HomeMy WebLinkAboutAgreement A-17-638-1 with California Department of Public Health.pdfState of Califo rn ia - Healt h and Hu m an Services Age ncy-California Dep artment of Public Healt h
CD PH 1229 A (Rev . 06/20 19)
CALIFORNIA IMMUNIZATION PROGRAM
Awarded By
Agreement No . 17-638-1
THE CALIFORNIA DEPARTMENT OF PUBLIC HEAL TH, hereinafter "Department"
TO
Fresno County Department of Public Health, Immunization Program, hereinafter
"Grantee"
Implementing the project, "To assist local health departments (LHDs) in preventing and
controlling vaccine-preventable diseases (VPDs) in the local health jurisdiction (LHJ),"
hereinafter "Project"
AMENDED GRANT AGREEMENT NUMBER 17-10306, A01
The Department amends this Grant and the Grantee accepts and agrees to use the Grant funds as
follows :
AUTHORITY: The Department has authority to grant funds for the Project under Health and Safety
Code, Section 120325-120380 of the Health & Safety Code, which requires immunizations against
childhood diseases prior to school admittance and Federal Grant number 1 NH23IP922612
PURPOSE FOR AMENDMENT: The purpose of the Grant amendment is to decrease funding in the
amount of ($86 ,283) for FY2019-22 due to federal budgetary constraints. The Centers for Disease
Control and Prevention has provided California with base funding levels , which results in decreased
funding availability for existing local assistance immunization grant agreements . This amendment
decreases this agreement's local assistance immunization budget by ($28 ,761) for each fiscal year of
the remaining agreement term FY2019-22 . The reduction in funding requires a revised Scope of Work ,
which ultimately reflects fewer required activities.
Amendments are shown as : Text additions are d isplayed in bold and underline . Text deletions are
displayed as strike through text (i.e .,~)-
AMENDED GRANT AMOUNT: this amendment is to decrease the grant by $86 ,283 and is amended to
read : $2,310,402 {Two Million Three Hundred Ten Thousand Four Hundred Two Dollars) $2 ,J9e ,e8a (Two
Million Three H1,1ndred Ninety Six Tho1,1sand Six H1,1ndred Eighty ~ive Oollars).
Amends Exhibit A -CDPH Immun ization Branch Scope of Work for Local Health Departments is
hereby replaced in its entirety and shall now read Exhibit A01 , Form 4 , CDPH Immunization Branch
Scope of Work for Local Health Departments .
Amends Exhibit B -Budget and Budget Detail and Payment Prov isions is replaced in its entirety w ith
Exhibit B A01 and Exh ibit B -Budget A01 .
All other terms and conditions of this Grant shall remain the same .
1
State of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229A (Rev. 06/2019)
2
PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant will be:
California Department of Public Health
Grantee: Fresno County Department of Public Health,
Immunization Program
Immunization Branch Name: Noemi Marin, Grant Manager
Name: Ge Vue, Supervising PHN
Address: 850 Marina Bay Pkwy., Bldg. P, 2nd Floor Address: 1221 Fulton Street
City, ZIP: Richmond, CA 94804 City, ZIP: Fresno, CA 93721
Phone: (510) 620-3737 Phone: (559) 600-3475
Fax: (510) 620-3774 Fax: (559) 600-7602
E-mail: Noemi.Marin@cdph.ca.gov E-mail: gevue@co.fresno.ca.us
Direct all inquiries to:
California Department of Public Health,
Immunization Branch
Grantee: Fresno County Department of Public
Health, Immunization Program
Attention: Robina Escalada Attention: Ge Vue, Supervising PHN
Address: 850 Marina Bay Pkwy., Bldg. P, 2nd Floor
Address: 1221 Fulton Street
City, Zip: Richmond, CA 94804 City, Zip: Fresno, CA 93721
Phone: (510) 620-3729 Phone: (559) 600-3475
Fax: (510) 620-3774 Fax: (559) 600-7602
E-mail: Robina.Escalada@cdph.ca.gov E-mail: gevue@co.fresno.ca.us
All payments from CDPH to the Grantee shall be sent to the following address:
Remittance Address
Grantee: County of Fresno
Attention “Cashier”: Bruna Chavez, DPH Business
Manager .
Address: P.O. Box 11867
City, Zip: Fresno, CA 93775
Phone: (559) 600-6415
Fax:
E-mail: dphboap@fresnocountyca.gov
FOR ACCOUNTING USE ONLY
ORG No: 56201657
Fund/Sub: 0001/10000
Account: 4380