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Resolution#251132Passed
In plain English

This resolution extends a contract with Community Forward SF to provide medical respite and sobering center services for an additional three and a half years, increasing the total funding to over $32 million. It also allows the Department of Public Health to make minor adjustments to the agreement as needed.

Resolution approving Amendment No. 1 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and Community Forward SF, to provide medical respite and sobering center services, to extend the term by three years and six months from December 31, 2025, for a total term of July 1, 2024, through June 30, 2029, and to increase the amount by $22,263,326 for a total not to exceed amount of $32,262,830; and to authorize DPH to enter into amendments or modifications to the agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the agreement or this Resolution.

Introduced: Nov 18, 2025
Final action: Dec 23, 2025
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How it got here

The legislation originated from the need to extend and increase funding for medical respite and sobering center services provided by Community Forward SF, as authorized by the Department of Public Health.

1
Original Agreement EstablishedJuly 1, 2024
Department of Public Health (DPH)

DPH entered into an agreement with Community Forward SF for medical respite and sobering center services, with a term ending December 31, 2025, and a not-to-exceed amount of $9,999,504.

Leg Final
2
Approval for ProcurementSeptember 6, 2024
Civil Service Commission

The Civil Service Commission approved DPH's procurement authority under Administrative Code Section 21A.4, allowing DPH to contract directly without competitive solicitation.

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3
Amendment Proposal InitiatedOctober 28, 2025
DPH

DPH proposed Amendment No. 1 to extend the agreement with Community Forward SF by three years and six months and to increase the funding by $22,263,326.

Leg Final
4
Committee RecommendationDecember 10, 2025
Budget and Finance Committee

The Budget and Finance Committee recommended the proposed amendment for approval by the Board of Supervisors.

Leg Final
5
Legislation AdoptedDecember 16, 2025
Board of Supervisors

The Board of Supervisors adopted the resolution approving Amendment No. 1, extending the term to June 30, 2029, and increasing the total funding to $32,262,830.

Leg Final
6
Mayor's ApprovalDecember 23, 2025
Mayor

The Mayor approved the resolution, finalizing the amendment to the agreement with Community Forward SF.

Leg Final

Reconstructed from attached documents & the official record

Document trail
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DPH Ltr 111025
Department of Public Health
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DPH Presentation 121025
Department of Public Health
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BLA Rpt 121025
Budget and Legislative Analyst
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How they voted

Legislative journey

Clerk of the BoardNov 10, 2025
ยทRECEIVED FROM DEPARTMENT
PresidentNov 18, 2025
โ†’RECEIVED AND ASSIGNED
Budget and Finance CommitteeDec 10, 2025
โœ“RECOMMENDEDPass
Board of SupervisorsDec 16, 2025
โœ“ADOPTEDPass
MayorDec 23, 2025
โœ“APPROVED