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Home My WebLink AboutPinnacle Training Systems LLC-COVID-19 and Flu Vaccination Services_A-22-282 A-21-067 A-21-454.pdf c°U Y Count of Fresno Hall of Records,Room 301 2281 Tulare Street Fresno,California Board of Supervisors 93721-2198 O) 1856 Telephone:(559)600-3529 FRB`' Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us June 21, 2022 Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes, Chairman Brian Pacheco, and Vice Chairman Sal Quintero Agenda No. 67. Public Health File ID: 22-0510 Re: Approve and authorize the Chairman to execute Third Amendment to Agreement with Pinnacle Training System, LLC,to extend the term of the existing Agreement for the provision of COVID-19 and Flu vaccination services by six months from July 1, 2022 to December 31,2022 with no change to the compensation maximum of$1,459,500 APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero Agreement No.22-282 County of Fresno Page 70 co Board Agenda Item 67 O 1856 O � FRESH DATE: June 21, 2022 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Approve Third Amendment to Agreement with Pinnacle Training System, LLC RECOMMENDED ACTION(S): Approve and authorize the Chairman to execute Third Amendment to Agreement with Pinnacle Training System, LLC,to extend the term of the existing Agreement for the provision of COVID-19 and Flu vaccination services by six months from July 1, 2022 to December 31, 2022 with no change to the compensation maximum of$1,459,500. There is no Net County Cost associated with the recommended action.Approval of the recommended action will execute a third amendment with Pinnacle Training System, LLC (PTS)to continue providing on-call COVID-19 and Flu vaccine administration services. This item is countywide. ALTERNATIVE ACTION(S): There are no viable alternative actions. Should your Board choose to not approve the recommended action, PTS will no longer be able to serve as one of Fresno County's on-call COVID-19 and Flu vaccine administration vendors effective on July 1, 2022, reducing the capacity to support vaccine administration services and events within Fresno County. FISCAL IMPACT: There is no Net County Cost associated with this recommended action.This agreement was funded by the federal Coronavirus Aid, Relief, and Economic Security(CARES)Act funding through June 30, 2021. The remaining term is and will be funded by the Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) Enhancing Detection Expansion funds and the Immunization Cooperative Agreement funding. The compensation rates for billing will remain the same. Sufficient appropriations were included in the Department's Organization 5620 FY 2021-22 Adopted Budget and is included in the Department's Organization 5620 FY 2022-23 Recommended Budget. DISCUSSION: On March 9, 2021, your Board made a finding that it was in the best interest of the County to suspend the competitive bidding process in an emergency when goods or services are immediately necessary for the preservation of public health, welfare, safety, or the protection of County property, consistent with Administrative Policy No. 34,for urgent and necessary COVID-19 vaccination services for Fresno County employees. At that time, your Board executed a retroactive agreement(No. A-21-067)with PTS for COVID-19 vaccination services to County of Fresno employees. On July 13, 2021, your Board approved the First Amendment to the Agreement with PTS to expand vaccination portability to the entire community (general public) by allowing PTS to provide services to clinics held through community medical County of Fresno page 1 File Number:22-0510 File Number:22-0510 clinic/vaccination events or through employers. On November 2, 2021, your Board approved the Second Amendment to the Agreement to add the provision of flu vaccination services, extended the length of the agreement, and increased the total compensation to accommodate the provision of new and existing services through June 30, 2022. PTS, the Regents of the University of California, San Francisco (UCSF), and United Health Center of the San Joaquin Valley(UHC)are the only contractors that remain under contract with Fresno County to provide on-call vaccine administration services.As COVID-19 cases continues to be present in our community, vaccine administration teams are still needed and should be readily available to provide vaccine services to Fresno County residents should the need arise. PTS remains designated as an approved vendor of COVID-19 vaccination services by DPH and still possess the mobilization capability enabling them to be highly effective and utilized. Since March 9, 2021, PTS has participated in over 134 clinics organized by the Department of Public Health (DPH)and administered over 5,802 doses of COVID-19 vaccines to the community, with 115 COVID-19 vaccines administered to children ages 5 years old to 11 years old beginning January 2022. Approval of the recommended action will allow PTS to continue to serve as one of Fresno County's contractors to provide vaccine administration services through December 31, 2022, with no increase in additional funding.The County and PTS will continue to work together to assure the maximization of resources and meeting expected goals. REFERENCE MATERIAL: BAI #31 March 9, 2021 BAI#41 July 13, 2021 BAI#37 November 2, 2021 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk-Third Amendment to Agreement with Pinnacle Training System, LLC CAO ANALYST: Ron Alexander County of Fresno page 2 File Number.22-0510 Agreement No. 22-282 1 THIRD AMENDMENT TO AGREEMENT 2 THIS THIRD AMENDMENT TO AGREEMENT (hereinafter"Amendment") is made and entered 3 into this 21st day ofJune, 2022, by and between COUNTY OF FRESNO, a Political Subdivision of 4 the State of California, Fresno, California (hereinafter"CLIENT"), and PINNACLE TRAINING 5 SYSTEMS, LLC, a California Limited Liability Corporation, whose address is 6011 N Fresno St. Suite 6 120, California, 93721 (hereinafter"PTS"). 7 WITNESSETH: 8 WHEREAS, CLIENT and PTS entered into Agreement No. A-21-067 on March 9, 2021, 9 retroactively effective February 15, 2021, pursuant to which PTS agreed to provide COVID-19 vaccine 10 services to CLIENT; and 11 WHEREAS, CLIENT and PTS entered into a First Amendment No. A-21-067-1, dated July 13, 12 2021, to expand vaccination portability to any county department, to allow services to clinics held 13 through community medical clinic/vaccination events through employer, and to allow for the 14 vaccination of the general public; and 15 WHEREAS, CLIENT and PTS entered into a Second Amendment No. A-21-454, dated 16 November 2, 2021, to extend the term, add the provision of Flu vaccination services, and increase the 17 total compensation amount to accommodate the provision of new and existing services through June 18 30, 2022 (Agreement No. A-21-067, First Amendment No. A-21-067-1, and Second Amendment No. 19 A-21454, collectively, shall be referred to herein as "the Agreement"); and 20 WHEREAS, CLIENT and PTS now desire to amend the Agreement in order to extend the 21 length of the Agreement through and including December 31, 2022. 22 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which 23 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows: 24 1. Section 3.a of the Agreement, located on page 1, beginning with "The" and ending with 25 the word "Parties", is deleted in its entirety and replaced with the following: 26 "The initial term of this Agreement ("Term") shall be for a period of approximately 27 twenty-three months, beginning February 15, 2021 and ending December 31, 2022, unless terminated 28 earlier in accordance with the provision herein. The Term may be extended by written agreement of - 1 - 1 the Parties." 2 CLIENT and PTS agree that this Amendment is sufficient to amend the Agreement and, that 3 upon execution of this Amendment, the Agreement and this Amendment together shall be considered 4 the Agreement. 5 The parties agree that this Amendment may be executed by electronic signature as provided in 6 this section. An "electronic signature" means any symbol or process intended by an individual signing 7 this Amendment to represent their signature, including but not limited to (1) a digital signature; (2) a 8 faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted (for 9 example by PDF document)of a handwritten signature. Each electronic signature affixed or attached 10 to this Amendment (1) is deemed equivalent to a valid original handwritten signature of the person 11 signing this Amendment for all purposes, including but not limited to evidentiary proof in any 12 administrative or judicial proceeding, and (2) has the same force and effect as the valid original 13 handwritten signature of that person. The provisions of this section satisfy the requirements of Civil 14 Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, 15 Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents that it 16 has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a), 17 paragraphs (1)through (5), and agrees that each other party may rely upon that representation. This 18 Amendment is not conditioned upon the parties conducting the transactions under it by electronic 19 means and either party may sign this Amendment with an original handwritten signature. 20 The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 21 covenants, conditions and promises contained in the Agreement and not amended herein shall remain 22 in full force and effect. 23 24 25 26 27 28 - 2 - 1 IN WITNESS WHEREOF, the parties hereto have executed (his Third Amendment to Agreement 2 as of the day and year first hereinabove written. 3 4 CONTRACTOR COUNTY OFFRESNO Pinn le Training Systems, LLC 5 fLkL Authorized Signaturey Brian Pacheco, Chairman of the Board of 7 Supervisors of the County of Fresno 8 Print Name & Title 9 / O 10 011 ri- 2.E 11 Mailing Address , 3,� o ATTEST: Bernice E. Seidel 12 Clerk of the Board of Supervisors County of Fresno, State of California 13 14 15 16 17 By: fl Y,1 evr� al�2ia- De uty 18 FOR ACCOUNTING USE ONLY: 19 20 Fund: 0001 Subclass: 10000 21 22 ORG: 56201018 23 Account: 7295 24 25 26 27 28 - 3 -