HomeMy WebLinkAboutP-22-466 CSU Fresno Foundation.pdf COU County of Fresno
INTERNAL SERVICES DEPARTMENT
Facilities- Fleet-Graphics-Purchasing-Security-Technology
O� 185 O
ORES
PROCUREMENT AGREEMENT
Agreement Number P-22-466
November 1, 2022
CSU Fresno Foundation
4910 N. Chestnut Avenue
Fresno, CA 93726
The County of Fresno(County) hereby contracts with CSU Fresno Foundation (Contractor)for Assessment
and Evaluation of Jewel of Justice Community Participatory Action Research project in accordance with the
text of this agreement,Attachment"A", and Attachment"B", by this reference made a part hereof.
TERM: This Agreement shall become effective October 18, 2022 and shall remain in effect through August
31, 2024.
CONTRACTOR'S SERVICES: Contractor shall perform the services as described in Attachment"A"
attached, at the rates set forth in Attachment"A" and Attachment"B".
ORDERS: Orders will be placed on an as-needed basis by Department of Behavioral Health under this
contract.
PRICES: Prices shall be firm for the contract period.
MAXIMUM: In no event shall services performed and/or fees paid under this Agreement be in excess of fifty-
five thousand dollars ($55,000.00).
ADDITIONAL ITEMS: The County reserves the right to negotiate additional items to this Agreement as
deemed necessary. Such additions shall be made in writing and signed by both parties.
DELIVERY: The F.O.B. Point shall be the destination within the County of Fresno. All orders shall be
delivered complete as specified. All orders placed before Agreement expiration shall be honored under the
terms and conditions of this Agreement.
DEFAULT: In case of default by Contractor, the County may procure the articles/services from another
source and may recover the loss occasioned thereby from any unpaid balance due the Contractor or by any
other legal means available to the County. The prices paid by County shall be considered the prevailing
market price at the time such purchase is made. Inspection of deliveries or offers for delivery,which do not
meet specifications, will be at the expense of Contractor.
INVOICING: An itemized invoice shall be sent to requesting County department in accordance with invoicing
instructions included in each order referencing this Agreement. The Agreement number must appear on all
shipping documents and invoices. Invoice terms shall be Net 45 Days.
INVOICE TERMS: Net forty-five(45) days from the receipt of invoice.
333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110
*The County of Fresno is an Equal Employment Opportunity Employer'
PROCUREMENT AGREEMENT NUMBER: P-22-466 Page 2
CSU Fresno Foundation
November 1, 2022
TERMINATION: The County reserves the right to terminate this Agreement upon thirty (30)days written
notice to the Contractor. In the event of such termination, the Contractor shall be paid for satisfactory
services or supplies provided to the date of termination.
LAWS AND REGULATIONS: The Contractor shall comply with all laws, rules and regulations whether they
be Federal, State or municipal, which may be applicable to Contractor's business, equipment and personnel
engaged in service covered by this Agreement.
AUDITS AND RETENTION: Terms and conditions set forth in the agreement associated with the purchased
goods are incorporated herein by reference. In addition, the Contractor shall maintain in good and legible
condition all books, documents, papers, data files and other records related to its performance under this
contract. Such records shall be complete and available to Fresno County, the State of California, the federal
government or their duly authorized representatives for the purpose of audit, examination, or copying during
the term of the contract and for a period of at least three years following the County's final payment under the
contract or until conclusion of any pending matter(e.g., litigation or audit),whichever is later. Such records
must be retained in the manner described above until all pending matters are closed.
LIABILITY: The Contractor agrees to:
Pay all claims for damage to property in any manner arising from Contractor's operations under this
Agreement.
Indemnify, save and hold harmless, and at County's request defend the County, its officers, agents and
employees from any and all claims for damage or other liability, including costs, expenses (including
attorney's fees and costs), causes of action, claims or judgments resulting out of or in any way connected
with Contractor's performance or failure to perform by Contractor, its agents, officers or employees under this
Agreement, and from any and all costs and expenses (including attorney's fees and costs), damages,
liabilities, claims, and losses occurring or resulting to any person, firm or corporation who may be injured or
damaged by the performance, or failure to perform, of Contractor, its officers, agents, or employees under
this Agreement.
INSURANCE: Without limiting the COUNTY's right to obtain indemnification from CONTRACTOR or any
third parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect, the following
insurance policies or a program of self-insurance, including but not limited to, an insurance pooling
arrangement or Joint Powers Agreement(JPA)throughout the term of the Agreement:
A. Commercial General Liability: Commercial General Liability Insurance with limits of not less than Two
Million Dollars ($2,000,000.00) per occurrence and an annual aggregate of Four Million Dollars
($4,000,000.00). This policy shall be issued on a per occurrence basis. County may require specific
coverage including completed operations, product liability, contractual liability, Explosion-Col lapse-
Underground, fire legal liability or any other liability insurance deemed necessary because of the nature
of the contract.
B. Automobile Liability: Comprehensive Automobile Liability Insurance with limits of not less than One
Million Dollars ($1,000,000.00) per accident for bodily injury and for property damages. Coverage should
include any auto used in connection with this Agreement.
C. Professional Liability: If Contractor employs licensed professional staff, (e.g., Ph.D., R.N., L.C.S.W.,
M.F.C.C.) in providing services, Professional Liability Insurance with limits of not less than One Million
Dollars ($1,000,000.00) per occurrence, Three Million Dollars ($3,000,000.00)annual aggregate.
D. Worker's Compensation: A policy of Worker's Compensation insurance as may be required by the
California Labor Code.
Additional Requirements Relating to Insurance:
Contractor shall obtain endorsements to the Commercial General Liability insurance naming the County of
Fresno, its officers, agents, and employees, individually and collectively, as additional insured, but only
insofar as the operations under this Agreement are concerned. Such coverage for additional insured shall
apply as primary insurance and any other insurance, or self-insurance, maintained by County, its officers,
P-22-466 CSU Fresno Foundation.docx
PROCUREMENT AGREEMENT NUMBER: P-22-466 Page 3
CSU Fresno Foundation
November 1, 2022
agents and employees shall be excess only and not contributing with insurance provided under Contractor's
policies herein. This insurance shall not be cancelled or changed without a minimum of thirty (30) days
advance written notice given to County.
Contractor hereby waives its right to recover from County, its officers, agents, and employees any amounts
paid by the policy of worker's compensation insurance required by this Agreement. Contractor is solely
responsible to obtain any endorsement to such policy that may be necessary to accomplish such waiver of
subrogation, but Contractor's waiver of subrogation under this paragraph is effective whether or not
Contractor obtains such an endorsement.
Within Thirty(30) days from the date Contractor signs and executes this Agreement, Contractor shall provide
certificates of insurance and endorsement as stated above for all of the foregoing policies, as required
herein, to the County of Fresno, Department of Behavioral Health at mhsa@fresnocountyca.gov,
stating that such insurance coverage have been obtained and are in full force; that the County of Fresno, its
officers, agents and employees will not be responsible for any premiums on the policies; that such
Commercial General Liability insurance names the County of Fresno, its officers, agents and employees,
individually and collectively, as additional insured, but only insofar as the operations under this Agreement
are concerned; that such coverage for additional insured shall apply as primary insurance and any other
insurance, or self-insurance, maintained by County, its officers, agents and employees, shall be excess only
and not contributing with insurance provided under Contractor's policies herein; and that this insurance shall
not be cancelled or changed without a minimum of thirty (30) days advance, written notice given to County.
Certificates of Insurance are to include the contract number at the top of the first page.
In the event Contractor fails to keep in effect at all times insurance coverage as herein provided, the County
may, in addition to other remedies it may have, suspend or terminate this Agreement upon the occurrence of
such event.
All policies shall be with admitted insurers licensed to do business in the State of California. Insurance
purchased shall be purchased from companies possessing a current A.M. Best, Inc. rating of A FSC VII or
better.
COMING ON COUNTY PROPERTY TO DO WORK: Contractor agrees to provide maintain and furnish
proof of Comprehensive General Liability Insurance with limits of not less than $500,000 per occurrence.
INDEPENDENT CONTRACTOR: In performance of the work, duties and obligations assumed by Contractor
under this Agreement, it is mutually understood and agreed that Contractor, including any and all of
Contractor's officers, agents, and employees will at all times be acting and performing as an independent
contractor, and shall act in an independent capacity and not as an officer, agent, servant, employee,joint
venturer, partner, or associate of the County. Furthermore, County shall have no right to control or supervise
or direct the manner or method by which Contractor shall perform its work and function. However, County
shall retain the right to administer this Agreement so as to verify that Contractor is performing its obligations
in accordance with the terms and conditions thereof. Contractor and County shall comply with all applicable
provisions of law and the rules and regulations, if any, of governmental authorities having jurisdiction over
matters the subject thereof.
Because of its status as an independent contractor, Contractor shall have absolutely no right to employment
rights and benefits available to County employees. Contractor shall be solely liable and responsible for
providing to, or on behalf of, its employees all legally-required employee benefits. In addition, Contractor
shall be solely responsible and save County harmless from all matters relating to payment of Contractor's
employees, including compliance with Social Security, withholding, and all other regulations governing such
matters. It is acknowledged that during the term of this Agreement, Contractor may be providing services to
others unrelated to the County or to this Agreement.
NON-ASSIGNMENT: Neither party shall assign, transfer or sub-contract this Agreement nor their rights or
duties under this Agreement without the written consent of the other party.
P-22-466 CSU Fresno Foundation.doex
PROCUREMENT AGREEMENT NUMBER: P-22-466 Page 4
CSU Fresno Foundation
November 1, 2022
AMENDMENTS: This Agreement constitutes the entire Agreement between the Contractor and the County
with respect to the subject matter hereof and supersedes all previous negotiations, proposals, commitments,
writings, advertisements, publications, Request for Proposals, Bids and understandings of any nature
whatsoever unless expressly included in this Agreement. This Agreement supersedes any and all terms set
forth in Contractor's invoice. This Agreement may be amended only by written addendum signed by both
parties.
INCONSISTENCIES: In the event of any inconsistency in interpreting the documents which constitute this
Agreement, the inconsistency shall be resolved by giving precedence in the following order of priority: (1) the
text of this Agreement (excluding Attachment"A" and Attachment "B"); and (2) Attachment "A"and
Attachment"B".
GOVERNING LAWS: This Agreement shall be construed, interpreted and enforced under the laws of the
State of California. Venue for any action shall only be in County of Fresno.
ELECTRONIC SIGNATURES: The parties agree that this Agreement may be executed by electronic
signature as provided in this section.
A. An"electronic signature" means any symbol or process intended by an individual signing this Agreement
to represent their signature, including but not limited to (1)a digital signature; (2) a faxed version of an
original handwritten signature; or(3) an electronically scanned and transmitted (for example by PDF
document) of a handwritten signature.
B. Each electronic signature affixed or attached to this Agreement(1) is deemed equivalent to a valid
original handwritten signature of the person signing this Agreement for all purposes, including but not
limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and
effect as the valid original handwritten signature of that person.
C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in
the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section
1633.1).
D. Each party using a digital signature represents that it has undertaken and satisfied the requirements of
Government Code section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other
party may rely upon that representation.
This Agreement is not conditioned upon the parties conducting the transactions under it by electronic means
and either party may sign this Agreement with an original handwritten signature.
Please acknowledge your acceptance by returning all pages of this Agreement to my office via email or
USPS.
Please refer any inquiries in this matter to Susan Walker, Purchasing Technician, at 559-600-7111 or
suwalker
FOR THE COUNTY OF FRESNO
GaryGaryCornuelle Date: l022.11dby Gary C -07'0e
�! Date:2022.11.01 09:53:03-07'00'
Gary E. Cornuelle
Purchasing Manager
333 W. Pontiac Way
Clovis, CA 93612
GEC:slw
P-22-466 CSU Fresno Foundation.docx
PROCUREMENT AGREEMENT NUMBER: P-22-466 Page 5
CSU Fresno Foundation
November 1, 2022
CONTRACTOR TO COMPLETE:
Company: California State University, Fresno Foundation
Type of Entity:
Qj Individual ❑J Limited Liability Company
Q1 Sole Proprietorship Limited Liability Partnership
NJ Corporation General Partnership
4910 N. Chestnut Avenue Fresno CA 93726-1852
Address City State Zip
(559) 278-0840 orsp@csufresno.edu
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
Print Name 8r
Title: Joy J.Goto,Interim Dean of Research and Graduate Studies Print Name &Title: Deborah S.Adishian-Astone,Executive Director
/ �/� o'
Signature: _ Signature: Deborah S.Adishian-Astone(Oct zs,2022 06:49 PDT)
ACCOUNTING USE ONLY
ORG No.: 56304792
Account No.: 7295
Requisition No.: 5632310043
(08/2022)
P-22-466 CSU Fresno Foundation.docx
P-22-466 ATTACHMENT"A"
CSU FRESNO FOUNDATION Page 1 of 3
1 011 812 02 2
SCOPE OF WORK
ORGANIZATION: California State University, Fresno Foundation
SERVICE: Evaluation of Jewel of Justice Community Participatory Action
Research Project
OFFICE ADDRESS: 4910 N. Chestnut Ave
Fresno, CA 93726
OFFICE TELEPHONE: (559) 278-0304
CONTACT(S): Dr.Jenelle Pitt
jepitt@mail.fresnostate.edu
CONTRACT PERIOD: October 2022—August 2024
AMOUNT: Total: $55,000
A. SCOPE OF WORK
CONTRACTOR, hereinafter referred to as "Evaluator", shall provide an evaluation of the
Community Participatory Action Research (CPAR) project conducted by Jewel of Justice.
Through this project, the Department of Behavioral Health seeks to gain insight about
Fresno County's African American community with the intention of utilizing the findings
to develop a foundation for understanding behavioral health and increasing behavioral
health literacy. The information obtained will be used by the Department to inform the
development of services that aim to address the specific behavioral health needs of the
target population.
The evaluation will not evaluate all aspects of the CPAR project, but will instead analyze
this learning question: Does participation in community learning sessions impact
community mental health awareness, literacy, and service utilization/facilitation?
B. CONTRACTOR RESPONSIBILITIES
Evaluator shall perform the activities below.
1) ,Data collection
P-22-466 ATTACHMENT"A"
CSU FRESNO FOUNDATION Page 2 of 3
10/18/2022
a. Evaluator shall review and propose edits for data collection as the project
ramps up. This may entail advising work by the Evaluator with DBH and the
provider as to ensure proper data is being collected.
b. Evaluator shall manage the data collection, organization, and distribution of
aggregate information.
c. Evaluator's review of the data collection shall occur throughout the two-year
process; each year, Evaluator shall produce a formal review and analysis of
the data for the annual report.
d. Evaluator shall work with DBH on methods of communicating data to the
stakeholders.
2) Analysis of the Data
a. Evaluator shall analyze the data provided by the provider and DBH that
address the research questions.
b. The Evaluator shall have access to identifying data for individuals served by
Jewel of Justice but shall not make decisions on participant eligibility.
c. The Evaluator shall not have any involvement in referrals made for project
participants.
d. The evaluator's analysis shall be based on the data provided.
e. The evaluator shall use all appropriate evaluation and analysis methods to
address the research questions of this project. Data collection sources shall
be comprised of qualitative and quantitative measures. These measures can
include, but are not limited to, number of sessions attended, pre and post
surveys, participant self-reports and perception surveys, and number of
participants accessing mental health support.
f. Evaluators shall analyze research questions that seek to explain the following
things:
1. Does the participation in community learning sessions impact community
mental health awareness, literacy, and service utilization/facilitation?
i. Assess the mental health knowledge of participants of project.
ii. Assess, based on participant self-reports, if mental health
awareness provided has resulted in conversations with others,
independent research, or new participation in some established
wellness activities such as wellness centers, support groups,
trainings, peer training, etc.
iii. Assess the mental health knowledge and understanding of
participants pre/post sessions.
iv. Assess participant's likelihood to access care for themselves or
family members.
V. Assess change in service utilization
vi. Assess facilitative experiences and barriers to service utilization
P-22-466 ATTACHMENT"A"
CSU FRESNO FOUNDATION Page 3 of 3
10/18/202.2
C. COUNTY RESPONSIBILITIES
County shall:
1) Participate in monthly meetings with Evaluator(s) to discuss project, contractual
issues, and/or findings. Meeting frequency may be changed after the first year of
implementation. DBH will be responsible for coordination of these meetings.
2) Participate in evaluation of the progress of the overall project and the efficiency of
the collaboration with Evaluator and will be available to Evaluator for ongoing
consultation.
3) Gather outcome information from Evaluator throughout each term of this
Agreement. COUNTY DBH staff shall notify the Evaluator when its participation is
required.
4) DBH shall include Evaluator in DBH trainings that are relevant to the services as
described in this Agreement, if there is sufficient space available, at no cost.
D. REPORTS
1) Evaluator shall provide an annual report of collected data and analysis.The annual
reports of the data shall address the research questions in the proposal, assess
[earnings related to the research questions, and offer suggestions about project
viability. Each of the reports shall include both a short executive summary, and full,
detailed analysis (with supporting documentation of data in appendices).
2) Evaluator shall provide a final report of analysis over the two years of this CPAR
Project
3) Additional reports/outcomes may also be requested by the COUNTY's DBH and/or
State, as needed.
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 1 of 22
10/18/2022
Community Participatory Action Evaluation
California State University Fresno Foundation
Fiscal Year(FY)2022-23
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 $ - $
1102 -
1103
1104
1105
1106 -
1107 -
1108
1109 -
1110
1111 - -
1112
1113 - -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 0.00 $ - $
Acct# Program Position FTE Admin Program Total
1116 Student Assistants 6.00 $ 9,600 $ 9,600
1117 R.Sias(Co-Principal Investigator) 0.25 2,405 2,405
1118 T.Cronin(Co-Investigator 0.25 2,196 2,196
1119 D.Reese(key personnel) 0.10 1,208 1,208
1120 C.Whittle(key personnel) 0.10 1,227 1,227
1121 J.Pitt-Parker(Principal Investigator) 0.00 -
1122 -
1123 -
1124 - -
1125 - -
1126 - -
1127 -
1128 - -
1129 - -
1130 - -
1131 - -
1132 - -
1133 -
1134 -
Direct Personnel Program Salaries Subtotal 6.70 $ 16,636 $ 16,636
Admin Program Total
Direct Personnel Salaries Subtotall 6.70 $ - $ 16,636 $ 16,636
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement -
1202 Worker's Compensation - - -
1203 Health Insurance - -
1204 Other(All Aca Yr Overload/Summer Pay/Faculty Stipends at 10%) 704 704
1205 Other(Students 2.23%) 214 214
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 2 of 22
10/18/2022
1206 Other(specify) -
Direct Employee Benefits Subtotal: $ $ 918 $ 918
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 JOASDI $ - $ $ -
1302 FICA/MEDICARE
1303 SUI - - -
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ $ $
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ - $ 17,554 $ 17,554
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
0% 100%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 lChild Care $ -
2002 Client Housing Support
2003 I Client Transportation &Support
2004 Clothing,Food,&Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports
2009 I Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify)
2013 Other(specify) -
1 2014 Other(specify) -
2015 Other(specify)
p016 Other(specify) _
DIRECT CLIENT CARE TOTAL $
3000:DIRECT OPERATING EXPENSES
Acct# I Line Item Description Amount
3001 1 Telecommunications $ -
3002 jPrinting/Postage
3003 lOffice,Household&Program Supplies 1 500
1 3004 jAdvertising -
3005 Staff Development&Training
3006 Staff Mileage 1,000
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
30 99 Other(specify)
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 1,500
4000: DIRECT FACILITIES&EQUIPMENT
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 3 of 22
10/18/2022
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 1 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ -
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify) -
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ -
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(specify) -
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ -
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 4 of 22
10/18/2022
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES $ 19,054
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 - $
8002 Case Management 0 - -
8003 Crisis Services 0 -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 -
8007 Assessment 0 -
8008 Rehabilitation 0 - -
8009 Other(Specify) 0 -
8010 Other(Specify) 0 - -
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 0% -
MEDI-CAL FFP TOTAL $ -
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $REALIGNMENT TOTAL $ -
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations Community Participatory Action Research 19,054
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 19,054
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify) -
8404 Other(Specify) -
8405 Other(Specify)
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 19,054
NET PROGRAM COST: $
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 5 of 22
10/18/2022
Community Participatory Action Evaluation
California State University Fresno Foundation
Fiscal Year(FY) 2022-23
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Co-Principal Investigator(R.Sias) INN-CPAR 0.25
Total 0.25
Position Contract#/Name/Department/County FTE
Co-Investigator(T. Cronin) INN -CPAR 0.25
Total 0.25
Position Contract#/Name/Department/County FTE
Key Personnel (D. Reese) INN -CPAR 0.10
Total 0.10
Position Contract#/Name/Department/County FTE
Key Personnel (C. Whittle) INN -CPAR 0.10
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 6 of 22
10/18/2022
Total 0.10
Position Contract#/Name/Department/County FTE
Principal Investigator(J. Pitt-Parker) INN-CPAR -
Total 0.00
Position Contract#/Name/Department/County FTE
Student Assistants INN -CPAR 6.00
Total 6.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 7 of 22
10/18/2022
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 8 of 22
10/18/2022
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 9 of 22
10/18/2022
Community Participatory Action Evaluation
California State University Fresno Foundation
Fiscal Year(FY)2022-23 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 17,554
Administrative Positions -
1101
1102
1103 -
1104
1105
1106 10
1107 10
1108 10 -
1 1109 10
1110 0
1111 10 -
1112 10
1113 10
1114 10 -
1115 0
Program Positions 16,636
1116 Student Assistants 9,600 j In Year 1,the budget has allotted funds for 6 students(undergraduate and graduate)
I at$20 an hour,5 hours a week,for 16 weeks out of the year.The budget does not
build in increases for student researchers.In Year 1,students will work alongside
faculty researchers for project onboarding and grounding in the Community
Participatory Action Research approach.Student research duties can include,but are
i not limited to preliminary data collection processes,initial development of qualitative
and quantitative measures,and initial data analysis.Student Assistants will work part-
time not to exceed$9,600 cumulative in year one for all Student Workers combined
$20/hr x 5 hr per week x 16 weeks x 6 students=$9,600
1117 R.Sias(Co-Principal Investigator) 2,405 25%of 1-summer month one pay.Dr.Sias will serve as a Co-Principal Investigatoron
the project.Duties will include,but are not limited to supervision ofstudent
researchers,research design and initial evaluation of the Community Participatory
Action Research Project,preliminary data collection and analysis,and dissemination of
aggregated project findings.$9,620 x 0.25=$2,405
1118 T.Cronin(Co-Principal Investigator) 2,196 25%of 1-summer month pay.Dr.Cronin will serve as a Co-Principallnvestigatoron the
project.Duties will include,but are not limited tosupervision of student researchers,
research design and initial evaluation of the Community Participatory Action Research
Project,preliminary data collection and analysis,and dissemination of aggregated
project findings.$8,784 x 0.25=$2,196
1119 D.Reese(key personnel) 1,208 10%of 1-summer month pay.Dr.Reese will be involved in research design and initial
evaluation of the Community Participatory Action Research Project,preliminary data
collection and analysis,and dissemination of aggregated project findings.$12,080 x
0.10=$1,208
1120 C.Whittle(key personnel) 1,227 10%of 1-summer month pay.Dr.Whittle will be involved in research design and initial
evaluation of the Community Participatory Action Research Project,preliminary data
collection and analysis,and dissemination of aggregated project findings.$12,269 x
0.10=$1,226.90 which is reflected at$1,227
1121 J.Pitt-Parker(Principal Investigator&Project Director) In accordance with University policy,the time of campus administrators is not charged
to direct costs
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0 _
1132 0
1133 0
1134 0
Direct Employee Benefits 918
1201 IRetirement
1202 1 Worker's Compensation 1 1
P-22-466
ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 10 of 22
10/18/2022
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1203 jHealth Insurance _
1204 Other(All Aca Yr Overload/Summer Pay/Faculty 704 $7,033 x 10% -All Aca Yr Overload/Summer Pay/Faculty Stipends=$703
1205 Other(Students 2.23%) 214 J$9,600 x 2.23%-All Student researchers=$214
1206 Other(specify)
Direct Payroll Taxes&Expenses:
1301 OASDI
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT
2001 IChild Care
2002 Client Housing Support
2003 jClient Transportation&Support
2004 Clothing,Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
j 2008 Medication Supports
j 2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
j 2014 Other(specify)
2015 Other(specify) j
1 2016 I Other(specify)
3000:DIRECT OPERATING EXPENSES 1,500
j 3001 Telecommunications j
P302
Printing/Postage
Office,Household&Program Supplies 500 $500 is allocated for Year 1.Supplies might include but are not limited to white boards,
markers,file folders,printer paper,toner,staples,etc.Approximately$83.30 x 6
months=$499.80
j 3004 jAdvertising
3005 jStaff Development&Training -
3006 Staff Mileage 1,000 Mileage reimbursement for staff to travel within Fresno County.This will support
project personnel in offsetting costs to and from CPAR on-site events.This will be
critical In further establishing the positionality of the researchers as observers,
participants,and researchers which will facilitate evaluative components of the CPAR
Project.Estimated$1,000 for duration of the project in Year 1.The flat amount is
designed to offset mileage expenses for faculty and student researchers on the
project.Mileage will be paid at the IRS rate.
j 3007 jSubscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 IHMIS(Health Management Information System)
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 11 of 22
10/18/2022
PROGRAM EXPENSE
ACCT it LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES -
6001 Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 1 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6U07 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 10ther(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&FiKtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+ _
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
a
LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 lRehabilitation
8009 10ther(Specify)
8010 10ther(Speci )
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 19,054
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 19,054
BUDGETCHECK: -
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 12 of 22
10/18/2022
Community Participatory Action Evaluation
California State University Fresno Foundation
Fiscal Year(FY)2023-24
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101
1102 -
1103
1104 -
1105
1106 - -
1107
1108
1109 -
1110 - -
1111 - -
1112 -
1113 - -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 0.00 $ $ -
Acct# Program Position FTE Admin Program Total
1116 Student Assistants 6.00 $ 25,200 $ 25,200
1117 R.Sias(co-PI) 0.25 2,565 2,565
1118 T.Cronin(co-PI) 0.25 2,342 2,342
1119 D.Reese(key personnel) 0.10 1,288 1,288
1120 C.Whittle(key personnel) 0.10 1,309 1,309
1121 J.Pitt-Parker(Principal Investigator) 0.00 - -
1122 '
1123 '
1124 -
1125 -
1126 - -
1127 -
1128
1129 -
1130 '
1131 -
1132 -
1133 -
1134 '
Direct Personnel Program Salaries Subtotall 6.70 $ 32,704 $ 32,704
Admin Program Total
Direct Personnel Salaries Subtotal 6.70 $ - $ 32,704 $ 32,704
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ $ - $
1202 Worker's Compensation -
1203 Health Insurance -
1204 Other(All Aca Yr Overload/Summer Pay/Faculty Stipends at 10%) 750 750
56Z 562
1205 Other(Students 2.23%)
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 13 of 22
10/18/2022
1206 10ther(specify) - -
Direct Employee Benefits Subtotal:1 $ 1 $ 1,312 1 $ 1,312
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI
1302 FICA/MEDICARE -
1303 SUI -
1304 Other(specify) - -
1305 Other(specify) -
1306 10ther(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ -
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ - $ 34,016 $ 34,016
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program-
0%1 100%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene -
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ -
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ -
3002 Printing/Postage -
3003 Office,Household&Program Supplies 430
3004 Advertising -
3005 Staff Development&Training -
3006 Staff Mileage 1,500
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Other(specify) -
3010 Other(specify) -
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 1,930
4000:DIRECT FACILITIES&EQUIPMENT
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 14 of 22
10/18/2022
Acct# Line Item Description Amount
4001 Building Maintenance $ -
4002 Rent/Lease Building -
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify) -
4009 Other(specify) -
4010 10ther(specify) -
DIRECTFACILITIES/EQUIPMENTTOTAL: $
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ -
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-OwnedEquipment to be Usedfor Program Purposes)
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(specify) -
6010 Other(specify)
6011 Other(specify) -
6012 Other(specify) -
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify)
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 15 of 22
10/18/2022
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES $ 35,946
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 - $
8002 Case Management 0 -
8003 Crisis Services 0 -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 - -
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 1 0%
MEDI-CAL FFP TOTAL $ -
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations Community Participatory Action Research 35,946
8304 WE -Workforce Education&Training -
8305 JCFTN-Capital Facilities&Technology
MHSATOTAL $ 35,946
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify) -
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 35,946
NET PROGRAM COST: $ -
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 16 of 22
10/18/2022
Community Participatory Action Evaluation
California State University Fresno Foundation
Fiscal Year(FY) 2023 - 24
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
Out
Position Contract#/Name/Department/County FTE
Co-Principal Investigator(R.Sias) INN -CPAR 0.25
Total 0.25
Position Contract#/Name/Department/County FTE
Co-Investigator(T.Cronin) INN -CPAR 0.25
Total 0.25
Position Contract#/Name/Department/County FTE
Key Personnel (D. Reese) INN -CPAR 0.10
Total 0.10
Position Contract#/Name/Department/County FTE
Key Personnel (C. Whittle) INN -CPAR 0.10
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 17 of 22
10/18/2022
Total 0.10
Position Contract#/Name/Department/County FTE
Principal Investigator(J. Pitt-Parker) INN -CPAR -
Total 0.00
Position Contract#/Name/Department/County FTE
Student Assistants INN-CPAR 6.00
Total 6.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 18 of 22
10/18/2022
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 19 of 22
10/18/2022
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 20 of 22
10/18/2022
Community Participatory Action Evaluation
California State University Fresno Foundation
Fiscal Year(FY)2023-24 Budget Narrative
PROGRAM EXPENSE
ACCT it LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 34,016
Administrative Positions -
1101 _
1102 ,
1103
1104
1105
1106 0 -
1107 0 -
1108 0 -
1109 0 -
1110 10 -
1111 10 -
1112 10 -
1113 10 I
1114 10
1115 10
Program Positions 32,704
1116 Student Assistants 25,200 During Year 2,an increase of student time on project is anticipated.In Year 2,the
budget has allotted funds for 6 students(undergraduate and graduate)at$20 an hour,
15 hours a week,for 14 weeks out of the year.The budget does not build in increases
for student researchers.In Year 2,student researchers will work alongside faculty
researchers and supervisors to develop and implement qualitative and quantitative
measures that align with the phase of implementation of the cultural intervention
facilitated by Jewel of Justice(contractor).Student researchers will be responsible for
various aspects of research including but not limited to ongoing data collection,
transcription,data analysis of qualitative and quantitative measures,and supporting
faculty researchers and supervisors with dissemination of aggregated findings.Student
Assistants will work part-time not to exceed $25,200 cumulative in year two for all
Student Workers combined.$20/hr x 15 hr per week x 14 weeks x 6 students=
$25,200
1117 R.Sias(Co-Principal Investigator) 2,565 25%of 1-summer month one pay.Dr.Sias will serve as a Co-Principal Investigator on
the project.Duties will include,but are not limited to supervision of student
researchers,research design and initial evaluation of the Community Participatory
Action Research Project,preliminary data collection and analysis,and dissemination of
aggregated project findings.$9,620 x 0.25=$2,405 x 0.665=$2,564
1118 T.Cronin(Co-Principal Investigator) 2,342 25%of 1-summer month pay.Dr.Cronin will serve as a Co-Principal Investigator on the
project.Duties will include,but are not limited to supervision of student researchers,
research design and initial evaluation of the Community Participatory Action Research
Project,preliminary data collection and analysis,and dissemination of aggregated
project findings.$8,784 x 0.25=$2,196 x 0.665=$2,564
1119 D.Reese(key personnel) 1,288 10%of 1-summer month pay.Dr.Reese will be involved in research design and initial
evaluation of the Community Participatory Action Research Project,preliminary data
collection and analysis,and dissemination of aggregated project findings.$12,080 x
0.10=$1,208 x 0.665=$1,288
1120 C.Whittle(key personnel) 1,309 10%of 1-summer month pay.Dr.Whittle will be involved in research design and initial
evaluation of the Community Participatory Action Research Project,preliminary data
collection and analysis,and dissemination of aggregated project findings.$12,269 x
0.10=$1,226.90 which is reflected as$1,227 x 0.665=$1,309
1121 J.Pitt-Parker(Principal Investigator&Project Director) In accordance with University policy,the time of campus administrators is not charged
to direct costs
1122 10 - ---- --
1123 10 _
1124 0
1125 10 _
1126 10
1127 10 _
1128 10
1129 10
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 21 of 22
10/18/2022
PROGRAM EXPENSE
ACCr#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1130 10
1131 0 _
1132 0
1133 0
1134 0
Direct Employee Benefits 1,312
1201 Retirement
1202 Worker's Compensation
1203 Health Insurance
1204 Other(All Aca Yr Overload/Summer Pay/Faculty 750 $7,504 x 10%-All Aca Yr Overload/Summer Pay/Faculty Stipends=$750
1205 Other(Students 2.23%) 562 $25,200 x 2.23%-AIIStudent researchers=$561.96 or$562
1206 Other(specify) -
Direct Payroll Taxes&Expenses:
1301 OASDI l
1302 FICA/MEDICARE
r
SUI
Other(specify)
Other(specify)
Other(specify)
2000:DIRECT CLIENT SUPPORT
2001 (Child Care
2002 lClient Housing Support
2003 Client Transportation&Support
2004 IClothing,Food,&Hygiene
2005 Education Support _
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
j 2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify) _
2013 Other(specify)
2014 Other(specify)
2 115 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 1,930
3001 Telecommunications -
3002 Printing/Postage -
3003 Office,Household&Program Supplies 430 $430 is allocated for Year 2 Supplies might include but are not limited to binders,file
folders,printer paper,toner,staples,etc.Approximately$80.80 x 6 months=$484.80
3004 Advertising -
3005 Staff Development&Training -
3006 Staff Mileage 1,500 Mileage reimbursement for staff to travel within Fresno County.This will support
project personnel in offsetting costs to and from CPAR on-site events.This will be
critical in further establishing the positionality of the researchers as observers,
participants,and researchers which will facilitate evaluative components of the CPAR
Project.Estimated$1,500 for duration of the project in Year 2.The flat amount is
designed to offset mileage expenses for faculty and student researchers on the
project.Mileage will be paid at the IRS rate.
3007 Subscriptions&Memberships
300E Vehicle Maintenance _
3009 Other(specify)
3010 Other(specify) _
3011 Other(specify)
3012 Other(speci )
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building _
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 ISecurity
P-22-466 ATTACHMENT"B"
CSU FRESNO FOUNDATION Page 22 of 22
10/18/2022
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4006 jUtilities
4007 Other(specify)
4008 1 Other(specify)
4009 1 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 lConsultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 ITranslation Services
5005 1 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 10ther(specify)
6000:INDIRECT EXPENSES -
6001 lAdministrative Overhead
6002 1 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 1 External Audit
6005 jInsurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 10ther(specify) _
6013 Other(specify)
7000:DI RECT FIXED ASSETS
7001 lComputer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAAj __..
7003 1Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 jAssetsover$5,000/unit(Specify) _
7007 10ther(specify)
7008 10ther(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 1 Mental Health Services
9002 Case Management
8003 Crisis Services _
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 10ther(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 35,946
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 35,946
BUDGETCHECK: -
PI: Pitt Parker
CONTRACT Douglas Carey
Grant Manager:
Douglas
required: 1 1416 2494
Douglas Carey Negotiation ID: PD ID:
Prepared By: Initial Review Date: 10/27/2022
Please review and if approved, please forward back to the Division of Research
and Graduate Studies for signature.
RSP Notes:
Total contract: $55,000 over two years (2022-24)
Linda Christian Notes:
No changes. LC
Keith Kompsi Notes:
Approved
Thank you,
Division of Research and Graduate Studies—Thomas Administration 126
Agency Contact: Susan Walker
Phone: (559) 600-7111 Email: swalker@FresnoCountyCA.gov
Signature Date
Contract reviewed by Linda Christian: 10/27/2022
Contract approved for signature by Keith Kompsi: 10/27/2022
The following contract has been approved by CSU, Fresno Foundation.