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Home My WebLink AboutSTATE DPH-STD Program Management and Collaboration Project_A-22-280 A-20-290.pdf COUP County of Fresno Hall of Records,Room 301 2281 Tulare Street Fresno,California Board of Supervisors 93721-2198 i856 0 Telephone:(559)600-3529 FRE`'� Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us June 21, 2022 Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes, Chairman Brian Pacheco, and Vice Chairman Sal Quintero Agenda No. 65. Public Health File ID: 22-0468 Re: Approve and authorize the Chairman to execute First Amendment to Revenue Agreement(State Agreement No. 19-10960)with the California Department of Public Health for the Sexually Transmitted Disease Program Management and Collaboration Project, effective upon execution with no change to the grant term of July 1,2019 through June 30, 2024 and increasing the maximum by$163,998 to a total of$1,136,753 APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero Agreement No.22-280 County of Fresno Page 68 co Board Agenda Item 65 i] 1.6 O 1856 O FRE`'� DATE: June 21, 2022 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Amendment to the Revenue Agreement with the California Department of Public Health for the Sexually Transmitted Disease Program Management and Collaboration Project RECOMMENDED ACTION(S): Approve and authorize the Chairman to execute First Amendment to Revenue Agreement(State Agreement No. 19-10960)with the California Department of Public Health for the Sexually Transmitted Disease Program Management and Collaboration Project, effective upon execution with no change to the grant term of July 1, 2019 through June 30, 2024 and increasing the maximum by$163,998 to a total of$1,136,753. There is no additional Net County Cost associated with the recommended action. The California Department of Public Health (CDPH) has increased the County's FY 2021-22 funding for the Sexually Transmitted Disease (STD) Program Management and Collaboration Project(Project) prevention program for increased community-based testing to the vulnerable populations and subcontract with community-based or other organizations in the County of Fresno. This item is countywide. ALTERNATIVE ACTION(S): There is no viable alternative action. Should your Board choose not to approve the recommended action, the Department would not receive the additional funding for its STD Collaboration program and not be able to fund services provided to the vulnerable populations. FISCAL IMPACT: There is no increase in Net County Cost associated with the recommended action. The annual allocation for FY 2021-22 will be increased by$163,998 to a maximum of$1,136,753 over the term of the Agreement. The existing agreement allows full indirect cost recovery up to 22.579% of salaries and benefits. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2021-22 Adopted Budget for estimated expenses and will be included in subsequent budget requests. DISCUSSION: On August 4, 2020, your Board approved a Revenue Agreement (A-20-290)with CDPH to provide continued funding from the CDPH for the Department's STD prevention program for staff, services and supplies to support evidence-based approaches to STD surveillance, investigation and treatment, with an emphasis on Syphilis, Gonorrhea, and Chlamydia infections. The Department has received funding from CDPH since 1998 to support STD prevention and control County of Fresno page I File Number.22-0468 File Number:22-0468 activities. Chlamydia, Gonorrhea, and Syphilis, including Congenital Syphilis, remain the most commonly reported communicable diseases in the County. The recommended amendment to the Collaboration agreement will help cover the cost of program staff as well as allow for the Department to increase and improve community-based testing to assist the County in ensuring the success of STD Collaboration program functions. The Program will partner with a non-profit agency that will provide STD testing to at risk populations within the County. This agreement deviates from the County's standard agreement language as the agreement stipulates a dispute resolution process in which the State and County must partake to informally resolve any disputes arising from the State's actions. The agreement also contains non-standard County general indemnification and intellectual property indemnification provisions which require the County to indemnify the State. The agreement may be cancelled or terminated without cause by the State with 30 calendar days advanced written notice. The State may also cancel immediately for cause. The County may cancel only if the State fails to perform its responsibilities. REFERENCE MATERIAL: BAI #43, August 4, 2020 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk-Amendment to Agreement with CDPH CAO ANALYST: Ron Alexander County of Fresno page 2 File Number.22-0468 Agreement No. 22-280 State of California—Health and Human Services Agency—California Department of Public Health CDPH 1229A(Rev. 06/2019) CALIFORNIA SEXUALLY TRANSMITTED DISEASES PROGRAM STD Program Management Awarded By THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter "Department" TO County of Fresno, hereinafter "Grantee" Implementing the "STD Program Management and Collaboration Project," hereinafter "Project" AMENDED GRANT AGREEMENT NUMBER 19-10960,A01 The Department amends this Grant and the Grantee accepts and agrees to use the Grant funds as follows: AUTHORITY: The Department has authority to grant funds for the Project under Health and Safety Code Section 131085(a). PURPOSE FOR AMENDMENT: The purpose of the Grant amendment is to: Increase the Grant amount for Fiscal Year (FY) 2021 (07/01/2021-06/30/2022); to allow the Grantee to continue performing more of the same services as identified in Exhibit A and to reimburse the Grantee accordingly. Amendments are shown as: Text additions are displayed in bold and underline. Text deletions are displayed as strike through text (i.e., mike). AMENDED GRANT AMOUNT: This amendment is to increase the grant for FY 2021 by $163,998 and is amended to read: The maximum amount payable under this Grant shall not exceed NiRe HURGIFedrev ty Two The i and SeVe� H RdFed Fifty Fide Pella% ($977 7GG\ � n �cv cn�-rcmcrrca-r„-r� ., �y.... �,� .,..� One Million, One Hundred Thirty-Six Thousand, Seven Hundred Fifty-Three Dollars ($1,136,753). 1 State of California—Health and Human Services Agency—California Department of Public Health CDPH 1229A(Rev. 06/2019) PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant will be: California Department of Public Health Grantee: County of Fresno Name: KaFIG ESta •i^ Name: Jena Adams Alexia McGonagle Supervising CDC Specialist Chief, Business Operations Support Section Address: P.O. Box 997377, MS 7320 Address: 1221 Fulton Street i City, ZIP: Sacramento, Ca 95899-7377 City, ZIP: Fresno, CA 93775 Phone: (916) 552-9820 Phone: (559) 600-3042 Fax: (916) 440-5106 Fax: N/A 1 E-mail: _ E-mail: ladams(aD-fresnocountyca.gov Alexia.McGonagle(aDcdph.ca.gov Direct all inquiries to: California Department of Public Health, Grantee: County of Fresno STD Control Branch Attention: Attention: Jena Adams Adriana Cervantes Supervising CDC Specialist Grant Manager Address: P.O. Box 997377, MS 7320 Address: 1221 Fulton Street City, Zip: Sacramento, Ca 95899-7377 City, ZIP: Fresno, CA 93775 Phone: (916` 552 9796 Phone: (559) 600-3042 (916) 552-9788 Fax: 4 Fax: N/A (916) 636-6755 E-mail: E-mail: jadams(o)_fresnocountyca.gov Adriana.Cervantes(a-)_cdph.ca.gov 2 State of California—Health and Human Services Agency—California Department of Public Health CDPH 1229A(Rev. 06/2019) All payments from CDPH to the Grantee; shall be sent to the following address: Remittance Address Grantee: County of Fresno Attention "Cashier": Bruna Chavez Address: Address: PQ Box 11909 P.O. Box 11867 City, ZIP: Fresno, CA 93775 Phone: (559) 600-6415 Fax: N/A E-mail: dphboap(@,fresnocountyca.gov All other terms and conditions of this Grant shall remain the same. 3 State of California—Health and Human Services Agency—California Department of Public Health CDPH 1229A(Rev. 06/2019) IN WITNESS THEREOF, the parties have executed this Grant on the dates set forth below. Executed By: Date: ,I (p /21 f 2- .2 E-rnact Buddy 11 eRdeo GhairmaR Brian Pacheco, Chairman of the Board of Supervisors of the County of Fresno 19G Rty of FroSR 2281 Tulare Street Fresno, CA 93721 Date: 6-29-22 ��sepTsprez Chief Javier Sandoval, Chief Contracts Management Unit California Department of Public Health 1616 Capitol Avenue, Suite 74.262 P.O. Box 997377, MS 1800-1804 Sacramento, CA 95899-7377 ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,S ate of California By A/.uL.? 17 Deputy 4 County of Fresno Grant 19-10960 Page 1 of 14 Exhibit A Scope of Work 1. Service Overview The Grantee will implement public health activities to monitor, investigate, and prevent Sexually Transmitted Diseases (STD) in collaboration with community-based organizations (CBOs)' within the local health jurisdiction. California Health and Safety Code (H&SC) Section 120551 requires that the department allocate funds to local health jurisdictions for innovative and impactful STD prevention and control activities, including, but not limited to the following: voluntary screening for STDs among inmates and wards of county adult and juvenile correctional facilities; technology, telehealth, and digital platforms and applications to enhance immediate access to screening, testing and treatment; state-of-the-art testing modalities that ensure swift and accurate screening for and diagnosis of STDs; and community-based testing and disease investigation. Local health jurisdictions should use these funds to enhance activities already provided for STD prevention and control, and should not replace existing activities. H&SC Section 120511 also requires that no less than 50 percent of the funds allocated to the LHJs shall be provided to one or more CBOs for purposes consistent with this section, provided that there are CBOs in the jurisdiction that provide these activities and demonstrate the ability to identify priority target populations, satisfactorily describe outreach protocols and include/describe community resources for prevention and control activities. If the Contractor determines that no CBOs existing within the local health jurisdiction meet the criteria specified in H&SC Section 120511, then the Contractor shall submit written documentation demonstrating this fact to CDPH, which CDPH will review on a case-by-case basis. California Department of Public Health (CDPH) STD surveillance data indicate that over the past five years, there were continued increases in infectious syphilis, congenital syphilis, gonorrhea, and chlamydia trachomatis infection across the state. The increases in syphilis among women, including pregnant women, and the devastating impact of congenital syphilis is of particular concern. Key strategic targets for STD prevention and control are: enhancement of surveillance and case follow up for syphilis cases; testing, treatment, partner services, and referrals to services for vulnerable and underserved clients at high risk for STD; and implementation of community-based services through partnerships between public health and CBOs. 2. Service Location The services shall be performed at applicable facilities in the County of Fresno. 3. Service Hours The services shall be primarily provided Monday through Friday, from 8:00 a.m. to 5:00 p.m. and include evenings, weekends, and holidays as needed. A CBO is defined as a private entity that is a nonprofit corporation [Int. Rev Code Section 501(c)]operating at the local level with extensive experience serving persons living with or at risk for STDs. CBOs may include community health centers, syringe service programs, and non-profit drug treatment programs. County of Fresno Grant 19-10960 Page 2 of 14 Exhibit A Scope of Work 4. Services to be Performed: Collaboration with CBOs to implement core STD prevention and control Part I: Supplement to Core STD Public Health Services —Surveillance and Disease Intervention LHJs are required to participate in all required activities (A through D), as well as at least one of the optional activities listed (E or F). Place a checkmark in the box for the optional activity you plan to participate in and complete the SOW Narrative section. All program activities, including innovative projects, should support the outcome measures of increased screening, treatment and linkage to care. Please complete the SOW Narrative section indicating whether the LHJ or a subcontracted CBO will complete activities E or F in this section. Activities Performance Indicators/Deliverables Timeline A. Assure completeness and accuracy Percent of female syphilis cases (all 7/1/2019— of key data variables through review stages)with complete data for the 6/30/2024 of laboratory and provider reports, following: local surveillance system o Pregnancy status (females ages documentation (e.g., CaIREDIE), and 12-44) public health follow-up of early o Estimated Date of Delivery (EDD), syphilis cases. if pregnant o Treatment date, stage-appropriate medication and dosage o HIV status • Percent of neonates exposed to syphilis with documented birth outcome and appropriate classification on the Congenital Syphilis Case Report Form. • Percent of male primary and secondary syphilis cases with complete data for the following: treatment date, stage-appropriate medication/dosage, HIV status and gender of sex partners. B. Ensure all staff with access to STD Confidentiality and data security training 7/1/2019— data complete the CDPH required agreements are maintained in the LHJ. 6/30/2024 confidentiality and data security training and maintain on file the associated confidentiality agreements. County of Fresno Grant 19-10960 Page 3 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline C. Establish a local protocol for Syphilis case follow-up protocol 7/1/2019— conducting case follow up on newly submitted to CDPH within 90 days of 6/30/2020 reported cases of syphilis, including award. reports on neonates, women of childbearing age, and early syphilis among men. D. Ensure timely investigation of all Percent of neonates exposed to 7/1/2019— reported reactive serologic tests for syphilis with appropriate infant medical 6/30/2024 syphilis according to local protocol evaluation and treatment per CDC and CDPH recommendations. recommendations. • Percent of early syphilis cases among prioritized population (pregnant women, men who have sex with women, MSM) with at least one partner treated within 30 days before or after index client specimen collection. OPTIONAL ACTIVITY: Place a • Number of syphilis cases for which 7/1/2020— checkmark in the box only if Grantee digital platforms are used for partner 6/30/2024 plans to participate in this activity. notification. • Number and percent of partners notified ® E. Use technology, telehealth, and of exposure to STD. digital platforms and applications to enhance immediate access to partner notification and treatment. OPTIONAL ACTIVITY: Place a Please propose indicators, deliverables 7/1/2019— checkmark in the box only if Grantee and outcomes of success. 6/30/2024 plans to participate in this activity. ❑ F. Additional innovative and impactful activity you plan to undertake. Complete the SOW Narrative section, ensuring all program activities, including innovative projects, support the outcome measures of increased screening, treatment and linkage to care. (Please describe below.) County of Fresno Grant 19-10960 Page 4 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline Optional: ❑ G. Place a checkmark in the box if Grantee plans to subcontract any activities from Part I. SOW Narrative: Specify whether the LHJ or a subcontracted CBO will complete the activities and deliverables listed above under Part I Activities E or F by placing a checkmark in the appropriate box under each activity. Describe the approach that will be used to complete the activities selected for this objective, including the approximate beginning and ending month and year for each major activity. Provide the name of the subcontractor if known; otherwise indicate "TBD"for the name of the subcontractor. E — Use technology, telehealth, and Brief description of activity: 7/1/2020— digital platforms and applications. 6/30/2024 (OPTIONAL) Determine and implement a digital platform to increase access to telehealth treatment ❑ Activity will not be conducted and partner notification. ® LHJ will conduct this activity ❑ CBO will conduct this activity Name of subcontractor, if applicable: F— Additional innovative and impactful Brief description of activity: activity (OPTIONAL) ® Activity will not be conducted Name of subcontractor, if applicable: ❑ LHJ will conduct this activity ❑ CBO will conduct this activity Part II: STD testing, treatment, and referral to other services among vulnerable and underserved clients at high risk for STD LHJs are required to participate in all required activities (I through K), as well as at least one of the optional activities listed (A through H). Place a checkmark in the box for the optional activity you plan to participate in and complete the SOW Narrative section. All program activities, including innovative projects, should support the outcome measures of increased screening, treatment and linkage to care. Please complete the SOW Narrative section indicating whether the LHJ or a subcontracted CBO will complete the activities in this section. County of Fresno Grant 19-10960 Page 5 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline OPTIONAL ACTIVITY: Place a Per juvenile correctional facility: 7/1/2019— checkmark in the box only if Grantee • Number of people booked. 6/30/2024 plans to participate in this activity • Number who were tested for STDs. ❑ A. Conduct or ensure the provision ' Number and percent of people who tested that were diagnosed with of routine, universal testing for chlamydia, gonorrhea, or syphilis, by gonorrhea and chlamydia among STD (Target: at least 2% for any STD). people who are incarcerated in county juvenile correctional 0 Number and percent of people who facilities, as close to booking as tested positive that received CDC recommended treatment, by STD possible. (Target: at least 90%). • Number of EPT doses dispensed. OPTIONAL ACTIVITY: Place a Per county jail facility: 7/1/2019— checkmark in the box only if Grantee • Number of people booked. 6/30/2024 plans to participate in this activity • Number and percent of people who received STD testing (Target: 80%). ❑ B. Conduct or ensure the provision , Number and percent of people who of routine, universal testing for tested that were diagnosed with syphilis among people who are chlamydia, gonorrhea, or syphilis, by incarcerated in county jails with STD (Target: at least 2% for any STD). a positivity of 2% or more, as Number and percent of people who close to booking as possible. tested positive that received CDC recommended treatment, by STD (Target: at least 90%). • Number of EPT doses dispensed. OPTIONAL ACTIVITY: Place a Description of digital platforms submitted 7/1/2019— checkmark in the box only if Grantee to CDPH. 6/30/2024 plans to participate in this activity. • Number of people receiving STD tests via platform. ❑ C. Use technology, telehealth, and • Number and percent of people digital platforms and applications diagnosed with chlamydia, gonorrhea, to enhance immediate access to or syphilis, by STD (Target: at least 2% screening, testing, and for any STD). treatment. • Number and percent of people with positive tests that received CDC- County of Fresno Grant 19-10960 Page 6 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline recommended treatment, by STD. (Target: at least 90%). • Number of EPT doses dispensed OPTIONAL ACTIVITY: Place a Description of testing modalities used 7/1/2019— checkmark in the box only if Grantee submitted to CDPH. 6/30/2024 plans to participate in this activity. • Number of people receiving STD testing via modality ❑ D. Use state-of-the-art testing • Number and percent of people modalities that ensure swift and diagnosed with chlamydia, gonorrhea, accurate screening for, and or syphilis, by STD (Target: at least 2% diagnosis of, STDs. for any STD). • Number and percent of people with positive tests that received CDC- recommended treatment, by STD. (Target: at least 90%). • Number of EPT doses dispensed. OPTIONAL ACTIVITY: Place a Description of community-based testing 7/1/2019— checkmark in the box only if Grantee submitted to CDPH, including populations 6/30/2024 plans to participate in this activity. prioritized for screening, STD tests offered, and anatomic sites being tested. ® E. Conduct community-based, . Number of people receiving data-driven testing among community-based testing for STDs. populations at risk for chlamydia, . Number and percent of people gonorrhea, and/or syphilis. diagnosed with chlamydia, gonorrhea, Priority populations include or syphilis, by STD (Target: at least 2% people who are African for any STD). American/Black; lesbian, gay, . Number and percent of people with bisexual, or transgender(LGBT); positive tests that received CDC- and people who can become recommended treatment, by STD pregnant who are at risk of (Target: at least 90%). syphilis. • Number of EPT doses dispensed. OPTIONAL ACTIVITY: Place a Description of outreach and testing 7/1/2019— checkmark in the box only if Grantee submitted to CDPH. 6/30/2024 plans to participate in this activity. • Number of people receiving STD testing. ❑ F. Conduct STD screening among • Number and percent of people people who are homeless or diagnosed with chlamydia, gonorrhea, unstably housed, including or syphilis, by STD (Target: at least referrals/linkage to family 2%). planning, preconception, or Number and percent of people prenatal care for pregnant diagnosed with STDs that received people experiencing homelessness. County of Fresno Grant 19-10960 Page 7 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline treatment, by STD. (Target: at least 90%). • Number of EPT doses dispensed. OPTIONAL ACTIVITY: Place a . Description of case management 7/1/2019— checkmark in the box only if Grantee submitted to CDPH. Number of 6/30/2024 plans to participate in this activity. pregnant people diagnosed with syphilis provided referrals. ❑ G. Provide comprehensive case management for pregnant people diagnosed with syphilis, including referrals to prenatal care, housing, drug treatment, syringe exchange programs, transportation, and/or social services. OPTIONAL ACTIVITY: Place a Please propose indicators, deliverables 7/1/2019— checkmark in the box only if Grantee and outcomes of success. 6/30/2024 plans to participate in this activity. ❑ H. Additional innovative and impactful activity you plan to undertake, and complete the SOW Narrative section. All program activities, including innovative projects, should support the outcome measures of increased screening, treatment and linkage to care. (Please describe below in SOW narrative.) 1. Assess HIV status of people tested Description of process for integrating HIV 7/1/2019— for STDs and link to HIV testing, HIV prevention into STD testing and outreach 6/30/2024 PrEP or HIV care, as appropriate. activities submitted to CDPH. County of Fresno Grant 19-10960 Page 8 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline J. Facilitate HIV prevention among Indicators measured via CaIREDIE: 7/1/2019— STD cases. • Number and percent of early syphilis 6/30/2024 cases newly diagnosed with HIV, among those not HIV-positive. • Number and percent of early syphilis cases/partners with new HIV diagnosis that were linked to HIV care within 30 days of HIV test. • Number and percent of HIV-negative early syphilis cases/partners, referred to PrEP. Optional: ® K. Place a checkmark in the box if Grantee plans to subcontract any activities from Part II. SOW Narrative: Specify whether the LHJ or a subcontracted CBO will complete the activities and deliverables listed above under Part II by placing a checkmark in the appropriate box under each activity. Describe the approach that will be used to complete the activities selected for this objective, including the approximate beginning and ending month and year for each major activity. Provide the name of the subcontractor if known; otherwise indicate "TBD"for the name of the subcontractor. A— Provision of routine, universal Name of subcontractor, if applicable: testing for gonorrhea and chlamydia for incarcerated youth (OPTIONAL) ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity B— Provision of routine, universal Name of subcontractor, if applicable: testing for syphilis for incarcerated people (OPTIONAL) ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity County of Fresno Grant 19-10960 Page 9 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline C— Use technology, telehealth, and Brief description of activity: digital platforms and applications (OPTIONAL) Name of subcontractor, if applicable: ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity D— Use state-of-the-art testing Brief description of activity: modalities (OPTIONAL) Name of subcontractor, if applicable: ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity E— Community-based, data-driven Brief description of activity: Partner with 7/1/2020— testing among populations at risk CBO to increase STD screenings among 6/30/2024 for chlamydia, gonorrhea, and/or vulnerable populations via mobile units or syphilis (OPTIONAL) increased clinic operations. ❑ Activity will not be conducted Name of subcontractor, if applicable: ❑ LHJ will conduct this activity ® CBO will conduct this activity TBD through RFP in Summer 2020 F— STD screening among homeless Brief description of activity: or unstably housed people (OPTIONAL) Name of subcontractor, if applicable: ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity G — Comprehensive case Brief description of activity: management for pregnant people diagnosed with syphilis Name of subcontractor, if applicable: (OPTIONAL) ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity County of Fresno Grant 19-10960 Page 10 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline H — Additional innovative and impactful Brief description of activity: activity (OPTIONAL) Name of subcontractor, if applicable: ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity I - HIV status of people tested for Name of subcontractor, if applicable: 7/1/2019— STDs and linkage to HIV testing, 6/30/2024 HIV PrEP or HIV care (REQUIRED) ® LHJ will conduct this activity ❑ CBO will conduct this activity J — Facilitate HIV prevention among Name of subcontractor, if applicable: 7/1/2019— STD cases (REQUIRED) 6/30/2024 ® LHJ will conduct this activity ❑ CBO will conduct this activity Part III: Partnerships: Increase community-level capacity to deliver STD screening, testing, treatment and linkages to services for vulnerable and underserved clients at high risk for STD LHJs are required to participate in all required activities (A and B). Place a checkmark in the box for the optional activity (C) to propose an innovative evidence-based practice. All program activities, including innovative projects, should support the outcome measures of increased screening, treatment and linkage to care. Please complete the SOW Narrative section indicating whether the LHJ or a subcontracted CBO will complete the activities in this section. Activities Performance Indicators/Deliverables Timeline A. Develop and maintain local (and, Summary of barriers identified and 7/1/2019— where relevant, regional) strategies developed and implemented 6/30/2024 partnerships with stakeholders such through new and existing partnerships, as public and private health plans, coalitions, task forces, and/or work groups federally qualified health centers, and outcome of those partnerships in rural health clinics, Indian health improving STD prevention, screening, organizations, hospitals, labor and County of Fresno Grant 19-10960 Page 11 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline delivery, prenatal, and family diagnosis, linkages to care, and treatment planning settings, laboratories, for vulnerable and underserved individuals. pharmacies, substance use and behavioral health treatment programs, syringe exchange programs, housing services programs, HIV/HCV programs, people from populations at risk of STD, correctional partners, and other partners to assess barriers and develop and implement strategies for improving the accessibility of STD prevention, screening, diagnosis, navigation, linkages to care, and treatment for vulnerable and underserved individuals. B. Collaborate with programs providing Summary of barriers identified and 7/1/2019— services to people who are pregnant strategies developed and implemented to 6/30/2024 (e.g., Maternal/Child Health increase engagement with prenatal care for Programs, prenatal and labor and pregnant people at risk for syphilis. delivery providers, outreach programs) to increase access to and engagement with prenatal care for pregnant people at risk for syphilis (e.g., those experiencing homelessness, using drugs, or who are incarcerated). OPTIONAL ACTIVITY: Place a Please propose indicators, deliverables and 7/1/2019— checkmark in the box only if Grantee outcomes of success. 6/30/2024 plans to participate in this activity. ❑ C. Additional innovative and impactful activity you plan to undertake, and complete the SOW Narrative section. All program activities, including innovative projects, should support the outcome measures of increased screening, treatment and linkage to care. (Please describe below.) County of Fresno Grant 19-10960 Page 12 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline Optional: ❑ D Place a checkmark in the box if Grantee plans to subcontract for any activities in Part III. SOW Narrative: Specify whether the LHJ or a subcontracted CBO will complete the activities and deliverables listed above under Part II by placing a checkmark in the appropriate box for each activity. Describe the approach that will be used to complete the activities selected for this objective, including the approximate beginning and ending month and year for each major activity. Provide the name of the subcontractor if known; otherwise indicate "TBD"for the name of the subcontractor. A— Local/regional partnerships with Brief description of activity: 7/1/2019— stakeholders (REQUIRED) 6/30/2024 ® LHJ will conduct this activity ❑ CBO will conduct this activity B— Collaborate with programs Brief description of activity: 7/1/2019— providing services to people who 6/30/2024 are pregnant (REQUIRED) ® LHJ will conduct this activity ❑ CBO will conduct this activity C— Additional innovative and impactful Brief description of activity: activity (OPTIONAL) Name of subcontractor, if applicable: ® Activity will not be conducted ❑ LHJ will conduct this activity ❑ CBO will conduct this activity Part IV: Fund Community-Based Organizations for STD prevention activities LHJs are required to subcontract out no less than 50 percent of the funds to one or more CBOs, provided that there are CBOs in the jurisdiction that provide these activities and demonstrate the ability to identify priority target populations, satisfactorily describe outreach protocols and include/describe community resources for prevention and control activities. If the Grantee determines that no CBOs existing within the local health jurisdiction meet the criteria specified in H&SC Section 120511, then the Grantee shall submit written documentation demonstrating this fact to CDPH, which CDPH will review on a case-by- case basis. County of Fresno Grant 19-10960 Page 13 of 14 Exhibit A Scope of Work Activities Performance Indicators/Deliverables Timeline A. Develop a mechanism for selecting Selection method submitted to CDPH in 7/1/2019— and funding CBO(s) with capacity to writing. 6/30/2020 reach priority target populations, satisfactorily describe outreach protocols, and include community resources for prevention and control activities. B. Develop and implement a program Program evaluation plan developed and 7/1/2019— evaluation plan to monitor CBO submitted to CDPH. LHJs must 6/30/2020 performance. Collect data on demonstrate that the CBO has (1) required metrics, monitor identified and reached priority target performance, and provide quality populations, (2) satisfactorily described assurance and quality improvement its outreach protocols, and (3) included assistance where needed. community resources for prevention and control activities. County of Fresno Grant 19-10960 Page 14 of 14 Exhibit A Scope of Work 5. Summary of Required Reports and Data Frequency Timeframe Deadline Activities Report Recipient Semi-Annual Fiscal Year 1 Fiscal Year 1 Part I - IV STDLHJContracts(a� (Narrative 07/01/19— 12/31/19 07/31/20 cdph.ca.gov summary 01/01/20—06/30/20 reports) Fiscal Year 2 Fiscal Year 2 07/01/20— 12/31/20 01/31/21 01/01/21 —06/30/21 07/31/21 Fiscal Year 3 Fiscal Year 3 07/01/21 — 12/31/21 12/31/21 01/01/22—06/30/22 07/31/22 Fiscal Year 4 Fiscal Year 4 07/01/22— 12/31/22 12/31/22 01/01/23—06/30/23 07/31/23 Fiscal Year 5 Fiscal Year 5 07/01/23— 12/31/23 12/31/23 01/01/24—06/30/24 6/30/24 Quarterly Year 1 Year 1 Part 11 Secure file transfer (Aggregate client 03/01/20—06/30/20 07/31/20 protocol; CaIREDIE services data reports) Year 2 Year 2 07/01/20—09/30/20 10/31/20 10/01/20— 12/31/20 01/31/21 01/01/21 —03/31/21 04/30/21 04/01/21 —06/30/21 07/31/21 Year 3 Year 3 07/01/21 —09/30/21 10/31/21 10/01/21 —12/31/21 12/31/21 01/01/22—03/31/22 04/15/22 04/01/22—06/30/22 07/31/22 Year 4 Year 4 07/01/22—09/30/22 10/31/22 10/01/22— 12/31/22 12/31/22 01/01/23—03/31/23 04/15/23 04/01/23—06/30/23 07/31/23 Year 5 Year 5 07/01/23—09/30/23 10/31/23 10/01/23— 12/31/23 12/31/23 01/01/24—03/31/24 04/15/24 04/01/24—06/30/24 06/30/24 Contractor Certification Clauses CCC 04/2017 CERTIFICATION I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below. This certification is made under the laws of the State of California. Contractor/Bidder Firm Name (Printed) Federal ID Number County of Fresno 1 94-6000512 By (Authorized Signature) ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,State of California By ?� Printed Name and Title of Person Signing Depkffy Brian Pacheco, Chairman of the Board of Supervisors of the County of Fresno Date Executed Executed in the County of (o 1 Z I /Z Z Fresno CONTRACTOR CERTIFICATION CLAUSES 1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the nondiscrimination program requirements. (Gov. Code §12990 (a-f) and CCR, Title 2, Section 11102) (Not applicable to public entities.) 2. DRUG-FREE WORKPLACE REQUIREMENTS: Contractor will comply with the requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free workplace by taking the following actions: a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program to inform employees about: 1) the dangers of drug abuse in the workplace; 2) the person's or organization's policy of maintaining a drug-free workplace; 3) any available counseling, rehabilitation and employee assistance programs; and, 4) penalties that may be imposed upon employees for drug abuse violations. c. Every employee who works on the proposed Agreement will: 1) receive a copy of the company's drug-free workplace policy statement; and, 2) agree to abide by the terms of the company's statement as a condition of employment on the Agreement. Failure to comply with these requirements may result in suspension of payments under the Agreement or termination of the Agreement or both and Contractor may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: the Contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et seq.) 3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that no more than one (1) final unappealable finding of contempt of court by a Federal court has been issued against Contractor within the immediately preceding two-year period because of Contractor's failure to comply with an order of a Federal court, which orders Contractor to comply with an order of the National Labor Relations Board. (Pub. Contract Code §10296) (Not applicable to public entities.) 4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO REQUIREMENT: Contractor hereby certifies that Contractor will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, 2003. Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm's offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State. Failure to make a good faith effort may be cause for non-renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services. 5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the State of California. 6. SWEATFREE CODE OF CONDUCT: a. All Contractors contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. The contractor further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on the California Department of Industrial Relations website located at www.dir.ca.gov, and Public Contract Code Section 6108. b. The contractor agrees to cooperate fully in providing reasonable access to the contractor's records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department of Industrial Relations, or the Department of Justice to determine the contractor's compliance with the requirements under paragraph (a). 7. DOMESTIC PARTNERS: For contracts of $100,000 or more, Contractor certifies that Contractor is in compliance with Public Contract Code section 10295.3. 8. GENDER IDENTITY: For contracts of$100,000 or more, Contractor certifies that Contractor is in compliance with Public Contract Code section 10295.35. DOING BUSINESS WITH THE STATE OF CALIFORNIA The following laws apply to persons or entities doing business with the State of California. 1. CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions regarding current or former state employees. If Contractor has any questions on the status of any person rendering services or involved with the Agreement, the awarding agency must be contacted immediately for clarification. Current State Employees (Pub. Contract Code §10410): 1). No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment. 2). No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services. Former State Employees (Pub. Contract Code §10411): 1). For the two-year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision-making process relevant to the contract while employed in any capacity by any state agency. 2). For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as the proposed contract within the 12-month period prior to his or her leaving state service. If Contractor violates any provisions of above paragraphs, such action by Contractor shall render this Agreement void. (Pub. Contract Code §10420) Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (Pub. Contract Code §10430 (e)) 2. LABOR CODE/WORKERS' COMPENSATION: Contractor needs to be aware of the provisions which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions, and Contractor affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code Section 3700) 3. AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.) 4. CONTRACTOR NAME CHANGE: An amendment is required to change the Contractor's name as listed on this Agreement. Upon receipt of legal documentation of the name change the State will process the amendment. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment. 5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA: a. When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the contractor is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled. b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate contractor performing within the state not be subject to the franchise tax. c. Both domestic and foreign corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State. 6. RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an agreement, authorizing execution of the agreement. 7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall not be: (1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district; (2) subject to cease and desist order not subject to review issued pursuant to Section 13301 of the Water Code for violation of waste discharge requirements or discharge prohibitions; or (3) finally determined to be in violation of provisions of federal law relating to air or water pollution. 8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. Amendment A-01 to Agreement Between the County of Fresno and California Department of Public Health Name: Sexually Transmitted Disease (STD) Program Management and Collaboration Project Grant Amendment to Agreement (No. 19-10960, A-01) Fund/Subclass: 0001/10000 Organization #: 56201661 Revenue Account #: 3530