HomeMy WebLinkAboutAgreement A-22-065 with CDPH.pdfState of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229A (Rev. 09/2019)
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CALIFORNIA IMMUNIZATION PROGRAM
Awarded By
THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter “Department”
TO
Fresno County Department of Public Health, Immunization Program, hereinafter “Grantee”
Implementing the project, “To assist local health departments (LHDs) in preventing and
controlling vaccine-preventable diseases (VPDs) in the local health jurisdiction (LHJ),”
hereinafter “Project”
AMENDED GRANT AGREEMENT NUMBER 17-10306, A03
The Department amends this Grant and the Grantee accepts and agrees to use the Grant funds as
follows:
AUTHORITY: The Department has authority to grant funds for the Project under Health and Safety
Code, Section 120325-120380, which requires immunizations against childhood diseases prior to
school admittance and Federal Grant numbers 6 NH23IP922612-02-02, 6 NH23IP922612-02-03, and
6 NH23IP922612-02-04.
PURPOSE FOR AMENDMENT: The purpose of the Grant amendment is to increase funding in the
amount of $10,559,074 for FY2021-22 to allow the Grantee to continue performing the same services
identified in Exhibit A, Grant Application, and provide more of the same Coronavirus Disease 2019
services in response to the CARES ACT.
Amendments are shown as: Text additions are displayed in bold and underline. Text deletions are
displayed as strike through text (i.e., Strike).
AMENDED GRANT AMOUNT: this amendment is to increase the grant by $10,559,074 and is
amended to read: $13,394,375 (Thirteen Million Three Hundred Ninety-Four Thousand Three
Hundred Seventy-Five Dollars) $2,835,301 (Two Million Eight Hundred Thirty-Five Thousand
Three Hundred One Dollars).
Exhibit B – Budget Detail and Payment Provisions, paragraph 4.A. is hereby replaced as shown below.
4.Amounts Payable
A.The amounts payable under this Grant shall not exceed $2,835,301$13,394,375.
Agreement No. 22-065
State of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229A (Rev. 09/2019)
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PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant will be:
California Department of Public Health,
Immunization Branch
Grantee: Fresno County Department of Public
Health, Immunization Program
Name: Noemi Marin Name: Scotti Blanks, MSN, PHN, FNP-BC, RN
Address: 850 Marina Bay Pkwy., Bldg. P, 2nd Floor Address: 1221 Fulton Street
City, ZIP: Richmond, CA 94804 City, ZIP: Fresno, CA 93721
Phone: (510) 620-3737 Phone: (559) 600-3567
Fax: (510) 620-3774 Fax: (559) 600-7606
E-mail: noemi.marin@cdph.ca.gov E-mail: sblanks@fresnocountyca.gov
Direct all inquiries to: California Department of Public Health,
Immunization Branch
Grantee: Fresno County Department of Public
Health, Immunization Program
Attention: Robina Escalada Attn: Scotti Blanks, MSN, PHN, FNP-BC, RN
Address: 850 Marina Bay Pkwy., Bldg. P, 2nd Floor Address: 1221 Fulton Street
City, Zip: Richmond, CA 94804 City, Zip: Fresno, CA 93721
Phone: (510) 620-3729 Phone: (559) 600-3567
Fax: (510) 620-3774 Fax: (559) 600-7606
E-mail: robina.escalada@cdph.ca.gov E-mail: sblanks@fresnocountyca.gov
All payments from CDPH to the Grantee; shall be sent to the following address:
Remittance Address
Grantee: Fresno County Department of Public
Health, Immunization Program
Attention “Cashier”: Bruna Chavez
Address: 1221 Fulton Street
City, Zip: Fresno, CA 93721
Phone: (559) 600-6415
Fax:
E-mail: dphboap@fresnocountyca.gov