HomeMy WebLinkAboutAvenal Community Health Center dba Aria Community Health Center-Fresno Countys Advancing Health Literacy Intervention Program_A-23-138 A-22-182.pdf COU Y Count of Fresno Hall of Records,Room301
2281 Tulare Street
Fresno,California
(16, Board of Supervisors 93721-2198
O� 0 Telephone:(559)600-3529
FRE`' Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
March 28, 2023
Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig,Supervisor Buddy Mendes,
Supervisor Brian Pacheco,and Chairman Sal Quintero
Agenda No. 50. Public Health File ID: 23-0176
Re: Approve and authorize the Chairman to execute First Amendment to Agreement with Avenal
Community Health Center dba,Aria Community Health Center to extend the term of the existing
agreement to continue to promote community health support and provide health intervention activities
for Fresno County's Advancing Health Literacy Intervention Program by adding two optional one-year
extension periods for a full term of May 3,2022 through June 30,2025,with no change to the
maximum compensation of$500,198
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No.23-138
County of Fresno Page 52
�.� co
Board Agenda Item 50
0 1$56 0
FRTr✓`'�
DATE: March 28, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment to Agreement with Avenal Community Health Center dba, Aria
Community Health Center
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute First Amendment to Agreement with Avenal
Community Health Center dba,Aria Community Health Center to extend the term of the existing
agreement to continue to promote community health support and provide health intervention
activities for Fresno County's Advancing Health Literacy Intervention Program by adding two
optional one-year extension periods for a full term of May 3, 2022 through June 30, 2025,with no
change to the maximum compensation of$500,198.
There is no additional Net County Cost associated with the recommended action. This recommended action
reallocates unspent funds from year one to year two and reallocates funds to adjust for previously
unanticipated costs and corrects an error in the original Agreement's compensation/invoicing section,
without increasing the annual or full-term maximum compensation amounts of the Agreement with Avenal
Community Health Center dba,Aria Community Health Center(Aria). This action will also allow for the
Department Director or designee to extend the Agreement for two additional twelve-month periods based on
performance, service need and mutual agreement by both parties. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, Aria will not be able to effectively serve the needs
of community members through health literacy interventions. Furthermore, the full amount of funds initially
agreed upon at the time of contract execution may not be maximized, causing both the Aria and the County
to have unspent funds at the end of the grant term.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The Agreement with Aria
will continue to be funded by federal grant funds through the Department's Advancing Health Literacy
Program. The maximum payable under the Agreement with Aria is$500,198. Sufficient appropriations and
estimated revenues are included in the Department of Public Health's Org 5620 FY 2022-23 Adopted
Budget, and will be included in subsequent budget requests, should the Department exercise the optional
extension periods contained in the agreement.
DISCUSSION:
On May 3, 2022 your Board approved Agreement No. 22-182 which allowed the County to partner with Aria
to promote community health support and to provide health intervention activities for implementation of
County of Fresno Page 1
File Number.23-0176
File Number:23-0176
Fresno County's Advancing Health Literacy Intervention Program. If approved, the recommended action
would allow changes to Aria's budget to reflect actuals in year one and increase the year two budget with
carryover amounts from unspent year one funds. The recommended action would also allow for a
correction in the previous Agreement's wording of the Compensation/Invoicing section to ensure the written
and numeric compensation amounts are in concurrence. Additionally, the recommended action will allow for
the addition of two optional twelve-month extension periods by the Department Director or designee,
dependent upon satisfactory performance, service need, and approval from both parties. No changes were
made to the maximum total compensation.
REFERENCE MATERIAL:
BAI #42, May 3, 2022
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- First Amendment to Agreement with Avenal Community Health Center dba,Aria
Community Health Center
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number.23-0176
Agreement No. 23-138
1 AMENDMENT ITO AGREEMENT
2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter "Amendment") is made and entered
3 into this 28th day of March , 2023, by and between COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, Fresno, California (hereinafter"COUNTY'), and Avenal
5 Community Health Center dba Aria Community Health Center, a California Non-Profit Corporation,
6 whose address is 555 E. Street, Lemoore, California 93245, hereinafter referred to as
7 "CONTRACTOR".
8 WITNESSETH:
9 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-22-182, dated
10 the 31 of May 2022 (hereinafter"Agreement"); and
11 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
12 adjust annual budget amounts to reflect year one actuals, carryover unspent funds from year one to
13 year two, and reallocate carryover funds in the Personnel, Fringe Benefits, Operational, Travel, and
14 Other Costs budget categories to account for previously unanticipated expenses; and
15 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
16 allow for the option to extend the Agreement for two additional twelve (12) month periods upon written
17 approval of both parties; and
18 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement regarding
19 changes as stated below and restate the Agreement in its entirety.
20 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of
21 which is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
22 1. Paragraph Three (3)—TERM, of the Agreement, on Page Two (2), Line Twelve
23 (12) and ending on Page Two (2), Line Fourteen (14) with the number"2023" shall be deleted in its
24 entirety and replaced with the following:
25 "3. TERM
26 The term of this Agreement shall commence on May 3, 2022 and continue through and
27 including June 30, 2023. This Agreement may be extended for two (2) additional twelve (12) month
28 periods upon written approval of both parties no later than the last day of the current term. The
- 1 -
1 Director or his or her designee is authorized to execute such written approval on behalf of COUNTY
2 based on CONTRACTOR'S satisfactory performance and availability of funds."
3 2. That all references in Agreement to "Exhibit B" shall be changed to read
4 "Revised Exhibit B". Revised Exhibit B is attached hereto and incorporated herein by this reference.
5 3. That Paragraph Four (5)— COMPENSATION/INVOICING, of the Agreement, on
6 Page Three (3), Line Eight (8) and ending on Page Three (3), Line Twenty-Seven (27)with the word
7 "Year" shall be deleted in its entirety and replaced with the following:
8 "5. COMPENSATION/INVOICING: COUNTY agrees to pay CONTRACTOR and
9 CONTRACTOR agrees to receive compensation as identified in Revised Exhibit B, attached hereto
10 and incorporated herein by this reference. CONTRACTOR shall submit monthly invoices to COUNTY,
11 by the 15th day of each month for the prior month's expenditures, e-mailed to the County of Fresno,
12 Department of Public Health, HPW-Health Literacy Program, Attention: HPW-Health Literacy
13 Program Staff Analyst at DPHBOAP@fresnocountyca.gov or addressed to the County of Fresno,
14 Department of Public Health, HPW-Health Literacy Program, P.O. Box 11867, Fresno, CA 93775,
15 Attention: HPW-Health Literacy Program Staff Analyst.
16 Invoices shall detail line items as specified in Revised Exhibit B, including original budget
17 amount(s), current month's expenses, year-to-date expenses, and budget balances. In addition,
18 invoices shall also include all relevant supporting documentation including but not limited to copies of
19 original statements, program expense receipts, payroll records, mileage claims and documented
20 administrative / overhead costs. No reimbursement for services shall be made until invoices are
21 received, reviewed and approved by COUNTY's Department of Public Health.
22 In no event shall services performed under this Agreement be in excess of Five Hundred
23 Thousand and One Hundred Ninety-Eight Dollars and 00/100 ($500,198) during the initial term of
24 this Agreement. It is understood that all expenses incidental to CONTRACTOR'S performance of
25 services under this Agreement shall be borne by CONTRACTOR. COUNTY shall not be obligated to
26 make any payments under this Agreement if the request for payment is received by the COUNTY
27 more than forty-five (45) days after the end of the Federal Fiscal Year."
28 COUNTY and CONTRACTOR agree that this First Amendment is sufficient to amend the
- 2 -
1 Agreement, and that upon execution of this First Amendment, the Agreement and this First
2 Amendment together shall be considered the Agreement.
3 The parties agree that this First Amendment may be executed by electronic signature as
4 provided in this section. An "electronic signature" means any symbol or process intended by an
5 individual signing this Amendment to represent their signature, including but not limited to (1) a digital
6 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
7 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
8 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten
9 signature of the person signing this Amendment for all purposes, including but not limited to
10 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as
11 the valid original handwritten signature of that person. The provisions of this section satisfy the
12 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act
13 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital
14 signature represents that it has undertaken and satisfied the requirements of Government Code
15 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely
16 upon that representation. This Amendment is not conditioned upon the parties conducting the
17 transactions under it by electronic means and either party may sign this Amendment with an original
18 handwritten signature.
19 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
20 covenants, conditions, and promises contained in the Agreement and not amended herein shall
21 remain in full force and effect. This Amendment shall become effective upon execution.
22 ///
23 ///
24 ///
25
26
27
28 ///
- 3 -
1 ///
2 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I as of the day and
3 year first hereinabove written.
4
5 Avenal Community Health Center dba COUNTY OF FRESNO
Aria Community Health Center
6
Y� Y1
Digitally signed byJenelle Mason
7 J e n e I I e M d S O n Date:2023.03.07 06:54:48-08'00'
Jenelle Mason, CCO al me
8 rm of the Board of Supervisors of
9 3/7/23 the County of Fresno
Date
10
Mailing Address:
11 555 E Street
Lemoore, CA 93245
12
13 ATTEST:
Bernice E. Seidel
14 Clerk of the Board of Supervisors
15 County of Fresno, State of California
16 FOR ACCOUNTING USE ONLY:
By:
17 Fund/Subclass: 0001/10000 Deputy
Organization: 56201557
18 Account: 7295
19
20
21
22
23
24
25
26
27
28
- 4 -
O T N mt V M o O N O M N t0 N O O O N Q O Qt 0 0 O n O N Q N O
O N ow O m w o O P O Q n N l0 O O ml O n 1� mt T VI Y1 T O N o eV Yf N !b
O n .+ Q o 0 ^ O N °1 n m m T n m n Q N ll O M o N n
y ry 0 ri T m ut N N N in � 41 N T m tm O N O S n Q .i
EO .ti mi T rl ml N ti ri tD tD N N tD vl ��T O 00 T 1� n I+l O n O ll1 O N O
� N m N M •i Q m N H m T M N O N Q O
m
10
O
F
3
z
Uf Vf Vl N VI VI t/V w N w V}lM1 tR N 1I� to Vf to�A N H N N N N
O m m m 0 O 0 "R o n n O o m m O O O O N 0 0 O O O O m T T
O M O o t0 lnm lm O O m Qf O 0 0 0 0 0 0 0 O Q N O
mI o l+i rri rri rri ni o o In o 0 0 0 0
m E R VI O O lm O O O T o N m m O O O N n
'p o R 0 0 0 oLQ LQ �m n to tc to in nT n vv'i m o rl 0 m o 0 o n Q
m M N ry M o 1p v to m m T a o
O
H
N
O
O.
6
a
V�Ul N V!Vl t/l to N N �JJJ-I-H-1-14�
kl-H—H
�H—�
HJJJ-141-1
O T n tO Q m in Q 0 o Q o 0 0 0 m 0 m n Q .+
O O Q VI m1 Q m n N n 1p Q M N Iq N mt tp .1 m to Q O T O O Lq M n 0 T Ci m n
= M N rl O M rl ml tvf ul to V N mJ t0 M 00 YI O mt M an ul ml .-+ N O n'1 M O M
Q 0 w m N
n N 0 I� 00 N tm N M O N O m
ry m Q ti mt m �D Q o Ot N .y Ot m mt Ot iD Q m in o m I+t n o
CO � O m ri mi N O O N t➢Vl Vl tp Vf t0 tp N Q N N m Itl n ri N h h O O n O N
m N
v v
z .o
w E
a
a
O. N N N N N Vf N N N N
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O O o 0 0 o N 0 0 O O O O N N
O O O O O O O O O O o 0 0 0 0 0 0 0 0 O O O O O O O O o
O 0 0 O 0 a 0 0 0 O N O0 O0 m G O � Q� O mm O 0 O 0 0 O 1 1
O b
CO o t0 0 0 Om O vt N N v1 tp O n O O O O O n n
n n n n 0 0 Q T T 01 T T _Q_ n ti O N O O O O O O O n Q N
ml 1 mi mi mi n n ml O M W Q IO O O ml V1 ml M Q Ill O
m .i N N n v' m ti Q to b
N N
Y
M a
W O
•+ a
— a
of +M1 N N N 4N N N
X
W d m N o O N O O O Q m 0
y mt O N m Q O O T Q n n z N T
"C 2 tD O O tO Ol n m m N N
N COO O m e1
0 mN M n T W N ti C n N N ti
OO ? Q N N r W
m
(D m Y
m m
2 �
c
LL OJ
N Q
W
o m o 0 o m m m m m o o m m o 0 0 o Q o 0 0 0 o m o I
o m m m m m o o to o in vt to to in o o m o 0 0 0 o m o 0 0 0 o m n
m T N N N N N Ilt to tD S ww tm lm lm T T M O m C 0 m ti -i O O c
.p v m ri o o cl T m ri to mi c m to m o tri of o Q m Q
p m m o+
m T N N n m m c
N
Y
W
>
O
a
a
a
N V4 tR V! M Vl N N N N
O
o
w '^ - O F « w l7
c r o o -
C Ol O A V N V
O C H G 0 C
L^
� � V
c -
mu v
o =
m L ,
v "
v co
C N «
O O O O O O 0 0 0 0 0 y «O o3
g33333 0 33333 vt 'a ."- — m c �
to a y m
N L G1 N W Ol ,Yr U N W N N N 2 u
0 p x x x x 2 a y p x x x x x v A u E 0 « c M 2 a t0 Q
uo ZZZ l u$ o o �°76
q
Ul W ° o 0 0 0 o 76
° C . o 0 0 o O C .O 6 yC v A L v w j
O H a a V V V V V Q m. u` a V V u V V a a 0 l7 a V F O H 2 O