HomeMy WebLinkAboutAgreement A-19-448-1 with California Health Collaborative.pdf- 1 -
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FIRST AMENDMENT TO AGREEMENT
THIS FIRST AMENDMENT TO AGREEMENT (hereinafter “Amendment”) is made and entered
into this ___ day of _____________, 2021, by and between COUNTY OF FRESNO, a Political
Subdivision of the State of California, Fresno, California (hereinafter “COUNTY”), and CALIFORNIA
HEALTH COLLABORATIVE, a California Non-Profit Organization, whose address is 1680 West Shaw
Avenue, Fresno, California, 93711, (hereinafter “CONTRACTOR”).
WITNESSETH:
WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-19-448, dated
September 10, 2019 (hereinafter “Agreement”), pursuant to which CONTRACTOR agreed to
implement a policy, system and /or environmental (PSE) change Community Action Model (CAM)
project; and
WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement to revise the
scope of work objective, modify the budget, extend the term and increase maximum compensation.
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
1.That the section of the existing COUNTY Agreement No. A-19-448, as set forth in the
original Agreement at Page One (1), beginning with Line Nine (9) with the word, “WHEREAS” and
ending on Line Twelve (12) with the word “County” be deleted and the following inserted in its place:
“WHEREAS, COUNTY, through its Department of Public Health (Department), is
in need of a qualified vendor to implement a policy, system and/or environmental (PSE) change
Community Action Model (CAM) project with a goal to adopt a policy to prohibit the sale of flavored
tobacco products and paraphernalia (e.g. smokeless tobacco products, and flavored premium cigars such
as little cigars, cigarillos, hookah tobacco, e-cigarettes, e-hookah, wrappers) in unincorporated Fresno
County”
2. That Section Three (3) of the Agreement, located on page Two (2), lines Eleven (11)
through Thirteen (13), is deleted in its entirety and replaced with the following:
“3. TERM
13th April
Agreement No. 19-448-1
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The term of this Agreement shall commence upon execution and terminate on
December 31, 2021.”
3. Section Five (5) of the Agreement, located on page Three (3), beginning on line
Thirteen (13) with the number “5” and ending on line Twenty-One (21) with the word
“CONTRACTOR.”, is deleted in its entirety and replaced with the following:
"5. COMPENSATION
COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
compensation at the rates as identified in Revised Exhibit B, attached hereto and incorporated herein
by this reference. In no event shall actual services performed under this Agreement for the period
beginning upon execution of this Agreement through and including June 30, 2020 be in excess of
Eighty-Nine Thousand Six Hundred Fifteen Dollars and No/100 ($89,615). In no event shall actual
services performed under this Agreement beginning July 1, 2020 through and including June 30, 2021
be in excess of One Hundred Ten Thousand Three Hundred Eighty-Five Dollars and No/100
($110,385). In no event shall actual services performed under this Agreement beginning July 1, 2021
through and including December 31, 2021 be in excess of Fifty Thousand Dollars and No/100
($50,000). It is understood that all expenses incidental to CONTRACTOR'S performance of services
under this Agreement shall be borne by CONTRACTOR.”
3.That all references in existing COUNTY Agreement No. A-19-447 to “Exhibit A” shall be
changed to read “REVISED Exhibit A,” attached hereto and incorporated herein by reference.
4.That all references in existing COUNTY Agreement No. A-19-447 to “Exhibit B” shall be
changed to read “REVISED Exhibit B,” attached hereto and incorporated herein by reference.
COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
Agreement and, that upon execution of this Amendment, the Agreement and this Amendment together
shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
covenants, conditions and promises contained in the Agreement and not amended herein shall remain
in full force and effect. This First Amendment is effective retroactive to June 30, 2020.
///
1 IN WITNESS WHEREOF, the parties hereto have executed this F irst Amendment to
2 Agreement as of the day and year first hereinabove written .
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4 CONTRACTOR:
California Health Collaborative
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; ~ature(1---
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11 Steven Ramirez. CEO
Print Name & Title
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1680 W. Shaw Avenue, Fresno ,
California 93711
15 Ma iling Address
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FOR ACCOUNTNG
USE ONLY :
ORG No .:
26 Account No .:
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Fund/Subclass:
SA
56201552
7295
0001/10000
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COUNTY OF FRESNO:
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:
Deputy
C AL I FO RNI A H E AL TH C O LLA B ORATI V E 2 019 -2 021 C AM S C O P E O F WORK REVISED EXHIBIT A-1
Page 1 of 11
OB JEC T I VE: B Y December 3 1 , 2 0 2 1, UNINCOR POR A TED FR ESN O C OUN TY WI LL A DO PT A POLI C Y T O PROHIBIT THE SALE OF
FLAVORED TOBACCO PRODUCTS and paraphernalia (e.g. smokeless tobacco products, and flavored premium cigars such
as little cigars, cigarillos, hookah tobacco, e-cigarettes, e-hookah, wrappers).
CAM SCOPE OF WORK REQUIREMENTS TIMELINE DELIVERABLE
Agency administrator sets up the budget to include funding for a Project Coordinator, Community
Advocates stipends, funding for incentives and operational expenses and support with the following
specifics:
05/19-6/19 Approved Budget
Hire and designate a Project Coordinator with health education, community organizing, and systems
change experience 09/19 At least 0.8 FTE
Recruit, train, and engage Community Advocates, and provide orientation and on-going training 09/19-12/19 6-8 Community
Advocates
Meet monthly with Tobacco Prevention Program staff to review progress on work plan and budget 09/19-06/21 Meeting Notes
Attend bi-monthly Tobacco-Free Coalition meetings 09/19-06/21 Meeting Minutes
Attend monthly CAM trainings and complete post-training surveys 09/19-06/21 Training Agendas
Submit monthly invoices to the Tobacco Prevention Program within 15 days of the end of the previous
month 09/19-06/21 Monthly Invoices
Participate in key informant interviews with the Tobacco Prevention Program Evaluator. The Evaluator
will identify strengths, weaknesses and impact of the CAM Process. TBD Interview Conducted
Community Action Model Steps:
Step 1: Recruit & Train Emerging Community Leaders: Community Advocates are recruited and
trained to develop skills, increase knowledge, and build capacity. They will use this knowledge and skills
to choose a specific issue or focus.
09/1/19 - 12/31/19
1.Community
Advocates Tracking
and Training Tool
2.Training Curriculum
and Sample
Workshop
3.Community
Advocates Pre-
Survey
Step 2: Define, design and conduct community diagnosis: A “Community Diagnosis” is the process
of finding the root causes of a community concern or issue and discovering the resources to overcome it.
The diagnosis includes deciding what issue a community group will work on, design, and implement a
community-driven research plan to gather secondary and primary data (e.g. surveys, focus groups,
observations, and key informant interviews) regarding the issue.
01/1/20 - 3/31/20
1.Community
Diagnosis
Assessment Plan
2.Primary Research
Report
3.Progress Report
C AL I FO RNI A H E AL TH C O LLA B ORATI V E 2 019 -2 021 C AM S C O P E O F WORK REVISED EXHIBIT A-1
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Step 3: Analyze results of community diagnosis: The team of Community Advocates, with technical
assistance and training from the TPP and/or consultants, will analyze the findings of their diagnosis,
develop key messages and a menu of potential Policy-System-Environmental change strategies, complete
the Midwest Academy Strategy Chart (MWAC) and present the findings back to community members.
4/1/20 - 7/31/20
1.Secondary
Research Findings
Report
2.Community
Showcase
3.Developed Key
Messages
4.Year 1 Final
Report
5.Community
Advocates Post-
Survey
Step 4: Choose an Action and Develop & Implement Action Plan:
The funded agency will develop and implement a plan to achieve their “Action/Objective” which will
include community outreach and engagement, media campaign, and educating decision-makers and
stakeholders. 8/1/20 – 09/31/21
1.6-Month Training
Plan and Sample
Workshop
2.Community
Advocates Pre-
Survey
3.Action Ideas and
Rationale
4.Midwest Academy
Strategy Chart
5.Action Plan
6.Mid-Year Report
7.Stakeholder and
Decision-Maker
Engagement Plan
8.Educational
Packet
9.Stakeholder
Education &
Outreach
10.Meetings with
Decision-Makers
11.Media Plan
12.1-2 Developed
Media Tools
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Step 5: Maintain and/or enforce Action Plan: After successfully completing the Action, the project
plans to ensure that their efforts will be maintained over the long term and enforced by the appropriate
agencies.
10/1/21 –
12/31/21
1. Monitoring and
Enforcement Plan
2. Final Report
3. Celebration
Materials
4. Community
Advocates Post-
Survey
C AL I FO RNI A H E AL TH C O LLA B ORATI V E 2 019 -2 021 C AM S C O P E O F WORK REVISED EXHIBIT A-1
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General Activity- Column 1 Specific Activities- 2 Timeline-3 Deliverable-4
Step 1: Recruit & Train Emerging Community Leaders
List General Activities here For each General Activity list specific activities here
Recruit 6-8 Community
Advocates
Community Advocates will be recruited at
presentations, various community events,
schools/universities, local organizations, etc.
9/1/19 – 10/31/19 Community Advocate Tracking
and Training Tool
Provide Orientation to
Community Advocates
An initial orientation will be provided by agency staff
to Community Advocates to inform them of their role
in completing the CAM Project.
11/1/19 – 11/30/19 Community Advocate Tracking
and Training Tool
Provide Training to
Community Advocates
Community Advocates will attend an orientation
training, trainings for Steps 1-5 of CAM, and other
required trainings provided by the Tobacco
Prevention Program.
11/1/19 – 12/31/21 Training Sign-In Sheet
Completed Training Evaluations
On-going trainings and
Meetings
Meet weekly and provide on-going trainings as
needed to Community Advocates.
10/1/2019 – 12/31/21 Training Curriculum and Sample
Workshop
Community Advocates Tracking
and Training Tool
Community Advocates Pre-
Survey
Ensure Community Advocates complete the pre-
survey created by the TPP that assesses their baseline
knowledge and skills.
11/1/19 – 11/30/19 Date Survey was Completed
Aggregated Data
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General Activity- Column 1 Specific Activities- 2 Timeline-3 Deliverable-4
Step 2: Define, design and conduct community diagnosis
List General Activities here For each General Activity list specific activities here
Develop Assessment Plan Develop a Community Diagnosis Assessment Plan to
help identify the root causes of a community concern
or issue and discover the resources to overcome it.
The diagnosis includes deciding what issue a
community group will work on, and design and
implement a community-driven research plan to
gather secondary data (data which is collected by
someone who is someone other than the user) and
primary data (e.g. surveys, focus groups,
observations, and key informant interviews)
regarding the issue.
12/1/19 – 12/31/19 Community Diagnosis Assessment
Plan
Develop and Conduct a
Public Opinion Survey
Work with Community Advocates to develop and
conduct a public opinion survey of at least 185
residents of unincorporated Fresno County on how
they feel about the location and number of tobacco
retailers in their community, level of support for the
proposed policy, and key demographic characteristics
of the respondents.
Pre-test the survey with at least 5-10 people and
make changes based on input.
1/1/20 – 3/31/20 Primary Research Results
Develop and Conduct Key
Informant Interviews or an
Observation Survey/Walking
Tour
Work with Community Advocates to develop and
conduct 5-8 key informant interviews about flavored
tobacco issues with community leaders and elected
officials. Questions will assess whether the
respondents are concerned about tobacco retailers
1/1/20 – 6/30/20 Primary Research Results
C AL I FO RNI A H E AL TH C O LLA B ORATI V E 2 019 -2 021 C AM S C O P E O F WORK REVISED EXHIBIT A-1
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near schools and whether they are interested in
addressing the issue.
Or develop and conduct an observational
survey/walking tour survey of 10-15 tobacco retail
stores to better understand and document how the
sale of flavored tobacco impacts youth and the
community.
Conduct Secondary
Research
Gather and review what policies and/or
research already exists related to the Healthy Stores
for a Healthy Community Campaign, the Communities
of Excellence needs assessment, and other
information about the sale of flavored tobacco and
how it impacts youth and the community.
1/1/20 – 3/31/20 Secondary Research Findings
Report
Complete Progress Report Complete a simple progress report that describes
accomplishments, challenges, and technical
assistance/support needs.
3/1/20 – 3/31/20 Progress Report
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General Activity- Column 1 Specific Activities- 2 Timeline-3 Deliverable-4
Step 3: Analyze Diagnosis findings & Present Findings to Community
List General Activities here For each General Activity list specific activities here
Analyze Findings With technical assistance and training from the
Tobacco Prevention Program, the Community
Advocates will analyze the key findings from their
primary research of their community diagnosis and
draft a report.
04/1/20 – 5/31/20 Primary Research Diagnosis
Report that includes research
tools, data, and other relevant
materials.
Complete Year 1 Final
Report
Develop a reflective summary of achievements in
completing steps 1-3 as well as the status of building
capacity of Community Advocates
7/1/20 – 7/31/20 Year 1 Final Report
Complete Community
Advocates Post Survey
Ensure Community Advocates complete an exit
survey created by the TPP that assesses their change
in skills and knowledge relevant to Steps 1-3.
7/1/20 – 7/31/20 Date Survey was Completed
Aggregated Data
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General Activity- Column 1 Specific Activities- 2 Timeline-3 Deliverable-4
Step 4: Choose an Action and Develop & Implement Action Plan
List General Activities here For each General Activity list specific activities here
Develop 6-Month Training
Plan
Develop a six-month training plan and one-detailed
sample workshop for Community Advocates.
8/1/20 – 8/31/20 Training Plan and Sample
Workshop
Complete Community
Advocates Pre- Survey
Ensure newly recruited Community Advocates
complete the pre-survey created by the TPP that
assesses their baseline knowledge and skills.
8/1/20 – 8/31/20 Date Survey was Completed
Aggregated Data
Review Action Ideas and
Rationale
Work with Community Advocates to develop 2-3
viable Actions based on agency’s research, key
findings, and feedback from community with TPP
mentor staff to examine viability.
9/1/20 – 10/29/20 Action Ideas and Rationale
Develop Key Messages Work with the Community Advocates to develop at
least three key messages, speaking points and
arguments/counterarguments related to the sale of
flavored tobacco retailers that can be used during
presentations as well as, educational meetings with
stakeholders and elected officials.
9/1/20 – 01/31/21 Developed Key Messages
Conduct Community
Presentation
Conduct a community presentation that presents the
results of primary and secondary research findings and
elicits feedback from community members whether the
findings resonate with them.
10/1/20 – 10/31/20 Recorded Responses to Be
Incorporated in Year 2 Final
Report
Complete Midwest
Academy Strategy Chart
Work with Community advocates to complete one
Midwest Academy Strategy Chart (approximately 2-
hours in length) to identify goals, constituents, allies,
opponents, targets and tactics for the proposed policy
change.
01/1/21 – 01/31/21 Completed Chart
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Develop Community Action
Plan
Based on the results of the community assessment,
work with Community Advocates to develop a
community action plan that focuses on how to
educate the community and elected officials and to
influence action regarding the proposed policy
change. Action plan elements may include
endorsement materials, model policy, awareness
raising campaign, media advocacy, and presentations
to community groups and elected officials.
01/1/21 – 01/31/21 Action Plan
Develop PowerPoint
Presentation
Work with Community Advocates to develop one 30-
minute PowerPoint Presentation for multiple target
audiences to educate community members and local
elected officials that includes the developed key
messages, community assessment findings, and the
proposed policy solution.
01/1/21 – 02/12/21 PowerPoint Presentation(s)
Develop Materials and
Educational Packet
Work with Community Advocates to design and
develop an educational packet to educate
stakeholder groups, city staff, and elected officials.
This may include the development of culturally
appropriate fact sheets, infographics, etc. The packet
will incorporate community assessment findings,
HSHC data results and the proposed policy solution.
Field test developed materials via public intercept
surveys or a focus group to ensure that the intended
audiences understand the materials.
02/1/21 – 02/28/21 Sample Educational Packets
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Develop Stakeholder and
Decision-Maker
Engagement Plan
Work with Community Advocates to develop a
stakeholder and decision-maker engagement plan to
identify and list the key stakeholders and decision-
makers that you will engage, how you will reach
them, and delineate roles among your team.
02/01/21 – 02/28/21 Stakeholder and Decision-Maker
Engagement Plan
Meet with Decision Makers
and Staff
Work with Community Advocates to conduct a
minimum of 5 individual educational presentations
(at least 30 minutes in length) to Fresno County Board
of Supervisors and/or county staff (e.g., the Sheriff,
Public Works staff, County Administrative Officer) and
conduct at least 1 educational presentation (3-20
minutes in length) to the entire Fresno County Board
of Supervisors to educate about the community
assessment findings, HSHC data results, and the
proposed policy solution.
3/1/21 – 9/30-21 Educational Packets
Conduct Community
Education and Outreach
Work with advocates to conduct community outreach
and education. This may include activities such as,
educational presentations to community stakeholder
groups, outreach at community events, town hall
meetings, etc. to educate about the community
assessment findings, HSHC data results and the
proposed policy solution, and gather endorsements
or resolutions if appropriate.
3/1/21 – 9/30/21 Copies of Endorsements or
Resolutions Collected
Develop and Submit Earned
Media
Work with Community Advocates to develop and
participate in at least two unpaid media activities
(news release, Opinion Editorial, Letter to the Editor,
radio/television interviews, news conference, etc.)
04/01/21 – 12-31-21 Media Plan
Developed Media Materials
Complete Action Plan
Progress Report
Develop a progress report that reflects on progress of
each Tactic in the Action Plan and successes and
challenges over the last 6-months for both the
capacity building of the Community Advocates and
Step 4.
06/01/21 – 06/30/21 Mid-Year Progress Report
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REVISED EXHIBIT A-1
Page 11 of 11
General Activity- Column 1 Specific Activities- 2 Timeline-3 Deliverable-4
Step 5: Maintain and/or Enforce Action Plan
List General Activities here For each General Activity list specific activities here
Complete Community
Advocates Post-Survey
Ensure Community Advocates complete an exit
survey created by the TPP that assesses their change in
skills and knowledge relevant to Steps 4-5.
9/1/21 – 10/31/21 Date Survey was Completed
Develop Monitoring and
Enforcement Plan
Work with Community Advocates to develop a
monitoring and enforcement plan for both goals of
CAM: (1) to train and build capacity of Community
Advocates and (2) to create policy-system-
environmental change to improve the health of the
community.
If CAM policy Action is not achieved work with
Community Advocates to identify who needs to be
informed about their work, identify who might want
to carry it on, and identify how they can package and
closeout the project.
10/1/21 – 10/31/21 Monitoring and Enforcement Plan
to be incorporated into the Year 2
Final Report
Participate in CAM
Celebration/Showcase
Collaborate with the Tobacco Prevention Program
and the Multi-Unit Housing funded CAM Project to
put on a Community Showcase/Celebration. Each
project will present their research findings and the
results of the CAM project.
12/1/21 – 12/31/21 Pictures and/or Copies of Showcase
Materials
Complete Year 3 Final
Report
Develop a reflective summary of achievements in
completing steps 4-5 including: project’s monitoring
and enforcement plan for both goals of CAM.
11/1/21 – 11/30/21 Year 2 Final Report
Revised Exhibit B-1
Personnel Salaries, Payroll Taxes & Employee Benefits - Line Items 0001- 0042
Salary: $1875 x 100% FTE x 22 PP= $41250
Fresno County CAM Project
California Health Collaborative
2019-2020
PROGRAM EXPENSES NARRATIVE
The Project Director (PD) provides direct administration, supervision, and leadership to the
program. Supervises the Program Coordinator, completes reports, supports evaluation
activities, and assists with coordinating the activities of the project.
Salary: $3209 X 5% FTE X 22 PP=$3529
Fringe: $3530 x 22% = $777
Total Salary & Fringe: $
The Program Coordinator (PC) is the project liaison in the targeted Fresno County region.
The PC works in conjunction with the PD on a daily basis and assists with coordinating
volunteers and program participants, performing program assessments, development of
program materials, supports program evaluation, and implementation of SOW activities.
Printing/Coping: Expenses for printing of materials developed in approved Scope of Work
activities, $250 per month x 12 months= $3000
Fringe: $41250 x 22%= $9075
Total Salary & Fringe: $
Fringe: Calculated at 22% of employee salaries, includes FICA/OASDI, State Unemployment -
SUI, Medical/Health Benefits, Dental Benefits, Vision Benefits, Retirement Benefits, Worker's
Compensation
Total: $46192
Facilities/Equipment Expenses – Line Items 1010-1014
Rent: 150 sq ft x $2.50 sq ft x 1.05 FTE x 11 months= $4331
Equipment: Laptop and Projector to be used by the Program Coordinator and Community
Advocates in completion of Scope of Work Activities. Laptop $1500, 22 Inch Monitor $220,
Docking Station $200, Computer Software $250, Laptop Accessories $153, Projector $920 =
$3243
Total: $7823
Operating Expenses - Line Items 1060-1077
Telephone and Computer Network: Communication expenses related to operating phones
and internet to support Scope of Work activities. $100 x 11= $1100
Postage: Expenses for project mailings such as daily correspondence, invoices, mailings of
educational information and materials, if requested by the community, and dissemination of
evaluation findings. Costs vary month to month but average $13-14 per month. $13-14 per
month x 11 months= $150
Office Supplies: General office supplies used by staff and community advocates in the
completion of Scope of Work activities. $200 per month x 11 months= $2200
Page 1 of 9
Revised Exhibit B-1
$89,615
$244
Staff and Community Advocates Transportation: Local travel calculated at $0.58 per mile
for approximately 600 miles per month for travel to unincorporated Fresno County
communities to conduct presentations, trainings, meetings with local community leaders, and
meetings with Community Advocates. 650-655 miles per month x $0.58 x 12 months= $4176
Staff Training and Registration: $1000 for 1-2 trainings for the Project Coordinator and at
least 1 CAM Advocate to increase knowledge on tobacco related topics or community
organizing.
Community Advocates Stipend: Stipends for 10 Community Advocates who participate in
the Project x $800 annually = $8000
Food: Food and Refreshments for trainings and meetings with Community Advocates. $50
per advocate x 10 advocates= $500 + $747 for Food and Refreshments for community
presentations or other community gatherings= $1247
Educational Materials: Materials used by CAM Advocates and the Project Coordinator to
educate the community about the impact of tobacco in their community and to promote the
CAM Project. Materials can include brochures, educational displays, posters, interactive
displays, table cloth, polo shirts for the CAM advocates and Program Coordinator, canopy for
use at community events, and other materials used in the education of the public. 600 x $2
per brochure= $1200; $250 x 2-3 educational/interactive displays= $500; $300 x 1 table cloth=
$300; $40 Polo Shirts x 11 (10 advocates/Coordinator)= $440, $900 x 1 canopy= $900; Total=
$3340
Incentives: Incentives to be selected by CAM Advocates to foster participation in the
community in CAM Activities (e.g. public opinion polls). CAM advocates will select and
purchase gift cards in preparation for their data collection efforts. 185 Gift Cards x $5= $925
$23,666
Financial Services Expenses – Line Items 1080-1085
External Audit: Estimated expenses for an external audit of the program $246
Liability Insurance: Program share of liability insurance $130
Indirect Cost
Administrative expenses such as overhead accounting support and payroll services, utilities,
building and equipment maintenance, janitorial services, insurances costs, and dues and
subscriptions.$Total Direct Cost x 14% = $
$11,688
TOTAL PROGRAM EXPENSE:
Page 2 of 9
Revised Exhibit B-1
Budget Year 1: September 10, 2019- June 30, 2020
PERSONNEL SALARIES:12 month
Annual
monthly % FTE1 10 month
annual salary
Benefit
Rate2
Benefit Cost
0001 Project Coordinator 41,250.00$ 3,437.50$ 100.00%34,375.00$ 22%7,562.50$
0002 Project Director 70,598.00$ 5,883.17$ 5%2,941.58$ 22%647.15$
Sub-Total 1.1 36,665.76$ 9,526.16$
SALARIES TOTAL 46,191.92$
1010 Rent/Lease Building
1011 Rent/Lease Equipment
1012 Utilities $0.00
FACILITY/EQUIPMENT TOTAL $7,823.66
1060 Telephone and Computer Network
1062 Postage
1063 Printing/Copying
1066 Office Supplies
1072 Staff and Community Advocates Transportation
1074 Staff Training/Registration
1076 Community Advocates Stipends
1077 Food
1078 Educational Materials
1079 Incentives
OPERATING EXPENSES TOTAL $23,666.11
1081 External Audit
1082 Liability Insurance
FINANCIAL SERVICES TOTAL $243.95
TOTAL DIRECT COSTS $77,925.64
INDIRECT COSTS 3 Not to exceed 15% of total direct costs.14%$11,688.85
$89,615TOTAL PROGRAM EXPENSES YEAR 1 4
Fresno County CAM Program
California Health Collaborative
Budget Categories -
Line Item Description (Must be itemized)
FACILITIES/EQUIPMENT
OPERATING EXPENSES:
FINANCIAL SERVICES EXPENSES:
Year 1 Page 3 of 9
Revised Exhibit B-1
#A-19-448
PROGRAM EXPENSES NARRATIVE
Personnel Salaries, Payroll Taxes & Employee Benefits - Line Items 0001- 0042
0001
4,500.00$
1,035.00$
Total Salary & Fringe: $5535 Total Salary & Fringe for PD 5,535.00$
0002
$ 48,672.00
$ 12,654.72
Total Salary & Fringe for PC $ 61,326.72
0003
Total Salary & Fringe for Intern $ 4,050.00
Total S & B Expenses $ 70,911.72
Facilities/Equipment Expenses – Line Items 1010-1011
1010 4,725.00$
1011
200.00$
Total Facilites & Equipment Expens 4,925.00$
Operating Expenses - Line Items 1060-1079
1060 $ 3,274.00
The Project Director (PD) provides direct administration, supervision, and leadership to the program. Supervises
the Program Coordinator, completes reports, supports evaluation activities, and assists with coordinating the
activities of the project.
Fringe: $4500 x 23% = $1035
Fresno County CAM Project
California Health Collaborative
BUDGET NARRATIVE JULY 1, 2020- JUNE 30, 2021
Salary: $3750 X 5% FTE X 24PP= $4500
Salary: $2028 x 100% FTE x 24 PP= $48672
Total: $4925
The Intern is a student from a local university or college from the targeted Fresno County region. The Intern
works in conjunction with the PC on a limited schedule (approx. 15 hrs a week) to assist with creating
marketing and program materials, supporting the development and implementation of community advocate
training, and implementation of other SOW activities. The Intern will support the project during the Spring 2021
semester (Jan-June 2021).
The Program Coordinator (PC) is the project liaison in the targeted Fresno County region. The PC works in
conjunction with the PD on a daily basis and assists with coordinating volunteers and program participants,
performing program assessments, development of program materials, supports program evaluation, and
implementation of SOW activities.
Total Salary & Fringe: $61327
Fringe: $48672 x 26%= $12655 (Rounded)
Salary: $15 an hour x 270 hrs= $4050
Rent: 150 sq ft x $2.50 sq ft x 1.05 FTE x 12 months= $4725 (rounded)
Fringe: Calculated at 23%-26% of employee salaries, includes FICA/OASDI, State Unemployment - SUI,
Medical/Health Benefits, Dental Benefits, Vision Benefits, Retirement Benefits, Worker's Compensation
Equipment: The tobacco control program needs to purchase the following: Ten (10) new earphones to provide
to Community Advocates in order to perform activities outlined in the Scope of Work (SOW) virtually due to the
COVID-19 pandemic. The following description and cost estimate is for ten earphones that would meet the
approved tobacco control plan requirements. Ten earphones - $20 x 10 = $200;
Telephone and Computer Network: Communication expenses related to operating phones, internet to support
SOW activities and computer software annual subscriptions and license fees. $162 per month on average x 12
months= $1944 for operating phones and internet; $20 per month for Zoom Subscription x 12 months (July-
June)= $240; 1 ARC GIS Creator License to create maps and visualize data for sharing with stakeholders x $500
per license per year x 1 year= $500; 1 ARC GIS Story Map License to visualize data and use pictures to conduct
digital storytelling for stakeholders and elected officials x $100 per license per year x 1 year= $100; 1 Canva Pro
Subscription to create social media content, CAM training activities, and community presentations x $120 per
subscription per year x 1 year= $120; 1 Adobe Premier Rush Annual license for developing videos for social
media content and using in Story Maps to educate elected officials x $130 per annual license x 1 year= $130; 1
Kahoot Membership to create engaging trainings for CAM Advocates and community members x $240 per
membership annually x 1 year= $240; Total=$3274
Narrative Year 2 4
Revised Exhibit B-1
1061 $ 600.00
1062 $ 3,000.00
1063 $ 900.00
1064 $ 741.30
1065 $ 1,706.00
1066 $ 12,000.00
1067 $ 500.00
Total Operating Expense $ 22,721.30
Indirect Cost Expense - Line Item 1090 Direct Costs Subtotal 98,558.02$
1090
Indirect Cost Total $ 11,826.96
TOTAL PROGRAM EXPENSES: 110,385.00$
Administrative expenses such as overhead accounting support and payroll services, external audit, liability
insurance, utilities, building and equipment maintenance, janitorial services, and dues and subscriptions.
Calculated at 12% of direct costs. $98558 Total Direct Cost x 12% = $11827 (rounded)
Food: Food and refreshments or snacks for trainings and meetings with Community Advocates. $50 per
advocate x 10 advocates= $500. Consumable incentives will not exceed $50 worth/value per person per year
for a total estimated cost of $500 per year.
Printing/Copying: Expenses for printing of educational materials developed in approved Scope of Work
activities, including post cards to be sent to community members and elected officials to educate them about
the program's efforts, project findings, and provide general education. $250 per month x 12 months= $3000
Office Supplies: General office supplies used by staff and community advocates in the completion of Scope of
Work activities, including items such as padfolios, pens, refill paper, and boxes to send materials to Community
Advocates. $75 per month x 12 months= $900
Staff Transportation: ESTIMATED Local travel calculated at $0.575 per mile for approximately 100-
110 miles per month for travel to unincorporated Fresno County communities to conduct presentations,
trainings, meetings with local community leaders and meeting with Community Advocates. 107-108 miles per
month x $0.575 x 12 months= $741. MILAGE ESTIMATED @.575x6 months (July 2020-Dec 2020) & .56
x 6 months (January 2021-June 2021)=
Staff Training and Registration: 2-3 trainings for the PC and CAM advocates to increase knowledge on tobacco
related topics or community organizing. 1 Advance APHA registration for the Project Coordinator x $606 = $606
- Participation in the American Public Health Association's Annual virtual Conference in San Francisco will allow
the CAM Project Coordinator to continue to develop her skills and network with others working with
community advocates across the State of California, as well as the Nation. The CAM Project Coordinator will
bring back information to share with the Community Advocates during weekly trainings. 1 Technology of
Participation Facilitation Methods Online Training ticket x $900 = $900 - Participation in the Technology of
Participation Facilitation Methods Online Training will allow the CAM Project Coordinator to continue to
develop and enhance her skills as a project leader. The CAM Project Coordinator will bring back information to
improve her ability to lead the project. 1 additional training that will be scheduled throughout the fiscal year
specifically for the Community Advocates to participate x $200. Total = $1706.
Community Advocates Stipend: Stipends for 10 Community Advocates who participate in the Project over the
course of the year. Stipends are estimated at $100 per month and will be distributed in full at the end of the
fiscal year. 10 Community Advocates x $1200 annually = $12000
Postage: Expenses for project mailings such as daily correspondence, invoices, mailings of educational
information and materials, if requested by the community, and dissemination of evaluation findings. Costs vary
month to month but average $50 per month. $50 per month x 12 months= $600.
Narrative Year 2 5
REVISED EXHIBIT B-1
Tobacco Prevention Program #A-19-448-1
California Health Collaborative Fresno County CAM Project
Budget Year 2 July 1, 2020 - June 30, 2021
PERSONNEL SALARIES:Annual Salary % FTE1 Benefit Rate2 Benefit Cost
0001 Project Director 90,000$ 5%23%1,035$
0002 Project Coordinator 48,672$ 100%26%12,655$
0003 Intern $4,050
Sub-Total 57,222.00$ 13,689.72$
SALARIES TOTAL 70,911.72$
1010 Rent/Lease Building $4,725.00
1011 Equipment $200.00
FACILITY/EQUIPMENT TOTAL $4,925.00
1060 Telephone and Computer Network $3,274.00
1062 Postage $600.00
1063 Printing/Copying $3,000.00
1066 Office Supplies $900.00
1072 Staff Transportation $741.30
1074 Staff Training/Registration $1,706.00
1076 Community Advocates Stipends $12,000.00
1077 Food $500.00
OPERATING EXPENSES TOTAL $22,721.30
1081 External Audit
1082 Liability Insurance
FINANCIAL SERVICES TOTAL $0.00
1090 $0.00
SPECIAL EXPENSES TOTAL $0.00
TOTAL DIRECT COSTS 98,558.02$
INDIRECT COSTS 12%11,826.96$
110,385$
SPECIAL EXPENSES (Consultant/Etc.):
Consultant (Network & Data Management)
TOTAL PROGRAM EXPENSES YEAR 2
FACILITIES/EQUIPMENT EXPENSES:
OPERATING EXPENSES:
FINANCIAL SERVICES EXPENSES:
Year 2 Page 6 of 9
Cost Proposal Template and Narrative REVISED EXHIBIT B-1
Personnel Salaries, Payroll Taxes & Employee Benefits - Line Items 0001- 0042
0001
2,318$
533$
2,851$
0002
$ 25,068
$ 6,518
$ 31,586
Total S & B Expenses $ 34,437
1010 2,363$
Total Facilites & Equipment Expenses 2,363.00$
Narrative: July 1, 2021 - December 31, 2021
California Health Collaborative 6-Month Extension
Fresno County Tobacco Prevention Program CAM Project
Salary: $3862.50 X 5% FTE X 12PP = $2318 (rounded)
The Project Director (PD) provides direct administration, supervision, and leadership to the program.
Supervises the Program Coordinator, completes reports, supports evaluation activities, and assists with
coordinating the activities of the project.
PROGRAM EXPENSES NARRATIVE
Fringe: $2317.50 X 23% = $533 (rounded)
Total Salary & Fringe for PC
Salary: $2089 X 100% FTE X 12PP = $25068
Facilities/Equipment Expenses – Line Items 1010-1011
Rent: 150 sq ft x $2.50 sq ft x 1.05 FTE x 6 months= $2363 (rounded)
Total: $2363
The Program Coordinator (PC) is the project liaison in the targeted Fresno County region. The PC works in
conjunction with the PD on a daily basis and assists with coordinating volunteers and program participants,
performing program assessments, development of program materials, supports program evaluation, and
implementation of SOW activities.
Total Salary & Fringe: $2851
Total Salary & Fringe: $31585
Fringe: $25068 X 26% = $6,518 (rounded)
Total Salary & Fringe for PD
Narrative 6-Month Extension 7
Cost Proposal Template and Narrative REVISED EXHIBIT B-1
1060 $ 966.00
1061 $ 900.00
1062 $ 780.00
1064 $ 514.00
1066 $ 4,860.00
1067 $ 225.00
Total Operating Expenses $ 8,245
Direct Costs Subtotal 45,045$
1090
Indirect Cost Total $ 4,955
TOTAL PROGRAM EXPENSES: 50,000.00$
Printing/Copying: Expenses for printing of educational materials developed in approved Scope of Work
activities, including post cards to be sent to community members and elected officials to educate them about
the program's efforts, project findings, and provide general education. $130 per month x 6 months= $780
Transportation: ESTIMATED Local travel for staff and/or Community Advocates calculated at $0.575
$0.56 cents per mile for approximately 153 miles per month for travel to unincorporated Fresno County
communities to conduct presentations, trainings, meetings with local community leaders and meeting with
Community Advocates. 153 miles per month x $0.56x 6 months= $514 (rounded)
Community Advocates Stipend: Stipends for 9 Community Advocates who participate in the Project over the
course of the six-month contract period. Stipends are estimated at $90 per month and will be distributed in full
at the end of the fiscal year. 9 Community Advocates x $540 annually = $4860
Postage: Expenses for printing of educational materials developed in approved Scope of Work activities,
including post cards to be sent to community members and elected officials to educate them about the
program's efforts, project findings, and provide general education. $150 per month x 6 months= $900
Telephone and Computer Network: Communication expenses related to operating phones, internet to support
SOW activities and computer software annual subscriptions and license fees. $161 per month on average x 6
months= $966 for operating phones and internet; Total =$966
Administrative expenses such as overhead accounting support and payroll services,
external audit, liability insurance, utilities, building and equipment maintenance,
janitorial services, and dues and subscriptions. Calculated at 0.11% of direct costs.
$45045 Total Direct Cost x 11% = $4955 (rounded)
Indirect Cost Expense - Line Item 1090
Food: Food and refreshments or snacks for trainings and meetings with Community Advocates. $25 per
advocate x 9 advocates= $225. Consumable incentives will not exceed $50 worth/value per person per year.
Cost for six months is estimated at $25 per advocate for a cost of $225 per year.
Operating Expenses - Line Items 1060-1079
Narrative 6-Month Extension 8
Cost Proposal Template and Narrative REVISED EXHIBIT B-1
PERSONNEL SALARIES:Annual Sala % FTE1 Benefit Rate2 Benefit Cost
0001 Project Director 46,350$ 5.00%23%533$
0002 Project Coordinator 25,068$ 100%26%6,518$
Sub-Total 27,386$ 1.1 7,051$
SALARIES TOTAL 34,437$
1010 Rent/Lease Building $2,363.00
FACILITY/EQUIPMENT TOTAL $2,363.00
1060 Telephone and Computer Network $966.00
1062 Postage $900.00
1063 Printing/Copying $780.00
1072 Staff Transportation $514.00
1076 Community Advocates Stipends $4,860.00
1077 Food $225.00
OPERATING EXPENSES TOTAL $8,245.00
1081 External Audit
1082 Liability Insurance
FINANCIAL SERVICES TOTAL $0.00
1090 $0.00
SPECIAL EXPENSES TOTAL $0.00
TOTAL DIRECT COSTS $45,045
INDIRECT COSTS Not to exceed 15% of total direct costs.11%$4,955
$50,000
Budget Categories -
Fresno County CAM Program
California Health Collaborative 6-month extension
July 1, 2021 - December 31, 2021
Consultant (Network & Data Management)
TOTAL PROGRAM EXPENSES YEAR 2
Line Item Description (Must be itemized)
FACILITIES/EQUIPMENT EXPENSES:
OPERATING EXPENSES:
FINANCIAL SERVICES EXPENSES:
SPECIAL EXPENSES (Consultant/Etc.):
6-Month Extension Page 9 of 9