HomeMy WebLinkAboutAgreement A-22-289 with Fresno County EOC.pdf Agreement No. 22-289
1 FIRST AMENDMENT TO AGREEMENT
2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter"Amendment") is made and entered
3 into this 21'tday of June , 2022, by and between COUNTY OF FRESNO, a Political Subdivision of
4 the State of California, Fresno, California (hereinafter"COUNTY"), and Fresno County Economic
5 Opportunities Commission d.b.a. Fresno EOC, a private, non-profit organization, whose address is
6 1920 Mariposa Street, Suite 300, Fresno, CA, 93721, (hereinafter"CONTRACTOR").
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-20-406, dated
9 October 6, 2020 (hereinafter "Agreement"), pursuant to which CONTRACTOR agreed to provide
10 research-based and evidence-informed home visitation services to underserved families with children
11 ages 0-5 to COUNTY; and
12 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
13 continue services for an extended term.
14 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
15 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
16 1. That all references in the Agreement to "Exhibit A" shall be changed to read "Revised
17 Exhibit A", where appropriate, attached hereto and incorporated herein by reference.
18 2. That all references in the Agreement to "Exhibit B" shall be changed to read "Revised
19 Exhibit B", where appropriate, attached hereto and incorporated herein by reference.
20 3. Section 3 of the Agreement, located on page 2, lines 5 through 10, is deleted in its
21 entirety and replaced with the following:
22 "The initial term of this Agreement shall be for a period of four (4) years, commencing
23 on July 1, 2020 through and including June 30, 2024."
24 4. Section 19 of the Agreement, located on page 17, lines 13 through 15, is deleted in its
25 entirety and replaced with the following:
26 "19. ELECTRONIC SIGNATURE
27 The parties agree that this Agreement may be executed by electronic signature as
28 provided in this section. An "electronic signature" means any symbol or process intended by an
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1 individual signing this Agreement to represent their signature, including but not limited to (1) a digital
2 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
3 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
4 affixed or attached to this Agreement (1) is deemed equivalent to a valid original handwritten signature
5 of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in
6 any administrative or judicial proceeding, and (2) has the same force and effect as the valid original
7 handwritten signature of that person. The provisions of this section satisfy the requirements of Civil
8 Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3,
9 Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents that it
10 has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a),
11 paragraphs (1) through (5), and agrees that each other party may rely upon that representation. This
12 Agreement is not conditioned upon the parties conducting the transactions under it by electronic
13 means and either party may sign this Agreement with an original handwritten signature.
14 20. SEVERABILITY
15 The positions of this Agreement are severable. The invalidity or unenforceability of any
16 one provision in the Agreement shall not affect the other provisions."
17 5. Section 20 of the Agreement, located on page 17, lines 16 through 25, be renamed as
18 Section 21.
19 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
20 covenants, conditions and promises contained in the Agreement and not amended herein shall remain
21 in full force and effect.
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1 EXECUTED AND EFFECTIVE as of the date first above set forth.
2
3 CONTRACTOR COULY�F FRESNO
/
4 �Pn 5
5 (AuthorizedSignature) Brian Pacheco, Chairman of the Board of
Supervisors of the County of Fresno
6 Emilia Reyes, Chief Executive Officer
Print Name &Title
7
1920 Mariposa Street, Suite 300
8
Fresno, CA 93721
9 Mailing Address ATTEST:
10 Bernice E. Seidel
Clerk of the Board of Supervisors
11 County of Fresno, State of California
12
13
14 /'
15 By: 6 4z
16 DepLffy
FOR ACCOUNTING USE ONLY:
17
18 Fund: 0001
19 Subclass: 10000
20 ORG: 56201706
21 Account: 7295
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Revised Exhibit A
SCOPE OF WORK
Fresno Economic Opportunities Commission
DESCRIPTION OF SERVICES
CONTRACTOR's Community Health Team services must directly serve Fresno County families and
children ages 0-5 who are not being served by other home visitation programs. CONTRACTOR may
obtain client referrals on their own or from COUNTY's Department of Public Health(DPH). All
referrals received will be screened to ensure the client is not being served by other home visitation
programs including DPH.
CONTRACTOR will administer a Patient Health Questionnaire-9 (PHQ-9)as well as a needs assessment
for all families served.
Community Health Team home visitation staff will consult with the DPH PHN for guidance and support
on medically challenging cases and complete joint home visits as needed.
CONTRACTOR will adhere to all terms and conditions set forth in the First 5 Fresno County
(F5FC)Funded Partner Manual(https://www.first5fresno.org/forms-docs/)and the California
Department of Public Health(CDPH) -Maternal, Child and Adolescent Health(MCAH)
Division's Fiscal Administration Policy and Procedure Manual
(https://www.cdph.ca.gov/Programs/CFH/DMCAH/Pages/Fiscal-Documents.aspx)as it pertains to
subcontractors of funded recipients.
COLLABORATIVE MEETINGS
Approximately three(3)home visitors will meet with the DPH PHN two(2)times per month for case
consultations,trainings and other program issues. Sign-in sheets are required for each meeting. Data is
required to be entered in the F5FC database on a quarterly basis.
PARENT PARTNERSHIP HOME VISIT
Home visit services will be focused on the parent,but children ages 0-5 in the home will also receive
services. CONTRACTOR will provide services in accordance with their research-based home visitation
model. Services must be completed in the home or similar setting.
Teleconferencing can be utilized in lieu of home visitation due to COVID-19 precautions until restrictions
are lifted.
• Fifty(50)unduplicated families will receive home visitation services with at least one (1)
parent/caregiver attending each visit.
• Each case manager will carry a caseload of approximately twenty(24) clients and the
program coordinator will carry a caseload of approximately two(2) clients.
• Home visits will be conducted at least two(2)times a month for a minimum of six(6)
months.
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Revised Exhibit A
• Visits will be at least sixty(60)minutes in length.
Data is required to be entered in the F5FC database on a monthly basis.
DEVELOPMENTAL SCREENING
Each child client ages 0-5 will receive an ASQ and ASQ:SE developmental screening for a total of forty-
five(45)ASQ's and forty-five(45)ASQ:SE's. Data is required to be entered in the F5FC database on a
monthly basis.
DEVELOPMENTAL REFERRALS
Twenty(20)children will receive a developmental referral(e.g.,primary care physician,early
intervention, school district,mental health,medical referrals,Help Me Grow Fresno County, day care, or
preschool). Data is required to be entered in the First 5 database on a monthly basis.
OTHER REFERRALS
Forty(40)parents will receive referrals to community resources (e.g.,housing, cash aid, or food
assistance). Data is required to be entered in the First 5 database on a monthly basis.
FAMILY EVENT
Forty(40)parents and/or children will participate in family event activities to complement primary home
visitation services. This can be through parent education classes,parent-child developmental learning
groups or other family events held by the agency. Sign-in sheets will be required for documentation.
Data will be entered in the F5FC database on a monthly basis.
DOCUMENTATION AND DATA COLLECTION
CONTRACTOR will collect and report data on all client services as outlined above including client
eligibility, demographics, screenings and referrals/interventions completed.
CONTRACTOR will submit a brief quarterly narrative addressing target population, intent of service,
short story, challenges and barriers as described in the Quarterly Narrative and Aggregate Reports section
of the F5FC Funded Partner Manual to COUNTY by the 5'of the month following the end of each
quarter.
TIME STUDY
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Revised Exhibit A
All Community Health Team staff will prepare and submit time studies quarterly to COUNTY in order to
receive leveraged federal funding. CDPH MCAH program requires all personnel that are funded by
Federal Title XIX to prepare and submit a time study at least once per quarter.
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Revised Exhibit B
Fresno Economic Opportunities Commission
July 1,2020-June 30,2021
BUDGET CATEGORIES
Hourly Rate I Total Cost Description of Role/Justification
PERSONNEL/STAFFING
Program Coordinator(1.0 FTE) $33.62 $65,559.00 The Project Coordinator(PC)will provide oversight of the Case Managers
(CM)and coordinate the home visitations with the Fresno County
Department of Public Health.The PC will also be responsible for program
reporting and financial oversight of project.
Case Manager(1.0 FTE) $23.00 $44,850.00 CM will meet and communicate with the Public Health Nurse(PHN)on a
regular basis for trainings,case consultations,and other program issues.
CM will provide home visitation services to provide clients with social
support,health information,family planning,and/or to act as a resource
provider,literary teacher,or parenting coach.
Case Manager(1.0 FTE) $23.00 $44,850.00 CM will meet and communicate with the PHN on a regular basis for
trainings,case consultations,and other program issues.CM will provide
home visitation services to provide clients with social support,health
information,family planning,and/or to act as a resource provider,literary
teacher,or parenting coach.
Subtotal Personnel $155 259.00
Benefits(43.07%of Personnel) 43.07% $66,864.00 Cost includes FICA,SUI,Workers Compensation, Medical/Health benefits
and retirement benefits.
Total Personnel Expenses in $222,123.00
NON-PERSONNEL EXPENSES
Communications $6,308.00 Communication system,win,email,landline,cell phones at
$413.17/month.Virtual Case Management to 15 clients @$30 internet
service for 3 months.$30 x 15 x 3 months=$1,350.
Office Supplies $1,000.00 Office supplies at$83.33/month for staff to complete their essentail
functions.
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Revised Exhibit B
Printing $500.00 Printing of materials for outreach and edcuational materials including
copies.
Postage $300.00 Mail and postage.
Equipment $4,500.00 $1,500 x 3 laptops.
Travel $3,250.00 3 Employees mileage reimbursement at$0.55/mile.Total miles for family
visitations and outreach approximately 5,909 miles.
Training $900.00 Training expenses for 3 staff.Family Planning Health Worker Certification
training @$300/staff.
Total $16,758.00
INDIRECT/OVERHEAD EXPENSE $35,832.00 Allocated in accordance with the indirect cost rate approved by U.S.
15%of Direct Expenses Department of Health&Human Service at 7.5%of total direct costs;as
(Direct Expenses=Personnel+Non-Personnel) well as other allowable grant costs such as security services,utilities,
water/sewer&garbage,insurance,janitorial services,supplies,
repairs/maintenance and yard maintenance.
OTHER COSTS
Audit Expense I $287.00 Audit cost is 0.12%of Direct Expenses.
TOTAL
Indirect)(Personnel+Non-Personnel+ $275,000.00
In-kind Project Staff Time:
Project Director Oversees and coordinates all activities and communication with Project Coordinator(PC)and Fresno
County Department of Public Health.Provides direct and indirect supervision of project activities,
implementation,contract compliance,quality assurance,budget adherence and program outcomes.
Oversees activities and efforts in building relationships with stakeholders and collaborative partners.Will
work closely with the Project Coordinator and team.Salary and Fringe Benefits @ 5%FTE;$9,059 value.
Project Manager Project Manager(PM)will provide support to the Project Coordinator and training of Case Managers on
Evidence-Based Program Models and Medi-cal Referrals.Salary and Fringe Benefits @ 5%FTE;$4,485
value.
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Revised Exhibit B
Fresno Economic Opportunities Commission
July 1,2021 -June 30,2022
BUDGET CATEGORIES Hourly
Rate Total Cost Description of Role/Justification
PERSON
Program Coordinator(1.0 FTE) $33.62 $67,530.00 The Project Coordinator(PC)will provide oversight of the Case Managers(CM)and
coordinate the home visitations with the Fresno County Department of Public
Health.The PC will also be responsible for program reporting and financial
oversight of project.
Case Manager(1.0 FTE) $23.00 $44,850.00 CM will meet and communicate with the Public Health Nurse(PHN)on a regular
basis for trainings,case consultations,and other program issues.CM will provide
home visitation services to provide clients with social support,health information,
family planning,and/or to act as a resource provider,literary teacher,or parenting
coach.
Case Manager(1.0 FTE) $23.00 $44,850.00 CM will meet and communicate with the PHN on a regular basis for trainings,case
consultations,and other program issues.CM will provide home visitation services to
provide clients with social support,health information,family planning,and/or to act
as a resource provider,literary teacher,or parenting coach.
Subtotal Personnel $157,230.00
Benefits(43.07%of Personnel) 43.07% $64,893.00 Cost includes FICA,SUI,Workers Compensation,Medical/Health benefits and
retirement benefits.
Total Personnel Expenses
$222,123.00
NON-PERSONNEL EXPENSES
Communications $6,308.00 Communication system,wifi,email,landline,cell phones at$413.17/month.Virtual
Case Management to 15 clients @$30 internet service for 3 months.$30 x 15 x 3
months=$1,350.
Office Supplies $1,000.00 Office supplies at$83.33/month for staff to complete their essentail functions.
Doc ID:d6005lff58ac83d28c8eeaO7l6ld4fa38dfl88db
Revised Exhibit B
Printing $500.00 Printing of materials for outreach and edcuational materials including copies.
Postage $300.00 Mail and postage.
Rent $4 500.00$375/month X 12 months
Travel $3,250.00 3 Employees mileage reimbursement at$0.55/mile.Total miles for family visitations
and outreach approximately 5,909 miles.
Training $900.00 Training expenses for 3 staff.Family Planning Health Worker Certification training
@$300/staff.
IT.T.-INon-Personnel Expenses
$16,758.00
INDIRECT/OVERHEAD EXPENSE $35,472.00 Allocated in accordance with the indirect cost rate approved by U.S.Department of
15%of Direct Expenses Health&Human Service at 9.0%of total direct costs;as well as other allowable
(Direct Expenses=Personnel+Non-Personnel) grant costs such as security services,utilities,water/sewer&garbage,janitorial
services,supplies,repairs/maintenance and yard maintenance.
OTHER COSTS
Audit Expenses $287.00 Audit cost is 0.12%of Direct Expenses.
Insurance $360.00 Liability insurance,approximately$30 monthly x 12 months.
'TOTAL
(Personnel+Non-Personnel+Indirect)
$275,000.00
In-kind Project Staff Time:
Project Director Oversees and coordinates all activities and communication with Project Coordinator(PC)and Fresno County
Department of Public Health.Provides direct and indirect supervision of project activities,implementation,
contract compliance,quality assurance,budget adherence and program outcomes.Oversees activities and
efforts in building relationships with stakeholders and collaborative partners.Will work closely with the Project
Coordinator and team.Salary and Fringe Benefits @ 5%FTE;$9,059 value.
Project Manager Project Manager(PM)will provide support to the Project Coordinator and training of Case Managers on
Evidence-Based Program Models and Medi-cal Referrals.Salary and Fringe Benefits @ 5%FTE;$4,485 value.
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Revised Exhibit B
Fresno Economic Opportunities Commission
July 1,2022-June 30,2023
BUDGET CATEGORIES Hourly
Rate Total Cost Description of Role/Justification
PERSON
Program Coordinator(1.0 FTE) $35.33 $68,892.00 The Project Coordinator(PC)will provide oversight of the Case Managers(CM)and
coordinate the home visitations with the Fresno County Department of Public
Health.The PC will also be responsible for program reporting and financial
oversight of project.
Case Manager(1.0 FTE) $23.69 $46,196.00 CM will meet and communicate with the Public Health Nurse(PHN)on a regular
basis for trainings,case consultations,and other program issues.CM will provide
home visitation services to provide clients with social support,health information,
family planning,and/or to act as a resource provider,literary teacher,or parenting
coach.
Case Manager(1.0 FTE) $23.69 $46,196.00 CM will meet and communicate with the PHN on a regular basis for trainings,case
consultations,and other program issues.CM will provide home visitation services to
provide clients with social support,health information,family planning,and/or to act
as a resource provider,literary teacher,or parenting coach.
Subtotal Personnel $161,284.00
Benefits(32.3%of Personnel) 32.30% $52,095.00 Cost includes FICA,SUI,Workers Compensation,Medical/Health benefits and
retirement benefits.
Total Personnel Expenses
$213,379.00
NON-PERSONNEL EXPENSES
Communications $8,864.00 Communication system,wifi,email,landline,cell phones at$738.67/month.
Office Supplies $1,524.00 Office supplies at$127/month for staff to complete their essentail functions.
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Revised Exhibit B
Printing $500.00 Printing of materials for outreach and edcuational materials including copies.
Postage $50.00 Mail and postage.
Rent $8,500.00$708.33/month X 12 months
Travel $5,000.00 3 Employees mileage reimbursement at$0.55/mile.Total miles for family visitations
and outreach approximately 9,091 miles.
Training $900.00 Training expenses for 3 staff.Family Planning Health Worker Certification training
@$300/staff.
IT.T.-INon-Personnel Expenses
$25,338.00
INDIRECT/OVERHEAD EXPENSE $35,808.00 Allocated in accordance with the indirect cost rate approved by U.S.Department of
15%of Direct Expenses Health&Human Service at 9.0%of total direct costs;as well as other allowable
(Direct Expenses=Personnel+Non-Personnel) grant costs such as security services,utilities,water/sewer&garbage,janitorial
services,supplies,repairs/maintenance and yard maintenance.
OTHER COSTS
Insurance $475.00 Liability insurance,approximately$39.58 monthly x 12 months.
Non-Personnel[TOTAL EXPENSES
Indirect) $275,000.00
In-kind Project Staff Time:
Project Director Oversees and coordinates all activities and communication with Project Coordinator(PC)and Fresno County
Department of Public Health.Provides direct and indirect supervision of project activities,implementation,
contract compliance,quality assurance,budget adherence and program outcomes.Oversees activities and
efforts in building relationships with stakeholders and collaborative partners.Will work closely with the Project
Coordinator and team.Salary and Fringe Benefits @ 5%FTE;$9,059 value.
Project Manager Project Manager(PM)will provide support to the Project Coordinator and training of Case Managers on
Evidence-Based Program Models and Medi-cal Referrals.Salary and Fringe Benefits @ 5%FTE;$4,485 value.
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Revised Exhibit B
Fresno Economic Opportunities Commission
July 1,2023-June 30,2024
BUDGET CATEGORIES Hourly
Rate Total Cost Description of Role/Justification
PERSON
Program Coordinator(1.0 FTE) $36.21 $70,616.00 The Project Coordinator(PC)will provide oversight of the Case Managers(CM)and
coordinate the home visitations with the Fresno County Department of Public
Health.The PC will also be responsible for program reporting and financial
oversight of project.
Case Manager(1.0 FTE) $24.28 $47,350.00 CM will meet and communicate with the Public Health Nurse(PHN)on a regular
basis for trainings,case consultations,and other program issues.CM will provide
home visitation services to provide clients with social support,health information,
family planning,and/or to act as a resource provider,literary teacher,or parenting
coach.
Case Manager(1.0 FTE) $24.28 $47,350.00 CM will meet and communicate with the PHN on a regular basis for trainings,case
consultations,and other program issues.CM will provide home visitation services to
provide clients with social support,health information,family planning,and/or to act
as a resource provider,literary teacher,or parenting coach.
Subtotal Personnel $165,316.00
Benefits(32.30%of Personnel) 32.30% $53,397.00 Cost includes FICA,SUI,Workers Compensation,Medical/Health benefits and
retirement benefits.
Total Personnel Expenses
$218,713.00
NON-PERSONNEL EXPENSES
Communications $8,520.00 Communication system,wifi,email,landline,cell phones at$710/month.
Office Supplies $584.00 Office supplies at$48.66/month for staff to complete their essentail functions.
Doc ID:d6005lff58ac83d28c8eeaO7l6ld4fa38dfl88db
Revised Exhibit B
Printing $500.00 Printing of materials for outreach and edcuational materials including copies.
Rent $4 500.00$375/month X 12 months
Travel $5,000.00 3 Employees mileage reimbursement at$0.55/mile.Total miles for family visitations
and outreach approximately 9,091 miles.
Training $900.00 Training expenses for 3 staff.Family Planning Health Worker Certification training
@$300/staff.
Total Non-Personnel Expenses
$20,004.00
INDIRECT/OVERHEAD EXPENSE $35,808.00 Allocated in accordance with the indirect cost rate approved by U.S.Department of
15%of Direct Expenses Health&Human Service at 9.0%of total direct costs;as well as other allowable
(Direct Expenses=Personnel+Non-Personnel) grant costs such as security services,utilities,water/sewer&garbage,janitorial
services,supplies,repairs/maintenance and yard maintenance.
OTHER COSTS
Insurance $475.00 Liability insurance,approximately$39.58 monthly x 12 months.
TMWL EXPENSES
(Personnel+Non-Personnel+Indirect)
$275,000.00
In-kind Project Staff Time:
Project Director Oversees and coordinates all activities and communication with Project Coordinator(PC)and Fresno County
Department of Public Health.Provides direct and indirect supervision of project activities,implementation,
contract compliance,quality assurance,budget adherence and program outcomes.Oversees activities and
efforts in building relationships with stakeholders and collaborative partners.Will work closely with the Project
Coordinator and team.Salary and Fringe Benefits @ 5%FTE;$9,059 value.
Project Manager Project Manager(PM)will provide support to the Project Coordinator and training of Case Managers on
Evidence-Based Program Models and Medi-cal Referrals.Salary and Fringe Benefits @ 5%FTE;$4,485 value.
Doc ID:d6005lff58ac83d28c8eea07l6ld4fa38dfl88db