HomeMy WebLinkAboutMINUTES - 10282003 - D3 . )3
-ro: BOARD OF SUPERVISORS , �,�. CONTRA
FROM: LAURA W. LOCKWOOD, DIRECTOR, CAPITAL FACILITIES COSTA
AND DEBT MANAGEMENT, COUNTY
DATE: OCTOBER 28, 2003 '`'' '
SUBJECT: CONSULTING SERVICES AGREEMENT WITH RMW ARCHITECTURE & INTERIORS
FOR THE RICHMOND HEALTHCENTER
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)A BACKGROUND AND JUSTIFICATION 135-030$A.1.1 TJ tb
RECOMMENDATION
APPROVE a Consulting Services Agreement with RMW Architecture & Interiors in the amount of
$124,000 to provide architectural and engineering services for a Facility Improvements and Space
Utilization Study at the Richmond Health Center, 100 38th Street, Richmond; and AUTHORIZE the
Director of General Services, or designee, to execute the agreement and to issue written
authorizations for additional work provided that the cumulative total additional cost for all such
authorizations shall not exceed $25,000.
FINANCIAL IMPACT
Previous programming studies indicated that at current patient caseloads, the Richmond Health
Center offers roughly 0% of the space needed to meet the greater Richmond community's health
care needs. The existing Health Center occupies the 1 st and 2nd floors of the County building located
at 100 38th St , Richmond. While the replacement, rather than the rehabilitation, of the existing facility
was deemed the most cost-effective long-term facility solution, continued budget constraints preclude
undertaking such a large capital project at this time (preliminary cost estimates placed a new facility
in the $50-60 million range, which would result in debt service payments of roughly $5 million per
year).
Given that the County will continue to provide health services at the existing Richmond Health Center
for at least the near term, it is the desire of the Health Services Department to hire an architectural
consultant to 'explore the feasibility of upgrading the now uninhabitable basement to allow for the
relocation of ancillary services such as medical records to this area of the building. If this is feasible,
it would in turn free up space on the 16t and 2nd floors for use as additional clinical space. As part of
the study, the consultants will provide updated cost estimates for upgrading various building systems,
as well as cast-effective strategies to improve the life safety, functionality, comfort, and signage to
allow for the continued use of this facility.
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
__,RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION O BO/ARD COMMITTEE
_—APPROVE OTHER
SIGNATURE(S):
y �
ACTION OF BOARD ON _ F' .s _ APPROVED AS RECOMMENDED '
V�O/TE OF SUPERVISORS
UNANIMOUS(ABSENT •..x , ' )
AYES: NOES:
ABSENTS: ABSTAIN:
MEDIA CONTACT:BARTON J.GILBERT(313-7100)
Originating Dept.:CAO,Capital Facilities 8 Debt Management I HEREBY CERTIFY THAT THIS IS A TRUE
co: General Services Department AND CORRECT COPY OF AN ACTION TAKEN
Capital Projects Management Division AND ENTERED ON THE MINUTES OF THE BOARD
Accounting OF SUPERVtSO N THE-D 7/2HOWN.
CPM File: 135-0308/A.5
County Administrator's Office ATTESTED_ ' �r-=�
County Counsel JO SWEETEN,CLERK OF THE BOARD OF SUPERVISORS
Auditor Controller AN OUNTY ADMINISTRATOR
Health Services Department(via CPM) �X,
RMW Architecture&Interiors(via CPM) ,� ,� � y' a
BY, .,._ DEPUTY
richmond health center study 2 Page 1 of 2
The $124,000 study will be funded through the Health Services Enterprise Fund budget. Early
estimates indicate that the basement upgrades alone could cost in the $5 million range. Upgrades of
certain other critical building systems near the end of their useful life could send the proposed
remodeling cost substantially higher.
The General Services Department, CAO Capital Facilities, and Health Services Department staff will
work closely with the consultants to craft a range of short and mid-term remodeling options for the
Board of Supervisors' consideration by early next year.
BACKGROUND
In 2000, Anshen and Allen, a well-respected health care architectural firm, conducted a study
forecasting the space needs of the Richmond Health Center. They found that given the current
patient caseload, the existing facility provides only 50% of the space needed to serve the number of
patients seen at this facility. The Richmond Health Center provides primary, specialty, and dental
care to members of the Contra Costa Health Plan, as well as offering the community services ranging
from outpatient mental health and public health services to Healthy Start, Born Free, and the Women,
Infant and Children's programs. In all, the Richmond Health Center receives over 100,000 visits each
year, making it one of the two largest health centers in West County.
Subsequent to the release of this study, the dehumidification system at the forty-year-old facility
ceased functioning during a hot spell in October 2000. As a result, the health center closed for the
day, which greatly inconvenienced patients and resulted in operating losses to the County Health
Services Department. Emergency repairs to the dehumidification aspect of the HVAC system cost in
excess of $700,000; nevertheless, the antiquated HVAC system remains a concern of building
managers. Given the importance of the Richmond Health Center to the County's health services
delivery system, the Board of Supervisors in 2001 directed Anshen and Allen to conduct a Building
Evaluation study of the facility and to report back regarding options for the expansion and/or upgrade
of the Richmond Health Center.
The Anshen and Allen report concluded that the HVAC and other building systems (electrical,
plumbing, etc.) were near the end of their useful lives, and that it was both more cost-effective and
operationally efficient to replace rather than expand and remodel the existing forty-year old facility. At
an assumed size of approximately 120,000 square feet, the consultants estimated that the new health
center would cost between $50 and 60 million, exclusive of land acquisition costs. Assuming that this
project is funded through the issuance of lease revenue bonds, the annual debt service on a new
facility would be in the $5 million range.
Since that time, County staff has pursued various funding sources to help offset a portion of the
anticipated annual debt service cost. Due to the deteriorating condition of the state and federal
budget over the last few years, these efforts have not proven fruitful to date. In the meantime, the
conditions for patients and staff at the Richmond Health Center have not significantly changed in
terms of patient caseloads or building conditions.
The proposed consultant study will provide the County with a range of remodeling options for the
continued short and mid-term use of the building, with the goal of returning to the Board of
Supervisors in mid- or late winter with cost estimates for each of these options.
In 2002, RMW Architecture & Interiors was selected to provide architectural services for future health
center remodeling through interviews held by an Architectural Selection Committee comprised of
County staff from the County Administrator's Office, and the General Services and Health Services
Departments. To date, they have completed two assignments for the County involving the expansion
and remodeling of leased health facilities in Concord and Antioch.
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