HomeMy WebLinkAboutCalifornia State University Fresno Foundation-Advancing Health Literacy Program Evaluation Services_A-22-483 A-21-536.pdf COUP County of Fresno Hall of Records,Room 301
2281 Tulare Street
Fresno,California
'0 Board of Supervisors 93721-2198
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www.co.fresno.ca.us
October 25, 2022
Present: 5- Supervisor Nathan Magsig, Supervisor Buddy Mendes, Chairman Brian Pacheco,Vice
Chairman Sal Quintero, and Supervisor Steve Brandau
Agenda No. 50. Public Health File ID: 22-0930
Re: Make a finding that it is in the best interest of the County to waive the competitive bidding process
consistent with Administrative Policy No. 34 for unusual or extraordinary circumstances, as United
Way Fresno and Madera Counties is the only provider of 211 for Fresno County and has the unique
ability to link supports and resources to software programs used by Fresno County's Health
Disparities and Advancing Health Literacy Intervention Programs; approve and authorize the Chairman
to execute an Agreement with United Way Fresno and Madera Counties to provide community health
support and to promote health intervention activities for implementation of Fresno County's Health
Disparities and Advancing Health Literacy Intervention Programs, effective upon execution through May
31, 2026,which includes two optional one-year extensions,total not to exceed$534,204;and approve
and authorize the Chairman to execute retroactive First Amendment to Agreement with California
State University, Fresno Foundation through its Central Valley Health Policy Institute for
comprehensive evaluation services for the Advancing Health Literacy Intervention Program,to
incorporate years one and two budget adjustments,with no change to the term of December 14,2021
through June 30, 2023,or compensation maximum of$87,500
APPROVED AS RECOMMENDED
Ayes: 5- Magsig, Mendes, Pacheco, Quintero,and Brandau
Agreement No.22-482,Agreement No.22-483
County of Fresno Page 54
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Board Agenda Item 50
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DATE: October 25, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Suspension of Competition Agreement with United Way Fresno and Madera
Counties and Retroactive Amendment with California State University, Fresno
Foundation
RECOMMENDED ACTION(S):
1. Make a finding that it is in the best interest of the County to waive the competitive bidding
process consistent with Administrative Policy No. 34 for unusual or extraordinary
circumstances, as United Way Fresno and Madera Counties is the only provider of 211 for
Fresno County and has the unique ability to link supports and resources to software
programs used by Fresno County's Health Disparities and Advancing Health Literacy
Intervention Programs;
2. Approve and authorize the Chairman to execute an Agreement with United Way Fresno and
Madera Counties to provide community health support and to promote health intervention
activities for implementation of Fresno County's Health Disparities and Advancing Health
Literacy Intervention Programs,effective upon execution through May 31, 2026,which
includes two optional one-year extensions,total not to exceed $534,204; and
3. Approve and authorize the Chairman to execute retroactive First Amendment to Agreement
with California State University, Fresno Foundation through its Central Valley Health Policy
Institute for comprehensive evaluation services for the Advancing Health Literacy
Intervention Program,to incorporate years one and two budget adjustments,with no change
to the term of December 14,2021 through June 30, 2023, or compensation maximum of
$87,500.
There is no additional Net County Cost associated with the recommended actions. Approval of the first and
second recommended actions will allow for United Way Fresno Madera Counties (UWFM)to provide direct
linkage of 211 services and their vast database of resources to Fresno County's Community Health Worker
(CHW) network. UWFM will also provide trainings on referral software to CHWs and targeted outreach to
focused areas of Fresno County. The third recommended action moves unspent funds from year one to
year two and adjusts funds in salaries and benefits due to position changes, without increasing the yearly or
term maximums of the agreement with Central Valley Health Policy Institute (CVHPI). All recommended
actions are fully funded with existing grant funds. These items are countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the first two recommended actions,
UWFM would not be able to provide resources and services to the Department of Public Health
(Department), contracted partners, or the County residents these programs assist. Should your Board not
approve the third recommended action, CVHPI may not be able to perform evaluation services at full
County of Fresno Pagel File Number.22-0930
File Number:22-0930
capacity due to an inability to fully utilize funds.
SUSPENSION OF COMPETITION:
UWMF is the sole provider of the 211 help line and is uniquely poised as a community convener and
connector, partnering with community-based organizations, businesses, and governmental partners alike.
The UWFM also has the unique ability to easily share data and resources with Care Coordination Systems
(CCS), the database and sharing platform for Fresno County's CHW Network.
RETROACTIVE AGREEMENT:
The recommended Amendment is retroactive to December 14, 2021. Changes to the year one budget are
based on year one actuals. An increase to the year two budget is the result of carrying over unspent funds
from year one to year two, and a reallocation of Personnel and Fringe Benefits funds was the result of
staffing changes. The recommended Amendment is being brought to your Board in accordance with agenda
item processing timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The agreement with
UWFM will be funded by federal funds through the Department's Health Disparities Program. The maximum
payable under the agreement with UWFM is$534,204.The agreement with CVHPI will continue to be funded
by federal grant funds through The Department's Advancing Health Literacy Program. The maximum
payable under the agreement with CVHPI is$87,500. Sufficient appropriations and estimated revenues are
included in the Department's Org FY 2022-23 Adopted Budget and will be included in subsequent budget
requests.
DISCUSSION:
On December 14, 2021, your Board approved Agreement No.A-21-539 with Fresno Metropolitan Ministry to
create a CHW Network Hub in order to address COVID-19 health related disparities. On May 17, 2022 your
Board approved Agreement No. A-22-214 with Care Coordination Systems, LLC (CCS)to act as the
database and sharing platform for the CHW Network Hub. The UWFM is the only provider of 211, a 24/7
helpline that offers critical referrals and resources to any caller within UWFM's service area.
This confidential service offers a variety of community resources including referrals for food, housing, utility
payment assistance, free tax preparation services, and public health information (i.e., COVID-19 vaccine or
testing information). 211 also serves as a response to emergency services. An example of the services
was during the historic Creek Fire in which 211 provided pertinent evacuation and emergency shelter
information. If approved, the first two recommended actions would allow UWFM to partner with the
Department, as well as other contracted partners, to integrate resources into the CCS database and assist
with CHW Network referrals. The UWFM would also provide technical assistance and trainings on their own
data systems. The UWFM Agreement does not contain the County's standard professional liability
insurance, as the services to be provided under this agreement will not be performed by a licensed
professional, and County's Human Resources- Risk Management has determined this to be acceptable.
The recommended Agreement also contains non-standard language in the modification section, which
allows the Department Director to approve changes to the budget object levels, providing that the change
does not exceed ten percent of the maximum compensation payable to the contractor, nor will the revision
reduce the delivery of services originally provided for under the Agreement.
On December 14, 2021, your Board approved Agreement No.A-21-536 with CSU, Fresno Foundation to
provide comprehensive evaluation services by designing appropriate processes and outcome evaluation
methodologies, developing performance measures, and creating tracking tools to monitor and collect
required data for the Department's Advancing Health Literacy Program. If approved, the third recommended
County of Fresno page 2 File Number.22-0930
File Number.'22-0930
action would allow retroactive changes to the year one budget to reflect actuals and increase the year two
budget with carryover amounts from unspent year one funds. Approval of the recommended action would
also allow year two funds to be reallocated to account for staff changes. No changes were made to the total
compensation.
The application was reviewed by ISD-IT and was determined to pose no security risk to the County network.
REFERENCE MATERIAL:
BAI #53 May 17, 2022
BAI #68 December 14, 2021
BAI #65 December 14, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
Suspension of Competition
On file with Clerk-Agreement with United Way Fresno Madera Counties
On file with Clerk-Amendment I with CSU Fresno Foundation
CAO ANALYST:
Ron Alexander
County of Fresno Page 3 File Number:22-0930
Agreement No. 22-483
1 AMENDMENT I TO AGREEMENT
2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter"Amendment") is made and entered
3 into this 25th day of October , 2022, by and between COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, Fresno, California (hereinafter"COUNTY'), and California State
5 University, Fresno Foundation, a California Non-Profit Corporation, whose address is 4910 North
6 Chestnut Avenue, Fresno, California 93726, hereinafter referred to as "CONTRACTOR".
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-21-536, dated
9 the 1411 of December 2021 (hereinafter"Agreement"); and
10 WHEREAS, COUNTY and CONTRACTOR now desire to retroactively amend the Agreement
11 in order to adjust annual budget amounts to reflect year one actuals, carryover unspent funds from
12 year one to year two, and reallocate carryover funds in the Personnel and Fringe Benefits budget
13 categories to account for staff changes; and
14 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement regarding
15 changes as stated below and restate the Agreement in its entirety.
16 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
17 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
18 1. That all references in Agreement to "Exhibit B" shall be changed to read "Revised
19 Exhibit B-2". Revised Exhibit B-2 is attached hereto and incorporated herein by this reference.
20 2. That Paragraph Four (4)— COMPENSATION, of the Agreement, on Page Two (2), Line
21 Twenty (20) and ending on Page Three (3), Line Fifteen (15) with the word "Notification" shall be
22 deleted in its entirety and replaced with the following:
23 "4. COMPENSATION:
24 A. COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to
25 receive compensation as described in Revised Exhibit B-2, attached hereto and incorporated
26 herein by this reference.
27 For the period beginning December 14, 2021 through June 30, 2022, in no
28 event shall actual services performed be in excess of Twenty-Six Thousand Two Hundred and
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1 Twenty-Five and 54/100 Dollars ($26,225.54).
2 For the period beginning July 1, 2022 through June 30, 2023, in no event shall
3 actual services performed be in excess of Sixty-One Thousand Two Hundred and Seventy-Four and
4 46/100 Dollars ($61,274.46).
5 In no event shall services performed under this Agreement be in excess of
6 Eighty-Seven Thousand Five Hundred and No/100 Dollars ($87,500.00). It is understood that all
7 expenses incidental to CONTRACTOR'S performance of services under this Agreement shall be
8 borne by CONTRACTOR.
9 B. Except as provided below regarding State and Federal payment delays,
10 payments shall be made by COUNTY to CONTRACTOR in arrears, for services provided during the
11 preceding month, within forty-five (45) days after the date of receipt, verification, and approval of
12 CONTRACTOR's monthly itemized invoices, by COUNTY's Department of Public Health.
13 C. COUNTY shall not be obligated to make any payments under this
14 Agreement if the request for payment is received by the COUNTY more than forty-five (45) days after
15 this Agreement has terminated or expired.
16 D. The contract maximum amount as identified in this Agreement and in
17 Revised Exhibit B-2 may be reduced based upon State and Federal grant funding availability. In the
18 event of such action, the COUNTY's Department of Public Health Director or designee shall notify the
19 CONTRACTOR in writing of the reduction in the contract maximum amount within thirty (30) days of
20 COUNTY'S notification of reduced funding by the grant agency."
21 COUNTY and CONTRACTOR agree that this First Amendment is sufficient to amend the
22 Agreement, and that upon execution of this First Amendment, the Agreement and this First
23 Amendment together shall be considered the Agreement.
24 The parties agree that this First Amendment may be executed by electronic signature as
25 provided in this section. An "electronic signature" means any symbol or process intended by an
26 individual signing this Amendment to represent their signature, including but not limited to (1) a digital
27 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
28 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
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1 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten
2 signature of the person signing this Amendment for all purposes, including but not limited to
3 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as
4 the valid original handwritten signature of that person. The provisions of this section satisfy the
5 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act
6 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital
7 signature represents that it has undertaken and satisfied the requirements of Government Code
8 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely
9 upon that representation. This Amendment is not conditioned upon the parties conducting the
10 transactions under it by electronic means and either party may sign this Amendment with an original
11 handwritten signature.
12 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
13 covenants, conditions, and promises contained in the Agreement and not amended herein shall
14 remain in full force and effect. This Amendment shall become effective retroactively to December 14,
15 2022.
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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.
3
4 CALIFORNIA STATE UNIVERSITY, FRESNO COUNTY OF FRESNO
FOUNDATION
5
7 Joy J. Goto, Interim Dean of Research and Brian Pacheco,
8 Graduate Studies Chairman of the Board of Supervisors
of the County of Fresno
9
10 09/15/2022
Date
11
12
13 Keith Kompsi, Director of Foundation Financial
Services
14
15
09/16/2022
16 Date
17
18 Mailing Address: ATTEST:
19 4910 N. Chestnut Avenue Bernice E. Seidel
Fresno, CA 93726 Clerk of the Board of Supervisors
20 County of Fresno, State of California
21
BY:
22 Deputy
23 FOR ACCOUNTING USE ONLY:
Fund/Subclass: 0001/10000
24 Organization: 56201557
25 Account: 7295
26
27
28
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