301 West Market Street  
Greensboro, NC 27402  
Guilford County  
Addendum Agenda - Final  
Board of Commissioners  
Thursday, April 16, 2026  
5:30 PM  
Second Floor, Old County Courthouse  
ADDENDUM  
ADD TO CONSENT AGENDA  
VI. CONSENT AGENDA  
B. CONTRACTS  
3.  
HHS-PUBLIC HEALTH TRU-MED ACCU-VAX MACHINE LEASE  
RENEWAL  
Background:  
Guilford County is recognized as a leader in the state for excellence  
in vaccine coordination, storage, and handling. To maintain these  
high standards and ensure continued compliance with best practices,  
the County utilizes the Accuvax vaccine monitoring and inventory  
management system. This agenda item requests the approval of an  
agreement for a five (5) year lease for the total cost of $309,300, with  
the first year of funding total $62,100. Year 2 through 5 will be  
$61,800 annually, this contract will be covered with Medicaid Cost  
Settlement and no additional county funds are required.  
Accuvax provides precise, continuous temperature monitoring to  
safeguard vaccine integrity. The system automatically alerts  
designated emergency vaccine coordinators in the event of  
temperature fluctuations or power outages, allowing for immediate  
response and minimizing the risk of vaccine loss. In addition to  
environmental monitoring, Accuvax supports safe dispensing by  
helping ensure the correct vaccine is selected for each client and  
offers real-time inventory management capabilities.  
The Accuvax system has replaced the County’s previous  
alarm-based monitoring service, providing a more comprehensive,  
technology-driven solution that enhances both storage oversight and  
administration safety. Its use aligns with industry best practices for  
vaccine management and quality assurance. The equipment is leased,  
with all maintenance, servicing, and replacement provided by the  
vendor. This leasing model ensures the County maintains access to  
updated technology and can transition from outdated equipment as  
advancements become available, without incurring significant capital  
replacement costs.  
Public Health currently stocks 48 different vaccines some private  
stock purchased with county dollars and some state supplied.  
Typically we stock approximately $700,000 of vaccine on hand at  
any given time.  
In 2023 Public Health provided 12,151 vaccine doses, in 2024  
11,784 vaccine doses and in 2025 11,299 vaccine doses.  
Requested Action:  
Approval of Tru-Med five (5) year lease agreement in the amount of  
$309,300 with the effective date for January 1, 2026 thru December  
31, 2030.  
Budget Impact:  
Sponsors:  
NO ADDITIONAL COUNTY FUNDS REQUIRED  
Courtney McFadden  
Attachments:  
C. MISCELLANEOUS  
ADD TO NEW BUSINESS  
VII. NEW BUSINESS  
C.  
RESOLUTION OF THE GUILFORD COUNTY BOARD OF  
COMMISSIONERS OPPOSING MODIFICATIONS TO COUNTY  
PROPERTY TAX AUTHORITY  
Requested Action:  
Adopt resolution joining Guilford County's voice with the North  
Carolina Association of Counties in opposing modifications to  
county property tax authority.  
Sponsors:  
Chairman Melvin "Skip" Alston