HomeMy WebLinkAboutAgreement A-19-122-1 with CHC.pdf- 1 -
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AMENDMENT I TO AGREEMENT
THIS AMENDMENT I (hereinafter “Amendment”), is made and entered into this 9th day
of February, 2021, by and between the COUNTY OF FRESNO, a Political Subdivision of the State of
California, Fresno, California, hereinafter referred to as “COUNTY”, and CALIFORNIA HEALTH
COLLABORATIVE, a California Non-Profit Organization, whose address is 1680 West Shaw Avenue,
Fresno, California, 93711, hereinafter referred to as "CONTRACTOR".
WITNESSETH:
WHEREAS, COUNTY and CONTRACTOR entered into Agreement Number (No.) A-19-122,
dated March 12, 2019, pursuant to which CONTRACTOR agreed to assist and implement small retail
vendors in adopting healthy food service and stocking guidelines and to promote compliance with federal
lactation accommodation laws in targeted worksites within Fresno County; and
WHEREAS, COUNTY and CONTRACTOR revised certain line items in Exhibit C (Budget) to
Agreement No. A-19-122, to reallocate funds between line items in year one’s budget, via a memo dated
July 26, 2019, and revised certain line items in Exhibit C to carry forward unspent monies from year one
to year two’s budget, via a memo dated January 21, 2020 (hereinafter collectively referred to as “Memo
Amendments”); and
WHEREAS, Agreement No. A-19-122, together with the Memo Amendments, will hereinafter
collectively be referred to as “Agreement No. A-19-122” or “the Agreement”; and
WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement per the
Centers for Disease Control and Prevention’s work plan modifications regarding assisting retail venues
to assisting one venue in developing and implementing healthy food service guidelines in one location;
and
WHEREAS, the COUNTY and CONTRACTOR again desire to amend the Agreement to
reallocate the second year’s cost savings due to COVID-19 disruptions and sheltering in place orders
to the third year’s budget and extend the work plan timeline.
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
Agreement No. 19-122-1
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is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
1.That all references in existing COUNTY Agreement No. A-19-122 to “Exhibit A” be
changed to read “Revised Exhibit A”, attached hereto and incorporated herein by reference.
2.That all references in existing COUNTY Agreement No. A-19-122 to “Exhibit B” be
changed to read “Revised Exhibit B”, attached hereto and incorporated herein by reference.
3.That all references in existing COUNTY Agreement No. A-19-122 to “Exhibit C” be
changed to read “Revised Exhibit C”, attached hereto and incorporated herein by reference.
Except as otherwise provided in this First Amendment, all other provisions of the
Agreement remain unchanged and in full force and effect. COUNTY and CONTRACTOR agree that
this Amendment is sufficient to amend the Agreement and, that upon execution of this First
Amendment, the Agreement and this First Amendment together shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
covenants, conditions and promises contained in the Agreement and not amended herein shall remain
in full force and effect. This Amendment I shall be effective retroactive to September 30, 2019.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement as
2 of the day and year first hereinabove written.
3
4 CONTRACTOR:
CALIFORNIA HEALTH COLLABORATIVE
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6 /\A~ (L
7 ~uthorize& Signature)
8 Steven Ram irez , CEO
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(A
Chris Blalock , Finance Mana er
1680 W. Shaw, Fresno , CA 93711
16 Mailing Address :
17 PO Box 25609
Fresno CA 93729
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FOR ACCOUNTNG USE ONLY:
Fund/Subclass : 0001/10000
ORG No .: 56201555
Account No .: 7295
SMA
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Steve Brandau , Chairman of the Board of
Supervisors of the County of Fresno
ATTE
Bernice E. Seidel
Clerk of the Board of Supervisors
County of F.r sno, State of California
By : ~
CDC SPAN Work Plan
REVISED EXHIBIT A
1
CHC Work Plan 12.18.20 FINAL
Overarching Strategy 1: Implement Food Service Guidelines
Outcome Measures:
• Healthy Meeting Policies developed and implemented in up to two State Health Departments and up to 5 Local Health Departments
reaching over 2500 employees statewide
Healthy food service and stocking standards adopted by 1 small retailers in Orange County
Short-Term Outcome Intermediate Outcome
Demonstrated progress on food service guidelines Increased number of places that implement food service guidelines
Strategy 2 Milestone Completion Date
Assist one organization (i.e. Parks and Recreation, AfterSchool Program or
YMCA ) in one location in developing healthy food service guidelines.
Strategies implemented to
increase access to and
availability of healthy
foods and beverages
September 29, 2021
Settings: One Healthy Concession (i.e. Parks and Recreation, Afterschool Program or YMCA) in Fresno County
Partners: CDPH NEOPB staff, LHD staff, CA Department of Social Services, Center for Science in the Public Interest
Activity 1: Identify and collaborate with management team to identify
their goals for their healthy concession program. Share with them a menu
of interventions to support healthy food service guidelines/healthy
concessions, and develop implementation plan accordingly.
December 2020-August
2021
Fresno: Brandi Muro
With assistance from CDPH:
L. Cowling
Activity 2: Evaluation Activity- Identify assessment tool for identified
venue in order to conduct a baseline assessment at pilot location. Conduct
baseline assessment in Year 3.
August 2021-September
2021
Fresno: Brandi Muro
With assistance from CDPH:
J. Pugliese
L. Cowling
Overarching Strategy 2: Implement Interventions Supportive of Breastfeeding
Short-Term Outcome Intermediate Outcome
Demonstrated progress on supportive breastfeeding (BF)
interventions
Increased number of places that implement supportive BF interventions
Outcome Measures:
CDC SPAN Work Plan
REVISED EXHIBIT A
2
CHC Work Plan 12.18.20 FINAL
• Supportive BF interventions adopted and implemented in up to 5 community and government sites
• In targeted counties, increase the number of worksites in compliance with state and federal lactation accommodation laws by up to
5 sites
Strategy 1 Milestone Completion Date
Collaborate with partners to assess the number of sites that
support BF in select counties
Number of State
Departments, LHDs, and
private worksites that
implement BF supports
September 29, 2021
Settings: CA State Departments; LHDs, Community Clinics
Partners: LHDs, FQHCs, WIC, CWA, CBC, MCAH BIH and Home Visiting
Activities Timeline Responsible Party
Activity 1: In collaboration with targeted community clinics, local
SPAN staff will identify which 1-2 steps within the 9 Steps to
Breastfeeding Friendly Community Health Clinics (Guidelines) that
each clinic will implement.
December 2020-
February 2021
Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
Orange: L. Scammahorn
With assistance from:
CDPH: L. Cowling
Activity 2: Local SPAN staff will collaborate with targeted
community health clinics to assist in the implementation of 1-2
steps within the Guidelines. Provide in-person and/or remote
technical assistance, as needed.
February 2021-
September 2021
Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
Orange: L. Scammahorn
With assistance from:
CDPH: L. Cowling
Activity 3: Communication Activity: Collaborate with partners to
draft content for a success story, including challenges / lessons
learned.
August 2021-September 2021 Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
CDC SPAN Work Plan
REVISED EXHIBIT A
3
CHC Work Plan 12.18.20 FINAL
Orange: M. Son
With assistance from:
CDPH: L. Cowling
Activity 4: Evaluation Activity: Assess the number of targeted
community health clinics that have implemented steps with
Guidelines and the number of individuals reached through the
implementation of the Guidelines.
August 2021-September 2021 Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
Orange: M. Son
With assistance from CDPH:
L. Cowling
J. Pugliese
Strategy 2 Milestone Completion Date
Promote compliance with federal lactation accommodation laws
in targeted worksites
Promotion of compliance
with federal lactation
accommodation laws in
targeted worksites
September 29, 2021
Settings: LHDs
Partners: WIC, CWA, CA BF Coalition, CA SNAP-Ed
Activities Timeline Responsible Party
Activity 1: Local SPAN staff will collaborate with leadership within
their respective organizations to review and improve, as needed,
lactation accommodations and policy(ies) in place and current
with existing federal and/or state laws.
December 2020-February
2021
Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
Orange: L. Scammahorn
With assistance from:
CDPH: L. Cowling
CDC SPAN Work Plan
REVISED EXHIBIT A
4
CHC Work Plan 12.18.20 FINAL
Activity 2: Local SPAN staff will collaborate with leadership
within their respective organizations to formally adopt a lactation
accommodation policy reflecting current federal and/or state law.
CDPH SPAN staff will provide examples of lactation
accommodation policies and technical assistance.
February 2021-May 2021
Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
Orange: L. Scammahorn
With assistance from:
CDPH: L. Cowling
Activity 3: Communication Activity: Local SPAN staff will work
with their respective leadership teams to publicize on at least 2 or
more occasions the lactation accommodation policy via
newsletter, staff meetings, new employee orientation, and/or
supervisor/manager trainings. CDPH staff will provide assistance
in developing talking points for trainings, orientations and/or
newsletters.
June 2021-
August 2021
Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
Orange: L. Scammahorn
With assistance from:
CDPH: L. Cowling
Activity 4: Evaluation Activity: Using the tools developed in Year
1, collect assessments of BF knowledge/intent and compliance
with Federal Lactation Accommodation Law, and the number of
employees reached at targeted worksites.
August 2021-September 2021 CDPH:
I Cordon
L. Cowling
With assistance from:
Sacramento: Y. Rodriquez
Fresno: Subcontractor A: CHC-B. Muro
Chico: N/A
Contra Costa: L. Gomez
Orange: M. Son
REVISED EXHIBIT B
1
SPAN Five Year Work Plan
Revised Work Plan - Year One & Two
Overarching Strategy 1: Implement Food Service Guidelines
Strategy 1: Develop Healthy Meeting policy for state and local government agencies.
• Each LHD is required to work towards the development of one Healthy Meeting
policy during Year 1 and 2.
Strategy 2: Assist small retail vendors in adopting healthy food service guidelines in select
counties.
• Each LHD is required to work with two small retail vendors to assist in the adoption of
healthy food service guidelines during Year 1 and 2.
Overarching Strategy 2: Implement Interventions Supportive of Breastfeeding
Strategy 1: Collaborate with partners to assess the number of sites that support
Breastfeeding in select counties.
• Each LHD is required to collaborate with two partners to assess the number of sites
that support Breastfeeding in select counties. Partners include community health
clinics (i.e. FQHC's), WIC clinics and LHDs in Year 1 and 2.
Strategy 2: Promote Compliance with Federal Lactation Accommodation laws in targeted
(low income) worksites.
• Each LHD is required to promote compliance with federal lactation accommodation
laws in two targeted worksites in Year 1 and 2.
Overarching Strategy 3(&5Combined): Implement & Integrate Nutrition and Physical
Activity (PA) Standards into Statewide Early Care and Education (ECE) Systems
Strategy 1: Collaborate with partners to assess the number of ECEs that implement nutrition
and PA standards in select counties.
• Each LHD is required to collaborate with one partner to assess the number of ECEs
that implement nutrition and PA standards in select counties in Year 1 and 2.
REVISED EXHIBIT B
2
Strategy 2: Work with the CA Child Care R&R Network and CCFP Roundtable to improve
PA and nutrition content in professional development trainings.
• Each LHD is required to work with one partner to assess PA and nutrition training
needs and interests in Year 1 and 2.
Strategy 3: Provide Nutrition and PA technical assistance to up to five ECE county R&R
organizations, and up to six individual ECE sites to increase ECE adoption and practice of
PA and nutrition standards.
• Each LHD is required to work with one ECE county R&R organization, and two
individual ECE sites to increase ECE adoption and practice of PA and nutrition
standards.
Overarching Strategy 4: Establish New or Improved Pedestrian, Bicycle, and Transit
Transportation Systems.
Strategy 1: Increase community PA by supporting LHD involvement in the development,
revision or implementation of pedestrian, bicycle, or transportation plans and/or updating a
city or county-wide general plan's transportation or health element or promoting local policy
or infrastructure solutions.
• Each LHD is required to work towards the development, revision, or implementation
of either pedestrian, bicycle or transportation plan or the updating of a city or county-
wide general plan’s transportation or health element or promoting local policy or
infrastructure solutions.
Strategy 2: Increase community PA through training and TA to LHDs to support the
development of successful applications for the CA Department of Transportation's Active
Transportation Program (ATP).
• Each LHD is required to participate in one statewide webinar demonstrating the types
of transportation projects and activities funded through the ATP.
• Each LHD is required to assist in one evaluation survey assessing changes in
knowledge and confidence in participating in planning processes among involved
LHD staff.
Strategy 3: Support select LHDs to conduct SRTS program activities including promotion
Walking School Buses, Bicycle Trains, signage and wayfinding to promote family and
community PA.
REVISED EXHIBIT B
3
• Each LHD is required to participate in the dissemination of Walking School Bus and
Bicycle Train Tool kits and infographics to a minimum of two school districts.
• Each LHD is required to participate in one statewide webinar on an emerging SRTS
implementation, program or policy strategy.
• Each LHD is required to provide technical assistance in the piloting of one community
participatory walkability audit and subsequent action planning.
Strategy 4: Collaborate with state-level partners in transportation and planning to include
obesity, chronic disease prevention, and health equity in transportation policy and
programming.
• Each LHD is required to identify at least one way to enhance collaboration with
Caltrans- which may include but not be limited to participating in Caltrans' AT efforts
through either their newly created Walk/Bike Technical Advisory Committee or
through the existing Active Transportation for Livable Communities committee
(ATLC).
REVISED Work Plan Year Three - Five
Overarching Strategy 1: Implement Food Service Guidelines
Strategy 1: Develop Healthy Meeting policy for state and local government agencies.
• Each LHD is required to work towards the development, adoption and
implementation of a Healthy Meeting policy.
Strategy 2: Assist one organization (i.e. Parks and Recreation, After School Program or
YMCA) in one location in developing and adopting healthy food service guidelines.
Overarching Strategy 2: Implement Interventions Supportive of Breastfeeding
Strategy 1: Collaborate with partners (LHD and private worksites) to assess the number of
sites that support BF in Fresno county.
• Each LHD is required to collaborate with two partners to assess the number of sites
that support BF. Partners include community health clinics (i.e. FQHC's), WIC clinics
and LHDs.
REVISED EXHIBIT B
4
Strategy 2: Promote compliance with federal lactation accommodation laws in targeted (low
income) worksites (i.e. WIC, CWA, CA BF Coalition, CA SNAP-Ed).
• Each LHD is required to promote compliance with federal lactation accommodation
laws in two targeted worksites each year.
Overarching Strategy 3: Implement & Integrate Nutrition and Physical Activity
Standards into Statewide Early Care and Education (ECE)
Systems
Strategy 1: Collaborate with partners to assess the number of ECEs that implement nutrition
and PA standards in Fresno county.
• Each LHD is required to collaborate with one partner to assess the number of ECEs
that implement nutrition and PA standards in Fresno county.
Strategy 2: Work with the CA Child Care R&R Network and CCFP Roundtable to improve
evidence-based PA and nutrition content in professional development trainings.
• Each LHD is required to work with one partner to assess PA and nutrition training
needs and interests.
Strategy 3: Provide Nutrition and PA technical assistance to up to five ECE’s, county R&R
organization, and up to six individual ECE sites to increase ECE adoption and practice of
PA and nutrition standards.
• Each LHD is required to work with one ECE county R&R organization, and two
individual ECE sites to increase ECE adoption and practice of at least two new PA
practices and added nutrition content in ECE training plans each year.
Overarching Strategy 4: Establish New or Improved Pedestrian, Bicycle, and Transit
Transportation Systems.
Strategy 1: Increase community PA by supporting LHD involvement in the development,
revision, or implementation of pedestrian, bicycle, or transportation plans and/or updating a
city or county-wide general plan’s transportation or health element or promoting local policy
or infrastructure solutions.
• Each LHD is required to work towards to participate in the transportation/general plan
update process and/or committee.
REVISED EXHIBIT B
5
Strategy 2: Increase community PA through training and TA to LHDs to support the
development of successful applications for the CA Department of Transportation's Active
Transportation Program (ATP).
• The LHD is required to collaborate with the CDPH team to expand their outreach for
the ATP, specifically through a gap analysis of ATP-funded school districts.
Strategy 3: Support select LHDs to conduct SRTS program activities including promotion of
Walking School Buses, Bicycle Trains, signage and wayfinding to promote family and
community PA.
• Each LHD is required to conduct and implement SRTS activities.
Strategy 4: Collaborate across CDPH and with state-level partners in transportation and
planning to include obesity, chronic disease prevention, and health equity in active
transportation policy and programming.
• Each LHD is required to support CDPH to collect process measures locally including
the number of meetings attended, and the number of new partners and/or
collaboratives engaged with, using activity tracking logs aiming to identify the number
of destinations that are linked and targeted by improvements, and the number of
proposed, planned, and actual linear miles completed.
REVISED EXHIBIT C
Total Costs
A Salaries and Wages 3/12/2019-9/29/2019 9/30/2019-9/29/2020 9/30/2020-9/29/2021 9/30/2021-9/29/2022 9/30/2022-9/29/2023
Position Title
SOW
Reference
Annual
Salary FTE Actuals FTE Actuals FTE Budget FTE Budget FTE Budget
Program Director All 82,400.00 0.03 1,095.88 0.03 2,826.32 0.03 2,766.70 0.03 2,472.00 0.03 2,472.00 11,632.90
Program Coordinator All 46,350.00 0.20 4,352.79 0.20 9,765.34 0.20 9,057.87 0.10 4,635.00 0.10 4,635.00 32,446.00
Program Coordinator All 46,350.00 0.10 0.00 0.00 0.00 0.10 4,635.00 0.10 4,635.00 9,270.00
Total Salaries and Wages 5,448.67 12,591.66 11,824.57 11,742.00 11,742.00 53,348.90
B Fringe Benefits
Benefit
Rate Budget
Benefit
Rate Budget
Benefit
Rate Budget
Benefit
Rate Budget
Benefit
Rate Budget
0.30 1,560.55 0.30 3115.92 0.30 3,547.37 0.30 3,522.60 0.30 3,522.60 15,269.04
Total Personnel 7,009.22 15,707.58 15,371.94 15,264.60 15,264.60 68,617.94
D Equipment
SOW
Reference Budget Budget Budget Budget Budget
N/A
Total Equipment 0.00 0.00 0.00 0.00 0.00
E Supplies
SOW
Reference Budget Budget Budget Budget Budget
Office supplies such as paper, pens, ink, binders,
folders, etc.All 3.10 8.44 888.46 300.00 300.00 1,500.00
Total Supplies 3.10 8.44 888.46 300.00 300.00 1,500.00
F Travel
SOW
Reference Budget Budget Budget Budget Budget
Mileage to travel to retail sites, worksites, and
meeting locations All 525.16 214.66 1,434.23 700.00 700.00
Total Travel 525.16 214.66 1,434.23 700.00 700.00 3,574.05
G Other
SOW
Reference Budget Budget Budget Budget BudgetCommunication (Telephone, Internet,etc.) $190 x
0 23FTE x 12 Months
All 155.33 500.88 915.79 524.00 524.00 2,620.00
Rent (Yr 1:$282 x 0.23FTE x 12 months)All 666.84 767.62 899.54 778.00 778.00 3,890.00
Printing of materials, signage and posters All 59.25 2,340.75 700.00 700.00 3,800.00Meetings/Trainings - meeting materials, location
fees etc
OS2/Strat1
/Act4 0.00 900.00 300.00 300.00 1,500.00
Enhancements
/
/Act1 and 2,669.52 3,231.11 14,330.57 6,375.14 6,375.14 32,981.48
Total Other 3,491.69 4,558.86 19,386.65 8,677.14 8,677.14 44,791.48
Total Direct Costs 11,029.17 20,489.54 37,081.28 24,941.74 24,941.74 118,483.47
H Total Indirect Costs
ICR
Rate Budget
ICR
Rate Budget
ICR
Rate Budget
ICR
Rate Budget
ICR
Rate Budget
Calculated at 15% of total direct costs 0.15 1,654.38 0.15 3,073.43 0.15 5,562.19 0.15 3,741.26 0.15 3,741.26 17,772.52
Total Annual Budget 12,683.55 23,562.97 42,643.47 28,683.00 28,683.00 136,255.99
Year (5)California Health Collaborative Year (1)Year (2)Year (3)Year (4)