HomeMy WebLinkAboutAgreement A-21-540 with Fresno EOC Housing for the Harvest.pdf-1-
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A G R E E M E N T
THIS AGREEMENT (“Agreement”) is made and entered into this day of _____, 2021, by and
between the COUNTY OF FRESNO, a Political Subdivision of the State of California, hereinafter referred to
as "COUNTY", and Fresno Economic Opportunities Commission, a California non-profit corporation whose
address is 1920 Mariposa Mall Suite 330, Fresno, California, 9321, hereinafter referred to as
"CONTRACTOR".
W I T N E S S E T H:
WHEREAS, COUNTY, through its Department of Social Services and Department of Public Health
(“FCDPH”), is in need of community health outreach and support services related to the COVID-19
pandemic and to increase COVID-19 testing capacity to address the needs of COUNTY’s vulnerable
populations including agricultural workers and farmworkers who test positive for or are exposed to COVID-
19; and
WHEREAS, COUNTY, is in need of widespread community messaging through trusted community
leaders to enable and improve voluntary compliance to contain the spread of COVID-19 especially among
high-risk residents who face challenges to testing, isolation, sheltering in place and other containment and
mitigation measures; and
WHEREAS, CONTRACTOR, has submitted a comprehensive, equity-focused proposal to
COUNTY to improve the COUNTY’s ability to effectively respond to the pandemic, remove challenges, and
better cope with the barriers and address the specific needs of this population group; and
WHEREAS, CONTRACTOR, has been performing such services in response to the implementation
of the Housing for Harvest Program since August 2020 through Purchase Order No. M02-0000020917
(hereinafter “the PO”), which the parties verbally agreed expired on April 16, 2021 and, based on the
performance of CONTRACTOR under the PO, FCDPH supports this proposed Agreement.
NOW, THEREFORE, in consideration of the mutual covenants, terms and conditions herein
contained, the parties hereto agree as follows:
1.OBLIGATIONS OF THE CONTRACTOR
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Agreement No. 21-540
14th Dec.
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A. For the period of April 17, 2021 through June 30, 2022, CONTRACTOR shall
perform all services and fulfill all responsibilities identified in Exhibit A “Scope of Work”, attached hereto
and incorporated herein by this reference. During the period of January 1, 2022 through March 31,
2022, upon written request of the Department of Public Health’s Director, CONTRACTOR shall also
perform all services and fulfill all responsibilities identified in Exhibit B “Scope of Work”, attached hereto
and incorporated herein by this reference.
B. CONTRACTOR shall abide by local and state pandemic guidelines in place at any
given time during the pandemic response and shall make every reasonable effort to follow safe and
appropriate public health protection measures to minimize risk of exposure.
C. CONTRACTOR shall collaborate on media communications and public messages
to ensure cohesive, unified messaging. CONTRACTOR shall notify COUNTY within one (1) business
day upon receiving media requests for interviews or information.
D. CONTRACTOR shall require its subcontractors pursuant to this Agreement to
indemnify the COUNTY as set forth in the first paragraph of section ten (10); to carry insurance, naming
the County of Fresno as additional insured, as set forth in section eleven (11) of this Agreement; to
comply with the invoicing and documentation provisions, as set forth in section six (6) of this Agreement;
to pay back to COUNTY advance payments deemed in excess of actual costs, as determined by the
COUNTY; to comply with Audits and Inspections provisions, as set forth in section fourteen (14) of this
Agreement; to comply with the Single Audit Clause provisions, as set forth in section fifteen (15) of this
Agreement; to comply with the Health Insurance Portability and Accountability Act provisions, as set
forth in section sixteen (16) of this Agreement; to comply with the Non-Discrimination provisions, as set
forth in section seventeen (18) of this Agreement; and to comply with the Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transactions
provisions, the Property of County provisions, the Prohibition on Publicity, the Conflict of Interest
provisions, and Lobbying Activity provisions, as set forth in sections twenty (20), twenty-one (21),
twenty-two (22), twenty-three (23), and twenty-five (25) of this Agreement.
2. OBLIGATIONS OF THE COUNTY
A. COUNTY shall provide guidance and assistance in the determination and
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implementation of safe and appropriate public health practices during the pandemic, such as physical
distancing, hand hygiene, facial coverings, disinfection and other prevention and control measures.
B. COUNTY shall collaborate on media communications and public messages to
ensure cohesive, unified messaging.
C. COUNTY shall review and approve all media, education materials, surveys and
assessment tools developed for use among the public. All data collected or developed during the
performance of this Agreement shall be owned by COUNTY, however CONTRACTOR may retain
copies of all data. COUNTY shall review and approve publications of data prior to public release to
ensure data integrity and confidentiality.
3. TERM
The term of this Agreement shall commence April 17, 2021 and shall continue in full force and effect
through June 30, 2022.
4. TERMINATION
A. Non-Allocation of Funds - The terms of this Agreement, and the services to be
provided hereunder, are contingent on the approval of funds by the appropriating government agency.
Should sufficient funds not be allocated, the services provided may be modified, or this Agreement
terminated, at any time by giving the CONTRACTOR thirty (30) days advance written notice. Funding for
these services is provided by one or more of the following funding sources: The Immunization Cooperative
Agreement (CFDA 93.268), Epidemiology and Lab Capacity for Infectious Diseases (ELC) Enhancing
Detection through Coronavirus Response and Relief (CRR) Supplemental Funds (CFDA 93.323), Housing
for the Harvest Expansion funding, and/or other funding made available through legislation. Additional
federal, state or local funding may be made available.
B. Breach of Contract - The COUNTY may immediately suspend or terminate this
Agreement in whole or in part, where in the determination of the COUNTY there is:
1) An illegal or improper use of funds;
2) A failure to comply with any term of this Agreement;
3) A substantially incorrect or incomplete report submitted to the COUNTY;
4) Improperly performed service.
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In no event shall any payment by the COUNTY constitute a waiver by the COUNTY of any breach
of this Agreement or any default which may then exist on the part of the CONTRACTOR. Neither shall such
payment impair or prejudice any remedy available to the COUNTY with respect to the breach or default.
The COUNTY shall have the right to demand of the CONTRACTOR the repayment to the COUNTY of any
funds disbursed to the CONTRACTOR under this Agreement, which in the judgment of the COUNTY were
not expended in accordance with the terms of this Agreement. The CONTRACTOR shall promptly refund
any such funds upon demand.
C. Without Cause - Under circumstances other than those set forth above, this
Agreement may be terminated by COUNTY upon the giving of thirty (30) days advance written notice of an
intention to terminate to CONTRACTOR.
5. COMPENSATION:
A. For Services provided pursuant to Exhibit A, COUNTY agrees to pay
CONTRACTOR and CONTRACTOR agrees to receive compensation at the rates set forth in Exhibit A,
but in no event shall actual Services performed pursuant to Exhibit A t by CONTRACTOR be in excess
of One Million Seven Hundred Eleven Thousand Five Hundred Seven and No/100 Dollars ($1,711,507)
during the term of this Agreement. For Services provided during the period of January 1, 2022 through
March 31, 2022, pursuant to Exhibit B, if requested by the Department of Public Health Director,
COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive compensation at the
rates set forth in Exhibit C, attached hereto and incorporated herein by this reference, but in no event
shall actual services performed pursuant to Exhibit B by CONTRACTOR be in excess of One Million
Eight Hundred Thirty-Two Thousand Four Hundred Eight and No/100 Dollars ($1,832,408). It is
understood that all expenses incidental to CONTRACTOR’s performance of services under this
Agreement shall be borne by CONTRACTOR and/or its subcontractors.
B. CONTRACTOR shall submit monthly reports by the twentieth (20 th) working day
following the prior month’s services using report template attached hereto as Exhibit “D”.
C. CONTRACTOR shall utilize the Central Valley Health Policy Institute REDCap
database system to track all clients for isolation and quarantine support to ensure there is not a
duplicate disbursement for the same individuals. CONTRACTOR may replicate CVHPI REDCap system
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with no disruption to services and reporting. CONTRACTOR shall submit monthly quantitative reports
with key metrics (e.g., number of people receiving education and outreach, number of vaccine/testing
events supported, number of vaccine/testing events hosted) using the REDCap database or a system
agreed to by the COUNTY no later than receipt of the monthly invoice. COUNTY shall withhold ten
percent (10%) of the CONTRACTOR’s invoiced amount when monthly metric reports are not completed.
CONTRACTOR’s monthly invoices shall demonstrate a ten percent (10%) withholding from
subcontractors when monthly metric reports are not completed by the subcontractors or
CONTRACTOR. COUNTY will assess each invoice and determine if the ten percent (10%) withholding
will be applied to subcontractor level costs and/or to CONTRACTOR’s total invoiced amount. Upon
completion of the monthly report, COUNTY shall pay CONTRACTOR the withheld amount.
6. INVOICING:
CONTRACTOR shall submit monthly invoices by the thirtieth (30 th) working day of each month
for the prior month’s services using a template to be provided by COUNTY with full appropriate
supporting documentation (e.g., activity logs, receipts, invoices) to the County of Fresno, Department of
Public Health, COVID Response, P.O. Box 11867, Fresno, CA 93775, Attention: Business Office or
dphboap@fresnocountyca.gov.
7. INDEPENDENT CONTRACTOR: In performance of the work, duties and obligations
assumed by CONTRACTOR under this Agreement, it is mutually understood and agreed that
CONTRACTOR, including any and all of the CONTRACTOR'S officers, agents, and employees will at all
times be acting and performing as an independent contractor, and shall act in an independent capacity
and not as an officer, agent, servant, employee, joint venturer, partner, or associate of the COUNTY.
Furthermore, COUNTY shall have no right to control or supervise or direct the manner or method by
which CONTRACTOR shall perform its work and function. However, COUNTY shall retain the right to
administer this Agreement so as to verify that CONTRACTOR is performing its obligations in accordance
with the terms and conditions thereof.
CONTRACTOR and COUNTY shall comply with all applicable provisions of law and the rules and
regulations, if any, of governmental authorities having jurisdiction over matters the subject thereof.
Because of its status as an independent contractor, CONTRACTOR shall have absolutely no right
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to employment rights and benefits available to COUNTY employees. CONTRACTOR shall be solely liable
and responsible for providing to, or on behalf of, its employees all legally-required employee benefits. In
addition, CONTRACTOR shall be solely responsible and save COUNTY harmless from all matters relating
to payment of CONTRACTOR'S employees, including compliance with Social Security withholding and all
other regulations governing such matters. It is acknowledged that during the term of this Agreement,
CONTRACTOR may be providing services to others unrelated to the COUNTY or to this Agreement.
8. MODIFICATION: Any matters of this Agreement may be modified from time to time by the
written consent of all the parties without, in any way, affecting the remainder.
Notwithstanding the above, changes to object level in the budget, attached hereto as Exhibit B, that
do not exceed ten percent (10%) of the maximum compensation payable to CONTRACTOR may be made
with written approval of COUNTY’s Department of Public Health Director or designee. Said budget object
level changes shall not result in any change to the maximum compensation amount payable to
CONTRACTOR, as stated herein.
9. NON-ASSIGNMENT: CONTRACTOR shall not assign, transfer or sub-contract this
Agreement nor its rights or duties under this Agreement without the prior written consent of the COUNTY or
the Director of COUNTY’s Department of Public Health. Any transferee, assignee or subcontractor shall be
subject to all applicable provisions of this Agreement, and all applicable State and Federal laws and
regulations. CONTRACTOR shall be held primarily responsible by COUNTY for the performance of any
transferee, assignee, or subcontractor unless otherwise expressly agreed to in writing by COUNTY. The
use of subcontractors by CONTRACTOR shall not entitle CONTRACTOR to any additional compensation
than is provided for under this Agreement.
10. HOLD HARMLESS: CONTRACTOR agrees to indemnify, save, hold harmless, and at
COUNTY'S request, defend the COUNTY, its officers, agents, and employees or any subcontractors from
any and all costs and expenses (including attorney’s fees and costs), damages, liabilities, claims, and
losses occurring or resulting to COUNTY in connection with the performance, or failure to perform, by
CONTRACTOR, its officers, agents, or employees under this Agreement, and from any and all costs and
expenses (including attorney’s fees and costs), damages, liabilities, claims, and losses occurring or
resulting to any person, firm, or corporation who may be injured or damaged by the performance, or
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failure to perform, of CONTRACTOR, its officers, agents, or employees under this Agreement.
The provisions of this Section 10 shall survive termination of this Agreement.
11. INSURANCE: Without limiting the COUNTY's right to obtain indemnification from
CONTRACTOR or any third parties, CONTRACTOR, at its sole expense, shall maintain in full force and
effect, the following insurance policies or a program of self-insurance, including but not limited to, an
insurance pooling arrangement or Joint Powers Agreement (JPA) throughout the term of the Agreement:
A. Commercial General Liability
Commercial General Liability Insurance with limits of not less than Two Million Dollars
($2,000,000.00) per occurrence and an annual aggregate of Four Million Dollars ($4,000,000.00). This
policy shall be issued on a per occurrence basis. COUNTY may require specific coverages including
completed operations, products liability, contractual liability, Explosion-Collapse-Underground, fire legal
liability or any other liability insurance deemed necessary because of the nature of this contract.
B. Automobile Liability
Comprehensive Automobile Liability Insurance with limits of not less than One Million Dollars
($1,000,000.00) per accident for bodily injury and for property damages. Coverage should include any auto
used in connection with this Agreement.
C. Professional Liability
If a CONTRACTOR employs licensed professional staff, (e.g., Ph.D., R.N., L.C.S.W., M.F.C.C.) in
providing services, Professional Liability Insurance with limits of not less than One Million Dollars
($1,000,000.00) per occurrence, Three Million Dollars ($3,000,000.00) annual aggregate. CONTRACTOR
agrees that it shall maintain, at its sole expense, in full force and effect for a period of three (3) years
following the termination of this Agreement, one or more policies of professional liability insurance with
limits of coverage as specified herein.
D. Worker's Compensation
A policy of Worker's Compensation insurance as may be required by the California Labor Code.
E. Molestation
Sexual abuse/molestation liability insurance with limits of not less than One Million Dollars
($1,000,000.00) per occurrence. Two Million Dollars ($2,000,000.00) annual aggregate. This policy shall
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be issued on a per occurrence basis.
F. Cyber Liability
Cyber Liability Insurance, with limits not less than $2,000,000 per occurrence or claim, $2,000,000
aggregate. Coverage shall be sufficiently broad to respond to the duties and obligations as is undertaken by
CONTRACTOR in this Agreement and shall include, but not be limited to, claims involving infringement of
intellectual property, including but not limited to infringement of copyright, trademark, trade dress, invasion
of privacy violations, information theft, damage to or destruction of electronic information, release of private
information, alteration of electronic information, extortion and network security. The policy shall provide
coverage for breach response costs as well as regulatory fines and penalties as well as credit monitoring
expenses with limits sufficient to respond to these obligations.
Additional Requirements Relating to Insurance
CONTRACTOR shall obtain endorsements to the Commercial General Liability insurance naming
the County of Fresno, its officers, agents, and employees, individually and collectively, as additional
insured, but only insofar as the operations under this Agreement are concerned. Such coverage for
additional insured shall apply as primary insurance and any other insurance, or self-insurance, maintained
by COUNTY, its officers, agents and employees shall be excess only and not contributing with insurance
provided under CONTRACTOR’S policies herein. This insurance shall not be cancelled or changed without
a minimum of thirty (30) days advance written notice given to COUNTY.
CONTRACTOR hereby waives its right to recover from COUNTY, its officers, agents and
employees or subcontractors any amounts paid by the policy of worker’s compensation insurance required
by this Agreement. CONTRACTOR is solely responsible to obtain any endorsement to such policy that may
be necessary to accomplish such waiver of subrogation, but CONTRACTOR’s waiver of subrogation under
this paragraph is effective whether or not CONTRACTOR obtains such an endorsement.
Within Thirty (30) days from the date CONTRACTOR sign and execute this Agreement,
CONTRACTOR shall provide certificates of insurance and endorsement as stated above for all of the
foregoing policies, as required herein, to the County of Fresno, Department of Public Health, P.O. Box
11867, Fresno, CA 93775, Attention: Contracts Section – 6 th Floor, stating that such insurance coverage
have been obtained and are in full force; that the County of Fresno, its officers, agents and employees will
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not be responsible for any premiums on the policies; that such Commercial General Liability insurance
names the County of Fresno, its officers, agents and employees, individually and collectively, as additional
insured, but only insofar as the operations under this Agreement are concerned; that such coverage for
additional insured shall apply as primary insurance and any other insurance, or self-insurance, maintained
by COUNTY, its officers, agents and employees, shall be excess only and not contributing with insurance
provided under CONTRACTOR’S policies herein; and that this insurance shall not be cancelled or changed
without a minimum of thirty (30) days advance, written notice given to COUNTY.
CONTRACTOR shall require and verify that all subcontractors maintain insurance meeting all the
requirements stated herein, and the CONTRACTOR shall ensure that the COUNTY is an additional insured
on insurance required from subcontractors. In the event CONTRACTOR fail to keep in effect at all times
insurance coverage as herein provided, the COUNTY may, in addition to other remedies it may have,
suspend or terminate this Agreement upon the occurrence of such event.
All policies shall be issued by admitted insurers licensed to do business in the State of California,
and such insurance shall be purchased from companies possessing a current A.M. Best, Inc. rating of A
FSC VII or better.
12. STATE ENERGY CONSERVATION: CONTRACTOR must comply with the mandatory
standard and policies relating to energy efficiency, which are contained in the State Energy
Conservation Plan issued in compliance with 42 United States (US) Code sections 6321, et. seq.
13. CLEAN AIR AND WATER: In the event the funding under this Agreement exceeds One
Hundred Thousand and No/100 Dollars ($100,000), CONTRACTOR shall comply with all applicable
standards, orders or requirements issued under the Clean Air Act contained in 42 U.S. Code 7601 et
seq; the Clean Water Act contained in U.S. Code 1368 et seq.; and any standards, laws and
regulations, promulgated thereunder. Under these laws and regulations, CONTRACTOR shall assure:
A. No facility shall be utilized in the performance of the Agreement that
has been listed on the Environmental Protection Agency (EPA) list of
Violating on the Facilities;
B. COUNTY shall be notified prior to execution of this Agreement of the
receipt of any communication from the Director, Office of Federal Activities,
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U.S. EPA
indicating that a facility to be utilized in the performance of this Agreement is under consideration to be
listed on the EPA list of Violating Facilities;
C. COUNTY and U.S. EPA shall be notified about any known violation of
the above laws and regulations; and,
D. This assurance shall be included in every nonexempt subgrant, contract, or
subcontract.
14. AUDITS AND INSPECTIONS:
A. The CONTRACTOR shall at any time during business hours, and as often as the
COUNTY may deem necessary, make available to the COUNTY for examination all of its records and
data with respect to the matters covered by this Agreement. The CONTRACTOR shall, upon request by
the COUNTY, permit the COUNTY to audit and inspect all of such records and data necessary to
ensure CONTRACTOR’S compliance with the terms of this Agreement.
B. If this Agreement exceeds ten thousand dollars ($10,000.00), CONTRACTOR
shall be subject to the examination and audit of the Auditor General for a period of three (3) years after
final payment under contract (Government Code Section 8546.7).
15. SINGLE AUDIT CLAUSE:
A. If CONTRACTOR expends Seven Hundred Fifty Thousand Dollars ($750,000) or
more Federal and Federal flow-through monies, CONTRACTOR agrees to conduct an annual audit in
accordance with the requirements of the Single Audit Standards as set forth in Office of Management
and Budget (OMB) Title 2 of the Code of Federal Regulations, Chapter II, Part 200. CONTRACTOR
shall submit said audit and management letter to COUNTY. The audit must include a statement of
findings or a statement that there were no findings. If there were negative findings, CONTRACTOR
must include a corrective action plan signed by an authorized individual. CONTRACTOR agrees to take
action to correct any material non-compliance or weakness found as a result of such audit. Such audit
shall be delivered to COUNTY’S DPH Administration for review within nine (9) months of the end of any
fiscal year in which funds were expended and/or received for the program. Failure to perform the
requisite audit functions as required by this Agreement may result in COUNTY performing the necessary
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audit tasks, or at the COUNTY’S option, contracting with a public accountant to perform said audit, or,
may result in the inability of COUNTY to enter into future agreements with the CONTRACTOR.
B. A single audit report is not applicable if all CONTRACTOR’S Federal contracts do
not exceed the Seven Hundred Fifty Thousand Dollars ($750,000) requirement or CONTRACTOR’S
federal funding is through Drug Medi-Cal.
16. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT:
A. The parties to this Agreement shall be in strict conformance with all applicable
Federal and State of California laws and regulations, including but not limited to Sections 5328, 10850,
and 14100.2 et seq. of the Welfare and Institutions Code, Sections 2.1 and 431.300 et seq. of Title 42,
Code of Federal Regulations (CFR), Section 56 et seq. of the California Civil Code and the Health
Insurance Portability and Accountability Act (HIPAA), including but not limited to Section 1320 D et seq. of
Title 42, United States Code (USC) and its implementing regulations, including, but not limited to Title 45,
CFR, Sections 160, 162, and 164, The Health Information Technology for Economic and Clinical Health
Act (HITECH) regarding the confidentiality and security of patient information, and the Genetic Information
Nondiscrimination Act (GINA) of 2008 regarding the confidentiality of genetic information.
Except as otherwise provided in this Agreement, CONTRACTOR, as a Business
Associate of COUNTY, may use or disclose Protected Health Information (PHI) to perform functions,
activities or services for or on behalf of COUNTY, as specified in this Agreement, provided that such use
or disclosure shall not violate the Health Insurance Portability and Accountability Act (HIPAA), USC 1320d
et seq. The uses and disclosures of PHI may not be more expansive than those applicable to COUNTY,
as the “Covered Entity” under the HIPAA Privacy Rule (45 CFR 164.500 et seq.), except as authorized for
management, administrative or legal responsibilities of the Business Associate.
B. CONTRACTOR, including its subcontractors and employees, shall protect, from
unauthorized access, use, or disclosure of names and other identifying information, including genetic
information, concerning persons receiving services pursuant to this Agreement, except where permitted in
order to carry out data aggregation purposes for health care operations [45 CFR Sections 164.504
(e)(2)(i), 164.504 (3)(2)(ii)(A), and 164.504 (e)(4)(i)] This pertains to any and all persons receiving services
pursuant to a COUNTY funded program. This requirement applies to electronic PHI. CONTRACTOR
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shall not use such identifying information or genetic information for any purpose other than carrying out
CONTRACTOR’S obligations under this Agreement.
C. CONTRACTOR, including its subcontractors and employees, shall not disclose any
such identifying information or genetic information to any person or entity, except as otherwise specifically
permitted by this Agreement, authorized by Subpart E of 45 CFR Part 164 or other law, required by the
Secretary, or authorized by the client/patient in writing. In using or disclosing PHI that is permitted by this
Agreement or authorized by law, CONTRACTOR shall make reasonable efforts to limit PHI to the
minimum necessary to accomplish intended purpose of use, disclosure or request.
D. For purposes of the above sections, identifying information shall include, but not be
limited to name, identifying number, symbol, or other identifying particular assigned to the individual, such
as finger or voice print, or photograph.
E. For purposes of the above sections, genetic information shall include genetic tests of
family members of an individual or individual, manifestation of disease or disorder of family members of an
individual, or any request for or receipt of, genetic services by individual or family members. Family
member means a dependent or any person who is first, second, third, or fourth degree relative.
F. CONTRACTOR shall provide access, at the request of COUNTY, and in the time
and manner designated by COUNTY, to PHI in a designated record set (as defined in 45 CFR Section
164.501), to an individual or to COUNTY in order to meet the requirements of 45 CFR Section 164.524
regarding access by individuals to their PHI. With respect to individual requests, access shall be
provided within thirty (30) days from request. Access may be extended if CONTRACTOR cannot
provide access and provides individual with the reasons for the delay and the date when access may
be granted. PHI shall be provided in the form and format requested by the individual or COUNTY.
CONTRACTOR shall make any amendment(s) to PHI in a designated record set
at the request of COUNTY or individual, and in the time and manner designated by COUNTY in
accordance with 45 CFR Section 164.526.
CONTRACTOR shall provide to COUNTY or to an individual, in a time and
manner designated by COUNTY, information collected in accordance with 45 CFR Section 164.528, to
permit COUNTY to respond to a request by the individual for an accounting of disclosures of PHI in
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accordance with 45 CFR Section 164.528.
G. CONTRACTOR shall report to COUNTY, in writing, any knowledge or reasonable
belief that there has been unauthorized access, viewing, use, disclosure, security incident, or breach of
unsecured PHI not permitted by this Agreement of which it becomes aware, immediately and without
reasonable delay and in no case later than two (2) business days of discovery. Immediate notification
shall be made to COUNTY’s Information Security Officer and Privacy Officer and COUNTY’s DPH HIPAA
Representative, within two (2) business days of discovery. The notification shall include, to the extent
possible, the identification of each individual whose unsecured PHI has been, or is reasonably believed to
have been, accessed, acquired, used, disclosed, or breached. CONTRACTOR shall take prompt
corrective action to cure any deficiencies and any action pertaining to such unauthorized disclosure
required by applicable Federal and State Laws and regulations. CONTRACTOR shall investigate such
breach and is responsible for all notifications required by law and regulation or deemed necessary by
COUNTY and shall provide a written report of the investigation and reporting required to COUNTY’s
Information Security Officer and Privacy Officer and COUNTY’s DPH HIPAA Representative. This written
investigation and description of any reporting necessary shall be postmarked within the thirty (30) working
days of the discovery of the breach to the addresses below:
County of Fresno County of Fresno County of Fresno
Dept. of Public Health Dept. of Public Health Information Technology Services
HIPAA Representative Privacy Officer Information Security Officer
(559) 600-6439 (559) 600-6405 (559) 600-5800
P.O. Box 11867 P.O. Box 11867 333 W. Pontiac Way
Fresno, CA 93775 Fresno, CA 93775 Clovis, CA 93612
H. CONTRACTOR shall make their internal practices, books, and records relating to
the use and disclosure of PHI received from COUNTY, or created or received by the CONTRACTOR on
behalf of COUNTY, in compliance with HIPAA’s Privacy Rule, including, but not limited to the
requirements set forth in Title 45, CFR, Sections 160 and 164. CONTRACTOR shall make its internal
practices, books, and records relating to the use and disclosure of PHI received from COUNTY, or created
or received by the CONTRACTOR on behalf of COUNTY, available to the United States Department of
Health and Human Services (Secretary) upon demand.
CONTRACTOR shall cooperate with the compliance and investigation reviews
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conducted by the Secretary. PHI access to the Secretary must be provided during the CONTRACTOR’S
normal business hours, however, upon exigent circumstances access at any time must be granted. Upon
the Secretary’s compliance or investigation review, if PHI is unavailable to CONTRACTOR and in
possession of a Subcontractor, it must certify efforts to obtain the information to the Secretary.
I. Safeguards
CONTRACTOR shall implement administrative, physical, and technical safeguards
as required by the HIPAA Security Rule, Subpart C of 45 CFR 164, that reasonably and appropriately
protect the confidentiality, integrity, and availability of PHI, including electronic PHI, that it creates,
receives, maintains or transmits on behalf of COUNTY and to prevent unauthorized access, viewing, use,
disclosure, or breach of PHI other than as provided for by this Agreement. CONTRACTOR shall conduct
an accurate and thorough assessment of the potential risks and vulnerabilities to the confidential, integrity
and availability of electronic PHI. CONTRACTOR shall develop and maintain a written information privacy
and security program that includes administrative, technical and physical safeguards appropriate to the
size and complexity of CONTRACTOR’S operations and the nature and scope of its activities. Upon
COUNTY’s request, CONTRACTOR shall provide COUNTY with information concerning such safeguards.
CONTRACTOR shall implement strong access controls and other security
safeguards and precautions in order to restrict logical and physical access to confidential, personal (e.g.,
PHI) or sensitive data to authorized users only. Said safeguards and precautions shall include the
following administrative and technical password controls for all systems used to process or store
confidential, personal, or sensitive data:
1. Passwords must not be:
a. Shared or written down where they are accessible or recognizable
by anyone else; such as taped to computer screens, stored under keyboards, or visible in a work area;
b. A dictionary word; or
c. Stored in clear text
2. Passwords must be:
a. Eight (8) characters or more in length;
b. Changed every ninety (90) days;
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c. Changed immediately if revealed or compromised; and
d. Composed of characters from at least three (3) of the following four
(4) groups from the standard keyboard:
1) Upper case letters (A-Z);
2) Lowercase letters (a-z);
3) Arabic numerals (0 through 9); and
4) Non-alphanumeric characters (punctuation symbols).
CONTRACTOR shall implement the following security controls on each
workstation or portable computing device (e.g., laptop computer) containing confidential,
personal, or sensitive data:
1. Network-based firewall and/or personal firewall;
2. Continuously updated anti-virus software; and
3. Patch management process including installation of all operating
system/software vendor security patches.
CONTRACTOR shall utilize a commercial encryption solution that has received
FIPS 140-2 validation to encrypt all confidential, personal, or sensitive data stored on portable
electronic media (including, but not limited to, compact disks and thumb drives) and on portable
computing devices (including, but not limited to, laptop and notebook computers).
CONTRACTOR shall not transmit confidential, personal, or sensitive data via e-
mail or other internet transport protocol unless the data is encrypted by a solution that has been
validated by the National Institute of Standards and Technology (NIST) as conforming to the Advanced
Encryption Standard (AES) Algorithm. CONTRACTOR must apply appropriate sanctions against its
employees who fail to comply with these safeguards. CONTRACTOR must adopt procedures for
terminating access to PHI when employment of employee ends.
J. Mitigation of Harmful Effects
CONTRACTOR shall mitigate, to the extent practicable, any harmful effect that is
suspected or known to CONTRACTOR of an unauthorized access, viewing, use, disclosure, or breach
of PHI by CONTRACTOR or its subcontractors in violation of the requirements of these provisions.
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CONTRACTOR must document suspected or known harmful effects and the outcome.
K. CONTRACTOR’S Subcontractors
CONTRACTOR shall ensure that any of their contractors, including
subcontractors, if applicable, to whom CONTRACTOR provide PHI received from or created or
received by CONTRACTOR on behalf of COUNTY, agree to the same restrictions, safeguards, and
conditions that apply to CONTRACTOR with respect to such PHI and to incorporate, when applicable,
the relevant provisions of these provisions into each subcontract or sub-award to such agents or
subcontractors.
L. Employee Training and Discipline
CONTRACTOR shall train and use reasonable measures to ensure compliance
with the requirements of these provisions by employees who assist in the performance of functions or
activities on behalf of COUNTY under this Agreement and use or disclose PHI and discipline such
employees who intentionally violate any provisions of these provisions, including termination of
employment.
M. Termination for Cause
Upon COUNTY’s knowledge of a material breach of these provisions by a
CONTRACTOR, COUNTY shall either:
1. Provide an opportunity for the CONTRACTOR to cure the breach or end
the violation and terminate this Agreement if CONTRACTOR does not cure the breach or end the
violation within the time specified by COUNTY; or
2. Immediately terminate this Agreement if a CONTRACTOR has breached a
material term of these provisions and cure is not possible.
3. If neither cure nor termination is feasible, the COUNTY’s Privacy Officer
shall report the violation to the Secretary of the U.S. Department of Health and Human Services.
N. Judicial or Administrative Proceedings
COUNTY may terminate this Agreement in accordance with the terms and
conditions of this Agreement as written hereinabove, if: (1) a CONTRACTOR is found guilty in a
criminal proceeding for a violation of the HIPAA Privacy or Security Laws or the HITECH Act; or (2) a
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finding or stipulation that a CONTRACTOR has violated a privacy or security standard or requirement
of the HITECH Act, HIPAA or other security or privacy laws in an administrative or civil proceeding in
which the CONTRACTOR is a party.
O. Effect of Termination
Upon termination or expiration of this Agreement for any reason, CONTRACTOR
shall return or destroy all PHI received from COUNTY (or created or received by CONTRACTOR on
behalf of COUNTY) that CONTRACTOR still maintains in any form, and shall retain no copies of such
PHI. If return or destruction of PHI is not feasible, it shall continue to extend the protections of these
provisions to such information, and limit further use of such PHI to those purposes that make the return
or destruction of such PHI infeasible. This provision shall apply to PHI that is in the possession of
subcontractors or agents, if applicable, of CONTRACTOR. If CONTRACTOR destroy the PHI data, a
certification of date and time of destruction shall be provided to the COUNTY by CONTRACTOR.
P. Disclaimer
COUNTY makes no warranty or representation that compliance by
CONTRACTOR with these provisions, the HITECH Act, HIPAA or the HIPAA regulations will be
adequate or satisfactory for CONTRACTOR’S own purposes or that any information in
CONTRACTOR’S possession or control, or transmitted or received by CONTRACTOR, is or will be
secure from unauthorized access, viewing, use, disclosure, or breach. CONTRACTOR are solely
responsible for all decisions made by CONTRACTOR regarding the safeguarding of PHI.
Q. Amendment
The parties acknowledge that Federal and State laws relating to electronic data
security and privacy are rapidly evolving and that amendment of these provisions may be required to
provide for procedures to ensure compliance with such developments. The parties specifically agree to
take such action as is necessary to amend this agreement in order to implement the standards and
requirements of HIPAA, the HIPAA regulations, the HITECH Act and other applicable laws relating to
the security or privacy of PHI. COUNTY may terminate this Agreement upon thirty (30) days written
notice in the event that CONTRACTOR do not enter into an amendment providing assurances
regarding the safeguarding of PHI that COUNTY in its sole discretion, deems sufficient to satisfy the
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standards and requirements of HIPAA, the HIPAA regulations and the HITECH Act.
R. No Third-Party Beneficiaries
Nothing express or implied in the terms and conditions of these provisions is
intended to confer, nor shall anything herein confer, upon any person other than COUNTY or
CONTRACTOR and their respective successors or assignees, any rights, remedies, obligations or
liabilities whatsoever.
S. Interpretation
The terms and conditions in these provisions shall be interpreted as broadly as
necessary to implement and comply with HIPAA, the HIPAA regulations and applicable State laws. The
parties agree that any ambiguity in the terms and conditions of these provisions shall be resolved in
favor of a meaning that complies and is consistent with HlPAA and the HIPAA regulations.
T. Regulatory References
A reference in the terms and conditions of these provisions to a section in the
HIPAA regulations means the section as in effect or as amended.
U. Survival
The respective rights and obligations of CONTRACTOR as stated in this Section
shall survive the termination or expiration of this Agreement.
V. No Waiver of Obligations
No change, waiver or discharge of any liability or obligation hereunder on any one
or more occasions shall be deemed a waiver of performance of any continuing or other obligation, or
shall prohibit enforcement of any obligation on any other occasion.
W. Public Health Exception Extended
1. The HIPAA Privacy Rule creates a special rule for a subset of public
health activities whereby HIPAA cannot preempt state law if, “[t]he provision of state law, including
state procedures established under such law, as applicable, provides for the reporting of disease or
injury, child abuse, birth, or death, or for the conduct of public health surveillance, investigation, or
intervention.” (45 C.F.R. § 160.203(c) [HITECH Act, § 13421, sub. (a)].) ;
2. To the extent a disclosure or use of information received under this
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agreement may also be considered a disclosure or use of “Protected Health Information” (PHI) of an
individual, as that term is defined in Section 160.103 of Title 45, Code of Federal Regulations, the
following Privacy Rule provisions apply to permit such data disclosure and/or use by COUNTY and
CONTRACTOR, without the consent or authorization of the individual who is the subject of the PHI:
a) HIPAA cannot preempt state law if, “[t]he provision of state law, including
state procedures established under such law, as applicable, provides for the reporting of disease or
injury, child abuse, birth, or death, or for the conduct of public health surveillance, investigation, or
intervention.” (45 C.F.R. § 160.203(c) [HITECH Act, § 13421, sub. (a)].)];
b) A covered entity may disclose PHI to a “public health authority” carrying
out public health activities authorized by law; (45 C.F.R. § 164.512(b).);
c) A covered entity may use or disclose protected health information to the
extent that such use or disclosure is required by law and the use or disclosure complies with and is
limited to the relevant requirements of such law.” (Title 45 C.F.R. §§ 164.502 (a)(1)(vii), 164.512(a))
(1).)
17. DATA SECURITY: For the purpose of preventing the potential loss, misappropriation or
inadvertent access, viewing, use or disclosure of COUNTY data including sensitive or personal client
information; abuse of COUNTY resources; and/or disruption to COUNTY operations, individuals and/or
agencies that enter into a contractual relationship with the COUNTY for the purpose of providing services
under this Agreement must employ adequate data security measures to protect the confidential
information provided to CONTRACTOR by the COUNTY, including but not limited to the following:
A. CONTRACTOR-Owned Mobile, Wireless, or Handheld Devices
CONTRACTOR may not connect to COUNTY networks via personally-owned
mobile, wireless or handheld devices, unless the following conditions are met:
1) CONTRACTOR has received authorization by COUNTY for telecommuting purposes;
2) Current virus protection software is in place;
3) Mobile device has the remote wipe feature enabled; and
4) A secure connection is used.
B. CONTRACTOR-Owned Computers or Computer Peripherals
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CONTRACTOR may not bring CONTRACTOR-owned computers or computer
peripherals into the COUNTY for use without prior authorization from the COUNTY’s Chief Information
Officer, and/or designee(s), including but not limited to mobile storage devices. If data is approved to be
transferred, data must be stored on a secure server approved by the COUNTY and transferred by
means of a Virtual Private Network (VPN) connection, or another type of secure connection. Said data
must be encrypted.
C. COUNTY-Owned Computer Equipment
CONTRACTOR or anyone having an employment relationship with the COUNTY,
may not use COUNTY computers or computer peripherals on non-COUNTY premises without prior
authorization from the COUNTY’s Chief Information Officer, and/or designee(s).
D. CONTRACTOR may not store COUNTY’s private, confidential or sensitive data
on any hard-disk drive, portable storage device, or remote storage installation unless encrypted.
E. CONTRACTOR shall be responsible to employ strict controls to ensure the
integrity and security of COUNTY’s confidential information and to prevent unauthorized access,
viewing, use or disclosure of data maintained in computer files, program documentation, data
processing systems, data files and data processing equipment which stores or processes COUNTY data
internally and externally.
F. Confidential client information transmitted to one party by the other by means of
electronic transmissions must be encrypted according to Advanced Encryption Standards (AES) of 128
BIT or higher. Additionally, a password or pass phrase must be utilized.
G. CONTRACTOR are responsible to immediately notify COUNTY of any violations,
breaches or potential breaches of security related to COUNTY’s confidential information, data
maintained in computer files, program documentation, data processing systems, data files and data
processing equipment which stores or processes COUNTY data internally or externally.
H. COUNTY shall provide oversight to CONTRACTOR’S response to all incidents
arising from a possible breach of security related to COUNTY’s confidential client information provided
to CONTRACTOR. CONTRACTOR will be responsible to issue any notification to affected individuals as
required by law or as deemed necessary by COUNTY in its sole discretion. CONTRACTOR will be
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responsible for all costs incurred as a result of providing the required notification.
18. NON-DISCRIMINATION: During the performance of this Agreement, CONTRACTOR shall
not unlawfully discriminate against any employee or applicant for employment, or recipient of services,
because of race, religious creed, color, national origin, ancestry, physical disability, mental disability,
medical condition, genetic information, marital status, sex, gender, gender identity, gender expression,
age, sexual orientation, military status or veteran status pursuant to all applicable State of California and
Federal statutes and regulation.
19. NOTICES: The persons and their addresses having authority to give and receive notices
under this Agreement include the following:
COUNTY COUNTY CONTRACTOR
County of Fresno County of Fresno Fresno Economic Opportunities
Commission
Director, Department of
Public Health
Director, Department of
Social Services
CEO
1221 Fulton St. P.O. Box 1912 1920 Mariposa St., Set. 300
Fresno, CA 93721 Fresno, CA 93718 Fresno, CA 93721
All notices between the COUNTY and CONTRACTOR provided for or permitted under this
Agreement must be in writing and delivered either by personal service, by first-class United States mail, by
an overnight commercial courier service, or by email. A notice delivered by personal service is effective
upon service to the recipient. A notice delivered by first-class United States mail is effective three COUNTY
business days after deposit in the United States mail, postage prepaid, addressed to the recipient. A notice
delivered by an overnight commercial courier service is effective one COUNTY business day after deposit
with the overnight commercial courier service, delivery fees prepaid, with delivery instructions given for next
day delivery, addressed to the recipient. A notice delivered by email is effective when transmission to the
recipient is completed (but, if such transmission is completed outside of COUNTY business hours, then
such delivery shall be deemed to be effective at the next beginning of a COUNTY business day), provided
that the sender maintains a record of the completed transmission. For all claims arising out of or related to
this Agreement, nothing in this section establishes, waives, or modifies any claims presentation
requirements or procedures provided by law, including but not limited to the Government Claims Act
(Division 3.6 of Title 1 of the Government Code, beginning with section 810).
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20. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION-LOWER TIER COVERED TRANSACTIONS:
A. COUNTY and CONTRACTOR recognize that CONTRACTOR is a recipient of
Federal funds under the terms of this Agreement. By signing this Agreement, CONTRACTOR agrees to
comply with applicable Federal suspension and debarment regulations, including but not limited to: 29
CFR 1470.35, 29 CFR 97.35, 41 CFR 105-71.135, and Executive Order 12549. By signing this
Agreement, CONTRACTOR attests to the best of its knowledge and belief, that it and its principals:
1. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded by any Federal department or agency; and
2. Shall not knowingly enter into any covered transaction with an entity or person
who is proposed for debarment under Federal regulations, debarred,
suspended, declared ineligible, or voluntarily excluded from participation in
such transaction.
B. CONTRACTOR shall provide immediate written notice to COUNTY if at any time
during the term of this Agreement CONTRACTOR learns that the representations it makes above were
erroneous when made or have become erroneous by reason of changed circumstances.
C. CONTRACTOR shall include a clause titled “Certification Regarding Debarment,
Suspension, Ineligibility, and Voluntary Exclusion- Lower Tier Covered Transactions” and similar in
nature to this paragraph in all lower tier covered transactions and in all solicitations for lower tier covered
transactions.
D. CONTRACTOR shall, prior to soliciting or purchasing goods and services in
excess of $25,000 funded by this Agreement, review and retain the proposed vendor’s suspension and
debarment status at https://sam.gov/SAM/
21. PROPERTY OF COUNTY: CONTRACTOR agrees to take reasonable and prudent steps
to ensure the security of any and all said hardware and software provided to it by COUNTY under this
Agreement, to maintain replacement-value insurance coverages on said hardware and software of like
kind and quality approved by COUNTY.
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All purchases over Five Thousand Dollars ($5,000) made during the life of this Agreement that
will outlive the life of this Agreement shall be identified as fixed assets with an assigned Fresno County
DPH Accounting Inventory Number. These fixed assets shall be retained by COUNTY, as COUNTY
property, in the event this Agreement is terminated or upon expiration of this Agreement.
CONTRACTOR agrees to participate in an annual inventory of all COUNTY fixed assets and shall be
physically present when fixed assets are returned to COUNTY possession at the termination or
expiration of this Agreement. CONTRACTOR is responsible for returning to COUNTY all COUNTY
owned fixed assets upon the expiration or termination of this Agreement.
22. PROHIBITION ON PUBLICITY: None of the funds provided directly or indirectly under this
Agreement shall be used for CONTRACTOR’s advertising, fundraising, or publicity (i.e., purchasing of
tickets/tables, silent auction donations, etc.) for the purpose of self-promotion. Notwithstanding the
above, funds provided directly or indirectly under this Agreement may be used by CONTRACTOR for
publicity of the services described in Paragraph One (1) of this Agreement as necessary to raise public
awareness about the availability of such specific services when approved in advance by COUNTY’s
Director of Public Health or designee for such items as written/printed materials, the use of media (i.e.,
radio, television, newspapers) and any other related expense(s).
23. CONFLICT OF INTEREST: No officer, employee or agent of the COUNTY who exercises
any function or responsibility for planning and carrying out of the services provided under this
Agreement shall have any direct or indirect personal financial interest in this Agreement. In addition, no
employee of the COUNTY shall be employed by the CONTRACTOR under this Agreement to fulfill any
contractual obligations with the COUNTY. COUNTY and CONTRACTOR shall comply with all Federal,
State of California and local conflict of interest laws, statutes and regulations, which shall be applicable
to all parties and beneficiaries under this Agreement and any officer, employee or agent of the
COUNTY.
24. CHANGE OF LEADERSHIP/MANAGEMENT: In the event of any change in the status of
CONTRACTOR’s leadership or management, CONTRACTOR shall provide written notice to COUNTY
within thirty (30) days from the date of change. Such notification shall include any new leader or
manager’s name, address and qualifications. “Leadership or management” shall include any employee,
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member, or owner of CONTRACTOR who either a) directs individuals providing services pursuant to
this Agreement, b) exercises control over the manner in which services are provided, or c) has authority
over CONTRACTOR’s finances.
25. LOBBYING ACTIVITY: None of the funds provided under this Agreement shall be used for
publicity, lobbying or propaganda purposes designed to support or defeat legislation pending in the
Congress of the United States of America or the Legislature of the State of California.
26. GOVERNING LAW: Venue for any action arising out of or related to this Agreement shall only
be in Fresno County, California.
The rights and obligations of the parties and all interpretation and performance of this Agreement
shall be governed in all respects by the laws of the State of California.
27. DISCLOSURE OF SELF-DEALING TRANSACTIONS:
This provision is only applicable if a CONTRACTOR is operating as a corporation (a for-profit
or non-profit corporation) or if during the term of the agreement, the CONTRACTOR changes its status
to operate as a corporation.
Members of the CONTRACTOR’S Board of Directors shall disclose any self-dealing
transactions that they are a party to while CONTRACTOR is providing goods or performing services
under this agreement. A self-dealing transaction shall mean a transaction to which a CONTRACTOR is
a party and in which one or more of its directors has a material financial interest. Members of the Board
of Directors shall disclose any self-dealing transactions that they are a party to by completing and
signing a Self-Dealing Transaction Disclosure Form, attached hereto as Exhibit E and incorporated
herein by reference, and submitting it to the COUNTY prior to commencing with the self-dealing
transaction or immediately thereafter.
28. SEVERABILITY: The positions of this Agreement are severable. The invalidity or
unenforceability of any one provision in the Agreement shall not affect the other provisions.
29. ENTIRE AGREEMENT: This Agreement constitutes the entire agreement between the
CONTRACTOR and COUNTY with respect to the subject matter hereof and supersedes all previous
Agreement negotiations, proposals, commitments, writings, advertisements, publications, and
understanding of any nature whatsoever unless expressly included in this Agreement. The parties agree
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that Purchase Order # M02-0000020917 is terminated effective close of business April 16, 2021 and is
replaced with this Agreement. In the event of any inconsistency in interpreting the documents which
constitute this Agreement, the inconsistency shall be resolved by giving precedence in the following order
of priority: (1) the text of this Agreement (excluding exhibits) and (2) the exhibits attached hereto.
///
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1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year
2 first hereinabove written.
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Fresno Economic Opportunities
Commission
(Authorized Signature)
Emilia Reyes , Chief Executive Officer
Print Name & Title
(Chairman of the Board , or President or Vice
President)
1920 Mariposa Street
Fresno , CA 93721
Mailing Address
FOR ACCOUNTING USE ONLY:
Fund : 0001
Subclass : 10000
ORG : 56201018 ,56201019
Account: 7295
Steve Brandau , Chairman of the Board of
Supervisors of the County of Fresno
ATTEST:
Bernice E . Seidel
Clerk of the Board of Supervisors
County of Fresno, State of California
By: ------l.~~,-1,,:,,hD_1 . .L1 __:c1,_,o,,,b ... u~-1 pd:~J.....----
" Deputy D
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Exhibit A
Page 1 of 6
COVID-19 Harvest Project Scope of Work and Reimbursement Schedule
April 17, 2021 through June 30, 2022
During the period April 17, 2021 through June 30, 2022 Fresno Economic Opportunities Commission
(Fresno EOC) shall provide the following Services:
Harvest Project Deliverables
1. Testing
a.CoordinateandconductonsitePCR/rapidAntigentestingorreferclientstopartner clinics
b.Billclientmedicalinsurance,asavailable
c.Collect,analyze,andreportdata
d.Providehealtheducationservicesand/orcoordinatewithCOVIDEquityProjectparticipants
2. CaseManagement
a.Workwithemployersandcommunitiestosetuptestinglocations
b.CoordinatewithotherCBOsforreferralsandcomplementaryservices
c.DuringtheperiodApril17,2021throughJune30,2021,bookquarantinehotelroomthrough
theStateofCalifornia’sHousingfortheHarvestprogramd.Scheduletransportationandfood
services
e.Checkinwithclientsduringquarantineasneeded
f.Assistclientswithpaperworkandotherneeds,andconnectwithadditionalservices
3. Transportation:
a.TransportCOVIDpositiveorexposedindividualstoandfromahotelfora14day quarantine
4. Meals:
a.Deliver3mealsaday
b.Mealswillbeadaptedforculturalandcertaindietaryneedssuchasvegetarian,nondairyand
no nuts.
5. VaccineClinics
a. Manageandfacilitatealloperationalcomponentsof20(twenty)COVID19vaccine
clinics,including:
I. Vaccinepickupandtransport
II. Coldchain
III. Patientappointments/registrations
IV. Trafficcontrol
V. Clinicsetupandpatientflow
VI. Logisticsrelatedtopostvaccineadministrationpatientobservations,and
managingpatientcheckoutandsecondvaccineappointmentscheduling
HarvestProjectTesting
TheHarvestProjectwillprovideCOVID19testinginFresnoCountycommunitieswithhigh
concentrationsofworkersinagricultureindustries.FresnoEOCHealthandDentalServicesand
partnerclinicswillworktogethertoprovidePCRtestingatlocationstobedetermined.Employers
cancontactFresnoEOCtotesttheirworkers,andemployeescanselfrefertoFresnoEOCfor
testing.Thisservicewillalsobeavailableonareferralbasistoanyoneconnectedwiththeemployer
oritsemployees.Farmworkersoragricultureemployeeswillbeeligibleforwraparoundservicesto
assistinquarantiningfor14daysfollowingexposureorapositiveCOVID19test.
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit A
Page 2 of 6
FresnoEOCSanctuaryandSupportServiceswillbetheinitialpointofcontactforbothemployers
andemployeesintheagricultureandfoodprocessingindustry.Programstaffwillbeavailableby
phoneoremailforassistance.Requestscanalsobemadeonlinethroughaprojectwebsiteusingan
onlinerequestform.FresnoEOCHealthandDentalServicesstaffwillbetrainedontestingprotocols
byFresnoEOCHealthandDentalServices’leadershipaswellasFCDPHstaff.Healtheducatorswill
provideeachclientinformationaboutCOVID19preventionandsymptoms,addresses,andphone
numbersforFederalQualifiedHealthCenters,andwebsiteswithinformationaboutresourcesand
treatmentoptions.FresnoEOCwillalsocollectandanalyzedatafromtestsites.Datawillbebroken
downbyrace,age,gender,andtestresult,andwillbeaggregatedandsharedwiththeCounty.
ScreeningandresultscanbedirectlylinkedtotheFresnoCountydatacollectionsystemREDCap,
whichFresnoEOCalreadyutilizesforitsdentaldatacollection.
Eachtechnicianwillwearpersonalprotectiveequipment(PPE),followprotocolsfordisposingof
tests,andfollowsanitationandcleaningguidelines.Individualswhohavebeentestedwillbe
contactedby phoneand/ortextbyEOCHealthandDentalServiceswiththeirresults.Ifthetestis
negative,theywillreceiveatext.Ifthetestispositive,theywillreceiveaphonecallwithreferral
informationaboutourservicesandwheretoseektreatment.
HarvestProjectCaseManagementServices
Whenanindividualworkinginthefoodprocessingoragricultureindustryhaseithertested
positiveforCOVID19orhasbeencontactedbyanFCDPHContactTracerconfirmingtheyhave
potentiallybeenexposed,FresnoEOCwillofferservicestoassistthemwiththe14dayquarantine
process.Iftheydecidetousetheseservices,duringtheperiodApril17,2021throughJune30,
2021,FresnoEOCSanctuaryandSupportServiceswillbookthatpersonahotelroomunderthe
StateofCalifornia’sHousingfortheHarvestprogramTheywillbegivenatimetomeetatthe
testingsiteorbepickedupattheirhomefortransportation,allowingatleasttwohourstogather
anypersonalitems.FresnoEOCTransitSystemswillthentransportclientstotheirhotels,eitherin
15 passengervansfromthetestingsitesorinanothersmallervehicleforanyonewhoisreferred
butdoesnotvisitthetestingsite.Forparticipantsthatwilldrivetheirownvehiclestothehotel,a
casemanagerwillmeetthemtogivea$50gascard.Forinhomequarantinesupport,FresnoEOC
willprovidecasemanagementassistancetohelpclientsobtainservicesandresourcesidentified.
Within24hoursof theirarrival,acasemanagerwillcalltheclientandconductanassessmentofany
assistancetheyneed,includingbutnotlimitedtonavigatingleavefromtheiremployer,
unemploymentbenefits,laundry,andmedicalissues.Casemanagerswillfollowupwithclients
everyotherdayorasneededthroughouttheirquarantine,usingtranslationservicesasnecessary.
FresnoEOCFoodServiceswilldelivermealstoeachpersoneverytwotothreedaysandprovide
breakfast,lunch,anddinnereachday.Mealscanbebothhotandcolddependingontheappliances
availableatthehotelforpreparation,willbeculturallyappropriate,andwillmeetanydietaryneeds
orrestrictions.Followingthe14dayquarantine,FresnoEOCTransitSystemswillpickupclientsand
returnthemtotheirhomes,unlesstheyhaveanothermeansoftransportation.
VaccineClinics
FresnoEOCwillworkwithCountystafftocoordinateandconduct20vaccineclinics.Patientsserved
willbedependentonwhichvaccineisbeingadministeredattheevent.ThePfizervaccineis
authorizedforuseinindividuals16yearsofageandolder.TheModernaandJanssenvaccinesare
authorizedforuseinindividuals18yearsofageandolder.SeeEUAsissuedforeachvaccine:
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit A
Page 3 of 6
• PfizerEUA:https://www.fda.gov/media/144412/download
• ModernaEUA:https://www.fda.gov/media/144637/download.
• JanssenEUA:JanssenCOVID19VaccineEUAFactSheetforRecipientsandCaregivers
(fda.gov)
• Othervaccinerequirementsmayvary.FresnoEOCwillberequiredtoadheretoEUAfor
specificvaccinesasadditionalvaccinesareapprovedbytheFoodandDrugAdministration
(FDA).
Inaddition,FresnoEOCwillberesponsibleforthefollowing:
• EnrollasaProviderinthefederalCOVID19VaccinationProgram,utilizingtheCalifornia
DepartmentofPublicHealth’s(CDPH)COVIDReadiportalandagreeandadheretoall
requirementsspecifiedintheProvideragreement.Ifproviderisnotcurrentlyanapproved
CaliforniaCOVIDvaccineproviderthenprovidermustadheretoallCOVIDvaccinehandling
andreportingrequirementsestablishedbytheStateofCalifornia.
• ShalladministerthevaccineandenterallvaccinationsintotheappropriateStatesystemwithin24hours
ofadministration.
• Shallprovideallofficesupplies,ancillarymedicalsuppliesnotincludedwithvaccine,PPE,tables,chairs,
tents,etc.,whenneeded.
• VaccinewillbetransferredaccordingtoCDCorVFCrecommendations,suchasnotedintheCDC’s
VaccineStorageandHandlingToolkit,linkedhere:
https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/index.html
• Returnunused/unopenedvaccinestoDPHthedayoftheevent,orthedayfollowing,asdirectedbyDPH
whenschedulingeachevent(tobedeterminedpriortoeachevent.)However,withCounty’spermission,
vendormayretainunusedvaccineforuseonthefollowingclinicdateprovidedvendorhasappropriate
coldstoragecapacityandthevaccinewillnothaveexpiredpermanufacturerguidelines.
• IfFresnoEOChasvaccinethatmayexpirebeforeitcanbeusedatanupcomingevent,FresnoEOCwill
workwiththeCountytoensureanysurplusorshortdateddosesaretransferredtoanapproved
providerinatimelymanner.
• DocumentandnotifyDPHofanywastedvaccinedoses.
• Staffinchargeofstorageandhandling,willcompletethe7EZIZtrainingmodulesatthefollowing
website:https://eziz.org/eziztraining/
• Perfederalregulations,ContractorisrequiredtoprovidetheappropriateEUAdocumenttoallvaccine
recipients:
Pfizer:https://www.fda.gov/media/144414/download
Moderna:https://www.fda.gov/media/144638/download
Janssen:JanssenCOVID19VaccineEUAFactSheetforRecipientsandCaregivers(fda.gov)
• COVID19vaccinationprovidersarerequiredtoreportthefollowingadverseeventsafterCOVID19
vaccination,andotheradverseeventsiflaterrevisedbyCDC,toVAERS:
https://vaers.hhs.gov/reportevent.htmlorcalling18008227967 .
Vaccinationadministrationerrors,whetherornotassociatedwithanadverseevent
SevereCOVID19illness(e.g.,resultinginhospitalization)
Seriousadverseevents(AE)regardlessofcausality.SeriousAEsaredefinedas:
Death
AlifethreateningAE
Inpatienthospitalizationorprolongationofexistinghospitalization
Persistentorsignificantincapacityorsubstantialdisruptionoftheabilitytoconductnormallife
functions
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit A
Page 4 of 6
Acongenitalanomaly/birthdefect
MultisystemInflammatorySyndrome
Importantmedicaleventsthatmaynotresultindeath,belifethreatening,orrequire
hospitalizationmaybeconsideredseriouswhen,baseduponappropriatemedicaljudgment,
theymayjeopardizethepatientandmayrequiremedicalorsurgicalinterventiontopreventone
oftheoutcomeslistedabove
• Alsoreportanyadditionalselectadverseeventsand/oranyrevisedsafetyreportingrequirementsper
FDA’sconditionsofauthorizeduseofvaccine(s)throughoutthedurationofanyCOVID19Vaccinebeing
authorizedunderanEmergencyUseAuthorization(EUA).
• FresnoEOCmustmakeprovisionforpatientswithahistoryofanaphylaxis(duetoanycause)toremain
forobservationfor30minutes.Forallotherpersons,observationperiodis15minutes.
• Intheeventofanaphylacticreaction,FresnoEOCmustmaintainappropriateemergencyequipmentat
theeventtomanageanaphylaxisresultingfromvaccination.SeeCDCrecommendedequipmentlinked
here:https://www.cdc.gov/vaccines/covid19/infobyproduct/pfizer/anaphylaxismanagement.html .
Equipmentsupplyshouldbesufficienttomanagemultiplepatientsexperiencinganaphylaxis.
ColdStorageSurvey(pleasecheckasappropriate):
Wehaveanultralowtemperaturefreezer(temperaturecapabilityis80°Cto60°C/112°Fto76°F).
Freezermake/modelandcubicfeet:SOLOWMODELU852223.1cubicft3unitspurchased.
AmericanBiotechSupply–ABT115V218617cubitft.–3unitspurchased
Wehavefreezerstoragecapability(25°Cto15°C/13°Fto5°F).Freezermake/modelandcubicfeet:
_____MCACorporationMODELHMCF7W4–7CubicFeet_______________
Wehaverefrigeratorstoragecapability(2°Cto8°C/36°F40°F).Refrigeratormake/modelandcubicfeet:
AmericanBiotechSupplyPHABTHCS16G16cubicft.*Currentcalibrationcertificationwillberequired
forfreezers/refrigerators.
WewillpickupandreturnthevaccinethesamedaytotheCountyandwillmakearrangementswith
Countystaffonpickupanddropofftimes.
WewillpickupandreturnthevaccinethesamedaytotheCountyandwillmakearrangementswith
Countystaffonpickupanddropofftimes.
Wedonothavequalifiedcontainerandpackoutfortransportanddigitaldataloggerforcontinuous
monitoringduringtransportandwillneedtoborrowfromtheDepartmentofPublicHealth.
PertheCDC,a“qualifiedcontainerandpackout”aredefinedas“Atypeofcontainerandsupplies
specificallydesignedforusewhenpackingvaccinesfortransport.Theyarepassivecontainersthatdo
notrequireapowersourceandare‘qualified’throughlaboratorytestingundercontrolledconditionsto
ensuretheyachieveandmaintaindesiredtemperaturesforasetamountoftime.”
(https://www.cdc.gov/vaccines/hcp/admin/storage/toolkit/storagehandlingtoolkit.pdf)Anexamplea
qualifiedcontainerislinkedhere:https://www.vericormed.com/product/coolercoolcube08vaccine
transportcooleratrefrigeratedtemperaturesfreshvaccinevt08/
TheCountywillprovidethefollowing:
• Venueanddirectpaymenttovenueforanyrentalcosts.
• Clinicdate,time,locationandvenuecontactinformation.
• VaccineandancillarysuppliesasprovidedforbyCDPH.Dependingonvendor’scoldchain
capabilitiesandregisteredProviderstatus,vaccineandancillarysuppliesmaybeshipped
directlytovendororpickedupattheDepartmentofPublicHealth.
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit A
Page 5 of 6
• ForPfizer,Moderna,Janssenandpotentiallyothervaccines,weexpectthefollowingancillary
suppliestobeprovidedwitheach100vaccinedoses.
• 105needles
• 105syringes
• 210alcoholpreppads
• 1needleinformationcard
• 100vaccinationcards
• 2disposablefaceshields
• 4surgicalmasks
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit A
Page 6 of 6
ReimbursementSchedule
FresnoEOCwillsubmitinvoiceswithfull,appropriatesupportingdocumentationasrequiredby
theCounty.Reimbursableservicesaredescribedaboveandshallbepaidattheratessetforth
below.
Category Rate
COVID-19 Testing Up to $140 per test*
Testing Event
Mobilization
$1,500 per event with 15-74 clients
$3,000 per event with 75-150 clients
Case Management $80 per hour
Personal Protective
Equipment
Reimbursement based on actual usage
Vehicle Screens Actual cost
Transportation: $78 per hour
IQS Support*** $1,200 maximum allowance per client to include:
April 17, 2021 through June 30, 2021
i. In Home Quarantine ($500.00) / Hotel
Quarantine ($1000.00)
July 1, 2021 through June 30, 2022
i. In Home Quarantine ($1,000.00)
Gas Card: $50 each
Meals (incl. delivery): $61 per client per day
Vaccine Clinic
Billing/Compensation**
Based on clinic hours:
$2,400.00 per event fee with a minimum quota of (1-49) encounters,
and/or 1 to 2-hour single event
$4,200.00 per event fee with a minimum quota of (50-149)
encounters, and/or 1 to 2 hour single event
$7,500.00 per event fee with a minimum quota of (150-300)
encounters, and/or 2 to 5 hour events.
$12,000.00 per event fee with a minimum quota of (301-
500) encounters, and/or 5 to 8 hour events
$17,000.00 per event fee with a minimum quota of (501-
750) encounters, and/or 5 to 8 hour single event.
$23,000.00 per event fee with a minimum quota of (751-
1000) encounters, and/or 5 to 8 hour single event
*Fortestingcoststhatcannotberecoveredthroughexistingfundingstructures(includingbutnot
limitedtoclientmedicalinsurance),theCounty willcompensateatamaximumrateof$140.This
ratewillcoversamplecollection,diagnostictestingcoveredattheMedicarerate,andpatientresult
follow up.
** Vendorshallbillpatient’sinsurance,MediCal,orsubmitforFederalreimbursementforuninsured
patientsthroughtheHealthResourcesandServicesAdministration’s(NHSA)claimsreimbursement
programforCOVID19vaccineadministrationcosts.(Seelink:
https://coviduninsuredclaim.linkhealth.com/get started.html)
***DiscontinuationofhotelroomssecuredthroughtheStateeffectiveJuly1,2021.Fundingdoesnotaffect
wraparoundservicesforinhotelquarantineassistance.
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 1 of 25 Page 1 of 25 COVID-19 Equity Emergency Response Scope of Work January 2022 through March 2022 Upon written request of the County of Fresno, Department of Public Health Director, Fresno EOC shall provide the below services during the period January 1, 2022 through March 31, 2022. All Plans submitted for each of the four categories (Health Education and Outreach, Contact Tracing & Medical Investigation, Quarantine Supports) shall be approved by the County of Fresno- Department of Public Health (DPH) prior to implementation. CATEGORY 1: Health Education and Outreach Activity Activity Name Description Responsible Party Deliverables/ Milestones Timeframe 1.1.1 Assess: Language & Cultural Needs Identify language and cultural needsin the community and organizational/staff capacity in terms of education and outreach Fresno EOC & Subcontractors Assessment January 2022 – March 2022 1.1.2 Assess: Testing Needs Identify through data analysis any targeted geographic or demographic population for testing events and outreach. Fresno EOC & Subcontractors Ongoing reports of identified targeted populations January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 2 of 25 Page 2 of 25 1.2.1.1 Plan: Training/ Curriculum Development Develop modules on education and outreach to include information on: 1. How to be a Promotora 2. COVID19 Transmission 3. Prevention a. Social distancing b. Sheltering in Place c. Wearing Masks d. Handwashing 4. Testing 5. Isolate when positive 6. Quarantine 7. Glossary of PHD terms 8. Ongoing training in technology use for COVID-19 related education and outreach, and quarantine supports Prepare training materials and handouts. Fresno EOC & Subcontractors Curriculum January 2022 – March 2022 1.2.1.2 Plan: Training/ Adaptations Adapt CHW modules for each language/cultural group 1. Hmong, Lao, Khmer, Arabic, Slavic 2. Mixteco, Mam, Tlapaneco, Zapoteco, Triqui 3. Punjabi 4. Spanish Fresno EOC & Subcontractors Curriculum January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 3 of 25 Page 3 of 25 5. Swahili (available, but not anticipated) 6. AA cultural adaptation 1.2.2.2 Plan: Outreach Testing Events Plan how to support Testing Events in the County of Fresno will be determined in consultation with FQHCs, and County-funded testing agencies. This plan is to include one event per week given lab and testing capacity for the County. Finalize plan on logistics for supporting City of Fresno/UCSF mobile testing sites between all agency partners Fresno EOC & Subcontractors Fresno EOC & Subcontractors Documented agreement and schedule of events Written plan and agreement January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 4 of 25 Page 4 of 25 1.2.3 PLAN: Outreach Outreach Plan Coalition partners will submit a plan to mobilize and deploy teams of Community Health Workers/ Promotoras and other project staff who will utilize a number of approaches in order to conduct health education and outreach activities under the auspices of the project, and in addition influenza, and/or other communicable diseases. The outreach plan will address the cultural, linguistic and literacy needs of targeted audiences in Fresno and Fresno County. Coalition partners will cover the entirety of Fresno County based on each organization’s existing reach and capacity, including: City of Fresno, including unincorporated areas within city major boundaries (Calwa, Highway City, Pinedale) Fresno County small towns & cities Unincorporated/ rural areas outside of the City of Fresno FUSD high school feeder patterns & other local school districts Fresno EOC & Subcontractors Fresno EOC & Subcontractors Outreach Plan from each lead agency (EOC) January 2022 – March 2022 January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 5 of 25 Page 5 of 25 1.2.4.1 Plan: Communications A communications team of Public Health Department staff and communication leads from each partner organization will convene to plan and coordinate communication strategies. Plan in-language media campaigns with a communications plan within each target populations Ethnic TV/Radio/Print limited buys Engage traditional corporate media through: Earned media coverage of testing events Project staff spokespersons presentations on English and Spanish media programming Leverage CBO Coverage on Weekly COVID-19 Calls, as well as placement in CBO newsletters and other existing community-based network communication. Fresno EOC & Subcontractors . Fresno EOC & Subcontractors Fresno EOC & Subcontractors Fresno EOC & Subcontractors Copies of scripts, print messages and collaborative items January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 6 of 25 Page 6 of 25 1.2.4.2 Plan: Health Education Materials & Messages Plan health education talking points, messages, and materials within each target population. Fresno EOC & Subcontractors Talking points, messages, and developed materials January 2022 – March 2022 Monthly 1.2.4.3 Plan: Field Testing Method: Organized as small group sessions once new messages and new materials are developed. The focus will be on the effectiveness of messages and materials in conveying information. Are the messages and materials received well and understood by the target audience? This data is to be collected by each organization that is out on the field and data will be collected by CVHPI Fresno EOC & Subcontractors Field-testing reports. Monthly January 2022 – March 2022 1.3.1 Implement: Training CHW/Promotora Initial One Week Training: Ongoing Continuing Education on at least biweekly basis Train-the-Trainer support for lead CHWs at each agency Fresno EOC & Subcontractors Fresno EOC & Subcontractors Fresno EOC & Subcontractors Sign-in sheets/electronic documentation January 2022 – March 2022 January 2022 – March 2022 January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 7 of 25 Page 7 of 25 1.3.2 Implement: Health Education & Outreach Conduct health education to target audiences. Include outreach on COVID-19, Influenza, and/or Other Communicable Diseases, and promotion of testing events. Approach 1: High Volume Direct Health Education on Transmission/Prevention- Coalition partners will engage in direct outreach through numerous platforms with a goal of reaching large segments of the underserved population with consistent messaging. This approach will include: Phone banking/texting campaigns, direct texting Robocalls Using existing call lists Through City Phone trees WhatsApp Social Media: Facebook, Instagram, and Twitter Webinars/Virtual Talks Grass roots ambassadors Fresno EOC & Subcontractors Fresno EOC & Subcontractors Talking points -Messages (Voice and video included) -Contact metrics and tracking by method (number of attempts, contacts, completed conversations byapproach) -WhatsApp: Number of members on groups -Social Media: Highest number of shares per month on any post -Webinars and Virtual talks: number of views after 1 month. January 2022 – March 2022 January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 8 of 25 Page 8 of 25 Approach 2: Direct 1:1 & Small Group Engagement with Residents- When necessary and safe, project staff will engage in one-on-one (1:1) conversations with residents, as well as small group/ focus group meetings to disseminate educational content and capture information from the target population related to prevention needs. This is particularly needed in isolated (both linguistically and geographically) communities where a trusted ambassador is best positioned to conduct successful outreach. These will include: In-person outreach Small group meetings/engage at worksites, community centers, and other community spaces in targeted neighborhoods Fresno EOC & Subcontractors Contact metrics and tracking by method January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 9 of 25 Page 9 of 25 Approach 3: Promotion of Clinics and Testing events- Project staff (with PPE) will promote clinic locations in each local area. Coalition partners will also organize, promote and staff testing events in local communities. Considerations for these activities will include: Leveraging media/communications activities (see activity 1.3.4) Targeted neighborhood outreach, including phone banking, canvassing & leafleting. Fresno EOC & Subcontractors Reporting of markets reached Contact metrics and tracking by method January 2022 – March 2022 January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 10 of 25 Page 10 of 25 Approach 4: Inter-institutional Cooperation & Collaboration with Project Staff & Local School Districts (GO Fresno)- Project staff will utilize existing inter-institutional relationships in order to bolster outreach and education efforts. This will include: School District partnerships in Fresno USD and throughout the county School-site partnerships, including principal and parent/ community engagement staff collaboration and cooperation with project staff Formalize partnership with Fresno USD’s Parent University to conduct phone-bank outreach to FUSD parents. Coordinate with rural school districts for education and outreach, specifically the quarantine supports the COVID-19 Equity Project is managing Collaborate with school districts regarding contact tracing and/or testing education and outreach Fresno EOC & Subcontractors Agreements with School Districts and FCOE Agreements with School sites Agreements with FUSD Parent University Completed Phone Bank events (# of people reached) January 2022 – March 2022 January 2022 – March 2022 January 2022 – March 2022 January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 11 of 25 Page 11 of 25 Approach 5: Inter-institutional Cooperation & Collaboration with Project Staff & African American (AA) owned small businesses (FMBCC)- Project staff will utilize existing inter-institutional relationships with city, county, and state agencies to provide outreach, education, training efforts. This will include: Provide small business education & training to ensure workplace safety, reduce risk to public health, operational stability, local & state compliance, risk mitigation, effectively manage procurement of safety supplies and equipment Approach 6: Continue collaboration with farm workers, small farmers, and farm labor contractors. Support County DPH rural small businesses and agricultural businesses testing, education and outreach • Provide PPE to employees as part of outreach efforts when needed Fresno EOC & Subcontractors Fresno EOC & Subcontractors Worksite testing events Workshops Phone Webinars 1:1 TA via Videoconferencing January 2022 – March 2022 January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 12 of 25 Page 12 of 25 1.3.3 Implement: Testing Events Testing Events in the City of Fresno in partnership with UCSF will be conducted up to 7 days per week, with onsite responsibilities rotated between partner organizations depending on the targeted languages and neighborhoods. Testing events in County will be conducted according to plan (activity 1.2.2.2) CHWs will provide information (public health, COVID workers’ rights, quarantine supports, other resources) on-site to everyone who comes to test. CHWs provide contact investigation information and assist patient with submitting contact information electronically. Fresno EOC & Subcontractors Fresno EOC & Subcontractors Fresno EOC & Subcontractors Fresno EOC & Subcontractors Number of testing events assisted # of people contacted to attend event # attendees #of people followed up after event January 2022 – March 2022 January 2022 – March 2022 January 2022 – March 2022 1.3.4 Implement: Communications Convene communications workgroup regularly and collaborate closely with Leticia Barber (DPH) and Lacey Leonard (UCSF) Promote in ethnic/ linguistic communities in culturally relevant ways Fresno EOC & Subcontractors Fresno EOC & Subcontractors # of Interviews, # of publications # of segments January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 13 of 25 Page 13 of 25 Ethnic Media outreach such as Radio Bilingue, Univision, Punjabi Radio USA, JusPunjabi TV, Hmong Television, KBIF 900 (Hmong,Lao, Khmer and Arabic Radio shows), Newspapers Earned traditional media coverage of testing events Assess existing response hotline Embed Cultural Brokers into the 211 COVID hotline Launch outreach efforts for 211 COVID hotline devoted to COVID Outreach # of views on website after live airing # of people served by hotline January 2022 – March 2022 January 2022 – March 2022 1.3.5 Implement: Field Testing Each partner organization will organize field testing groups for rapid assessment of newly developed messages and materials. 1. Plan focus group and Invite participants. 2. Conduct field tests 3. Compile finding and present to partners. Fresno EOC & Subcontractors # of field-testing groups monthly Monthly January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 14 of 25 Page 14 of 25 1.4.1 Evaluate: Training Effectiveness in training (Is the training we provide to CHWs/CTs building capacity to level needed as demonstrated by need encountered in community?) Fresno EOC & Subcontractors CHW/Promotora training evaluations January 2022 – March 2022 1.4.2 Evaluate: Communications & Health Education messages and materials Through a process evaluation, obtain feedback from community members on implementation of dissemination methods of new messages and understanding of messages. This will be done through qualitative data. We will use interview guide and surveys after receiving the messages Two Areas of Evaluation: Understanding of messages (are messages sticking or resulting in impact?) Which methods are most impactful for which audiences (radio, tv, in person, social media, etc.) Fresno EOC & Subcontractors Data from Evaluation Meetings with Team leads reported to DPH Ops and UCSF Leadership joint meetings Monthly January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 15 of 25 Page 15 of 25 1.4.3 Evaluate: Events/Outreach Evaluate effectiveness of outreach strategies around: community knowledge of virus, turnout at testing events, follow up Fresno EOC & Subcontractors Focus Groups and Survey Results from invited past participants of outreach January 2022 – March 2022 1.4.4 Evaluate Evaluate implications for vaccination campaign and develop recommendations for practice Fresno EOC & Subcontractors Report to DPH Ops and UCSF Leadership joint meetings January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 16 of 25 Page 16 of 25 CATEGORY 2: Contact Tracing & Medical Investigation Activity Activity Name Description Responsible Party Deliverables Timeframe 2.1.1 Assess Coordinate with County Medical Investigation Team for Contact Tracing efforts Identify Data Management needs Identify Appropriate Training modules for Contact Tracing by community members Develop additional qualitative and quantitative data measures for community health workers across CBO’s Fresno EOC & Subcontractors Meeting minutes Final list of measures to be collected by all CBOs for evaluation purposes January 2022 – March 2022 2.1.2 Assess Re-evaluate and modify training for contact tracing modules and testing protocols as they change Fresno EOC & Subcontractors Updated training modules Monthly January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 17 of 25 Page 17 of 25 2.2.1 Plan Develop basic overview module on Contact Tracing & coordination with Medical Investigation to include information on: 1. Contact Tracing 2. Motivational Interviewing 3. Difficult clients 4. County HIPAA training 5. Infection control and prevention Adapt modules to 13 languages/cultures to ensure Literacy levels, visuals that are representative of community Fresno EOC & Subcontractors Curriculum 5,5,1,1,1 adaptation January 2022 – March 2022 January 2022 – March 2022 2.3.1.1 Implement CHWs complete internal introductory training to contact tracing (ASTHO, basic customer service/interview skills) Complete County training for contact tracing (County data management systems and processes) Fresno EOC & Subcontractors Fresno EOC & Subcontractors Sign in Sheets County certification/ approval January 2022 – March 2022 January 2022 – March 2022 2.3.1.2 Implement Conduct County-referred contact tracing and investigation Budget is based on July 11th County and City COVID-19 total cases reported over time. Fresno EOC & Subcontractors REDCap or CalREDIE January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 18 of 25 Page 18 of 25 Total Cases: 8,282 100% City cases: 4353 53% County cases: 3,929 47% Actual Charges to County will be based on patient’s resident address. City of Fresno address will be billed to City of Fresno. All others will be billed to County. Once City of Fresno allocation is fully spent then remainder may be billed to County if funds are remaining in County’s budget for CATEGORY 2. 2.3.1.3 Implement Conduct ongoing Continuing Education as contact tracing training and protocols adapt Fresno EOC & Subcontractors Sign in Sheets January 2022 – March 2022 2.4.1 Evaluate Monthly evaluations until March to include 1. Number of people reached for contact tracing 2. Average time it is taking to conduct investigation 3. Questions people are asking beyond contact tracing related questions, including identification of other unmet needs Fresno EOC & Subcontractors provide information to CVHPI Notes from monthly meetings Monthly Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 19 of 25 Page 19 of 25 4. Qualitative data about knowledge gaps of CTs Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 20 of 25 Page 20 of 25 CATEGORY 3: Quarantine Supports Activity Activity Name Description Responsible Party Deliverables Timeframe 3.1.1 Assess: Needs Assess needs of presumed or confirmed COVID19 positive community members and their families. 1. Wage replacement 2. Housing/Quarantine site 3. Utilities 4. Access to healthcare and treatment 5. Food Assistance 6. Childcare or Eldercare 7. Education needs of students in home 8. Provide PPE to individuals as needed 9. Provide transportation There will be an ongoing assessment on the total funds allocated and the need between city and county. Fresno EOC & Subcontractors Quarantine Assessment January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 21 of 25 Page 21 of 25 3.2.1 Plan: Payment Arrangements Develop a standardized process for requests and distribution of quarantine supports for all CBOs. Process must be standardized amongst all agencies distributing funds. All agencies must use the same database tracking for all clients to ensure there is not a duplicate disbursement for the same patient/household. Allow for multiple families living within one household. Fresno EOC & Subcontractors Invoices for payments with supporting documentation. Monthly map demonstrating location of distributions of patient/household address. January 2022 – March 2022 3.2.2 Plan: Referrals Develop process for referrals to complementary resources and services. Track across all agencies in a single database or comparable that will allow reporting of unique individuals being served. Fresno EOC & Subcontractors Resource map January 2022 – March 2022 3.3.1 Implement: Quarantine Supports Distribute to index cases and close contacts County will work with Contractors to develop screening form and methodology for distribution of funds Fresno EOC & Subcontractors # of patients/households that have received funds January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 22 of 25 Page 22 of 25 3.3.2 Implement: Follow-up and Wellness Checks Assess if index case and contacts have received resources and referrals. Fresno EOC & Subcontractors Report of follow-up calls January 2022 – March 2022 3.4.1 Evaluate Evaluate monthly in terms of equitable distribution, impact, and level of funding utilized out of the whole. We will be re-evaluating need from geographic region, to amounts being distributed, to budget for isolation/quarantine. Fresno EOC & Subcontractors Monthly Meeting Oral Report to DPH Ops January 2022 – March 2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 23 of 25 Page 23 of 25 Category4:VaccineClinic Activity ActivityName Description Deliverables Timeframe 4.1 CommunityNeedsAssessment Collectvaccineinterestfrom500communityresidentsduringCOVID19testingevents ConductfourcommunitylisteningsessionsviaZoom January2022–March20224.1.1 PlanOutreach&Education Buildpublicawarenessandeducationaboutthemosteffectiveway tohelpstopthespreadoftheCOVID 19virus. Keymessagingdevelopment,includingvaluestatements,facts,andtaglines Webdevelopmenttoincludeaminimumofthreelandingpagestargetedtoaddresslearningsfromcommunityassessments Incorporatekeymessaging,valuestatements,facts, andtaglinesintoprimarymarketingcollateral January2022–March2022 January2022–March2022 January2022–March2022 ConductCOVID19 vaccineneeds assessmentsto informvaccine outreach,education, equitable distribution,and implementationplan Conductcommunitysurvey toreachminimumof300 residentstolearnabout vaccinehesitancyand knowledgegaps January2022–March2022 Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 24 of 25 Page 24 of 25 4.1.2 ImplementOutreach/education Engagekeystakeholders,suchasAAcommunityleaders,pastors,athletes,physicians invariousoutreachactivitiesthatincorporatethecampaignmessaging VirtualoutreachviaSMplatforms,textcampaign,phonebanking Physician&pastorscommunitypanel 4FBLiveevents/panel discussions 6CommunityMeetings 2Askthephysicianvirtual sessions January2022–March2022 January2022–March2022 January2022–March2022 Monthly4.1.3VaccinatorTrainingTrain1015CHWstobecomecountycertifiedMAs,toincreasethenumberofskilledvaccinatorsinthecountyofFresnoCHWswillcomplete: 46hoursofvaccine traininginpartnershipwith CVHPI CompleteCDCVaccinetrainingforproviders.Providecertificate Train4CHWsincoldchain CertificatedBLS/CPRtrainingCountyapprovedMAtraining/clinicalhoursConductsupplementalIMinjectiontrainingwithphysicianconsultantandleadRN January2022–March2022January2022–March2022January2022–March2022January2022–March2022January2022–March2022January2022–March2022Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit B Page 25 of 25 Page 25 of 25 4.1.4Implement/OperateCOVID19VaccineClinicIndependentlymanageandoperatetheclinicalandadministrativecomponentsofaCOVID19vaccineclinicwithafocusonservingthemostvulnerablepopulationinawaythatadvancesracialhealthequityandaccess.I.Launch/operatevaccine callcenterinpartnership withCBI II.Manage&facilitateall operationalcomponentsof vaccineclinic,including: a.Vaccinepickup& transport b.Coldchain c.Patient appointments/registrationsd.Trafficcontrol e.Clinicsetupandpatient flow f.logisticsrelatedtopost vaccineadministrationpatientobservations,andmanagingpatientcheck outandsecondvaccineappointmentscheduling g.Patientappointment transportforelderly January2022–March2022 January2022–March2022Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
COVID-19 Equity Emergency Response
LEAD AGENCY: FRESNO EOC
Exhibit C
Total
Program Director 7,500
Program Coordinator 5,778
Administrative Assistant 3,785
Data Coordinator 4,219
CI/CT/CHW/Resource 109,336
Clinical Personnel-Vaccine 23,438
Account Clerk 4,350
Finance Manager 5,250
Mental Health Professional 8,789
Personnel Sub-Total 172,444
Fringe 43,111
Total Personnel 215,555
Supplies (office, printing, etc)5,782
Travel/Mileage 1,390
Outreach/Education/Marketing 57,217
Communications 4,142
Supply Transport Rental 1,447
Community Transportation 1,463
Mobile Hotspot Device 2,572
Computers 7,723
Program Supplies 3,079
Staff Supplies 4,702
Vaccine Clinic Supplies 28,125
Community Medical Supplies 19,014
PPE & Cleaning Supplies 18,750
Consultants, Licensed & Unlicensed 51,844
Vaccine Clinic Facilities Rental 21,563
Liability Insurance 469
Software (Scheduling, Cloud)469
Equipment 1,125
Employee Training 938
Biohazard Waste Disposal 512
Interpretation & Translation 375
Total Operating 232,697
Direct Costs 448,252
Indirect Costs @ 9%40,343
Total Direct and Indirect 488,594
EOC Subcontracts
TBD 447,938
TBD 447,938
TBD 447,938
Other Costs Subtotal 1,343,814
Grand Total 1,832,408
Operating Costs
Personnel
Budget: January 2022 through March 2022
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit D
Page 1 of 3
Fresno County Economic Opportunities Commission (EOC)
Housing for the Harvest (H4H) Monthly Report
[MMDDYYYY]
Please provide clear and concise responses to the questions listed below. Fresno County
Department of Public Health (FCDPH) is interested in hearing about your successes and
challenges, as well as how best to support you with the implementation of your Housing for the
Harvest (H4H) scope of work activities.
SECTION I: COVID-19 TESTING
1. Testing Numbers: Provide the number of testing events provided during this period and
include the location, address and test type performed.
Testing Date Number Tested Location Address Type of Test
SECTION 11: CALL CENTER REFERRALS, CASE MANAGEMENT AND WELLNESS
CHECKS
2. Call Center Referrals, Case Management and Wellness Checks: Provide the total
number of individuals that were referred to EOC H4H, triaged and followed up by
telephone, and supported with case management services and wellness checks each
month and identify the type of case management provided.
Month Total Number of
Referrals
Number of Individuals
who Received Case
Management or
Wellness Services
Type of Case
Management Services
Provided
April
May
3. Time spent: Approximately how many hours did you spend conducting any of the
services in Section II from March to April?
_______hours/minutes
On average, how long did you spend with one person?
_______hours/minutes
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit D
Page 2 of 3
SECTION III: Vaccine Clinics
4. Vaccine Clinics: Provide the number of vaccine clinics hosted during this period and
include the number of people vaccinated at each event, location, address, and vaccine
administered.
Vaccine Clinic Date Number
Vaccinated
Location Address Vaccine Type
SECTION IV: Demographic Information
5. Language Access: Provide the number of language services you provided supports in
and specify the languages.
Number of languages provided supports in:
Specify the language(s):
6. Race & Ethnicity: Please provide the number of individuals supported by race and
ethnicity.
Individuals supported by Ethnicity Cases investigated by Race
Hispanic or Latino ____
Non-Hispanic or Latino ____
American Indian or Native American or
Alaska Native ____
Asian ____
Black or African American ____
Native Hawaiian or Pacific Islander ____
White ____
Other _____
7. Geographical locations: List at least three zip codes where you provided the greatest
case management services, wellness checks and issued the most financial assistance
to?
1.
2.
3.
SECTION V: Financial Assistance
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit D
Page 3 of 3
Type of Financial Assistance Provided: Provide the number of individuals that accepted the
Hotel Financial Assistance and those that accepted the Home Quarantine Financial Assistance.
Number of Individuals accepting the Hotel
Financial Assistance:
Number of Individuals accepting the
Home Quarantine Financial Assistance:
Please check the type of financial assistance more frequently requested:
Food Utilities Rent/Mortgage
Childcare Laundry Services Transportation
Respite Care Medical Distance Learning
Other: ___________________
SECTION VI: Training
Training: List any trainings attended during this period whether provided by Fresno County
Department of Public Health, the California Department of Social Services or others to support
your scope of work.
Training Date Type of Training Staff Attending
Describe any additional trainings needs you may have to more effectively and efficiently
complete your work activities.
SECTION VI: Successes and Challenges
1. Provide one to two success stories that will demonstrate the impact EOC is making in
Fresno County.
2. Describe any challenges during this reporting period that made it particularly difficult to
accomplish your activities?
3. Is there anything else Fresno County Department of Public Health can do to further
support your success with the H4H Program?
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit E
Page 1 of 2
SELF-DEALINGTRANSACTIONDISCLOSUREFORM
In order to conduct business with the County of Fresno (hereinafter referred to as “County”), members
of a contractor’s board of directors (hereinafter referred to as “County Contractor”), must disclose any
selfdealing transactions that they are a party to while providing goods, performing services, or both
for the County. A selfdealing transaction is defined below:
“A self-dealing transaction means a transaction to which the corporation is a party and in which one
or more of its directors has a material financial interest”
The definition above will be utilized for purposes of completing this disclosure form.
INSTRUCTIONS
(1) Enter board member’s name, job title (if applicable), and date this disclosure is being made.
(2) Enter the board member’s company/agency name and address.
(3) Describe in detail the nature of the self dealing transaction that is being disclosed to the
County. At a minimum, include a description of the following:
a. The name of the agency/company with which the corporation has the transaction; and
b. The nature of the material financial interest in the Corporation’s transaction that the
board member has.
(4) Describe in detail why the selfdealing transaction is appropriate based on applicable
provisions of the Corporations Code.
(5) Form must be signed by the board member that is involved in the selfdealing transaction
described in Sections (3) and (4).
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7
Exhibit E
Page 2 of 2
(1)CompanyBoardMemberInformation:
Name: Date:
JobTitle:
(2)Company/AgencyNameandAddress:
(3)Disclosure(Pleasedescribethenatureoftheself-dealingtransactionyouareapartyto):
(4)Explainwhythisself-dealingtransactionisconsistentwiththerequirementsofCorporationsCode5233(a):
(5)AuthorizedSignature
Signature: Date:
Doc ID: f358e4637ddd685ef675bf3cd00e0b6c81db18a7