HomeMy WebLinkAboutFresno Economic Opportunities Commission-African American Coalition_A-23-172 A-22-102 A-22-432.pdf COLI�,�� County of Fresno Hall of Records, Room301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
1e56 Q Telephone:(559)600-3529
FRE`'� Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
April 11, 2023
Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes,
Supervisor Brian Pacheco, and Chairman Sal Quintero
Agenda No. 41. Public Health File ID:23-0219
Re: Approve and authorize the Chairman to execute Second Amendment to Agreement with Fresno
Economic Opportunities Commission,to add the provision of communicable disease screening and
treatment, and extend the term by ten months from July 31, 2023 to May 31,2024,and increasing the
maximum by$1,309,025 to a total of$2,086,949
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero
Agreement No.23-172
County of Fresno Page 45
co
1 r, Board Agenda Item 41
0 1856 0
FRES5
DATE: April 11, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Second Amendment to Agreement with Fresno Economic Opportunities
Commission
RECOMMENDED ACTION(S)-
Approve and authorize the Chairman to execute Second Amendment to Agreement with Fresno
Economic Opportunities Commission,to add the provision of communicable disease screening and
treatment, and extend the term by ten months from July 31, 2023 to May 31, 2024, and increasing the
maximum by$1,309,025 to a total of$2,086,949.
There is no additional Net County Cost associated with the recommended action. Approval of the
recommended action will allow Fresno Economic Opportunities Commission's (EOC)African American
Coalition (AAC)to continue assisting Fresno County in providing COVID-19 and influenza testing and
vaccination administration to the County's vulnerable population and add the provision of providing
communicable disease screening and treatment. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board elect not to approve the recommended action, EOC
will not be able to continue providing COVID-19 and influenza testing and vaccination to the County's
vulnerable population beyond July 31, 2023, reducing the available services to vulnerable and high-risk
populations. EOC will also not be able to provide the additional increased screening and treatment for
communicable diseases.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action.The agreement is
funded by State grants. The recommended action will increase Agreement No. 22-432 for a maximum
compensation of$2,086,949, which represents a $1,309,025 increase. Cost is offset with various funding
streams including Epidemiology, Lab Capacity(ELC), STD Collaboration grant funds, and Immunization
grant funds. Sufficient appropriations and estimated revenues for the current year estimated expenses are
included in the Department's Org 5620 FY 2022-23 Adopted Budget and will be included in subsequent
budget requests.
DISCUSSION:
Fresno EOC is one of the instrumental partners in the COVID-19 response efforts and has consistently
shown their willingness to adjust and adapt to the newest emergent needs of the community. On August 10,
2021, the Board approved the First Amendment to Agreement No. A-21-316 with EOC's AAC to add the
provision of COVID-19 vaccine services, influenza, and other communicable disease support services
County of Fresno page 1 File Number.23-0219
File Number:23-0219
through December 31, 2021. On December 14, 2021, the Board approved a retroactive Agreement No.
A-21-540 with EOC Housing for the Harvest program that allowed for the option to invoke an emergency
clause to continue Community Based Organization (CBO)COVID-19 response for an estimated three
months with existing and interested CBO(s). On March 22, 2022, the Board approved Agreement No.
A-22-102 with EOC to continue AAC's COVID-19 and Influenza testing and vaccination services through
September 30, 2022. On September 20, 2022 the Board approved amendment A-22-432 to extend the term
four months and add the provision to provide Monkeypox vaccinations and education and outreach.
Most recently after the need to address Monkeypox, EOC has again agreed to partner with the Department
to handle increased screening and treatment of communicable diseases in the community with a focus on
the LGBTQ community. The recommended Amendment to Agreement No. A-22-432 will add the provision of
communicable disease screening and treatment services and extend the term of the agreement through
May 31, 2024.
The LGBTQ community is currently identified as one of the high-risk populations for communicable
diseases. EOC has an LGBTQ resource center that provides STD clinical services and the EOC
infrastructure around the high-risk population which allows them to be an excellent resource for screening
and treatment services. These services have the potential to significantly mitigate the spread of
communicable diseases in our community.
The transmission and hospitalization rates for COVID-19 also continue to create a need for CBOs to
address the County's vulnerable populations including migrants, farmworkers, as well as other essential
workers and people of color. The Department deemed it necessary to continue to build upon the unique
community ties EOC has developed over the years of working directly with the County's vulnerable
populations.
Through December 31, 2022, AAC has conducted 7,755 COVID-19 tests and administered 11,829
COVID-19 vaccines. EOC is the only CBO contracted with the County who is providing COVID-19 and
Influenza testing and vaccination to the County's vulnerable population. As COVID-19 cases continue to
impact our community, it is critical to continue EOC's services as potential Flu and COVID-19 surge months
approach.
Approval of the recommended action will allow EOC to add the provision of communicable disease
screening and treatment, as well as continue providing COVID-19 and Influenza testing and vaccine
administration to the County's vulnerable population through May 31, 2024. The County and EOC will
continue to work together to assure the maximization of resources and meeting expected goals.
REFERENCE MATERIAL:
BAI #34 September 20, 2022
BAI #54, March 22, 2022
BAI#69, December 14, 2021
BAI #8, August 10, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Second Amendment to Agreement with Fresno EOC
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number:23-0219
Agreement 23-172
1 SECOND AMENDMENT TO AGREEMENT
2 THIS SECOND AMENDMENT TO AGREEMENT (hereinafter "Amendment") is made and
3 entered into this 11th day of April, 2023, by and between COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, Fresno, California (hereinafter"COUNTY"), and Fresno
5 Economic Opportunities Commission, a California non-profit organization, whose address is 1920
6 Mariposa Mall Suite 330, Fresno, California, 93721 (hereinafter"CONTRACTOR").
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement No. A-22-102, dated
9 March 22, 2022 (hereinafter"Agreement"), pursuant to which CONTRACTOR agreed to provide
10 COVID-19 and Influenza testing and vaccination administration, including al necessary staffing, to
11 conduct vaccination clinics that will provide vaccinations and COVID-19 testing to the COUNTY's
12 vulnerable populations including migrants, food and farmworkers, other essential workers and people
13 of color; and
14 WHEREAS, COUNTY and CONTRACTOR entered into Purchase Order M02-0000022117 and
15 M08-0000022118, dated August 19, 2022, to provide MonkeyPox vaccine administration and
16 education and outreach to high-risk population for MonkeyPox infection or exposure from August 22,
17 2022 to September 19, 2022; and
18 WHEREAS, COUNTY and CONTRACTOR entered into a First Amendment No. A-22-432 in
19 order to add the provision of MonkeyPox vaccination administration and education and outreach to
20 high-risk population for MonkeyPox infection or exposure from September 20, 2022 to November 20,
21 2022 and extend the length of the Agreement through January 31, 2023 (Agreement No. A-22-102 and
22 First Amendment No. A-22-432 collectively, shall be referred to herein as "the Agreement"); and
23 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
24 add the provision of Communicable Disease screening and treatment and extend the length of the
25 Agreement through May 31, 2024.
26 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
27 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
28 1. That all references to "Revised Exhibit B" in existing COUNTY Agreement A-22-432
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1 shall be changed to read, "Revised Exhibit B-1", attached hereto and incorporated herein by reference.
2 2. That section 1 of the Agreement, located on page 1, lines 27 through 28, is deleted in
3 its entirety and replaced with the following:
4 "CONTRACTOR shall perform all services and fulfill all responsibilities identified in
5 Exhibit A, Exhibit E, and Exhibit G, attached hereto and by this reference incorporated herein."
6 3. That section 3 of the Agreement, located on page 2, lines 18 through 19, is deleted in
7 its
8 entirety and replaced with the following:
9 "The term of this Agreement shall be effective April 1, 2022 and continue in full force
10 and effect through May 31, 2024. "
11 4. That section 5 of the Agreement, located on page 3, lines 18 through page 4, line 1, is
12 deleted in its entirety and replaced with the following:
13 "5. COMPENSATION/INVOICING:
14 A. For Services provided pursuant to Exhibit A, COUNTY agrees to pay
15 CONTRACTOR and CONTRACTOR agree to receive compensation at the rates set forth in Revised
16 Exhibit B-1, but in no event shall actual Services performed pursuant to Exhibit A by CONTRACTOR
17 be in excess of One Million Two Hundred Fifty-five Thousand Nine Hundred Forty-Nine and No/100
18 Dollars ($1,255,949) during the term of this Agreement.
19 For Services provided during the period of September 20, 2022 through November 20, 2022,
20 pursuant to Exhibit E, COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
21 compensation at the rates set forth in Exhibit F, attached hereto and incorporated herein by this
22 reference, but in no event shall actual Services performed pursuant to Exhibit E by CONTRACTOR be
23 in excess of One Hundred Thirty-One Thousand and No/100 Dollars ($131,000).
24 For Services provided during the period of April 11, 2022 through May 31, 2024, pursuant to
25 Exhibit G, COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
26 compensation at the rates set forth in Exhibit H, attached hereto and incorporated herein by this
27 reference, but in no event shall actual Services performed pursuant to Exhibit G by CONTRACTOR be
28 in excess of Seven Hundred Thousand and No/100 Dollars ($700,000). It is understood that all
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r_/1J---.-1J11J-1Al`r/-/L_'1L 1/ _LrIA /IJ JIIt
1 expenses incidental to CONTRACTOR's performance of services under this Agreement shall be borne
2 by CONTRACTOR."
3 B. CONTRACTOR shall submit monthly invoices by the thirtieth (301h) working day
4 of each month for prior month's services using a template to be provided by COUNTY, with full
5 supporting documentation (e.g., activity log, receipts, invoices) to the County of Fresno, Department of
6 Public Health, COVID Response, 611 Floor P.O. Box 11867, Fresno CA 93775, Attention: Business
7 Office or dphboap(aD-fresnocountyca.gov. The Agreement number must appear on all invoices."
8 COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
9 Agreement and, that upon execution of this Amendment, the Agreement and this Amendment together
10 shall be considered the Agreement.
11 The parties agree that this Amendment may be executed by electronic signature as provided in
12 this section. An "electronic signature" means any symbol or process intended by an individual signing
13 this Amendment to represent their signature, including but not limited to (1) a digital signature; (2) a
14 faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted (for
15 example by PDF document) of a handwritten signature. Each electronic signature affixed or attached
16 to this Amendment (1) is deemed equivalent to a valid original handwritten signature of the person
17 signing this Amendment for all purposes, including but not limited to evidentiary proof in any
18 administrative or judicial proceeding, and (2) has the same force and effect as the valid original
19 handwritten signature of that person. The provisions of this section satisfy the requirements of Civil
20 Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3,
21 Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents that it
22 has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a),
23 paragraphs (1) through (5), and agrees that each other party may rely upon that representation. This
24 Amendment is not conditioned upon the parties conducting the transactions under it by electronic
25 means and either party may sign this Amendment with an original handwritten signature.
26 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
27 covenants, conditions and promises contained in the Agreement and not amended herein shall remain
28 in full force and effect.
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1 H
2 IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement
3 as of the day and year first hereinabove written.
4
5 CONTRACTOR COUNTY OF FRESNO
Fresno Economic Opportunities
6 Commission
7 6444 i 5
8 (Authorized Signature) Sal"Q int ro, Chairman of the Board of
Supervisors-of the County of Fresno
9 Emilia Reyes, Chief Executive Officer
Print Name &Title
10
11 1920 Mariposa Street Suite 300
12 Fresno CA 93721
Mailing Address ATTEST:
13 Bernice E. Seidel
Clerk of the Board of Supervisors
14 County of Fresno, State of California
15
16
17 ,I
18 By:
19 Deputy
FOR ACCOUNTING USE ONLY:
20
21 Fund: 0001
22 Subclass: 10000
23 ORG: 56201657, 56201661,
24 56201018, 56201019
25 Account: 7295
26
27
28
-4-
Doc ID: 5c2d9a58c47dOd267545597bc3b36ef34 09dd8f
Revised Exhibit B-1
Fresno County Immunization
African American Coalition
Budget:April 1, 2022-May 31, 2024 ITotal
Personnel
Program Manager
Program Coordinator 81,067
Community Care Specialist Lead 46,558
Community Care Specialists 500,476
Clinical Personnel-Vaccine 67,689
Personnel Sub-Total 695,790
Fringe 107,066
Total Personnel 802,856
Operating Costs
Supplies (office, printing, etc) 13,696
Vaccine Clinic Supplies 13,739
Vaccine Medical Supplies 17,117
PPE & Cleaning Supplies 18,635
Supplies- Other (staff uniforms, adverse needs) 12,000
Travel- Fuel / Mileage 5,802
Communications-Advertising 46,306
Lease Copier 680
Mobile Hotspot Device 12,424
Vaccine Clinic Facilities Rental 61,784
Facility Costs Utilities/ Maintenance 31,148
Consulltants Licsensed & Unlicensed 99,776
Liability Insurance 4,732
Software (Scheduling, Cloud) 2,250
Biohazard Waste Disposal 2,133
Total Operating 342,222
Direct Costs 1,145,078
2022 Indirect Costs @ 19% 1 53,416
2023 Indirect Costs @ 10% 57,455
Total Direct and Indirect 1,255,949
EOC Subcontracts
Other Costs Subtotal 0
Grand Total 1,255,949
Fresno
Economic Linda Hayes Board Chair
Opportunities Emilia Reyes Chief Executive Officer
Commission
Sexually Transmitted Disease Testing Project Scope of Work
April 11, 2023 -June 30,2024
1 Implement/Operate health screening clinics for Sexually Transmitted Diseases:Chlamydia,
Gonorrhea,Syphilis, and HIV
Rapid testing will be available at most of the clinic sites. Samples will be collected through rectal,
pharyngeal, vaginal, blood and urine.Test results will be available to the clients within 30 minutes to
one hour. Treatments will be provided at each of the clinic sites.
1. Independently manage and facilitate all operational components of Sexually Transmitted
Disease screening and treatment clinics to include:
a. Patient appointment, registration, screening and Family PACT enrollment for
confidential services
b. Clinic setup and patient flow
c. Administer tests and treatment and submission of Confidential Morbidity Report
(CMR) positive test results into the appropriate DPH system.
d. Logistics related to posttreatment including patient observation, as needed.
e. Offer Expedited Partner Therapy(EPT).
f. Patient will receive test results within 30 minutes to 1 hour at the clinic site or
confidential phone call.
g. Schedule follow up appointments.
2. We will be adding capacity from other clinics and these are the following locations:
a. Fresno EOC Health Services Center - 1047 R Street, Fresno
b. Adolescent Health Services Center - 2430 Calaveras Street, Fresno
c. LGBTQ+ Resource Center - 1252 Fulton Street, Fresno
d. Local Conservation Corps- 1805 E California Ave., Fresno
e. Mobile rapid test sites as agreed upon by DPH STD Supervisor& EOC Health Services
Director
3. Submit Monthly Reports to the county on the following:
a. Number of Events Completed
b. Number of Clients completed STD screening
c. Number of Clients with positive STD results
d. Number of Clients treated or referred
e. Number of Clients offered EPT
II Provide Health Education and Outreach
1. Identify through data analysis any targeted high risk population
a. LGBTQ, Homeless, At risk African American, Hispanic and Asians
OAcommunity
P A R T N E R 5 H ! P
Fresno
Economic L Linda Hayes Board Chair
Opportunities milia Reyes Chief Executive Officer
Commission
a. Stakeholders and collaborative partners
b. Promote clinic locations in each local area.
2. Communications with partner organizations
a. Communicate with FCDPH staff and communication leads from Fresno EOC LGBTQ+
center and Health Services to plan and coordinate communication strategies
b. Plan health education talking points, messages and materials within targeted
population
3. Implement Health Education and Outreach
a. Conduct health education to target audiences. Include outreach materials on Family
Planning and Reproductive Health, Sexually Transmitted Diseases
b. Flyer distribution
c. Events tabling
d. In-person training
e. Virtual training
f. Social Media Direct Messaging
- OA
R
munity
(559) 263-1000 FresnoEOC.org @ ion,
P A R T N E R S H I P
Exhibit H
FRESNO ECONOMIC OPPORTUNITIES COMMISSION
HEALTH SERVICES-STD Screening
YEAR 1(4111123-6/30/23) BUDGET
PERSONNEL AMOUNT JUSTIFICATION
Project Director $ 7.192 Will provide oversight of the"STD Screening Project for Fresno County"and ensure that all quality
standards and performance on the delivery of scope of work are met. Project Director has deep
knowledge and experience leading and managing program implementation.25%of time will be
used in working to provide oversight and supervision of project activities and implementation,
contract compliance,quality assurance,budget adherence and program outcomes. Salary
supported request.Salary and Fringe Benefits—25
Project Coordinator $ 18,675 Coordinates all activities with staff and team. Provides program implementation and delivery. Will
build relationships with parteming community and establish clinic sites for screening,testing and
treatment. Project Coordinator will devote 100%of her time on this project. Salary supported
request. Salary and Fringe Benefits—1 FTE
Physician Assistant $ 32,967 Will provide clinical support,screening,testing and treatment to clients participating in the events
at clinical setting. 100%of time will be dedicated for this project. Salary supported request.
Salary and Fringe Benefits—1 FTE
Registered Nurse $ 15,926 Will provide all screening,testing and recruitment of clients to receive services at various clinical
events. Will ensure that all supplies and materials are avaialble and screening information are
collected and reported at each event.Salary supported request. Salary and Fringe Benefits--1
FTE
Clinician $ 21,978 Will administer screening,testing and treatment at clinical events. Salary support request. Salary
25 hours per week.
Healthcare Educator(2) $ 24,634 Will outreach and recruit clients to partipale in clinical events.Will provide education on STD's
such as Chlamydia,Gonorrhea,HIV/AIDS,Syphilis,and Mpox prevention and treatment. Salary
supported request. Salary and Fringe Benefits--2 FTE
TOTAL $ 121,372
FRINGE BENEFITS
$ 34.078 including Payroll Taxes,Health,Pension,Life and Worker Comp.
TOTAL $ 34,078
TRAVEL
Mileage $ 1,700 Mileage for staff to outreach, recruit and attend events.
TOTAL $ 1,700
PROFESSIONAL SERVICES
$ 6,000 Physician-Medical Director to provide clinical oversight and compliance.$2.000 per month X 3
Dr.Dowis months
TOTAL $ 6,000
SUPPLIES
$ 144,500 Medical supplies,STD testing kits,and medication needed for screening,examinations,treatments
Medical Supplies and clinical activities during clinic days and events.
Office Supplies $ 1.182 $394/month x 3 months
Marketing Printing Materials $ 6,000 Printing and designing of flyers and recruilnent materials. $2,000/month x 3 months
TOTAL $ 151,682
OTHER
Facility Rent $ 9,000 Office space rent and maintenance for 5 staff @$3.00 per sq It x 200 sq It x 3 months
Utilities/Janitorial Services $ 1,200 $400 per month x 3 months
$ 900 Landline connections,Intemet and Wifi connections,servers,cell phones for staff @$300 per
Phone Lines/Intemet Connections month x 3 months
Copier Lease $ 750 Office will need copier and Scanner @$250 per month x 3 months
TOTAL $ 11,850
INDIRECT CHARGES
$ 23,318 15%of total personnel(wages and fringes benefit)
TOTAL $ 23,318
TOTAL BUDGET YEAR 1 $ 350,000
Page 1
Exhibit H
FRESNO ECONOMIC OPPORTUNITIES COMMISSION
HEALTH SERVICES-STD Screening
YEAR 2(71112 3-513 1/2 4) BUDGET
PERSONNEL AMOUNT JUSTIFICATION
Project Director $ 5,926 Will provide oversight of the"STD Screening Project for Fresno County"and ensure that all quality
standards and performance on the delivery of scope of work are met. Project Director has deep
knowledge and experience leading and managing program Implementation.5%of time will be
used in working to provide oversight and supervision of project activities and Implementation,
contract compliance,quality assurance,budget adherence and program outcomes. Salary
supported request.Salary and Fringe Benefits—5%
Coordinator $ 26.929 Coordinates all activities with staff and team. Provides program Implementation and delivery.Will
build relationships with parteming community and establish clinic sites for screening,testing and
treatment. Project Coordinator will devote 35%of her time on this project. Salary supported
request. Salary and Fringe Benefits—35%of FTE
Physician Assistant $ 47,538 Will provide clinical support,screening,testing and treatment to clients participating in the events
at clinical setting.35%of time will be used on this project. Salary supported request. Salary and
Fringe Benefits—35%of FTE
Registered Nurse $ 22.965 Will provide all screening,testing and recruitment of clients to receive services at various clinical
events.Will ensure that all supplies and materials are avaialble and screening information are
collected and reported at each event.35%of time will be used on this project.Salary supported
request. Salary and Fringe Benefits—35%of FTE
Clinician $ 35,165 Will administer screening,testing and treatment at clinical events. Salary support request. Salary
10 hours per week.
Healthcare Educator $ 50,744 Will outreach and recruit clients to partipate in clinical events.Will provide education on STD's
such as Chlamydia,Gonorrhea,HIV/AIDS,Syphilis,and Mpox prevention and treatment. 100%of
time will be used on this project. Salary supported request. Salary and Fringe Benefits—100%
of FTE
TOTAL $ 189,267
FRINGE BENEFITS
$ 51,984 Including Payroll Taxes,Health,Pension,Life and Worker Camp.
TOTAL $ 51,984
TRAVEL
Mileage $ 3,000 Mileage for staff to outreach, recruit and attend events.
TOTAL $ 3,000
PROFESSIONAL SERVICES
$ 22,000 Physician-Medical Director to provide clinical oversight and compliance.$2,000 per month X 11
Dr.Dowis months
TOTAL $ 22,000
SUPPLIES
$ 23,625 Medical supplies,STD testing kits,and medication needed for screening,examinations,treatments
and clinical activities during clinic days and events.
Medical Supplies
Office Supplies $ 1,133 $103/mo x 11 months
TOTAL $ 24,758
OTHER
Facility Rent $ 13,200 Office space rent and maintenance for 2 staff @$3.00 per sq ft x 200 sq ft x 11 months
Udlities/Janitorial Services $ 4,103 $373 per month x 11 months
$ 2,750 Landline connections,Internet and Wifi connections,servers,cell phones for staff @$250 per
Phone Lines/Intemet Connections month x 11 months
Copier Lease $ 2.750 Office will need copier and Scanner @$250 per month x 11 months
TOTAL $ 22,803
INDIRECT CHARGES
$ 36,188 15%of total personnel(wages and fringes benefit)
TOTAL $ 36,188
TOTAL BUDGET YEAR 2 $ 350,000
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