HomeMy WebLinkAboutAgreement A-22-284 with Aria.pdf Agreement No. 22-284
1 AMENDMENT I TO AGREEMENT
2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter "Amendment") is made and
3 entered into this 21St day of June , 2022, by and between COUNTY OF FRESNO, a
4 Political Subdivision of the State of California, Fresno, California (hereinafter "COUNTY'), and Avenal
5 Community Health Center dba, Aria Community Health Center, a California 501 C3 Non-Profit
6 corporation, whose address is 555 E. Street, Lemoore, California 93245, hereinafter referred to as
7 "CONTRACTOR".
8 WITNESSETH:
9 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-21-545,
10 dated the 14t" of December 2021 (hereinafter "Agreement"), pursuant to which CONTRACTOR agreed
11 to provide services for improving prevention and management of heart disease and stroke through
12 implementation of clinic-based strategies and community-clinical linkages; and
13 WHEREAS, COUNTY and CONTRACTOR would like to add a remote patient
14 monitoring software platform and education materials without exceeding the maximum compensation;
15 and
16 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in
17 order approve budget modifications.
18 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of
19 which is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
20 1. That all references in the Agreement to "Exhibit B", shall be changed to read
21 "Revised Exhibit B", where appropriate. A copy of Revised Exhibit B is attached hereto and
22 incorporated herein by reference.
23 COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
24 Agreement and, that upon execution of this Amendment, the Agreement and this First Amendment
25 together shall be considered the Agreement.
26 The parties agree that this First Amendment may be executed by electronic signature as
27 provided in this section. An "electronic signature" means any symbol or process intended by an
28 individual signing this Amendment to represent their signature, including but not limited to (1) a digital
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1 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
2 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
3 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten
4 signature of the person signing this Amendment for all purposes, including but not limited to
5 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as
6 the valid original handwritten signature of that person. The provisions of this section satisfy the
7 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act
8 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital
9 signature represents that it has undertaken and satisfied the requirements of Government Code
10 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely
11 upon that representation. This Amendment is not conditioned upon the parties conducting the
12 transactions under it by electronic means and either party may sign this Amendment with an original
13 handwritten signature.
14 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
15 covenants, conditions, and promises contained in the Agreement and not amended herein shall
16 remain in full force and effect.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I as of the day and
2 year first hereinabove written.
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4 CONTRACTOR COUNTY OF FRESNO
Avenal Community Health Center dba
5 ARIA COMMUNITY HEALTH CENTER
6yp �L
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1�
John BI ine, CEO Brian Pacheco, Chairman of the Board of
8 Supervisors of the County of Fresno
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13 ATTEST:
Bernice E. Seidel
14 555 E Street, Lemoore, California 93230 Clerk of the Board of Supervisors
P.O. Box 580, Lemoore, California 93245 County of Fresno, State of California
15 Mailing Address
16 By. L
17 Deputy
FOR ACCOUNTING USE ONLY:
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Fund/Subclass: 0001/10000
19 Organization: 56201554
Account: 7295
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ARIA#22-_SUPERSEDES#21-545 REVISED EXHIBIT B
Page 1 of 2
Year
12/14/2021 through 9/29/2022
Personnel
Position Title Monthly Annual FTE% Months Requested Justification Year I
Salary Rana. Amount
Health Educator with aid with program at site level.Budget covers going salary for
Fowler and Riverdale Locations) $ 3,270.00 100% 9 $29,430 position at Aria.
Patient Navigator 1.00 FTE $ 3,120.00 100% 9 $28,080 Care Coordinatorwill identify patients who qualify in the program and initially make
Care Team Member will contact patients to setup initial appts and follow up visits.
Care Team Member 1.OFTE $ 3,120.00 100% 9 $28,080 Rate is at Aria starting wage for position.
Care Team Member will contact patients to setup initial appts and follow up visits.
Care Team Member.45 FTE $ 3,120.00 45% 9
$12,636 Rate is at Aria starting wage for position.
E H R Trainers will train staff on how to enter data into system from Blood pressure
2 EHR Trainer x.25 FTE $ 8,161.67 $97,940 25% 9 $18,364 cuffs and historical information in E H R.
Total Personnel $116,590
Fringe Benefits @ 29% Benefits $33,811
Total $150,401
Operating Expenses
Printing 9 $300 Print handouts and posters to promote program.
Total Operating Expenses $300
Equipment
Laptop @$800 1 $800.00 $800 Equipment to purchase for new Health educator and Care coordinator.
Desktop Computer @$820 3 $820.00 $2,460 Equipment to purchase for new Health educator and Care coordinator.
Monitors @$150 6 $150.00 $900 Equipment to purchase for new Health educator and Care coordinator.
Desk @$250 2 $250.00 $500 Equipment to purchase for new Health educator and Care coordinator.
Equipment to purchase for new Health educator and Care coordinator.(Power supply
Small Equipment(Power supply, @$70,keyboard and mouse @$40,desktop phone @$144,telephone headset
keyboard and mouse,desktop @$158)
phone,telephone headset) 3 $412.00 $1,236
Tablets @$320 5 $320.00 $1,600 Five tablets @$320 each to download data from blood pressure cuffs.Total$1,600
Total Equipment Expenses $7,496
Travel
Rate) 1048 $0.585 613.08 Health Educator Travel between Riverdale,Coalinga and Fowler
Total Travel $613
Other Costs
Interface $10,000 For direct referrals from EMIR to Smokers Hotline
Sphygmo Virtual Care $18,000 18,000 BP reading online monitoring system platform.
Health Education Materials 7 2776Books,Teaching Aids.
Total Other Costs $30,076
Indirect Costs Total Indirect Costs $0
TOTAL COSTS $188,886
ARIA#22-_SUPERSEDES#21-545 REVISED EXHIBIT B
Page 2 of 2
Year II
913012022 through 912912023
Personnel
Monthly Salary Requested
Position Title Annual 116Months Justification year II
Range Amount
Health Educator with aid with program at site level.Budget covers going salary
Fowler and Riverdale $ 3,270.83 $39,250.00 12 $39,250forpositionatAria.
Care Coordinator will identify patients who qualify in the program and initially
$37,440.0012 make contactwith them.Rate is at Aria starting wage rate.
Patient Navigator 1.00 FTE $ 3,120.00 $37,440
Care Team Member will contact patients to setup initial appts and follow up
Care Team Member.30 FTE $ 3,120.001 $37,440.00 30% 1 12 $11,232 ivisits.Rate is at Aria starting wage for position.
Care Team Member 1.00 Care Team Member will contact patients to setup initial appts and follow up
FTE $ 3,120.00 $37,440.00 100% 12 $37,440 visits.Rate is at Aria starting wage for position.
Total Personnel $125,362
Fringe Benefits @ 29% Benefits $36,355
Total $161,717
Operating Expenses
Printing 12 $300 Print handouts and posters to promote program.
Total Operating Expenses $300
Equipment
(None for Year 2)
Equipment $0
Travel
Rate) 1000 $0.585 $585 Health Educator Travel between Riverdale,Coalinga and Fowler
(Health Educator) Total Travel $585
Other Costs
Blood Pressure Cuff 100 $50.00 $5,000 Blood Pressure cuffs for those added to program within Fresno County
Sphygmo Virtual Care $18,000.00 $18,000 BP reading online monitoring system platform.
Education Materials $ 1,274.00 $1,274 Books,Teaching Aids.
Total Other Costs $24,274
Indirect Costs Total Indirect Costs $0
TOTAL COSTS $186,876