The URL can be used to link to this page

Home My WebLink AboutP-21-109 Amendment 1.pdfCONTRACT INFORMATION SHEET DATE: September 15, 2021 Contract No.: P-21-109 Vendor Number: 0000006110 Contract Title: COVID Vaccinations for Name/Address: 2911 E. Tulare Street Homebound Fresno Fresno, CA 93721 County Residents Contract Period: 4/12/21 – 4/11/2022 Contact: Steve Melander Using Agencies: Dept of Public Health 559-443-5985 Email: smelander@americanambulance.com Terms: Net 45 Total Contract Amt.: $60,000.00 Buyer Name: Heather Stevens Requisition No: 562200177 Org: 56201018 Supersedes: X NEW RENEWAL AMENDMENT TICK DATE REFERENCE (RFQ# / RFP#) DESCRIPTION: Provide COVID vaccinations to homebound County residents at their place of residence. 9/2021: Amend 1 to revise attachment A. No change to terms of agreement. SPECIAL INSTRUCTIONS: One year contract DISTRIBUTION: Completed By: Date: Completed By: Date DEPARTMENT: DPH REQUISITIONER: Naomi Wooten Darrel Schmidt Rev 1/3/2017 County of Fresno INTERNAL SERVICES DEPARTMENT ROBERT BASH, DIRECTOR CIO 333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110 * The County of Fresno is an Equal Employment Opportunity Employer * AMENDMENT NUMBER ONE (1) Agreement Number: P-21-109 August 20, 2021 KWPH Enterprises, Inc., dba American Ambulance 2911 E. Tulare Street Fresno, CA 93721 Contract Number P-21-109 covering COVID vaccinations to homebound County of Fresno residents is amended as follows: Delete Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as provided in this section. A. Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted (for example by PDF document) of a handwritten signature. B. Each electronic signature affixed or attached to this Agreement (1) is deemed equivalent to a valid original handwritten signature of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as the valid original handwritten signature of that person. C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). D. Each party using a digital signature represents that it has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely upon that representation. This Agreement is not conditioned upon the parties conducting the transactions under it by electronic means and either party may sign this Agreement with an original handwritten signature. CONTRACT NO. P-21-109 Page 2 KWPH Enterprises, Inc., dba American Ambulance August 20, 2021 G:\PUBLIC\CONTRACTS & EXTRACTS\2021 CONTRACTS\P-21-109 KWPH\P-21-109 AMEND 1.DOCX Please acknowledge your acceptance by returning all pages of this letter to my office via email. If you have any questions, please contact Heather Stevens, Purchasing Technician, at (559) 600-7115 or email heastevens@fresnocountyca.gov. FOR THE COUNTY OF FRESNO Gary E. Cornuelle Purchasing Manager 333 W. Pontiac Way Clovis, CA 93612 GEC:HS G:\PUBLIC\CONTRACTS & EXTRACTS\2021 CONTRACTS\P-21-109 KWPH\P-21-109 AMEND 1.DOCX CONTRACT NO. P-21-1 09 KWPH Enterprises, Inc., dba American Ambulance August 20, 2021 CONTRACTOR TO COMPLETE: Company: /(. VJ.?. \~. I~A 1trpr: ~e> Type of Entity: 0 Indiv idual 0 Sole Proprietorship Ja Corporation Signature D Limited Liability Company 0 Limited Liability Partnership 0 General Partnership ;;;...//c ~. -r~ <:.,r-.$o...-.. ,/cAo ~~~I CouV~-.>0( 9-fJ~2l Print Name and Title Date Signature Print Name and Title at~ r I Page 3 C!l: 1f7 z.t Address State Zip Ctt0 'i ~.,!? ~.r:$L TELEPHONE NUMBER ACCOUNTING USE ONLY ORG No.: 56201018 Account No.: 7295 Requisition No.: 5622200177 (2/202 1) G:\PUBLIC\CONTRACTS & EXTRACTS\2021 CONTRACTS\P-21-109 KWPH \P-21 -109 AMEND 1.DOC X CONTRACT NO. P-21-109 Page 4 KWPH Enterprises, Inc., dba American Ambulance August 20, 2021 G:\PUBLIC\CONTRACTS & EXTRACTS\2021 CONTRACTS\P-21-109 KWPH\P-21-109 AMEND 1.DOCX HOMEBOUND RESIDENT COVID-19 VACCINATION PROVIDER SCOPE OF WORK The County of Fresno (County) Department of Public Health (DPH) is in need of temporary vendors to provide on-call COVID vaccine administration teams available to provide vaccinations to homebound Fresno County residents at their place of residence. Licensed and unlicensed medical staff (may include including Registered Nurses, Licensed Vocational Nurses, Paramedics, Emergency Medical Technicians, or other CDPH approved vaccinators with valid licensure and/or certification in the State of California) and clerical staff will be needed to provide vaccinations and documentation through the appropriate State system (e.g. MY Turn, PrepMod or Interface from allowed electronic medical record) to County residents. The County will provide the vendor with contact and location information for homebound residents requiring vaccination. In order to avoid potential waste of vaccine doses, the vendor may also be directed to vaccinate other household residents and/or caregivers at the same location and time. Lead time to notify vendor of homebound clients needing vaccination will generally be a minimum of 48 hours, but County will attempt to provide longer notice. Scheduling vaccinations: May be any day of the week, including weekends and evenings. Homebound residents requiring vaccinations may be located anywhere in Fresno County. Vendor will be required to contact and schedule vaccination appointments for clients provided by County. However, at its discretion, County may schedule client appointments for specific days/times prior to providing client information to vendor. Patients served will be dependent on which vaccine is being administered at the event. The Pfizer vaccine is authorized for use in individuals 12 years of age and older. The Moderna and Janssen vaccines are authorized for use in individuals 18 years of age and older. See EUAs issued for each vaccine: o Pfizer EUA: https://www.fda.gov/media/144412/download o Moderna EUA: https://www.fda.gov/media/144637/download. o Janssen EUA: Janssen COVID-19 Vaccine EUA Fact Sheet for Recipients and Caregivers (fda.gov) o Other vaccine requirements may vary. Vendor will be required to adhere to EUA for specific vaccines as additional vaccines are approved by the Food and Drug Administration (FDA). homebound residents. Arrangements for both doses shall be made at the same time. Timing of the second dose will depend on the recommended second dose frequency: Pfizer is currently 21 days and Moderna is one month (see respective EUAs linked above and CDC clinical considerations linked here: https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical- considerations.html ). Janssen vaccine is one dose only. Vendor should always check for CDC and/or vaccine manufacturer updates to these requirements prior to each event. When applicable, the requirement to provide a second dose, and its timing, are subject to change depending on vaccine availability at the time of the second event and changes in recommended second dose administration timing. Any extra ancillary supplies not provided by County must be supplied by vendor. CONTRACT NO. P-21-109 Page 5 KWPH Enterprises, Inc., dba American Ambulance August 20, 2021 G:\PUBLIC\CONTRACTS & EXTRACTS\2021 CONTRACTS\P-21-109 KWPH\P-21-109 AMEND 1.DOCX The County will provide the following: When providing client names to vendor, County will make an effort to identify enough homebound residents and other unvaccinated household members/caregivers in a single residence and/or additional clients located within the same general geographic area so that the number of clients is equal to the number of doses per vial of vaccine being used. At its discretion, the County may schedule vaccination appointments for specific days/times prior to providing client information to the vendor. The following ancillary supplies with each dose scheduled to be administered: o 1 needle o 1 syringe o 2 alcohol prep pads o 1 vaccination card The vendor will be responsible for the following: County prefers vendors to enroll as a Provider in the federal COVID-19 Vaccination Program, adhere to all requirements specified in the Provider agreement. If provider is not currently an approved California COVID vaccine provider then provider must adhere to all COVID vaccine handling and reporting requirements established by the State of California. Vendor shall administer the vaccine and enter all vaccinations into the appropriate State system within 24 hours of administration. Vendor is to provide all office supplies, ancillary medical supplies not included with vaccine, and any other supplies needed. Vaccine will be transferred according to CDC or VFC recommendations, such as noted in the https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html Return unused/unopened vaccines to DPH the day of the event, or the day following, as directed by DPH when scheduling each event. (To be determined prior to each event.) Document and notify DPH of any wasted vaccine doses. Staff in charge of storage and handling, will complete the 7 EZIZ training modules at the following website: https://eziz.org/eziz-training/ and any other required trainings to comply with current recommendations and requirements for management, and storage for COVID-19 vaccines. Per federal regulations, vendor is required to provide the appropriate EUA document to all vaccine recipients: o Pfizer: https://www.fda.gov/media/144414/download o Moderna: https://www.fda.gov/media/144638/download o Janssen: Janssen COVID-19 Vaccine EUA Fact Sheet for Recipients and Caregivers (fda.gov) COVID-19 vaccination providers are required to report the following adverse events after COVID- 19 vaccination, and other adverse events if later revised by CDC, to VAERS: https://vaers.hhs.gov/reportevent.html or calling 1-800-822-7967. o Vaccination administration errors, whether or not associated with an adverse event o Severe COVID-19 illness (e.g., resulting in hospitalization) o Serious adverse events (AE) regardless of causality. Serious AEs are defined as: Death CONTRACT NO. P-21-109 Page 6 KWPH Enterprises, Inc., dba American Ambulance August 20, 2021 G:\PUBLIC\CONTRACTS & EXTRACTS\2021 CONTRACTS\P-21-109 KWPH\P-21-109 AMEND 1.DOCX A life-threatening AE Inpatient hospitalization or prolongation of existing hospitalization Persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions A congenital anomaly/birth defect Multisystem Inflammatory Syndrome o Important medical events that may not result in death, be life-threatening, or require hospitalization may be considered serious when, based upon appropriate medical judgment, they may jeopardize the patient and may require medical or surgical intervention to prevent one of the outcomes listed above Also report any additional select adverse events and/or any revised safety reporting requirements ne(s) throughout the duration of any COVID-19 Vaccine being authorized under an Emergency Use Authorization (EUA). Vendor must make provision for patients with a history of anaphylaxis (due to any cause) to remain for observation for 30 minutes. For all other persons, observation period is 15 minutes. In the event of anaphylactic reaction, vendor must have appropriate emergency equipment at the location of the vaccination site to manage anaphylaxis resulting from vaccination. See CDC recommended equipment linked here: https://www.cdc.gov/vaccines/covid-19/info-by- product/pfizer/anaphylaxis-management.html. Equipment supply should be sufficient to manage multiple patients experiencing anaphylaxis. Cold Storage Survey (please check as appropriate): We have an ultra-low temperature freezer (temperature capability is -80°C to -60°C/-112°F to - 76°F). Freezer make/model and cubic feet: ____________________ We have freezer storage capability (-25°C to -15°C/-13°F to 5°F). Freezer make/model and cubic feet: ____________________ We have refrigerator storage capability (2°C to 8°C/36°F-40°F). Refrigerator make/model and cubic feet: ____________________ *Current calibration certification will be required for freezers/refrigerators. X We will pick up and return the vaccine the same day to the County and will make arrangements with County staff on pick up and drop off times. We have qualified container and packout for transport and digital data logger for continuous temperature monitoring during transport. X We do not have qualified container and packout for transport and digital data logger for continuous monitoring during transport and will need to borrow from the Department of Public Health. specifically designed for use when packing vaccines for transport. They are passive containers that do not require a power so (https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/storage-handling-toolkit.pdf ) An example of a qualified container is linked here: https://www.vericormed.com/product/cooler-cool-cube-08-vaccine- transport-cooler-at-refrigerated-temperatures-fresh-vaccine-vt-08/ CONTRACT NO. P-21-109 Page 7 KWPH Enterprises, Inc., dba American Ambulance August 20, 2021 G:\PUBLIC\CONTRACTS & EXTRACTS\2021 CONTRACTS\P-21-109 KWPH\P-21-109 AMEND 1.DOCX Billing and Compensation Compensation will be based on the below schedule. Additionally, Medi-Cal, or submit for Federal reimbursement for uninsured patients through the Health Resources and -19 vaccine administration costs and COVID-19 testing costs. (See link for vaccination reimbursement: https://coviduninsuredclaim.linkhealth.com/get-started.html) Invoices will reflect the following rates: Paramedic: $72.45 per hour Emergency Medical Technician: $42.00 per hour Vehicle: $31.00 per hour Necessary PPE and other emergency medical supplies will be provided at no additional cost. Federal Funding Requirements Requested services will be fully or partially funded by federal funds. Vendors shall be required to adhere Work. Vendor shall submit invoices to: County of Fresno Department of Public Health 1221 Fresno Street, 6th fl. (Business Office) Fresno, CA 93721 DPHBOAP@fresnocountyca.gov KEY RESOURCES CDC's Storage and Handling Toolkit CDC's COVID-19 Vaccination Information Page Phase Guidance: o CDC's Phase 1A Powerpoint o Interim ACIP Guidance o Early NASEM Phase Guidance