HomeMy WebLinkAboutFresno Economic Opportunities Commission-African American Coalition_A-22-432 A-22-102.pdf COI Z, County of Fresno Hall of Records,Room 301
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Fresno,California
Board of Supervisors 93721-2198
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www.co.fresno.ca.us
September 20, 2022
Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco, and Vice Chairman Sal Quintero
Agenda No. 34. Public Health File ID:22-0903
Re: Approve and authorize the Chairman to execute First Amendment to Agreement with Fresno
Economic Opportunities Commission,to add the provision of MonkeyPox vaccine administration,
education and outreach to the high-risk population from September 20,2022 to November 20, 2022,
and extend the term by four months from October 1,2022 to January 31,2023 with no change to the
compensation maximum of$777,924
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No. 22-432
County of Fresno Page 37
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Board Agenda Item 34
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DATE: September 20, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: First Amendment to Agreement with Fresno Economic Opportunities Commission
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute First Amendment to Agreement with Fresno
Economic Opportunities Commission,to add the provision of MonkeyPox vaccine administration,
education and outreach to the high-risk population from September 20, 2022 to November 20, 2022,
and extend the term by four months from October 1,2022 to January 31, 2023 with no change to the
compensation maximum of$777,924.
There is no additional Net County Cost associated with the recommended action. Approval of the
recommended action will allow Fresno Economic Opportunities Commission's (EOC)African American
Coalition (AAC)to continue providing MonkeyPox vaccine administration, education and outreach to the
high-risk population, and continue assisting Fresno County in providing COVID-19 and influenza testing and
vaccination administration to the County's vulnerable population. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board elect not to approve the recommended action, EOC
will not be able to continue providing vaccination and education outreach for MonkeyPox past the existing
four-week purchase orders or continue providing COVID-19 and influenza testing and vaccination to the
County's vulnerable population beyond September 30, 2022, reducing the available services to vulnerable
and high-risk population.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The agreement is
funded by State grants. There are no changes to the maximum compensation of$777,924. Cost is offset
with various funding streams including Epidemiology, Lab Capacity(ELC)and Immunization grant funds.
Sufficient appropriations and estimated revenues for the current year estimated expenses are included in
the Department's Org 5620 FY 2022-23 Adopted Budget.
DISCUSSION:
EOC is one of the instrumental partners in the COVID Response efforts and has consistently shown their
willingness to adjust and adapt to the newest emergent needs of the community. On August 10, 2021, the
Board approved the First Amendment to Agreement No. A-21-316 with EOC's AAC to add the provision of
COVID vaccine services, influenza, and other communicable disease support services through December
31, 2021. On December 14, 2021, the Board approved a retroactive Agreement No. A-21-540 with EOC
Housing for the Harvest program that allowed for the option to invoke an emergency clause to continue
County of Fresno Page 1 File Number:22-0903
File Number:22-0903
Community Based Organization (CBOs) COVID response for an estimated three months with existing and
interested CBOs. On March 22, 2022, the Board approved Agreement No. A-22-102 with EOC to continue
AAC's COVID-19 and Influenza testing and vaccination services through September 30, 2022.
Most recently, as the need to address Monkeypox in the community has risen, EOC has again agreed to
partner with the Department. On August 19, 2022, two short-term Purchase Orders (PO) M02-0000022117
($10,000)and M08-0000022118 ($48,000)were executed, allowing EOC to provide MonkeyPox vaccine
administration and education and outreach from August 22, 2022 to September 19, 2022. The
recommended First Amendment to Agreement No. A-22-102 will add the provision of MonkeyPox vaccine
administration, education and outreach services from September 20, 2022 to November 20, 2022 and
extend the term of the agreement through January 31, 2023.
As of September 1, 2022 there has been 20 confirmed cases of the MonkeyPox virus in the County and a
significant majority have been identified under the Lesbian, Gay, Bisexual, Transgender, Questioning
(LGBTQ) community. As such, the LGBTQ community is currently identified as one of the high-risk
populations for Monkeypox. EOC has an LGBTQ resource center that provides STD clinical services and is
already a State approved Monkeypox provider. All of the EOC infrastructure around the high-risk population
for Monkeypox allows them to be an excellent resource for outreach, education, and vaccination services.
These services have the potential to significantly mitigate the spread of the virus in our community.
The increase of transmission and hospitalization rates for COVID-19 also continue to create a need for
CBOs to address the County's vulnerable populations including migrants, farmworkers, as well as other
essential workers and people of color. The Department deemed it necessary to continue to build upon the
unique community ties EOC has developed over the years of working directly with the vulnerable population
of the County.
Through June 30, 2022, AAC has conducted 7,206 COVID-19 tests and administered 10,863 COVID-19
vaccines. EOC is the only CBO contracted with the County who is providing COVID-19 and Influenza testing
and vaccination to the County's vulnerable population.As COVID-19 cases continue to impact our
community, it is critical to continue EOC's services as potential surge months approach.
Approval of the recommended action will allow EOC to add the provision of MonkeyPox vaccine
administration, education and outreach, as well as continue providing COVID-19 and Influenza testing and
vaccine administration to the County's vulnerable population through January 31, 2023. The County and
EOC will continue to work together to assure the maximization of resources and meeting expected goals.
REFERENCE MATERIAL:
BAI#54, March 22, 2022
BAI#69, December 14, 2021
BAI #8, August 10, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- First Amendment to Agreement with Fresno EOC
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number:22-0903
Agreement No. 22-432
1 FIRST AMENDMENT TO AGREEMENT
2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter "Amendment") is made and entered
3 into this 20th day of September, 2022, by and between COUNTY OF FRESNO, a Political Subdivision
4 of the State of California, Fresno, California (hereinafter"COUNTY"), and Fresno Economic
5 Opportunities Commission, a California non-profit organization, whose address is 1920 Mariposa Mall
6 Suite 330, Fresno, California, 93721 (hereinafter"CONTRACTOR").
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement No. A-22-102, dated
9 March 22, 2022 (hereinafter"Agreement"), pursuant to which CONTRACTOR agreed to provide
10 COVID-19 and Influenza testing and vaccination administration, including al necessary staffing, to
11 conduct vaccination clinics that will provide vaccinations and COVID-19 testing to the COUNTY's
12 vulnerable populations including migrants, food and farmworkers, other essential workers and people
13 of color; and
14 WHEREAS, COUNTY and CONTRACTOR entered into Purchase Order M02-0000022117 and
15 M08-0000022118, dated August 19, 2022, to provide MonkeyPox vaccine administration and
16 education and outreach to high-risk population for MonkeyPox infection or exposure from August 22,
17 2022 to September 19, 2022; and
18 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
19 add the provision of MonkeyPox vaccination administration and education and outreach to high-risk
20 population for MonkeyPox infection or exposure from September 20, 2022 to November 20, 2022 and
21 extend the length of the Agreement through January 31, 2023.
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. That all references to "Exhibit B" in existing COUNTY Agreement A-22-102 shall be
25 changed to read, "Revised Exhibit B", attached hereto and incorporated herein by reference.
26 2. That section 1 of the Agreement, located on page 1, lines 27 through 28, is deleted in
27 its entirety and replaced with the following:
28 "CONTRACTOR shall perform all services and fulfill all responsibilities identified in
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1'1__ Ir,. 11 A A-A A J _A Arll 11__A A All A A-1-
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1 Exhibit A and Exhibit E, attached hereto and by this reference incorporated herein."
2 3. That section 3 of the Agreement, located on page 2, lines 4 through 5, is deleted in its
3 entirety and replaced with the following:
4 "The term of this Agreement shall be effective April 1, 2022 and continue in full force
5 and effect through January 31, 2023. The Agreement may be extended for one (1) additional
6 consecutive six (6) month periods upon written approval of both parties prior to the first day of the next
7 six (6) month extension period. The Director of the Department of Public Health or his or her designee
8 is authorized to execute such written approval on behalf of COUNTY based on CONTRACTOR's
9 satisfactory performance. "
10 4. That section 5 of the Agreement, located on page 3, lines 18 through page 4, line 1, is
11 deleted in its entirety and replaced with the following:
12 "5. COMPENSATION/INVOICING:
13 A. For Services provided pursuant to Exhibit A, COUNTY agrees to pay
14 CONTRACTOR and CONTRACTOR agree to receive compensation at the rates set forth in Revised
15 Exhibit B, but in no event shall actual Services performed pursuant to Exhibit A by CONTRACTOR be
16 in excess of Six Hundred Forty-Six Thousand Nine Hundred Twenty-Four and No/100 Dollars
17 ($646,924) during the term of this Agreement. For Services provided during the period of September
18 20, 2022 through November 20, 2022, pursuant to Exhibit E, COUNTY agrees to pay CONTRACTOR
19 and CONTRACTOR agrees to receive compensation at the rates set forth in Exhibit F, attached hereto
20 and incorporated herein by this reference, but in no event shall actual Services performed pursuant to
21 Exhibit E by CONTRACTOR be in excess of One Hundred Thirty-One Thousand and No/100 Dollars
22 ($131,000). It is understood that all expenses incidental to CONTRACTOR's performance of services
23 under this Agreement shall be borne by CONTRACTOR."
24 B. CONTRACTOR shall submit monthly invoices by the thirtieth (30th) working day
25 of each month for prior month's services using a template to be provided by COUNTY, with full
26 supporting documentation (e.g., activity log, receipts, invoices) to the County of Fresno, Department of
27 Public Health, COVID Response, 61h Floor P.O. Box 11867, Fresno CA 93775, Attention: Business
28 Office or dphboap()fresnocountyca.gov. The Agreement number must appear on all invoices."
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1 COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
2 Agreement and, that upon execution of this Amendment, the Agreement and this Amendment together
3 shall be considered the Agreement.
4 The parties agree that this Amendment may be executed by electronic signature as provided in
5 this section. An "electronic signature" means any symbol or process intended by an individual signing
6 this Amendment to represent their signature, including but not limited to (1) a digital signature; (2) a
7 faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted (for
8 example by PDF document) of a handwritten signature. Each electronic signature affixed or attached
9 to this Amendment (1) is deemed equivalent to a valid original handwritten signature of the person
10 signing this Amendment for all purposes, including but not limited to evidentiary proof in any
11 administrative or judicial proceeding, and (2) has the same force and effect as the valid original
12 handwritten signature of that person. The provisions of this section satisfy the requirements of Civil
13 Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3,
14 Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents that it
15 has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a),
16 paragraphs (1) through (5), and agrees that each other party may rely upon that representation. This
17 Amendment is not conditioned upon the parties conducting the transactions under it by electronic
18 means and either party may sign this Amendment with an original handwritten signature.
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 IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement
2 as of the day and year first hereinabove written.
3
4 CONTRACTOR COUNTY OF FRESNO
Fresno Economic Opportunities
5 Commission
6 424A 5 L
7 (Authorize Signature) Brian Pacheco, Chairman of the Board of
Supervisors of the County of Fresno
8 Emilia Reyes, Chief Executive Officer
Print Name & Title
9
10 1920 Mariposa Street Suite 300
11 Fresno, CA 93721
Mailing Address ATTEST:
12 Bernice E. Seidel
Clerk of the Board of Supervisors
13 County of Fresno, State of California
14
15
16
17
By:
18 Deputy
FOR ACCOUNTING USE ONLY:
19
20 Fund: 0001
21 Subclass: 10000
22 ORG: 56201657, 56201018, 56201019
23 Account: 7295
24
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Doc ID: 21188741d6fe41583cc44194c66d318ffc T
f42b
Revised Exhibit B
Fresno County Immunization
African American Coalition
Budget; ITotal
Personnel
Pro ram Manager
Pro ram Coordinator 30,888
Cl/CT/CHW/Resource 27,447
CHW Lead 26,208
CHW's 203,730
Clinical Personnel-Vaccine 33,178
Personnel Sub-Total 321,451
Fringe 85,143
Total Personnel 406,594
Operating Costs
.Supplies office, printing, etc 6,000
Travel/Mileage 2,000
Communications- Advertising 30,500
Supply Transport Rental 10,000
Mobile Hotspot Device 9,000
Vaccine Clinic Supplies 13,739
Vaccine Medical Supplies 7,175
PPE & Cleaning Supplies 10,000
Vaccine Clinic Facilities Rental 36,000
Utlitiesl Mainteneance 11,000
Consulltants Licsensed & Unlicensed 45,000
Liability Insurance 21500
Software Scheduling, Cloud) 2,000
Biohazard Waste Disposal 2,000
Total Operating 186,914
Direct Costs 1 593,508
Indirect Costs @ 19% 1 53,416
Total Direct and Indirect 646,924
EOC Subcontracts
Other Costs Subtotal 0
Grand Total 646,924
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Exhibit E
FRESNO EOC LGBTQ+ and HEALTH SERVICES
SCOPE OF WORK
September 20, 2022 —November 20, 2022
I. Implement/Operate COVID-19 and MonkeyPox Vaccine Clinics:
1. Independently manage and facilitate all operational components of twenty-four(24) COVID-
19 and MonkeyPox vaccine clinics, including:
a. Vaccine pickup and transport
b. Cold chain
c. Patient appointment, screening and registration
d. Clinic setup and patient flow
e. Traffic control
f. Logistics related to post vaccine administration patient observations, managing
patient check out second vaccine appointment scheduling
g. Administer vaccines and enter all vaccinations into the appropriate State system
2. We will be adding capacity from other clinics, and these are the following locations:
a. Fresno EOC Health Services Center— 1047 R Street, Fresno
b. Adolescent Health Services Center—2430 Calaveras Street, Fresno
c. LGBTQ+Resource Center— 1252 Fulton Street, Fresno
d. Local Conservation Corps — 1805 E. California Ave., Fresno
II. Provide Health Education and Outreach
1. Identify through data analysis any targeted geographic or demographic population for
vaccine events.
a. Stakeholders and collaborative partners
b. Plan to support mobile vaccine clinic sites
c. Promote clinic locations in each local areas
d. Facilitating vaccine appointments
2. Communications with partner organizations
a. Communicate with FCDPH staff and communication leads from Fresno EOC
LGBTQ+center and Health Services to plan and coordinate communication strategies
b. Engage traditional corporate media through, 1; Earned media coverage of vaccine
clinic events
c. Plan health education talking points, messages and materials within targeted
population
3. Implement Health Education and Outreach
a. Conduct health education to target audiences. Include outreach materials on COVID-
19 and MonkeyPox
b. Phone banking
c. Flyer distribution
d. Events tabling
e. In-person training
f. Virtual training
g. Social Media Direct messaging
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Exhibit F
FRESNO EOC LGSTQ+ and HEALTH SERVICES
September 20, 2022 —November 20, 2022
Reimbursement Schedule
Category Rate
COVID-19 and Monke Pox Vaccine Clinic $101,000 total compensation
32 clinic events at$3,000 per event of 1 to 2
hours sin le event
$5,000 per event fee 2 to 3 hours single event
when needed, upon FCDPH approval
Outreach and Education Activities: phone $30,000—minimum of 680 unique individuals of
banking, flyer distribution, events tabling, in- the high risk population
person training,virtual training, and social media
direct messaging.
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