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Agreement No.17-034-1
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~M:~~:QMENT I TO AGREEMENT
THIS AMENDMENT,hereinafter referred to as Amendment I,is made and entered into
3 this 3rd day of __;_A.!.:,.p;_,ril.,2018,by and between the COUNTY OF FRESNO,a
4 Political Subdivision of the State of California,hereinafter referred to as "COUNTY,"and each
5 contractor listed in Exhibit A-I,attached hereto and by this reference incorporated herein,and
6 collectively hereinafter referred to as "CONTRACTORS,"and such additional contractors as may,
7 from time to time during the term of this Agreement,be added by COUNTY,COUNTY'S DSS
8 Director or designee.References in this Agreement to party or parties shall be understood to refer to
9 COUNTY and each individual CONTRACTOR unless otherwise specified.
10 WHEREAS,the parties entered into that certain Agreement,identified as COUNTY Agreement
11 No.17-034,effective January 31,2017,for Work Experience for COUNTY's Department of Social
12 Services (DSS);and
13 WHEREAS,the parties desire to amend the Agreement regarding changes as stated below and
14 restate the Agreement in its entirety.
15 NOW,THEREFORE,in consideration of their mutual promises,covenants and conditions,
16 hereinafter set forth,the sufficiency of which is acknowledged,the parties agree as follows:
17 That the existing COUNTY Agreement No.17-034,Page Two (2),Section Two (2),1.
18 beginning with Line Six (6),with the word "This"and ending on Page Two (2),Line Seven (7)with
19 "2017."be deleted and the following inserted in its place:
20 "This Agreement shall become effective upon execution and shall terminate on the 30th
21 day of June 2019."
22 That the existing COUNTY Agreement No.17-034,Page Three (3),Section Four (4),2.
23 beginning with Line Nine (9),with the word "In"and ending on Page Three (3),Line Eleven (11)with
24 the number "Thirty"(30)be deleted and the following inserted in its place:
25 "In no event shall compensation for ancillary services under this Agreement to
26 CONTRACTORs collectively be in excess of Ten Thousand and Noll 00 Dollars ($10,000)per twelve
27 (12)month period;nor shall the maximum compensation exceed Fifty Thousand and Noll 00 Dollars
28 ($50,000)."
-1 -COU:-:T'i OF FRESNO
Fresne,c.".
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4.That all references in existing COUNTY Agreement No.17-034 to Exhibit B shall be
3.That all references in existing COUNTY Agreement No.17-034 to Exhibit A shall be
2 changed to read "Revised Exhibit A-I,"attached hereto and incorporated herein by this reference.
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4 changed to read "Revised Exhibit B-1,"attached hereto and incorporated herein by this reference.
5 COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend Agreement
6 No.17-034 and,that upon execution of this Amendment I,the original Agreement and this Amendment
7 I shall together be considered the Agreement.
8 The Agreement,as hereby amended,is ratified and continued.All provisions,terms,covenants,
9 conditions and promises contained in this Agreement not amended herein shall remain in full force
10 and effect.This Amendment I shall become effective on May 1,2018.
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-2 -COUNTY OF FRESNO
Fresno,CA
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EXECUTED AND EFFECTNE as of the date first above set forth.
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4 COUNTY OF FRESNO
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airperson of the
"'_-'isors of the
County of Fresno
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11 ATTEST:
Bernice E.Seidel
Clerk of the Board of Supervisors
County of Fresno,State of California
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By:(:bybo'
Deputy
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FOR ACCOUNTING USE ONLY:
ORG No.:56107001
Account No.:7870
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PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
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COUNTY OF FRESNO
Fresno,CA
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COUNTY OF l'RESNO
rrcsno,CA
1 WORK EXPERIENCE/COMMUNITY SERVICE CONTRACTOR
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4 CONTRACTOR agrees to be bound by the terms of County Agreement No.17-034,as
5 amended by Amendment 1.The parties hereto have executed this Agreement this ~~day of
April 2018----------------,.
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9 Alano Club of Fresno
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14 Date _~3~--=::8::::..__'J~()~/1._{,,8;1__--
18 Title 012 a rei·oR:
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O~[ec±or
Mailing Address:1350 N.11th street
Contact:Christine Ross
Telephone:559-264-2730
Email address:trikercr@sbcgJobal.net
Service Site Address:same as above
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1 WORK EXPERIENCE/COMMUNITY SERVICE CONTRACTOR
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4 CONTRACTOR agrees [0 be bound by the terms of County Agreement No.1 7-034,as amended
5 by Amendment 1.The parties hereto have executed this Agreement this __3_rd day of
6 __A-'p_r_il ,2018.
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9 Boys 2 Men Girls 2 Women Foundation Inc.
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Date 3-8-18 _
16 Print Name Bethany Byrd
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18 Title Office Manager
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Mailing Address:3780 N.First St.Fresno,CA 93726
Contact:Bethany Byrd
Telephone:559-225-9300
Email address:bbyrd@boys2mengirls2women.org
Service Site Address:same as above
-5-COUi"TY OF FRESNO
Fresno,(,\
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-6 -COUNTY or FRESNO
Fresno,CJ\
1 WORK EXPERIENCE/COMMUNITY SERVICE CONTRACTOR
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4 CONTRACTOR agrees to be bound by the terms of County Agreement No.17-034,as amended
5 by Amendment I.The parties hereto have executed this Agreement this __3_rd__day of
__A_p_ri_1 --'2018.
9 Community Food Bank
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Print Name ~J~_~~\e,,~DL...:\)~'~_
Mailing Address:3403 E Central Ave Fresno CA 93725
Contact:Jobelle Duka
Telephone:559-237-3663
Email address:jduka@communityfoodbank..net
Service Site Address:same as above
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-7-COUNTY OF FRESNO
Fresno,C;\
1 WORK EXPERIENCE/COMMUNITY SERVICE CONTRACTOR
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4 CONTRACTOR agrees to be bound by the terms of County Agreement No.17-034,as amended
5 by Amendment I.The parties hereto have executed this Agreement this __3_rd day of
___:_A.:!:p-,-ri:_1 ,2018.
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9 Comprehensive Youth Services of Fresno,Inc.
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Date 3/1/tY,
Print N_~t&I(r4?Zff
Title &e(!fkh7he-Dt'~-kr
Mailing Address:4545 N West Ave.Fresno CA 93705
Contact:Becky Kramer
Telephone:559-229-3561
Email address:bkramer@cysfresno.org
Service Site Address:same as above
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COUNTY OF FRESNO
Fresno,CA
1 WORK EXPERIENCE/COMMUNITY SERVICE CONTRACTOR
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4 CONTRACTOR agrees to be bound by the terms of County Agreement No.17-034,as amended
by Amendment 1.The parties hereto have executed this Agreement this __3_rd day of
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__A_;_p_ri_1 ,2018.
9 4141 Ministries
By ~oj:_7t..,e.~.
Date -3 {(c//(.f'
Title CC>0
Mailing Address:4141 N.Fresno,Fresno CA 93726
Contact:Andrea Sims
Telephone:559-803-5550
Email address:4141ministries@gmail.com
Service Site Address:same as above
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Revised Exhibit A-1
Approved Contractors for Work Experience/Community Service
Number Vendor Name
1 4141 Ministries
2 Alano Club of Fresno
3 Boys 2 Men Girls 2 Women
4 Community Food Bank
5 Comprehensive Youth Services of Fresno,Inc.
Revised Exhibit 8-1
Page 1 of 3
SUMMARY OF SERVICES
SERVICES:Work Experience/Community Service
CONTRACTAMOUNT:Execution to June 30,2019 -$30,000
July 1,2019 to June 30,2020 -$10,000
July 1,2020 to June 30,2021-$10,000
OVERVIEW
The Department of Social Services (COUNTY)has established a Master Agreement with
qualified organizations for participation in the Work Experience/Community Service program
(WEX).The two core services requested are:
•Work Experience:An unpaid and supervised work activity that provides basic job skills
and supports the Welfare-to-Work (WTW)participant's overall employment goals.
•Community Service:An unpaid and supervised work activity that serves a useful
community purpose and assistsclients with obtaining basicjob skills or enhancing
existing job skills.
CONTRACTORspartnering with the County of Fresno receive a supported workforce at no
increase in labor burden,as all WTW clients have an active Case-ManagingJob Specialist (CMJS)
and do not require any compensation from the vendor.
The CMJSassiststhe WTW client with understanding the organization's needs and adhering to
work requirements.The maximum monthly hours a participant can work is determined by the
value ofthe participant's benefits,divided by the State of California's minimum wage.This will
be calculated and monitored by the assigned CMJS.Note:The maximum weekly hours a WTW
client can work is 40 hours and will vary by client.
Placements at work sites generally last up to 6 months,depending on the needs of the client
and availability of work activities.However,placements can be extended up to 12 months at
the discretion of COUNTYand CONTRACTOR.
TARGETPOPULATION
Servicesare targeted toward WTW clients who may have limited work history,job skills,or
limited English proficiency.Each client is assessedby a CMJSfor work history,job skills,
aptitude,and educational history.Once assessed,the collected information is used to create a
WTW Employment Plan and match a WTW client with an available Work
Experience/Community Service activity.Casemanagement will be performed by the CMJSwho
will assist the client with additional supportive services,such as ancillary payments for
necessarywork goods,transportation,and child care.
Revised Exhibit B-1
Page 2 of 3
I.CONTRACTOR'sRESPONSIBILITIES
CONTRACTORmust provide all of the following:
•A structured learning experience that takes place at a worksite for a limited period of
time that is based upon the needs of the WTW client.This can include on-the-job
training,exposure to various aspects of the workplace,job shadowing,community
services,and other elements that will assist WTW participants with gaining work
experience and enhancing their skills.
o Note:Clients are not allowed to drive while participating in any work
experience or community service placement.
•Assurance that all work or community service experience placements will not displace
or partially displace current employees;displace seasonal employees in the construction
industry;used to fill promotional positions for current employees;filling positions
created by termination,layoff,reduction in work force,or resulting for a strike/labor
dispute;will not replace previously contracted services prior to its expiration date;and
must ensure that the participant will not cause the denial of protections afforded to
other workers on the worksite under State and Federal workplace health,safety,and
representation laws.
o Note:Notices regarding the displaced employee grievance process must be
posted at each work site.
•A liaison to work with the CMJSto ensure workplace safety,monitor progress of the
WTW client,assist with site visits,and respond to problems reported by the CMJS.The
liaison must be able to track and report the progress of each placed WTW client and
assist with monthly monitoring meetings with the CMJSand WTW participant.
•A work site that complies with all Federal,State,and local regulation including the Fair
Labor Standards Act of 1938,Workforce Investment Act,and all applicable health and
safety standards.
•A work experience that shall not discriminate against any trainee because of race,color,
religion,sex,national origin,age,disability,marital status,or political affiliation or
belief.Additionally,the work experience must comply with the Americans with
Disabilities Act.
•A completed Work Experience/Community Service Provider Application (Revised
Attachment A-1)for each job classification and work site as necessary.
•Report all incidence of WEX participant injury as outlined in the following section.
WORKER'SCOMPENSATIONCLAIMS
CONTRACTORshall be responsible for reporting all incidences of WEX participant injury to the
California Department of Social Services'(CDSS)Worker's Compensation coverage provider,
York RiskServices Group,Inc.The following steps are outlined in All County letter (ACL)No.13-
56,and shall be followed in the event of an injury:
Revised Exhibit 8-1
Page 3 of 3
When the CONTRACTORreceives notification,from any source,that a WEX participant incurred
an injury while participating in the program,the following procedures must be followed within
one (1)working day:
1.CONTRACTORcompletes lines 9-17 of the OWC-1form (Employee's Workers'Compensation
Claim Form)and gives the OWC-1form to the employee.CONTRACTORis to notify COUNlY via
email atOSSASU@co.fresno.ca.usATTN:Work ExperienceStaff Analyst,within 24 hours ofthe
reported injury.
2.CONTRACTORmust have the employee sign and date the Acknowledge of Receipt of the
Employee Workers'Compensation Claim form.
3.If the employee completes the OWC-l,he/she should be given a copy of the OWC-1and
CONTRACTORis to retain remaining copies.
4.The appropriate supervisor should complete the Supervisor's Report of Injury.CONTRACTOR
must complete the Employer's Report of Occupational Injury or Illness,Form 5020.To access
this form online visit the following York link:www.yorkrsg.com.All information requested on
the Form 5020 is essential for the proper handling of the potential claim.The information
provided on the Form 5020 must be complete,accurate,and contain the worksite supervisor's
signature and title.Please understand that the worksite supervisor's signature is not an
admission of liability.Form 5020 can be filed with York via online,fax,and mail.
For additional information on Worker's Compensation claims,please review ACl No.13-56 at
the following web address:
http:Uwww.dss.cahwnet.gov!lettersnotices!EntRes!getinf0!acI/2013/13-56.pdf
II.COUNTY RESPONSIBILITIES
COUNTYshall be responsible for the following:
•Screening and identifying WTW participants for appropriate WEX placement.
•Meeting with CONTRACTORto sign the Master Agreement before any WEX client
placements can be made.
•Obtaining and maintaining record of all required insurance documentation as stated in
section nine (9)of the Agreement.
•Providing case management and supportive services (CMJS)for the WEX participant as
eligible and necessary.
Work Experience/Community Service Provider Application
17-023
RevisedAttachment A-1
Employer Name:Employer Category:
D Public/Government Agency
D Private Non-proflt"
D Public Non-proflt"
D Private Business
•Must provide 501 (c )(3)
Address:
City:Zip Code:
Contact Person:
Extension:Phone Number:
Fax Number:
Community ServiceWorkExperience
City:Phone Number:
Zip Code:
m Requirements for the Position:
Length of Project:
Extension:
Duties to be Performed:
Hours Available (Maximum 40 hours/week):Clothing /Equipment Requirements: