C.45 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Marjory Giustino, MFT, effective March 1, 2008, to increase the payment by $55,000 to a new payment limit of $75,000, to provide additional Medi-Cal mental health specialty services, with no change in the original term of May 1, 2007 through June 30, 2009. (100% Medi-Cal Funds) (All Districts)

C.46 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Sandy Carneggie, MFT, effective March 1, 2008, to increase the payment by $23,000 to a new payment limit of $73,000 to provide additional Medi-Cal mental health specialty services, with no change in the original term of February 1, 2006 through June 30, 2008. (100% Medi-Cal funding) (All Districts)

C.47 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Neighborhood House of North Richmond in an amount not to exceed $30,167 to provide support services for County residents diagnosed with HIV disease, for the period March 1 through June 30, 2008. (100% Ryan White HIV/AIDS Treatment Modernization Act of 2006 funding) (All Districts)

C.48 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with HCS, Inc. (dba The Abaris Group), effective April 1, 2008, to increase the payment limit by $60,000 to a new payment limit of $200,000 to provide additional consulting services with regard to obtaining grant funding for the Hospital Preparedness Program, with no change in the term from October 1, 2005 through August 31, 2008. (92% Federal Health Resources and Services Administration Bioterrorism Hospital Preparedness Grant and 8% Measure H-Emergency Medical Services funding) (All Districts)

C.49 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Perseus Corporation, effective February 1, 2008, to increase the payment limit by $2,500 to a new payment limit of $127,501, including a provision for expense reimbursement, to provide consultation and technical assistance with regard to preparation and submission of third-party cost reports, with no change in the original term of November 1, 2007 through October 31, 2008. (100% Enterprise Fund I) (All Districts)

C.50 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Crestwood Behavioral Health, Inc., effective April 1, 2008, to increase the payment limit by $45,000 to a new payment limit of $75,000 to provide additional emergency residential care placement services, with no change in the original term of September 1, 2007 through August 31, 2008. (100% Mental Health Realignment funding) (All Districts)

C.51 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Dorothy A. Klein in an amount not to exceed $103,600 to provide consultation and technical assistance with regard to substance abuse and mental health services for California Work Opportunity and Responsibility for Kids (CalWORKs) participants, for the period April 1, 2008 through March 31, 2009. (100% CalWORKs funding) (All Districts)

C.52 APPROVE and AUTHORIZE the Health Services Director or, designee, to execute a contract amendment with Nancy J. Frank, effective March 1, 2008, to increase the payment limit by $20,240 to a new payment limit of $105,840 with no change in the original term of May 1, 2007 through April 30, 2008 to provide additional program development services for implementation of the Mental Health Services Act directives. (100% State Proposition 63 funding) (All Districts)

C.53 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Starlight Adolescent Center, Inc., in an amount not to exceed $75,786 to provide residential day treatment services for emotionally disturbed adolescents for the period March 1 through June 30, 2008, with a six-month automatic extension through December 31, 2008 in an amount not to exceed $114,301. (33% Federal Medi-Cal; 33% State Early and Periodic Screening, Diagnosis, and Treatment; 34% Mental Health Realignment funding) (All Districts)

C.54 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with On Assignment Staffing Services, Inc., effective March 1, 2008, to increase the payment limit by $49,000 to a new payment limit of $2,549,000 to provide additional temporary help services at the Contra Costa Regional Medical and Health Centers, with no change in the original term of June 1, 2007 through May 31, 2008. (100% Enterprise Fund I) (All Districts)

C.55 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with the U.S. Department of Veterans Affairs, Northern California Health Care System, effective December 31, 2007, to extend the term through March 31, 2008 and to increase the payment limit by $350,000 to a new payment limit of $2,150,000, for the provision of nuclear medicine services to County patients at the Contra Costa Regional Medical Center and Health Centers. (100% Enterprise Fund I) (All Districts)

C.56 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with STAT Nursing Services, Inc., in an amount not to exceed $250,000 to provide temporary nursing services at the Contra Costa Regional Medical and Health Centers for the period April 1, 2008 through March 31, 2009. (100% Enterprise Fund I) (All Districts)

C.57 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Maxim Healthcare Services, effective March 1, 2008, to increase the payment limit by $42,000 to a new payment limit of $206,000 to provide additional temporary help services at the Contra Costa Regional Medical and Health Centers, with no change in the original term of September 1, 2007 through August 31, 2008. (100% Enterprise Fund I) (All Districts)

C.58 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Denis W. Tsao, M.D., in an amount not to exceed $300,000 to provide professional anesthesiology services for patients at the Contra Costa Regional Medical and Health Centers , for the period February 29, 2008 through February 28, 2011. (100% Enterprise Fund I) (All Districts)

C.59 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Nighthawk Radiology Services, LLC, effective February 28, 2008, to extend the term from February 28, 2008 through February 28, 2010 and increase the payment limit by $265,000 to a new payment limit of $565,000, to provide additional teleradiology (electronic transmission of radiological patient images) services at the Contra Costa Regional Medical and Health Centers. (100% Enterprise Fund I) (All Districts)

C.60 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with John Chan, M.D., in an amount not to exceed $1,200,000 to provide professional anesthesiology services for patients at the Contra Costa Regional Medical and Health Centers for the period May 1, 2008 through April 30, 2011. (100% Enterprise Fund I) (All Districts)

C.61 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Shirley E. Beshany, M.D., effective March 1, 2008, to decrease the payment limit by $100,000 to a new payment limit of $595,000 to provide fewer radiology services at the Contra Costa Regional Medical and Health Centers, with no change in the original term of December 19, 2005 through November 30, 2008. (100% Enterprise Fund I) (All Districts)

C.62 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Ho-Yin Li, M.D., effective November 1, 2007, to increase the payment limit by $225,000 to a new payment limit of $1,125,000 to provide additional anesthesiology services at the Contra Costa Regional Medical and Health Centers, with no change in the original term of November 1, 2007 through October 31, 2010. (100% Enterprise Fund I) (All Districts)

C.63 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Diablo Nephrology Medical Group, Inc., effective February 1, 2008, to decrease the payment limit by $200,000 to a new payment limit of $400,000 to allow the contractor to continue to provide nephrology (kidney function and disease) services at the Contra Costa Regional Medical and Health Centers. (100% Enterprise Fund I) (All Districts)

C.64 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with East Bay Nephrology Medical Group, Inc., effective February 1, 2008, to increase the payment limit by $100,000 to a new payment limit of $165,000 to provide additional nephrology (kidney function and disease) services at the Contra Costa Regional Medical and Health Centers, with no change in the original term of July 1, 2006 through June 30, 2009. (100% Enterprise Fund I) (All Districts)

C.65 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Laszlo Tamas, M.D., in an amount not to exceed $1,125,000 to provide professional neurosurgery (central nervous system) services for patients at the Contra Costa Regional Medical and Health Centers , for the period May 1, 2008 through April 30, 2011. (100% Enterprise Fund I) (All Districts)

C.66 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Bio Medical Applications of California, Inc., in an amount not to exceed $1,500,000 to provide professional hemodialysis (blood cleansing) services for Contra Costa Health Plan members for the period December 1, 2007 through November 30, 2008. (100% Health Plan member premiums) (All Districts)

C.67 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with the Food Bank of Contra Costa and Solano in the amount of $54,300 for countywide emergency food distribution services for the period July l, 2008 through June 30, 2009. (100% County " Keller Canyon Surcharge Revenue) (All Districts)

C.68 APPROVE and AUTHORIZE the Purchasing Agent to execute a purchase order on behalf of the Employment and Human Services Department in the amount of $162,601 for computer network equipment for the Ellinwood Office Complex. (85% State - Automated Welfare System Project, 15% County General Fund) (All Districts)

C.69 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with CareAccess Silicon Valley, Inc., in an amount not to exceed $29,620 for virtual private portal services for the Adult Protective Services Automated Client Tracking System for the period July 1, 2008 through June 30, 2009. (100% State - Multipurpose Senior Service Program funding) (All Districts)

C.70 APPROVE and AUTHORIZE the Public Works Director, or designee, to execute a contract amendment with Tonya Redfield, effective April 15, 2008, to extend the term from April 17, 2008 through September 1, 2009, and to increase the payment limit by $82,100 from $137,500 to a new payment limit of $219,600 to act as an independent contractor, responsible for general oversight and direction of the program and program team, for Phase II of the Keep the Delta Clean (KDC) Program, East County area (the Sacramento-San Joaquin Delta). (100% Project funds) (Districts III and V)

Other Actions

C.71 CONTINUE the emergency action originally taken by the Board of Supervisors on April 10, 2007, regarding the Lower Walnut Creek Interim Protection Measures Project, as recommended by the Chief Engineer, County Flood Control and Water Conservation District, Pacheco area. (Flood Control Zone 3B funding) (Districts II and IV)

C.72 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute an Unpaid Student Training Agreement with American College of Nursing to provide field instruction in the Health Services Department for the University s students for the period March 1, 2008 through February 28, 2011. (Non-financial agreement) (All Districts)

C.73 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute an Unpaid Student Training Agreement with Gurnick Academy of Medical Arts to provide field instruction in the Health Services Department for the University s students for the period March 1, 2008 through February 28, 2011. (Non-financial agreement) (All Districts)

C.74 AUTHORIZE payment in the amount of $590,336 to specified fire suppression agencies for the purchase and installation of communications equipment in all fire stations and fire dispatch centers in the county, as recommended by the Emergency Medical Services Director. (Measure H-Emergency Medical Services funding) (All Districts)

C.75 CONTINUE the emergency action originally taken by the Board of Supervisors on November 16, 1999 regarding the issue of homelessness in Contra Costa County , as recommended by the Health Services Director. (All Districts)

C.76 ACCEPT the March 2008 monthly update on the operations of the Community Services Bureau of the Employment and Human Services Department, as recommended by the County Administrator . (All Districts)

C.77 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to issue a Request for Proposals in an amount not to exceed $150,000 for tutoring services for children and youth in foster care for the period July 1, 2008 through June 30, 2009. (75% Federal , 17.5% State , 7.5% County General Fund) (All Districts)

C.78 ADOPT Resolution Nos. 2008/221, 2008/222, and 2008/223 rescinding Land Conservation Contract No. 4-85 as to Assessor Parcel Nos. 015-190-003, 015-210-016, and 015-210-017, and ADOPT Resolution Nos. 2008/224, 2008/225, and 2008/226 approving and authorizing the Chair, Board of Supervisors, to execute a new Land Conservation Contract for said property with Ronald Nunn Family Limited Partnership, a California Limited Partnership, Orwood Tract area, and ADOPT related California Environmental Quality Act and other findings, as recommended by the Community Development Director (County File: AP#07-00003). (No fiscal impact) (District III)

C.79 ACCEPT canvass of votes for Police Service Area P-6, Zone 3005, Subdivision 058938, in the North Richmond area, as recommended by the Clerk-Recorder (Registrar of Voters). (District I)

C.80 AUTHORIZE a reduction in the membership of the County Service Area R-9 Citizens Advisory Committee, as recommended by Supervisor Gioia, El Sobrante area. (District I)

C.81 APPROVE bid documents and specifications for the Median Landscaping Project at Pacheco Boulevard, between Second Avenue South and First Avenue North, Pacheco area, for the Public Works Department and DIRECT the Clerk of advertise for bids to be received on May 22, 2008. (Public Works Department s Countywide Landscape District Budget) (District IV)

C.82 APPROVE and AUTHORIZE the Purchasing Agent, or designee, to purchase a flat bed trailer for the Emergency Services Support Unit of the Sheriff-Coroner. (100% Off-Highway Vehicle Grant funding) (All Districts) (Consider with C.30)

C.83 APPROVE and AUTHORIZE the Sheriff-Coroner, or designee, to accept the donation of a 1-1/2 ton power plant trailer, with two 10KW generators attached, from the Federal Government, for use by the Emergency Services Division. (All Districts)

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 Board 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: 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 the 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:

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 , and may also be viewed on the County s Web Page.

STANDING COMMITTEES

The Family and Human Services Committee (Supervisors Susan A. Bonilla and Mary N. Piepho) - meets on the fourth Monday of the month at 1:00 p.m. in Room 101, County Administration Building, 651 Pine Street, Martinez.

The Finance Committee (Supervisors Mary N. Piepho and John Gioia) - meets on the second Monday of the month at 10:00 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez.

The Internal Operations Committee (Supervisors Susan A. Bonilla and Gayle B. Uilkema) - meets on the first Monday of the month at 10:00 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez .

The Public Protection Committee (Supervisors John Gioia and Federal D. Glover ) " meets on the third Monday of the month at 10:00 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez .

The Transportation, Water & Infrastructure Committee (Supervisors Gayle B. Uilkema and Mary N. Piepho ) - meets on the third Monday of the month at 10:00 a.m. in Room 108, County Administration Building, 651 Pine Street, Martinez.

The Capital Facilities Committee (Supervisors Federal D. Glover and Susan A. Bonilla) - meets as needed in Room 101, County Administration Building, 651 Pine Street, Martinez.

The Legislative Committee (Supervisors Susan A. Bonilla and Mary N. Piepho) " meets on the third Wednesday of the month in Room 101, County Administration Building , 651 Pine Street , Martinez

AD HOC COMMITTIES

Ad Hoc committees of the Board of Supervisors meet on an as-needed basis at the direction of the committee chair. Please contact the offices of the committee chairs for meeting times and information.

Smart Growth:

Airport Committee:

AGENDA DEADLINE: Thursday, 12 noon, 12 days before the Tuesday Board meetings.

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

ABAG Association of Bay Area Governments

ACA Assembly Constitutional Amendment

ADA Americans with Disabilities Act of 1990

AFSCME American Federation of State County and Municipal Employees

AICP American Institute of Certified Planners

AIDS Acquired Immunodeficiency Syndrome

ALUC Airport Land Use Commission

AOD Alcohol and Other Drugs

BAAQMD Bay Area Air Quality Management District

BART Bay Area Rapid Transit District

BCDC Bay Conservation & Development Commission

BGO Better Government Ordinance

BOS Board of Supervisors

CALTRANS California Department of Transportation

CalWIN California Works Information Network

CalWORKS California Work Opportunity and Responsibility to Kids

CAER Community Awareness Emergency Response

CAO County Administrative Officer or Office

CCCPFD (ConFire) Contra Costa County Fire Protection District

CCHP Contra Costa Health Plan

CCTA Contra Costa Transportation Authority

CDBG Community Development Block Grant

CFDA Catalog of Federal Domestic Assistance

CEQA California Environmental Quality Act

CIO Chief Information Officer

COLA Cost of living adjustment

ConFire (CCCPFD) Contra Costa County Fire Protection District

CPA Certified Public Accountant

CPI Consumer Price Index

CSA County Service Area

CSAC California State Association of Counties

CTC California Transportation Commission

dba doing business as

EBMUD East Bay Municipal Utility District

ECCFPD East Contra Costa Fire Protection District

ECCRPC East Contra Costa Regional Planning Commission

EIR Environmental Impact Report

EIS Environmental Impact Statement

EMCC Emergency Medical Care Committee

EMS Emergency Medical Services

EPSDT State Early Periodic Screening, Diagnosis and Treatment Program (Mental Health)

et al. et alii (and others)

FAA Federal Aviation Administration

FEMA Federal Emergency Management Agency

F & HS Family and Human Services Committee

First 5 First Five Children and Families Commission (Proposition 10)

FTE Full Time Equivalent

FY Fiscal Year

GHAD Geologic Hazard Abatement District

GIS Geographic Information System

HCD (State Dept of) Housing & Community Development

HHS Department of Health and Human Services

HIPAA Health Insurance Portability and Accountability Act

HIV Human Immunodeficiency Syndrome

HOV High Occupancy Vehicle

HR Human Resources

HUD United States Department of Housing and Urban Development

Inc. Incorporated

IOC Internal Operations Committee

ISO Industrial Safety Ordinance

JPA Joint (exercise of) Powers Authority or Agreement

Lamorinda Lafayette-Moraga-Orinda Area

LAFCo Local Agency Formation Commission

LLC Limited Liability Company

LLP Limited Liability Partnership

Local 1 Public Employees Union Local 1

LVN Licensed Vocational Nurse

MAC Municipal Advisory Council

MBE Minority Business Enterprise

M.D. Medical Doctor

M.F.T. Marriage and Family Therapist

MIS Management Information System

MOE Maintenance of Effort

MOU Memorandum of Understanding

MTC Metropolitan Transportation Commission

NACo National Association of Counties

OB-GYN Obstetrics and Gynecology

O.D. Doctor of Optometry

OES-EOC Office of Emergency Services-Emergency Operations Center

OPEB Other Post Employment Benefits

OSHA Occupational Safety and Health Administration

Psy.D. Doctor of Psychology

RDA Redevelopment Agency

RFI Request For Information

RFP Request For Proposal

RFQ Request For Qualifications

RN Registered Nurse

SB Senate Bill

SBE Small Business Enterprise

SRVRPC San Ramon Valley Regional Planning Commission

SWAT Southwest Area Transportation Committee

TRANSPAC Transportation Partnership & Cooperation (Central)

TRANSPLAN Transportation Planning Committee ( East County )

TRE or TTE Trustee

TWIC Transportation, Water and Infrastructure Committee

VA Department of Veterans Affairs

vs. versus (against)

WAN Wide Area Network

WBE Women Business Enterprise

WCCTAC West Contra Costa Transportation Advisory Committee