HomeMy WebLinkAboutAgreement A-18-047-1 with CDPH.pdfState of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229A (Rev. 06/2019)
1
CALIFORNIA ORAL HEALTH PROGRAM
Local Oral Health Plan
Aw arded By
THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter “Department”
TO
County of Fresno County Department of Public Health, hereinafter “Grantee”
Implementing the project, Fresno County Local Oral Health Program,” hereinafter “Project”
AMENDED GRANT AG REEMENT NUMBER 17-10690, 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 104750 and 131085(a).
PURPOSE FOR AMENDMENT: The purpose of this amendment to revise Exhibit B, 4, A. Amounts
Payable, to include a lump sum total. In addition, Exhibit B is hereby replaced in its entirety with Exhibit
B, A01. This amendment will also change the name of the grantee from “ Fresno County Department of
Public Health” to “County of Fresno” to align and standardize grantee’s name with the new FI$Cal
accounting system.
Amendments are shown as: Text additions are displayed in bold and underline. Text deletions are
displayed as strike through text (i.e., Strike).
Exhibit B BUDGET DETAIL AND PAYMENT PROVISIONS is hereby replaced with Exhibit B, A01
in its entirety.
PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant will be: California Department of Public Health Grantee: County of Fresno County Department
of Public Health
Name: Angela Wright Kimberly Steele, Grant
Manager
Name: David Luchini, Assistant Director
Address: MS 7218, 1616 Capitol Avenue, Suite
74.420
Address: 1221 Fulton Mall
City, ZIP: Sacramento, CA 95814 City, Zip: Fresno, CA 93721
Phone: (916) 552-9898 445-8012 Phone: 559-600-6402
Fax: (916) 552-9729 636-6678 Fax: 559-600-7687
E-mail:
Angela.WrightKimberly.Steele@cdph.ca.gov
E-mail: dluchini@co.fresno.ca.us
fresnocountyca.gov
Agreement No. 18-047-1
State of Ca lifornia - Hea lth an d Human Services Agency-Californ ia Department of Publ ic Health
CDPH 1229A (Rev . 06/2019)
Direct all inquiries to :
California Department of Public Health, Oral Grantee : County of Fresno County Department
Health Program 1-~ n. ,L.1:-LI--l•L. ,_ -. , __ , __
Attention : AA§ela , WFi§Rt Kimberly Steele Name: David Luchini , Assistant Director
~ddress: MS 7218 , 1616 Capitol Avenue , Suite ~ddress: 1221 Fulton Mall [74.420
City , Zip : Sacramento, CA 95814 City , Zip : Fresno , CA 93721
Phone : (916) aa2 9898 445-8012 Phone : 559-600-6402
Fax: (916) aa2 9729 636-6678 Fax: 559-600-7687
E-mail : E-mail : dluchini@ee.fF86A9 .G8.l::l6
1".:-"'.;-'".'./\'-';~!Kimberly.Steele@cdph .ca .gov 'resnocountvca.aov
All payments from CDPH to the Grantee: shall be sent to the following address:
Grantee: Countv of Fresno
Attention: Bruna Chavez
Address: P.O. Box 11867
Citv. Zio: Fresno CA 93775
Phone: (559) 600-6415
Fax: Not Annlicable
E-mail: dohboao@fresnocountvca.ciov
Either party may make changes to the information above by giving a written notice to the other
party. Said changes shall not require an amendment to the agreement, but the Grantee will be
required to submit a completed CDPH 9083 Governmental Entity Taxpayer ID Form or STD 204
Payee Data Record Form which can be requested through the CDPH Project Representatives
for processing.
All other terms and conditions of this Grant shall remain the same .
IN WITNESS THEREOF , the parties have executed this Grant on the dates set forth below.
Executed By :
Date:
ATTEST:
BERNICE E. SEIDEL
Clerk of the Board of Superv isors
County f Fresno1 St e of Ca lifornia
By__:::._.,i....:~"-,1!\o-~-+c"l"'--
Deputy
Sal Ql::liAtem Nathan Magsig, Chairman
Board of Supervisors
Hall of Records
2281 Tulare Street , #300
Fresno, CA 93721
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County of Fresno
Grant # 17-10690 A01
Exhibit B
Budget Detail and Payment Provisions
Page 1 of 2
1. Invoicing and Payment
A. Upon completion of project activies as provided in Exhibit A Grant Application, and upon
receipt and approval of the invoices, the State agrees to reimburse the Grantee for activities
performed and expenditures incurred in accordance with the costs specified herein.
B. Invoices shall include the Grant Number and shall be submitted not more frequently than
monthly in arrears to:
Angela Wright Kimberly Steele
California Department of Public Health
Office of Oral Health Program
MS 7208 7218
1616 Capitol Avenue, Suite 74.420
P.O. Box 997377, Sacramento, CA 95899-7377
C. Invoices shall:
1) Be prepared on Grantee letterhead. If invoices are not on produced letterhead invoices
must be signed by an authorized official, employee or agent certifying that the
expenditures claimed represent activities performed and are in accordance with Exhibit A
Grant Application under this Grant.
2) Bear the Grantee’s name as shown on the Grant.
3) Identify the billing and/or performance period covered by the invoice.
4) Itemize costs for the billing period in the same or greater level of detail as indicated in this
Grant. Subject to the terms of this Grant, reimbursement may only be sought for those
costs and/or cost categories expressly identified as allowable and approved by CDPH.
2. Budget Contingency Clause
A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years
covered under this Agreement does not appropriate sufficient funds for the program, this
Agreement shall be of no further force and effect. In this event, the State shall have no
liability to pay any funds whatsoever to Grantee or to furnish any other considerations under
this Agreement and Grantee shall not be obligated to fulfill any provisions of this Agreement.
B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this
program, the State shall have the option to either cancel this Agreement with no liability
occurring to the State, or offer an agreement amendment to Grantee to reflect the reduced
amount.
3. Prompt Payment Clause
Payment will be made in accordance with, and within the time specified in, Government Code
Chapter 4.5, commencing with Section 927.
County of Fresno
Grant # 17-10690 A01
Exhibit B
Budget Detail and Payment Provisions
Page 2 of 2
4. Amounts Payable
A. The amounts payable under this Grant shall not exceed: $2,644,280
1) $528,856 for the budget period of 01/01/2018 through 06/30/2018.
2) $528,856 for the budget period of 07/01/2018 through 06/30/2019.
3) $528,856 for the budget period of 07/01/2019 through 06/30/2020.
4) $528,856 for the budget period of 07/01/2020 through 06/30/2021.
5) $528,856 for the budget period of 07/01/2021 through 06/30/2022.
B. Payment allocations shall be made for allowable expenses up to the amount annually
encumbered commensurate with the state fiscal year in which services are fulfilled and/or
goods are received.
5. Timely Submission of Final Invoice
A. A final undisputed invoice shall be submitted for payment no more than ninety (90) calendar
days following the expiration or termination date of this Grant, unless a later or alternate
deadline is agreed to in writing by the program grant manager. Said invoice should be clearly
marked “Final Invoice”, indicating that all payment obligations of the State under this Grant
have ceased and that no further payments are due or outstanding.
B. The State may, at its discretion, choose not to honor any delinquent final invoice if the
Grantee fails to obtain prior written State approval of an alternate final invoice submission
deadline.
6. Travel and Per Diem Reimbursement
Any reimbursement for necessary travel and per diem shall be at the rates currently in effect as
established by the California Department of Human Resources (CalHR).