 Esta reunion se enfocara en acciones especificas y objetivos directos para demostrar apollo a nuestro hospital de la comunidad. Los participantes se pueden comprometer a actividades como: Contactar a oficiales electos, escribir cartas al los periodicos, aumentar el apollo y conciencia, ayudar a recaudar fondos y otras actividades especificas. Por favor traigan sus ideas y informacion de como podemos ayudar. Nosotros proveeremos los recursos y materiales. Este es un taller comunitativo y todos aquellos que esten dispuestos a apollar para salvar nuestro hospital local -- Doctors Medical Center — para que este abierto es bienvenido a atender. Nosotros respetamos su tiempo y iremos al punto inmediatamente. Direccion: Tome la autopista 80 hacia Sacramento; la salida es en Richmond Parkway/Fitzgerald Dr. Doblar a la izquierda en Fitzgerald/Richmond Parkway y siga en Richmond Parkway, al semaforo a Lakeside Dr. (En la esquina se encuentran YMCA &West Co. Times) Doble a la izquierda en LAKESIDE Dr. Siga en Lakeside Dr. y doble a la derecha en el estacionamiento donde los edificios son blancos con turquoise. Condusca atras a nuestra oficina, PEU, Local One—4197 Lakeside Dr. # 170. Richmond. Para mas informacion y direccion con maps, por favor it a nuestra pagina en la web/internet www.peul.org (Este workshop es patrocinado por Public Employees union, Local One - para la comunidad del West county) 9/26/06 OPTIONS TO SUPPORT DOCTORS MEDICAL CENTER 1. Do Nothing Not an acceptable option 2. Enter into joint partnerships with other agencies Probably too late 3. Seek new revenue sources Does not appear to be occurring 4. Contra Costa County "Takeover" Appears to be only solution A "takeover' by Contra Costa County could manifest in several different manners with a different set of ramifications accompanying each option. A-takeover could include any of the following: • A total takeover by Coco County of operating the hospital, all services and employment becoming part of CoCoCounty • DMC contracting with the County to administer all DMC services, with employees remaining employees of DMC, Board remains to administer Hospital Pension Plan and Bankruptcy issues • Other combinations of the above DMC needs to be treated as though it were a patient. We see the County as being the provider of last resort for this patient. We are asking the County to step forward and let the community know what it would take for the County.to assume DMC. Right now we are squirming in agony, wondering what it will take to convince you that we need your help. We believe that we need the DMC Board to be flexible in examining options for survival of our community hospital, including turning over operations to the County in one of several possible ways.. The residents of West County need Doctors Medical Center to remain open in the most viable manner possible. This is a critical health care need for West County that cannot be ignored or avoided. i uo. ewjo ui juepodI i PUG suoi ona4su►.Jo asJanaJ aas asea :�«r.isuoo 01 pJe08 ay}Jo}:,Iuawwl o asayj aAaal 019N!l pinom }nq heads ol.ysim jou op l ❑ :jo }oalgns ay} uo heads ol ysiN► I Isuie6y ❑ job ❑ jejauaE ❑ :aq ll!/w sluawwoo An :area # well epua6y uo Meads of ysim 1 ❑ :3NO N33HO :uoileziue6jo Jo X, 119sAw jol 6ui>leads we l (fiugaaw slyj pm uogeloosse ul p-Jeog ayl Jo -Halo ay# qVm all# uo lda)fpjooaj ollgnd a ewooaq ll►M pjeq slyl#ey# alou aseald `leuogdo aae jagwnu auoyd pue ssaipp y) �l S 4 010/ 5 -S � :ssaj.PP`d e h/ O �� C� :auoyd 14.^ V ( 40.,1 :aweN 'pJeo8 9L41 6uissaippe ajolaq wnilsoi sja�eacls aqj jeau xoq ayl ui 1! eoeld pue wjol sigl alaidwoo (llWl-1 31nNIW (£) 33b1-1 1 ) �S WUOd )IV3dS 01 1S355au REQUEST TO SPEAK FORM i (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: Phone: � R Address: LPO }O_ W L I _ City: ee (Address and phone number are optional; file se note that this card will become a public record kept on file with the Clerk of the Board in associ tion with this meeting) I ams speaking form self 17or organization: P g Y g CHECK ONE: ❑ I wish to speak'on Agenda Item # Date: My comments will be: ❑ General ❑ For ❑ Against wish to speak on the subject of: ) � ❑ I do not wish to speak but would like to leave these comments for the Board to consi,`= : Please see reverse for instructions and important information (THREE (3) MINUTE LIMIT) S Complete this form and place it in the box near the speakers' rostrum before addressing the Board. 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Name: '--6a tic's keVJ2- Phone: _ Address: City: (Address and phone number are optional; please note that this card will become a public record kept on file with the Clerk of the Board in76ororga ation withthis meeting) III am speaking for myself nization: 0 0 G�rS �`�'` Ceram✓ _ CHECK ONE: ❑ I wish to speak on Agenda Item # Date: My comments will be: ❑ General ❑ For ❑ Against ❑ I wish to speak on the subject of: i ❑ I do not wish to speak but would li a to leave these comments for the Board to consider: Please see reverse for instructions and important information REQUEST TO SPEAK FORM (THREE (3) MINUTE LIMIT) -�-� Complete this form and plat it in the box near the speakers' rostrum before addressing the Board. I Name: I Phone: Address: City: (Address and phone number are optional; please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) ;Jp I am speaking for myself or organization: CHECK ONE: ❑ I wish to on speak Agenda Item # I Date: P 9 My comments will be: ❑ General ❑ For ❑ Against LAY I wish to speak on the subject of: 1 D� I ❑ I do not wish to speak but would like to leave these comments for the Board to consider. Please-see reverse for instructions and important information REQUEST TO SPEAK FORM I (THREE (3) MINUTE LIMIT) GD' Complete this form and place it in the box near the speakers' rostrum before addressing the Board. Name: ✓ Phone: _ Address: I City: (Address and phone number are optional, please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) I am speaking for myself or organization: A _ CHECK ONE: I wish to speak on Agenda Item # I PM I L Date: I My comments will be: ❑ General ❑ For ❑ Against ❑ I wish to speak on the subject of: i ❑ 1 do not wish to speak but would like to leave these comments for the Board to consider: Please see reverse for instructions and important information REQUEST TO SPEAK FORM (THREE (3) MINUTE LIMIT) 5iD Complete this form and place it in the box near the speakers' rostrum before addressing the Board. 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Name: Al d,+ ! 1 I V� Phone: c/o 1 0 Address: ` A City: , (Address an phone number atO optional; please note that this card will bec mea public record kept on file with the Clerk of the Board in association with this meeting) I am speaking for myself_� or.organization: CHECK ONE: Q D-'I wish to speak on Agenda Item #I�k1 Date: / ✓� 5 V o� y comments will: 11 General ❑ For El Against ❑ I wish to speak on the subject of: ❑ I do not wish to speak but would like to leave these comment: for the Board to consi,;:r-. Please see reverse for instructions and important information REQUEST TO SPEAK FORM (THREE (3) MINUTE LIMIT) Complete this form and pla a it in the box near the speakers' rostrum before addressing the Board. Name: G Le,� Phone: Address: 7 -I City: (Address and phone number are optional; please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) I am speaking for myself or organization: CHECK ONE: I wish to speak on Agenda Item # Date: My comments will be: ❑ General ❑ For ❑ Against ❑ I wish to speak on the subject of: ❑. I do not wish to speak but would like to leave these comments for the Board to consider:.. .. Please see reversel for instructions and.important information KLUUtb 1 1 U b1fr- N r UKIVI (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing✓the Board. Name. S an d(a a.\ Phone: Address: ✓)� �-•a .L•oc,�X,/ OA(� City: (Address and phone number are optional;please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) I am speaking for myself a n or orgalnization: dca� CHECK ONE: [S""I wish to speak on Agenda Item # Date: sep-�• 1`� Z,p I My comments will be: RrGeneral ❑ For ❑ Against ❑ I wish to speak on the subject of: i I ❑ I do not wish to speak but would like to leave these comments for the Board to consider.- Please onsider:Please see reverser instructions and important information REQUEST TO SPEAK FORM I (THREE (3) MINUTE LIMIT) S �, Complete this form and place it in the box near the speakers' rostrum before addressing the.Board. Name: A-&-Y i �^`� Phone: I. Address: 4 � City: i�o�-o � L -? 'e-. (Address and phone number are optio ; please note that ttNs card will become a public record kept on file with the Clerk of the Board in association with this meeting) I am speaking for myself or organization: (2,-(\] A CHECK ONE: ❑ I wish to speak on Agenda Item My comments will be: lGeneral ❑ For ❑ Against I wish to spe k on the subject of: pio C— lG L11-to , p ❑ 1 do not wish to speak but would like to leave these comments for the Board to consider: I Please see reverse for instructions and important information I I REQUEST TO SPEAK FORM 77 (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers'rostrum before addressing the Board. Name: 11 Lem Phone: Address: City: (Address and phone number are optional; please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) I am speaking for myself or organization: E e Gi u W CL CO CHECK ONE: 2 I wish to speak on Agenda Item # Sp Date: My comments will be:XGeneral ❑ For ❑ Against ❑ I wish to speak on the subject of: I I ❑ I do not wish to speak but would like to leave these comments for the Board to consi,-1 i Please see reverse!for instructions and important information REQUEST TO SPEAK FORM (THREE (3) MINUTE LIMIT) Complete this for =1aceebox near the speakers' rostrum before addressing the Board. Name: . Phone: �`O ✓al2-34 ,1 3 Address: City: ��u( (Address and phone number are optional;please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) i I am speaking for myself or organization: CHECK ONE: >p I wish to speak on Agenda Item # S Date: �v/ / ✓�c(� IMy comments will be: ❑ General ❑ For ❑ Against ❑ I wish to speak on the subject of: ❑ I do not wish to speak but would like to leave these comment: for the Board to consi Please see reverse�for instructions and important information �.'�giz4i`• �l} ..�,•.Mid%SWL YS co ♦g S: r cn ca •�+L:Y� ti`s;;_y� �• �;;;� .-�,..Viz,.t`�:,,.. :c :,os%yiot:�t :kip.`vr:.• � � mr2 & \ - m \ nom � © \ % / 22 . ! j j \ \ \ \ \ \ 7 . 3 0 2 � ( ƒ } \ } ( ( . : m � 2 : 77 ; 3 ! : u [ : • ) amu :. ) ) , : m / / �' } } : ( ) ( [ �f k a k 2 - \ 2 E , © S / ) k � 2 a \ ? 2k2 / � % 5 ± k22 � oC § CqC) .. U 0 0 0 E Q. 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CALENDAR FOR THE BOARD OF SUPERVISORS JOHN GIOIA DIST't CONTRA COSTA COUNTY CHAIRcnvLE 11.(:I(.KH:nI:� 2"'DISTRICT AND FOR � MARV N.PIEPno 3"DISTRICT SPECIAL DISTRICTS, AGENCIES, AND iOIiN C(iI,LEN MARK DeSA(TIME11 AUTHORITIES GOVERNED BY THE BOARD CORK OF'rFIE 130ARD 4 DISTRICT BOARD CHAMBERS RI OM 107,ADMINISTRATION BUILDING,651 PINE STREET AND rF:nrR:�l.D.G(.ovElt C'OUNTI'ADMINISTRATOR "'DISTRIC F MARTINEZ, CALIFORNIA 94553-1229 (925)335-1900 The Board of supervisors respects your time,and every attempt is made to accurately estimate when an item may he heard by the Board. All times specified for items on the Board of Supervisors agenda are approximate. Items may be heard later than indicated depending on the business of the day. Your patience is appreciated. TUESDAY September 19, 2006 1 0 11:00 A. ne, ca o or er and opening cerenlo V� Inspirational Thought- "Do not follow where the path may lead. Go instead where there is no path and leave it trail." — R. Zaphiropoulos CONSIDER CONSENT ITEMS (Pages 3 - 11) - Items removed from this section will be considered with the Short Discussion Items. HOUSING AUTHORITY CONSENT ITEMS HA 1 RATIFY the Housing Authority's response to Martinez Un' • 's notice of intent o sell surplus property on Al►n� artinez, Assessor's Parcel No. 375-27-7-001. and A singAuthority Executive Director to commence negotiations for the possible purchase.of the surplus property for the possible development of single-family homes and a Head Start facility. (District 11) 11:05 A.M. PRESENTATIONS P.R.I PRESENTATION of a plaque to the Bo co nition of its commitment to the Contra Costa Count r court and the public regarding the ret of the Juvenile Hall . ' otiorable Tholnas IM. Maddock, Presiding Judge; Honorable Lo night, Juvenile Court Judge; Ken Torre, Court Executive Officer) (All Districts) I'R.2 PRESENTATION to adopt Resolution No. 548 recd assn e.s: collections of'ar•t f om � contra costa Corrrrt11and •, Ip exhibition, "ArLs('hange. 'ALA10� 'CADE"' as recommend Te Arts and Culture Commission of Contra Costa County (ACS). ( ervisor )Iola) (District 1) PR.3 PRESENTATION to adopt Resolution Nos. 2006/497, 2006/498 and 2006/499 recommending the. following individuals and�o.r ate. -� e ars nnua Irene u 3 • Transportation Awards, as rep �errtle bei y tice Elliployrnelit ar�d 1-luman Services Director (Bob Sess ging ane cut Services Director): Irene Lubkin Award Presented to: Senior Transportation Provider of the Year Senior I Ielpline Services Senior Transportation Volunteer of the Year Shirley Huyck Senior Transportation Award of Merit Robert F. Bowers Caring Hands Volunteer Caregiver Program County Connection Link Pleasant Hill Senior Van Program Eastern Contra Costa Transit Authority SHORT DISCUSSION ITEMS - The iBoard will consider and take action on the following items: SIM CONSIDER any Consent Renis previously removed. i 1 (949-2006) SHORT DISCUSSION ITEMS - continued I ;.2 CONSIDER accepting update from the health Services Director on the West Contra Costa Healthcare District ssions regarding possible closure of Doctors Medical Center San Pablo Piiilliarn W ke . ea=Directoistricts I and II) ELIBEIZATION ITEMS - The Board will conshe following items: D.I PUBLIC COMMENT 3 Minute s/S eaker Closed Session 1:00 P.M. ll.2 'CONT 11Ell hea ing on the oy Planning Coii .issio`�i�°i recommendation •or a General Plan I dment. (fro Single,F.�milt' edium to Single Family igh densit esidential) a re Hing i� Single Fan ly Resi �ntial ( 6 acid rt - Oo Planned U lit Dis•ri (P-1) and a Prelim"nary and Final Devel pore Plan fort 2 sin* -family residentia urd on 4.6 acres located at 4121 6 through #161 au on .Lane i the alnut Creek area. (Cat.herine Kutsuris, Community Development D rtment) (Distr c ) Closed Session Adjourn to the Contra Costa County Fish and Wildlife Committee's 7°i Annual Barbecue and Meeting 5:00 P.M. to 7:00 P.M. Pereira Ranch (west of Martinez near Alhambra Valley Road) 2 (9-19-2006) GENERAL INFORMATION The Board meets in all its capacities pursuant to Ordinance Code Section 24-2.402, including as the Housing Authority and the Redevelopment Agency. Persons who wish to address the Board should complete the form provided for that purpose and furnish a copy of any written statement to the Clerk. All matters listed under CONSENT ITEMS are considered by the Board to be routine and will be enacted by one motion. There will be no separate discussion of these items unless requested by a member of the Board or a member of the public prior to the time the Board votes on the motion to adopt. Persons who wish to speak on matters set for PUBLIC HEARINGS will be heard when the Chair calls for comments from those persons who are in support thereof or in opposition thereto. After persons have spoken, the hearing is closed and the matter is subject to discussion and action by the Board. Comments on matters listed on the agenda or otherwise within the purview of the Board of Supervisors can be submitted to the office of the Clerk of the JBoard via mail: Board of Supervisors, 651 Pine Street Room 106, Martinez, CA 94553: by fax: 925-335-1913; or via the County's web page: http://www.co.contra-costa.ca.us, by clicking "Submit Public Comment" (the last bullet point in the left column under the title"Board of Supervisors.") Requests for reconsideration of a land use (planning) decision.must be submitted in writing to the Clerk of the Board of Supervisors within 10 days of the Board's decision, and must identify the new information which was not before the Board of Supervisors when the decision was made. The County will provide reasonable accommodations for persons with disabilities planning to attend Board meetings who contact the Clerk of the Board at least 24 hours before the meeting, at (925) 335-1900; TDD (925) 335-1915. An assistive listening device is available from the Clerk, Room 106. Copies of taped recordings of all or portions of a Board meeting may be purchased from the Clerk of the Board. Please telephone the Office of the Clerk of.tlie Board, (925) 335-1900, to make the necessary arrangements. Forms are available to anyone desiring to submit an inspirational thought nomination for inclusion on the Board Agenda. Forms may be obtained at the Office of the County Administrator or Office of the Clerk of the Board, 651 Pine Street, Martinez, California. Applications for personal subscriptions to the weekly Board Agenda may be obtained by calling the Office of the Clerk of the Board, (925) 335-1900. The weekly agenda may also be viewed on the County's Internet Web Page: http://www.co.contra-costa.ca.us./ The Closed Session agenda is available.each week upon request from the Office of the Clerk of the Board, 651 Pine Street, Room 106, Martinez, California,i and may also be viewed on the County's Web Page. The Family and Human Services Committee (Supervisors Federal D. Glover and Mark DeSaulnier) - meets on the first and third Mondays of the month at 101:30 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez . The Finance Committee (Supervisors John Gioia and Mary N. Piepho) - meets on the first Thursday of the month at 10:00 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez . .The Internal Operations Committee (Supervisors Gayle B. Uilkema and Mark DeSaulnier) - meets on the first and third Mondays of the month at 9:00 a.m. in Room 105, County Administration Building, 651 Pine Street, Martinez. The Transportation, Water & Infrastructure Committee (Supervisors Mary N. Piepho and Federal D. Glover) - meets on the second Monday of the month a# 10:00 a.m. in Room 101, County Administration Building, 651 Pine.Street, Martinez. Internal Operations Committee 10-02-06 9:00 a.m. See above Family and Human Services Committee 10-02-06 10:30 a.m. See above Finance Committee 10-05-06 10:00 a.m. See above Transportation Water& Infrastructure 10-09-06 10:00 a.m. See above PERSONS WHO WISH TO ADDRESS THE BOARD MAY BE LIMITED TO THREE (3) MINUTES. AGENDA DEADLINE: Thursday, 12 noon, 12 days before the Tuesday Board meetings. i (949-2006) Glossary of Acronyms, Abbreviations, and other Terms (in alphabetical order): Contra Costa County has a policy of making limited use of acronyms, abbreviations, and industry-specific language in its Board of Supervisors meetings and written materials. Following is a list of commonly used language that may appear in oral presentations and written materials associated with Board meetings: AB Assembly Bill I HIPAA Health Insurance Portability and ABAG Association of Bay Area Governments Accountability Act ACA Assembly Constitutional Amendment HIV Human Immunodeficiency Syndrome ADA Americans with Disabilities Act of 1990 HOV High Occupancy Vehicle AFSCME American Federation of State County and HR Human Resources Municipal Employees HUD United States Department of Housing and AICP American Institute of Certified Planners Urban Development AIDS Acquired Immunodeficiency Syndrome Inc. Incorporated ALUC Airport Land Use Commission IOC Internal Operations Committee AOD Alcohol and Other Drugs ISO Industrial Safety Ordinance BAAQMD Bay Area Air Quality Management District JPA Joint (exercise of) Powers Authority or BART Bay Area Rapid Transit District Agreement BGO Better Government Ordinance Lamorinda Lafayette-Moraga-Orinda Area BOS Board of Supervisors LAFCo Local Agency Formation Commission CALTRANS California Department of Transportation LLC Limited Liability Company CaIWIN California Works Information Network LLP Limited Liability Partnership CaIWORKS California Work Opportunity and Local 1 See AFSCME Responsibility to Kids LVN Licensed Vocational Nurse CAER Community Awareness Emergency MAC Municipal Advisory Council Response M.D. Medical Doctor CAO County Administrative Officer or Office M.F.T.. Marriage and Family Therapist CCHP Contra Costa Health Plan Mt. Mount CCTA Contra Costa Transportation Authority MIS Management Information System CDBG Community Development Block Grant MOE Maintenance of Effort CEQA California Environmental Quality Act MOU Memorandum of Understanding CIO Chief Information Officer MTC Metropolitan Transportation Commission COLA Cost of living adjustment NACo National Association of Counties CPA Certified Public Accountant OB-GYN Obstetrics and Gynecology CPI Consumer Price Index O.D. Doctor of Optometry CSA County Service Area OES-EOC Office of Emergency Services-Emergency CSAC California State Association of(Counties Operations Center CTC California Transportation Commission OSHA Occupational Safety and Health dba doing business as Administration EBMUD East Bay Municipal Utility District Psy.D. Doctor of Psychology EIR Environmental Impact Report I RDA Redevelopment Agency EIS Environmental Impact Statement . RFI Request For Information EMCC Emergency Medical Care Committee RFP Request For Proposal EMS Emergency Medical ServicesI RFQ Request For Qualifications EPSDT State Early Periodic Screening, Diagnosis RN Registered Nurse and Treatment Program SB Senate Bill et al. et alii (and others) SBE Small Business Enterprise etc. etcetera (and so forth) SWAT Southwest Area Transportation I FAA Federal Aviation Administration Committee FEMA Federal Emergency Management Agency TRANSPAC Transportation Partnership & Cooperation F&HS Family and Human Services Committee (Central) TRANSPIAN Transportation Planning Committee (East First 5 First Five Children and Families County) Commission (Proposition 10) TREorTTE Trustee FTE Full Time Equivalent FY Fiscal Year TWIC Transportation, Water and Infrastructure Committee GHAD Geologic Hazard Abatement District VA Department of Veterans Affairs GIS Geographic Information System HCD (State Dept of) Housing & Community vs. versus (against) WAN Wide Area Network Development WCCTAC West Contra Costa Transportation Advisory Committee ii (9-19-2006) CONSENT ITEMS (Items are subject to removal from Consent .Calendar by request of any Supervisor or on request for discussion by a member of the public). Road and Transportation C.I ADOPT Resolution No. 2006/55i1 accepting as complete the contracted work. performed by Bruce Carone Grading & Pavin 7 - - .. as recommended by the 77 Public erector, 13ay ! oii�r.. area_(45°ro Trate oat�tioL Devel_opmen t Grant, 30% Safe Routes o c cool, 17% Navy Mitigation, istri and 8% Road funds) (Dct V) --�—* C.2 ADOPT Resolution No. 2006/552 ratifying prior decision of the Public Works Director, or designee, to frilly close a portion of 2id Avenue and Ceres Street on September 9, 2006 from 8:00 a.m. through 6:00 p.m., ow. Crockett area. (District II) Engineering Services C.3 DA 03-00030 (Cross-reference sD 199-08306): AllOPT Resolution No. 2006/553 accepting completion of warranty period and release of cash deposit for fait ful performance for prpject being developed by Shapell ll n a lfotnla, a division of Shapell lnaustlles, nQelaware corporation, San Ramon (Dougherty Valley) area. (District I11) CA n-ts 01-00016: ADOPT Resolution No. 2006/554 approving the parcel map for prciject being developer y oan ran , as recomtnei irector. Clayto�narea. (District 1V) C.5 pts 04-00012: ADOPT Resolution No. 2006/555 approving the parcel map and subdivision agreement for project y scar a azar an scar recommended by the Public Works Director, Bay Point area. (District V) C.6 Nis 04-00012: ADOPT Resolution No. 2006/556 acre ting grant deed of development rights (creek ( structur protect elirg developed by Oscar A. a azar . Dias, Bay Point ^! area. (District V) C.7 pas 93-00021: ADOPT .Resolution No. 2006/557 approving the third extension of the subdivision agreement or no' and Martha-Lee Smith, declaration of trust dated May 23, 1979, as recommended by the�11' lic�rks ablo area. (District IIl) C.8 RA00-01094 (Cross-reference sDi95-07976): ADOPT Resolution No. 2006/558 approving the second extension agreemen or proJec VVindemere BLC Land Company, LLC, as recommended by the Public Works Director, San Ramon (Doug 1 1 area. (District 111) C'.9 RA00-01094 (Cross,refere►ice sD.95-07976): ADOPT Resolution No. 2006/559 approving the second extension of.' the subdivision agreement (right-of-way landscaping) for project being developed by Windemere B iipany, Li,C; as recoinine i s Director, San Ramon (Dougherty Valley) area. (District I11) C.10 RA 00-01103 (Cross-reference sD 95-07984): ADOPT Resolution No. 2006/560 accepting completion of warranty period and release of cash deposit for faithful performance for project being developed by Shapell In us rtes o ort cern a l ornla, the Public Works Director, San Ramon (Dougherty Valley) areal (District I11) C'.1 1 RA 00-01. 1 16(Cross-reference sD 95-07984): ADOPT Resolution No. 2006/561 accepting completion of warra ormanc�Ior project being developed by Shapell Industries of Northeirn Calilornia, as recommended by iis Works Director, San Ramon (Dougherty Valley) area. (District 111) C.12) SD 78-04990: ADOP 2006/562 approving the fourth extension of the subdivision agreement for project being developed b} Sosnows 1 c ecor.nlnended by the Public Works Director. Bethel Island area. (District V) 3 (9-19-2006) Engineering Services- continued C.13 sU 99-08356: ADOPT Resolution No. 2006/563 approving the final map and subdivision agreement for project bein d ided b , the Public Works Director, E1 Sobta area. (District 1.) C.14 SD 02-08685: ADOPT IZesolutioii No. 2006/564 accepting completion of warranty period and release of cash c •e for ei t being developed by Shapell Industries of Northern California, as recommended by the Pub rc ors anion (Dougherty Valley) area. (District 111) C.15 SD 02-08686: ADOPT Resolution tin completion of warranty period and release of cash d r att i ul performance for project beteg Shapell Industries of Northern California, as recommended by the Public Works Director, San Ramon ougherty Valley) area. (District Ii1) C.16 SD 03-08738: ADOPT Resolution No. 2006/566 accepting completion of improvements and appcc ect being developed by Davni Development, I,LC, as reconnnended by the Public Works Director, Martinez ) area. (District IIj C.17 SD 04-08918: ADOPT Resolution No. 2006/567 approving the deferred improvement agreement along Evo IT or prolec b eulg eve ope y lollias otnnlended by the Public Works Director, Bay Point area. (District V) C.18 SD 04-08918: ADOPT Resolution N ie final map and subdivision agreement for project being e opec by Thomas/De Nova, LLC., as recoi ftdie Public Works Director, Bay Point area. (District V) C.19 SD 04-08918: ADOPT Resolution No. 2006/569 accepting grant deed of development rights (open space) for prof ct bei ecommended by the Public Works Director,Bay Point area. (District V) C.20 SD 05-08992: ADOPT Resolution No. 2006/570 approving the final map and subdivision agreement for project beitl i vended by the Public Works Director, Discovery Bay area. (District Ill) C.21 sD 05-09020: ADOPT Resolution No. 2006/571 approving the final map and subdivision agreement for project bei ii emere hi.c .aii om recommended by the Public Works Director, San Ramon (Dougherty Valley) area. (District [iI) C.22 SD 05-09021: ADOPT Resolution No. 2006/572 approving the final map and subdivision agreement for project being developed by Windemere BLC Land Company, LLC, as recommended by the Public. Works Direct ciug net y ict 111) C.23 SD 05709022: ADOPT Resolution No. 2006/573 approving the final map and subdivision agreement for project ein deve mmended by the Public Works Director, San Ramon (Dougherty Valley) area. (District 111) C'.24 SD 05-09023: ADOPT Resolution No. 2006/574 approving the .final mai and subdivision agreement for project in I mere BLC Lanict Lot commended by the Public Works Director, San Ramon (Dougherty Valley) area. (District 111) Special Districts & County Airports C.25 APPROVE and AUTHORIZE the Airports Director or designee. to execute a hangar rental agreement NN' ' ' ve ugust 1, 2006; it the moat y $155 for a shade hangar at Buchanan Field Airport, Pacheco area. (Revenue accrues to the Airport Enterprise Fund) (District IV) ° C.26 APPROVE and AUTHO.R.IZE the Airliorts Director, or designee, to execute a hangar rental agreement with Cha es Janda,leffective August 28. 2006, in the monthly amount of' $345 for a T- hangar at Buchanan Field Airliort, Pac ieco area. o the Airport Enterprise Fund) (District 1\7) 4 (9-19-2006) i Special Districts & County Airports- continued C.27 APPROVE and AUTHORIZE the Airports Director, or designee, to execute a hangar. rental agreement with Arthur Brandt, effective September l 2006 in the monthly amount of$345 for a T- 1 hangar at Bt r , ac ieco area. (IZeyenue accrue rport Enterprise Fund) —1 (District IV) C.28 APPROVE and AUTHORIZE thei Chair, Board of Supervisors, to execute a contracikth Pacific Gas and Electri ole transmission line to accommodate the Iron Horse Trail Pedestrian Overerossing in the Pleasant Ht ART Station, Pleasant Hill area. (100% Redevelopment Agency funds) (District 1V) C.29 APPROVE and AUTHORIZE the Airports Director, or designee,to negotiate long-term ground lease and development terms b Y. as landlord, and Ster1i`n`g`"RMft*on, the party that has submitted a deve Hent proposal of approximately 5.4 acres of land on John Glenn Drive, on the east side of Buchanan Field Airport, Pacheco area. (District IV) Statutory Actions fC.30 APPROVE, amendment to the Health Services Department's Conflict of Interest Code, as recommended by the County Counsel. (All Districts) C.31 APPROVE amendment to the Crockett Community Service District's Conflict of Interest Code, as recommended by the County Counsel. (All Districts) C.32 APPROVE amendment to the County Administrator's Office's Conflict of Interest Code, as recommended by the County Counsel. (All Districts) ' C.33 APPROVE amendment to the (Building Inspection Department's Conflict of Interest Code, as recommended by the County Counsel. (All Districts) Claims, Collections & Litigation C.34 DEN4 0000, Y claims�Iorljeborah Fos a Anderson; and Robert R. Mar a trtcts) Honors & Proclamations C.35 RATIFY Resolution No. 2006/542 recognizing the 35`x' annive •a de La Raza, in 'appreciation of comprehensive health care •ovt ed to residents of Contra Cos ounty, as r Goo mended �y �� t�ser-Giover. (All Districts) C. 6ADOPT resolution No. 2006/549 proclaiming September 25, 2006 as "Family Day - A Day to Eat N`!111�!111 11111`er With Your Children" in� I,' oia. (All Districts) C'.37 ADOPT .Resolution No. 2006/543 honoring Charleen Diaz irenient from tl Public Defender's Office o service to the clients, department, community, and the peop e s a ounty, as recommended by the Public Defender. (All Districts) C.38 ADOPT Resolution pt•oc attning Septem er a " in Contra in y, as recommended by Supervisor Piepho. (All Districts) Appropriation Adjustments 2005/2006 FY C.39 Sheriff(0300)/Fleet Operations (0063): APPROVE Appropriations Adjustment No. 5003 authorizing the transfer of appropriations in the amount of$22,352 from the Sheriffs Office to Fleet Services for the purcha s ippor ie n er epar m eement between the Sheriffs Office and the Health Services Department to provide security services egional Medical Center and Clinics. (All Districts) (Consider with C.84) I I 1 5 (9-1.9-2006) i Appropriation Adjustments - FY 2005/06 - continued i 1 C.40 General Services (0063): APPROVE Appropriations and Revenue Adjustment No. 5005 authorizing new revenue in Fleet Operations in the .amount of $70,104 from accumulated depreciation and estimated sa for the Office of the Sherif.-Coroner for the AC Transit contract in compliance with the Vehicle Rep cement Policy. (District 1) C.41 General Services (0063): APPRO E Appropriations and Revenue Adjustment No. 5004 authorizing new revenue in Fleet O e de reciation and estimated i appropriating it to purchase two replacement vehicles for e Probation Department and on replacement (vehicle for the Public Defender in compliance with the Vehicle Replacement Policy. (All Districts) Personnel Actions. f 2 A OPT Resolution No. 2006/576 allowing merit step adj tments for two Board of Supervisor's Assis it employees in the District III Board of Supervise -s Office effective September 1, 2006, as recomme ded by the Assistant County Administrat -Human Resources Director. (Budgeted) (District Ill) C.43 ADOPT Position A 'ustment Resolution No. 2 17 to cancel one Clerk-Experienced Level position (represented) and one rk-Senior Level po ' ion (represented), and to add one Information Systems 7 Assistant position (repres ited)� and of Network Analyst I position (unrepresented) in the Employment and Human Servi s Depa- ment. (85% Federal/State, 15% County) (All Districts) C.44 ADOPT Position Adjustment Ile ion No. 20124 to add eight Social Casework Specialist I positions (represented) and t Socia Casework Specialist It positions (represented) in the Employment and Human Serv''es Departme . (100% State funds) (All Districts) C.45 ADOPT Position Adjus nent Resolution No. 2 23 to add two Deputy Probation Officer III positions (represented) in the Probation Department. 100% State "Traffic Safety Grant funds) (All Districts) C.46 ADOPT Position djustment Resolution No. 20127 to re-classi one Departmental Community and Media Relations oordinator position (unrepresented management to Sheriff's Director of Support Services (represented non-sworn management) in the Office of the S riff, as recommended by the Assistant County Administrator- Director of Human Resources. (Bu eted, 100% County) (All Districts) Grants & Contracts APPROVE and AUTHORIZE execution of agreements between the County and the following agencies for receipt of funds and/or services: f C.47 APPR E and AUTHORIZE the Health Services Director, or designee, to execute a contract with San Diego to University Research Foundation to pay the County an amount not to exceed $25,000 for the continu 'on of the California Kids Plate Program Ri pond/San Pablo Professional .Development Projec or the period July 29, 2005 througl ne 30, 2006, including a 'mutual y indemnification and hot qrmliess agreement for any cl ' s arising out of the performance of the contract. (No County nlateli) C.48 Ai'PROVE and AUTHORIZE the She ' - -oner, or designee, to execute a contract with the Contra Costa Community College District to y County an amount not to exceed $338,625 to provide educational courses for the period y 1, 2006 t ugh June 30, 2007. (All Districts) C.49 APPROVE, and AUTHO E the Fire Chief. East Contra sta Fire Protection District, or designee, to execute a contract ith the City of Brentwood in an amour of to exceed $675,000 to reimburse the Fire District r providing a third firefighter per engine at each of the two .fire stations located within the Cit of Brentwood for the period January 1, through December 31, 2006. (100% City funds) (DistriP 111) I I l 6 (949-2006) Grants & Contracts- continued C.50 APPROVE and AUTHORIZE the Community Services Director, or designee, to execute contract amendments with the California Department of Education to change the funding terms and conditions to record information pertaining to child enrollment, with no change in the payment limits and no change in the terms of July 1, 2005 through June 30, 2006 (All Districts): Contract Payment Limit State Preschool Services(CPRE 5026) $571,304 General Childcare and Development Programs (CCTR 5036) $6,324,300 Gen •al Childcare and Development Programs(CCi'R 5489) $1171855 C.51 APPROVE and UTHORIZE the Health Services Director, or desigi e, to accept a contribution in the amount of$1 0,175 from Meals on Wheels of Contra Costa, Inc , to subsidize 44,500 additional meals delivered to ie residences lof nearly 700 additional homebo d elders at their residences each day this calendar q arter by the County Home Delivered M Is Program (Meals on Wheels) administered by the He Ith Services Department. (No County ni ch) (All Districts) C.52 APPROVE and AUTHO IZE the Health Services Directo , or designee, to execute a contract amendment with the County f Alameda, as the federal Ryat White Care Act grantee, effective April 1, 2006, to decrease the Coui iallocation by $8,181 to a iew allocation of $155,432 and to make technical adjustments to the greement for the HIV (human immunodeficiency virus) CARE Consortium, with no change in ie term of April 1., 06 through March 31, 2007. (No County match) (All Districts) C.53 APPROVE, and AUTHORIZE the He Ith Services irector, or designee, to execute a contract with Antioch Unified School District to pa the Coui y an amount not to exceed $3,500 to provide scoliosis screening clinics for 7th grade irisand th grade boys for the period September 1, 2006 through August 31, 200 m 7. (No County at i) (Di trict V) C.54 APPROVE and AUTHORIZE the Health Set ices Director, or designee, to execute a contract with Kaiser Permanente (dba Kaiser iPermanente niinunity Benefits Program) to pay the County an amount not to exceed $20,000 to engage the fr an American community to improve its health and prevent diseases for the period August 15 200 through August 15, 2007. (No County match) (District V) C.55 APPROVE and AUTHORIZE the Hea h Services irector, or designee, to execute a contract amendment with the State of California anaged Risk edical insurance Board, effective .lune 30, 2006, to increase the County allocation y $457,668 to a ew allocation of$2,224,674 and to extend the term from June 30, 2006 to June 30, 2007 for contin ed participation by Contra Costa Health Plan-Community Plan in the Maio Risk Medical Insurat ce Program. (No County match) (All Districts) C.56 APPROVE and AUTHORIZE th Health Set-vices Director, or, esignee, to execute a contract with the Slate of California Managed isk Medical InsuranceBoard t pay the County an amount not to exceed $1.246 for participation 'n the Access for Infants and Mot ers (AIM) Program for the period July 1, 2006 through June 30, 2 07. (No County match) (All Distric s) C.57 APPROVE; and AUTHORI � the Health Services Director; or de ignee, to execute a contract amendment with the State f California Managed Risk Medical hi ice Board, effective July 1, 2006. to increase the payn nt limit to the County by $2,068 to a new ayment limit of $2,668 for continued State-supported services in the Healthy Families Program, wit no change in the term of July 1, 2005 through Jun 30, 2008. (No County match) (All Districts) APPROVE. and AUTHORIZ . execution of agreements between the County and a following parties as noted for the purchase of quipme�nt and/or services: C.58 APPROVE and AU' HORIZE the Slieriff-Coroner, or designee, to execute a c itract amendment with Arthur Bottere , effective IMay 1,.2006, to increase payment limit by $15,880 o a new payment limit of $40,880 f r additional duties assumed.as a result of the resignation of lie Community Warning System M eager. (Budgeted, 100% Industry fees) (All Districts) i 7 (9-19-2006) i i Grants & Contracts- continued jC.59 APPROVE and AUTHORIZE thelCounty Probation Officer, or designee, to execute a contract with Mark Morris Associates in the amount of$98,000 to continue to provide consulting and evaluation services for the Juvenile Justice Grime Prevention Act Program for the period July 1, 2006 through June 30, 2007. (State Funded-Juvenile Justice Crime Prevention Act) (All Districts) C.60 APPROVE and AU' HORIZE the Child Support Services Director, or designee, to execute a contract with CalServe, Inc., t the atnouilt of$110,000 to continue to provide legal p ocess services for the period October 1, 200 hrough September 30, 2007. (Budgeted, 100% State uIds) (All Districts) C.61 RATIFY purchase of se vices from Laboratory Corporation of America and AUTHORIZE the Auditor Controller to pay ip to $2,000 outstanding balance for genet' parentage testing services provided to the Child Supp t Services Department during the period Lily 1, 2005 through June 30, 2006. (100% State funds) (A 1 Districts) C.62 APPROVE and AUTHORIZE the Employment and Human rvices Director, or designee, to execute a contract amendment w d h. .MV 'Transportation, Inc., of ective June 30, 2006, to extend the term Isom October 31 to Decemb r 31, 2006 with no change n the payment limit of $774,000 to continue to provide transportation ervices to California W rk Opportunity and Responsibility to Kids (CalWORKS) participants. �(Bu geted, 76.5% Feder , 13.5% County, 10% Metropolitan Transportation Committee Foundation rant) (All Districts C.63 APPROVE and AUTHORIZE the Em oyment and uman Services Director, or designee, to execute a contract with Kami DI Silay in n amount It to exceed $30,640 to continue to provide un consultation services for the Childcare Acc( ting R orting and Enrollment System for the period November 1, 2006 through June 3,0, 2007. (B dgete . 50% Federal, 50% State) (All Districts) C.64 APPROVE and AUTHORIZE the Fill ploym it and Human Services Director, or designee, to execute a contract amendment with F.M. Blake, nc., effective October 1, 2006, to extend the term from September 30, 2006 to Judie 30, 2007 w 1 no change in the payment limit of $100,000 to continue Supplemental Security:i Income bene its pplication services for children in foster care. (Budgeted, 100% Federal fiends) I(All District C.65 APPROVE and AUTHORIZE thl Employi ent and H nan Services Director, or designee, on behalf of the Workforce Development Board, to xecute contra is in a total amount not to exceed $541,680 to provide job training to qualified disloc ted workers.in ie energy and manufacturing industries for the period April 1, 2006 through March 1, 2008 (Budgete , 100% Federal funds) (All Districts): Contract Services Amount Foundation for CA Community Coll ges Consultin oversight $25,000 CC Community College Dist.-Loos edanos Campus Process tec nology training $366,680 Mt. Diablo Adult Education Outreach/re uitment $10,000 Alameda County Workforce rove tment Board Outreach/recr itment $70,000 San Mateo County Workforce I� vestment Board Outreach/recruitment $70,000 C.66 APPROVE and AUTHORIZ. Ithe Employment and Human Se-vices Director, or designee, to execute a cancellation agre neat with Patricia Zavanelli for administrative services provided in support of the Automatic all Distribution Center, effective at the lose of business September 1, 2006. (All Districts) C.67 RATIFY purchase of s vices from STs International, Inc., and AUTHO PZE the Auditor-Controller to pay $6,000 outstan ng balance for website hosting and basic niaintenai ce services provided to the Employment and Hunan Services Department Workforce Development .1 ogram during the period January 1 through J ne 30, 2006: (100% Federal Workforce Investment Act funds) (All Districts) C.68 APPROVE and iTHORIZE the .Health Services Director, or designee, to xecute a contract with Joy Young Stepl enson (dba Law Offices of Stephenson, Acquisto & Colman in an amount not to exceed $50,000 to continue to provide consultation and technical assistance ith regard Medi-Cal treatment authi rization requests and billing appeals for the period September 1, 2906 through August . 31, 2007. (B dgeted, Enterprise 1: 14.1% County, 85.9% Patient/Third Par y Revenues) (All Districts) i 8 (9-19-2006) . I Grants & Contracts- continued C.69 APPROVE and AUTHORIZE the Pealth Services Director to execute a contract with Laurin Mayeno in an amount, not to exceed $72,763 to provide consultation, technical assistance, and training services with regard to the Reducing Health Disparities initiative for the period September 1, 2006 through August 31, 2007. (Budgeted: 79% California Endowment Grant, 21% Reducing Health Disparities initiative) (All Districts) C.70 APPROVE and UTHORIZE the Health Services Director, or designee, execute a novation contract with La C eini School, Inc., in an amount not to exceed $552,36 to continue to provide therapeutic behaviors services to children age 0-21 who participate in Ear and Periodic Screening, Diagnosis and 'freatiii it Prograna supplemental specialty mental health ervices for the period July 1, 2006 through June 3 2007, including an automatic extension thro li December 31, 2007 in an amount not to exceed $2 6,185. (Budgeted: 50% Federal Medi-Cal- 48% State Early and Periodic Screening, Diagnosis and eatment; 2% Mental Health Realignmen (All Districts) C.71 APPROVE and AUTHORIZ the Health Services Director, or esignee, to execute a contract with Anka Behavioral Llealth, .Inc. (formerly Phoenix Programs, nc.), in an amount not to exceed $236,368 to continue to provid operation of Multi-Servic Centers for the Family Employment Resources and Services Together ERST) Program for the p iod July 1, 2006 through June 30, 2007. (Budgeted, 100% U.S. Departmenit o Housing and Urban evelopment) (All Districts) C.72 APPROVE and AUTHORIZE the 1 alth Services irector, or designee, to execute a contract amendment with Rubicon Programs. Inc effective A gust 1, 2006,to increase the payment limit by $81,080 to a new payment limit of$170,_ 0 and to , tend the term from September 30, 2006 to June 30, 2007 to continue to provide support ervices to homeless clients of the Health, Housing and Integrated Services Network. (Budgeted, 10 % F deral Substance Abuse and Mental Health Services Administration) (All Districts) C.73 APPROVE and AUTHORIZE the Health Se vi es Director, or designee, to execute a contract with the U.S. Department of Veterans!Affairs No then California Health Care System in an amount not to exceed $1,400,000 to continue to provide nuclea medicine services to patients referred by Contra Costa Regional Medical Center �pliysici is for the period October 1, 2006 through September 30, 2007. (Budgeted, Enterprise l: 14,.1% C unty, 85.90 o atientahird Party revenues) (All Districts) C.74 APPROVE, and AUTHORIZE the . alth Services Di ector, or designee, to execute a contract with the U.S. Department of Veterans Af airs Northern Calif rnia Health Care System in an amount not to exceed $88,838 to continue to rovide oncology ser ices to patients referred by Contra Costa Regional Medical Center physicians for the period Oct ber 1, 2006 through September 30, 2007. (Budgeted, Enterprise 1: 14.1% iounty, 85.9% Patient/This Party revenues) (All Districts) i C.75 APPROVE; and AUTHORIZ, the Health Services Director. or designee, to execute a contract with Martin P. Koeppel, M.D., it ail amount not to exceed $98, 0to continue to provide professional psychiatric services.for th Adult Mental Health Clinic in W t Contra Costa County for the period September 1, 2006 till.o gh August gust 31, 2007. (Budgeted, iiterprise 1: 14.1% County, 85.9% Patient/Third Party neve ues) (All Districts) C.76 APPROVE acid AU HORIZE Ithe Health Services Director, designee; to execute a contract amendment with E telle Gregory, M.D., effective July 1, 2006, o increase the payment limit by $55,000 to a new ayment limit of$130.500 to provide additional sychiatric services at the Contra Costa Regional edical Center Psychiatric Emergency Unit, with n change in the term of January 1 through .Decein er 31, 2006. (Budgeted, Enterprise l: 14.1% Cou ity, 85.9% Patient/Third Party revenues) (All istricts) C.77 APPROVE, iid AUTHORIZE i the Health Services Director, or designee, to execute a contract amendment with Crisis Prevention Institute, Inc., effective August 21, 2R06, to increase the payment limit by $ ,961 to a new payment limit of$150,000 to provide additiona workshops on non-violent crisis int •vention, with no change in the term of July 10, 2006 through une 30, 2007. (Budgeted, Enterpri e 1: 14.1.% County, 85.9% Patient/Third Party revenues) (All Distr cts) 9 (9-19-2006) i Grants & Contracts- continued C.78 APPROVE and AU'T'HORIZE the Chief Information Officer (Department of Information Technology) t ute a contract with ['ictometry in an amount not to exceed $318,466 to provide oblique aerial imagery for j orcement, emer en se,:and homeland security activities, for a two-year period beginnn o elivery of the fli ht imagery. (100% U.S. Homeland Security Finds) (All Dis riots) Leases C.79 APPROVE and AUZ ZI7_.E the'Ge Services Director, or•designee, to execute a five-year lease ren wal with 230 o Plaza. LLC, commencing ctober 1, 20 ware feet of office spac at 150 A mo Plaza, Suites B and c, Alamo. at an initial monthly rent of$6,000, o �lieriff substa 'on requested by the Sheriff-Coroner. (Budgeted) (District 111) C.80 APPLA AUTHORIZE the General Services Director, or designee, to execute a lease with Cranlty In , ment Fu LP, commencing upon the County's acceptance of owner provit rovements, and ending velzlber 30, 2011. for 522 square feet of office space at 1330 •ive, Suite 140-A[ .Martinez at an ' moi as requested by the Health Services Department. Mental Health Division; and DETERMINE that the proJec i . s 1(a) Categorical Exemption under the California Environmental Quality Act, as recommended by the General Services Director. (Budgeted) (District iI) Other Actions C.81 ADOPT Resolution No. 2006/57 authorizing issuance of additional tax exempt 2006-Issue B bonds .� in an amour tL110t to exceed s San Ramon area, and relit ons, as recon'linended by Community Development Director. (No Mcal impact) (District 111) C.82 AC PT the 20 6 Annual jR bmitted by the .A Iamette Cemetery District, as re onunen y the County Adiilinistrator. (District C.83 APPROVE and ORIZE the Health Services Director, or designee, to execute a hold harmless 7 agreement to indemnify the Brentw o i s co y center located at 730 Third St., Brentwood, to adminis Vico to senior citizens and the public on November 2, 2006. (District 111) C.84, APPROVE and AUTHORIZE the Purchasing Agent, or designee, to purchase one additional patrol Y� vehicle - ororier. ea i ervice se I Fund: 14.1% County, 85.9% Patient third party revenues) (Consider with C.39) 6.85 API' OVE and AUTHORIZE the Chair, Board of Supervisors, to execute the "1 bird Amendment to the S bordination Agre it, dated June 1, 1999, b een the San Pablo Redevelopment Agency and t e County, inc(� ing tie Lib ry, ie Cou Flood ontrol and Water on District, and t e Contra Co a it rot tion Di tris taxing agenci g},—t provide for the subordination of additi�nal tax in •ement re iie payments and the statutory pass-through payments to the taxing agencie in o er for the San Pablo Redevelopment Agency to pledge such tax increment revenue to the series 06 Tenth Township Bonds and the Series 2006 Legacy Bonds. (All Districts) C.86 APPROVE and AUTHORIZE the Community Development Director, or designee, to execute a contract fo• decal assistance the U.S. Bureau of Reclamation in the amount of $991,631 to assist 'A, i lay d conservlti actions y the East Bay a rk Distric - I. ent with the Draft East ontra osta Cou v liabitat Co •v an/Natural Community Conservation Plan (HCP); AFFIRM. the Bo 's intent to transfer responsibility for grant administration to a joint exercise of powers auth •'t ' one is formed. (No impact to the General Fund) (All Districts) I 6.87 AP ROVE and ORiZE the Sheriff-Coroner, or designee, to execute a contract with the Contra Co to C .r unity Colle D�� ri prov' - pervisor Office of the Sher'f[�s Law Enforcement g Center beginning July 1, 2006 and continuing until terminated upon thirty days prior written n(_itice by either party. (All Districts) 10 (9-1.9-211116) Other Actions- continued C.88 APPROVE and AUTHORIZE the Community .Development Director, or designee, to execute a Memorandum of Understanding (�Mou) between Contra Costa County and the City of Antioch to allo%v, .ity to use the Co Green Building Materials Display. (No fiscal impact) (All D' ricts) C.89 CONTINUE tl emergency action originally taken by the Board of Supervisors on March 21, 2006, , pursu nt t ubli on�dv oc Sections 22035 and 22U50� it storm damage to roads and char els, as recommenthe Pub i . orks Dire or,,—C6untywid �@istriets) I C.90 APPROVE refunds of overpayment of transfer taxes in amounts totaling $7,685.25 and AUI•I1 RIZI- t I Vue wa ecommended by the Clerk-Recorder. (All Districts) C.91 AUTHORIZE an adjustment to Ithe rate setting schedule for Pleasant Hill Bayshore Disposal, lnc./Allied Waste Services to utilize consistent with recommendatiqns f.L Intl roup that were accepted by the Board on December (No impact to the General Fund) (Districts I1, 111, IV, and V) Redevelopment Agency C.92I,l"1'HORIZE the Redevelopment Director to submit nominations velopment ociation 2007 Awards of Excelle r ie Palecek Imports, Inc., Project in North Richet oa wi y Revitalization Program in Bay Point. ((No fiscal impact) (District II) f i 11 (9-1.9-2006) -Pape Log for Board of Supervisors Meeting Date: September 19, 2006 Tae Item No. Item HA.1 RATIFY the Housing Authority's response to Martinez Unified School District's notice of intent to sell surplus property on Almond Street, Martinez, Assessor's Parcel No. 375-272-001, and AUTHORIZE the Housing Authority Executive Director to commence negotiations for the possible purchase of the surplus property for the possible development of single-family homes and a Head Start facility. (District II) PR.1 PRESENTATION of a plaque to the Board of Supervisors in recognition of its commitment to the Contra.Costa County Superior court and the public regarding the remodel of the Juvenile Hall Courtroom. (Honorable Thomas M. Maddock, Presiding Judge; Honorable Lois Haight, Juvenile Court Judge; Ken Torre, Court Executive Officer) (All Districts) PR.2 PRESENTATION to adopt Resolution No. 548 recognizing art passages: collections, of art from contra costa county and the District I exhibition, "ArtsChange: 'ALMOST A DECADE"' as recommended by the Arts and Culture Commission of Contra Costa County (AC5). (Supervisor Gioia) �1 (District I) PR.3 PRESENTATION to adopt Resolution Nos. 2006/497, 2006/498 and 2006/499 recommending the following individuals and organizations for the First Annual Ilene Lubkin Senior Transportation Awards, as ,y recommended by the Employment and Human Services Director. Ilene Lubkin Award Presented to: Senior Transportation Provider of the Year Senior Helpline Services Senior Transportation Volunteer of the Year Shirley Huyck Senior Transportation Award of Merit Robert F. Bowers Caring Hands Volunteer Caregiver Program County Connection Link Pleasant Hill Senior Van Program Eastern Contra Costa Transit Authority SD.1 CONSIDER any Consent Items previously removed. 11 -30 SD.2 CONSIDER accepting update from the Health Services Director on the West j 355 Contra Costa Healthcare District discussions regarding possible closure of Doctors Medical Center San Pablo/Pinole. D.1 PUBLIC COMMENT (3 Minutes/Speaker) D.2 CONTINUED hearing on the County Planning Commission recommendation for a General Plan Amendment, (from Single Family Medium to Single Family High density residential) a rezoning from Single Family Residential (R-6 and R -10) to Planned Unit District(P-1) and a Preliminary and Final Development Plan for 22 single-family residential units on 4.6 acres located at#121 through #161 Paulson Lane in the Walnut Creek area. 09192006 MEETING OF THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY SEPTEMBER 19, 2006 SUPERVISOR MARY N. PIEPHO ABSENT ALL DAY Chair John Gioia convened the meeting of the Board of Supervisors this day at 11:00 a.m., in the Board Chambers,Room 107, of the County Administration Building, 651 Pine Street, Martinez, California. The Deputy Clerk called the roll, Supervisors present were: Supervisor Gayle Uilkema, District II; Supervisor Mark DeSaul I ier, District IV; Supervisor Federal D. Glover, District V; And Chair, Supervisor John Gioia, District 1; The Board proceeded with its morning agenda items.There was no Closed Session. At approximately 2:35 a.m., the Board adjourned to Closed Session. Following Closed Session, the Board, adjourned at 3:25 p.m. Attested: September 19, 2006 John Cullen, Clerk of the Board and County Admi 'strator By: Lena O' Neal, Deputy Clerk I I 09192006 i MEETING OF THE BOARD OF SUPERVISORS I I OF CONTRA COSTA COUNTY SEPTEMBER 19, 2006 SUPERVISOR MARY N. PIEPHO ABSENT ALL DAY Chair John Gioia convened the meeting of the Board of Supervisors this day at 11:00 a.m., in the Board Chambers, Room 107, of the County Administration Building, 651 Pine Street, Martinez, California. The Deputy Clerk called the roll, Supervisors present were: Supervisor Gayle Uilkemal District II; Supervisor Mark DeSaulnier, District IV; Supervisor Federal D. Glover, District V; And Chair, Supervisor John Gioia, District 1; I The Board proceeded with its morning agenda items.There was no Closed Session. At approximately 2:35 a.m., the Board adjourned to Closed Session. Following Closed Session, the Board. adjourned at 3:25 p.m. I I I Attested: September 19, 2006 John Cullen, Clerk of the Board and County Administrator By: Lena O' Neal, Deputy Clerk I I I i I I I I