HomeMy WebLinkAboutAgreement A-22-190 with WFPSN.pdf Agreement No. 22-190
1 AGREEMENT
2 THIS AGREEMENT is made and entered into this V day of May , 2022, by and between
3 the COUNTY OF FRESNO, a Political Subdivision of the State of California, hereinafter referred to as
4 "COUNTY", and WESTSIDE FAMILY PRESERVATION SERVICES NETWORK., a Californian non-profit
5 corporation, whose address is 16856 4T" Street, Huron, CA 93234, hereinafter referred to as
6 "SUBRECIPIENT".
7 WITNESSETH:
8 WHEREAS, COUNTY, pursuant to Division 9, Part 3, Chapter 12, Article 3.4, of the California
9 Welfare and Institutions Code (WIC) and the rules and regulations of the California Department of Social
10 Services, desires to participate in the CalWORKs Home Visiting Program, a voluntary program for the
11 purpose of supporting positive health, development, and well-being outcomes for pregnant and parenting
12 women, families, and infants born into poverty, expanding their future educational, economic, and financial
13 capability opportunities, and improving the likelihood that they will exit poverty; and
14 WHEREAS, SUBRECIPIENT is willing and able to provide home visitation services needed by
15 COUNTY, pursuant to the terms of this Agreement;
16 NOW, THEREFORE, in consideration of the mutual covenants, terms and conditions herein
17 contained, the parties hereto agree as follows:
18 1. SUBRECIPIENT'S OBLIGATIONS
19 SUBRECIPIENT shall perform all services as set forth in Exhibit A, Summary of Services,
20 attached hereto and incorporated herein by this reference. SUBRECIPIENT shall provide specified
21 services and activities pursuant to the staffing patterns and program expenses detailed in Exhibit B,
22 Budget Summary, attached hereto and incorporated herein by this reference.
23 2. TERM
24 The term of this Agreement shall commence on July 1, 2022 through and including June
25 30, 2025. This Agreement may be extended for two (2) additional consecutive twelve (12) month periods
26 upon written approval of both parties no later than thirty (30) days prior to the first day of the next twelve
27 (12) month extension period. The Director of the Department of Social Services (DSS) or his or her
28 designee is authorized to execute such written approval on behalf of COUNTY based on
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1 SUBRECIPIENT's satisfactory performance.
2 3. TERMINATION
3 A. Non-Allocation of Funds
4 The terms of this Agreement, and the services to be provided hereunder, are contingent
5 on the approval of funds by the appropriating government agency. Should sufficient funds not be
6 allocated, the services provided may be modified, or this Agreement terminated, at any time by giving
7 the SUBRECIPIENT thirty (30) days advance written notice.
8 B. Breach of Contract
9 The COUNTY may immediately suspend or terminate this Agreement in whole or in part,
10 where in the determination of the COUNTY there is:
11 1) An illegal or improper use of funds;
12 2) A failure to comply with any term of this Agreement;
13 3) A substantially incorrect or incomplete report submitted to COUNTY; or
14 4) Improperly performed service.
15 In no event shall any payment by the COUNTY constitute a waiver by the COUNTY of
16 any breach of this Agreement or any default which may then exist on the part of the SUBRECIPIENT.
17 Neither shall such payment impair or prejudice any remedy available to the COUNTY with respect to the
18 breach or default. The COUNTY shall have the right to demand of the SUBRECIPIENT the repayment
19 to the COUNTY of any funds disbursed to the SUBRECIPIENT under this Agreement, which in the
20 judgment of the COUNTY were not expended in accordance with the terms of this Agreement. The
21 SUBRECIPIENT shall promptly refund any such funds upon demand.
22 C. Without Cause
23 Under circumstances other than those set forth above, this Agreement may be
24 terminated by SUBRECIPIENT, COUNTY or COUNTY's DSS Director, or designee, upon the giving of
25 thirty (30) days advance written notice of an intention to terminate this Agreement.
26 4. COMPENSATION
27 For actual services provided pursuant to the terms of this Agreement, COUNTY agrees to
28 pay SUBRECIPIENT and SUBRECIPIENT agrees to receive compensation in accordance with the
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1 Exhibit B, Budget Summary.
2 In no event shall compensation paid for services performed under this Agreement be in
3 excess of One Million Seven Hundred Seventy-One Thousand Nine Hundred Eighty-Five and No/100
4 dollars ($1,771,985) during the term of this Agreement. For the period July 1, 2022 through June 30, 2025,
5 in no event shall compensation paid for services performed under this Agreement be in excess of One
6 Million Sixty-Three Thousand One Hundred Ninety-One and No/100 dollars ($1,063,191). For each 12-
7 month extension period, in no event shall compensation paid for services performed under this Agreement
8 be in excess of Three Hundred Fifty-Four Thousand Three Hundred Ninety-Seven and No/100 dollars
9 ($354,397).
10 It is understood that all expenses incidental to SUBRECIPIENT's performance of services
11 under this Agreement shall be borne by SUBRECIPIENT. If SUBRECIPIENT should fail to comply with any
12 provision of the Agreement, COUNTY shall be relieved of its obligation for further compensation. Any
13 compensation which is not expended by SUBRECIPIENT pursuant to the terms and conditions of this
14 Agreement shall automatically revert to COUNTY.
15 The services provided by the SUBRECIPIENT under this Agreement are funded in whole or
16 in part by the State of California and the United States Federal government. In the event that funding for
17 these services is delayed by the State Controller or the Federal government, COUNTY may defer payment
18 to SUBRECIPIENT. The amount of the deferred payment shall not exceed the amount of funding delayed
19 to the COUNTY. The period of time of the deferral by COUNTY shall not exceed the period of time of the
20 State Controller's or Federal government's delay of payment to COUNTY plus forty-five (45) days.
21 5. INVOICING
22 SUBRECIPIENT shall invoice COUNTY's DSS in arrears by the tenth (10t") of each
23 month for expenditures incurred and services rendered in the previous month to:
24 DSSlnvoicesCo�fresnocountyca.gov. Payments by COUNTY's DSS shall be in arrears for actual services
25 provided during the preceding month, within forty-five (45) days after receipt, verification, and approval
26 of SUBRECIPIENT's invoices by COUNTY's DSS. A monthly activity report shall accompany the
27 invoice, reflecting services supported by the invoiced expenditures and be in a form and in such detail
28 as acceptable to the COUNTY's DSS. All final claims for funding shall be submitted by SUBRECIPIENT
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1 within sixty (60) days following the final month of services. At the discretion of COUNTY's DSS Director
2 or his/her designee, COUNTY's DSS may deny payment of any invoice received more than sixty (60)
3 days following the final month of services.
4 At the discretion of COUNTY's DSS Director or designee, if an invoice is incorrect or is
5 otherwise not in proper form or detail, COUNTY's DSS Director or designee shall have the right to
6 withhold payment as to only that portion of the invoice that is incorrect or improper after five (5) days
7 prior written notice or email correspondence to SUBRECIPIENT. SUBRECIPIENT agrees to continue to
8 provide services for a period of ninety (90) days after written or email notification of an incorrect or
9 improper invoice. If after the ninety (90) day period the invoice has still not been corrected to COUNTY's
10 DSS satisfaction, COUNTY or COUNTY's DSS Director or designee may elect to terminate this
11 Agreement, pursuant to the termination provisions stated in Paragraph Three (3) of this Agreement.
12 6. MODIFICATION
13 A. Any matters of this Agreement may be modified from time to time by the written
14 consent of SUBRECIPIENT and COUNTY without, in any way, affecting the remainder.
15 B. Notwithstanding the above, changes to line items in Exhibit B, Budget Summary,
16 in an amount not to exceed 10% of the annual maximum compensation payable to the SUBRECIPIENT
17 as identified in Section Four (4) of this Agreement, may be made with the written approval of COUNTY's
18 DSS Director, or designee and SUBRECIPIENT. Budget line-item changes shall not result in any
19 change to the annual maximum compensation amount payable to SUBRECIPIENT, as stated herein.
20 C. SUBRECIPIENT agrees that reductions to the maximum compensation set forth
21 in Section Four (4) of this Agreement may be necessitated by a reduction in funding from State or
22 Federal sources. Any such reduction to the maximum compensation may be made with the written
23 approval of COUNTY's DSS Director or designee and SUBRECIPIENT. SUBRECIPIENT further
24 understands that this Agreement is subject to any restrictions, limitations, or enactments of all legislative
25 bodies which affect the provisions, term, or funding of this agreement in any manner.
26 D. Minor changes to the Scope of Services, identified in this Agreement, may be
27 made with the mutual written approval of COUNTY's DSS Director or designee and SUBRECIPIENT.
28 Minor changes may include, but are not limited to changes that will not significantly alter the
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1 responsibilities identified in Paragraph 1 and Exhibit A. Any changes to the services shall not result in
2 any change to the maximum compensation.
3 7. INDEPENDENT CONTRACTOR
4 In performance of the work, duties and obligations assumed by SUBRECIPIENT under
5 this Agreement, it is mutually understood and agreed that SUBRECIPIENT, including any and all of the
6 SUBRECIPIENT's officers, agents, and employees will at all times be acting and performing as an
7 independent contractor, and shall act in an independent capacity and not as an officer, agent, servant,
8 employee, joint ventures, partner, or associate of the COUNTY. Furthermore, COUNTY shall have no
9 right to control or supervise or direct the manner or method by which SUBRECIPIENT shall perform its
10 work and function. However, COUNTY shall retain the right to administer this Agreement so as to verify
11 that SUBRECIPIENT is performing its obligations in accordance with the terms and conditions thereof.
12 SUBRECIPIENT and COUNTY shall comply with all applicable provisions of law and the
13 rules and regulations, if any, of governmental authorities having jurisdiction over matters the subject
14 thereof.
15 Because of its status as an independent contractor, SUBRECIPIENT shall have
16 absolutely no right to employment rights and benefits available to COUNTY employees.
17 SUBRECIPIENT shall be solely liable and responsible for providing to, or on behalf of, its employees all
18 legally-required employee benefits. In addition, SUBRECIPIENT shall be solely responsible and save
19 COUNTY harmless from all matters relating to payment of SUBRECIPIENT's employees, including
20 compliance with Social Security withholding and all other regulations governing such matters. It is
21 acknowledged that during the term of this Agreement, SUBRECIPIENT may be providing services to
22 others unrelated to the COUNTY or to this Agreement.
23 8. HOLD HARMLESS AND INDEMNIFICATION
24 SUBRECIPIENT agrees to indemnify, save, hold harmless, and at COUNTY'S request,
25 defend the COUNTY, its officers, agents, and employees from any and all costs and expenses
26 (including attorney's fees and costs), damages, liabilities, claims, and losses occurring or resulting to
27 COUNTY in connection with the performance, or failure to perform, by SUBRECIPIENT, its officers,
28 agents, or employees under this Agreement, and from any and all costs and expenses (including
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1 attorney's fees and costs), damages, liabilities, claims, and losses occurring or resulting to any person,
2 firm, or corporation who may be injured or damaged by the performance, or failure to perform, of
3 SUBRECIPIENT, its officers, agents, or employees under this Agreement.
4 The provisions of this Section Eight (8) shall survive termination of this Agreement.
5 9. INSURANCE
6 Without limiting the COUNTY's right to obtain indemnification from SUBRECIPIENT or any
7 third parties, SUBRECIPIENT, at its sole expense, shall maintain in full force and effect, the following
8 insurance policies or a program of self-insurance, including but not limited to, an insurance pooling
9 arrangement or Joint Powers Agreement (JPA)throughout the term of the Agreement:
10 A. Commercial General Liability
11 Commercial General Liability Insurance with limits of not less than Two Million
12 Dollars ($2,000,000.00) per occurrence and an annual aggregate of Four Million
13 Dollars ($4,000,000.00). This policy shall be issued on a per occurrence basis.
14 COUNTY may require specific coverages including completed operations, products
15 liability, contractual liability, Explosion-Collapse-Underground, fire legal liability or
16 any other liability insurance deemed necessary because of the nature of this
17 contract.
18 B. Automobile Liability
19 Comprehensive Automobile Liability Insurance with limits of not less than One
20 Million Dollars ($1,000,000.00) per accident for bodily injury and for property
21 damages. Coverage should include any auto used in connection with this
22 Agreement, including both owned and non-owned vehicles.
23 C. Professional Liability
24 If SUBRECIPIENT employs licensed professional staff, (e.g., Ph.D., R.N., L.C.S.W.,
25 M.F.C.C.) in providing services, Professional Liability Insurance with limits of not less
26 than One Million Dollars ($1,000,000.00) per occurrence, Three Million Dollars
27 ($3,000,000.00) annual aggregate. SUBRECIPIENT agrees that it shall maintain, at
28 its sole expense, in full force and effect for a period of three (3)years following the
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1 termination of this Agreement, one or more policies of professional liability insurance
2 with limits of coverage as specified herein.
3 D. Worker's Compensation
4 A policy of Worker's Compensation insurance as may be required by the California
5 Labor Code.
6 E. Molestation
7 Sexual abuse/molestation liability insurance with limits of not less than One Million
8 Dollars ($1,000,000.00) per occurrence, Two Million Dollars ($2,000,000.00) annual
9 aggregate. This policy shall be issued on a per occurrence basis.
10 F. Additional Requirements Relating to Insurance
11 SUBRECIPIENT shall obtain endorsements to the Commercial General Liability
12 insurance naming the County of Fresno, its officers, agents, and employees, individually and
13 collectively, as additional insured, but only insofar as the operations under this Agreement are
14 concerned. Such coverage for additional insured shall apply as primary insurance and any other
15 insurance, or self-insurance, maintained by COUNTY, its officers, agents, and employees shall be
16 excess only and not contributing with insurance provided under SUBRECIPIENT's policies herein. This
17 insurance shall not be cancelled or changed without a minimum of thirty (30) days advance written
18 notice given to COUNTY.
19 SUBRECIPIENT hereby waives its right to recover from COUNTY, its officers, agents,
20 and employees any amounts paid by the policy of worker's compensation insurance required by this
21 Agreement. SUBRECIPIENT is solely responsible to obtain any endorsement to such policy that may be
22 necessary to accomplish such waiver of subrogation, but SUBRECIPIENT's waiver of subrogation under
23 this paragraph is effective whether or not SUBRECIPIENT obtains such an endorsement.
24 Within Thirty (30) days from the date SUBRECIPIENT signs and executes this
25 Agreement, SUBRECIPIENT shall provide certificates of insurance and endorsement as stated above
26 for all of the foregoing policies, as required herein, to the County of Fresno,
27 DSSContractlnsurance(a)fresnocountyca.gov, Attention: Contract Analyst, stating that such insurance
28 coverage have been obtained and are in full force; that the County of Fresno, its officers, agents and
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1 employees will not be responsible for any premiums on the policies; that for such worker's
2 compensation insurance the SUBRECIPIENT has waived its right to recover from the COUNTY, its
3 officers, agents, and employees any amounts paid under the insurance policy and that waiver does not
4 invalidate the insurance policy; that such Commercial General Liability insurance names the County of
5 Fresno, its officers, agents and employees, individually and collectively, as additional insured, but only
6 insofar as the operations under this Agreement are concerned; that such coverage for additional insured
7 shall apply as primary insurance and any other insurance, or self-insurance, maintained by COUNTY, its
8 officers, agents and employees, shall be excess only and not contributing with insurance provided under
9 SUBRECIPIENT's policies herein; and that this insurance shall not be cancelled or changed without a
10 minimum of thirty (30) days advance, written notice given to COUNTY.
11 In the event SUBRECIPIENT fails to keep in effect at all times insurance coverage as
12 herein provided, the COUNTY may, in addition to other remedies it may have, suspend or terminate this
13 Agreement upon the occurrence of such event.
14 All policies shall be issued by admitted insurers licensed to do business in the State of
15 California, and such insurance shall be purchased from companies possessing a current A.M. Best, Inc.
16 rating of A FSC VI or better.
17 10. ASSIGNMENT AND SUBCONTRACTS
18 Neither party shall assign, transfer or subcontract this Agreement nor their rights or duties
19 under this Agreement without the prior written consent of the other party. Any transferee, assignee or
20 subcontractor will be subject to all applicable provisions of this Agreement, and all applicable State and
21 Federal regulations. SUBRECIPIENT shall be held primarily responsible by COUNTY for the
22 performance of any transferee, assignee or subcontractor unless otherwise expressly agreed to in
23 writing by COUNTY. The use of subcontractor by SUBRECIPIENT shall not entitle SUBRECIPIENT to
24 any additional compensation than is provided for under this Agreement.
25 11. CONFLICT OF INTEREST
26 No officer, employee or agent of the COUNTY who exercises any function or
27 responsibility for planning and carrying out of the services provided under this Agreement shall have any
28 direct or indirect personal financial interest in this Agreement. In addition, no employee of the COUNTY
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1 shall be employed by the SUBRECIPIENT under this Agreement to fulfill any contractual obligations with
2 the COUNTY. The SUBRECIPIENT shall comply with all Federal, State of California and local conflict of
3 interest laws, statutes and regulations, which shall be applicable to all parties and beneficiaries under
4 this Agreement and any officer, employee or agent of the COUNTY.
5 12. DISCLOSURE OF SELF-DEALING TRANSACTIONS
6 This provision is only applicable if the SUBRECIPIENT is operating as a corporation (a
7 for-profit or non-profit corporation) or if during the term of the agreement, the SUBRECIPIENT changes
8 its status to operate as a corporation.
9 Members of the SUBRECIPIENT's Board of Directors shall disclose any self-dealing
10 transactions that they are a party to while SUBRECIPIENT is providing goods or performing services
11 under this agreement. A self-dealing transaction shall mean a transaction to which the SUBRECIPIENT
12 is a party and in which one or more of its directors has a material financial interest. Members of the
13 Board of Directors shall disclose any self-dealing transactions that they are a party to by completing and
14 signing a Self-Dealing Transaction Disclosure Form, attached hereto as Exhibit C and incorporated
15 herein by reference, and submitting it to the COUNTY prior to commencing with the self-dealing
16 transaction or immediately thereafter.
17 13. NON-DISCRIMINATION
18 During the performance of this Agreement, SUBRECIPIENT and its officers, employees,
19 agents and subcontractors shall not unlawfully discriminate in violation of any Federal, State or local
20 law, rule or regulation against any employee or applicant for employment, or recipient of services under
21 this Agreement, because of ethnic group identification, gender, gender identity, gender expression,
22 sexual orientation, color, physical disability, mental disability, medical condition, national origin, race,
23 ancestry, marital status, religion, or religious creed.
24 A. Domestic Partners and Gender Identity
25 For State fund-funded contracts of$100,000 or more, SUBRECIPIENT certifies that it
26 complies with Public Contract Code Section 10295.3.
27 B. Americans with Disabilities Act
28 SUBRECIPIENT shall comply with the Americans with Disabilities Act (ADA) of 1990,
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1 which prohibits discrimination on the basis of disability, as well as all applicable regulations and
2 guidelines issued pursuant to the ADA (42 U.S.C. 12101 et seq.)
3 SUBRECIPIENT shall include the non-discrimination and compliance provisions of this
4 section in all subcontracts to perform work under this Agreement.
5 SUBRECIPIENT gives the above agreement in consideration of and for the purpose of
6 obtaining any and all federal and state assistance. SUBRECIPIENT hereby agrees that administrative
7 methods/procedures which have the effect of subjecting individuals to discrimination or defeating the
8 objectives of the California Department of Social Services (CDSS) Manual of Policies and Procedures
9 (MPP) Chapter 21, will be prohibited.
10 SUBRECIPIENT agrees to compile data, complete training, maintain records and submit
11 reports as required, to permit effective enforcement of the aforementioned laws, rules and regulations
12 and permit authorized COUNTY, CDSS and/or federal government personnel, during normal working
13 hours, to review such records, books and accounts as needed to ascertain compliance. If there are any
14 violations of this Non-Discrimination section, CDSS shall have the right to invoke fiscal sanctions or
15 other legal remedies in accordance with Welfare and Institutions Code section 10605, or Government
16 Code section 11135-11139.5, or any other laws, or the issue may be referred to the appropriate federal
17 agency for further compliance action and enforcement of this section.
18 1. Eligibility for Services
19 SUBRECIPIENT shall prepare and make available to COUNTY and to the public all
20 eligibility requirements to participate in the program.
21 2. Employment Opportunity
22 SUBRECIPIENT shall comply with the COUNTY policy, and the Equal Employment
23 Opportunity Commission guidelines, which forbids discrimination against any person on the grounds of
24 race, color, national origin, sex, religion, age or handicapped status in employment practices. Such
25 practices include retirement, recruitment advertising, hiring, layoff, termination, upgrading, demotion,
26 transfer, rates of pay or other forms of compensation, use of facilities and other terms and conditions of
27 employment.
28 3. Nepotism
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1 Except by consent of the COUNTY'S DSS Director, or designee, no person shall be
2 employed by SUBRECIPIENT who is related by blood or marriage to, or who is a member of the Board
3 of Directors or an officer of SUBRECIPIENT.
4 14. LIMITED ENGLISH PROFICIENCY
5 SUBRECIPIENT shall provide interpreting and translation services to persons
6 participating in SUBRECIPIENT's services who have limited or no English language proficiency,
7 including services to persons who are deaf or blind. Interpreter and translation services shall be
8 provided as necessary to allow such participants meaningful access to the programs, services and
9 benefits provided by SUBRECIPIENT. Interpreter and translation services, including translation of
10 SUBRECIPIENT's "vital documents" (those documents that contain information that is critical for
11 accessing SUBRECIPIENT's services or are required by law) shall be provided to participants at no cost
12 to the participant. SUBRECIPIENT shall ensure that any employees, agents, subcontractor, or partners
13 who interpret or translate for a program participant, or who directly communicate with a program
14 participant in a language other than English, demonstrate proficiency in the participant's language and
15 can effectively communicate any specialized terms and concepts peculiar to SUBRECIPIENT's
16 services.
17 15. MEDI-CAL CONFIDENTIALITY
18 All services performed by SUBRECIPIENT under this Agreement shall be in strict
19 conformance with all applicable Federal, State of California, and/or local laws and regulations relating to
20 confidentiality. SUBRECIPIENT shall require its employees, agents, officers and subcontractors to
21 comply with the provisions of Sections 10850 and 14100.2 of the Welfare and Institutions Code, as well
22 as the California Department of Social Services (CDSS) Manual of Policies and Procedures, Division
23 19-0000 and the California Department of Health Care Services (DHCS) Medi-Cal Eligibility Procedures
24 Manual, Section 2H. These Code sections provide that:
25 A. All applications and records concerning any individual made or kept by any public
26 officer or agency in connection with the administration of any provision of the Welfare and Institutions
27 Code relating to Medicaid or any form of public social services for which grants-in-aid are received by
28 the State of California from the United States government shall be confidential, and shall not be open to
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1 examination for any purpose not directly connected with the administration of such public social
2 services.
3 B. No person shall publish, disclose or use or permit or cause to be published or
4 disclosed any list of persons receiving public social services, except as is provided by law.
5 C. No person shall publish, disclose, or use or permit or cause to be published,
6 disclosed or used any confidential information pertaining to an applicant or recipient, except as is
7 provided by laws.
8 SUBRECIPIENT shall inform all of its employees, agents, officers and subcontractors of
9 the above provisions and that any person knowingly and intentionally violating such provisions is guilty
10 of a misdemeanor.
11 In addition, SUBRECIPIENT, its employees, agents, and officers shall comply, and
12 require all of its subcontractors to comply, with (1) the DHCS Medi-Cal Privacy and Security Agreement
13 between the California DHCS and the County of Fresno that is then in effect, and (2) the Privacy and
14 Security Agreement between the CDSS and the County of Fresno that is then in effect, both of which
15 together shall be referred to in this section as "the Agreements" and are incorporated herein by this
16 reference. The current versions of both the DHCS and CDSS Privacy and Security agreements are
17 available upon request or can be viewed at: http://www.co.fresno.ca.us/MediCalPrivacy/.
18 SUBRECIPIENT shall insure that all personally identifiable information (PII), as defined in the
19 Agreements, concerning program recipients shall be kept confidential and shall not be opened to
20 examination, publicized, disclosed, or used for any purpose not directly connected with the
21 administration of the program. SUBRECIPIENT shall use appropriate administrative, physical, and
22 technical safeguards to protect PII, as set forth in the Agreements. Upon discovery of a breach, security
23 incident, intrusion, or unauthorized access, use, or disclosure of PII, SUBRECIPIENT shall immediately
24 report the incident to the COUNTY by calling (559) 600-2300 or E-mailing at
25 dssprivacyofficer@fresnocountyca.gov. SUBRECIPIENT shall certify that all employees, agents, officers
26 and subcontractors have received privacy and security training before accessing any PII and have
27 received refresher training annually, as required by the Agreements.
28
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1 16. CLEAN AIR AND WATER
2 In the event the funding under this Agreement exceeds One Hundred Fifty Thousand and
3 No/100 Dollars ($150,000.00), SUBRECIPIENT shall comply with all applicable standards, orders or
4 requirements issued under the Clean Air Act, as amended, 42 U.S. Code 7401 et seq., and the Federal
5 Water Pollution Control Act, 33 U.S. Code 1251 et seq. Under these laws and regulations,
6 SUBRECIPIENT shall:
7 A. Assure the COUNTY that no facility shall be utilized in the performance of this
8 Agreement that has been listed on the Environmental Protection Agency (EPA) list of Violating Facilities;
9 B. Notify COUNTY prior to execution of this Agreement of the receipt of any
10 communication from the Director, Office of Federal Activities, U.S. EPA indicating that a facility to be
11 utilized in the performance of this Agreement is under consideration to be listed on the EPA list of
12 Violating Facilities;
13 C. Report each violation of the above laws to COUNTY and understand and agree
14 that the COUNTY will, in turn, report each violation as required to assure notification to the Federal
15 Emergency Management Agency (FEMA) and the appropriate Environmental Protection Agency
16 Regional Office; and
17 D. Include these requirements in each subcontract exceeding $150,000 financed in
18 whole or in part with federal assistance.
19 17. PROCUREMENT OF RECOVERED MATERIALS
20 In the performance of this Agreement, SUBRECIPIENT shall comply with section 6002 of
21 the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The
22 requirements of Section 6002 include procuring only items designated in guidelines of the
23 Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of
24 recovered materials practicable, consistent with maintaining a satisfactory level of competition, where
25 the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the
26 preceding fiscal year exceeded $10,000. For contracts meeting this threshold SUBRECIPIENT shall
27 make maximum use of products containing recovered materials that are EPA- designated items unless
28 the product cannot be acquired:
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1 i. Competitively within a timeframe providing for compliance with the
2 contract performance schedule;
3 ii. Meeting contract performance requirements; or
4 iii. At a reasonable price.
5 18. DRUG-FREE WORKPLACE REQUIREMENTS
6 For purposes of this paragraph, SUBRECIPIENT will be referred to as the "grantee". By
7 drawing funds against this grant award, the grantee is providing the certification that is required by
8 regulations implementing the Drug-Free Workplace Act of 1988, 45 CFR Part 76, Subpart F. These
9 regulations require certification by grantees that they will maintain a drug-free workplace. False
10 certification or violation of the certification shall be grounds for suspension of payments, suspension or
11 termination of grants, or government wide suspension or debarment. SUBRECIPIENT shall also comply
12 with the requirements of the Drug-Free Workplace Act of 1990 (California Government Code section
13 8350 et seq.).
14 19. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
15 VOLUNTARY EXCLUSION-LOWER TIER COVERED TRANSACTIONS
16 A. COUNTY and SUBRECIPIENT recognize that SUBRECIPIENT is a recipient of
17 Federal assistance funds under the terms of this Agreement. By signing this Agreement,
18 SUBRECIPIENT agrees to comply with applicable Federal suspension and debarment regulations,
19 including but not limited to: 7CFR 3016.35, 29 CRF 97.35, 45 CFR 92.35, and Executive Order 12549.
20 By signing this Agreement, SUBRECIPIENT attests to the best of its knowledge and belief, that it and its
21 principals:
22 1) Are not presently debarred, suspended, proposed for debarment, declared
23 ineligible, or voluntarily excluded from participation in this transaction by any Federal department or
24 agency; and
25 2) Shall not knowingly enter into any lower tier covered transaction with an entity
26 or person who is debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
27 excluded from participation in this transaction by any Federal department or agency.
28 B. SUBRECIPIENT shall provide immediate written notice to COUNTY if at any time
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1 during the term of this Agreement SUBRECIPIENT learns that the representations it makes above were
2 erroneous when made or have become erroneous by reason of changed circumstances
3 C. SUBRECIPIENT shall include a clause titled "Certification Regarding Debarment,
4 Suspension, Ineligibility, and Voluntary Exclusion — Lower Tier Covered Transactions" and similar in
5 nature to this Paragraph Nine (19) in all lower tier covered transactions and in all solicitations for lower
6 tier covered transactions.
7 D. SUBRECIPIENT shall, prior to soliciting or purchasing goods and services in
8 excess of$25,000 funded by this Agreement, review and retain the proposed vendor's suspension and
9 debarment status at https://sam.gov/SAM/.
10 E. The certification in Paragraph Nineteen (19) of this Agreement is a material
11 representation of fact upon which COUNTY relied in entering into this Agreement.
12 20. GRIEVANCES
13 SUBRECIPIENT shall establish procedures for handling client complaints and/or
14 grievances. Such procedures will include provisions for informing clients of their rights to a State
15 Hearing to resolve such issues when appropriate.
16 21. PROHIBITION ON PUBLICITY
17 None of the funds, materials, property or services provided directly or indirectly under this
18 Agreement shall be used for SUBRECIPIENT's advertising, fundraising, or publicity (i.e., purchasing of
19 tickets/tables, silent auction donations, etc.) for the purpose of self-promotion. Notwithstanding the
20 above, publicity of the services described in Paragraph One (1) of this Agreement shall be allowed as
21 necessary to raise public awareness about the availability of such specific services when approved in
22 advance by the Director or designee and at a cost as provided by SUBRECIPIENT in writing for such
23 items as written/printed materials, the use of media (i.e., radio, television, newspapers) and any other
24 related expense(s).
25 22. LOBBYING AND POLITICAL ACTIVITY
26 None of the funds provided under this Agreement shall be used for publicity, lobbying or
27 propaganda purposes designed to support or defeat legislation pending in the Congress of the United
28 States of America or the Legislature of the State of California.
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1 SUBRECIPIENT shall not directly or indirectly use any of the funds under this Agreement
2 for any political activity or to further the election or defeat of any candidate for public office.
3 ///
4 23. STATE ENERGY CONSERVATION
5 SUBRECIPIENT must comply with the mandatory standard and policies relating to
6 energy efficiency which are contained in the State Energy Conservation Plan issued in compliance with
7 42 United States (US) Code sections 6321, et. Seq.
8 24. FRATERNIZATION
9 SUBRECIPIENT shall establish procedures addressing fraternization between
10 SUBRECIPIENT's staff and clients. Such procedures will include provisions for informing
11 SUBRECIPIENT's staff and clients regarding fraternization guidelines.
12 25. INTERPRETATION OF LAWS AND REGULATIONS
13 COUNTY reserves the right to make final interpretations or clarifications on issues
14 relating to Federal and State laws and regulations, to ensure compliance.
15 26. COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS
16 SUBRECIPIENT, its officers, consultants, subcontractors, agents and employees shall
17 comply with all applicable State, Federal and local laws, regulations, and executive orders, as well as
18 Federal policies, procedures, and directives governing projects that utilize State and Federal Funds.
19 This includes laws, rules and regulations that pertain to construction, health and safety, labor, fair
20 employment practices, environmental protection, equal opportunity, fair housing, and all other matters
21 applicable or related to SUBRECIPIENT's services, the SUBRECIPIENT, its subcontractors, and all
22 eligible activities.
23 SUBRECIPIENT shall be responsible for obtaining all permits, licenses, and approvals
24 required for performing any activities under this Agreement, including those necessary to perform
25 design, implementation, operation, and maintenance of the activities. SUBRECIPIENT shall be
26 responsible for observing and complying with any applicable federal, state, and local laws, rules, and
27 regulations affecting any such work, specifically those including, but not limited to, environmental
28 protection, procurement, and safety laws, rules, regulations, and ordinances. SUBRECIPIENT shall
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1 provide copies of permits and approvals to COUNTY upon request.
2 27. CHILD ABUSE REPORTING
3 SUBRECIPIENT shall utilize a procedure acceptable to COUNTY to ensure that all of
4 SUBRECIPIENT'S employees, volunteers, consultants, subcontractor or agents performing services under
5 this Agreement shall report all known or suspected child abuse or neglect to one or more of the agencies
6 set forth in Penal Code Section 11165.9. This procedure shall include having all of SUBRECIPIENT'S
7 employees, volunteers, consultants, subcontractor or agents performing services under this Agreement
8 sign a statement that he or she knows of and will comply with the reporting requirements set forth in Penal
9 Code Section 11166. The statement to be utilized by SUBRECIPIENT is set forth in Exhibit D, attached
10 hereto and by this reference incorporated herein.
11 28. CHARITABLE CHOICE
12 SUBRECIPIENT may not discriminate in their program delivery against a client or
13 potential client on the basis of religion or religious belief, a refusal to hold a religious belief, or a refusal
14 to actively participate in a religious practice. Any specifically religious activity or service made available
15 to individuals by the SUBRECIPIENT must be voluntary as well as separate in time and location from
16 County funded activities and services. SUBRECIPIENT shall inform County as to whether they are
17 faith-based. If SUBRECIPIENT identifies as faith-based, they must submit to DSS a copy of their policy
18 on referring individuals to alternate services to SUBRECIPIENT, and include a copy of this policy in their
19 client admission forms. The policy must inform individuals that they may be referred to an alternative
20 provider if they object to the religious nature of the program, and include a notice to DSS. Adherence to
21 this policy will be monitored during annual site reviews, and a review of client files. If SUBRECIPIENT
22 identifies as faith-based, by July 1 of each year SUBRECIPIENT will be required to report to DSS the
23 number of individuals who requested referrals to alternate providers based on religious objection.
24 29. NO OBLIGATION BY FEDERAL GOVERNMENT
25 The Federal Government is not a party to this contract and is not subject to any
26 obligations or liabilities to the non-Federal entity, contractor, or any other party pertaining to any matter
27 resulting from this Agreement.
28 1H
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1 30. PROGRAM FRAUD AND FALSE OR FRAUDULENT STATEMENTS OR RELATED
2 ACTS
3 SUBRECIPIENT acknowledges that 31 U.S.C. Chapter 38 (Administrative Remedies for
4 False Claims and Statements) applies to SUBRECIPIENT's actions pertaining to this contract.
5 31. RECORDS
6 A. Record Establishment and Maintenance
7 SUBRECIPIENT shall establish and maintain records in accordance with those
8 requirements prescribed by COUNTY, with respect to all matters covered by this Agreement.
9 SUBRECIPIENT shall retain all fiscal books, account records and client files for services performed
10 under this Agreement for at least five (5) years from date of final payment under this Agreement or until
11 all State and Federal audits are completed for that fiscal year, whichever is later.
12 B. Cost Documentation
13 1) SUBRECIPIENT shall submit to COUNTY within ten (10) calendar days
14 following the end of each month, all fiscal and program reports for that month. SUBRECIPIENT shall
15 also furnish to COUNTY such statements, records, data and information as COUNTY may request
16 pertaining to matters covered by this Agreement. In the event that SUBRECIPIENT fail to provide
17 reports as provided herein, it shall be deemed sufficient cause for COUNTY to withhold payments until
18 compliance is established.
19 2) All costs shall be supported by properly executed payrolls, time records,
20 invoices, vouchers, orders, or any other accounting documents pertaining in whole or in part to this
21 Agreement and they shall be clearly identified and readily accessible. The support documentation must
22 indicate the line budget account number to which the cost is charged.
23 3) COUNTY shall notify SUBRECIPIENT in writing within thirty (30) days of any
24 potential State or Federal audit exception discovered during an examination. Where findings indicate
25 that program requirements are not being met and State or Federal participation in this program may be
26 imperiled in the event that corrections are not accomplished by SUBRECIPIENT within thirty (30) days
27 of receipt of such notice from COUNTY, written notification thereof shall constitute COUNTY'S intent to
28 terminate this Agreement.
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1 C. Service Documentation
2 SUBRECIPIENT agree to maintain records to verify services under this Agreement
3 including names and addresses of clients served, if applicable, and the dates of service and a
4 description of services provided on each occasion. These records and any other documents pertaining
5 in whole or in part to this Agreement shall be clearly identified and readily accessible.
6 32. SINGLE AUDIT CLAUSE
7 If SUBRECIPIENT expends Seven Hundred Fifty Thousand Dollars ($750,000) or more
8 in Federal and Federal flow-through monies annually, SUBRECIPIENT agrees to conduct an annual
9 audit in accordance with the requirements of the Single Audit Standards as set forth in Office of
10 Management and Budget (OMB) Title 2 of the Code of Federal Regulations Part 200. SUBRECIPIENT
11 shall submit said audit and management letter to COUNTY. The audit must include a statement of
12 findings or a statement that there were no findings. If there were negative findings, SUBRECIPIENT
13 must include a corrective action signed by an authorized individual. SUBRECIPIENT agrees to take
14 action to correct any material non-compliance or weakness found as a result of such audit. Such audit
15 shall be delivered to COUNTY's DSS, Administration, for review within nine (9) months of the end of any
16 fiscal year in which funds were expended and/or received for the program. Failure to perform the
17 requisite audit functions as required by this Agreement may result in COUNTY performing the necessary
18 audit tasks, or at COUNTY's option, contracting with a public accountant to perform said audit, or may
19 result in the inability of COUNTY to enter into future agreements with SUBRECIPIENT. All audit costs
20 related to this Agreement are the sole responsibility of SUBRECIPIENT.
21 A. A single audit report is not applicable if all SUBRECIPIENT's Federal contracts do
22 not exceed the Seven Hundred Fifty Thousand Dollars ($750,000) requirement or SUBRECIPIENT's
23 funding is through Drug related Medi-Cal. If a single audit is not applicable, a program audit must be
24 performed and a program audit report with management letter shall be submitted by SUBRECIPIENT to
25 COUNTY as a minimum requirement to attest to SUBRECIPIENT's solvency. Said audit report shall be
26 delivered to COUNTY's DSS, Administration, for review no later than nine (9) months after the close of
27 the fiscal year in which the funds supplied through this Agreement are expended. Failure to comply with
28 this Act may result in COUNTY performing the necessary audit tasks or contracting with a qualified
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1 accountant to perform said audit. All audit costs related to this Agreement are the sole responsibility of
2 SUBRECIPIENT who agrees to take corrective action to eliminate any material noncompliance or
3 weakness found as a result of such audit. Audit work performed by COUNTY under this paragraph shall
4 be billed to the SUBRECIPIENT at COUNTY cost, as determined by COUNTY's Auditor-
5 Controller/Treasurer-Tax Collector.
6 B. SUBRECIPIENT shall make available all records and accounts for inspection by
7 COUNTY, the State of California, if applicable, the Comptroller General of the United States, the Federal
8 Grantor Agency, or any of their duly authorized representatives, at all reasonable times for a period of at
9 least three (3) years following final payment under this Agreement or the closure of all other pending
10 matters, whichever is later.
11 33. AUDITS AND INSPECTIONS
12 The SUBRECIPIENT shall at any time during business hours, and as often as the
13 COUNTY may deem necessary, make available to the COUNTY for examination all of its records and
14 data with respect to the matters covered by this Agreement. The SUBRECIPIENT shall, upon request by
15 the COUNTY, permit the COUNTY to audit and inspect all of such records and data necessary to
16 ensure SUBRECIPIENT's compliance with the terms of this Agreement.
17 If this Agreement exceeds ten thousand dollars ($10,000.00), SUBRECIPIENT shall be
18 subject to the examination and audit of the Auditor General for a period of three (3) years after final
19 payment under contract (California Government Code Section 8546.7).
20 In addition, SUBRECIPIENT shall cooperate and participate with COUNTY's fiscal review
21 process and comply with all final determinations rendered by the COUNTY's fiscal review process. If
22 COUNTY reaches an adverse decision regarding SUBRECIPIENT's services to consumers, it may
23 result in the disallowance of payment for services rendered; or in additional controls to the delivery of
24 services, or in the termination of this Agreement, at the discretion of COUNTY's DSS Director or
25 designee. If as a result of COUNTY's fiscal review process a disallowance is discovered due to
26 SUBRECIPIENT's deficiency, SUBRECIPIENT shall be financially liable for the amount previously paid
27 by COUNTY to SUBRECIPIENT and this disallowance will be adjusted from SUBRECIPIENT's future
28 payments, at the discretion of COUNTY's DSS Director or designee. In addition, COUNTY shall have
-20-
1 the sole discretion in the determination of fiscal review outcomes, decisions, and actions.
2 34. CHILD SUPPORT COMPLIANCE ACT
3 If this Agreement includes State funding in excess of$100,000, the SUBRECIPIENT
4 acknowledges in accordance with Public Contract Code 7110, that:
5 A. SUBRECIPIENT recognizes the importance of child and family support
6 obligations and shall fully comply with all applicable state and federal laws relating to child and family
7 support enforcement, including, but not limited to, disclosure of information and compliance with
8 earnings assignment orders, as provided in Chapter 8 (commencing with section 5200) of Part 5 of
9 Division 9 of the Family Code; and
10 B. SUBRECIPIENT to the best of its knowledge is fully complying with the earnings
11 assignment orders of all employees and is providing the names of all new employees to the New Hire
12 Registry maintained by the California Employment Development Department.
13 35. PRIORITY HIRING CONSIDERATIONS
14 If this Agreement includes State funding and services in excess of$200,000,
15 SUBRECIPIENT shall give priority consideration in filling vacancies in positions funded by the
16 Agreement to qualified recipients of aid under Welfare and Institutions Code Section 11200 in
17 accordance with Public Contract Code Section 10353.
18 36. SUBRECIPIENT'S NAME CHANGE
19 An amendment, assignment, or new agreement is required to change the name of
20 SUBRECIPIENT as listed on this Agreement. Upon receipt of legal documentation of the name change
21 COUNTY will process the agreement. Payment of invoices presented with a new name cannot be paid
22 prior to approval of said agreement.
23 37. PROPERTY OF COUNTY
24 Any use of COUNTY funds provided under this Agreement, as specified in Exhibit B, for
25 the purchase of computer hardware, software, and printers must be approved by COUNTY prior to
26 purchase and must meet COUNTY specifications. SUBRECIPIENT agrees to take reasonable and
27 prudent steps to ensure the security of any and all said hardware and software provided to it by
28 COUNTY under this Agreement, and to maintain replacement-value insurance coverages on said
-21-
1 hardware and software approved by COUNTY.
2 In addition, all purchases over Five Thousand and No/100 Dollars ($5,000.00) made
3 during the life of this Agreement shall be identified as fixed assets with an assigned COUNTY
4 Accounting Inventory Number. These fixed assets shall be retained by COUNTY, as COUNTY property,
5 in the event this Agreement is terminated or upon expiration of this Agreement. The SUBRECIPIENT
6 agrees to participate in an annual inventory of all COUNTY fixed assets and shall be physically present
7 when fixed assets are returned to COUNTY possession at the termination or expiration of this
8 Agreement. SUBRECIPIENT is responsible for returning to COUNTY all COUNTY owned fixed assets
9 upon the expiration or termination of this Agreement.
10 38. PUBLIC INFORMATION
11 SUBRECIPIENT shall disclose COUNTY as a funding source in all public information and
12 program materials developed in support of contracted services.
13 39. NOTICES
14 The persons and their addresses having authority to give and receive notices under this
15 Agreement include the following:
16 COUNTY SUBRECIPIENT
Director of Social Services, County of Fresno Executive Director
17 205 W. Pontiac Way, Building 2 Westside Family Preservation
18 Clovis, CA 93612 Services Network
16846 4th Street
19 Huron, CA 93234
20
21 All notices between the COUNTY and SUBRECIPIENT provided for or permitted under this
22 Agreement must be in writing and delivered either by personal service, by first-class United States mail, or
23 by an overnight commercial courier service. A notice delivered by personal service is effective upon
24 service to the recipient. A notice delivered by first-class United States mail is effective three COUNTY
25 business days after deposit in the United States mail, postage prepaid, addressed to the recipient. A notice
26 delivered by an overnight commercial courier service is effective one COUNTY business day after deposit
27 with the overnight commercial courier service, delivery fees prepaid, with delivery instructions given for next
28 day delivery, addressed to the recipient. For all claims arising out of or related to this Agreement, nothing in
-22-
1 this section establishes, waives, or modifies any claims presentation requirements or procedures provided
2 by law, including but not limited to the Government Claims Act (Division 3.6 of Title 1 of the Government
3 Code, beginning with section 810).
4 40. CHANGE OF LEADERSHIP/MANAGEMENT
5 In the event of any change in the status of SUBRECIPIENT's leadership or management,
6 SUBRECIPIENT shall provide written notice to COUNTY within thirty (30) days from the date of change.
7 Such notification shall include any new leader or manager's name and address. "Leadership or
8 management" shall include any employee, member, or owner of SUBRECIPIENT who either a) directs
9 individuals providing services pursuant to this Agreement, b) exercises control over the manner in which
10 services are provided, or c) has authority over SUBRECIPIENT's finances.
11 41. ELECTRONIC SIGNATURE
12 The parties agree that this Agreement may be executed by electronic signature as
13 provided in this section. An "electronic signature" means any symbol or process intended by an
14 individual signing this Agreement to represent their signature, including but not limited to (1) a digital
15 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
16 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
17 affixed or attached to this Agreement (1) is deemed equivalent to a valid original handwritten signature
18 of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in any
19 administrative or judicial proceeding, and (2) has the same force and effect as the valid original
20 handwritten signature of that person. The provisions of this section satisfy the requirements of Civil
21 Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3,
22 Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents that it
23 has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a),
24 paragraphs (1) through (5), and agrees that each other party may rely upon that representation. This
25 Agreement is not conditioned upon the parties conducting the transactions under it by electronic means
26 and either party may sign this Agreement with an original handwritten signature.
27 ///
28
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1 42. GOVERNING LAW
2 Venue for any action arising out of or related to this Agreement shall only be in Fresno
3 County, California. The rights and obligations of the parties and all interpretation and performance of this
4 Agreement shall be governed in all respects by the laws of the State of California.
5 43. DISPUTES
6 In the event of any dispute, claim, question, or disagreement arising from or relating to
7 this agreement or the breach thereof, the parties hereto shall use their best efforts to settle the dispute,
8 claim, question, or disagreement. To this effect, they shall consult and negotiate with each other in good
9 faith and, recognizing their mutual interests, attempt to reach a just and equitable solution satisfactory to
10 both parties. During this time, the parties will continue meeting their contract responsibilities. If the
11 parties do not reach such solution within a period of 60 days, then the parties may take whatever action
12 is available to them by law.
13 44. SEVERABILITY
14 If anything in this Agreement is found by a court of competent jurisdiction to be unlawful
15 or otherwise unenforceable, the balance of this Agreement remains in effect, and the parties shall make
16 best efforts to replace the unlawful or unenforceable part of this Agreement with lawful and enforceable
17 terms intended to accomplish the parties' original intent.
18 45. ENTIRE AGREEMENT
19 This Agreement constitutes the entire agreement between the SUBRECIPIENT and
20 COUNTY with respect to the subject matter hereof and supersedes all previous Agreement negotiations,
21 proposals, commitments, writings, advertisements, publications, and understanding of any nature
22 whatsoever unless expressly included in this Agreement.
23
24
25
26
27
28
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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.
3 SUBRECIPIENT: CO�u TY�F FRESNO
4 '�_ I[ k ti
5 Brian Pacheco, Chairman of the Board of
Supervisors of the County of Fresno
6 Print Name: Feo h G►s 1 0 --f Chavez
7 Title: pre 51d e nw'
Chairman of the Board,or
8 President, or any Vice President
ATTEST:
9 Bemice E. Seidel
10 Clark of the Board of Supervisors
r County of Fresno, State of California
11
12 Print Name: fn ��i�t^�„1 By:
13 c Deputy
Title:
14 Secretary (of Corpor ion), or
15 any Assistant Secretary, or
Chief Financial Officer,or
16 any Assistant Treasurer
17
18 Mailing Address:
19 16846 4th Street
20 Huron, CA 93234
21 Contact: Dr.Jeannemarie Caris-McManus, Executive Director
Phone No: (559)945-1022
22
23
24
FOR ACCOUNTING USE ONLY:
25 Fund/Subclass: 0001/10000
26 ORG No.: 56107001
ORG No.: 56107664
27 Account No.: 7870/0
28
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Exhibit A
Page 1 of 5
SUMMARY OF SERVICES
ORGANIZATION: Westside Family Preservation Services Network
SERVICES: CaIWORKs Home Visitation Services
ADDRESS: 16856 4t" Street, Huron, CA 93234
TELEPHONE: (559) 945-1022
CONTACT: Jeannemarie Caris-McManus
EMAIL: jeannemarie@sti.net
A. SERVICE DESCRIPTION
The CalWORKs Hove Visiting Program (HVP) is a program designed to support positive health,
development and well-being outcomes for pregnant and parenting women, families and infants
born into poverty. Westside Family Preservation Services Network (SUBRECIPIENT) will use
an evidence-based, culturally competent, voluntary program model that pairs new parents with a
trained professional who makes regular visits to the participant's home to provide guidance,
coaching, access to prenatal and postnatal care, and other health and social services. This
whole family approach to service delivery will improve family engagement practices, support
healthy development of young children living in poverty and prepare parents for robust
engagement in Welfare-to-Work activities and employment.
SUBRECIPIENT will provide home visiting services through contracted Neighborhood Resource
Centers (NRCs) located in 93210 (Coalinga) and 93234 (Huron), utilizing the Parents as
Teachers (PAT) program model. The goals of PAT are to increase parent knowledge of early
childhood development and improve parenting practices, provide early detection of
developmental delays and health issues, preventing child abuse and neglect, and increase
children's school readiness and school success. The PAT curriculum, also named PAT,
provides home visitor resources, parent handouts and activities around child development,
parenting behaviors, parent-child interaction, development-centered parenting, and family well-
being for families with children aged 0-5.
B. TARGET POPULATION
To be eligible for home visiting services a participant must meet both of the following criteria:
A. The individual is one of the following:
• A member of a CalWORKs assistance unit.
• The parent or caretaker relative for a child-only case.
• A pregnant individual who has applied for CalWORKs aid within 60 calendar
days prior to reaching the second trimester of pregnancy and would be eligible
for CaIWORKs aid other than not having reached the second trimester of
pregnancy.
• An individual who is apparently eligible for CaIWORKs aid.
Exhibit A
Page 2of5
B. The individual is pregnant or the individual is a parent or caretaker relative of a child less
than 24 months of age at the time the individual enrolls in the program.
Additional individuals not described above so long as the SUBRECIPIENT offers home visiting
to all individuals in the target population. Participation is voluntary for CaIWORKs clients and
does not affect a family's application for aid or eligibility for any other CaIWORKs benefits,
supports or services such as Welfare-to-Work.
The HVP target population is any family meeting the eligibility criteria above that resides in zip
codes 93210, 93234, 93609, and 93656, however, eligible families outside of the stated zip
codes can receive HVP services. Families will be referred to HVP providers by DSS. If through
their normal course of work a HVP provider believes a family could benefit from, and is
apparently eligible for, services a "reverse referral" will be sent to DSS who will confirm client
eligibility.
Anticipated Number of
Unduplicated Clients to be Served 30
Annually
C. STAFFING LEVELS
SUBRECIPIENT will maintain sufficient levels of qualified staff to effectively conduct all HVP
activities, consistent with the Budget Narrative detailed in Exhibit B, herein. Staffing must reflect
the diverse cultural and linguistic characteristics of the population served, and all staff must
have experience in connecting with families from diverse backgrounds, identifying family
strengths, navigating social systems for referral, and tracking client outcomes.
SUBRECIPIENT will be responsible for all training necessary to promote staff development
and/or effective service delivery. In addition, SUBRECIPIENT shall comply with any other
training required by DSS and shall also actively participate with other HVP providers for the
purpose of reviewing current research and best practices, developing common tools, and
identifying strategies appropriate for the target population.
The PAT model recommends a full-time home visitor complete a minimum of 50 home visits per
month under the assumption that 2.5 hours on average are needed to plan, prepare, travel,
conduct the visit and complete the personal visit record.
PAT requires that one (1) supervisor be assigned to no more than twelve (12) home visitors to
supervise, regardless of full or part-time status. Each full-time home visitor is required to
participate in a minimum of two (2) hours of individual reflective supervision and a minimum of
two (2) hours of staff meetings per month. Home visitors working half time or less are required
to participate in a minimum of one (1) hour of reflective supervision and two (2) hours of staff
meetings per month.
D. SUBRECIPIENT's RESPONSIBILITIES
SUBRECIPIENT shall perform as follows:
1. All direct service and supervisory staff are to complete all evidence-based model and
curricula trainings as required by the County, within the designated timeframe
determined by the County. Required training topics will include PAT and County-specific
benefit programs.
Exhibit A
Page 3of5
2. Maintain fidelity to program model and curriculum.
3. Track all referrals received from COUNTY and provide a Monthly Activity Report (MAR)
by the 101h of each month to designated DSS staff. The MAR shall include, but is not
limited to the referrals received, status and disposition of each referral, in a format
mutually agreed upon by SUBRECIPIENT and COUNTY.
4. Collaborate with COUNTY to provide necessary referrals related to the following: (1)
Prenatal, infant, and toddler care; (2) Infant and child nutrition; (3) Developmental
screening assessments; (4) Parent education, parent and child interaction, child
development, and childcare; (5) Job readiness and barrier removal; and (6) Domestic
violence and sexual assault, mental health, and substance abuse treatment.
5. Collaborate with COUNTY to determine an appropriate number of attempts to re-engage
a family that has stopped participating.
6. Distribute material goods related to care, health, and safety of the child and family, which
shall not exceed five hundred dollars ($500). Material goods include, but are not limited
to child safety kits, car seats, appliance repairs, adaptive equipment for children with
disabilities, and resource related to child and family language and literacy needs.
7. Identify need for and track distribution of material goods to HVP clients. Subrecipient will
provide the data to COUNTY on the 101h of each month.
8. Identify need for and track distribution of laptops, as part of the Laptop Loaner program.
SUBRECIPIENT will provide the data to COUNTY on the 10th of each month.
9. Complete case plans with clients, per Home Visiting model and curriculum, and track
client progress.
10. Document services, as appropriate, using a designated computer software system as
authorized by COUNTY.
11. Complete Civil Rights training annually as provided by COUNTY no later than April 1 of
each year.
12. Meet with COUNTY as often as deemed necessary.
13. Will engage in trainings from Fresno County providers to learn about services offered
and will attend all program and contract meetings coordinated by DSS.
14. Provide reports and data to COUNTY on the 101h of each month.
E. COUNTY RESPONSIBILITIES
COUNTY shall perform as follows:
1. COUNTY staff will identify eligible clients that are part of the target population and refer
to subrecipient.
2. COUNTY will coordinate client outreach activities to eligible clients, via one-on-one staff
and client interactions, both by phone and during in-person interviews. COUNTY will
obtain permission to release client's information to SUBRECIPIENT for contact.
3. Collaborate with SUBRECIPIENT to provide necessary referrals related to the following:
(1) Prenatal, infant, and toddler care; (2) Infant and child nutrition; (3) Developmental
screening assessments; (4) Parent education, parent and child interaction, child
development, and childcare; (5) Job readiness and barrier removal; and (6) Domestic
violence and sexual assault, mental health, and substance abuse treatment.
4. Collaborate with SUBRECIPIENT to determine an appropriate number of attempts to
reengage a family that has stopped participating.
5. Collect data from SUBRECIPIENT, when necessary, on the distribution of material
goods and review data to ensure program compliance.
Exhibit A
Page 4 of 5
6. Collect data from SUBRECIPIENT, when necessary, on the distribution of laptops, as
part of the Laptop Loaner program, and review data to ensure program compliance.
7. Meet with SUBRECIPIENT as often as needed for service coordination, problem and
issue resolution, information sharing, training, and review and monitoring of services.
8. Coordinate and provide training in the following areas: CaIWORKs, Medi-Cal, CalFresh,
Special Supplemental Nutrition Program for Women, Infant and Children (WIC), and
other programs, with county-specific information about how the home visiting
professionals can help a parent access additional services for which he or she may be
eligible and troubleshoot problems with benefits or eligibility that would impact his or her
access to services. Training will also address cultural competency and implicit bias and
strength-based practices for working with families with unmet needs.
F. REPORTS AND OUTCOMES
DSS will consider SUBRECIPIENT performance levels when determining funding
recommendations for future Agreements. For the contract period, SUBRECIPIENT shall
document all HVP services and referrals using PAT approved data collection portal.
SUBRECIPIENT will submit a Monthly Activity Report (MAR) to the assigned analyst by the
tenth (10th) of each month in a manner and format determined by DSS.
The overall goal of the Home Visitation Program is to support positive health, development and
well-being outcomes for pregnant and parenting women, families and infants born into poverty.
Objectives:
1. Support health outcomes for pregnant/parenting women and children ages 0 — 5 born
into poverty;
2. Expand their future educational, economic, and financial capability opportunities; and
3. Increase parent knowledge of early childhood development and improve parent
practices.
The program goals and indicators are as follows:
Outcomes to be Reported Indicators
100%of participating children will receive age-
Children will meet or exceed appropriate developmental screenings, as
Short Term age-appropriate developmental measured by PAT approved assessment
benchmarks.
If indicated by a PAT approved assessment,
100%of participating children will receive a
referral for additional services or assessments.
Children will have improved 70%of children will receive regular wellness
health outcomes. check-ups and be current on all immunizations.
Exhibit A
Page 5of5
Children will meet and maintain 70%of parents will enroll their child(ren) into
educational milestones to early learning programs, as indicated by PAT
ensure-school-readiness assessments.
Intermediate
and Long
Term 80%of participants will show improvement in
Participants will demonstrate one or more areas within 90 days of program
improved food, housing, and participation as measured by PAT approved
financial stability. assessment.
90%of participants will show improvement or
maintain stability in all areas within 1 year of
program participation as measured by PAT
approved assessment.
Participants will increase their 80%of parents will demonstrate improved
knowledge of age-appropriate functioning in a minimum of two areas, as
child development and improve measured by the annual Family-Centered
parenting practices. Assessment.
* Please note, percentage indicators are subject to change at the Department's discretion.
Exhibit B
BUDGET SUMMARY (Fiscal Year July 1, 2022 —June 30, 2023)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
CATEGORY BUDGET ITEM # TOTAL
Salaries 0100 $175,760.
Payroll Taxes 0150 $14,492.
Benefits 0200 $17,577.
SUBTOTAL: $207,829
SERVICES & SUPPLIES
Insurance 0250 $660.
Communications 0300 $5,712.
Office Expense 0350 $12,000.
Equipment 0400 $2,728.
Facilities 0450 $8,304.
Travel Costs 0500 $24,372.
Program Supplies 0550 $27,000.
Consultancy/Subcontracts 0600 $2,000.
Fiscal & Audits 0650 $25,800.
Training 0700 $5,775.
Indirect Costs 0750 $32,217.
SUBTOTAL: $146,568.
TOTAL EXPENSES: $354,397.00
Page 1 of 20
Exhibit B
BUDGET PERSONNEL DETAIL (Fiscal Year July 1, 2022—June 30, 2023)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
SALARIES
% of Time Number of Monthly Salary/Wages
Position on Project Months Salary/Hourly Funds Requested
Wages for the Year
Director, Home Visiting .15 FTE 12 $40/hr. $12,480.
Services, Aurora Ramirez
Manager, Home Visiting 1 12 $25/hr. $52,000.
Program, Jeanette
Calderon
PAT Home Visitor zip 1 12 $18/hr. $37,440.
codes 93234; 93609
Huron; Caruthers; Five
Points/ Westside Cinthia
Pulido
PAT Home Visitor zip 1 12 $18/hr. $37,440.
codes 93210; 93656:
Coalinga; Riverdale;
Burrel; Lanare Roberto
Castillo
Outreach and Intake 1 12 $17.50/hr. $36,400.
Coordinator
Total Salaries/ $175,760.
Wages
BENEFITS (Health Ins; Life Ins; Retirement; Other benefits)
Benefit Item (Calculation) — 17.984% Item Total
FICA (6.2%) + (1.45 Medicare) $ 13,446.
SUI (3.6%) $ 1,046.
Health, Dental, Vision (+ Workers Comp) $15,819.
Retirement (1%) $ $1,758.
TOTAL SALARIES AND BENEFITS: $207,829
Page 2 of 20
Exhibit B
BUDGET DETAIL (Fiscal Year July 1, 2022 —June 30, 2023)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
BUDGET CATEGORY & DESCRIPTION/ SUBTOTAL TOTAL
LINE ITEM CALCULATION
0100 4.15 FTE @ $14,646.66/mo. x 12 $175,760.
months
0150 Payroll taxes: FICA @ 6.2%; SUI $14,492.
@ 3.6%, and Medicare @ 1.45%
0200 Benefits: 4.15 FTE $1,464.75/mo. $17,577.
X 12 mos. [Retirement @ 1%;
Worker's Comp @ .5%; Health @
$300/mo. x 4.15 FTE x 12 mos.
0250 Cost Allocation Model: Program $660.
Insurance Expense @ $55/mo. x
12 mos.
0300 4.15 cell phone stipends @ $5,712.
$40/mo. x 12 mos. Plus
landline/internet @ $310/mo. x 12
mos.
0350 $1,000/mo. For toner, paper, $12,000.
pens, etc. normal office supplies
0400 3 CPUs @ $766.67 (including $2,728.
software), plus 1 printer @ $500.
0450 $692/mo. For utilities, janitorial, $8,304.
pest control, per Cost Allocation
Model, 11t" Street Huron
0500 3,472 miles/month @ $58.5 $24,372.
cents/mile
0550 Mandated $15,000/yr. plus $27,000.
$1,000/mo. For implementation of
PAT program for clients
0600 $2,000 PAT Affiliation Renewal $2,000.
Fee
0650 Bookkeeping, invoicing, weekly $25,800.
payroll, timesheets @ $1,900/mo.
x 12 mos. Plus $3,000 for A-133
audit per cost allocation model
0700 $5,775/yr. staff training in PAT $5,775.
0750 De minimus indirect cost rate 10% $32,217.
of direct costs
TOTAL
EXPENSES $ $354,397.00
Page 3 of 20
Exhibit B
BUDGET DETAIL NARRATIVE (Fiscal Year July 1, 2022—June 30, 2023)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
Explain the amounts entered in the Budget Detail. The narrative shall provide a clear and concise
explanation of what will be spent on each budget line item.
0100 4.15 FTE to implement PAT HV Program out of Huron and Coalinga NRCs in Southwest FC.
Specific hourly wages are detailed in the salary funds requested, by staff position, for each year.
0150 Payroll Taxes: FICA(6.2.5); Medicare (1.45%); SUI (3.6%)x$175,760.
0200 Retirement(1%); Worker's Comp (.5%); Health ($300/mo. x 4.15 FTE)
0250 Cost Allocation Model: Program Insurance Expense @ $55/mo. x 12 mos.
0300 4.15 cell phone stipends @ $40/mo. x 12 mos. Plus landline/internet @ $310/mo. x 12 mos.
0350 $1,000/mo. For toner, paper, pens, etc. normal office supplies
0400 3 CPUs @ $766.67 (including software), plus 1 printer @ $500.
0450 $692/mo. For utilities,janitorial, pest control, per Cost Allocation Model, 1111 Street Huron
0500 3,472 miles/month @ $58.5 cents/mile
0550 Mandated $15,000/yr. plus $1,000/mo. for implementation of PAT program for client activities
0600 $2,000 PAT Affiliation Renewal Fee
0650 Bookkeeping, invoicing, weekly payroll, timesheets @ $1,900/mo. x 12 mos. Plus $3,000 for A-
133 audit per cost allocation model
0700 $5,775/yr. staff training in PAT
0750 $354,397.00/1.1=$322,179.09 Direct expenses *.10=$32,217. indirect cost.
Page 4 of 20
Exhibit B
BUDGET SUMMARY (Fiscal Year July 1, 2023 —June 30, 2024)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
CATEGORY BUDGET ITEM # TOTAL
Salaries 0100 $ 182,087.
Payroll Taxes 0150 $ 14,975.
Benefits 0200 $ 17,671.
SUBTOTAL: $ 214,733.
SERVICES & SUPPLIES
Insurance 0250 $ 660.
Communications 0300 $ 5,712.
Office Expense 0350 $ 7,820.
Equipment 0400 $ 4.
Facilities 0450 $ 8,304.
Travel Costs 0500 $ 24,372.
Program Supplies 0550 $ 27,000.
Consultancy/Subcontracts 0600 $ 2,000.
Fiscal & Audits 0650 $ 25,800.
Training 0700 $ 5,775.
Indirect Costs 0750 $ 32,217.
SUBTOTAL: $139,664.
TOTAL EXPENSES: $354,397.00
Page 5 of 20
Exhibit B
BUDGET PERSONNEL DETAIL (Fiscal Year July 1, 2023—June 30, 2024)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
SALARIES
% of Time Number of Monthly Salary/Wages
Position on Project Months Salary/Hourly Funds Requested
Wages
Director, Home Visiting .15 FTE 12 $41.44hr. $12,929.
Services, Aurora Ramirez
Manager, Home Visiting 1 FTE 12 $25.90/hr. $53,872.
Program, Jeanette
Calderon
PAT Home Visitor zip 1 FTE 12 $18.65/hr. $38,788.
codes 93234; 93609
Huron; Caruthers; Five
Points/ Westside Cinthia
Pulido
PAT Home Visitor zip 1 FTE 12 $18.65/hr. $38,788.
codes 93210; 93656:
Coalinga; Riverdale;
Burrel; Lanare Roberto
Castillo
Outreach and Intake 1 FTE 12 $18.13 $37,710.
Coordinator
Total Salaries/ $182,087.
Wages
BENEFITS (Health Ins; Life Ins; Retirement; Other benefits)
Benefit Item (Calculation) Item Total
FICA $11,289.
SUI & Medicare $ 3,686.
Health, Dental, Vision $14,940.
Retirement + Worker's COMP $ 2,731.
TOTAL SALARIES AND BENEFITS: $214,733.
Page 6 of 20
Exhibit B
BUDGET DETAIL (Fiscal Year July 1, 2023—June 30, 2024)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
BUDGET CATEGORY & DESCRIPTION/ SUBTOTAL TOTAL
LINE ITEM CALCULATION
0100 4.15 FTE @ $15,173.92/mo. x 12 $182,087.
months
0150 Payroll taxes: FICA @ 6.2%; SUI $14,975.
@ 3.6%, and Medicare @ 1.45%
0200 Benefits: 4.15 FTE $227.58/mo. X $17,671.
12 mos. [Retirement @ 1%;
Worker's Comp @ .5%]; Health @
$300/mo. x 4.15 FTE x 12 mos.
0250 Cost Allocation Model: Program $660.
Insurance Expense @ $55/mo. x
12 mos.
0300 4.15 cell phone stipends @ $5,712.
$40/mo. x 12 mos. Plus
landline/internet @ $310/mo. x 12
mos.
0350 $651.66/mo. For toner, paper, $7,820.
pens, etc. normal office supplies
0400 No equipment purchased this year $ 4.
0450 $692/mo. For utilities, janitorial, $8,304.
pest control, per Cost Allocation
Model, 11t" Street Huron
0500 3,472 miles/month @ $58.5 $24,372.
cents/mile
0550 Mandated $15,000/yr. plus $27,000.
$1,000/mo. For implementation of
PAT program for clients
0600 $2,000 PAT Affiliation Renewal $2,000.
Fee
0650 Bookkeeping, invoicing, weekly $25,800.
payroll, timesheets @ $1,900/mo.
x 12 mos. Plus $3,000 for A-133
audit per cost allocation model
0700 $5,775/yr. staff training in PAT $5,775.
0750 De minimus indirect cost rate 10% $32,217.
of direct costs
TOTAL
EXPENSES $ $ 354,397.00
Page 7 of 20
Exhibit B
BUDGET DETAIL NARRATIVE (Fiscal Year July 1, 2023—June 30, 2024)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
Explain the amounts entered in the Budget Detail. The narrative shall provide a clear and concise
explanation of what will be spent on each budget line item.
0100 4.15 FTE to implement PAT HV Program out of Huron and Coalinga NRCs in Southwest FC.
Specific hourly wages are detailed in the salary funds requested, by staff position, for each year.
0150 Payroll Taxes: FICA (6.2.5); Medicare (1.45%); SUI (3.6%)x$182,087.
0200 Retirement(1%); Worker's Comp (.5%) _ $227.58mo.; Health ($300/mo. x 4.15 FTE)
0250 Cost Allocation Model: Program Insurance Expense @ $55/mo. x 12 mos.
0300 4.15 cell phone stipends @ $40/mo. x 12 mos. Plus land Iine/internet @ $310/mo. x 12 mos.
0350 $651.66/mo. For toner, paper, pens, etc. normal office supplies
0400 No equipment purchased this year
0450 $692/mo. For utilities,janitorial, pest control, per Cost Allocation Model, 111h Street Huron
0500 3,472 miles/month @ $58.5 cents/mile This will probably not be enough to cover the geographic
area. We will adjust depending upon the actual location of the clients referred.
0550 Mandated $15,000/yr. plus $1,000/mo. for implementation of PAT program for client activities
0600 $2,000 PAT Affiliation Renewal Fee
0650 Bookkeeping, invoicing, weekly payroll, timesheets @ $1,900/mo. x 12 mos. Plus $3,000 for A-
133 audit per cost allocation model
0700 $5,775/yr. staff training in PAT
0750 $354,397.00/1.1=$322,179.09 Direct expenses *.10=$32,217. indirect cost.
Page 8 of 20
Exhibit B
BUDGET SUMMARY (Fiscal Year July 1, 2024—June 30, 2025)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
CATEGORY BUDGET ITEM # TOTAL
Salaries 0100 $184,819.
Payroll Taxes 0150 $15,185.
Benefits 0200 $17,712.
SUBTOTAL: $217,716.
SERVICES & SUPPLIES
Insurance 0250 $660.
Communications 0300 $5,712.
Office Expense 0350 $6,337.
Equipment 0400 $4.
Facilities 0450 $8,304.
Travel Costs 0500 $24,372.
Program Supplies 0550 $27,000.
Consultancy/Subcontracts 0600 $2,000.
Fiscal & Audits 0650 $25,800.
Training 0700 $4,275.
Indirect Costs 0750 $32,217.
SUBTOTAL: $136,681.
TOTAL EXPENSES: $354,397.00
Page 9 of 20
Exhibit B
BUDGET PERSONNEL DETAIL (Fiscal Year July 1, 2024—June 30, 2025)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
SALARIES
% of Time Number of Monthly Salary/Wages
Position on Project Months Salary/Hourly Funds Requested
Wages
Director, Home Visiting .15 FTE 12 $42.06/hr. $13,123.
Services, Aurora Ramirez
Manager, Home Visiting 1 FTE 12 $26.29/hr. $54,680.
Program, Jeanette
Calderon
PAT Home Visitor zip 1 FTE 12 $18.93/hr. $39,370.
codes 93234; 93609
Huron; Caruthers; Five
Points/ Westside Cinthia
Pulido
PAT Home Visitor zip 1 FTE 12 $18.93/hr. $39,370.
codes 93210; 93656:
Coalinga; Riverdale;
Burrel; Lanare Roberto
Castillo
Outreach and Intake 1 FTE 12 $18.40/hr. $38,276.
Coordinator
Total Salaries/ $184,819.
Wages
BENEFITS (Health Ins; Life Ins; Retirement; Other benefits)
Benefit Item (Calculation) Item Total
FICA (6.2%) $11,459.
SUI + Medicare (3.6% + 1.45%) $3,726.
Health, Dental, Vision (4.15 FTE x $300 x 12) $14,940.
Retirement + Worker's Comp (1% + .5%) $2,772.
TOTAL SALARIES AND BENEFITS: $217,716.
Page 10 of 20
Exhibit B
BUDGET DETAIL (Fiscal Year July 1, 2024—June 30, 2025)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
BUDGET CATEGORY & DESCRIPTION/ SUBTOTAL TOTAL
LINE ITEM CALCULATION
0100 4.15 FTE @ $15,401.58/mo. x 12 $184,819.
months
0150 Payroll taxes: FICA @ 6.2%; SUI $15,185.
@ 3.6%, and Medicare @ 1.45%
0200 Benefits: 4.15 FTE $231/mo. X 12 $17.712
mos. [Retirement @ 1%; Worker's
Comp @ .5%]; Health @ $300mo.
x 4.15 FTE x 12 mos.
0250 Cost Allocation Model: Program $660.
Insurance Expense @ $55/mo. x
12 mos.
0300 4.15 cell phone stipends @ $5,712.
$40/mo. x 12 mos. Plus
landline/internet @ $310/mo. x 12
mos.
0350 $528.08/mo. For toner, paper, $6,337.
pens, etc. normal office supplies
0400 No equipment purchased this year $4
0450 $695/mo. For utilities, janitorial, $8,304.
pest control, per Cost Allocation
Model, 11th Street Huron
0500 3,472 miles/month @ $58.5 $24,372.
cents/mile
0550 Mandated $15,000/yr. plus $27,000.
$1,000/mo. For implementation of
PAT program for clients
0600 $2,000 PAT Affiliation Renewal $2,000.
Fee
0650 Bookkeeping, invoicing, weekly $25,800.
payroll, timesheets @ $1,900/mo.
x 12 mos. Plus $3,000 for A-133
audit per cost allocation model
0700 $4,275/yr. staff training in PAT $4,275.
0750 De minimus indirect cost rate 10% $32,217.
of direct costs
TOTAL
EXPENSES $ $354,397.00
Page 11 of 20
Exhibit B
BUDGET DETAIL NARRATIVE (Fiscal Year July 1, 2024—June 30, 2025)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
Explain the amounts entered in the Budget Detail. The narrative shall provide a clear and concise
explanation of what will be spent on each budget line item.
0100 4.15 FTE to implement PAT HV Program out of Huron and Coalinga NRCs in Southwest FC.
Specific hourly wages are detailed in the salary funds requested, by staff position, for each year.
0150 Payroll Taxes: FICA(6.2.5); Medicare (1.45%); SUI (3.6%)x$184,819.
0200 Retirement(1%); Worker's Comp (.5%) _ $231/mo.; Health ($300/mo. x 4.15 FTE)
0250 Cost Allocation Model: Program Insurance Expense @ $55/mo. x 12 mos.
0300 4.15 cell phone stipends @ $40/mo. x 12 mos. Plus land Iine/internet @ $310/mo. x 12 mos.
0350 $528.08/mo. For toner, paper, pens, etc. normal office supplies
0400 no equipment purchased this year
0450 $695/mo. For utilities,janitorial, pest control, per Cost Allocation Model, 111" Street Huron
0500 3,472 miles/month @ $58.5 cents/mile This will probably not be enough to cover the geographic
area. We will adjust depending upon the actual location of the clients referred.
0550 Mandated $15,000/yr. plus $1,000/mo. for implementation of PAT program for client activities
0600 $2,000 PAT Affiliation Renewal Fee
0650 Bookkeeping, invoicing, weekly payroll, timesheets @ $1,900/mo. x 12 mos. Plus $3,000 for A-
133 audit per cost allocation model
0700 $4,275/yr. staff training in PAT
0750 $354,397.00/1.1=$322,179.09 Direct expenses *.10=$32,217. indirect cost.
Page 12 of 20
Exhibit B
BUDGET SUMMARY (Fiscal Year July 1, 2025—June 30, 2026)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
CATEGORY BUDGET ITEM # TOTAL
Salaries 0100 $188,516.
Payroll Taxes 0150 $15,467.
Benefits 0200 $17,768.
SUBTOTAL: $221,751.00
SERVICES & SUPPLIES
Insurance 0250 $660.
Communications 0300 $5,712.
Office Expense 0350 $2,302.
Equipment 0400 $4
Facilities 0450 $8,304.
Travel Costs 0500 $24,372.
Program Supplies 0550 $27,000.
Consultancy/Subcontracts 0600 $2,000.
Fiscal & Audits 0650 $25,800.
Training 0700 $4,275.
Indirect Costs 0750 $32,217.
SUBTOTAL: $132,646.00
TOTAL EXPENSES: $354,397.00
Page 13 of 20
Exhibit B
BUDGET PERSONNEL DETAIL (Fiscal Year July 1, 2025—June 30, 2026)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
SALARIES
% of Time Number of Monthly Salary/Wages
Position on Project Months Salary/Hourly Funds Requested
Wages
Director, Home Visiting .15 FTE 12 $42.90/hr. $13,386.
Services, Aurora Ramirez
Manager, Home Visiting 1 FTE 12 $26.81/hr. $55,774.
Program, Jeanette
Calderon
PAT Home Visitor zip 1 FTE 12 $19.31/hr. $40,157.
codes 93234; 93609
Huron; Caruthers; Five
Points/ Westside Cinthia
Pulido
PAT Home Visitor zip 1 FTE 12 $19.31/hr. $40,157.
codes 93210; 93656:
Coalinga; Riverdale;
Burrel; Lanare Roberto
Castillo
Outreach and Intake 1 FTE 12 $18.77/hr. $39,042
Coordinator
Total Salaries/ $188,516.
Wages
BENEFITS (Health Ins; Life Ins; Retirement; Other benefits)
Benefit Item (Calculation) Item Total
FICA (6.2%) $11,688.
SUI + Medicare (3.6% + 1.45%) $3,779.
Health, Dental, Vision (4.15 FTE x $300 x 12) $14,940.
Retirement + Worker's Comp (1% + .5%) $2,828.
TOTAL SALARIES AND BENEFITS: $221,751.
Page 14 of 20
Exhibit B
BUDGET DETAIL (Fiscal Year July 1, 2025—June 30, 2026)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
BUDGET CATEGORY & DESCRIPTION/ SUBTOTAL TOTAL
LINE ITEM CALCULATION
0100 4.15 FTE @ $15,709.66/mo. x 12 $188,516.
mos.
0150 Payroll taxes: FICA @ 6.2%; SUI $15,467.
@ 3.6%, and Medicare @ 1.45%
0200 Benefits: 4.15 FTE $231/mo. X 12 $17,768.
mos. [Retirement @ 1%; Worker's
Comp @ .5%]; Health @$300/mo.
x 4.15 FTE x 12 mos.
0250 Cost Allocation Model: Program $660.
Insurance Expense @ $55/mo. x
12 mos.
0300 4.15 cell phone stipends @ $5,712.
$40/mo. x 12 mos. Plus
landline/internet @ $310/mo. x 12
mos.
0350 $191.83/mo. For toner, paper, $2,302.
pens, etc. normal office supplies
0400 No equipment purchased this year $4
0450 $695/mo. For utilities, janitorial, $8,304.
pest control, per Cost Allocation
Model, 111h Street Huron
0500 3,472 miles/month @ $58.5 $24,372.
cents/mile
0550 Mandated $15,000/yr. plus $27,000.
$1,000/mo. For implementation of
PAT program for clients
0600 $2,000 PAT Affiliation Renewal $2,000.
Fee
0650 Bookkeeping, invoicing, weekly $25,800.
payroll, timesheets @ $1,900/mo.
x 12 mos. Plus $3,000 for A-133
audit per cost allocation model
0700 $4,275/yr. staff training in PAT $4,275.
0750 De minimus indirect cost rate 10% $32,217.
of direct costs
TOTAL
EXPENSES $ $354,397.00
Page 15 of 20
Exhibit B
BUDGET DETAIL NARRATIVE (Fiscal Year July 1, 2025—June 30, 2026)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
Explain the amounts entered in the Budget Detail. The narrative shall provide a clear and concise
explanation of what will be spent on each budget line item.
0100 4.15 FTE to implement PAT HV Program out of Huron and Coalinga NRCs in Southwest FC.
Specific hourly wages are detailed in the salary funds requested, by staff position, for each year.
0150 Payroll Taxes: FICA (6.2.5); Medicare (1.45%); SUI (3.6%)x$188,516.
0200 Retirement(1%); Worker's Comp (.5%) _ $231/mo.; Health ($300/mo. x 4.15 FTE)
0250 Cost Allocation Model: Program Insurance Expense @ $55/mo. x 12 mos.
0300 4.15 cell phone stipends @ $40/mo. x 12 mos. Plus land Iine/internet @ $310/mo. x 12 mos.
0350 $191.83/mo. For toner, paper, pens, etc. normal office supplies
0400 no equipment purchased this year
0450 $695/mo. For utilities,janitorial, pest control, per Cost Allocation Model, 1111 Street Huron
0500 3,472 miles/month @ $58.5 cents/mile This will probably not be enough to cover the geographic
area. We will adjust depending upon the actual location of the clients referred.
0550 Mandated $15,000/yr. plus $1,000/mo. for implementation of PAT program for client activities
0600 $2,000 PAT Affiliation Renewal Fee
0650 Bookkeeping, invoicing, weekly payroll, timesheets @ $1,900/mo. x 12 mos. Plus $3,000 for A-
133 audit per cost allocation model
0700 $4,275/yr. staff training in PAT
0750 $354,397.00/1.1=$322,179.09 Direct expenses *.10=$32,217. indirect cost.
Page 16 of 20
Exhibit B
BUDGET SUMMARY (Fiscal Year July 1, 2026 —June 30, 2027)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
CATEGORY BUDGET ITEM # TOTAL
Salaries 0100 $190,363.
Payroll Taxes 0150 $15,609.
Benefits 0200 $17,796.
SUBTOTAL: $223,768.00
SERVICES & SUPPLIES
Insurance 0250 $660.
Communications 0300 $5,712.
Office Expense 0350 $1,200.
Equipment 0400 $ 4.
Facilities 0450 $8,304.
Travel Costs 0500 $21,957.
Program Supplies 0550 $27,000.
Consultancy/Subcontracts 0600 $2,000.
Fiscal & Audits 0650 $25,800.
Training 0700 $5,775.
Indirect Costs 0750 $32,217.
SUBTOTAL: $130,629.00
TOTAL EXPENSES: $354,397.00
Page 17 of 20
Exhibit B
BUDGET PERSONNEL DETAIL (Fiscal Year July 1, 2026—June 30, 2027)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
SALARIES
% of Time Number of Monthly Salary/Wages
Position on Project Months Salary/Hourly Funds Requested
Wages
Director, Home Visiting .15 FTE 12 $43.32/hr. $13,517.
Services, Aurora Ramirez
Manager, Home Visiting 1 FTE 12 $27.08/hr. $56,320.
Program, Jeanette
Calderon
PAT Home Visitor zip 1 FTE 12 $19.50/hr. $40,551.
codes 93234; 93609
Huron; Caruthers; Five
Points/ Westside Cinthia
Pulido
PAT Home Visitor zip 1 FTE 12 $19.50/hr. $40,551.
codes 93210; 93656:
Coalinga; Riverdale;
Burrel; Lanare Roberto
Castillo
Outreach and Intake 1 FTE 12 $18.95/hr. $39,424.
Coordinator
Total Salaries/ $190,363.00
Wages
BENEFITS (Health Ins; Life Ins; Retirement; Other benefits)
Benefit Item (Calculation) Item Total
FICA (6.2%) $11,803.
SUI + Medicare (3.6% + 1.45%) $3,806.
Health, Dental, Vision (4.15 FTE x $300 x 12) $14,940.
Retirement + Worker's Comp (1% + .5%) $2,856.
TOTAL SALARIES AND BENEFITS: $223,768.00
Page 18 of 20
Exhibit B
BUDGET DETAIL (Fiscal Year July 1, 2026 —June 30, 2027)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
BUDGET CATEGORY & DESCRIPTION/ SUBTOTAL TOTAL
LINE ITEM CALCULATION
0100 4.15 FTE @ $15,863.58/mo. x 12 $190,363.
months
0150 Payroll taxes: FICA @ 6.2%; SUI $15,609.
@ 3.6%, and Medicare @ 1.45%
0200 Benefits: 4.15 FTE $238 mo. X 12 $17,796.
mos. [Retirement @ 1%; Worker's
Comp @ .5%]; Health @$300/mo.
x 4.15 FTE x 12 mos.
0250 Cost Allocation Model: Program $660.
Insurance Expense @ $55/mo. x
12 mos.
0300 4.15 cell phone stipends @ $5,712.
$40/mo. x 12 mos. Plus
landline/internet @ $310/mo. x 12
mos.
0350 $100/mo. For toner, paper, pens, $1,200.
etc. normal office supplies
0400 No equipment purchased this year $ 4
0450 $695/mo. For utilities, janitorial, $8,304.
pest control, per Cost Allocation
Model, 11t" Street Huron
0500 3,128 miles/month @ $58.5 $21,957.
cents/mile
0550 Mandated $15,000/yr. plus $27,000.
$1000/mo. For implementation of
PAT program for clients
0600 $2,000 PAT Affiliation Renewal $2,000.
Fee
0650 Bookkeeping, invoicing, weekly $25,800.
payroll, timesheets @ $1,900/mo.
x 12 mos. Plus $3,000 for A-133
audit per cost allocation model
0700 $5,775/yr. staff training in PAT $5,775.
0750 De minimus indirect cost rate 10% $32,217.
of direct costs
TOTAL
EXPENSES $ $354,397.00
Page 19 of 20
Exhibit B
BUDGET DETAIL NARRATIVE (Fiscal Year July 1, 2026—June 30, 2027)
VENDOR NAME: Westside Family Preservation Services Network (WFPSN)
Explain the amounts entered in the Budget Detail. The narrative shall provide a clear and concise
explanation of what will be spent on each budget line item.
0100 4.15 FTE to implement PAT HV Program out of Huron and Coalinga NRCs in Southwest FC.
Specific hourly wages are detailed in the salary funds requested, by staff position, for each year.
0150 Payroll Taxes: FICA (6.2.5); Medicare (1.45%); SUI (3.6%)x$190,363.
0200 Retirement(1%); Worker's Comp (.5%) _ $238/mo.; Health ($300mo. x 4.15 FTE)
0250 Cost Allocation Model: Program Insurance Expense @ $55/mo. x 12 mos.
0300 4.15 cell phone stipends @ $40/mo. x 12 mos. Plus land Iine/internet @ $310/mo. x 12 mos.
0350 $100/mo. For toner, paper, pens, etc. normal office supplies
0400 No equipment purchased this year
0450 $695/mo. For utilities,janitorial, pest control, per Cost Allocation Model, 1111 Street Huron
0500 3,128 miles/month @ $58.5 cents/mile This will probably not be enough to cover the geographic
area. We will adjust depending upon the actual location of the clients referred.
0550 Mandated $15,000/yr. plus $1,000/mo. for implementation of PAT program for client activities
0600 $2,000 PAT Affiliation Renewal Fee
0650 Bookkeeping, invoicing, weekly payroll, timesheets @ $1,900/mo. x 12 mos. Plus $3,000 for A-
133 audit per cost allocation model
0700 $5,775/yr. staff training in PAT
0750 $354,397.00/1.1=$322,179.09 Direct expenses *.10=$32,217.s indirect cost.
Page 20 of 20
Exhibit C
Westside Family Preservation Services Network
Page 1 of 2
SELF-DEALING TRANSACTION DISCLOSURE FORM
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 self-dealing transactions that they are a party to while providing goods,
performing services, or both for the County. A self-dealing 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 self-dealing 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 self-dealing
transaction described in Sections (3) and (4).
Exhibit C
Westside Family Preservation Services Network
Page 2 of 2
(1) Company Board Member Information:
Name: Date:
Job
Title:
(2) Company/Agency Name and Address:
(3) Disclosure (Please describe the nature of the self-dealing transaction you are a party to):
(4) Explain why this self-dealing transaction is consistent with the requirements of Corporations
Code 5233 (a):
5 Authorized Signature
Signature: Date:
Exhibit D
Westside Family Preservation Services Network
NOTICE OF CHILD ABUSE REPORTING LAW
The undersigned hereby acknowledges that Penal Code section 11166 and the
contractual obligations between County of Fresno (COUNTY) and Westside Family
Preservation Services Network (PROVIDER) related to provision of CaIWORKs
Home Visitation services for COUNTY's dependent children, requires that the
undersigned report all known or suspected child abuse or neglect to one or more of the
agencies set forth in Penal Code (P.C.) section (§) 11165.9.
For purposes of the undersigned's child abuse reporting requirements, "child
abuse or neglect" includes physical injury inflicted by other than accidental means upon
a child by another person, sexual abuse as defined in P.C. §11165.1, neglect as defined
in P.C. §11165.2, willful cruelty or unjustifiable punishment as defined in P.C. §11165.3,
and unlawful corporal punishment or injury as defined in P.C. §11165.4.
A child abuse report shall be made whenever the undersigned, in his or her
professional capacity or within the scope of his or her employment, has knowledge of or
observes a child whom the undersigned knows or reasonably suspects has been the
victim of child abuse or neglect. (P.0 §11166.) The child abuse report shall be made to
any police department or sheriff's department (not including a school district police or
security department), or to any county welfare department, including Fresno County
Department of Social Services' 24 Hour CARELINE. (See PC §11165.9.)
For purposes of child abuse reporting, a "reasonable suspicion" means that it is
objectively reasonable for a person to entertain a suspicion, based upon facts that could
cause a reasonable person in a like position, drawing, when appropriate, on his or her
training and experience, to suspect child abuse or neglect. The pregnancy of a child
does not, in and of itself, constitute a basis for reasonable suspicion of sexual abuse.
(P.C. §11166(a)(1).)
Substantial penalties may be imposed for failure to comply with these child abuse
reporting requirements.
Further information and a copy of the law may be obtained from the department
head or designee.
I have read and understand the above statement and agree to comply with the
child abuse reporting requirements.
SIGNATURE DATE
0872fcfx