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HomeMy WebLinkAboutAgreement A-23-047 First Amendment to Agreement with FMM.pdf Agreement No. 23-047 1 AMENDMENT I TO AGREEMENT 2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter "Amendment") is made and entered 3 into this 24th day of January , 2023, by and between COUNTY OF FRESNO, a Political 4 Subdivision of the State of California, Fresno, California (hereinafter"COUNTY"), and Fresno 5 Metropolitan Ministry, a California Non-Profit Corporation, whose address is 3845 N. Clark St. Suite 6 101, Fresno, California 93726, hereinafter referred to as "CONTRACTOR". 7 WITNESSETH: 8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-21-539, dated 9 the 14t" of December 2021 (hereinafter "Agreement"); and 10 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to 11 extend the term of the Agreement; and 12 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to 13 increase the total compensation of the Agreement; and 14 WHEREAS COUNTY and CONTRACTOR now desire to amend the Agreement in order to 15 update the Scope of Work of the Agreement. 16 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of 17 which is hereby acknowledged, COUNTY and CONTRACTOR agree as follows: 18 1. Paragraph Three (3)—TERM, of the Agreement, on Page Three (3), Line Six (6) and ending on 19 Page Three (3), Line Eleven (11) with the word "performance" shall be deleted in its entirety and 20 replaced with the following: 21 "3. TERM 22 The term of this Agreement shall commence upon execution and be for a period 23 through and including July 31, 2024. This Agreement may be extended for two (2) additional 24 consecutive twelve (12) month periods upon written approval of both parties no later than the last day 25 of the current term. The Director or his or her designee is authorized to execute such written approval 26 on behalf of COUNTY based on CONTRACTOR'S satisfactory performance and availability of funds." 27 2. That all references in Agreement to "Exhibit B" shall be changed to read "Revised Exhibit B". 28 Revised Exhibit B is attached hereto and incorporated herein by this reference. - 1 - 1 3. That Paragraph Four (5) — COMPENSATION/INVOICING, of the Agreement, on Page Four (4), 2 Line Ten (10) and ending on Page Five (5), Line Eighteen (18) with the word "amount" shall be deleted 3 in its entirety and replaced with the following: 4 "5. COMPENSATION/INVOICING: 5 A. COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive compensation at 6 the rates as identified in Revised Exhibit B, attached hereto and incorporated herein by this reference. 7 CONTRACTOR shall submit monthly invoices in triplicate by the thirtieth (30th) working day of each 8 month for prior month's services using a template to be provided by COUNTY with full appropriate 9 supporting documentation (e.g., activity logs, receipts, invoices) to the County of Fresno, Department 10 of Public Health, HPW-Health Disparities Program, Attention: HPW-Health Disparities 11 Program Staff Analyst at DPHBOAP@fresnocountyca.gov or addressed to the County of Fresno, 12 Department of Public Health, HPW-Health Disparities Program, P.O. Box 11867, Fresno, CA 93775, 13 Attention: HPW-Health Disparities Program Staff Analyst. 14 B. In no event shall services performed under this Agreement by CONTRACTOR be in 15 excess of Nine Million Six Hundred Twelve Thousand Nine Hundred Seventy-Six and No/100 Dollars 16 ($9,612,976) during the term of this Agreement. It is understood that all expenses incidental to 17 CONTRACTOR'S performance of services under this Agreement shall be borne by CONTRACTOR. 18 C. CONTRACTOR may request an advance payment of up to 25% of the maximum 19 compensation. CONTRACTOR shall reconcile the advance payment with full, appropriate supporting 20 documentation for all expenses incurred. The Director of his or her designee may make a 21 determination of an appropriate date of reconciling the main advance payment funds. 22 D. Notwithstanding the above, payments made by COUNTY shall be in arrears, for 23 services provided during the preceding month, within forty-five (45) days after receipt and verification 24 of CONTRACTOR's invoices by COUNTY's Department of Public Health. Invoice verification shall 25 consist of: review of supporting documentation for all expenditures, which may include but not limited 26 to timesheets, receipts, mileage records, quarantine support records, and subcontractor invoices 27 including all like supporting documentation; documentation is compliant with Section 12 of this 28 Agreement; line item totals detail in Revised Exhibit B attached hereto have not been over-expended; - 2 - 1 indirect costs have been correctly calculated; and the required invoice template has been submitted. 2 E. CONTRACTOR shall submit quarterly qualitative reports on a template to be 3 provided by COUNTY in accordance with the scope of work attached hereto as Revised Exhibit A. 4 CONTRACTOR shall submit quarterly reports by the thirtieth (30th) working day following the three 5 month's services. 6 F. CONTRACTOR shall submit monthly quantitative reports with key metrics (e.g., 7 number of people receiving education and outreach, number of vaccine/testing events supported, 8 number of vaccine/testing events hosted) using the REDCap database or a system agreed by the 9 COUNTY no later than receipt of the monthly invoice. COUNTY shall withhold ten percent (10%) of the 10 CONTRACTOR's invoiced amount when monthly metric reports are not completed. 11 CONTRACTOR's monthly invoice shall demonstrate a ten percent (10%) withholding from 12 subcontractors when monthly metric reports are not completed by the subcontractors or 13 CONTRACTOR. COUNTY will assess each invoice and determine if the ten percent (10%) withholding 14 will be applied to subcontractor level costs and/or to CONTRACTOR's total invoiced amount. Upon 15 completion of the monthly report, COUNTY shall pay CONTRACTOR the withheld amount." 16 4. That all references in Agreement to "Exhibit A" shall be changed to read "Revised Exhibit A". 17 Revised Exhibit A is attached hereto and incorporated herein by this reference. 18 COUNTY and CONTRACTOR agree that this First Amendment is sufficient to amend the 19 Agreement, and that upon execution of this First Amendment, the Agreement and this First 20 Amendment together shall be considered the Agreement. 21 The parties agree that this First Amendment may be executed by electronic signature as 22 provided in this section. An "electronic signature" means any symbol or process intended by an 23 individual signing this Amendment to represent their signature, including but not limited to (1) a digital 24 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and 25 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature 26 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten 27 signature of the person signing this Amendment for all purposes, including but not limited to 28 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as - 3 - 1 the valid original handwritten signature of that person. The provisions of this section satisfy the 2 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act 3 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital 4 signature represents that it has undertaken and satisfied the requirements of Government Code 5 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely 6 upon that representation. This Amendment is not conditioned upon the parties conducting the 7 transactions under it by electronic means and either party may sign this Amendment with an original 8 handwritten signature. 9 The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 10 covenants, conditions, and promises contained in the Agreement and not amended herein shall 11 remain in full force and effect. This Amendment shall become effective upon execution. 12 /// 13 /// 14 /// 15 /// 16 /// 17 /// 18 /// 19 /// 20 /// 21 /// 22 /// 23 24 25 /// 26 /// 27 /// 28 /// - 4 - ii DocuSign Envelope ID: 1F5202E2-BBEC-44D2-9214-7AE81A1EBC4B 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I as of the day and 2 year first hereinabove written. 3 4 CONTRACTOR COUNTY OF FRESNO Fresno Metropolitan Ministry 5 DocuSigned by: (Autize Signature) Sal Q i ero, 7 hor Chairma of a Board of Supervisors of 8 the County of Fresno Keith Bergthold, Executive Director 9 12/6/2022 1 5:27 PM PST 10 Date 11 12 Mailing Address: ATTEST: 3845 N. Clark Street#101 Bernice E. Seidel 13 Fresno, CA 93726 Clerk of the Board of Supervisors County of Fresno, State of California 14 15 By: 16 FOR ACCOUNTING USE ONLY: Deputy 17 Fund/Subclass: 0001/10000 18 Organization: 56201558, 56201018, 56201019 19 Account: 7295 20 21 22 23 24 25 26 27 28 - 5 - Revised Exhibit A Fresno County Department of Public Health — Fresno County Community Health Worker Network Vendor Scope of Work Summary: COVID-19 has brought many unforeseen challenges to families in our community, including lasting impacts on our most vulnerable and underserved families. Through the CHW Network created through local CBOs during the COVID-19 response, wrap-around services to address health and social disparities have expanded the response to the most vulnerable populations. Through the FCHIP Fresno HOPE Pathways Community HUB (PCH), CBOs responding to these needs through the CHW Network will be able to enhance capacity and continue the work through a standardized approach that will align with CalAIM and Fresno County requirements in a sustainable payment model approach. ate gory 1: RECRUITMENT, PARTNERSHIPS & TRAINING Activity Activity Name Description Responsible Outcome/Deliverable Party 1.1 Recruitment & Hiring Partner will secure staff as needed for FCHIP PCH. FCHIP . Hire staffing for Recruited staff will be responsible for implementation project and administration of PCH activities, oversight of CBO . Include FCDPH contracts, and all aspects of the FCDPH contracted lead staff in hiring agreement. process • Submit staffing report to FCDPH on a quarterly basis 1.2 FCHIP PCH Location Partner will secure a physical work location & FCHIP . Work location is workstation for all FCHIP PCH staff. established. 1.3 Invoicing &financial reports Partner will submit invoices, supporting documentation, FCHIP . Monthly invoice and other financial reports monthly on or before an submission agreed upon date following an established protocol. These reports and supporting documentation will reflect program and contractual activities. 1 of 15 Revised Exhibit A 1.4 CBO Contracts Partner will contract with CBOs, and will make contract FCHIP . Execute contracts amendments as needed, to continue COVID-19 equity FCDPH with CBOs work (outreach and education regarding testing, • Provide copy of vaccination, quarantine and isolation) and provide executed contracts capacity building through the Pathways sustainable or contract payment model approach. This includes: amendments to FCDPH • Working with FCDPH on CBO SOW Performance development and performance measure measures monitoring. • Coordinate & establish CBO partnerships and structure agreements. e.g., Coalitions, individual. • Monitor CBO contracted activities, expenditures, and implement quality improvement measures to address gaps in services and outcomes. 1.5 Data System(s) Partner will work with FCDPH on managing the FCHIP Provide data administration of Care Coordinated Systems (CCS) and FCDPH system support to will provide IT support to contracted CBO partners. This CBO contracted support includes: partners. • CBO add-on user requests will be submitted to FCDPH through an established protocol. • Identify and establish additional benchmarks needing to be captured through the data system(s). e.g., crisis counseling, other wrap around services. • Providing IT support & troubleshoot needed support for contact tracing efforts, as needed, in the respective data system platforms. e.g., CalConnect • Establish guidelines and provide TA support on quality improvement measures to assure data entry and system usage efficiency. • Managing CBO IT support requests in a timely manner through a developed/agreed upon process &workflow. 2of15 Revised Exhibit A • Managing CBO partner support regarding operations, reporting, and invoicing within the data system. • Administration of all Business Associate Agreement (BAAs) with CBOs 1.6 Trainings Partner will develop a training plan, and update it as FCHIP • Submit training needed, to include training requirements for PCH staff FCDPH plan to FCDPH. and CBO contracted and non-contracted partners. The CBO • Submit training training plan will include culturally appropriate trainings Contracted plan progress on a to be facilitated by contracted partners and PCH staff. Partners quarterly basis. These training topics include, but are not limited to: • Data system user training • HIPAA & confidentiality • Pathways/PCHI required training • ACES awareness • Mandated reporter training • Motivational interviewing & reflective practice • Cultural sensitivity & responsiveness • Resources & programs in Fresno County • CalAIM • Cal Connect • COVID-19 identified trainings • Social determinants of health • Social needs assessment tool • Health Equity • National CLAS Standards • Other trainings as needed 3of15 Revised Exhibit A Category 2: IMPLEMENTATION & SUPPORT Activity Activity Name Description Responsible Outcome/Deliverable Part 2.1 CBO COVID-19 continued Partner will monitor and establish mechanisms aligned FCHIP • Submit monthly support with the PCH Model to assure CBO contracted partners CBO reports to FCDPH continue to provide COVID-19 response activities Contracted to capture during the contracted period. These activities include: Partners established metrics from each • COVID-19 Outreach & education in hard-to- CBO contracted reach priority communities within Fresno partner through County. CCS. • COVID-19 vaccination and testing coordination in priority populations within Fresno County. • Vaccination event support. • Contact tracing & medical investigation, as needed.. • Implementation & distribution of isolation/quarantine support (IQS) based on established and/or FCDPH modified processes & protocols, as needed • Reduction of identified barriers by opening Pathways and providing referrals & supports to complete Pathways. e.g., transportation, food security, social service-financial supports, housing. • Complete the Covid-19 Learning Pathway and the Medical Referral Pathway for Covid-19 Vaccines as appropriate with participants enrolled in the HOPE PCH. Other established services as needed, in a culturally and linguistically appropriate manner. Partner will provide support and resources needed from CBO contracted partners in COVID-19 response efforts. 4of15 Revised Exhibit A 2.2 Payment for outcome phase Partner will establish payment for outcome model FCHIP Submit a quarterly transition processes and provide support to CBO contracted report to FCDPH partners in the implementation of these processes. on phase transition This will include: progress & payment • Training & support needed by CBO contracted outcomes. partners during the transition. • Timeline, guidelines, and criteria needed for payment reimbursement through the established phases following the PCHI® Model criteria. • Work with FCDPH to establish billing criteria for non-Pathway COVID-19 billing support services, and updating them as needed. e.g., Contact tracing, vaccination event support, etc. • PCH to bill managed care plans & other funding partners if applicable for the successful completion of Pathways. • PCH to distribute payment to CBOs for completion of established Pathways within their respective CHW support & other non-Pathway COVID-19 services. Partner will provide support and TA to CBO contracted partners. 5of15 Revised Exhibit A 2.3 CBO Pathway model Partner will establish and execute processes for CBO FCHIP Submit a quarterly activities contracted partner Pathway model activities, to include report to FCDPH care coordination approaches & data system usage: on CBO contracted partner • Identify priority population and/or outcome area Pathway model within Fresno County, and make adjustments as activity progress, needed. to include • Provide support in establishing referral challenges & processes for CBO CHW Network. successes. • Implement strategies to engage identified service population. • Implement strategies to address service gaps in the priority population/outcome area. • Establish community resource referral process for CHW Network care coordination efforts. • Implement social determinants of health needs assessment and provide resources, intervention strategies, and best practice support. • Provide the necessary tools to support with CHW Network Care coordination efforts leading to a standardized Pathway. 6of15 Revised Exhibit A 2.4 Educational resources Partner will identify, assess, and provide additional FCHIP Maintain an educational support needed for CBO contracted educational activities. These will include: resource repository. • Tailored educational resources, to be in a culturally and linguistically appropriate manner. • Resource sharing, to include updates on COVID-19 updated mandates, Pathway model resources, and other identified resource needs. • Provide CBO talking points for tailored messaging to community members as needed. Partner will identify CBO TA needs based on educational resource requests and supports needed. 2.5 Media Activities Partner will work with FCDPH media contractor to FCHIP Submit a log of identify media opportunity needs with CBO partners FCDPH media activities and targeted community. This will include: Media conducted & Contractor resource • Identifying need for targeted messaging & development on a marketing opportunities. quarterly basis to • Participate and/or coordinate CBO participation FCDPH. in local media opportunities, to include FCDPH media briefs when needed. • Promote program and activities in ethnic/linguistic communities using culturally competent practices. • Track marketing efforts by each CBO partner through an agreed upon process & protocol. 7of15 Revised Exhibit A 2.6 Community Collaboration Partner will establish and coordinate a community FCHIP Provide sign-in advisory council, when appropriate, that will include FCDPH sheets, meeting engagement and participation of CBO contracted and CBO minutes, and non-contracted partners, community members Contracted agendas to receiving services, CHW network partners, network of Partners FCDPH on care community agencies, and other identified partners. quarterly basis. This collaboration will include: • Quarterly meetings • Standing meeting agenda items • Serve as a bi-directional collaboration platform for resources sharing, referral processes, best- practice support, quality improvement, and other identified needs. • Serve as a group that provides oversight & feedback on PCHI model & other implementation practices. Category 3: Quality Assurance & Reporting Measures Activity Activity Name Description Responsible Outcome/Deliverable Part 8of15 Revised Exhibit A 3.1 Pathways PCHI model Partner will align with PCHI Model fidelity to achieve FCHIP Submit quarterly certification. These requirements will include: report to FCDPH on Pathways • Community engagement and planning model certification • Fulfill prerequisites for PCH certification status. eligibility through organizational standards. Once certified, • Fulfill requirements through the evidence-based submit certification set standards. notice to FCDPH. • Meet standards and obtain certification. Maintain ongoing • Maintain certification status and align with standards to keep model fidelity. certification standards current. 3.2 CBO COVID-19 Metrics Partner will monitor and establish mechanisms to FCHIP Submit monthly assure CBO contracted partners adherence with reports to FCDPH COVID-19 activity metrics. to capture established • Track outcomes and review data on an on-going metrics from each basis to assure proper intervention and CBO contracted responses are taking place. partner. • Track adherence &timeliness of data submission by CBO contracted partners. • Identify additional tracking resources needed in the data system and/or other tracking mechanisms. 9of15 Revised Exhibit A 3.3 CBO PCHI Model Partner will implement & maintain quality assurance FCHIP . Submit quality measures to assure CBO contracted partners are improvement plans adhering to contracted activities and PCHI model to FCDPH once processes: established. • Submit the • Review data on an ongoing basis to ensure sustainability plan client care coordination outcomes. once completed. • Review issues of quality, timeliness of service, documentation completion, and other identified areas. • Analyze timeliness of each Pathway based risk mitigation. • Analyze data to identify additional support needed and/or training for CBO-CHW Network partners. • Analyze data to identify specific community infrastructure needs and enhancements. This can be done in part by analyzing "finished incomplete Pathways." • Develop a sustainability plan, to include identifying and/or establishing additional payors to assure identified gaps, services, and community supports continue. Partner will implement quality improvement measures and work with each contracted CBO partner to establish a plan of improvement measures based on performance and need. 10 of 15 Revised Exhibit A 3.4 CBO partner site visits Partner will perform site visits with contracted CBO FCHIP Submit site visit partners to ensure fidelity with the PCHI Model, COVID- results with 19 activities & contractual compliance. Partner will: FCDPH in quarterly report. • Establish frequency of site visits. • Provide feedback of site visit results with individual sites & FCDPH. • Strategize with individual sites on best practice implementations to improve client care coordination outcomes. 3.5 Community Advisory Council Partner will work with community advisory council FCHIP Provide sign-in QI measures members, when appropriate, to share information sheets, meeting regarding service delivery feedback and other quality minutes, and improvement measures, this will include: agendas to FCDPH on • Sharing best practice program implementation quarterly basis. measures in areas needing improvement. • Identifying gaps in community resources & collaboration needs for bi-directional referrals where gaps are identified. • Leveraging other identified needed supports and implementation improvement practices. 11 of 15 Revised Exhibit A 3.6 Meetings Partner will participate in FCDPH identified FCHIP Attend all agreed meeting/calls to be attended by established staff on an FCDPH Staff upon agreed upon frequency. meeting/calls. • Monthly program call with FCDPH lead staff. • Meeting/calls with media contractor as needed. • Meeting/calls with contracted evaluator as needed. • Community Advisory Council quarterly meetings. • Other identified meetings as needed. Partner will identify meetings/calls that would need to be attended by FCDPH as it pertains to program implementation and outcomes. 12 of 15 Revised Exhibit A 3.7 Program reports Partner will submit appropriate reports on an agreed FCHIP Submission of upon timeframe and will identify/communicate appropriate reports additional reporting needs and/or challenges with on agreed upon FCDPH. timeline. Monthly Reports: • CBO Contracted COVID-19 activities & metrics • Pathways completion report • Financial report, to include invoicing & other supportive documentation. Quarterly • Overall program report • Staffing report • Media activity log • Training log • Community advisory board documentation Once completed/obtained: • Training plan • PCH model certification • Quality improvement plans • Sustainability plan Submission of other identified reports & metrics once transition to PCH payment model is in effect and/or identified by program evaluator. 13 of 15 Revised Exhibit A Category 4: Evaluation Activity Activity Name Description Responsible Outcome/Deliverable Party 4.1 Evaluator Program will work with contracted evaluator to FCHIP Collaborate with implement evaluation metrics, benchmarks, and Contract contractor on practices to evaluate the effectiveness and impacts of Evaluator evaluation plan. the program. These activities will include • Identify & implement evaluation needs in data system to track and measure program impacts. • Implement improvement recommendations of identified areas to improve program outcomes. • Contribute to the effectiveness of the program evaluation through collaboration and feedback of program progress. • Support and contribute with evaluation methods in various program aspects such as implementation, certification fidelity, community input, health equity, and other identified areas. • Identify future opportunities of braided funding and leveraging of resources based on program outcomes and opportunities, to be included in the sustainability plan. • Other evaluation needs. 14 of 15 Revised Exhibit A Glossary: • CaIAIM: California Advancing and Innovating Medi-Cal • CCS: Care Coordination System • CHW: Community Health Workers • CBO: Community-Based Organizations • CLAS: Culturally and Linguistically Appropriate Services • FCHIP: Fresno County Health Improvement Partnership • FCDPH: Fresno County Department of Public Health • PCH: Pathways Community HUB • PCHI: Pathways Community HUB Institute • SOW: Scope of Work • IQS: Isolation Quarantine Support • TA: Technical Assistance 15 of 15 Revised Exhibit B Fresno HOPE PCH Budget Proposal Date Proposed:October 19,2022 Term:December 15,2021-July 31,2024 Approved Budget Amended Budget Personnel December 15,2021- December 15,2021-July July 31,2023 31,2024 HUB Program Director-1 FTE(17 mo/12 mo/29 mo) $ 125,615.00 $ 195,419.00 Fiscal and Contracts Management-1 FTE(15 mo/12 mo/27 mo) $ 80,000.00 $ 136,968.00 FCHIP Program Director-.3 FTE(19 months/12 months at.1 FTE/31 mo) $ 39,005.00 $ 39,005.00 FCHIP Manager-.20 FTE(1 mo) $ 2,166.00 $ 2,166.00 FCHIP Marketing Coordinator-.10 FTE(1 mo) $ 1,247.00 $ 796.00 FCHIP Communications Coordinator-FY 22-23 @.20 FTE I FY 23-24 @ $ 12,408.00 $ 14,905.00 .10 FTE (19 mo/12 mo/31 mo) HUB Admin-1 FTE(18 mo) $ 59,280.00 $ 90,682.00 Care Coordination HUB Manager -Special Projects-1 FTE (17 mo/12 $ 87,833.00 $ 122,475.00 mo/29 mo) Care Coordination Partner Liaison for 4 CBOs and Quality Assurance/Audit $ 77,917.00 $ 120,960.00 Manager-1 FTE (17 mo) Care Coordination Partner Liaison for 4 CBOs(HUB's Train the Trainer) $ 77,917.00 $ 84,241.00 Training Lead -1 FTE(17 mo) Care Coordination Partner Liaison for 4 CBOs and Referral Lead(17 mo) $ 77,917.00 $ 109,352.00 Personnel Sub-Total $ 641,305.00 $ 916,969.00 Fringe @ 32% $ 205,218.00 $ 293,431.00 Total Personnel $ 846,523.00 $ 1,210,400.00 Operating Costs Fiscal Sponsor-Fresno Metropolitan Ministry $ 204,200.00 $ 360,200.00 HUB Staff General Expense(office supplies,Adobe subscription,copy, $ 6,451.00 $ 12,904.00 print,etc.) HUB Staff Facilities,Security,utilities,maintenance $ 36,000.00 $ 42,360.00 HUB Staff Workspace Furniture($1 k x 6.5 FTEs-one time expense) $ 6,500.00 $ 6,500.00 HUB Staff Equipment and Software(Laptops and MS Word Suite($2.21K x $ 14,300.00 $ 14,300.00 6.5-one time expense) HUB Staff Communications-Cell Phone Stipends,Internet,Mailchimp, $ 19,225.00 $ 18,026.00 Survey Monkey Meetings-Zoom subscription,Equipment-Conference Camera for hybrid $ 5,600.00 $ 11,100.00 meetings,materials,community resident stipends,refreshments for meetings. HUB Staff Travel*(mileage reimbursement for local travel @.625/mile @ $ 5,000.00 $ 15,039.00 $333.33/mo x 15 mo/12 mo/27 mo) IT/Reflective Practice Support for 25 CHWs and HUB Staff $ 28,500.00 $ 28,500.00 Total Operating $ 325,776.00 $ 508,929.00 Direct Costs $ 1,172,299.00 $ 1,719,329.00 Indirect Costs @ $ Total Direct and Indirect $ 1,172,299.00 $ 1,719,329.00 Other Costs(not included in indirect) Subcontracts $ 5,334,900.00 $ 6,739,767.00 Consultants(Legal Counsel,Supplemental Training,Bilingual Trainer,and $ 61,000.00 $ 66,280.00 other consultant as needed) Isolation Quarantine Support(IQS) $ 528,100.00 $ 920,623.00 Consultant-HUB Technical Assistance Contractor-Pathways Community $ 60,000.00 $ 80,000.00 HUB Institute and Certification Fees Marketing Services- build a website,logo,and branding for Fresno HOPE $ 14,000.00 $ 14,000.00 PCH Consultant-data tracking and reporting $ 30,300.00 $ 60,600.00 Consultant-translation services $ 12,377.00 $ 12,377.00 Other Costs Subtotal $ 6,040,677.00 $ 7,893,647.00 Grand Total $ 7,212,976.00 $ 9,612,976.00