HomeMy WebLinkAboutAgreement A-21-400 with CDPH (2).pdfState of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229A (Rev. 09/2019)
1
CALIFORNIA ORAL HEALTH PROGRAM
Local Oral Health Plan
Awarded By
THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter “Department”
TO
County of Fresno, hereinafter “Grantee”
Implementing the project, Fresno County Local Oral Health Program, hereinafter “Project”
AMENDED GRANT AGREEMENT NUMBER 17-10690, A02
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.
PURPOSE FOR AMENDMENT: The purpose of the Grant amendment is to:
Increase the Grant amount with County of Fresno by $98,647.00 to reimburse the grantee accordingly to enhance
current activities being performed that support in school-linked dental programs.
Amendments are shown as: Text additions are displayed in bold and underline. Text deletions are displayed
as strike through text (i.e., Strike).
AMENDED GRANT AMOUNT: this amendment is to increase the grant by $98,647.00 and is amended to
read: $2,644,280 (Two Million, Six Hundred Forty Four Thousand, Two Hundred Eighty Dollars) $2,742,927.00
(Two Million, Seven Hundred Forty Two Thousand, Nine Hundred Twenty Seven Dollars)
Exhibit B, BUDGET DETAIL AND PAYMENT PROVISIONS is hereby replaced in its entirety with Exhibit B,
Budget Detail and Payment Provisions, A02.
PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant will be:
California Department of Public Health Grantee: County of Fresno
Name: Kimberly Steele, Grant Manager Name: David Luchini, Assistant Interim Director
Address: MS 7218, 1616 Capitol Avenue, Suite 74.420 Address: 1221 Fulton Street
Agreement A-21-400
State of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229A (Rev. 09/2019)
2
City, ZIP: Sacramento, CA 95814 City, ZIP: Fresno, CA 93721
Phone: (916) 445-8012 Phone: 559-600-6402 1
Fax: (916) 636-6678 Fax: 559-600-7687
E-mail: Kimberly.Steele@cdph.ca.gov E-mail: dluchini@fresnocountyca.gov
Direct all inquiries to:
California Department of Public Health,
Office of Oral Health Grantee: County of Fresno
Attention: Kimberly Steele, Grant Manager Attention: David Luchini, Assistant Interim Director
Address: MS 7218, 1616 Capitol Avenue, Suite 74.420 Address: 1221 Fulton Street
City, Zip: Sacramento, CA 95814 City, Zip: Fresno, CA 93721
Phone: (916) 445-8012 Phone: 559-600-6402 1
Fax: (916) 636-6678 Fax: 559-600-7687
E-mail: Kimberly.Steele@cdph.ca.gov E-mail: dluchini@fresnocountyca.gov
All payments from CDPH to the Grantee; shall be sent to the following address:
Remittance Address
Grantee: County of Fresno
Attention “Cashier”: Bruna Chavez
Address: P.O. Box 11867
City, Zip: Fresno, CA 93775
Phone: (559) 600-6415
Fax: Not Applicable
E-mail: dphboap@fresnocountyca.gov
Either party may make changes to the Project Representatives, or remittance address, by giving a written notice
to the other party. Said changes shall not require an amendment to the agreement. Note: Remittance address
changes will require the Grantee 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.
State of California -Health and Human Services Agency-California Department of Public Health
CDPH 1229A (Rev . 09/2019)
All other tenns 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:
l£n.,\
Date:
•Nam:aH--Mtl£5-~· Steve Brandau, Chainnan
Board of Supervisors County of Fresno
Hall of Records
2281 Tulare Street, #300
Fresno. CA 93721
Kristy Lieu, Chief
Contracts Management Unit
ATTEST:
BERNICE E. SEIDEL
Clerk of the Board of Supervisors
Coun ty_,et Fresrrn , ate of alifornia
By O\~ ,.___.,.......--.,
Deputy
California Department of Public Health
1616 Capitol Avenue , Suite 74.317 , MS 1802
P.O. Box 997377
Sacramento, CA 95899-7377
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County of Fresno
Grant # 17-10690 A02
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:
Kimberly Steele
California Department of Public Health
Oral Health Program
MS 7208
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 A02
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 $2,742,927.00.
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).
Agreement Between the County of Fresno and the California Department of
Public Health
Agreement Name: CDPH Local Oral Health Program Amendment to Agreement No.
17-10690-A02.
Fund/Subclass: 0001/10000
Organization #: 56201553
Revenue Account #: 4380