HomeMy WebLinkAboutAgreement A-23-206 Amendment I to Agreement with Kings View.pdf ii
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Agreement No. 23-206
1 AMENDMENT I TO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as Amendment I, is made and entered into this
3 9th day of May , 2023 by and between the COUNTY OF FRESNO, a Political Subdivision of
4 the State of California hereinafter referred to as "COUNTY", and Kings View, a private Non-Profit
5 501(c)(3), Organization, hereinafter referred to as "CONTRACTOR" whose address is 1396 W.
6 Herndon Ave. Fresno, CA 93711.
7 WITNESSETH
8 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
9 No. 22-208 effective May 17, 2022, whereby, CONTRACTOR agreed for the operation of a Projects for
10 Assistance in Transition from Homelessness (PATH) program to deliver outreach, integrated mental
11 health, and supportive housing services to adults who are homeless, or who are at imminent risk of
12 becoming homeless, and have a severe mental illness and/or co-occurring disorder, in an effort to
13 enable this population to live in the community and to avoid homelessness, hospitalization, and/or jail
14 detention; and
15 WHEREAS, COUNTY, through its Department of Social Services, applied for and was awarded
16 Homeless Housing Assistance and Prevention (HHAP) grant funding in 3 rounds, allocating a portion of
17 it for rural outreach services to be administered to the Department of Behavioral Health. Round 1 and 2
18 HHAP grant funding has been accepted through Standard Agreements No. 20-196 and 21-307
19 executed between COUNTY and the California Business, Consumer Services, and Housing Agency. A
20 Standard Agreement for Round 3 is pending execution upon approval of the Board. Additional HHAP
21 grant funding will allow rural outreach services provided through the Street-Outreach Team and Rural
22 Support (STARS) component to expand through the term of the Agreement; and
23 WHEREAS CONTRACTOR is qualified and willing to provide such services pursuant to the
24 terms and conditions of this Amendment I to the Agreement; and
25 WHEREAS the parties desire to amend COUNTY Agreement No. 22-208 to add HHAP grant
26 funding to provide rural outreach services through the term of this Agreement; and
27 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is
28 hereby acknowledged, the parties agree as follows:
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DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
1 1. All references to "Exhibit A" in the Agreement shall be deemed references to "Revised
2 Exhibit A. Revised Exhibit A is attached and incorporated by this reference.
3 2. All references to "Exhibit C" in the Agreement shall be deemed references to "Revised
4 Exhibit C". Revised Exhibit C is attached and incorporated by this reference.
5 3. CONTRACTOR agrees to comply with all the conditions as set forth in Exhibit Q,
6 "Agreements No. 20-196 and 21-307," attached and incorporated by this reference, as well as all
7 applicable State requirements governing the use of HHAP-1, HHAP-2, and HHAP-3 funds.
8 4. Section 1 is amended to include the following after line 28 on page 2:
9 "G. COUNTY anticipates entering into an agreement with the State of California for
10 Homeless Housing, Assistance and Prevention (HHAP) Round 3 funding. Upon entering into such an
11 agreement with the State, COUNTY will provide written notice to CONTRACTOR, and services provided
12 by CONTRACTOR under this Agreement shall be funded, in part, with HHAP funding and, therefore,
13 CONTRACTOR shall be aware of, agree to, and comply with all applicable State and Funding statutes,
14 regulations, and requirements governing the use of HHAP funds. Should COUNTY and the State not
15 enter into a HHAP funding Agreement, COUNTY will provide CONTRACTOR written notice and the
16 parties will negotiate an amendment to this Agreement to reduce the compensation payable under this
17 Agreement."
18 5. Section 4 Line 13 of page 4 through line 7 of page 6 is deleted and replaced with the
19 following:
20 "The maximum compensation payable to CONTRACTOR under this Agreement for the
21 period of July 1, 2021 through June 30, 2022 shall not exceed Nine Hundred Five Thousand, One
22 Hundred Seventy-Two and No/100 Dollars ($905,172.00).
23 The maximum compensation payable to CONTRACTOR under this Agreement for the
24 period of July 1, 2022 through June 30, 2023 shall not exceed One Million, Eighty-One Thousand,
25 Forty-Eight and No/100 Dollars ($1,081,048.00).
26 The maximum compensation payable to CONTRACTOR under this Agreement for the
27 period of July 1, 2023 through June 30, 2024 shall not exceed One Million, One Hundred-Sixty
28 Thousand, Seven Hundred Thirty-Nine and No/100 Dollars ($1,160,739.00). The maximum
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DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
1 compensation payable to CONTRACTOR under this Agreement for the period of July 1, 2024 through
2 June 30, 2025 shall not exceed One Million, One Hundred Eighty-One Thousand, Five Hundred-
3 Seventeen and No/100 Dollars ($1,181,517.00).
4 The maximum compensation payable to CONTRACTOR under this Agreement for the
5 period of July 1, 2025 through June 30, 2026 shall not exceed One Million, One Hundred Forty-Six
6 Thousand, Two Hundred Twenty-Five and No/100 Dollars ($1,146,225.00).
7 In no event shall services performed under this Agreement be in excess of Five Million,
8 Four Hundred Seventy-Four Thousand, Seven Hundred-One and No/100 Dollars ($5,474,701.00). It is
9 understood that all expenses incidental to CONTRACTOR's performance of services under this
10 Agreement shall be borne by CONTRACTOR."
11 6. Section 9 Line 20 of page 13 through line 2 on of page 14 is deleted and replaced with
12 the following:
13 "Indemnity and Defense
14 9.1 Indemnity. The CONTRACTOR shall indemnify and hold harmless and defend the
15 COUNTY (including its officers, agents, employees, and volunteers) against all claims, demands,
16 injuries, damages, costs, expenses (including attorney fees and costs), fines, penalties, and liabilities of
17 any kind to the COUNTY, the CONTRACTOR, or any third party that arise from or relate to the
18 performance or failure to perform by the CONTRACTOR (or any of its officers, agents, subcontractors,
19 or employees) under this Agreement. The COUNTY may conduct or participate in its own defense
20 without affecting the CONTRACTOR's obligation to indemnify and hold harmless or defend the
21 COUNTY.
22 9.2 Survival. This Article 9 survives the termination of this Agreement."
23 7. Section 10 Line 4 of page 14 through Line 26 of page 17 is deleted and replaced with the
24 following:
25 "The CONTRACTOR shall comply with all the insurance requirements in Exhibit B to this
26 Agreement. Exhibit B is attached and incorporated by this reference."
27 8. When both parties have signed this Amendment No. 1, the Agreement and this
28 Amendment No. 1 together constitute the Agreement.
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1 9. Authorized Signature. The CONTRACTOR represents and warrants to the COUNTY
2 that:
3 a. The CONTRACTOR is duly authorized and empowered to sign and perform its
4 obligations under this Amendment.
5 b. The individual signing this Amendment on behalf of the CONTRACTOR is duly
6 authorized to do so and his or her signature on this Amendment legally binds the CONTRACTOR to the
7 terms of this Amendment.
8 10. Electronic Signature. The parties agree that this Amendment may be executed by
9 electronic signature as provided in this section.
10 a. An "electronic signature" means any symbol or process intended by an individual
11 signing this Amendment to represent their signature, including but not limited to (1) a digital signature;
12 (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted
13 (for example by PDF document) version of an original handwritten signature.
14 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
15 equivalent to a valid original handwritten signature of the person signing this Amendment for all
16 purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and
17 (2) has the same force and effect as the valid original handwritten signature of that person.
18 C. The provisions of this section satisfy the requirements of Civil Code section
19 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title
20 2.5, beginning with section 1633.1).
21 d. Each party using a digital signature represents that it has undertaken and
22 satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) through
23 (5), and agrees that each other party may rely upon that representation.
24 e. This Amendment is not conditioned upon the parties conducting the transactions
25 under it by electronic means and either party may sign this Amendment with an original handwritten
26 signature.
27 11. Counterparts. This Amendment may be signed in counterparts, each of which is an
28 original, and all of which together constitute this Amendment.
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DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
1 12. The Agreement, as hereby amended, is ratified, and continued. All provisions, terms,
2 covenants, conditions, and promises contained in the Agreement not amended by herein shall remain in
3 full force and effect. This Amendment I shall be effective retroactively to July 1, 2022.
4 [SIGNATURE PAGE FOLLOWS]
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DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
1 The parties are signing this Amendment No. 1 on the date stated in the introductory clause.
2 Kings View COUNTY OF FRESNO
3 Docuftned by:
4 EA«..csiN41" D.' 4"A04F817F731114D5...
5 Amanda Nugent-Division, PhD, CEO Sa Qu t o, hairman of the Board of
Sup isors of the COUNTY of Fresno
6 1396 W. Herndon Ave. Fresno, CA
93 711 Attest:
7 Bernice E. Seidel
8 Clerk of the Board of Supervisors
COUNTY of Fresno, State of California
9
10 By:
Deputy
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For accounting use only:
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13 Org No.: 56302493
Account No.: 7295/0
14 Fund No.: 0001
Subclass No.: 10000
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DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Revised Exhibit A
Page 1 of 7
PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS
(PATH) PROGRAM
Scope of Work
ORGANIZATION Kings View
CORPORATE ADDRESS 1396 W. Herndon Ave. Fresno, CA 93711
HOURS OF OPERATION 8AM to 5PM, Monday through Friday
CONTRACT PERIOD July 1, 2021—June 30, 2026
CONTRACT AMOUNT FY 2021-2022 $905,172
FY 2022-2023 $1,081,048
FY 2023-2024 $1,160,739
FY 2024-2025 $1,181,517
FY 2025-2026 $1,146,225
Total $5,474,701
SERVICES Outreach, Case Management, Mental Health, and Supportive Housing Services
TARGET POPULATION
Adults (18 years and older) living in metro, rural, or unincorporated areas in Fresno County who are experiencing serious
mental illness and/or co-occurring substance use disorders and are homeless or at imminent risk of becoming homeless.
Participation in the PATH Program is voluntary.
PROJECT DESCRIPTION
The Stewart B McKinney Homeless Assistance Amendments Act of 1990 authorizes a federal grant program, PATH.This
funding source is used to address the needs of the target population through a PATH Program operated by Kings View.A
primary goal is to reduce and end chronic homelessness and enable persons served to live in the community and to
avoid homelessness, hospitalization, and/or jail detention. It is a vital resource to the community, serving as a front door
for persons served into continuum of care services and mainstream mental health, primary healthcare, and the
substance abuse services system.
The PATH Program is comprised of three components:
1. Outreach, Engagement, and 2. Specialty Mental Health 3. Mobile Outreach Project(MOP)/
Linkage (OEL) Services (SMHS) Street-outreach and Rural
Support(STARS)
Through PATH-OEL, Kings View will provide services to at least three hundred-fifty(350) persons per year, at least two
hundred (200) of which will be enrolled into the Homeless Management Information System (HMIS) and be linked to the
appropriate services or referred to PATH-SMHS.They will receive case management, linkage, consultation, peer support
services, and supportive interim or bridge housing services as needed. As necessary, Kings View will implement COVID-
19 screening, education, assessment, and linkage capabilities in the field.
Up to thirty-six (36) persons at a given time will be enrolled in PATH-SMHS where they will receive intensive mental
health treatment, case management, linkage, consultation, peer support services, and supportive housing services; up to
ten (10) individuals at a given time will receive housing support). Service goals are to help stabilize and transition
persons served into other County or community mental health programs.
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Revised Exhibit A
Page 2 of 7
Through PATH-MOP, operating from July 1, 2021 through June 30, 2022, Kings View will dedicate an outreach team for
rural and unincorporated areas of Fresno County for the provision of outreach, engagement, and linkage services to
persons served akin to those provided in PATH-OEL.As necessary, Kings View will implement COVID-19 screening,
education, assessment, and linkage capabilities in the field. With additional funding,the program will transition into
PATH-STARS during FY 2022-23 through FY 2025-26, offering the same services at an expanded capacity through a larger
outreach team that can cover multiple rural communities at once.
Kings View will commit to "meet persons where they are" and collaborate with other agencies across the system of care
to assist persons served in achieving their personal recovery and wellness goals. Services will incorporate safety,
emergency, and crisis procedures in the field and in the organization's offices, personal services coordination, psychiatric
services in the areas of medication, prescription, administration, monitoring and documentation, mental health services,
linkage services, supportive housing services, and mobile outreach services.
COUNTY'S administrative staff shall monitor and oversee program outcomes and coordinate reporting requirements.
CONTRACTOR RESPONSIBILITIES
I. ADMINISTRATIVE SERVICES
1. Participate in the Fresno/Madera Continuum of Care (FMCoC) as a member. COUNTY will provide
technical assistance as needed.
2. Provide appropriate data and measurable outcomes as requested or required by the County and State.
Such data reports include quarterly performance reports, Behavioral Health Board annual update
reports, inclusive of demographics, caseload, and measurable outcomes.
3. Participate and utilize the Homeless Management Information System (HMIS)to enter data on persons
served.
4. Ensure that operating staff have on hand, in their possession, during regular working hours and when
appropriate, an adequate amount of petty cash with which to make emergency purchases of food,
shelter, clothing, prescriptions,transportation, or other items and services as needed for persons
served. This may include security deposits, rent subsidy, and other items needed by persons served.
CONTRACTOR shall provide policies and procedures as to the handling of petty cash.
5. Evaluate the staff's competency for performance purposes and establish medication policies and
procedures which identify processes to administer medications to persons served and train other staff
and family members regarding medication education, medication delivery, medication side effects,
observation of self-administration of medication and medication monitoring.
6. Ensure billable Mental Health Specialty Services meet any/all County, State, and Federal regulations
including any utilization review and quality assurance standards.
II. STAFFING REQUIREMENTS
1. CONTRACTOR's program staff shall reflect the target population through social characteristics of the
community, such as culture, ethnicity,gender, and sexual orientation.
2. Operate with a multidisciplinary treatment team including licensed/unlicensed mental health
professionals, case managers, and other specialists to support persons served in reaching their goals.
III. SERVICES ACROSS PROGRAM
1. Commit to "meeting individuals where they are"to assist persons served in achieving their personal
recovery and wellness goals.
2. Integrate physical and mental health services in collaboration with primary care physicians.
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Revised Exhibit A
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3. Provide culturally responsive evidence-based or promising clinical services that are integrated with
overall service planning, supportive housing, and employment support and/or education goals.
4. Provide treatment services that account for the age, culture,gender, and language of persons served, as
well as needed accommodations for physical disabilities.
5. Employ harm reduction and motivational interviewing techniques and principles.
6. Empower persons served to take an active role in the recovery process, provide housing options, and
maintain independent living by providing needed services, accessing resources, and encouragement to
be independent, productive, and responsible.
7. Collaborate with other agencies for the provision of non-direct mental health services. Linkages must be
provided to persons served for the full range of services.
8. Coordinate services with other community mental health and non-mental health providers, as well as
other medical professionals in a manner consistent with Fresno County confidentiality rules.
9. Collaborate with community law enforcement, probation, and courts.
10. Link persons served to appropriate social services, legal advocacy, and other representation; provide
transportation as necessary; serve as a "representative payee" or refer them to other payee services for
Supplemental Security Income (SSI)/Social Security Disability Insurance (SSDI) benefits.
11. CONTRACTOR will provide reasonable direct assistance as needed to ensure that persons served obtain
the basic necessities of daily life, including but not limited to:
a. Safe, clean, affordable housing
b. Food and clothing
c. Appropriate financial support, which may include housing deposits, Supplemental Security
Income, Social Security Disability Insurance, General Relief, and money management services
d. Bus tokens/passes
e. Vehicles available to staff to transport persons served to appointments and social group
activities
12. Provide assistance and advocacy in obtaining available public assistance benefits, general relief, SSI/SSDI
and accessing needed behavioral health and physical health care for persons served.
13. Make appropriate referrals and linkages to addiction services that are beyond the scope of the PATH
program to individuals with coexisting alcohol, tobacco, drug use and other addictive disorders.
14. Provide a rapid and flexible response to crisis during working hours, including crisis assessment and
intervention by telephone or face-to-face contact. Should crisis housing, short-term care, and inpatient
treatment (voluntary or involuntary) be needed, staff shall collaborate with designated staff at
psychiatric facilities and/or hospitals. CONTRACTOR will provide support to the maximum extent
possible, including accompanying persons served to the County's Urgent Wellness Center and remain
with them during the assessment.
15. Initiate voluntary commitment, should there be a need. CONTACTOR will work with County staff within
the Adult Services Division; county staff will sign the involuntary commitment papers.
16. CONTRACTOR shall have the flexibility to increase service intensity for an individual in response to their
needs. Staff shall have the capacity to provide as many contacts as needed to persons served
experiencing significant impairments in daily living.
IV. PATH-OEL SERVICES
1. At least 350 persons will receive outreach, engagement, and linkage services and at least 200 persons
served will be enrolled into PATH and HMIS.
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Revised Exhibit A
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2. Utilize various engagement tools, such as personal protective equipment, disinfectant supplies, clothing,
food, shoes, blankets, bus passes, hygiene kits etc., to address barriers to engagement such as
transportation, pet care, property storage, etc.
3. Provide frequent contacts with individuals where they live or are most comfortable to assist them in
accessing behavioral and physical health care,financial, education, vocational, rehabilitative, or other
needed community services, especially as these services relate to meeting the person's mental health
and housing needs.
4. Assess and document mental illness symptoms and behavior of persons served in response to
medication and monitor for medication side-effects during the provision of observed self-administration
and during ongoing face-to-face contacts.
V. PATH-SMHS SERVICES
1. Up to thirty-six(36) persons at a given time will be enrolled to receive intensive mental health treatment
services on an ongoing basis, inclusive of supportive housing services,for up to ten (10) persons at any
given time.
2. The PATH -SMHS program's persons served to staff ratio will be no more than eighteen (18) persons to
each staff. A ratio of 1:17, or one staff serving seventeen (17) persons,will not be exceeded until at least
one person served by a staff member is transitioning out of the program (a transition period will be at
least three months prior to exit). During a transitional period, the ratio can be 1:18.
3. Assign a case manager within 24 hours of enrollment into the PATH SMHS program.
4. A Plan of Care must be created and include and identification of current symptoms,treatment goals,
and planned interventions of persons served.
5. Implement mental health service strategies to reduce the number of days persons served experience
hospitalization, incarceration, and homelessness.
6. Minimize the involvement of persons served with the criminal justice system, with services to include,
but not be limited to:
a. Helping identify precipitants to their criminal involvement
b. Providing necessary treatment, support, and education to help eliminate any unlawful activities
or criminal involvement that may be of consequence to the individual's mental illness; and
c. Collaborating with police, court personnel,jail/prison officials, and psychiatric staff to ensure
appropriate use of legal and mental health services.
7. Incorporate SSI/SSDI Outreach, Access, and Recovery(SOAR) as part of the case management services.
SOAR provides the program the tools to expedite access to Social Security disability benefits that result
in improved housing and treatment outcomes.
8. Provide symptom assessment, personal service coordination and supportive counseling as needed to
assist persons served to cope with and gain a mastery of symptoms and disabilities due to mental illness
and/or substance abuse.These services shall include, but not be limited to, the following:
a. Ongoing assessment of mental illness symptoms and response to treatment
b. Education regarding their mental illness and the effects (including side effects) of prescribed
medications
c. Symptom management efforts directed to help person served identify symptoms and their
occurrence patterns and to develop methods (internal, behavioral, adaptive)to lessen their negative
effects; and
d. Provide psychological support, planned and as needed,to help persons served accomplish their
personal goals and to cope with the stresses of day-to-day living.
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Revised Exhibit A
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9. Assist person served,family, and other members of the individual's social network to relate in a positive
and supportive manner through such means as:
a. Education about the individual's illness and their role in the therapeutic process
b. Supportive counseling
c. Intervention to resolve conflict
d. Referral of family to therapy, self-help and other family support services as appropriate; and
e. Provision to other support systems with education and information about serious mental
illnesses and treatment services and supports.
10. Provide education to persons served and their family and/or caregivers (as appropriate) about the
nature of medications,the expected benefits and potential side effects, and alternatives to medication.
11. Provide support and help establish positive social relationships and activities in community settings.
Such services shall include, but not to be limited to:
a. Developing social skills, including skills to develop meaningful personal relationships
b. Planning appropriate and productive use of leisure time, including familiarizing individuals with
available social and recreational opportunities and increasing their use of these activities
c. Interacting with landlords, neighbors, and others effectively and appropriately
d. Developing assertiveness and self-esteem; and
e. Using existing self-help centers, self-help groups and other social, church, and recreational
groups to combat isolation and withdrawal experienced by many persons coping with serious and
persistent mental illness.
12. Provide training and instruction, including individual support, problem solving, skill development,
modeling and supervision, in home and community settings,to teach persons served to:
a. Carry out personal hygiene tasks
b. Perform household chores, including housekeeping, cooking, laundry and shopping
c. Develop or improve money management skills
d. Use community transportation
e. In locating, securing, maintaining and financing safe, clean and affordable housing which is
appropriate to their levels of functioning.
13. Provide alcohol,tobacco, and drug use disorder services as needed.This will include, but is not limited
to, individual and group interventions to assist in:
a. Identifying alcohol,tobacco and drug abuse effects and patterns
b. Recognizing the interactive effects of alcohol,tobacco and drug use, psychiatric symptoms, and
psychotropic medications
c. Developing motivation for decreasing alcohol,tobacco and drug use
d. Developing coping skills and alternatives to minimize alcohol, tobacco and drug use
e. Achieving periods of abstinence and stability
f. Attending appropriate recovery or self-help meetings; and
g. Achieving an alcohol and drug free lifestyle, if possible.
14. Provide information, in an educational format, on the use of alcohol,tobacco, prescribed medications,
and other drugs and the impact that chemicals have on the ability to function in major life areas.
Information shall also include eating disorders, gambling, overspending, sexual and other addiction
disorders, as appropriate.
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Revised Exhibit A
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15. Ensure persons served maintain their respective housing and utilize supportive housing resources by
providing supportive and independent housing, as appropriate.
16. Ensure rapid access to assistance funds for purchase of furniture, and other items needed by persons
served.
17. Negotiate and establish relationships with apartment owners/landlords and/or utilize alternative
housing resources as available and appropriate.
VI. PATH-MOP/STARS SERVICES
1. Provide outreach, engagement, and linkage services and enroll persons served into HMIS.
2. Utilize various engagement tools, such as personal protective equipment, disinfectant supplies, clothing,
food, shoes, blankets, bus passes, hygiene kits etc., to address barriers to engagement such as
transportation, pet care, property storage, etc.
3. Provide frequent contacts with individuals where they live or are most comfortable in to assist them in
accessing behavioral and physical health care,financial, education, vocational, rehabilitative, or other
needed community services, especially as these services relate to meeting the person's mental health
and housing needs.
4. Assess and document mental illness symptoms and behavior of persons served in response to
medication and monitor for medication side-effects during the provision of observed self-administration
and during ongoing face-to-face contacts.
VII. COUNTY RESPONSIBILITIES
1. Provide oversight of the PATH Program. In addition to contract monitoring of program, oversight
includes, but is not limited to, coordination with the State Department of Health Care Services in
regarding program administration and outcomes. COUNTY will coordinate meetings with CONTRACTOR
on a monthly basis to discuss program client issues, concerns, measurable outcomes and reports, and
any other items.
2. Assist CONTRACTOR in making linkages with the total mental health system of care through regularly
scheduled meetings as well as formal and informal consultation.
3. Evaluate the progress of the overall program.
4. Receive and analyze statistical data outcome information throughout the term of contract. COUNTY will
notify CONTRACTOR when additional participation is required.The performance outcome measurement
process will include surveys, client and staff interviews, chart reviews, and other methods of obtaining
required information as needed.
5. Recognize that cultural responsiveness is a goal toward which professionals, agencies, and systems
should strive. Becoming culturally responsiveness is a developmental process and incorporates at all
levels the importance of culture,the assessment of cross-cultural relations,vigilance towards the
dynamics that result from cultural differences,the expansion of cultural knowledge, and the adaptation
of services to meet culturally-unique needs. Offering those services in a manner that fails to achieve its
intended result due to cultural and linguistic barriers is not cost effective. COUNTY will assist program
towards cultural and linguistic competency, by providing the following at no cost to CONTRACTOR:
a. Technical assistance regarding cultural responsiveness requirements and sexual orientation and
gender identity training
b. Mandatory cultural responsiveness training including sexual orientation and gender identity and
cultural sensitivity training for program personnel, at minimum once per year. COUNTY will provide
technical assistance and when possible,training regarding the unique needs of the diverse
population. Cultural responsiveness training recommendations will be based on trends in data
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Revised Exhibit A
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collected and will be included in the counties Culturally Responsive Plan. Sensitivity to sexual
orientation and gender identity is a basic cultural responsiveness principle and shall be included in
the cultural responsiveness training(s). Literature suggests that the behavioral health needs of
lesbian,gay, bisexual, and transgender(LGBT+) individuals may be at increased risk for behavioral
disorders and behavioral health problems due to exposure to societal stressors such as
stigmatization, prejudice and homophobic and/or transphobic violence. Social support may be
critical for this population
c. CONTRACTOR materials for public use on behavioral health and substance abuse services
information shall be in the Fresno County Department of Behavioral Health's (DBH) current
threshold languages (English, Spanish, and Hmong).Translation services and costs associated will be
the responsibility of the vendor. Promotional and/or program materials shall be reviewed by DBH's
Public Behavioral Health Division for branding requirements prior to implementation.
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit B
Insurance Requirements
1. Required Policies
Without limiting the County's right to obtain indemnification from the Contractor or any third
parties, Contractor, at its sole expense, shall maintain in full force and effect the following
insurance policies throughout the term of this Agreement.
(A) Commercial General Liability. Commercial general liability insurance with limits of not
less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of
Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis.
Coverage must include products, completed operations, property damage, bodily injury,
personal injury, and advertising injury. The Contractor shall obtain an endorsement to
this policy naming the County of Fresno, its officers, agents, employees, and volunteers,
individually and collectively, as additional insureds, but only insofar as the operations
under this Agreement are concerned. Such coverage for additional insureds will apply as
primary insurance and any other insurance, or self-insurance, maintained by the County
is excess only and not contributing with insurance provided under the Contractor's
policy.
(B) Automobile Liability. Automobile liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages.
Coverage must include any auto used in connection with this Agreement.
(C)Workers Compensation. Workers compensation insurance as required by the laws of
the State of California with statutory limits.
(D) Employer's Liability. Employer's liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence for bodily injury and for disease.
(E) Professional Liability. Professional liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million
Dollars ($3,000,000). If this is a claims-made policy, then (1) the retroactive date must
be prior to the date on which services began under this Agreement; (2) the Contractor
shall maintain the policy and provide to the County annual evidence of insurance for not
less than five years after completion of services under this Agreement; and (3) if the
policy is canceled or not renewed, and not replaced with another claims-made policy
with a retroactive date prior to the date on which services begin under this Agreement,
then the Contractor shall purchase extended reporting coverage on its claims-made
policy for a minimum of five years after completion of services under this Agreement.
(F) Molestation Liability. Sexual abuse / molestation liability insurance with limits of not
less than Two Million Dollars ($2,000,000) per occurrence, with an annual aggregate of
Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis.
(G)Cyber Liability. Cyber liability insurance with limits of not less than Two Million Dollars
($2,000,000) per occurrence. Coverage must include claims involving Cyber Risks. The
cyber liability policy must be endorsed to cover the full replacement value of damage to,
alteration of, loss of, or destruction of intangible property (including but not limited to
information or data) that is in the care, custody, or control of the Contractor.
B-1
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit B
Definition of Cyber Risks. "Cyber Risks" include but are not limited to (i) Security
Breach, which may include Disclosure of Personal Information to an Unauthorized Third
Party; (ii) data breach; (iii) breach of any of the Contractor's obligations under [identify
the Article, section, or exhibit containing data security obligations] of this Agreement; (iv)
system failure; (v) data recovery; (vi)failure to timely disclose data breach or Security
Breach; (vii) failure to comply with privacy policy; (viii) payment card liabilities and costs;
(ix) infringement of intellectual property, including but not limited to infringement of
copyright, trademark, and trade dress; (x) invasion of privacy, including release of
private information; (xi) information theft; (xii) damage to or destruction or alteration of
electronic information; (xiii) cyber extortion; (xiv) extortion related to the Contractor's
obligations under this Agreement regarding electronic information, including Personal
Information; (xv) fraudulent instruction; (xvi) funds transfer fraud; (xvii) telephone fraud;
(xviii) network security; (xix) data breach response costs, including Security Breach
response costs; (xx) regulatory fines and penalties related to the Contractor's obligations
under this Agreement regarding electronic information, including Personal Information;
and (xxi) credit monitoring expenses.
2. Additional Requirements
(A) Verification of Coverage. Within 30 days after the Contractor signs this Agreement,
and at any time during the term of this Agreement as requested by the County's Risk
Manager or the County Administrative Office, the Contractor shall deliver, or cause its
broker or producer to deliver, to the County Risk Manager, at 2220 Tulare Street, 16th
Floor, Fresno, California 93721, or HRRiskManagement@fresnocountyca.gov, and by
mail or email to the person identified to receive notices under this Agreement,
certificates of insurance and endorsements for all of the coverages required under this
Agreement.
(i) Each insurance certificate must state that: (1) the insurance coverage has been
obtained and is in full force; (2) the County, its officers, agents, employees, and
volunteers are not responsible for any premiums on the policy; and (3) the
Contractor has waived its right to recover from the County, its officers, agents,
employees, and volunteers any amounts paid under any insurance policy
required by this Agreement and that waiver does not invalidate the insurance
policy.
(ii) The commercial general liability insurance certificate must also state, and include
an endorsement, that the County of Fresno, its officers, agents, employees, and
volunteers, individually and collectively, are additional insureds insofar as the
operations under this Agreement are concerned. The commercial general liability
insurance certificate must also state that the coverage shall apply as primary
insurance and any other insurance, or self-insurance, maintained by the County
shall be excess only and not contributing with insurance provided under the
Contractor's policy.
(iii) The automobile liability insurance certificate must state that the policy covers any
auto used in connection with this Agreement.
B-2
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit B
(iv) The professional liability insurance certificate, if it is a claims-made policy, must
also state the retroactive date of the policy, which must be prior to the date on
which services began under this Agreement.
(v) The cyber liability insurance certificate must also state that it is endorsed, and
include an endorsement, to cover the full replacement value of damage to,
alteration of, loss of, or destruction of intangible property (including but not limited
to information or data) that is in the care, custody, or control of the Contractor.
(B) Acceptability of Insurers. All insurance policies required under this Agreement must be
issued by admitted insurers licensed to do business in the State of California and
possessing at all times during the term of this Agreement an A.M. Best, Inc. rating of no
less than A: VII.
(C) Notice of Cancellation or Change. For each insurance policy required under this
Agreement, the Contractor shall provide to the County, or ensure that the policy requires
the insurer to provide to the County, written notice of any cancellation or change in the
policy as required in this paragraph. For cancellation of the policy for nonpayment of
premium, the Contractor shall, or shall cause the insurer to, provide written notice to the
County not less than 10 days in advance of cancellation. For cancellation of the policy
for any other reason, and for any other change to the policy, the Contractor shall, or shall
cause the insurer to, provide written notice to the County not less than 30 days in
advance of cancellation or change. The County in its sole discretion may determine that
the failure of the Contractor or its insurer to timely provide a written notice required by
this paragraph is a breach of this Agreement.
(D) County's Entitlement to Greater Coverage. If the Contractor has or obtains insurance
with broader coverage, higher limits, or both, than what is required under this
Agreement, then the County requires and is entitled to the broader coverage, higher
limits, or both. To that end, the Contractor shall deliver, or cause its broker or producer
to deliver, to the County's Risk Manager certificates of insurance and endorsements for
all of the coverages that have such broader coverage, higher limits, or both, as required
under this Agreement.
(E) Waiver of Subrogation. The Contractor waives any right to recover from the County, its
officers, agents, employees, and volunteers any amounts paid under the policy of
worker's compensation insurance required by this Agreement. The Contractor is solely
responsible to obtain any policy endorsement that may be necessary to accomplish that
waiver, but the Contractor's waiver of subrogation under this paragraph is effective
whether or not the Contractor obtains such an endorsement.
(F) County's Remedy for Contractor's Failure to Maintain. If the Contractor fails to keep
in effect at all times any insurance coverage required under this Agreement, the County
may, in addition to any other remedies it may have, suspend or terminate this
Agreement upon the occurrence of that failure, or purchase such insurance coverage,
and charge the cost of that coverage to the Contractor. The County may offset such
charges against any amounts owed by the County to the Contractor under this
Agreement.
B-3
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit B
(G)Subcontractors. The Contractor shall require and verify that all subcontractors used by
the Contractor to provide services under this Agreement maintain insurance meeting all
insurance requirements provided in this Agreement. This paragraph does not authorize
the Contractor to provide services under this Agreement using subcontractors.
B-4
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 1 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2021-22
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.01 $ 790 $ 790
1102 Executive Assistant 0.01 252 252
1103 Regional Director 0.02 2,594 2,594
1104 Admin Specialist 0.26 12,628 12,628
1105 Accountant 0.05 2,805 2,805
1106 Quality Improvement Data Analyst 0.05 3,189 3,189
1107 -
1108 -
1109 -
1110 -
1111 -
1112 -
1113 -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 0.39 $ 22,258 $ 22,258
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.70 $ 73,739 $ 73,739
1117 Outreach Worker 2.00 73,840 73,840
1118 Case Managers 1.20 50,482 50,482
1119 - -
1120 -
1121 -
1122 -
1123 -
1124 -
1125 -
1126 -
1127 -
1128 -
1129 -
1130 -
1131 -
1132 -
1133 -
1134 -
Direct Personnel Program Salaries Subtotall 3 1 $ 198,061 1 $ 198,061
Admin Program I Total
Direct Personnel Salaries Subtotall 4.29 1 $ 22,258 1 $ 198,061 1 $ 220,319
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 281 $ 2,505 $ 2,786
1202 Worker's Compensation 541 4,817 5,358
1203 Health Insurance 2,404 21,387 23,791
1204 Other(specify) - - -
1205 10ther(specify) -
1206 1 Other(specify) -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 2 of 185
Direct Employee Benefits Subtotal: $ 3,226 $ 28,709 $ 31,935
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 1,656 14,739 16,395
1303 SUI 195 1,734 1,929
1304 Other(specify) - - -
1305 10ther(specify) -
1306 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 1,851 $ 16,473 $ 18,324
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 27,335 $ 243,243 $ 270,578
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
10% 90%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 17,158
2003 Client Transportation&Support 4,000
2004 Clothing, Food,&Hygiene 18,100
2005 Education Support 255
2006 Employment Support 255
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 15,400
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 r0ther(specify)
DIRECT CLIENT CARE TOTAL $ 55,168
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 4,006
3002 Printing/Postage 300
3003 Office Supplies&Equipment 2,250
3004 Advertising -
3005 IStaff Development&Training 1,000
3006 Staff Mileage 250
3007 Subscriptions&Memberships 200
3008 Vehicle Maintenance 23,475
3009 Other(Staff Recruitment) 260
3010 Other(specify) -
3011 Other(specify)
3012 1 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 31,741
4000:DIRECT FACILITIES&EQUIPMENT
Acct# I Line Item Description Amount
4001 IBuilding Maintenance 1 $ 9,046
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 3 of 185
4002 Rent/Lease Building 8,640
4003 Rent/Lease Equipment 2,160
4004 Rent/Lease Vehicles 13,012
4005 Security -
4006 Utilities 3,720
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 36,578
5000: DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 10,192
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (specify) -
5004 Translation Services 200
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 10,392
6000: INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 51,133
Administrative Overhead
6002 Professional Liability Insurance 3,300
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Liability): 9,360
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 63,793
INDIRECT COST RATE 15.43%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 6,375
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 2,620
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 8,995
TOTAL PROGRAM EXPENSES $ 477,245
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 4 of 185
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 09/0
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 102,777
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $ 102,777
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(PATH) 308,000
8404 Other(HHAP) 66,468
8405 1 Other(Specify)
OTHER REVENUE TOTAL $ 374,468
TOTAL PROGRAM FUNDING SOURCES: $ 477,245
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 5 of 185
PATH Program-OEL
Kings View
Fiscal Year(FY) 2021-22
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH MOP/Fresno 0.01
Blue Sky/Fresno 0.05
Rural Triage East/Fresno 0.06
Rural Triage West/Fresno 0.04
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
Kings 0.23
CVSPH/California State,Tualre, Calaveras,Tuolum 0.17
Fresno City 0.05
Shasta 0.06
Tulare 0.27
Madera 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Executive Assistant PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH MOP/Fresno 0.01
Blue Sky/Fresno 0.05
Rural Triage East/Fresno 0.06
Rural Triage West/Fresno 0.04
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.09
Map Point/Fresno 0.01
Kings 0.23
CVSPH/California State,Tualre, Calaveras,Tuolum 0.10
Fresno City 0.05
Shasta 0.06
Tulare 0.27
Madera 0.02
Tota 1 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH MOP/Fresno 0.03
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 6 of 185
Blue Sky/Fresno 0.11
Rural Triage East/Fresno 0.15
Rural Triage West/Fresno 0.15
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.25
Map Point/Fresno 0.02
CVSPH/California State,Tualre, Calaveras,Tuolum 0.17
Fresno City 0.05
Madera 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.08
PATH OEL/Fresno 0.26
Rural Triage East/Fresno 0.40
Rural Triage West/Fresno 0.26
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.67
PATH MOP/Fresno 0.03
Total 1.00
Position Contract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.80
PATH OEL/Fresno 1.20
Total 2.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.03
PATH OEL/Fresno 0.05
PATH MOP/Fresno 0.03
Blue Sky/Fresno 0.08
Rural Triage East/Fresno 0.11
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 7 of 185
Rural Triage West/Fresno 0.09
Metro CIT/Fresno 0.10
Suicide Prevention Follow-up Call/Fresno 0.03
CVSPH/California State,Tualre, Calaveras,Tuolum 0.05
Shasta 0.07
Finance Department 0.37
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH MOP/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Triage East/Fresno 0.12
Rural Triage West/Fresno 0.12
Metro CIT/Fresno 0.12
Map Point/Fresno 0.05
Shasta 0.04
Kings 0.27
Quality&Performance Improvement Deparment 0.03
Total 1.00
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
Total 0.r
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 8 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
Total
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 9 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2021-22 Budget Narrative
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 270,578
Administrative Positions 22,258
1101 Executive Director 790 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 252 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,594 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1104 Admin Specialist 12,628 Provides administrative support for the program and assist with medical billing and
records.
1105 Accountant 2,805 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
1106 Quality Improvement Data Analyst 3,189 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 198,061
1116 Program Manager 73,739 Provides supervision of all staff and direct oversight of program management.
1117 Case Managers 73,840 Provides outreach and engagement services,provides linkage to needed services.
1118 Outreach Worker 50,482 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.
1119 0 -
1120 0
1121 0
1122 0
1123 0
1124 10
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 31,935
1201 Retirement 2,786 ICost of 401K;estimated at 1.26%from total salaries.
1202 Worker's Compensation 5,358 Workers Comp Insurance;estimated at 2.43%from total salaries
1203 Health Insurance 23,791 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
10.80%from total salaries.
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify) -
Direct Payroll Taxes&Expenses: 18,324
1301 OASDI -
1302 FICA/MEDICARE 16,395 Cost of FICA/Medicare;estimated at 7.44%from total salaries.
1303 SUI 1,929 Cost of SUI;estimated at.88%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 55,168
2001 Child Care
2002 Client Housing Support 17,158 Support clients with rent,security deposits,board and care,emergency housing such
as hotels/motels,groceries and household supplies.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-lC63COBCDDB8 Revised Exhibit C
Page 10 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2003 Client Transportation&Support 4,000
2004 Clothing,Food,&Hygiene 18,100 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.
2005 Education Support 255
2006 Employment Support 255
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 15,400 Cost of supplies for client groups such as notepads,therapy balls,puzzles or art
supplies.
2012 other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 31,741
3001 Telecommunications 4,006 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 300 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies&Equipment 2,250 Includes all supplies used by staff in the course of providing services.Also,includes
program supplies such as snacks for clients or outreach supplies.
3004 Advertising -
3005 Staff Development&Training 1,000 Minor shared cost for continuation of staff development and training.Also includes
HMIS training fees.
3006 Staff Mileage 250 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 200 Minor shared cost of special subscription necessary for staff to provide services or job
tasks,such as an online subscription.
3008 Vehicle Maintenance 23,475 Minor auto repairs&maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs,such as oil changes and car washes.Yearly
cost of GPS vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 260 Thorough background check and drug testing.
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 36,578
4001 Building Maintenance 9,046 Shared copier maintenance and minor building repairs and maintenance.
4002 Rent/Lease Building 8,640 Building space lease,anticipating moving locations.
4003 Rent/Lease Equipment 2,160 Shared copier lease.
4004 Rent/Lease Vehicles 13,012 The cost of 2 shared lease vehicles to assist with program needs.
4005 Security -
4006 Utilities 3,720 The cost of gas and electric.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES 10,392
5001 Consultant(Network&Data Management) 10,192 Kings View Information Technology Department(KVIT)will provide hardware and
software support for successful data collection.A database will be designed for this
program.WIT will procure equipment,software&other services from approved&
authorized vendors. Provide online,onsite,or phone-based emergency support-24/7
from the WIT Help Desk.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify) - Yearly cost to contract with Physician to provide services and treatments to clients at 4
hours per week.
5004 Translation Services 200
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 63,793
6001 Administrative Overhead 51,133 Expenses provides program management,fiscal services,payroll,human resources,
accounts payable and other administrative functions.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2i7/2020
Docu&gn Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 11 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6002 Professional Liability Insurance 3,300 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Liability): 9,360 Cost of personal property,accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 8,995
7001 Computer Equipment&Software 6,375 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 2,620 Anticipating shared cost for replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 477,245
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 477,245
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 12 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2022-23
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.04 $ 7,210 $ 7,210
1102 Regional Director 0.08 9,651 9,651
1103 Admin Specialist 0.05 2,576 2,576
1104 Accountant 0.10 5,487 5,487
1105 Quality Improvement Data Analyst 0.05 3,366 3,366
1106 - -
1107 -
1108 -
1109 -
1110 -
1111 -
1112 -
1113 -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 0.32 $ 28,290 $ 28,290
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.35 $ 34,609 $ 34,609
1117 Outreach Worker 2.00 75,816 75,816
1118 Case Managers 1.40 60,658 60,658
1119 - -
1120 -
1121 -
1122 -
1123 -
1124 -
1125 -
1126 -
1127 -
1128 -
1129 -
1130 -
1131 -
1132 -
1133 -
1134 -
Direct Personnel Program Salaries Subtotal 3 $ 171,083 $ 171,083
Admin Program Total
Direct Personnel Salaries Subtotall 4.07 1 $ 28,290 1 $ 171,083 $ 199,373
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 439 $ 2,652 $ 3,091
1202 Worker's Compensation 707 4,277 4,984
1203 Health Insurance 3,565 21,556 25,121
1204 Other(specify) - - -
1205 10ther(specify) -
1206 1 Other(specify) -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 13 of 185
Direct Employee Benefits Subtotal: $ 4,711 $ 28,485 $ 33,196
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 2,164 13,088 15,252
1303 SUI 198 1,198 1,396
1304 Other(specify) - - -
1305 10ther(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 2,362 $ 14,286 $ 16,648
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 35,363 $ 213,854 $ 249,217
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
14% 86%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 8,700
2003 Client Transportation&Support 1,000
2004 Clothing, Food,&Hygiene 8,003
2005 Education Support 230
2006 Employment Support 230
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 5,600
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 r0ther(specify)
DIRECT CLIENT CARE TOTAL $ 23,763
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 7,328
3002 Printing/Postage 800
3003 Office Supplies&Equipment 1,709
3004 Advertising -
3005 IStaff Development&Training 2,545
3006 Staff Mileage 300
3007 Subscriptions&Memberships 100
3008 Vehicle Maintenance 16,750
3009 Other(Staff Recruitment) 350
3010 Other(specify)
3011 Other(specify) -
3012 1 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 29,882
4000:DIRECT FACILITIES&EQUIPMENT
Acct# I Line Item Description Amount
4001 IBuilding Maintenance 1 $ 11,412
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 14 of 185
4002 Rent/Lease Building 8,899
4003 Rent/Lease Equipment 1,710
4004 Rent/Lease Vehicles 17,990
4005 Security -
4006 Utilities 2,170
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 42,181
5000: DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 11,686
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (specify) -
5004 Translation Services 200
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 11,886
6000: INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $
Administrative Overhead
6002 Professional Liability Insurance 3,615
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Liability): 9,890
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect salaries&Benefits)
6009 Other(Administrative&General Fees) 37,343
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 50,848
INDIRECT COST RATE 14.13%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 2,900
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 3,000
TOTAL PROGRAM EXPENSES $ 410,777
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 15 of 185
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 09/0
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 102,777
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $ 102,777
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(PATH) 308,000
8404 Other(Specify)
8405 1 Other(Specify)
OTHER REVENUE TOTAL $ 308,000
TOTAL PROGRAM FUNDING SOURCES: $ 410,777
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 16 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year (FY) 2022-23
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.05
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.07
Shasta 0.09
Tulare 0.26
Madera 0.06
Admin 0.22
Kings 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.090
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.075
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 17 of 185
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.12
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.23
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.07
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
CCMU-Rural CIT/Fresno 0.11
CCMU-Metro CIT/Fresno 0.11
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Quality& Performance Improvement Deparment 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position Contract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.60
PATH OEL/Fresno 1.40
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 18 of 185
Total 2.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 19 of 185
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
D—Sign Envelope ID C8359A29-23139-41BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 20 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2022-23 Budget Narrative
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 249,217
Administrative Positions 28,290
1101 Executive Director 7,210 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to original
approved contract for this fiscal year based on previous Executive Director.Only the
FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1102 Regional Director 9,651 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Regional Director.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 2,576 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 5,487 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,366 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous Data
Analyst.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 171,083
1116 Program Manager 34,609 Provides supervision of all staff and direct oversight of program management.Decrease
from previous annual rate to reflect new replacement's current rate and decreased FTE
based on estimated time working with the program.
1117 Outreach Worker 75,816 Provides outreach and engagement services,provides linkage to needed services.
Reduction from original approved contract for this fiscal year.Annual rate was updated
to reflect new replacement's current rates.
1118 Case Managers 60,658 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH SMHS,increased FTE based on
estimated time working at each program.
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 33,196
1201 Retirement 3,091 Cost of 401K;estimated at 1.55%from total salaries.
1202 Worker's Compensation 4,984 Workers Comp Insurance;estimated at 2.50%from total salaries
1203 Health Insurance 25,121 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
14.15%from total salaries.Estimated at higher insurance rates due to inflation.
1204 Other(specify) -
1205 Other(specify) -
1206 Other(specify)
Direct Payroll Taxes&Expenses: 16,648
1301 OASDI -
1302 FICA/MEDICARE 15,252 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 1,396 Cost of SUI;estimated at.70%from total salaries.
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
D—Sign Envelope ID C8359A29-23139-4eA2-A742-iC63C0eCDDeB Revised Exhibit C
Page 21 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 23,763
2001 Child Care -
2002 Client Housing Support 8,700 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.Drastically
reduced this line item due to the impact of reduction to bottom line budget by$66,468
from previous year.Staff members will use resources available in community without
affecting client support.
2003 Client Transportation&Support 1,000 Provides bus passes,bus tokens or any transportation assistance for clients,such as taxi
service or gas.Drastically reduced this line item due to the impact of reduction to
bottom line budget by$66,468 from previous year.Staff members will use resources
available in community without affecting client support.
2004 Clothing,Food,&Hygiene 8,003 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.Drastically reduced this line item
due to the impact of reduction to bottom line budget by$66,468 from previous year.
Staff members will use resources available in community without affecting client
support.
2005 Education Support 230 Assist with education expenses such as books and registration.This line item was
reduced due to the impact of reduction to bottom line budget by$66,468 from
previous year.Cost savings in FY2022 due to client needs are low in this area and will
not affect client support.
2006 Employment Support 230 Cost of employment assistance such as interview clothes,DMV records,ID Cards or
birth certificates.This line item was reduced due to the impact of reduction to bottom
line budget by$66,468 from previous year.Cost savings in FY2022 due to client needs
are low in this area and will not affect client support.
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(Program Supplies) 5,600 Cost to supply showers trailer with items such as soap,shampoo,and towels for client
usage.Drastically reduced this line item due to the impact of reduction to bottom line
budget by$66,468 from previous year.Staff members will use resources available in
community without affecting client support.
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 29,882
3001 Telecommunications 7,328 Cost of landline telephone services,cell phones service,data connectivity.Previous
budget was based on estimates,this increase was updated based on actual trends due
to inflation.
3002 Printing/Postage 800 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.Anticipating higher expenses due to inflation.
3003 Office Supplies&Equipment 1,709 Includes desk supplies&minor equipment used by staff in the course of providing
services.Reduction from previous year based on actual trends.
3004 Advertising -
3005 Staff Development&Training 2,545 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees.Includes registration cost,travel transportation,staff meals,and
lodging expenses.Increase to line item based on additional training needs requested by
current manager.
3006 Staff Mileage 300 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 100 Minor shared cost of special subscription necessary for staff to provide services or job
tasks,such as an online subscription.
3008 Vehicle Maintenance 16,750 Auto repairs&maintenance required to maintain 1 leased truck to haul client showers,
1 leased van and 1 shared leased vehicle for client transportation and program needs,
such as oil changes and car washes.Yearly cost of GPS vehicle tracking service,fuel and
DVM fees.Reduction from previous year due to one time repairs not anticipating in
current year.
3009 Other(Staff Recruitment) 350 Thorough background check and drug testing.
3010 Other(specify) -
3011 other(specify) -
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 42,181
4001 Building Maintenance 11,412 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,minor
building repairs and maintenance to facility.This line item also other miscellaneous
expenses necessary for building maintenance including anticipated moving fees.
Annual Janitorial Services to maintain client showers clean.Increase from previous year
due to unbudgeted Janitorial Services for showers.Anticipating moving expenses
before the end of the fiscal year.
4002 Rent/Lease Building 8,899 Share cost of building space,anticipating moving locations.
4003 Rent/Lease Equipment 1,710 Shared copier lease.Reduction to this line item from previous year to updates on
shared cost trends for actuals.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
D—Sign Envelope ID C8359A29-23D9-413A2-A142-1C63COBCDDB8 Revised Exhibit C
Page 22 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4004 Rent/Lease Vehicles 17,990 The cost of 1 shared lease vehicle and 1 leased van to assist with program and client
needs and cost of 1 lease truck to haul client showers.Error in previous year
calculation.Increase to budget line item from previous year to reflect leased truck
utilized to haul showers.
4005 Security -
4006 Utilities 2,170 Shared cost of gas and electric.Deduction to line item based on current actual trends.
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 11,886
5001 Consultant(Network&Data Management) 11,686 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(specify) -
5004 Translation Services 200 Anticipating translation services to assist clients.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify)
6000:INDIRECT EXPENSES 50,848
6001 Administrative Overhead -
6002 Professional Liability Insurance 3,615 Cost general and professional liability insurance.Increase to bottom line from previous
year due to actual trends and inflation impact.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Liability): 9,890 Cost of personal property,accidental and auto insurance.Increase to bottom line from
previous year due to actual trends and inflation impact.
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 37,343 Moved expense from line item 6001 in previous fiscal year to 6009 in this year due to
rate not being an approved indirect rate.Expenses to this line item ranges from salaries
and benefits to operating expenses such as rent,utilities&supplies generated by
corporate management,fiscal services,payroll,human resources,accounts payable
and other administrative functions supporting program based on our Cost Allocation
Plan.Limited at 10%per PATH Grant maximum.
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 Other(specify)
7000:DIRECT FIXED ASSETS 3,000
7001 Computer Equipment&Software 2,900 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.Reduction to line item,anticipating less replacements needs
in this fiscal year.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 1 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 410,777
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 23 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2023-24
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.04 $ 7,498 $ 7,498
1102 Regional Director 0.08 10,037 10,037
1103 Admin Specialist 0.05 2,679 2,679
1104 Accountant 0.10 6,132 6,132
1105 Quality Improvement Data Analyst 0.05 3,500 3,500
1106 - -
1107 -
1108 -
1109 -
1110 -
1111 -
1112 -
1113 -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 0.32 $ 29,846 $ 29,846
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.35 $ 35,993 $ 35,993
1117 Outreach Worker 2.00 79,082 79,082
1118 Case Managers 1.40 63,088 63,088
1119 - -
1120 -
1121 -
1122 -
1123 -
1124 -
1125 -
1126 -
1127 -
1128 -
1129 -
1130 -
1131 -
1132 -
1133 -
1134 -
Direct Personnel Program Salaries Subtotal 3 $ 178,163 $ 178,163
Admin Program Total
Direct Personnel Salaries Subtotall 4.07 1 $ 29,846 1 $ 178,163 $ 208,009
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 463 $ 2,762 $ 3,225
1202 Worker's Compensation 746 4,454 5,200
1203 Health Insurance 3,761 22,449 26,210
1204 Other(specify) - - -
1205 10ther(specify)
1206 1 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
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Page 24 of 185
Direct Employee Benefits Subtotal: $ 4,970 $ 29,665 $ 34,635
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 2,283 13,630 15,913
1303 SUI 209 1,247 1,456
1304 Other(specify) - - -
1305 10ther(specify) -
1306 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 2,492 $ 14,877 $ 17,369
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 37,308 $ 222,705 $ 260,013
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
14% 86%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 5,000
2003 Client Transportation&Support 800
2004 Clothing, Food,&Hygiene 4,700
2005 Education Support 200
2006 Employment Support 200
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 3,000
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 r0ther(specify)
DIRECT CLIENT CARE TOTAL $ 13,900
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 7,328
3002 Printing/Postage 270
3003 Office Supplies&Equipment 1,009
3004 Advertising -
3005 IStaff Development&Training 2,545
3006 Staff Mileage 50
3007 Subscriptions&Memberships 100
3008 Vehicle Maintenance 16,200
3009 Other(Staff Recruitment) 350
3010 Other(Insurance) 13,910
3011 Other(specify) -
3012 1 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 41,762
4000:DIRECT FACILITIES&EQUIPMENT
Acct# I Line Item Description Amount
4001 IBuilding Maintenance 1 $ 11,412
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
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Page 25 of 185
4002 Rent/Lease Building 8,899
4003 Rent/Lease Equipment 1,710
4004 Rent/Lease Vehicles 18,530
4005 Security -
4006 Utilities 2,235
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 42,786
5000: DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 11,686
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (specify) -
5004 Translation Services 200
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 11,886
6000: INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect salaries&Benefits)
6009 Other(Administrative&General Fees) 37,343
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 37,343
INDIRECT COST RATE 10.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 2,987
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 3,087
TOTAL PROGRAM EXPENSES $ 410,777
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 26 of 185
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 09/0
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 102,777
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $ 102,777
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(PATH) 308,000
8404 Other(Specify) -
8405 1 Other(Specify)
OTHER REVENUE TOTAL $ 308,000
TOTAL PROGRAM FUNDING SOURCES: $ 410,777
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 27 of 185
PATH PROGRAM- OEL
Kings View
Fiscal Year (FY) 2023-24
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.07
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.12
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
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Page 28 of 185
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total
Position Contract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.60
PATH OEL/Fresno 1.40
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
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Page 29 of 185
Total 2.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 30 of 185
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-At42-iC83COBCDDB8 Revised Exhibit C
Page 31 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2023-24 Budget Narrative
PROGRAM EXPENSE
ACCT ff LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 260,013
Administrative Positions 29,846
1101 Executive Director 7,498 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Executive Director.
Only the FTE was increased from previous year based time study results.Adjustments
to the estimated time came from decreasing FTEs in other programs.
1102 Regional Director 10,037 Provide program management and direction.Ensures operations are running
smoothly and in compliance with contract requirements.Annual rate was reverted
back to original approved contract for this fiscal year based on previous Regional
Director.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 2,679 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 6,132 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to
the estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,500 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous Data
Analyst.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0 -
1112 0
1113 0
1114 0
1115 0 -
Program Positions 178,163
1116 Program Manager 35,993 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
decreased FTE based on estimated time working with the program.
1117 Outreach Worker 79,082 Provides outreach and engagement services,provides linkage to needed services.
Reduction from original approved contract for this fiscal year.Annual rate was
updated to reflect new replacement's current rates.
1118 Case Managers 63,088 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH SMHS,increased FTE based on
estimated time working at each program.
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0 -
Direct Employee Benefits 34,635
1201 Retirement 3,225 Cost of 401K;estimated at 1.55%from total salaries.
1202 Worker's Compensation 5,200 Workers Comp Insurance;estimated at 2.50%from total salaries
1203 Health Insurance 26,210 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
14.15%from total salaries.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses: 17,369
1301 OASDI -
1302 FICA/MEDICARE 15,913 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 1 1,456 ICost of SUl;estimated at.70%from total salaries.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
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Page 32 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 13,900
2001 Child Care -
2002 Client Housing Support 5,000 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.After
reoccurring expenses and estimated increase rates are budgeted for operating
expenses this line was reduced due to no bottom line increase to total budget for the
2nd year.Current FY2023 trends are reflecting low usage needs due to using
resources in the community and linkages without affecting client support.
2003 Client Transportation&Support 800 Provides bus passes,bus tokens or any transportation assistance for clients,such as
taxi service or gas.This line was reduced due to no bottom line increase to total
budget for the 2nd year.Current FY2023 trends are reflecting low usage needs and
will not affect client support.
2004 Clothing,Food,&Hygiene 4,700 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.After reoccurring expenses and
estimated increase rates are budgeted for operating expenses this line was reduced
due to no bottom line increase to total budget for the 2nd year.Staff members will
use resources available in community without affecting client support.
2005 Education Support 200 Assist with education expenses such as books and registration.This line was reduced
due to no bottom line increase to total budget for the 2nd year.Cost savings in
FY2022 due to client needs are low in this area and will not affect client support.
2006 Employment Support 200 Cost of employment assistance such as interview clothes,DMV records,ID Cards or
birth certificates.This line was reduced due to no bottom line increase to total budget
for the 2nd year.Cost savings in FY2022 due to client needs are low in this area and
will not affect client support.
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(Program Supplies) 3,000 Cost to supply showers trailer with items such as soap,shampoo,and towels for
client usage.After reoccurring expenses and estimated increase rates are budgeted
for operating expenses this line was reduced due to no bottom line increase to total
budget for the 2nd year.Staff members will use resources available in community
without affecting client support.
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 41,762
3001 Telecommunications 7,328 Cost of Iandline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 270 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.This line was reduced due to the impact of no bottom line
increase to total budget for the 2nd year.
3003 Office Supplies&Equipment 1,009 Includes desk supplies&minor equipment used by staff in the course of providing
services.This line was reduced due to the impact of no bottom line increase to total
budget for the 2nd year.
3004 Advertising -
3005 Staff Development&Training 2,545 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees. Includes registration cost,travel transportation,staff meals,and
lodging expenses.Increase to line item based on additional training needs requested
by current manager.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.Reduced based on current trends.
3007 Subscriptions&Memberships 100 Minor shared cost of special subscription necessary for staff to provide services or job
tasks,such as an online subscription.
3008 Vehicle Maintenance 16,200 Auto repairs&maintenance required to maintain 1 leased truck to haul client
showers,1 leased van and 1 shared leased vehicle for client transportation and
program needs,such as oil changes and car washes.Yearly cost of GPS vehicle
tracking service,fuel and DVM fees.Reduction from previous year due to expecting
less vandalism after moving to new location.
3009 Other(Staff Recruitment) 350 Thorough background check and drug testing.
3010 Other(Insurance) 13,910 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.Anticipating shared cost to be reduced when program
moves to new location.
3011 Other(specify)
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 42,786
4001 Building Maintenance 11,412 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,
minor building repairs and maintenance to facility.This line item also other
miscellaneous expenses necessary for building maintenance including anticipated
moving fees.Annual Janitorial Services to maintain client showers clean.
4002 Rent/Lease Building 8,899 Share cost of building space;anticipating moving locations.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
D—Sign Envelope to:C8359A29-23D9-4BA2-A142-lC63COBCDDB8 Revised Exhibit C
Page 33 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4003 Rent/Lease Equipment 1,710 Shared copier lease.
4004 Rent/Lease Vehicles 18,530 The cost of 1 shared lease vehicle and 1 leased van to assist with program and client
needs and cost of 1 lease truck to haul client showers.Anticipating higher rates at
time of renewals.
4005 Security -
4006 Utilities 2,235 Shared cost of gas and electric.
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES 11,886
5001 Consultant(Network&Data Management) 11,686 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7.After hours support via email and phone
24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(specify) -
5004 Translation Services 200 Anticipating translation services to assist clients.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify)
6000:INDIRECT EXPENSES 37,343
6001 Administrative Overhead -
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 37,343 Expenses to this line item ranges from salaries and benefits to operating expenses
such as rent,utilities&supplies generated by corporate management,fiscal services,
payroll,human resources,accounts payable and other administrative functions
supporting program based on our Cost Allocation Plan.
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 Other(specify)
7000:DIRECT FIXED ASSETS 3,087
7001 Computer Equipment&Software 2,987 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain -
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Other(specify) -
7008 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 410,777
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 34 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY) 2024-25
PROGRAM EXPENSES
1000: DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program I Total
1101 Executive Director 0.04 $ 7,798 $ 7,798
1102 Regional Director 0.08 10,439 10,439
1103 Admin Specialist 0.05 2,786 2,786
1104 Accountant 0.10 6,378 6,378
1105 Quality Improvement Data Analyst 0.05 3,640 3,640
1106 - -
1107
1108
1109
1110
1111
1112
1113
1114
1115 -
Direct Personnel Admin Salaries Subtotal 0.32 $ 31,041 $ 31,041
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.35 $ 37,432 $ 37,432
1117 Outreach Worker 2.00 82,243 82,243
1118 Case Managers 1.40 65,622 65,622
1119 - -
1120 - -
1121 - -
1122 - -
1123 - -
1124 - -
1125 - -
1126 - -
1127 - -
1128 - -
1129 - -
1130 - -
1131 - -
1132 -
1133 - -
1134 - -
Direct Personnel Program Salaries Subtotal 3.75 $ 185,297 $ 185,297
Admin Program Total
Direct Personnel Salaries Subtotal 4.07 $ 31,041 $ 185,297 $ 216,338
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 481 $ 2,872 $ 3,353
1202 Worker's Compensation 776 4,632 5,408
1203 Health Insurance 3,911 23,347 27,258
1204 Other(specify) - -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
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Page 35 of 185
1205 Other(specify) - -
1206 Other(specify) - -
Direct Employee Benefits Subtotal: $ 5,168 $ 30,851 $ 36,019
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 2,375 14,175 16,550
1303 SUI 217 1,297 1,514
1304 Other(specify) - - -
1305 Other(specify) - -
1306 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 2,592 $ 15,472 $ 18,064
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 38,801 $ 231,620 $ 270,421
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
14%1 86%
2000: DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 4,000
2003 Client Transportation&Support 800
2004 Clothing, Food,&Hygiene 2,680
2005 Education Support 200
2006 Employment Support 200
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,000
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 9,880
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 7,328
3002 Printing/Postage 270
3003 Office Supplies&Equipment 850
3004 Advertising -
3005 Staff Development&Training 545
3006 Staff Mileage 50
3007 Subscriptions&Memberships 100
3008 Vehicle Maintenance 15,325
3009 Other(Staff Recruitment) 350
3010 Other(Insurance) 13,910
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 38,728
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 36 of 185
4000: DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 10,331
4002 Rent/Lease Building 8,899
4003 Rent/Lease Equipment 1,710
4004 Rent/Lease Vehicles 18,530
4005 Security -
4006 Utilities 2,324
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 10ther(specify) -
DIRECT FACILITIES/EQUIPM ENT TOTAL: $ 41,794
5000: DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 11,686
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify) -
5004 Translation Services 150
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ 11,836
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 11professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-OwnedEquipment to be Usedfor Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 37,343
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 37,343
INDIRECT COST RATE 10.00%
7000: DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 675
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
7004 Leasehold/Tenant/Building Improvements -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 37 of 185
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify) -
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 775
TOTAL PROGRAM EXPENSES $ 410,777
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation (FFP)% 1 0%
MEDI-CAL FFP TOTAL $ -
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 102,777
8302 PEI-Prevention & Early Intervention -
8303 INN -Innovations
8304 WET-Workforce Education &Training
8305 jCFTN -Capital Facilities&Technology
MHSA TOTAL $ 102,777
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(PATH) 308,000
8404 Other(Specify) -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 38 of 185
8405 Other(Specify) I -
OTHER REVENUE TOTALI 308,000
TOTAL PROGRAM FUNDING SOURCES: $ 410,777
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 39 of 185
PATH PROGRAM- OEL
Kings View
Fiscal Year (FY) 2024-25
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.17
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 40 of 185
Total 1 ^^
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.25
Total 1.00
Position Contract#/Name/Department/County I FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total
Position Contract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.60
PATH OEL/Fresno 1.40
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 41 of 185
Total 2.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 42 of 185
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-iC63COBCDDBB Revised Exhibit C
Page 43 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2024-25 Budget Narrative
PROGRAM EXPENSE
JACcr#J LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 270,421
Administrative Positions 31,041
1101 Executive Director 7,798 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Executive Director.
Only the FTE was increased from previous year based time study results.Adjustments
to the estimated time came from decreasing FTEs in other programs.
1102 Regional Director 10,439 Provide program management and direction.Ensures operations are running
smoothly and in compliance with contract requirements.Annual rate was reverted
back to original approved contract for this fiscal year based on previous Regional
Director.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 2,786 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 6,378 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to
the estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,640 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous Data
Analyst.
1106 0
1107 10
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10
Program Positions 185,297
1116 Program Manager 37,432 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
decreased FTE based on estimated time working with the program.
1117 Outreach Worker 82,243 Provides outreach and engagement services,provides linkage to needed services.
Reduction from original approved contract for this fiscal year.Annual rate was
updated to reflect new replacement's current rates.
1118 Case Managers 65,622 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH SMHS,increased FTE based on
estimated time working at each program.
1119 0
1120 10
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 36,019
1201 Retirement 3,353 ICost of 401K;estimated at 1.55%from total salaries.
1202 Worker's Compensation 5,408 Workers Comp Insurance;estimated at 2.50%from total salaries
1203 Health Insurance 27,258 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
14.15%from total salaries.
1204 Other(specify) -
1205 Other(specify) -
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 18,064
1301 JOASDI -
1302 FICA/MEDICARE 16,550 ICost of FICA/Medicare;estimated at 7.65%from total salaries.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-iC63COBCDDBB Revised Exhibit C
Page 44 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1303 SUI 1,514 ICost ofSUI;estimated at.70%from total salaries.
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 91880
2001 Child Care -
2002 Client Housing Support 4,000 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.Current
FY2023 trends are reflecting low usage needs due to using resources in the
community and linkages without affecting client support.
2003 Client Transportation&Support 800 Provides bus passes,bus tokens or any transportation assistance for clients,such as
taxi service or gas.Current FY2023 trends are reflecting low usage needs and will not
affect client support.
2004 Clothing,Food,&Hygiene 2,680 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.Staff members will use resources
available in community without affecting client support.
2005 Education Support 200 Assist with education expenses such as books and registration.Cost savings in FY2022
due to client needs are low in this area and will not affect client support.
2006 Employment Support 200 Cost of employment assistance such as interview clothes,DMV records,ID Cards or
birth certificates.Cost savings in FY2022 due to client needs are low in this area and
will not affect client support.Cost savings in FY2022 due to client needs are low in this
area and will not affect client support.
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,000 Cost to supply showers trailer with items such as soap,shampoo,and towels for client
usage.Staff members will use resources available in community without affecting
client support.
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 10ther(specify) -
3000:DIRECT OPERATING EXPENSES 38,728
3001 Telecommunications 7,328 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 270 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies&Equipment 850 Includes desk supplies&minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 545 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 100 Minor shared cost of special subscription necessary for staff to provide services orjob
tasks,such as an online subscription.
3008 Vehicle Maintenance 15,325 Auto repairs&maintenance required to maintain 1 leased truck to haul client
showers,1 leased van and 1 shared leased vehicle for client transportation and
program needs,such as oil changes and car washes.Yearly cost of GPS vehicle
tracking service,fuel and DVM fees.
3009 Other(Staff Recruitment) 350 Thorough background check and drug testing.
3010 Other(Insurance) 13,910 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
3011 Other(specify) -
3012 1 Other(specify) -
4000:DIRECT FACILITIES&EQUIPMENT 41,794
4001 Building Maintenance 10,331 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,
minor building repairs and maintenance to facility.This line item also other
miscellaneous expenses necessary for building maintenance including anticipated
moving fees.Annual Janitorial Services to maintain client showers clean.This line was
reduced due to the impact of no bottom line increase to total budget for the 3rd year.
Reduction to repairs and maintenance and available facility supplies.
4002 Rent/Lease Building 8,899 Share cost of building space,anticipating moving locations.
4003 Rent/Lease Equipment 1,710 Shared copier lease.
4004 Rent/Lease Vehicles 18,530 The cost of 1 shared lease vehicle and 1 leased van to assist with program and client
needs and cost of 1 lease truck to haul client showers.
4005 Security -
4006 Utilities 2,324 Shared cost of gas and electric.
Fresno County Department of Behavioral Health Contract Budget Nanalive Revised 217/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-iC63COBCDDBB Revised Exhibit C
Page 45 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 11,836
5001 Consultant(Network&Data Management) 11,686 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7.After hours support via email and phone
24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(specify) -
5004 Translation Services 150 Anticipating translation services to assist clients.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
6000:INDIRECT EXPENSES 37,343
6001 Administrative Overhead -
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 lPersonnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 37,343 Expenses to this line item ranges from salaries and benefits to operating expenses
such as rent,utilities&supplies generated by corporate management,fiscal services,
payroll,human resources,accounts payable and other administrative functions
supporting program based on our Cost Allocation Plan.
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 Other(specify) -
7000:DIRECT FIXED ASSETS 775
7001 Computer Equipment&Software 675 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain -
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-
ACCT# LINE ITEM CAL SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 410,777
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 46 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2025-26
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.04 $ 8,032 $ 8,032
1102 Regional Director 0.08 10,751 10,751
1103 Admin Specialist 0.05 2,870 2,870
1104 Accountant 0.10 6,569 6,569
1105 Quality Improvement Data Analyst 0.05 3,749 3,749
1106 - -
1107 -
1108 -
1109 -
1110 -
1111 -
1112 -
1113 -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 0.32 $ 31,971 $ 31,971
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.35 $ 38,555 $ 38,555
1117 Outreach Worker 2.00 84,698 84,698
1118 Case Managers 1.40 67,587 67,587
1119 - -
1120 -
1121 -
1122 -
1123 -
1124 -
1125 -
1126 -
1127 -
1128 -
1129 -
1130 -
1131 -
1132 -
1133 -
1134 -
Direct Personnel Program Salaries Subtotal 3 $ 190,840 $ 190,840
Admin Program Total
Direct Personnel Salaries Subtotall 4.07 1 $ 31,971 1 $ 190,840 $ 222,811
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 496 $ 2,958 $ 3,454
1202 Worker's Compensation 799 4,771 5,570
1203 Health Insurance 4,028 24,046 28,074
1204 Other(specify)
1205 10ther(specify)
1206 1 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 47 of 185
Direct Employee Benefits Subtotal: $ 5,323 $ 31,775 $ 37,098
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 2,446 14,599 17,045
1303 SUI 224 1,336 1,560
1304 Other(specify) - - -
1305 10ther(specify) -
1306 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 2,670 $ 15,935 $ 18,605
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 39,964 $ 238,550 $ 278,514
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
14% 86%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 1,500
2003 Client Transportation&Support 200
2004 Clothing, Food,&Hygiene 1,600
2005 Education Support 100
2006 Employment Support 100
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 1,500
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 5,000
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 7,328
3002 Printing/Postage 70
3003 Office Supplies&Equipment 500
3004 Advertising -
3005 IStaff Development&Training 400
3006 Staff Mileage 50
3007 Subscriptions&Memberships 50
3008 Vehicle Maintenance 13,827
3009 Other(Staff Recruitment) 350
3010 Other(Insurance) 13,910
3011 Other(specify) -
3012 1 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 36,485
4000:DIRECT FACILITIES&EQUIPMENT
Acct# I Line Item Description Amount
4001 IBuilding Maintenance 1 $ 9,536
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 48 of 185
4002 Rent/Lease Building 8,899
4003 Rent/Lease Equipment 1,710
4004 Rent/Lease Vehicles 18,530
4005 Security -
4006 Utilities 2,324
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 40,999
5000: DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 11,686
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (specify) -
5004 Translation Services 150
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 11,836
6000: INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect salaries&Benefits)
6009 Other(Administrative&General Fees) 37,343
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 37,343
INDIRECT COST RATE 10.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 600
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 600
TOTAL PROGRAM EXPENSES $ 410,777
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 49 of 185
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 09/0
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 102,777
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $ 102,777
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(PATH) 308,000
8404 Other(Specify) -
8405 1 Other(Specify)
OTHER REVENUE TOTAL $ 308,000
TOTAL PROGRAM FUNDING SOURCES: $ 410,777
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 50 of 185
PATH PROGRAM- OEL
Kings View
Fiscal Year (FY) 2025-26
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.17
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 51 of 185
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position lContract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.60
PATH OEL/Fresno 1.40
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 52 of 185
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 53 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 54 of 185
Total 0.00
D—Sign Envelope ID C8359A29-23139-41BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 55 of 185
PATH PROGRAM-OEL
Kings View
Fiscal Year(FY)2025-26 Budget Narrative
PROGRAM EXPENSE
ACCT#J LINE ITEM AlMl DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 278,514
Administrative Positions 31,971
1101 Executive Director 8,032 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to original
approved contract for this fiscal year based on previous Executive Director.Only the
FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1102 Regional Director 10,751 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Regional Director.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 2,870 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 6,569 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,749 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous Data
Analyst.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 190,840
1116 Program Manager 38,555 Provides supervision of all staff and direct oversight of program management.Decrease
from previous annual rate to reflect new replacement's current rate and decreased FTE
based on estimated time working with the program.
1117 Outreach Worker 84,698 Provides outreach and engagement services,provides linkage to needed services.
Reduction from original approved contract for this fiscal year.Annual rate was updated
to reflect new replacement's current rates.
1118 Case Managers 67,587 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH SMHS,increased FTE based on
estimated time working at each program.
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 37,098
1201 Retirement 3,454 Cost of 401K;estimated at 1.55%from total salaries.
1202 Worker's Compensation 5,570 Workers Comp Insurance;estimated at 2.50%from total salaries
1203 Health Insurance 28,074 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
14.15%from total salaries.
1204 Other(specify) -
1205 Other(specify) -
1206 Other(specify)
Direct Payroll Taxes&Expenses: 18,605
1301 OASDI -
1302 FICA/MEDICARE 17,045 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 1,560 Cost of SUI;estimated at.70%from total salaries.
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 5,000
2001 IChildCare
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
DocuSign Envelope ID C8359A29-23139-41BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 56 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2002 Client Housing Support 1,500 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.After
reoccurring expenses and estimated increase rates are budgeted for operating
expenses this line was reduced due to no bottom line Increase to total budget for the
4th year.Current FY2023 trends are reflecting low usage needs due to using resources
in the community and linkages without affecting client support.
2003 Client Transportation&Support 200 Provides bus passes,bus tokens or any transportation assistance for clients,such as taxi
service or gas.After reoccurring expenses and estimated increase rates are budgeted
for operating expenses this line was reduced due to no bottom line increase to total
budget for the 4th year.Current FY2023 trends are reflecting low usage needs and will
not affect client support.
2004 Clothing,Food,&Hygiene 1,600 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.After reoccurring expenses and
estimated increase rates are budgeted for operating expenses this line was reduced
due to no bottom line increase to total budget for the 4th year.Staff members will use
resources available in community without affecting client support.
2005 Education Support 100 Assist with education expenses such as books and registration.After reoccurring
expenses and estimated increase rates are budgeted for operating expenses this line
was reduced due to no bottom line increase to total budget for the 4th year.Cost
savings in FY2022 due to client needs are low in this area and will not affect client
support.
2006 Employment Support 100 Cost of employment assistance such as interview clothes,DMV records,ID Cards or
birth certificates.After reoccurring expenses and estimated increase rates are
budgeted for operating expenses this line was reduced due to no bottom line increase
to total budget for the 4th year.Cost savings in FY2022 due to client needs are low in
this area and will not affect client support.
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(Program Supplies) 1,500 Cost to supply showers trailer with items such as soap,shampoo,and towels for client
usage.After reoccurring expenses and estimated increase rates are budgeted for
operating expenses this line was reduced due to no bottom line increase to total
budget for the 4th year.Staff members will use resources available in community
without affecting client support.
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 36,485
3001 Telecommunications 7,328 ICost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 70 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.This line was reduced due to the impact of no bottom line
increase to total budget for the 4th year.Reduction to funds available for printing.
3003 Office Supplies&Equipment 500 Includes desk supplies&minor equipment used by staff in the course of providing
services.This line was reduced due to the impact of no bottom line increase to total
budget for the 4th year.
3004 Advertising
3005 Staff Development&Training 400 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees.This line was reduced due to the impact of no bottom line increase
to total budget for the 4th year.Reduction to funds available for training.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or job
tasks,such as an online subscription.This line was reduced due to the impact of no
bottom line increase to total budget for the 4th year.
3008 Vehicle Maintenance 13,827 Auto repairs&maintenance required to maintain 1 leased truck to haul client showers,
1 leased van and 1 shared leased vehicle for client transportation and program needs,
such as oil changes and car washes.Yearly cost of GPS vehicle tracking service,fuel and
DVM fees.This line was reduced due to the impact of no bottom line increase to total
budget for the 4th year.Reduction to available funds for auto repairs&maintenance.
3009 Other(Staff Recruitment) 350 Thorough background check and drug testing.
3010 Other(Insurance) 13,910 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
3011 Other(specify)
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 40,999
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
DocuSign Envelope ID C8359A29-23139-41BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 57 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 9,536 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,minor
building repairs and maintenance to facility.This line item also other miscellaneous
expenses necessary for building maintenance including anticipated moving fees.
Annual Janitorial Services to maintain client showers clean.This line was reduced due
to the impact of no bottom line increase to total budget for the 4th year.Reduction to
repairs and maintenance and available facility supplies.
4002 Rent/Lease Building 8,899 Share cost of building space,anticipating moving locations.
4003 Rent/Lease Equipment 1,710 Shared copier lease.
4004 Rent/Lease Vehicles 18,530 The cost of 1 shared lease vehicle and 1 leased van to assist with program and client
needs and cost of 1 lease truck to haul client showers.
4005 Security -
4006 Utilities 2,324 Shared cost of gas and electric.
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 11,836
5001 Consultant(Network&Data Management) 11,686 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(specify) -
5004 Translation Services 150 Anticipating translation services to assist clients.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify)
6000:INDIRECT EXPENSES 37,343
6001 Administrative Overhead -
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 37,343 Expenses to this line item ranges from salaries and benefits to operating expenses such
as rent,utilities&supplies generated by corporate management,fiscal services,payroll,
human resources,accounts payable and other administrative functions supporting
program based on our Cost Allocation Plan.
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 Other(specify)
7000:DIRECT FIXED ASSETS 600
7001 Computer Equipment&Software 600 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.No funds available for full cost replacements.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify) -
7008 0ther(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 410,777
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 410,777
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 58 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2021-22
PROGRAM EXPENSES
1000: DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin I Program Total
1101 Executive Director 0.01 $ 790 $ 790
1102 Executive Assistant 0.01 252 252
1103 Regional Director 0.02 2,593 2,593
1104 Admin Specialist 0.08 3,885 3,885
1105 Accountant 0.03 1,792 1,792
1106 Quality Improvement Data Analyst 0.02 1,268 1,268
1107 - -
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.16 $ 10,580 $ 10,580
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.30 $ 31,603 $ 31,603
1117 Case Managers 0.80 33,654 33,654
1118 - -
1119 -
1120 -
1121 -
1122 -
1123 -
1124 -
1125
1126
1127
1128
1129
1130 -
1131
1132
1133 -
1134 - -
Direct Personnel Program Salaries Subtotal 1.10 $ 65,257 $ 65,257
Admin Program Total
Direct Personnel Salaries Subtotal 1.26 $ 10,580 $ 65,257 $ 75,837
Direct Employee Benefits
Acct# I Description Admin Program Total
1201 IRetirement $ 192 1 $ 1,183 1 $ 1,375
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 59 of 185
1202 Worker's Compensation 253 1,559 1,812
1203 Health Insurance 776 4,783 5,559
1204 Other(specify) - - -
1205 Other(specify) -
1206 Other(specify) - - -
Direct Employee Benefits Subtotal: $ 1,221 $ 7,525 $ 8,746
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 777 4,791 5,568
1303 SUI 61 376 437
1304 Other(specify) - -
1305 10ther(specify) -
1306 10ther(specify) - -
Direct Payroll Taxes&Expenses Subtotal: $ 838 $ 5,167 $ 6,005
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 12,639 $ 77,949 $ 90,588
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
14%1 86%
2000: DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 25,000
2003 Client Transportation&Support
2004 Clothing, Food,&Hygiene 740
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,372
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify) -
2016 10ther(specify) -
DIRECT CLIENT CARE TOTAL $ 28,112
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 1,330
3002 Printing/Postage 350
3003 Office Supplies&Equipment 1,023
3004 Advertising -
3005 Staff Development&Training 640
3006 Staff Mileage 150
3007 Subscriptions&Memberships 50
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 60 of 185
3008 Vehicle Maintenance 2,167
3009 Other(Staff Recruitment) 300
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 6,010
4000: DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 1,324
4002 Rent/Lease Building 2,052
4003 Rent/Lease Equipment 240
4004 Rent/Lease Vehicles 1,953
4005 Security -
4006 Utilities 675
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 10ther(specify)
DIRECT FACI LITIES/EQU I PM ENT TOTAL: $ 6,244
5000: DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 4,046
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Psychiatrist Fees) 32,438
5004 Translation Services -
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 36,484
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 20,789
Administrative Overhead
6002 Professional Liability Insurance 1,961
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Liability): 689
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
600$ Personnel(Indirect Salaries&Benefits)
6009 10ther(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL I 23,439
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 61 of 185
INDIRECT COST RATE 13.74%
7000: DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 3,050
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 3,150
TOTAL PROGRAM EXPENSES $ 194,027
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 - $ -
8002 Case Management 160 3.75 600
8003 Crisis Services 64 6.75 432
8004 Medication Support 2,870 8.00 22,960
8005 Collateral -
8006 Plan Development 850 4.50 3,825
8007 Assessment 2,950 4.50 13,275
8008 Rehabilitation 33,838 4.50 152,271
8009 Other(Specify) 0 -
8010 10ther(Specify) 011 -
Estimated Specialty Mental Health Services Billing Totals: 140,7321 $ 193,363
Estimated%of Clients who are Medi-Cal Beneficiaries 75%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 145,022
Federal Financial Participation (FFP)% 1 85% 123,269
MEDI-CAL FFP TOTAL $ 123,269
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 0
REALIGNMENT TOTAL $ 0
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 ICSS-Community Services&Supports $ 69,756
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8 Revised Exhibit C
Page 62 of 185
8302 PEI-Prevention &Early Intervention -
8303 INN-Innovations -
8304 WET-Workforce Education&Training -
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $ 69,756
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(Specify) -
8404 Other(Client Rents) 1,002
8405 10ther(Specify) -
OTHER REVENUE TOTALI 1,002
TOTAL PROGRAM FUNDING SOURCES: $ 194,027
NET PROGRAM COST: $ -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 63 of 185
PATH Program- SMHS
Kings View
Fiscal Year (FY) 2021-22
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH MOP/Fresno 0.01
Blue Sky/Fresno 0.05
Rural Triage East/Fresno 0.06
Rural Triage West/Fresno 0.04
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
Kings 0.23
CVSPH/California State,Tualre, Calaveras,Tuolurni 0.17
Fresno City 0.05
Shasta 0.06
Tulare 0.27
Madera 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Executive Assistant PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH MOP/Fresno 0.01
Blue Sky/Fresno 0.05
Rural Triage East/Fresno 0.06
Rural Triage West/Fresno 0.04
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.09
Map Point/Fresno 0.01
Kings 0.23
CVSPH/California State,Tualre, Calaveras,Tuolurni 0.10
Fresno City 0.05
Shasta 0.06
Tulare 0.27
Madera 0.02
Total 1.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 64 of 185
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH MOP/Fresno 0.03
Blue Sky/Fresno 0.11
Rural Triage East/Fresno 0.15
Rural Triage West/Fresno 0.15
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.25
Map Point/Fresno 0.02
CVSPH/California State,Tualre, Calaveras,Tuolumi 0.17
Fresno City 0.05
Madera 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.08
PATH OEL/Fresno 0.26
Rural Triage East/Fresno 0.40
Rural Triage West/Fresno 0.26
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.67
PATH MOP/Fresno 0.03
Total 1.00
Position Contract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.80
PATH OEL/Fresno 1.20
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 65 of 185
Total 2.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.03
PATH OEL/Fresno 0.05
PATH MOP/Fresno 0.03
Blue Sky/Fresno 0.08
Rural Triage East/Fresno 0.11
Rural Triage West/Fresno 0.09
Metro CIT/Fresno 0.10
Suicide Prevention Follow-up Call/Fresno 0.03
CVSPH/California State,Tualre, Calaveras,Tuolumi 0.05
Shasta 0.07
Finance Department 0.37
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH MOP/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Triage East/Fresno 0.12
Rural Triage West/Fresno 0.12
Metro CIT/Fresno 0.12
Map Point/Fresno 0.05
Shasta 0.04
Kings 0.27
Quality& Performance Improvement Deparment 0.03
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 66 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 67 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 68 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2021-22 Budget Narrative
PROGRAM EXPENSE
ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 90,588
Administrative Positions 10,580
1101 Executive Director 790 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Executive Assistant 252 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1103 Regional Director 2,593 Provide program management and direction.Ensures operations are running
smoothly and in compliance with contract requirements.
1104 Admin Specialist 3,885 Provides administrative support for the program and assist with medical billing and
records.
1105 Accountant 1,792 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
1106 Quality Improvement Data Analyst 1,268 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1107 0 -
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 65,257
1116 Program Manager 31,603 Provides supervision of all staff and direct oversight of program management.
1117 Case Managers 33,654 Provides administrative support for the program and assist with medical billing and
records.
1118 0 -
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 8,746
1201 Retirement 1,375 Cost of 401K;estimated at 1.89%from total salaries.
1202 Worker's Compensation 1,812 Workers Comp Insurance;estimated at 2.49%from total salaries
1203 Health Insurance 5,559 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
11.26%from total salaries.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses: 6,005
1301 OASDI -
1302 FICA/MEDICARE 5,568 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 437 Cost of SUI;estimated at.60%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 28,112
2001 Child Care -
2002 Client Housing Support 25,000 Support clients with rent,security deposits,board and care,emergency housing such
as hotels/motels,groceries and household supplies.
2003 Client Transportation&Support -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 69 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2004 Clothing,Food,&Hygiene 740 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,372 Cost of supplies for client groups such as notepads,therapy balls,puzzles or art
supplies.
2012 Other(specify) -
2013 Other ispecify)
2014 Other(specify)
2015 Other(specify) -
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 6,010
3001 Telecommunications 1,330 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 350 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies&Equipment 1,023 Includes all supplies used by staff in the course of providing services.Also,includes
program supplies such as snacks for clients or outreach supplies.
3004 Advertising -
3005 Staff Development&Training 640 Minor shared cost for continuation of staff development and training.Also includes
HMIS training fees.
3006 Staff Mileage 150 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks,such as an online subscription.
3008 Vehicle Maintenance 2,167 Minor auto repairs&maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs,such as oil changes and car washes.Yearly
cost of GPS vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 300 Thorough background check and drug testing.
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify) -
4000:DIRECT FACILITIES&EQUIPMENT 6,244
4001 Building Maintenance 1,324 Shared copier maintenance and minor building repairs and maintenance.
4002 Rent/Lease Building 2,052 Building space lease,anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 1,953 The cost of 2 shared lease vehicles to assist with program needs.
4005 Security -
4006 Utilities 675 The cost of gas and electric.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 36,484
5001 Consultant(Network&Data Management) 4,046 Kings View Information Technology Department(KVIT)will provide hardware and
software support for successful data collection.A database will be designed for this
program.WIT will procure equipment,software&other services from approved&
authorized vendors. Provide online,onsite,or phone-based emergency support-24/7
from the WIT Help Desk.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Psychiatrist Fees) 32,438 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.
5004 Translation Services -
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify) -
6000:INDIRECT EXPENSES 23,439
6001 Administrative Overhead 20,789 Expenses provides program management,fiscal services,payroll,human resources,
6002 Professional Liability Insurance 1,961 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 70 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6005 Insurance(Liability): 689 Cost of personal property,accidental and auto insurance.
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 3,150
7001 Computer Equipment&Software 3,050 Computer software needs to support staff&anticipating shared cost for
replacement of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain -
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement furniture needs.
7004 Leasehold/Tenant/Building improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management Based on annualizing current reports
8003 Crisis Services Based on annualizing current reports
8004 Medication Support Based on annualizing current reports
8005 Collateral
8006 Plan Development Based on annualizing current reports
8007 Assessment Based on annualizing current reports
8008 Rehabilitation Based on annualizing current reports
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 194,027
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 194,027
BUDGET CHECK: -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 71 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2022-23
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.04 $ 7,210 $ 7,210
1102 Regional Director 0.085 10,254 10,254
1103 Admin Specialist 0.30 15,456 15,456
1104 Accountant 0.07 4,126 4,126
1105 Quality Improvement Data Analyst 0.05 3,366 3,366
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.55 $ 40,412 $ 40,412
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.25 $ 24,721 $ 24,721
1117 Case Managers 0.60 25,996 25,996
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.85 $ 50,717 $ 50,717
Admin Program Total
Direct Personnel Salaries Subtotal F 1.40 $ 40,412 $ 50,717 $ 91,129
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 764 $ 959 $ 1,723
1202 Worker's Compensation 1,006 1,263 2,269
1203 Health Insurance 3,787 4,752 8,539
1204 Other(specify) - - -
1265 Other(specify) - -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 72 of 185
1206 10ther(specify)
Direct Employee Benefits Subtotal:1 $ 5,557 1 $ 6,974 1 $ 12,531
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - -
1302 FICA/MEDICARE 3,092 3,880 6,972
1303 SUI 242 304 546
1304 Other(specify) - - -
1305 Other(specify)
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 3,334 $ 4,184 $ 7,518
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 49,303 $ 61,875 $ 111,178
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
44% 56%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 31,135
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene 2,115
2005 Education Support
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,000
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 35,250
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,907
3002 Printing/Postage 250
3003 Office Supplies&Equipment 847
3004 Advertising -
3005 Staff Development&Training 1,256
3006 Staff Mileage 50
3007 Subscriptions&Memberships 50
3008 Vehicle Maintenance 1,467
3009 Other(Staff Recruitment) 150
3010 Other(insurance) 2,933
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 9,910
4000:DIRECT FACILITIES&EQUIPMENT
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 73 of 185
Acct# Line Item Description Amount
4001 Building Maintenance $ 2,260
4002 Rent/Lease Building 1,900
4003 Rent/Lease Equipment 240
4004 Rent/Lease Vehicles 830
4005 Security
4006 Utilities 675
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 10ther(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 5,905
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 4,980
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Psychiatrist Fees) 34,771
5004 Translation Services -
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL:1 $ 39,751
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) 18,071
6009 Other(Operating) 6,024
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 24,095
INDIRECT COST RATE 11.80%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 2,100
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 74 of 185
FIXED ASSETS EXPENSES TOTAL $ 2,200
TOTAL PROGRAM EXPENSES $ 228,289
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 - $ -
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 48,0001 $ 247,108
Estimated%of Clients who are Medi-Cal Beneficiaries 75%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 185,331
Federal Financial Participation(FFP)% 1 85% 157,531
MEDI-CAL FFP TOTAL $ 157,531
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (0)
REALIGNMENT TOTAL $ (0)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 69,756
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $ 69,756
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance
8403 Grants(Specify) -
8404 Other(Client Rents) 1,002
8405 Other(Specify)
OTHER REVENUE TOTALI $ 1,002
TOTAL PROGRAM FUNDING SOURCES: $ 228,289
NET PROGRAM COST: $ -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 75 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year (FY) 2022-23
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.05
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.07
Shasta 0.09
Tulare 0.26
Madera 0.06
Admin 0.22
Kings 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.090
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.075
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 76 of 185
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.12
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.23
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.07
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
CCMU-Rural CIT/Fresno 0.11
CCMU-Metro CIT/Fresno 0.11
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Quality& Performance Improvement Deparment 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position lContract#/Name/Department/County FTE
Case Managers I PATH SMHS/Fresno 0.60
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 77 of 185
PATH OEL/Fresno 1.40
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 78 of 185
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 79 of 185
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A1 42-1 C63COBCDDBB Revised Exhibit C
Page 80 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2022-23 Budget Narrative
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 111,178
Administrative Positions 40,412
1101 Executive Director 7,210 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to original
approved contract for this fiscal year based on previous Executive Director.Only the
FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1102 Regional Director 10,254 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Regional Director.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 15,456 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 4,126 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,366 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous Data
Analyst.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 50,717
1116 Program Manager 24,721 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
increased FTE based on estimated time working with the program.
1117 Case Managers 25,996 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH DEL,decreased FTE based on
estimated time working at each program.
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 12,531
1201 Retirement 1,723 Cost of 401K;estimated at 1.89%from total salaries.
1202 Worker's Compensation 2,269 Workers Comp Insurance;estimated at 2.49%from total salaries
1203 Health Insurance 8,539 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
11.26%from total salaries.
DocuSign Envelope ID:C8359A29-23D9-4BA2-A1 42-1 C63COBCDDBB Revised Exhibit C
Page 81 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1204 Other(specify)
1205 Other(specify)
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 7,518
1301 OASDI -
1302 FICA/MEDICARE 6,972 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 546 Cost of SUI;estimated at.60%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 35,250
2001 Child Care -
2002 Client Housing Support 31,135 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.Bottom line
budget was increased by$34,262 in this year allowing for increase to this line item
after operating cost are covered.Based upon midyear analysis,we have only expensed
approximately 10%of the total budget on client support items and are using the
remaining funds elsewhere.
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,115 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.Bottom line budget was increased
by$34,262 in this year allowing for increase to this line item after operating cost are
covered.No change from original approved contract.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,000 Cost of supplies for client groups such as notepads,therapy balls,puzzles or art
supplies.No change from original approved contract.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 9,910
3001 Telecommunications 2,907 Cost of landline telephone services,cell phones service,data connectivity.Updated
based on increased trends.Inflation rate in 2022 increased by 7.1%and expected to
continue increasing.
3002 Printing/Postage 250 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.No change from original approved contract.
3003 Office Supplies&Equipment 847 Includes all supplies and minor equipment used by staff in the course of providing
services.Reduction from previous year based on trends.
3004 Advertising -
3005 Staff Development&Training 1,256 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees.Includes registration cost,travel transportation,staff meals,and
lodging expenses.Bottom line budget was increased by$34,262 in this year allowing
for increase to this line.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 50 Minor shared cost of special subscription necessary for staff to provide services orjob
tasks,such as an online subscription.No change from original approved contract.
3008 Vehicle Maintenance 1,467 Minor auto repairs&maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs,such as oil changes and car washes.Yearly
cost of GPS vehicle tracking service,auto fuel,and DMV fees.Decrease to budget line
item from previous year due to one time auto repairs maintenance not expected in
current year.
3009 Other(Staff Recruitment) 150 Thorough background check and drug testing.Reduction from previous year due to
being fully staffed.
3010 Other(Insurance) 2,933 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.Updated based on increased trends.Inflation rate in
2022 increased by 7.1%and expected to continue increasing.
3011 Other(specify) -
DocuSign Envelope ID:C8359A29-23D9-4BA2-Al42-1C63COBCDDBB Revised Exhibit C
Page 82 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3012 Other(specify) -
4000:DIRECT FACILITIES&EQUIPMENT 5,905
4001 Building Maintenance 2,260 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,minor
building repairs and maintenance to facility.This line item also other miscellaneous
expenses necessary for building maintenance including anticipated moving fees.
4002 Rent/Lease Building 1,900 Share cost of building space,anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 830 The cost of 1 shared lease vehicle to assist with program needs.
4005 Security -
4006 Utilities 675 Shared cost of gas and electric.
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 39,751
5001 Consultant(Network&Data Management) 4,980 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
Decreased from previous year based on estimated support to program.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(Psychiatrist Fees) 34,771 Yearly cost to contract with Physician to provide services and treatments to clients at 4
hours per week.The inflation rate in 2022 was increased by 7.1%and is expected to
continue increasing.To ensure sustainability of the services an increase of 6%from
previous fiscal year rate is being captured in this line item.Current Psychiatrist has not
received an increase since 2020.Includes training hours in addition to 4 hours per
week.
5004 Translation Services -
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify)
5008 Other(specify) -
6000:INDIRECT EXPENSES 24,095
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) 18,071 Expenses to this line item ranges from salaries and benefits generated by corporate
management,fiscal services,payroll,human resources,accounts payable and other
administrative functions based on our Cost Allocation Plan.
6009 Other(Operating) 6,024 Expense to this line item are operating cost generated by corporate management,
fiscal services,payroll,human resources,accounts payable and other administrative
functions based on our Cost Allocation Plan.For example:rent,utilites&supplies.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 2,200
7001 Computer Equipment&Software 2,100 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
7008 Other(specify) -
PROGRAM FUNDING SOURCES
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-iC63COBCDDB8 Revised Exhibit C
Page 83 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management Based on annualizing current reports
8003 Crisis Services Based on annualizing current reports
8004 Medication Support Based on annualizing current reports
8005 Collateral
8006 Plan Development Based on annualizing current reports
8007 Assessment Based on annualizing current reports
8008 Rehabilitation Based on annualizing current reports
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 228,289
BUDGET CHECK: -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 84 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2023-24
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.04 $ 7,498 $ 7,498
1102 Regional Director 0.085 10,665 10,665
1103 Admin Specialist 0.30 16,075 16,075
1104 Accountant 0.07 4,292 4,292
1105 Quality Improvement Data Analyst 0.05 3,467 3,467
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.55 $ 41,997 $ 41,997
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.25 $ 25,710 $ 25,710
1117 Case Managers 0.60 27,044 27,044
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.85 $ 52,754 $ 52,754
Admin Program Total
Direct Personnel Salaries Subtotal F 1.40 $ 41,997 $ 52,754 $ 94,751
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 794 $ 997 $ 1,791
1202 Worker's Compensation 1,046 1,313 2,359
1203 Health Insurance 3,935 4,943 8,878
1204 Other(specify) - - -
1265 Other(specify) - -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 85 of 185
1206 10ther(specify)
Direct Employee Benefits Subtotal:1 $ 5,775 1 $ 7,253 1 $ 13,028
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - -
1302 FICA/MEDICARE 3,212 4,036 7,248
1303 SUI 252 316 568
1304 Other(specify) -
1305 Other(specify)
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 3,464 $ 4,352 $ 7,816
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 51,236 $ 64,359 $ 115,595
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
44% 56%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 18,086
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 4,115
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 6,135
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 28,336
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,907
3002 Printing/Postage 250
3003 Office Supplies&Equipment 847
3004 Advertising -
3005 Staff Development&Training 1,355
3006 Staff Mileage 50
3007 Subscriptions&Memberships 50
3008 Vehicle Maintenance 4,019
3009 Other(Staff Recruitment) 300
3010 Other(insurance) 2,963
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 12,741
4000:DIRECT FACILITIES&EQUIPMENT
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 86 of 185
Acct# Line Item Description Amount
4001 Building Maintenance $ 1,524
4002 Rent/Lease Building 1,957
4003 Rent/Lease Equipment 240
4004 Rent/Lease Vehicles 830
4005 Security
4006 Utilities 695
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 10ther(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 5,246
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 4,980
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Psychiatrist Fees) 35,096
5004 Translation Services -
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL:1 $ 40,076
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider OwnedEquipment to be Used for Program Purposes) -
6008 Personnel(indirect Salaries&Benefits)
6009 Other(Administrative&General Fees) 24,095
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 24,095
INDIRECT COST RATE 11.80%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 2,100
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 87 of 185
FIXED ASSETS EXPENSES TOTAL $ 2,200
TOTAL PROGRAM EXPENSES $ 228,289
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 - $ -
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 48,0001 $ 247,108
Estimated%of Clients who are Medi-Cal Beneficiaries 75%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 185,331
Federal Financial Participation(FFP)% 1 85% 157,531
MEDI-CAL FFP TOTAL $ 157,531
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (0)
REALIGNMENT TOTAL $ (0)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 69,756
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $ 69,756
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance
8403 Grants(Specify) -
8404 Other(Client Rents) 1,002
8405 Other(Specify)
OTHER REVENUE TOTALI $ 1,002
TOTAL PROGRAM FUNDING SOURCES: $ 228,289
NET PROGRAM COST: $ -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 88 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year (FY) 2023-24
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.07
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.12
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 89 of 185
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position lContract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.60
PATH OEL/Fresno 1.40
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 90 of 185
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 91 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 92 of 185
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 93 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2023-24 Budget Narrative
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 115,595
Administrative Positions 41,997
1101 Executive Director 7,498 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Executive Director.
Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1102 Regional Director 10,665 Provide program management and direction.Ensures operations are running
smoothly and in compliance with contract requirements.Annual rate was reverted
back to original approved contract for this fiscal year based on previous Regional
Director.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 16,075 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 4,292 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to
the estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,467 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous
Data Analyst.Only the FTE was increased from previous year based time study
results.Adjustments to the estimated time came from decreasing FTEs in other
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 52,754
1116 Program Manager 25,710 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
increased FTE based on estimated time working with the program.
1117 Case Managers 27,044 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH DEL,decreased FTE based on
estimated time working at each program.
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 13,028
2201 Retirement 1,791 ICost of 401K;estimated at 1.89%from total salaries.
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 94 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1202 Worker's Compensation 2,359 Workers Comp Insurance;estimated at 2.49%from total salaries
1203 Health Insurance 8,878 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 7,816
1301 OASDI -
1302 FICA/MEDICARE 7,248 ICost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 568 Cost of SUI;estimated at.60%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 28,336
2001 Child Care -
2002 Client Housing Support 18,086 Support clients with things such as rent,security deposits,board and care,
emergency housing such as hotels/motels,groceries,utilities,and household
supplies.After reoccurring expenses and estimated increase rates are budgeted for
operating expenses this line was reduced due to no bottom line increase to total
budget this year.Based on previous year expense trends,the total budget on client
support items were decreased and are using the remaining funds elsewhere.
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 4,115 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.Adjusted based on current
trends,this line item is utilized by clients more.
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 6,135 Cost of supplies for client groups such as notepads,therapy balls,puzzles or art
supplies.Adjusted based on current trends,this line item is utilized by clients more.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 12,741
3001 Telecommunications 2,907 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 250 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies&Equipment 847 Includes all supplies and minor equipment used by staff in the course of providing
services.Reduction to line item based on current trends.
3004 Advertising -
3005 Staff Development&Training 1,355 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees.Includes,registration cost,travel transportation,staff meals,and
lodging expenses.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks,such as an online subscription.
3008 Vehicle Maintenance 4,019 Minor auto repairs&maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs,such as oil changes and car washes.Yearly
cost of GPS vehicle tracking service,auto fuel,and DMV fees.Increase to this line
item due to high vandalism occurring to vehicles and anticipating higher
maintenance for older vehicle.
3009 Other(Staff Recruitment) 300 Thorough background check and drug testing.
3010 Other(Insurance) 2,963 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
3011 Other(specify) -
3012 Other(specify) -
4000:DIRECT FACILITIES&EQUIPMENT 5,246
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 95 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 1,524 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,
minor building repairs and maintenance to facility.This line item also other
miscellaneous expenses necessary for building maintenance.
4002 Rent/Lease Building 1,957 Share cost of building space,anticipating moving locations.
4003 Rent/Lease Equipment 240 Shared copier lease.
4004 Rent/Lease Vehicles 830 The cost of 1 shared lease vehicle to assist with program needs.
4005 Security -
4006 Utilities 695 Shared cost of gas and electric.
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify)
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 40,076
5001 Consultant(Network&Data Management) 4,980 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Psychiatrist Fees) 35,096 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.
5004 Translation Services -
5005 Other(specify) -
5006 Other(specify)
5007 Other(specify) -
5008 Other(specify) -
6000:INDIRECT EXPENSES 24,095
6001 Administrative Overhead -
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit -
6005 Insurance(Specify):
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 24,095 Expense combined this year due to same GL account number.Expenses to this line
item ranges from salaries and benefits to operating expenses such as rent,utilities,&
supplies generated by corporate management,fiscal services,payroll,human
resources,accounts payable and other administrative functions supporting program
based on our Cost Allocation Plan.
6010 Other(specify)
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify) -
7000:DIRECT FIXED ASSETS 2,200
7001 Computer Equipment&Software 2,100 Computer software needs to support staff&anticipating shared cost for
replacement of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain -
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management Based on annualizing current reports
8003 Crisis Services Based on annualizing current reports
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 96 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8004 Medication Support Based on annualizing current reports
8005 Collateral
8006 Plan Development Based on annualizing current reports
8007 Assessment Based on annualizing current reports
8008 Rehabilitation Based on annualizing current reports
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 228,289
BUDGET CHECK: -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 97 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2024-25
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.04 $ 7,798 $ 7,798
1102 Regional Director 0.085 11,091 11,091
1103 Admin Specialist 0.30 16,717 16,717
1104 Accountant 0.07 4,464 4,464
1105 Quality Improvement Data Analyst 0.05 3,606 3,606
1106 - -
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.55 $ 43,676 $ 43,676
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.25 $ 26,737 $ 26,737
1117 Case Managers 0.60 28,117 28,117
1118 - -
1119 -
1120
1121 -
1122 -
1123 -
1124 -
1125 -
1126 -
1127 -
1128 -
1129 -
1130 -
1131 -
1132 -
1133 -
1134 - -
Direct Personnel Program Salaries Subtotal 0.85 $ 54,854 $ 54,854
Admin Program Total
Direct Personnel Salaries Subtotal 1.40 $ 43,676 $ 54,854 $ 98,530
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 825 $ 1,037 $ 1,862
1202 Worker's Compensation 1,087 1,366 2,453
1203 Health Insurance 4,092 5,140 9,232
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1204 Other(specify) -
1205 Other(specify)
1206 Other(specify) - - -
Direct Employee Benefits Subtotal: $ 6,004 $ 7,543 $ 13,547
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ -
1302 FICA/MEDICARE 3,341 4,197 7,538
1303 SUI 262 329 591
1304 Other(specify) - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 3,603 $ 4,526 $ 8,129
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 53,283 $ 66,923 $ 120,206
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
44% 56%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 12,000
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 3,760
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(Program Supplies) 4,434
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify) -
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 20,194
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,907
3002 Printing/Postage 200
3003 Office Supplies&Equipment 872
3004 Advertising -
3005 Staff Development&Training 1,355
3006 Staff Mileage 50
3007 Subscriptions&Memberships 50
3008 Vehicle Maintenance 4,019
3009 Other(Staff Recruitment) 300
3010 Other(Insurance) 2,963
3011 Other(specify) -
3012 Other(specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 99 of 185
DIRECT OPERATING EXPENSES TOTAL: $ 12,716 I
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 1,825
4002 Rent/Lease Building 2,035
4003 Rent/Lease Equipment 250
4004 Rent/Lease Vehicles 863
4005 Security
4006 Utilities 723
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 5,696
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 4,980
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Psychiatrist Fees) 37,202
5004 Translation Services -
5005 Other(specify)
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ 42,182
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
600] Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 1 Personnel(Indirect Salaries&Benefits)
6009 Other(Administrative&General Fees) 24,095
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify) -
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 24,095
INDIRECT COST RATE 11.80%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 3,100
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 100 of 185
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 3,200
TOTAL PROGRAM EXPENSES $ 228,289
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 - $ -
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
8009 Other(Specify) 0 -
8010 1 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 48,0001 247,108
Estimated%of Clients who are Medi-Cal Beneficiaries 75%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 185,331
Federal Financial Participation(FFP)% 1 85% 157,531
MEDI-CAL FFP TOTAL $ 157,531
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (0)
REALIGNMENT TOTAL $ (0)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 69,756
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 jCFTN-Capital Facilities&Technology -
MHSA TOTAL $ 69,756
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Clientlnsurance -
8403 Grants(Specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 101 of 185
8404 10ther(Client Rents) 1 1,002
8405 1 Other(Specify) I -
OTHER REVENUE TOTAL $ 1,002
TOTAL PROGRAM FUNDING SOURCES: $ 228,289
INET PROGRAM COST: $
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 102 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year (FY) 2024-25
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.17
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 103 of 185
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.07
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.28
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position lContract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.60
PATH OEL/Fresno 1.40
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 104 of 185
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 105 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 106 of 185
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 107 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2024-25 Budget Narrative
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 120,206
Administrative Positions 43,676
1101 Executive Director 7,798 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Executive Director.
Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1102 Regional Director 11,091 Provide program management and direction.Ensures operations are running
smoothly and in compliance with contract requirements.Annual rate was reverted
back to original approved contract for this fiscal year based on previous Regional
Director.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 16,717 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 4,464 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to
the estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,606 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous
Data Analyst.Only the FTE was increased from previous year based time study
results.Adjustments to the estimated time came from decreasing FTEs in other
programs.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 54,854
1116 Program Manager 26,737 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
increased FTE based on estimated time working with the program.
1117 Case Managers 28,117 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH DEL,decreased FTE based on
estimated time working at each program.
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 13,547
1201 Retirement 1,862 Cost of 401K;estimated at 1.89%from total salaries.
1202 Worker's Compensation 2,453 lWorkers Comp Insurance;estimated at 2.49%from total salaries
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 108 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1203 Health Insurance 9,232 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
11.26%from total salaries.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 8,129
1301 OASDI -
1302 FICA/MEDICARE 7,538 ICost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 591 Cost of SUI;estimated at.60%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 20,194
2001 Child Care -
2002 Client Housing Support 12,000 Support clients with things such as rent,security deposits,board and care,
emergency housing such as hotels/motels,groceries,utilities,and household
supplies.After reoccurring expenses and estimated increase rates are budgeted for
operating expenses this line was reduced due to no bottom line increase to total
budget for the 2nd year.Based on FY2023 expense trends,the total budget on client
support items were decreased and are using the remaining funds elsewhere.
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 3,760 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.After reoccurring expenses and
estimated increase rates are budgeted for operating expenses this line was reduced
due to no bottom line increase to total budget for the 2nd year.
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 4,434 Cost of supplies for client groups such as notepads,therapy balls,puzzles or art
supplies.After reoccurring expenses and estimated increase rates are budgeted for
operating expenses this line was reduced due to no bottom line increase to total
budget for the 2nd year.
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 12,716
3001 Telecommunications 2,907 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 200 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.This line was reduced due to no bottom line increase to total
budget for the 2nd year.
3003 Office Supplies&Equipment 872 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 1,355 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees.Includes,registration cost,travel transportation,staff meals,and
lodging expenses.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or
job tasks,such as an online subscription.
3008 Vehicle Maintenance 4,019 Minor auto repairs&maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs,such as oil changes and car washes.Yearly
cost of GPS vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 300 Thorough background check and drug testing.
3010 Other(Insurance) 2,963 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
3011 Other(specify) -
3012 Other(specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 109 of 185
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4000:DIRECT FACILITIES&EQUIPMENT 5,696
4001 Building Maintenance 1,825 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,
minor building repairs and maintenance to facility.This line item also other
miscellaneous expenses necessary for building maintenance.Moving to older
building and anticipating higher repair expenses.
4002 Rent/Lease Building 2,035 Share cost of building space,anticipating moving locations.
4003 Rent/Lease Equipment 250 Shared copier lease.
4004 Rent/Lease Vehicles 863 The cost of 1 shared lease vehicle to assist with program needs.
4005 Security -
4006 Utilities 723 Shared cost of gas and electric.
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify)
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 42,182
5001 Consultant(Network&Data Management) 4,980 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Psychiatrist Fees) 37,202 Yearly cost to contract with Physician to provide services and treatments to clients at
4 hours per week.Anticipating increase request from current psychiatrist.
5004 Translation Services -
5005 Other(specify)
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 24,095
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 24,095 Expenses to this line item ranges from salaries and benefits to operating expenses
such as rent,utilities,&supplies generated by corporate management,fiscal
services,payroll,human resources,accounts payable and other administrative
functions supporting program based on our Cost Allocation Plan.
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
7000:DIRECT FIXED ASSETS 3,200
7001 Computer Equipment&Software 3,100 Computer software needs to support staff&anticipating shared cost for
replacement of computer equipment.Includes estimated Avatar fees.
7002 Copiers,Cell Phones,Tablets,Devices to Contain -
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
16- 7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 110 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8001 Mental Health Services
8002 Case Management Based on annualizing current reports
8003 Crisis Services Based on annualizing current reports
8004 Medication Support Based on annualizing current reports
8005 Collateral
8006 Plan Development Based on annualizing current reports
8007 Assessment Based on annualizing current reports
8008 Rehabilitation Based on annualizing current reports
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 228,289
BUDGET CHECK: -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 111 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2025-26
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.04 $ 8,032 $ 8,032
1102 Regional Director 0.085 11,425 11,425
1103 Admin Specialist 0.30 17,216 17,216
1104 Accountant 0.07 4,598 4,598
1105 Quality Improvement Data Analyst 0.05 3,715 3,715
1106 - -
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.55 $ 44,986 $ 44,986
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.25 $ 27,541 $ 27,541
1117 Case Managers 0.60 32,797 32,797
1118 - -
1119 -
1120
1121 -
1122 -
1123 -
1124 -
1125 -
1126 -
1127 -
1128 -
1129 -
1130 -
1131 -
1132 -
1133 -
1134 -
Direct Personnel Program Salaries Subtotal 0.85 $ 60,338 $ 60,338
Admin Program Total
Direct Personnel Salaries Subtotal 1.40 $ 44,986 $ 60,338 $ 105,324
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 850 $ 1,141 $ 1,991
1202 Worker's Compensation 1,120 1,502 2,622
1203 Health Insurance 4,215 5,654 9,869
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1204 Other(specify) -
1205 Other(specify)
1206 Other(specify) - - -
Direct Employee Benefits Subtotal: $ 6,185 $ 8,297 $ 14,482
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ -
1302 FICA/MEDICARE 3,441 4,616 8,057
1303 SUI 270 362 632
1304 Other(specify) - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 3,711 $ 4,978 $ 8,689
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 54,882 $ 73,613 $ 128,495
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
43% 57%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 8,000
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,690
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,000
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify) -
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 12,690
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,907
3002 Printing/Postage 200
3003 Office Supplies&Equipment 873
3004 Advertising -
3005 Staff Development&Training 1,355
3006 Staff Mileage 50
3007 Subscriptions&Memberships 50
3008 Vehicle Maintenance 4,180
3009 Other(Staff Recruitment) 300
3010 Other(Insurance) 3,078
3011 Other(specify) -
3012 Other(specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 113 of 185
DIRECT OPERATING EXPENSES TOTAL: $ 12,993 I
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 1,880
4002 Rent/Lease Building 2,096
4003 Rent/Lease Equipment 258
4004 Rent/Lease Vehicles 889
4005 Security -
4006 Utilities 745
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 5,868
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 4,980
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Psychiatrist Fees) 38,318
5004 Translation Services -
5005 Other(specify)
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ 43,298
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
600] Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 1 Personnel(Indirect Salaries&Benefits)
6009 Other(Administrative&General Fees) 24,095
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify) -
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 24,095
INDIRECT COST RATE 11.80%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 750
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 100
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 114 of 185
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 850
TOTAL PROGRAM EXPENSES $ 228,289
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 - $ -
8002 Case Management 164 3.75 615
8003 Crisis Services 61 6.75 412
8004 Medication Support 2,981 8.25 24,593
8005 Collateral -
8006 Plan Development 2,000 4.50 9,000
8007 Assessment 2,965 4.50 13,343
8008 Rehabilitation 39,829 5.00 199,145
8009 Other(Specify) 0 -
8010 1 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 48,0001 247,108
Estimated%of Clients who are Medi-Cal Beneficiaries 75%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 185,331
Federal Financial Participation(FFP)% 1 85% 157,531
MEDI-CAL FFP TOTAL $ 157,531
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (0)
REALIGNMENT TOTAL $ (0)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 69,756
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 jCFTN-Capital Facilities&Technology -
MHSA TOTAL $ 69,756
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Clientlnsurance -
8403 Grants(Specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 115 of 185
8404 10ther(Client Rents) 1 1,002
8405 1 Other(Specify) I -
OTHER REVENUE TOTAL $ 1,002
TOTAL PROGRAM FUNDING SOURCES: $ 228,289
INET PROGRAM COST: $
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 116 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year (FY) 2025-26
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.17
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Admin Specialist PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.65
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 117 of 185
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position lContract#/Name/Department/County FTE
Case Managers PATH SMHS/Fresno 0.60
PATH OEL/Fresno 1.40
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 118 of 185
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 119 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 120 of 185
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 121 of 185
PATH PROGRAM-SMHS
Kings View
Fiscal Year(FY)2025-26 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 128,495
Administrative Positions 44,986
1101 Executive Director 8,032 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to original
approved contract for this fiscal year based on previous Executive Director.Only the
FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1102 Regional Director 11,425 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Regional Director.
Only the FTE was increased from previous year based time study results.Adjustments
to the estimated time came from decreasing FTEs in other programs.
1103 Admin Specialist 17,216 Provides administrative support for the program and assist with medical billing and
records.Annual rate was reverted back to original approved contract for this fiscal
year.
1104 Accountant 4,598 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1105 Quality Improvement Data Analyst 3,715 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous Data
Analyst.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 60,338
1116 Program Manager 27,541 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
increased FTE based on estimated time working with the program.
1117 Case Managers 32,797 Provides case management and oversees the physical and mental wellness of
individuals to ensure they are supported and can achieve the best outcomes,and
referrals to appropriate linkages.Annual rate was reverted back to original approved
contract for this fiscal year.Shared position with PATH OEL,decreased FTE based on
estimated time working at each program.
1118 0
1119 0
1120 0
1121 0
1122 0
1123 10
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 14,482
1201 Retirement 1,991 Cost of 401K;estimated at 1.89%from total salaries.
1202 Worker's Compensation 2,622 lWorkers Comp Insurance;estimated at 2.49%from total salaries
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2i712020
Docu&gn Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 122 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1203 Health Insurance 9,869 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
11.26%from total salaries.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 8,689
1301 OASDI -
1302 FICA/MEDICARE 8,057 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 632 Cost of SUI;estimated at.60%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 12,690
2001 Child Care -
2002 Client Housing Support 8,000 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.After
reoccurring expenses and estimated increase rates are budgeted for operating
expenses this line was reduced due to no bottom line increase to total budget for the
3rd year.Based on FY2023 expense trends,the total budget on client support items
were decreased and are using the remaining funds elsewhere.
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,690 Outreach expenses that supports clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies) 2,000 Cost of supplies for client groups such as notepads,therapy balls,puzzles or art
supplies. After reoccurring expenses and estimated increase rates are budgeted for
operating expenses this line was reduced due to no bottom line increase to total
budget for the 3rd year.
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 12,993
3001 Telecommunications 2,907 ICost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 200 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies&Equipment 873 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 1,355 Minor shared cost for continuation of staff development and training.Also,includes
HMIS training fees.Includes,registration cost,travel transportation,staff meals,and
lodging expenses.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships 50 Minor shared cost of special subscription necessary for staff to provide services or job
tasks,such as an online subscription.
3008 Vehicle Maintenance 4,180 Minor auto repairs&maintenance required to maintain 1 shared leased vehicle for
client transportation and program needs,such as oil changes and car washes.Yearly
cost of GPS vehicle tracking service,auto fuel,and DMV fees.Increase to this line item
due anticipating higher maintenance for older vehicle such as tire replacements.
3009 Other(Staff Recruitment) 300 Thorough background check and drug testing.
3010 Other(Insurance) 3,078 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
3011 Other(specify) -
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 5,868
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Docu&gn Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 123 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 1,880 Shared expenses for service agreements such as copier maintenance,janitorial
services,security alarm.Also includes business licenses&taxes,facility supplies,minor
building repairs and maintenance to facility.This line item also other miscellaneous
expenses necessary for building maintenance.Moving to older building and
anticipating higher repair expenses.
4002 Rent/Lease Building 2,096 Share cost of building space,anticipating moving locations.
4003 Rent/Lease Equipment 258 Shared copier lease.
4004 Rent/Lease Vehicles 889 The cost of 1 shared lease vehicle to assist with program needs.
4005 Security -
4006 Utilities 745 Shared cost of gas and electric.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 other(specify)
5000:DIRECT SPECIAL EXPENSES 43,298
5001 Consultant(Network&Data Management) 4,980 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7. After hours support via email and phone
24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Psychiatrist Fees) 38,318 Yearly cost to contract with Physician to provide services and treatments to clients at 4
hours per week. Anticipating increase request from current psychiatrist.
5004 Translation Services -
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 24,095
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 24,095 Expenses to this line item ranges from salaries and benefits to operating expenses such
as rent,utilities,&supplies generated by corporate management,fiscal services,
payroll,human resources,accounts payable and other administrative functions
supporting program based on our Cost Allocation Plan.
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 850
7001 Computer Equipment&Software 750 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.Includes estimated Avatar fees.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 100 Anticipating shared cost for replacement of furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2i7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 124 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8002 Case Management Based on annualizing current reports
8003 Crisis Services Based on annualizing current reports
8004 Medication Support Based on annualizing current reports
8005 Collateral
8006 Plan Development Based on annualizing current reports
8007 Assessment Based on annualizing current reports
8008 Rehabilitation Based on annualizing current reports
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 228,289
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 228,289
BUDGETCHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2i712020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 125 of 185
Mobile Outreach Project
Kings View
Fiscal Year(FY)2021-22
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Regional Director 0.03 $ 3,890 $ 3,890
1102 Executive Director 0.01 1,580 1,580
1103 Executive Director Assistant 0.01 504 504
1104 Accountant 0.03 1,952 1,952
1105 Quality Improvement Data Analyst 0.06 3,660 3,660
1106 - -
1107 -
1108
1109 -
1110 -
1111 -
1112
1113 -
1114
1115 -
Direct Personnel Admin Salaries Subtotal 0.14 $ 11,586 $ 11,586
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.03 2,686 $ 2,686
1117 Outreach Workers 2.50 93,600 93,600
1118 -
1119 - -
1120 -
1121 -
1122 -
1123 -
1124 -
1125 -
1126 -
1127 -
1128 -
1129 -
1130 -
1131 -
1132 -
1133
1134 -
Direct Personnel Program Salaries Subtotall 2.53 1 $ 96,286 1 $ 96,286
Admin Program Total
Direct Personnel Salaries Subtotal 2.67 $ 11,586 $ 96,286 $ 107,872
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 110 $ 913 $ 1,023
1202 Worker's Compensation 165 1,369 1,534
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Page 126 of 185
1203 Health Insurance 1,254 10,426 11,680
1204 Other(specify) - - -
1205 Other(specify)
1206 Other(specify) - - -
Direct Employee Benefits Subtotal:1 1,529 1 $ 12,708 1 $ 14,237
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 840 6,983 7,823
1303 SUI 99 821 920
1304 Other(specify)
1305 10ther(specify) -
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 939 $ 7,804 $ 8,743
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 14,054 $ 116,798 $ 130,852
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
11% 89%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 19,550
2003 Client Transportation&Support 740
2004 Clothing, Food,&Hygiene 10,098
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify)
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 10ther(specify) -
DIRECT CLIENT CARE TOTAL $ 30,388
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,340
3002 Printing/Postage 150
3003 Office Supplies&Equipment 1,676
3004 Advertising -
3005 Staff Development&Training 1,100
3006 Staff Mileage 300
3007 Subscriptions&Memberships
3008 Vehicle Maintenance 8,350
3009 Other(Staff Recruitment) 900
3010 Other(specify) -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 127 of 185
3011 Other(specify) -
3012 10ther(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 14,816
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 4,120
4002 Rent/Lease Building 10,600
4003 Rent/Lease Equipment 800
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities 1,920
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify) -
4010 Other(specify) -
DIRECTFACILITIES/EQUIPMENTTOTAL: $ 17,440
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 8,993
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL:j $ 8,993
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 25,061
Administrative Overhead
6002 Professional Liability Insurance 2,000
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Other): 3,950
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(specify) -
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 10ther(specify) -
INDIRECT EXPENSES TOTAL $ 31,011
INDIRECT COST RATE 15.28%
7000:DIRECT FIXED ASSETS
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 128 of 185
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 400
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 400
TOTAL PROGRAM EXPENSES $ 233,900
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $ -
8002 Case Management -
8003 Crisis Services -
8004 Medication Support -
8005 Collateral -
8006 Plan Development
8007 Assessment -
8008 Rehabilitation -
8009 Other(Specify) -
8010 10ther(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation (FFP)% 1 0% -
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations -
8304 WET-Workforce Education&Training -
8305 jCFTN-Capital Facilities&Technology -
MHSA TOTAL $
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 129 of 185
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(PATH)
8404 Other(CARES Act) 140,000
8405 Other(CDBG-CV) 93,900
OTHER REVENUE TOTAL $ 233,900
TOTAL PROGRAM FUNDING SOURCES: $ 233,900
NET PROGRAM COST: $ -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 130 of 185
Mobile Outreach Project
Kings View
Fiscal Year (FY) 2021-22
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH MOP/Fresno 0.01
Blue Sky/Fresno 0.05
Rural Triage East/Fresno 0.06
Rural Triage West/Fresno 0.04
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
Kings 0.23
CVSPH/California State,Tualre, Calaveras,Tuolurni 0.17
Fresno City 0.05
Shasta 0.06
Tulare 0.27
Madera 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Executive Assistant PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH MOP/Fresno 0.01
Blue Sky/Fresno 0.05
Rural Triage East/Fresno 0.06
Rural Triage West/Fresno 0.04
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.09
Map Point/Fresno 0.01
Kings 0.23
CVSPH/California State,Tualre, Calaveras,Tuolurni 0.10
Fresno City 0.05
Shasta 0.06
Tulare 0.27
Madera 0.02
Total 1.00
Position lContract#/Name/Department/County FTE
Regional Director I PATH SMHS/Fresno 0.02
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 131 of 185
PATH OEL/Fresno 0.02
PATH MOP/Fresno 0.03
Blue Sky/Fresno 0.11
Rural Triage East/Fresno 0.15
Rural Triage West/Fresno 0.15
Suicide Prevention Follow-up Call/Fresno 0.01
Metro CIT/Fresno 0.25
Map Point/Fresno 0.02
CVSPH/California State,Tualre, Calaveras,Tuolumi 0.17
Fresno City 0.05
Madera 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.30
PATH OEL/Fresno 0.67
PATH MOP/Fresno 0.03
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.03
PATH OEL/Fresno 0.05
PATH MOP/Fresno 0.03
Blue Sky/Fresno 0.08
Rural Triage East/Fresno 0.11
Rural Triage West/Fresno 0.09
Metro CIT/Fresno 0.10
Suicide Prevention Follow-up Call/Fresno 0.03
CVSPH/California State,Tualre, Calaveras,Tuolumi 0.05
Shasta 0.07
Finance Department 0.37
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH MOP/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Triage East/Fresno 0.12
Rural Triage West/Fresno 0.12
Metro CIT/Fresno 0.12
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 132 of 185
Map Point/Fresno 0.05
Shasta 0.04
Kings 0.27
Quality& Performance Improvement Deparment 0.03
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 133 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 134 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 135 of 185
Mobile Outreach Project
Kings View
Fiscal Year(FY)2021-22 Budget Narrative
PROGRAM EXPENSE
ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 130,852
Administrative Positions 11,586
1101 Regional Director 3,890 Provide program management and direction.Ensures operations are running
smoothly and in compliance with contract requirements.
1102 Executive Director 1,580 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1103 Executive Director Assistant 504 This position will assist Executive Director with staff oversight and representing and
maintaining the collaborative relationship between agencies.
1104 Accountant 1,952 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
1105 Quality Improvement Data Analyst 3,660 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1106 0 -
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 96,286
1116 Program Manager 2,686 Provides supervision of all staff and direct oversight of program management.
1117 Outreach Workers 93,600 Provides outreach and engagement services,provide linkage to needed services.It
would be 3FTE the first 6 months and 2FTE the second half of the year.
1118 -
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 14,237
1201 Retirement 1,023 Cost of 401K;Estimated at 1%from total salaries.
1202 Worker's Compensation 1,534 Workers Comp Insurance;Estimated at 1.5%from total salaries.
1203 Health Insurance 11,680 Cost of health insurance estimated from total salaries;Medical 15.47%,Vision.22%,
Dental.73%,Life.24%and Long Term Disability.25%.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses: 8,743
1301 OASDI -
1302 FICA/MEDICARE 7,823 Cost of FICA/Medicare 7.65%from total salaries.
1303 SUI 920 Cost of SUI.90%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 30,388
2001 Child Care -
2002 Client Housing Support 19,550 Support clients with things such as rent,security deposits,board and care,
emergency housing such as hotels/motels,groceries,utilities,and household
supplies.
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 136 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2003 Client Transportation&Support 740 Provides bus passes,bus tokens or any transportation assistance for clients,such as
taxi service or gas.
2004 Clothing,Food,&Hygiene 10,098 Outreach expenses that support clients with clothing,food,water,blankets,and
hygiene supplies.Also,includes miscellaneous client support items such as pet food,
groceries,DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 14,816
3001 Telecommunications 2,340 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 150 Anticipating courier services and postage necessary for program.Business cards and
other special printing in bulk that is less cost effective to outsource rather than
utilization of a copier.
3003 Office Supplies&Equipment 1,676 Includes desk supplies&minor equipment used by staff while providing services.
3004 Advertising -
3005 Staff Development&Training 1,100 Minor shared cost for continuation of staff development and training.
3006 Staff Mileage 300 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 8,350 Minor auto repairs&maintenance required to maintain 1 van for client
transportation and program needs,such as oil changes and car washes.Cost of GPS,
vehicle tracking service,and auto fuel.
3009 Other(Staff Recruitment) 900 Thorough background checks and drug testing.
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify) -
4000:DIRECT FACILITIES&EQUIPMENT 17,440
4001 Building Maintenance 4,120 Estimate shared cost on copier maintenance,minor building repairs&maintenance
such as janitorial services and security alarm services.
4002 Rent/Lease Building 10,600 Shared cost of building lease.
4003 Rent/Lease Equipment 800 Estimate cost for shared copier lease.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 1,920 Estimate shared cost for gas&electric,water&sewer.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 8,993
5001 Consultant(Network&Data Management) 8,993 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 31,011
6001 Administrative Overhead 25,061 Expenses provides corporate management,fiscal services,payroll,human resources,
6002 Professional Liability Insurance 2,000 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 137 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6004 External Audit -
6005 Insurance(Other): 3,950 Cost of personal property,accidental,and auto insurance.
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 400
7001 Computer Equipment&Software 400 Computer software needs to support staff&anticipating minor shared cost for
replacement of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Other(specify) -
7008 Other(s eci )
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 233,900
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 233,900
BUDGET CHECK: -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 138 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2022-23
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.05 $ 9,012 $ 9,012
1102 Regional Director 0.09 10,858 10,858
1103 Accountant 0.12 6,584 6,584
1104 Quality Improvement Data Analyst 0.07 4,712 4,712
1105 -
1106
1107 -
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.33 $ 31,166 $ 31,166
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.40 39,554 $ 39,554
1117 Outreach Worker 5.00 158,080 158,080
1118 Lead Outreach Worker 1.00 11,050 11,050
1119 - -
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 6.40 $ 208,684 $ 208,684
Admin Program Total
Direct Personnel Salaries Subtotal F 6.73 $ 31,166 $ 208,684 $ 239,850
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 142 $ 950 $ 1,092
1202 Worker's Compensation 404 2,703 3,107
1203 Health Insurance 2,770 18,552 21,322
1204 Other(specify) - - -
1265 Other(specify) -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 139 of 185
1206 10ther(specify)
Direct Employee Benefits Subtotal:1 $ 3,316 $ 22,205 $ 25,521
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - -
1302 FICA/MEDICARE 2,384 15,964 18,348
1303 SUI 220 1,477 1,697
1304 Other(specify) - -
1305 Other(specify)
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 2,604 $ 17,441 $ 20,045
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 37,086 $ 248,330 $ 285,416
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
13% 87%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 16,600
2003 Client Transportation&Support 800
2004 Clothing,Food,&Hygiene 12,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 29,400
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications 4,000
3002 Printing/Postage 450
3003 Office Supplies&Equipment 650
3004 Advertising -
3005 Staff Development&Training 1,000
3006 Staff Mileage 150
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 19,542
3009 Other(Staff Recruitment) 700
3010 Other(insurance) 9,313
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 35,805
4000:DIRECT FACILITIES&EQUIPMENT
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 140 of 185
Acct# Line Item Description Amount
4001 Building Maintenance $ 9,043
4002 Rent/Lease Building 9,920
4003 Rent/Lease Equipment 800
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 3,000
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 10ther(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 22,763
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 12,000
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 12,000
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Liability):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) 34,721
6009 Other(Operating) 11,574
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 46,295
INDIRECT COST RATE 11.70%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 4,803
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures 5,500
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 141 of 185
FIXED ASSETS EXPENSES TOTAL $ 10,303
TOTAL PROGRAM EXPENSES $ 441,982
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(Homeless Housing,Assistance and Prevention) 441,982
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTAL $ 441,982
TOTAL PROGRAM FUNDING SOURCES: $ 441,982
NET PROGRAM COST: $ -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 142 of 185
Street Outreach Team & Rural Support
Kings View
Fiscal Year (FY) 2022-23
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.05
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.07
Shasta 0.09
Tulare 0.26
Madera 0.06
Admin 0.22
Kings 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.090
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.075
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.12
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 143 of 185
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.23
Total 1.00
Position Contract#/Name/Department/County I FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.07
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
CCMU-Rural CIT/Fresno 0.11
CCMU-Metro CIT/Fresno 0.11
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Quality& Performance Improvement Deparment 0.02
Total 1.00
Position Contract#/Name/Department/County I FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total
Position Contract#/Name/Department/County FTE
Total
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 144 of 185
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position lContract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 145 of 185
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 146 of 185
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 147 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2022-23 Budget Narrative
PROGRAM EXPENSE
ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 285,416
Administrative Positions 31,166
1101 Executive Director 9,012 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Executive Director.
Only the FTE was increased from previous year based time study results and based
on increase in program needs during this year.Adjustments to the estimated time
came from decreasing FTEs in other programs.
1102 Regional Director 10,858 Provide program management and direction.Ensures operations are running
smoothly and in compliance with contract requirements.Annual rate was reverted
back to original approved contract for this fiscal year based on previous Regional
Director.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1103 Accountant 6,584 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year. Only
the FTE was increased from previous year based time study results.Adjustments to
the estimated time came from decreasing FTEs in other programs.
1104 Quality Improvement Data Analyst 4,712 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous
Data Analyst.Only the FTE was increased from previous year based time study
results.Adjustments to the estimated time came from decreasing FTEs in other
programs.
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 208,684
1116 Program Manager 39,554 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
increased FTE based on estimated time working with the program.Using cost savings
to create one regular Outreach Worker to a lead position.
1117 Outreach Worker 158,080 Provides outreach and engagement services,provides linkage to needed services.
Increased from previous year FTE for this position from 2.5 to 5FTE.Due to vacancies
and hiring challenges we are reducing cost savings in this category to reallocated to
anticipated overages in other budget line items.Total budget was increased by
$208,082 for this fiscal year.
1118 Lead Outreach Worker 11,050 Acts as a team liaison between the Program Manager and Outreach Workers,
provides training and field assistance to Outreach Workers as needed,represents
PATH in rural community meetings,as needed.Expected to be hired full-time as of
April 2023. Increase to line item due to available funding.Used cost savings from
Program Manager's position in addition to total budget increased by$208,082
allowing for needed position not originally included in the first year.
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
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PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1134 0
Direct Employee Benefits 25,521
1201 Retirement 1,092 Cost of 401K;estimated at.46%from total salaries based on estimated program
trends.
1202 Worker's Compensation 3,107 Workers Comp Insurance;estimated at 1.30%from total salaries based on estimated
program trends.
1203 Health Insurance 21,322 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
8.89%from total salaries based on estimated program trends and vacancies during
the year.
1204 Other(specify) -
1205 Other(specify)
1206 other(specify)
Direct Payroll Taxes&Expenses: 20,045
1301 OASDI -
1302 FICA/MEDICARE 18,348 ICost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 1,697 Cost of SUI;estimated at.71%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 29,400
2001 Child Care -
2002 Client Housing Support 16,600 Support clients with things such as rent,security deposits,board and care,
emergency housing such as hotels/motels,groceries,utilities,and household
supplies.Reduction from previous year based on trends and anticipating focus areas.
2003 Client Transportation&Support 800 Provides bus passes,bus tokens or any transportation assistance for clients,such as
taxi service or gas.
2004 Clothing,Food,&Hygiene 12,000 Outreach expenses that support clients with clothing,food,water,blankets,and
hygiene supplies. Clothing items consist of the following:Shirts,pants,shorts,shoes,
underwear,outerwear(jackets,beanies,gloves,socks,etc.)and any other wearable
items to protect clients from the weather elements.Also,includes miscellaneous
client support items such as pet food,groceries,DMV identification,and birth
certificates.Total budget total was increased by$208,082 this year allowing to
increase this line item as focus need to clients.
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 35,805
3001 Telecommunications 4,000 Cost of landline telephone services,cell phones service,data connectivity.Updated
based on increased trends.Inflation rate in 2022 increased by 7.1%and expected to
continue increasing.Increase in FTE Outreach workers,anticipating increase in cell
phone services.
3002 Printing/Postage 450 Business cards and other special printing in bulk that is less cost effective to
outsource rather than utilization of a copier.Updated based new staff business card
needs.Inflation rate in 2022 increased by 7.1%and expected to continue increasing.
3003 Office Supplies&Equipment 650 Includes desk supplies&minor equipment used by staff in the course of providing
services.Decreased line item from previous year due to trends and vacancies.
3004 Advertising -
3005 Staff Development&Training 1,000 Minor shared cost for continuation of staff development and training. Includes,
registration cost,travel transportation,staff meals,and lodging expenses.Includes
HMIS training cost.
3006 Staff Mileage 150 Reimbursements to staff for personal vehicle use when lease vehicle not available
and require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.Reduction from previous year due to
trends.
3007 Subscriptions&Memberships
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PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3008 Vehicle Maintenance 19,542 Auto repairs&maintenance required to maintain 2 vans for client transportation
and program needs,such as oil changes and car washes.Cost of GPS,vehicle tracking
service,and auto fuel.Increase to this line item due to high vandalism occurring to
vehicles several times this year so far and anticipating higher maintenance for older
vehicles.
3009 Other(Staff Recruitment) 700 Thorough background checks,drug testing,job postings,and bilingual testing.
3010 Other(Insurance) 9,313 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.Increase to bottom line from previous year due to
actual trends and inflation impact.
3011 Other(specify) -
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 22,763
4001 Building Maintenance 9,043 Share cost for copier maintenance,inspection services,pest control,alarm services,
janitorial services,facility supplies,minor building repairs and maintenance,and
other necessary expenses necessary to provide services.Increase to line item due to
anticipating moving expenses before the end of the fiscal year.
4002 Rent/Lease Building 9,920 Shared cost of building lease.Reduction from previous year due to actual shared cost
trend.
4003 Rent/Lease Equipment 800 Shared copier lease.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 3,000 Estimate shared cost for gas&electric.Increase from previous year based on actual
trends.
4007 Other(specify) -
4008 Other(specify) -
4009 Other(specify)
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 12,000
5001 Consultant(Network&Data Management) 12,000 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7. After hours support via email and
phone 24/7.Increase from previous year based on actual trend with program
support needs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 46,295
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Liability):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) 34,721 Expenses to this line item ranges from salaries and benefits generated by corporate
management,fiscal services,payroll,human resources,accounts payable and other
administrative functions based on our Cost Allocation Plan.
6009 Other(Operating) 11,574 Expense to this line item are operating cost generated by corporate management,
fiscal services,payroll,human resources,accounts payable and other administrative
functions based on our Cost Allocation Plan.For example:rent,utilites&supplies.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
7000:DIRECT FIXED ASSETS 10,303
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PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7001 Computer Equipment&Software 4,803 Purchase of 3 new computers for expansion of program staff and software needs to
support staff.Increase from previous year do to increase in overall FTEs.
7002 Copiers,Cell Phones,Tablets,Devices to Contain -
7003 Furniture&Fixtures 5,500 Anticipating furniture needs when moving locations before end of fiscal year for staff
expansion.
7004 Leasehold/Tenant/Building improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify)
7008 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 441,982
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 441,982
BUDGET CHECK: -
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Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2023-24
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.03 $ 5,677 $ 5,677
1102 Regional Director 0.07 8,867 8,867
1103 Accountant 0.10 5,761 5,761
1104 Quality Improvement Data Analyst 0.06 4,241 4,241
1105 -
1106 -
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.26 $ 24,546 $ 24,546
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.40 $ 41,531 $ 41,531
1117 Outreach Worker 5.00 207,480 207,480
1118 Lead Outreach Worker 1.00 45,526 45,526
1119 - -
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 6.40 $ 294,537 $ 294,537
Admin Program Total
Direct Personnel Salaries Subtotal F 6.66 $ 24,546 $ 294,537 $ 319,083
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 111 $ 1,342 $ 1,453
1202 Worker's Compensation 318 3,815 4,133
1203 Health Insurance 2,182 26,184 28,366
1204 Other(specify) - - -
1265 Other(specify) -
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1206 10ther(specify)
Direct Employee Benefits Subtotal:1 $ 2,611 $ 31,341 $ 33,95-
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - -
1302 FICA/MEDICARE 1,878 22,532 24,410
1303 SUI 174 2,084 2,258
1304 Other(specify) - -
1305 Other(specify)
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 2,052 $ 24,616 $ 26,668
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 29,209 $ 350,494 $ 379,703
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
8% 92%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care
2002 Client Housing Support 10,000
2003 Client Transportation&Support 500
2004 Clothing,Food,&Hygiene 12,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 22,500
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 4,000
3002 Printing/Postage 450
3003 Office Supplies&Equipment 650
3004 Advertising -
3005 Staff Development&Training 1,000
3006 Staff Mileage 50
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 16,601
3009 Other(Staff Recruitment) 500
3010 Other(insurance) 9,686
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL:1 $ 32,937
4000:DIRECT FACILITIES&EQUIPMENT
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Acct# Line Item Description Amount
4001 Building Maintenance $ 4,306
4002 Rent/Lease Building 9,920
4003 Rent/Lease Equipment 800
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 3,090
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 10ther(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 18,116
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 12,360
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 12,360
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider OwnedEquipment to be Used for Program Purposes)
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 55,477
6010 Other(specify)
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 55,477
INDIRECT COST RATE 11.90%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 580
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
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FIXED ASSETS EXPENSES TOTAL $ 580
TOTAL PROGRAM EXPENSES $ 521,673
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(Homeless Housing,Assistance and Prevention) 521,673
8404 Other(Specify) -
8405 Other(Specify)
OTHER REVENUE TOTAL $ 521,673
TOTAL PROGRAM FUNDING SOURCES: $ 521,673
NET PROGRAM COST: $ -
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Street Outreach Team & Rural Support
Kings View
Fiscal Year (FY) 2023-24
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.07
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.12
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 156 of 185
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.25
Total 1.00
Position Contract#/Name/Department/County I FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County I FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
0.01
Total 1.01
Position Contract#/Name/Department/County FTE
Total
Position lContract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 157 of 185
Total
Position (Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position lContract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 158 of 185
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 159 of 185
Total 0.00
DocuSign Envelope ID:C8359A29-23D9-4BA2-A1 42-1 C63COBCDDBB Revised Exhibit C
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Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2023-24 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
Direct Employee Salaries 379,703
Administrative Positions 24,546
1101 Executive Director 5,677 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.Annual rate was reverted back to original
approved contract for this fiscal year based on previous Executive Director.Only the
FTE was decreased from previous year and reverted back to fiscal year 1 based on
anticipated program needs.
1102 Regional Director 8,867 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.Annual rate was reverted back to
original approved contract for this fiscal year based on previous Regional Director.Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1103 Accountant 5,761 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
Annual rate was reverted back to original approved contract for this fiscal year. Only
the FTE was increased from previous year based time study results.Adjustments to the
estimated time came from decreasing FTEs in other programs.
1104 Quality Improvement Data Analyst 4,241 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.Annual rate was
reverted back to original approved contract for this fiscal year based on previous Data
Analyst.Only the FTE was increased from previous year based time study results.
Adjustments to the estimated time came from decreasing FTEs in other programs.
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 294,537
1116 Program Manager 41,531 Provides supervision of all staff and direct oversight of program management.
Decrease from previous annual rate to reflect new replacement's current rate and
increased FTE based on estimated time working with the program.Using cost savings
to create one regular Outreach Worker to a lead position.
1117 Outreach Worker 207,480 Provides outreach and engagement services,provides linkage to needed services.
Annual rate was reverted back to original approved contract for this fiscal year
1118 Lead Outreach Worker 45,526 Acts as a team liaison between the Program Manager and Outreach Workers,provides
training and field assistance to Outreach Workers as needed,represents PATH in rural
community meetings,as needed.Increase to line item due to available funding.Used
cost savings from Program Manager's position in addition to total budget increased by
$208,082 in FY2023 allowing for needed position not originally included in the first
year.
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0 -
Direct Employee Benefits 33,952
1201 Retirement 1,453 Cost of 401K;estimated at.46%from total salaries based on estimated program
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Page 161 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1202 Worker's Compensation 4,133 Workers Comp Insurance;estimated at 1.30%from total salaries based on estimated
1203 Health Insurance 28,366 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
8.89%from total salaries based on estimated program trends.
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify)
Direct Payroll Taxes&Expenses: 26,668
1301 OASDI -
1302 FICA/MEDICARE 24,410 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 2,258 Cost of SUI;estimated at.71%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
='Budget FY3'1B77 22,500
2001 Child Care -
2002 Client Housing Support 10,000 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.After
reoccurring expenses and estimated inflation rates are budgeted for operating
expenses this line was reduced due to available funds and current trends.
2003 Client Transportation&Support 500 Provides bus passes,bus tokens or any transportation assistance for clients,such as
taxi service or gas.After reoccurring expenses and estimated inflation rates are
budgeted for operating expenses this line was reduced due to available funds and
current trends.
2004 Clothing,Food,&Hygiene 12,000 Outreach expenses that support clients with clothing,food,water,blankets,and
hygiene supplies. Clothing items consist of the following:Shirts,pants,shorts,shoes,
underwear,outerwear(jackets,beanies,gloves,socks,etc.)and any other wearable
items to protect clients from the weather elements.Also,includes miscellaneous client
support items such as pet food,groceries,DMV identification,and birth certificates.
After reoccurring expenses and estimated inflation rates are budgeted for operating
expenses this line was reduced due to available funds and current trends.
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) -
2012 Other(Specify) -
2013 Other(Specify) -
2014 Other(Specify) -
2015 Other
(Specify) -
2016 Other(Specify)
3000:DIRECT OPERATING EXPENSES 32,937
3001 Telecommunications 4,000 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 450 Business cards and other special printing in bulk that is less cost effective to outsource
rather than utilization of a copier.
3003 Office Supplies&Equipment 650 Includes desk supplies&minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 1,000 Minor shared cost for continuation of staff development and training. Includes,
registration cost,travel transportation,staff meals,and lodging expenses.Includes
HMIS training cost.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.Reduction due to current trends.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 16,601 Minor auto repairs&maintenance required to maintain 2 vans for client transportation
and program needs,such as oil changes and car washes.Cost of GPS,vehicle tracking
service,and auto fuel.Anticipating vandalism to reduce at new location,reducing
overall available funds for repairs in this fiscal year.
3009 Other(Staff Recruitment) 500 Thorough background checks,drug testing,job postings,and bilingual testing.
3010 Other(Insurance) 9,686 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.Due to inflation the cost of insurance is expected to
continue increasing.
3011 Other(Specify) -
3012 Other(Specify) -
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PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4000:DIRECT FACILITIES&EQUIPMENT 18,116
4001 Building Maintenance 4,306 Share cost for copier maintenance,inspection services,pest control,alarm services,
janitorial services,facility supplies,minor building repairs and maintenance,and other
necessary expenses necessary to provide services.Deduction from previous year due
to reduction of moving expenses included on last fiscal year.
4002 Rent/Lease Building 9,920 Shared cost of building lease.
4003 Rent/Lease Equipment 800 Shared copier lease.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 3,090 Shared cost of gas and electric.
4007 Other(Specify) -
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
5000:DIRECT SPECIAL EXPENSES 12,360
5001 Consultant(Network&Data Management) 12,360 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(specify) -
5004 Translation Services -
5005 Other(Specify) -
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify) -
6000:INDIRECT EXPENSES 55,477
6001 Use this line and only this line for approved indirect -
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify)
6006 Payroll Services
6007 Depreciation -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Operating) 55,477 Expense combined this year due to same GL account number.Expenses to this line
item ranges from salaries and benefits to operating expenses such as rent,utilities,&
supplies generated by corporate management,fiscal services,payroll,human
resources,accounts payable and other administrative functions supporting program
based on our Cost Allocation Plan.
6010 Other(Specify) -
6011 Other(Specify) -
6012 Other(Specify) -
6013 Other(Specify) -
7000:DIRECT FIXED ASSETS 580
7001 Computer Equipment&Software 580 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.Reduction from previous year due to line item not including
new equipment for staff expansion.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(Specify)
7008 Other(Specify)
PROGRAM FUNDING SOURCES
#REF!
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
DocuSign Envelope ID:C8359A29-23D9-4BA2-A1 42-1 C63COBCDDBB Revised Exhibit C
Page 163 of 185
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(S eci )
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 521,673
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 521,673
BUDGET CHECK: -
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 164 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2024-25
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.03 $ 5,847 $ 5,847
1102 Regional Director 0.07 9,133 9,133
1103 Accountant 0.10 5,935 5,935
1104 Quality Improvement Data Analyst 0.06 4,368 4,368
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.26 r 25,283 $ 25,283
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.40 $ 42,779 $ 42,779
1117 Outreach Worker 5.00 213,704 213,704
1118 Lead Outreach Worker 1.00 46,897 46,897
1119 - -
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 6.40 $ 303,380 $ 303,380
Admin Program Total
Direct Personnel Salaries Subtotal 6.66 $ 25,283 $ 303,380 $ 328,663
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 115 $ 1,382 $ 1,497
1202 Worker's Compensation 327 3,930 4,257
1203 Health Insurance 2,753 33,038 35,791
1204 Other(specify) - - -
1205 10ther(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 165 of 185
1206 10ther(specify)
Direct Employee Benefits Subtotal:1 3,195 $ 38,350 $ 41,545
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 1,934 23,209 25,143
1303 SUI 179 2,147 2,326
1304 Other(specify)
1305 10ther(specify)
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 2,113 $ 25,356 $ 27,469
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 30,591 $ 367,086 $ 397,677
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
8%1 92%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 10,000
2003 Client Transportation&Support 500
2004 Clothing, Food,&Hygiene 12,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 10ther(specify) -
DIRECT CLIENT CARE TOTAL 1 $ 22,500
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 4,000
3002 Printing/Postage 450
3003 Office Supplies&Equipment 650
3004 Advertising
3005 Staff Development&Training 1,000
3006 Staff Mileage 50
3007 Subscriptions&Memberships
3008 Vehicle Maintenance 17,099
3009 Other(Staff Recruitment) 500
3010 Other(Insurance) 9,686
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 33,435
4000:DIRECT FACILITIES&EQUIPMENT
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 166 of 185
Acct# Line Item Description Amount
4001 Building Maintenance $ 4,340
4002 Rent/Lease Building 9,920
4003 Rent/Lease Equipment 800
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities 3,152
4007 Other(specify)
4008 Other(specify)
4009 Other(specify) -
4010 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 18,212
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 12,360
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify) -
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL:1 $ 12,360
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 57,687
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 10ther(specify)
INDIRECT EXPENSES TOTAL $ 57,687
INDIRECT COST RATE 11.907
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 580
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 167 of 185
FIXED ASSETS EXPENSES TOTAL $ 580
TOTAL PROGRAM EXPENSES $ 542,451
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 10ther(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation (FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention &Early Intervention -
8303 INN-Innovations -
8304 WET-Workforce Education&Training -
8305 jCFTN-Capital Facilities&Technology -
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(Homeless Housing,Assistance and Prevention) 28,796
8404 Other(American Rescue Act Plan) 513,655
8405 Other(Specify)
OTHER REVENUE TOTAL $ 542,451
TOTAL PROGRAM FUNDING SOURCES: $ 542,451
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 168 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2024-25
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.17
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 1 0.17
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 1 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.07
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.28
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 169 of 185
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality&Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE%
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 170 of 185
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position lContract#/Name/Department/County FTE%
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 171 of 185
Total 0.00
Docu&gn Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 172 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2024-25 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 397,677
Administrative Positions 25,283
1101 Executive Director 5,847 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.3%increase from approve rate on
previous fiscal year is being captured in this line item.
1102 Regional Director 9,133 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.3%increase from from approve rate on
previous fiscal year is being captured in this line item.
1103 Accountant 5,935 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
3%increase from from approve rate on previous fiscal year is being captured in this
line item.
1104 Quality Improvement Data Analyst 4,368 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.3%increase from
from approve rate on previous fiscal year is being captured in this line item.
1105 0 -
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0 -
1112 0
1113 0
1114 0
1115 0
Program Positions 303,380
1116 Program Manager 42,779 Provides supervision of all staff and direct oversight of program management.3%
increase from from approve rate on previous fiscal year is being captured in this line
item.
1117 Outreach Worker 213,704 Provides outreach and engagement services,provides linkage to needed services.3%
increase from from approve rate on previous fiscal year is being captured in this line
item.
1118 Lead Outreach Worker 46,897 Acts as a team liaison between the Program Manager and Outreach Workers,provides
training and field assistance to Outreach Workers as needed,represents PATH in rural
community meetings,as needed.3%increase from from approve rate on previous
fiscal year is being captured in this line item.
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits 41,545
1201 Retirement 1,497 Cost of 401K;estimated at.46%from total salaries based on estimated program
trends.
1202 Worker's Compensation 4,257 Workers Comp Insurance;estimated at 1.30%from total salaries based on estimated
program trends.
1203 Health Insurance 35,791 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
10.89%from total salaries based on estimated program trends and anticipating higher
expense.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses: 27,469
1301 OASDI - I d
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I712020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 173 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1302 FICA/MEDICARE 25,143 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 2,326 Cost of SUI;estimated at.71%from total salaries.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 22,500
2001 Child Care -
2002 Client Housing Support 10,000 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.
2003 Client Transportation&Support 500 Provides bus passes,bus tokens or any transportation assistance for clients,such as
taxi service or gas.
2004 Clothing,Food,&Hygiene 12,000 Outreach expenses that support clients with clothing,food,water,blankets,and
hygiene supplies. Clothing items consist of the following:Shirts,pants,shorts,shoes,
underwear,outerwear(jackets,beanies,gloves,socks,etc.)and any other wearable
items to protect clients from the weather elements.Also,includes miscellaneous client
support items such as pet food,groceries,DMV identification,and birth certificates.
Overall bottom line budget increase allowing to increase funds to area of need.
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 33,435
3001 Telecommunications 4,000 Cost of landline telephone services,cell phones service,data connectivity.
3002 Printing/Postage 450 Business cards and other special printing in bulk that is less cost effective to outsource
rather than utilization of a copier.
3003 Office Supplies&Equipment 650 Includes desk supplies&minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 1,000 Minor shared cost for continuation of staff development and training. Includes,
registration cost,travel transportation,staff meals,and lodging expenses.Includes
HMIS training cost.
3006 Staff Mileage 50 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.Reduction due to current trends.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 17,099 Minor auto repairs&maintenance required to maintain 2 vans for client
transportation and program needs,such as oil changes and car washes.Cost of GPS,
vehicle tracking service,and auto fuel.Anticipating vandalism to reduce at new
location,reducing overall available funds for repairs in this fiscal year.
3009 Other(Staff Recruitment) 500 Thorough background checks,drug testing,job postings,and bilingual testing.
3010 Other(Insurance) 9,686 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.Due to inflation the cost of insurance is expected to
continue increasing.
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 18,212
4001 Building Maintenance 4,340 Share cost for copier maintenance,inspection services,pest control,alarm services,
janitorial services,facility supplies,minor building repairs and maintenance,and other
necessary expenses necessary to provide services.
4002 Rent/Lease Building 9,920 Shared cost of building lease.
4003 Rent/Lease Equipment 800 Shared copier lease.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 3,152 Shared cost of gas and electric.
4007 Other(specify) -
4008 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2i7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 174 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 12,360
5001 Consultant(Network&Data Management) 12,360 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7. After hours support via email and phone
24/7.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify) -
6000:INDIRECT EXPENSES 57,687
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 57,687 Expenses to this line item ranges from salaries and benefits to operating expenses such
as rent,utilities,&supplies generated by corporate management,fiscal services,
payroll,human resources,accounts payable and other administrative functions
supporting program based on our Cost Allocation Plan.
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 580
7001 Computer Equipment&Software 580 Computer software needs to support staff&anticipating shared cost for replacement
of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 542,451
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 542,451
BUDGETCHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 175 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2025-26
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.03 $ 6,023 $ 6,023
1102 Regional Director 0.07 9,408 9,408
1103 Accountant 0.10 6,112 6,112
1104 Quality Improvement Data Analyst 0.06 4,499 4,499
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.26 r 26,042 $ 26,042
Acct# Program Position FTE Admin Program Total
1116 Program Manager 0.40 $ 44,065 $ 44,065
1117 Outreach Worker 4.00 176,105 176,105
1118 Lead Outreach Worker 1.00 48,311 48,311
1119 - -
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 5.40 $ 268,481 $ 268,481
Admin Program Total
Direct Personnel Salaries Subtotal 5.66 $ 26,042 $ 268,481 $ 294,523
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 119 $ 1,223 $ 1,342
1202 Worker's Compensation 352 3,624 3,976
1203 Health Insurance 3,096 31,922 35,018
1204 Other(specify)
1205 10ther(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 176 of 185
1206 10ther(specify)
Direct Employee Benefits Subtotal:1 3,567 $ 36,769 1 $ 40,336
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $
1302 FICA/MEDICARE 1,992 20,539 22,S31
1303 SUI 184 1,900 2,084
1304 Other(specify)
1305 10ther(specify)
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 2,176 $ 22,439 $ 24,615
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 31,785 $ 327,689 $ 359,474
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
9%1 91%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 10,500
2003 Client Transportation&Support 525
2004 Clothing, Food,&Hygiene 12,600
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 10ther(specify) -
DIRECT CLIENT CARE TOTAL 1 $ 23,625
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 4,221
3002 Printing/Postage 463
3003 Office Supplies&Equipment 695
3004 Advertising
3005 Staff Development&Training 1,000
3006 Staff Mileage 53
3007 Subscriptions&Memberships
3008 Vehicle Maintenance 17,954
3009 Other(Staff Recruitment) 520
3010 Other(Insurance) 10,170
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 35,076
4000:DIRECT FACILITIES&EQUIPMENT
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 177 of 185
Acct# Line Item Description Amount
4001 Building Maintenance $ 4,557
4002 Rent/Lease Building 10,416
4003 Rent/Lease Equipment 840
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities 3,373
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify) -
4010 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 19,186
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 12,360
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify) -
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL:1 $ 12,360
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(Administrative&General Fees) 54,338
6010 Other(specify) -
6011 Other(specify) -
6012 Other(specify) -
6013 10ther(specify) -
INDIRECT EXPENSES TOTAL $ 54,338
INDIRECT COST RATE 12.007
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 3,100
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 178 of 185
FIXED ASSETS EXPENSES TOTAL $ 3,100
TOTAL PROGRAM EXPENSES $ 507,159
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 10ther(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation (FFP)% 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention &Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 jCFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(PATH)
8404 Other(American Rescue Act Plan) 507,159
8405 10ther(Specify) -
OTHER REVENUE TOTAL $ 507,159
TOTAL PROGRAM FUNDING SOURCES: $ 507,159
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 179 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY) 2025-26
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS/Fresno 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.02
Map Point/Fresno 0.01
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.17
Shasta 0.09
Tulare 0.23
Madera 0.06
Kings 0.17
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE
Regional Director PATH SMHS/Fresno 0.085
PATH OEL/Fresno 0.080
PATH STARS/Fresno 0.070
Blue Sky/Fresno 0.110
Rural Crisis Intervention/Fresno 0.160
Metro CIT/Fresno 0.250
Map Point/Fresno 0.050
FURS/Fresno 0.030
Suicide Prevention Follow-up Call/Fresno 0.010
CVSPH 0.095
Madera 0.060
Total 1.00
Position Contract#/Name/Department/County FTE
Accountant PATH SMHS/Fresno 0.07
PATH OEL/Fresno 0.10
PATH STARS/Fresno 0.10
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.12
Metro CIT/Fresno 0.10
FURS/Fresno 0.03
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 180 of 185
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH 0.05
Shasta 0.07
Finance Department 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Quality Improvement Data Analyst PATH SMHS/Fresno 0.05
PATH OEL/Fresno 0.05
PATH STARS/Fresno 0.06
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.12
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.20
Quality& Performance Improvement Deparment 0.05
Total 1.00
Position Contract#/Name/Department/County FTE
Program Manager PATH SMHS/Fresno 0.25
PATH OEL/Fresno 0.35
PATH STARS/Fresno 0.40
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 181 of 185
Total 0.00
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
Total
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 Revised Exhibit C
Page 182 of 185
Total 0.00
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County I FTE
Total
Position Contract#/Name/Department/County FTE
Total
Docu&gn Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 183 of 185
Street Outreach Team and Rural Support
Kings View
Fiscal Year(FY)2025-26 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 359,474
Administrative Positions 26,042
1101 Executive Director 6,023 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.3%increase from previous year is being
captured in this line item.
1102 Regional Director 9,408 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.3%increase from previous year is
being captured in this line item.
1103 Accountant 6,112 Prepares and provides budget guidance,monthly invoicing and other fiscal services.
3%increase from previous year is being captured in this line item.
1104 Quality Improvement Data Analyst 4,499 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.3%increase from
previous year is being captured in this line item.
1105 10
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 268,481
1116 Program Manager 44,065 Provides supervision of all staff and direct oversight of program management. 3%
increase from previous year is being captured in this line item.
1117 Outreach Worker 176,105 Provides outreach and engagement services,provides linkage to needed services.3%
increase from previous year is being captured in this line item.In addition,there was
an overall budget reduction from previous year by$35,292 due to funding available
causing reduction by 1FTE to this line item.
1118 Lead Outreach Worker 48,311 Acts as a team liaison between the Program Manager and Outreach Workers,provides
training and field assistance to Outreach Workers as needed,represents PATH in rural
community meetings,as needed.3%increase from previous year is being captured in
this line item.
1119 0
1120 10
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 40,336
1201 Retirement 1,342 Cost of 401K;estimated at.46%from total salaries based on estimated program
trends.
1202 Worker's Compensation 3,976 Workers Comp Insurance;estimated at 1.35%from total salaries based on estimated
program trends.
1203 Health Insurance 35,018 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at
11.89%from total salaries.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 24,615
1301 OASDI -
1302 FICA/MEDICARE 22,531 Cost of FICA/Medicare;estimated at 7.65%from total salaries.
1303 SUI 2,084 Cost of SUI;estimated at.71%from total salaries.
1304 Other(specify) -
1305 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2i7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 184 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 23,625
2001 Child Care -
2002 Client Housing Support 10,500 Support clients with things such as rent,security deposits,board and care,emergency
housing such as hotels/motels,groceries,utilities,and household supplies.Adding 5%
increase from previous year.
2003 Client Transportation&Support 525 Provides bus passes,bus tokens or any transportation assistance for clients,such as
taxi service or gas.Adding 5%increase from previous year.
2004 Clothing,Food,&Hygiene 12,600 Outreach expenses that support clients with clothing,food,water,blankets,and
hygiene supplies. Clothing items consist of the following:Shirts,pants,shorts,shoes,
underwear,outerwear(jackets,beanies,gloves,socks,etc.)and any other wearable
items to protect clients from the weather elements.Also,includes miscellaneous client
support items such as pet food,groceries,DMV identification,and birth certificates.
Adding 5%increase from previous year.
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 35,076
3001 Telecommunications 4,221 Cost of landline telephone services,cell phones service,data connectivity.5.5%
anticipated inflation increase from previous year.
3002 Printing/Postage 463 Business cards and other special printing in bulk that is less cost effective to outsource
rather than utilization of a copier.
3003 Office Supplies&Equipment 695 Includes desk supplies&minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 1,000 Minor shared cost for continuation of staff development and training. Includes,
registration cost,travel transportation,staff meals,and lodging expenses.Includes
HMIS training cost.
3006 Staff Mileage 53 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 17,954 Minor auto repairs&maintenance required to maintain 2 vans for client
transportation and program needs,such as oil changes and car washes.Cost of GPS,
vehicle tracking service,and auto fuel.5%anticipated inflation increase from previous
year.Increase to line item due to anticipating higher maintenance to older vehicles
such as tire replacements.
3009 Other(Staff Recruitment) 520 Thorough background checks,drug testing,job postings,and bilingual testing.
3010 Other(Insurance) 10,170 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.5%anticipated inflation increase from previous year
due to the size of the transit vans.
3011 Other(specify) -
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 19,186
4001 Building Maintenance 4,SS7 Share cost for copier maintenance,inspection services,pest control,alarm services,
janitorial services,facility supplies,minor building repairs and maintenance,and other
necessary expenses necessary to provide services.
4002 Rent/Lease Building 10,416 Shared cost of building lease.5%increase from previous year.
4003 Rent/Lease Equipment 840 Shared copier lease.S%increase from previous year.
4004 Rent/Lease Vehicles -
400S Security -
4006 Utilities 3,373 Shared cost of gas and electric.7%increase from previous year.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 12,360
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A742-1C63COBCDDB8 Revised Exhibit C
Page 185 of 185
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5001 Consultant(Network&Data Management) 12,360 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,
access to data/documents/application 24/7. After hours support via email and phone
24/7.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES 54,338
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative&General Fees) 54,338 Expenses to this line item ranges from salaries and benefits to operating expenses such
as rent,utilities,&supplies generated by corporate management,fiscal services,
payroll,human resources,accounts payable and other administrative functions
supporting program based on our Cost Allocation Plan.
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 3,100
7001 Computer Equipment&Software 3,100 Computer software needs to support staff,anticipating shared cost&or replacement
of computer equipment.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 507,159
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 507,159
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-lC63COBCDDB8
Exhibit Q
Agreement No. 20-196
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER(If Applicable)
STD 213(Rev.03/2019) 20-H H A P-00096
1.This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME
Business,Consumer Services,and Housing Agency
CONTRACTOR NAME
County of Fresno
2.The term of this Agreement is:
START DATE
Upon BCSH Approval
THROUGH END DATE
06/30/2025
3.The maximum amount of this Agreement is:
$2,325,640.36
4.The parties agree to comply with the terms and conditions of the following exhibits,which are by this reference made a part of the Agreement.
Exhibits Title Pages
Exhibit A Scope of Work 1-6
Exhibit B Budget Detail and Payment Provisions 7-11
Exhibit C Homeless Coordinating and Financing Council Terms and Conditions 12-21
Exhibit D Special Terms and Conditions 22
Exhibit E* General Terms and Conditions 23
Items s own with on asterisk(*),are hereby incorporated by reference and made part of this agreement as if attached ereto.
These documents can be viewed at https://www.das.ca.gov/OLS/Resources
IN WITNESS WHEREOF,THISAGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME(if other than an individual,state whether a corporation,partnership,etc.)
County of Fresno
ATTEST:
CONTRACTOR BUSINESS ADDRESS BERNICE E. SEIDEL CITY STATE ZIP
PO Box 24055 Clerk of the Board of Supervisors Fresno CA 93612
County of Fresno,State f California
PRINTED NAME OF PERSON SIGNING � TITLE
Ernest Buddy Mendes B 1 ' Deputy Chairman,Board of Supervisors
CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED
117
Page 1 of 2
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASINGAUTHORITYNUMBER(IfApplicable)
STD 213(Rey.03/2019) 20-HHAP-�00096
STATE of CALIFORNIA
CONTRACTING AGENCY NAME
Business,Consumer Services,and Housing Agency
CONTRACTING AGENCY ADDRESS CITY STATE ZIP
915 Capitol Mall,Suite 350A Sacramento ICA 95814
PRINTED NAME OF PERSON SIGNING 'TITLE
Lourdes Castro Ramfrez Secretary
CONTRACTING AGENCY HO 0SIGNATURE DATE SIGN D
I If 1124
CAUFORNIA DEPARTMENT 04ENERAL SERVICES APPROVAL EXEMPTION Of Applicable)
i
j
I
'I
I
i
I
Paae 2 of 2
I
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
For Accounting use only:
Fund: 0065
Subclass: 17237
Org: 1132
Account: 3575-State Other
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-HHAP-00096
Page 1 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT A
SCOPE OF WORK
1. Authority
The State of California has established the Homeless Housing, Assistance, and
Prevention Program ("HHAP" or "Program" or "grant") pursuant to Chapter 6
(commencing with Section 50216) of Part 1 of Division 31 of the Health and Safety
Code. (Added by Stats.2019, c. 159 (A.B. 101), § 10, eff. July 31, 2019.)
The Program is administered by the California Homeless Coordinating and Financing
Council ("Council") in the Business, Consumer Services and Housing Agency
("Agency"). HHAP provides one-time flexible block grant funds to continuums of care,
large cities (population of 300,000+) and counties as defined in the December 6, 2019
HHAP Notice of Funding Availability ("NOFA") to support regional coordination and
expand or develop local capacity to address immediate homelessness challenges
informed by a best-practices framework focused on moving homeless individuals and
families into permanent housing and supporting the efforts of those individuals and
families to maintain their permanent housing.
This Standard Agreement along with all its exhibits ("Agreement") is entered into by
the Agency and a continuum of care, a city, or a county("Grantee") under the authority
of, and in furtherance of the purpose of, the Program. In signing this Agreement and
thereby accepting this award of funds, the Grantee agrees to comply with the terms
and conditions of the Agreement, the NOFA under which the Grantee applied, the
representations contained in the Grantee's application, and the requirements of the
authority cited above.
2. Purpose
The general purpose of the Program is to provide one-time block grant funding to
support regional coordination, and to expand or develop local capacity to address
immediate homelessness challenges. Activities will be informed by a best-practices
framework focused on moving homeless individuals and families into permanent
housing and supporting the efforts of those individuals and families to maintain their
permanent housing. In accordance with the authority cited above, an application was
created and submitted by the Grantee for HHAP funds to be allocated for eligible uses
as stated in Health and Safety Code section 50219, subdivision (c)(1) — (8).
0461,
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 2 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT A
SCOPE OF WORK
3. Definitions
The following HHAP program terms are defined in accordance with Health and
Safety Code section 50216, subdivisions (a) — (q):
(a) "Agency" means the Business, Consumer Services and Housing Agency.
(b) "Applicant" means a continuum of care, city, or county.
(c) "City" means a city or city and county that is legally incorporated to provide local
government services to its population. A city can be organized either under the general
laws of this state or under a charter adopted by the local voters.
(d) "Continuum of care" means the same as defined by the United States Department
of Housing and Urban Development at Section 578.3 of Title 24 of the Code of Federal
Regulations.
(e) "Coordinated Entry System" means a centralized or coordinated process
developed pursuant to Section 578.7 of Title 24 of the Code of Federal Regulations,
as that section read on January 10, 2019, designed to coordinate homelessness
program participant intake, assessment, and provision of referrals. In order to satisfy
this subdivision, a centralized or coordinated assessment system shall cover the
geographic area, be easily accessed by individuals and families seeking housing or
services, be well advertised, and include a comprehensive and standardized
assessment tool.
(f) "Council" means the Homeless Coordinating and Financing Council created
pursuant to Section 8257 of the Welfare and Institutions Code.
(g) "Emergency shelter" has the same meaning as defined in subdivision (e)of Section
50801 .
(h) "Homeless" has the same meaning as defined in Section 578.3 of Title 24 of the
Code of Federal Regulations, as that section read on January 10, 2019.
(i) "Homeless Management Information System" means the information system
designated by a continuum of care to comply with federal reporting requirements as
defined in Section 578.3 of Title 24 of the Code of Federal Regulations. The term
"Homeless Management Information System" also includes the use of a comparable
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-HHAP-00096
Page 3 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT A
SCOPE OF WORK
database by a victim services provider or legal services provider that is permitted by
the federal government under Part 576 of Title 24 of the Code of Federal Regulations.
Q) "Homeless point-in-time count" means the 2019 homeless point-in-time count
pursuant to Section 578.3 of Title 24 of the Code of Federal Regulations. A jurisdiction
may elect to instead use their 2017 point-in-time count if they can demonstrate that a
significant methodology change occurred between the 2017 and 2019 point-in-time
counts that was based on an attempt to more closely align the count with HUD best
practices and undertaken in consultation with HUD representatives. Ajurisdiction shall
submit documentation of this to the agency by the date by which HUD's certification
of the 2019 homeless point-in-time count is finalized. The agency shall review and
approve or deny a request described in the previous sentence along with a
jurisdiction's application for homeless funding.
(k) "Homeless youth" means an unaccompanied youth between 12 and 24 years of
age, inclusive, who is experiencing homelessness, as defined in subsection (2) of
Section 725 of the federal McKinney-Vento Homeless Assistance Act (42 U.S.C. Sec.
11434a(2)). "Homeless youth" includes unaccompanied youth who are pregnant or
parenting.
(1) "Housing First" has the same meaning as in Section 8255 of the Welfare and
Institutions Code, including all of the core components listed therein.
(m) "Jurisdiction" means a city, city that is also a county, county, or continuum of care,
as defined in this section.
(m) "Jurisdiction" means a city, city that is also a county, county, or continuum of care,
as defined in this section.
(n) "Navigation center" means a Housing First, low-barrier, service-enriched shelter
focused on moving homeless individuals and families into permanent housing that
provides temporary living facilities while case managers connect individuals
experiencing homelessness to income, public benefits, health services, shelter, and
housing.
(o) "Program" means the Homeless Housing, Assistance, and Prevention program
established pursuant to this chapter.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 4 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT A
SCOPE OF WORK
(p) "Program allocation" means the portion of program funds available to expand or
develop local capacity to address immediate homelessness challenges, in the amount
of six hundred fifty million dollars ($650,000,000).
(q) "Recipient" means a jurisdiction that receives funds from the agency for the
purposes of the program.
Additional definitions for the purposes of the HHAP program:
"Obligate" means that the Grantee has placed orders, awarded contracts, received
services, or entered into similar transactions that require payment using HHAP
funding. Grantees, and the subrecipients who receive awards from those Grantees,
must obligate the funds by the statutory deadlines set forth in this Exhibit A.
"Expended" means all HHAP funds obligated under contract or subcontract have been
fully paid and receipted, and no invoices remain outstanding. In the case of an award
made through subcontracting, subcontractors are required to obligate the funds by the
same statutory deadlines.
"Grantee" means the continuum of care, city, or county that has entered into contract
with the Business, Consumer Services and Housing Agency and is receiving HHAP
funding.
4. Scope of Work
The Scope of Work ("Work") for this Agreement shall include uses that are consistent
with Health and Safety Code section 50219, subdivision (c)(1) — (8), and any other
applicable laws. Eligible uses include the following:
A. Rental assistance and rapid rehousing.
B. Operating subsidies in new and existing affordable or supportive housing units,
emergency shelters, and navigation centers. Operating subsidies may include
operating reserves.
C. Incentives to landlords, including, but not limited to, security deposits and holding
fees.
D. Outreach and coordination, which may include access to job programs, to assist
vulnerable populations in accessing permanent housing and to promote housing
stability in supportive housing.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 5 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT A
SCOPE OF WORK
E. Systems support for activities necessary to create regional partnerships and
maintain a homeless services and housing delivery system, particularly for
vulnerable populations including families and homeless youth.
F. Delivery of permanent housing and innovative housing solutions such as hotel and
motel conversions.
G. Prevention and shelter diversion to permanent housing.
H. New navigation centers and emergency shelters based on demonstrated need.
Demonstrated need for purposes of this paragraph shall be based on the following:
i. The number of available shelter beds in the city, county, or region served by
a continuum of care.
ii. Shelter vacancy rate in the summer and winter months.
iii. Percentage of exits from emergency shelters to permanent housing solutions.
iv. A plan to connect residents to permanent housing.
5. Agency Contract Coordinator
The Agency's Contract Coordinator for this Agreement is the Council's HHAP Grant
Manager or the Grant Manager's designee. Unless otherwise instructed, any notice,
report, or other communication requiring an original Grantee signature for this
Agreement shall be mailed to the Agency Contract Coordinator. If there are
opportunities to send information electronically, Grantee will be notified via email by
the HHAP Grant Manager or the Grant Manager's designee.
The Representatives during the term of this Agreement will be:
PROGRAM GRANTEE
ENTITY: Business Consumer Services and County of
Housing Agency Fresno
SECTION/UNIT: Homeless Coordinating and Financing
Council (HCFC)
915 Capitol Mall Suite 350-A PO Box 24055
ADDRESS: Sacramento, CA 95814 Fresno, California 93612
CONTRACT MANAGER Amber Ostrander Laura Moreno
Program Manager
PHONE NUMBER: 916-651-7995 559-600-2335
EMAIL ADDRESS: Amber.Ostrander@bcsh.ca.gov Ihaga@fresnocountyca.gov
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 6 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT A
SCOPE OF WORK
All requests to update the Grantee information listed within this Agreement shall be
emailed to the Homeless Coordinating and Financing Council's general email box at
hcfc(@bcsh.ca.gov. The Council reserves the right to change their representative
and/or contact information at any time with notice to the Grantee.
6. Effective Date, Term of Agreement, and Deadlines
A. This Agreement is effective upon approval by the Agency (indicated by the
signature provided by Agency in the lower left section of page one, Standard
Agreement, STD. 213), when signed by all parties.
B. Contractual Obligation:
• Grantees that are counties must contractually obligate 100 percent of their full
program allocations on or before May 31, 2023.
• Grantees that are cities or continuums of care must contractually obligate no
less than 50 percent of program allocations on or before May 31, 2023.
Cities or continuums of care that contractually obligate less than 50 percent or program
allocations after May 31, 2023 are subject to an alternative disbursement plan as required
under (Health & Safety Code, § 50220, subdivision (a)(4)(B).
C. Full Expenditure of HHAP Grant Funds
• All HHAP grant funds (100 percent) must be expended by June 30, 2025. Any
funds not expended by that date shall revert to the General Fund. (Health &
Safety Code, § 50220, subdivision (e).)
7. Special Conditions
Agency reserves the right to add any special conditions to this Agreement it deems
necessary to ensure that the goals of the Program are achieved.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 7 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISIONS
1. Budget Detail & Changes
The Grantee agrees that HHAP funds shall be expended on uses that support regional
coordination and expand or develop local capacity to address immediate
homelessness challenges. Such activities must be informed by a best-practices
framework focused on moving homeless individuals and families into permanent
housing and supporting the efforts of those individuals and families to maintain their
permanent housing.
The Grantee shall expend HHAP funds on eligible activities as detailed in the annual
budget submitted with the Grantee's approved application. The Grantee shall submit
an updated budget with the annual report that revises and reports all actual and
projected expenditures of HHAP funds.
Changes may be made to the timing (e.g., fiscal year) of eligible use expenditures
without prior approval by the Agency so long as the total expenditures (actual and
projected) for each eligible use category remain the same as described in the budget
approved with the Grantee's application. Any decrease or increase to the total
expenditures for any eligible use category must otherwise be approved by the
Council's HHAP Grant Manager or his/her designee, in writing, before the Grantee
may expend HHAP funds according to an alternative budget. The HHAP Grant
Manager will respond to Grantee with approval or denial of request. Failure to obtain
written approval from the Grant Manager or his/her designee as required by this
section may be considered a breach of this Agreement.
2. General Conditions Prior to Disbursement
All Grantees must submit the following forms prior to HHAP funds being released:
A. Request for Funds Form (RFF)
B. STD 213 Standard Agreement - 2 original copies of the signed STD 213
form and initialed Exhibits A through E.
C. Data Use Agreement (continuums of care and counties that accepted
redirected funding from a continuum of care- see Exhibit D for relevant
Special Terms and Conditions)
<E&il
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 8 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISIONS
3. Disbursement of Funds
HHAP funds will be disbursed to the Grantee upon receipt, review and approval of the
completed Standard Agreement and RFF by Agency, the Department of General
Services (DGS) and the State Controller's Office (SCO). Once Agency receives,
reviews, and signs off on the completed documents, the documents will be sent to
DGS for review. Once DGS review is completed, documents will be forwarded to SCO
for final review and fund disbursement. The RFF must include the proposed eligible
uses and the amount of funds proposed for expenditure under each eligible use.
HHAP funds will be disbursed in a single allocation via mailed check once the RFF
has been received by the SCO. Checks will be mailed to the address and contact
name listed on the RFF.
4. Expenditure of Funds
Specific requirements and deadlines for contractually obligating and expending
awarded funds are set forth in the Homeless Housing, Assistance, and Prevention
Program statutes. Health and Safety Code sections 50218, 50219, and 50220
mandate the following:
A. Up to 5 percent of the HHAP allocation maybe expended for the following uses
that are intended to meet federal requirements for housing funding-
(1) Strategic homelessness plan, as defined in section 578.7(c) of Title 24 of
the Code of Federal Regulations; and/or
(2) Infrastructure development to support coordinated entry systems and
Homeless Management Information Systems.
B. No more than 7 percent of the HHAP allocation may be used for
administrative costs incurred by the Grantee.
C. At least 8 percent of the HHAP allocation shall be used to establish or expand
services for homeless youth populations.
D. Grantees that are cities or continuums of care shall contractually obligate no
less than 50 percent of HHAP funds by May 31, 2023. If less than 50 percent
is obligated after May 31, 2023, continuums of care and cities shall not expend
any remaining portion of the 50 percent of program allocations required to have
been obligated unless and until both of the following occur:
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 9 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISIONS
(1) On or before June 30, 2023, the Grantee submits an alternative
disbursement plan to Agency that includes an explanation for the delay
and a plan to fully expend these funds by December 31, 2023.
(2) Agency approves the alternative disbursement plan.
If the funds identified in the approved alternative disbursement plan are not
fully expended by December 31, 2023, the funds shall be returned to
Agency.
E. Grantees that are counties shall contractually obligate the full allocation (100
percent) awarded to them by May 31, 2023. Any funds that are not
contractually obligated by this date shall be reverted to the continuum of
care that serves the county. Specific to Los Angeles County, funds that are not
contractually obligated by this date shall be divided proportionately using the
HHAP funding allocation formula among the four CoC's that serve Los
Angeles County: City of Glendale CoC, City of Pasadena CoC, the City of
Long Beach CoC, and the Los Angeles Homeless Services Authority.
Counties not obligating their full program allocation by May 31, 2023 are
required to notify Agency on or before that date, of the name of the CoC(s) in
which the county is served, and the amount of program funds that will be
reverted to the CoC(s). By June 30, 2023, the county shall provide Agency with
evidence that the funds were transferred and submit an updated budget that
clearly identifies the funds that were transferred.
F. All HHAP funds shall be expended by June 30, 2025.
G. Any funds not expended by June 30, 2025 shall revert to the General Fund.
5. Reimbursement
HHAP program funds should not generally be obligated or expended prior to the
effective date of this Agreement. However, Agency acknowledges that there may be
circumstances that would require reimbursement in order to prevent or address
homelessness in a given jurisdiction. When considering a reimbursement, the
following requirements are applicable:
A. Reimbursement is not permitted for activities occurring prior to July 1, 2019.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 10 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISIONS
B. Reimbursement shall not supplant existing local funds for homeless housing,
assistance, or prevention.
C. Approval from HCFC must be obtained prior to obtaining reimbursement.
D. Capital improvement projects pertaining to emergency shelters and navigation
centers are still required to demonstrate need. Eligible applicants are required
to submit the following information for HCFC to review and approve or deny
such projects:
(1) The number of available shelter beds in the jurisdiction;
(2) The shelter vacancy rate in the summer and winter months;
(3) The percentage of exits from emergency shelters to permanent housing
solutions; and
(4) A plan to connect residents to permanent housing.
6. Ineligible Costs
HHAP funds shall not be used for costs associated with activities in violation of any
law or for any activities not consistent with the intent of the Program and the eligible
uses identified in Health and Safety Code sections 50218 and 50219.
Agency reserves the right to request additional clarifying information to determine the
reasonableness and eligibility of all uses of the funds made available by this
Agreement. If the Grantee or its funded subrecipients use HHAP funds to pay
for ineligible activities, the Grantee shall be required to reimburse these funds
to Agency.
An expenditure which is not authorized by this Agreement, or by written approval of
the Grant Manager or his/her designee, or which cannot be adequately documented,
shall be disallowed and must be reimbursed to Agency by the Grantee.
Agency, at its sole and absolute discretion, shall make the final determination
regarding the allowability of HHAP fund expenditures.
Program funds shall not be used to supplant existing local funds for homeless
housing, assistance, or prevention.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 11 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
7. Administrative Costs
The Grantee must comply with Health and Safety Code section 50219, subdivision
(e), which limits the Grantee's administrative costs to no more than 7 percent of total
HHAP funds received. For purposes of this requirement, "administrative costs" does
not include staff or other costs directly related to implementing activities funded by the
Program allocation.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8
Exhibit Q
County of Fresno
20-HHAP-00096
Page 12 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
1. Termination and Sufficiency of Funds
A. Termination of Agreement
Agency may terminate this Agreement at any time for cause by giving a minimum
of 14 days' notice of termination, in writing, to the Grantee. Cause shall consist
of violations of any conditions of this Agreement, any breach of contract as described
in paragraph 6 of this Exhibit C; violation of any federal or state laws; or withdrawal of
Agency's expenditure authority. Upon termination of this Agreement, unless
otherwise approved in writing by Agency, any unexpended funds received by the
Grantee shall be returned to Agency within 30 days of Agency's notice of termination.
B. Sufficiency of Funds
This Agreement is valid and enforceable only if sufficient funds are made available to
Agency by legislative appropriation. In addition, this Agreement is subject to any
additional restrictions, limitations or conditions, or statutes, regulations or any other
laws, whether federal or those of the State of California, or of any agency, department,
or any political subdivision of the federal or State of California governments, which
may affect the provisions, terms or funding of this Agreement in any manner.
2. Transfers
Grantee may not transfer or assign by subcontract or novation, or by any other means,
the rights, duties, or performance of this Agreement or any part thereof, except with
the prior written approval of Agency and a formal amendment to this Agreement to
affect such subcontract or novation.
3. Grantee's Application for Funds
Grantee has submitted to Agency an application for HHAP funds to support regional
coordination and expand or develop local capacity to address its immediate
homelessness challenges. Agency is entering into this Agreement on the basis of, and
in substantial reliance upon, Grantee's facts, information, assertions and
representations contained in that application, and in any subsequent modifications or
additions thereto approved by Agency. The application and any approved
modifications and additions thereto are hereby incorporated into this Agreement.
0Af
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 13 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
Grantee warrants that all information, facts, assertions and representations contained
in the application and approved modifications and additions thereto are true, correct,
and complete to the best of Grantee's knowledge. In the event that any part of the
application and any approved modification and addition thereto is untrue, incorrect,
incomplete, or misleading in such a manner that would substantially affect Agency
approval, disbursement, or monitoring of the funding and the grants or activities
governed by this Agreement, then Agency may declare a breach of this Agreement
and take such action or pursue such remedies as are legally available.
4. Reporting/Audits
A. Annual Report Deadlines
By January 1, 2021, and annually on that date thereafter until all funds have been
expended, the Grantee shall submit an annual report to Agency in a format provided
by Agency. If the Grantee fails to provide such documentation, Agency may recapture
any portion of the amount authorized by this Agreement with a 14-day written
notification. No later than January 1, 2026, the Grantee shall submit a final report, in
a format provided by Agency, as well as a detailed explanation of all uses of the
Program funds.
B. Reporting Requirements
The annual report shall contain detailed information in accordance with Health and
Safety Code section 50221 , subdivision (a).This information includes the following, as
well as any additional information deemed appropriate or necessary by Agency:
1. An ongoing tracking of the specific uses and expenditures of any Program
funds broken out by eligible uses listed, including the current status of those
funds.
2. The number of homeless individuals served by the Program funds in that year,
and a total number served in all years of the Program, as well as the homeless
populations served.
3. The types of housing assistance provided, broken out by the number of
individuals.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 14 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
4. Outcome data for an individual served through Program funds, including the
type of housing that an individual exited to, the percent of successful housing
exits, and exit types for unsuccessful housing exits.
In addition to the annual reports, Agency requires the Grantee to submit quarterly
expenditure reports due no later than 30 days following the end of each fiscal quarter.
Grantee shall submit a report to the agency on a form and method provide by the
agency, that includes the ongoing tracking of the specific uses and expenditures of
any program funds broken out by eligible uses listed, including the current status of
those funds, as well as any additional information the agency deems appropriate or
necessary.
Agency may require additional supplemental reporting with written notice to the
Grantee.
C. Auditing
Agency reserves the right to perform or cause to be performed a financial audit. At
Agency request, the Grantee shall provide, at its own expense, a financial audit
prepared by a certified public accountant. HHAP administrative funds may be used
to fund this expense.
1. If a financial audit is required by Agency, the audit shall be performed by an
independent certified public accountant.
2. The Grantee shall notify Agency of the auditor's name and address immediately
after the selection has been made. The contract for the audit shall allow access
by Agency to the independent auditor's working papers.
3. The Grantee is responsible for the completion of audits and all costs of
preparing audits.
4. If there are audit findings, the Grantee must submit a detailed response
acceptable to Agency for each audit finding within 90 days from the date of the
audit finding report.
5. Inspection and Retention of Records
A. Record Inspection
The Grantee agrees that Agency or its designee shall have the right to review, obtain,
and copy all records and supporting documentation pertaining to performance under
this Agreement. The Grantee agrees to provide Agency, or its designee, with any
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 15 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
relevant information requested. The Grantee agrees to give Agency or its designee
access to its premises, upon reasonable notice and during normal business hours, for
the purpose of interviewing employees who might reasonably have information
related to such records, and of inspecting and copying such books, records, accounts,
and other materials that may be relevant to an investigation of compliance with the
Homeless Housing, Assistance, and Prevention Program laws, the HHAP program
guidance document published on the website, and this Agreement.
B. Record Retention
The Grantee further agrees to retain all records described in subparagraph A for
a minimum period of five (5) years after the termination of this Agreement.
If any litigation, claim, negotiation, audit, monitoring, inspection or other action has
been commenced before the expiration of the required record retention period, all
records must be retained until completion of the action and resolution of all issues
which arise from it.
6. Breach and Remedies
A. Breach of Agreement
Breach of this Agreement includes, but is not limited to, the following events:
1. Grantee's failure to comply with the terms or conditions of this Agreement.
2. Use of, or permitting the use of, HHAP funds provided under this Agreement
for any ineligible activities.
3. Any failure to comply with the deadlines set forth in this Agreement.
B. Remedies for Breach of Agreement
In addition to any other remedies that may be available to Agency in law or equity for
breach of this Agreement, Agency may:
1. Bar the Grantee from applying for future HHAP funds;
2. Revoke any other existing HHAP award(s) to the Grantee;
3. Require the return of any unexpended HHAP funds disbursed under this
Agreement;
4. Require repayment of HHAP funds disbursed and expended under this
Agreement;
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 16 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
5. Require the immediate return to Agency of all funds derived from the use of
HHAP funds including, but not limited to, recaptured funds and returned
funds; and
6. Seek, in a court of competent jurisdiction, an order for specific performance of
the defaulted obligation or the appointment of a receiver to complete the
technical assistance in accordance with HHAP requirements.
C. All remedies available to Agency are cumulative and not exclusive.
D. Agency may give written notice to the Grantee to cure the breach or violation within
a period of not less than 15 days.
7. Waivers
No waiver of any breach of this Agreement shall be held to be a waiver of any prior or
subsequent breach. The failure of Agency to enforce at any time the provisions of this
Agreement, or to require at any time, performance by the Grantee of these provisions,
shall in no way be construed to be a waiver of such provisions nor to affect the validity
of this Agreement or the right of Agency to enforce these provisions.
8. Nondiscrimination
During the performance of this Agreement, Grantee and its subrecipients shall not
unlawfully discriminate, harass, or allow harassment against any employee or
applicant for employment because of sex (gender), sexual orientation, gender identity,
gender expression, race, color, ancestry, religion, creed, national origin (including
language use restriction), pregnancy, physical disability (including HIV and AIDS),
mental disability, medical condition (cancer/genetic characteristics), age (over 40),
genetic information, marital status, military and veteran status, and denial of medical
and family care leave or pregnancy disability leave. Grantees and subGrantees shall
ensure that the evaluation and treatment of their employees and applicants for
employment are free from such discrimination and harassment. Grantee and its
subrecipients shall comply with the provisions of California's laws against
discriminatory practices relating to specific groups: the California Fair Employment
and Housing Act (FEHA) (Gov. Code, § 12900 et seq.); the regulations promulgated
thereunder (Cal. Code Regs., tit. 2, § 11000 et seq.); and the provisions of Article 9.5,
Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code, §§ 11135
- 11139.5). Grantee and its subrecipients shall give written notice of their obligations
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 17 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
under this clause to labor organizations with which they have a collective bargaining
or other agreement.
9. Conflict of Interest
All Grantees are subject to state and federal conflict of interest laws. For instance,
Health and Safety Code section 50219, subdivision (h) states, "For purposes of
Section 1090 of the Government Code, a representative of a county serving on a
board, committee, or body with the primary purpose of administering funds or making
funding recommendations for applications pursuant to this chapter shall have no
financial interest in any contract, program, or project voted on by the board,
committee, or body on the basis of the receipt of compensation for holding public office
or public employment as a representative of the county."
Failure to comply with these laws, including business and financial disclosure
provisions, will result in the application being rejected and any subsequent contract
being declared void. Other legal action may also be taken. Additional applicable
statutes include, but are not limited to, Government Code section 1090 and Public
Contract Code sections 10410 and 10411.
A. Current State Employees: No State 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. No State officer or employee shall contract on his or her
own behalf as an independent Grantee with any State agency to provide goods or
services.
B. Former State Employees: 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. 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 twelve-month period prior to his or her leaving State service.
C.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 18 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
C. Employees of the Grantee: Employees of the Grantee shall comply with all
applicable provisions of law pertaining to conflicts of interest, including but not limited
to any applicable conflict of interest provisions of the a Political Reform Act of 1974
(Gov. Code, § 81000 et seq.).
D. Representatives of a County: A representative of a county serving on a board,
committee, or body with the primary purpose of administering funds or making funding
recommendations for applications pursuant to this chapter shall have no financial
E. interest in any contract, program, or project voted on by the board, committee, or
body on the basis of the receipt of compensation for holding public office or public
employment as a representative of the county.
10. Drug-Free Workplace Certification
Certification of Compliance: By signing this Agreement, Grantee hereby certifies,
under penalty of perjury under the laws of State of California, that it and its
subrecipients will comply with the requirements of the Drug-Free Workplace Act of
1990 (Gov. Code, § 8350 et seq.) and have or will provide a drug-free workplace by
taking the following actions:
A. Publish a statement notifying employees and subrecipients that unlawful
manufacture distribution, dispensation, possession, or use of a controlled substance
is prohibited and specifying actions to be taken against employees, Grantees, or
subrecipients for violations, as required by Government Code section 8355,
subdivision (a)(1).
B. Establish a Drug-Free Awareness Program, as required by Government Code
section 8355, subdivision (a)(2) to inform employees, Grantees, or subrecipients
about all of the following:
1. The dangers of drug abuse in the workplace;
2. Grantee's policy of maintaining a drug-free workplace;
3. Any available counseling, rehabilitation, and employee assistance program;
and
4. Penalties that may be imposed upon employees, Grantees, and subrecipients
for drug abuse violations.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 19 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
C. Provide, as required by Government Code section 8355, subdivision (a)(3), that
every employee and/or subrecipient that works under this Agreement:
1. Will receive a copy of Grantee's drug-free policy statement, and
2. Will agree to abide by terms of Grantee's condition of employment or
subcontract.
11. Child Support Compliance Act
For any Contract Agreement in excess of $100,000, the Grantee acknowledges in
accordance with Public Contract Code 7110, that:
A. The Grantee recognizes the importance of child and family support obligations and
shall fully comply with all applicable state and federal laws relating to child and family
support enforcement, including, but not limited to, disclosure of information and
compliance with earnings assignment orders, as provided in Chapter 8 (commencing
with section 5200) of Part 5 of Division 9 of the Family Code; and
B. The Grantee, to the best of its knowledge is fully complying with the earnings
assignment orders of all employees and is providing the names of all new employees
to the New Hire Registry maintained by the California Employment Development
Department.
12. Special Conditions — Grantees/SubGrantee
The Grantee agrees to comply with all conditions of this Agreement including the
Special Conditions set forth in Exhibit D. These conditions shall be met to the
satisfaction of Agency prior to disbursement of funds. The Grantee shall ensure that
all SubGrantees are made aware of and agree to comply with all the conditions of this
Agreement and the applicable State requirements governing the use of HHAP funds.
Failure to comply with these conditions may result in termination of this Agreement.
A. The Agreement between the Grantee and any SubGrantee shall require the
Grantee and its SubGrantees, if any, to:
1. Perform the work in accordance with Federal, State and Local housing and
building codes, as applicable.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 20 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
2. Maintain at least the minimum State-required worker's compensation for those
employees who will perform the work or any part of it.
3. Maintain, as required by law, unemployment insurance, disability insurance,
and liability insurance in an amount that is reasonable to compensate any
person, firm or corporation who may be injured or damaged by the Grantee or
any SubGrantee in performing the Work or any part of it.
4. Agree to include all the terms of this Agreement in each subcontract.
13. Compliance with State and Federal Laws, Rules, Guidelines and Regulations
The Grantee agrees to comply with all state and federal laws, rules and regulations
that pertain to construction, health and safety, labor, fair employment practices,
environmental protection, equal opportunity, fair housing, and all other matters
applicable and/or related to the HHAP program, the Grantee, its subrecipients, and all
eligible activities.
Grantee shall also be responsible for obtaining any and all permits, licenses, and
approvals required for performing any activities under this Agreement, including those
necessary to perform design, construction, or operation and maintenance of the
activities. Grantee shall be responsible for observing and complying with any
applicable federal, state, and local laws, rules or regulations affecting any such work,
specifically those including, but not limited to, environmental protection, procurement,
and safety laws, rules, regulations, and ordinances. Grantee shall provide copies of
permits and approvals to Agency upon request.
14. Inspections
A. Grantee shall inspect any work performed hereunder to ensure that the work is
being and has been performed in accordance with the applicable federal, state and/or
local requirements, and this Agreement.
B. Agency reserves the right to inspect any work performed hereunder to ensure that
the work is being and has been performed in accordance with the applicable federal,
state and/or local requirements, and this Agreement.
C. Grantee agrees to require that all work that is determined based on such
inspections not to conform to the applicable requirements be corrected and to withhold
payments to the subrecipient until it is corrected.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-H HAP-00096
Page 21 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT C
HOMELESS COORDINATING AND FINANCING COUNCIL TERMS AND
CONDITIONS
15. Litigation
A. If any provision of this Agreement, or an underlying obligation, is held invalid by a
court of competent jurisdiction, such invalidity, at the sole discretion of Agency, shall
not affect any other provisions of this Agreement and the remainder of this Agreement
shall remain in full force and effect. Therefore, the provisions of this Agreement are
and shall be deemed severable.
B. The Grantee shall notify Agency immediately of any claim or action undertaken by
or against it, which affects or may affect this Agreement or Agency, and shall take
such action with respect to the claim or action as is consistent with the terms of this
Agreement and the interests of Agency.
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-HHAP-00096
Page 22 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT D
SPECIAL TERMS AND CONDITIONS
1. All proceeds from any interest-bearing account established by the Grantee for
the deposit of HHAP funds, along with any interest-bearing accounts opened by
subrecipients to the Grantee for the deposit of HHAP funds, must be used for
HHAP-eligible activities.
2. Any housing-related activities funded with HHAP funds, including but not limited
to emergency shelter, rapid-rehousing, rental assistance, transitional housing
and permanent supportive housing, must be in compliance or otherwise aligned
with the core components of Housing First, pursuant to Welfare and Institutions
Code section 8255, subdivision (b).
3. Grantee agrees to utilize its local Homeless Management Information System
(HMIS) to track HHAP-funded projects, services, and clients served. Grantee will
ensure that HMIS data are collected in accordance with applicable laws and in
such a way as to identify individual projects, services, and clients that are
supported by HHAP funding (e.g., by creating appropriate HHAP-specific funding
sources and project codes in HMIS).
4. Grantee agrees to participate in the statewide data system or warehouse created
by Agency to collect local data from California continuums of care through the
HMIS, and sign any required data use agreements allowing Agency to access
Grantee's HMIS data for that purpose.
5. If Grantee is a continuum of care or a county that accepted redirected funding
from a continuum of care, it shall review and execute a data use agreement no
later than July 31, 2020, in order to ensure compliance with Health and Safety
Code section 50219, subdivision (a)(7) and (10). Grantee's failure to timely
execute a data use agreement will constitute a breach of this Agreement. In this
event, BCSH, in its sole and absolute discretion, may exercise any and all
remedies permitted by this Agreement or by applicable law.
E'OM
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8
Exhibit Q
County of Fresno
20-HHAP-00096
Page 23 of 23
Homeless Housing, Assistance and Prevention
Standard Agreement
EXHIBIT E
GENERAL TERMS AND CONDITIONS
This exhibit is incorporated by reference and made part of this agreement. This
document can be viewed at the following link:
https://www.dgs.ca.gov/0LS/Resources/Pape-Content/Office-of-Legal-Services-
Resources-List-Folder/Standard-Contract-Lanquage
Homeless Housing, Assistance and Prevention Program
NOFA Date: December 6, 2019
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 ) ID: Exhibit Q
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES Agreement No. 21-306
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER(if Applicable)
STD 213(Rev.04/2020) 21-HHAP-00063 010725
1.This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME
Business,Consumer Services and Housing Agency
CONTRACTOR NAME
County of Fresno
2.The term of this Agreement is:
START DATE
Upon BCSH approval
THROUGH END DATE
06/30/2026
3.The maximum amount of this Agreement is:
$1,063,150.00(One Million Sixty Three Thousand One Hundred Fifty Dollars and No Cents)
4.The parties agree to comply with the terms and conditions of the following exhibits,which are by this reference made a part of the Agreement.
Exhibits Title Pages
Exhibit A Scope of Work 7
Exhibit B Budget Detail and Payment Provisions 4
Exhibit C Homeless Coordinating and Financing Council Terms and Conditions 9
Exhibit D Special Terms and Conditions 2
Exhibit E General Terms and Conditions 1
Items s own with an osteris (*),are hereby incorporated by reference and made part of this agreement as if attached ereto.
These documents can be viewed of hops✓/www.dgs.co.4ov/OLS/Resources
IN WITNESS WHEREOF,THIS AGREEMENT HAS BEEN EXECUTED BYTHE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME(if other than an individual,state whether a corporation,partnership,etc.)
County of Fresno
CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP
PO Box 24055 Fresno CA 93779
PRINTED NAME OF PERSON SIGNING TITLE
Steve Brandau i Chairman,County of Fresno Board of Supervisors
CONTRACTOR ALIT I ED SIGNATURE DATE SIGNED
� ( io� Zozi
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
Coun*oFresno, fate o California
By—
D
Paqe 1 of 2
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63COBCDDB8 D•
Exhibit Q
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER(If Applicable)
STD 213(Rev.04/2020) 21-HHAP-00063 010725
STATE OF CALIFORNIA
CONTRACTING AGENCY NAME
Business,Consumer Services and Housing Agency
CONTRACTING AGENCY ADDRESS CITY STATE ZIP
915 Capitol Mall,Suite 350-A Sacramento CA 95814
PRINTED NAME OF PERSON SIGNING TITLE
Lourdes Castro Ramirez Secretary
CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED
a Sep 20,2021
Lourdes Castro Ramirez(Sep 20,202112:36 PDT)
CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL EXEMPTION(If Applicable)
Page 2 of 2
DocuSign Envelope ID:C8359A29-23D9-4BA2-A142-1C63CO BCD DB8
Exhibit Q
Fresno County
21-HHAP-00063
Page 1 of 23
Homeless Housing, Assistance, and Prevention Program Round 2 (HHAP-2)
Standard Agreement
EXHIBIT A
AUTHORITY, PURPOSE AND SCOPE OF WORK
1) Authority
The State of California has established the Homeless Housing, Assistance, and
Prevention Program Round 2 ("HHAP-2" or "Program") pursuant to Chapter 6
(commencing with Section 50216) of Part 1 of Division 31 of the Health and Safety
Code. (Added by Stats.2020, c. 15 (A.B. 83), § 7, eff. June 29, 2020.)
The Program is administered by the California Homeless Coordinating and
Financing Council ("HCFC") in the Business, Consumer Services and Housing
Agency ("Agency"). HHAP-2 provides one-time flexible block grant funds
to Continuums of Care, large cities (population of 300,000+) and counties as defined
in the November 13, 2020 HHAP-2 Notice of Funding Availability ("NOFA") to build
on the regional coordination created through previous HCFC grant funding and
support local jurisdictions in their unified regional responses to reduce and end
homelessness.
This Standard Agreement along with all its exhibits ("Agreement") is entered into by
the Agency and a Continuum of Care, a city, or a county ("Grantee") under the
authority of, and in furtherance of the purpose of, the Program. In signing this
Agreement and thereby accepting this award of funds, the Grantee agrees to comply
with the terms and conditions of the Agreement, the NOFA under which
the Grantee applied, the representations contained in the Grantee's application, and
the requirements of the authority cited above.
2) Purpose
The general purpose of the Program is to continue to build on regional coordination
developed through previous rounds of funding of the Homelessness Emergency Aid
Program (Chapter 5 (commencing with Section 50210)), the program established
under this chapter, and COVID-19 funding to reduce homelessness. This funding
shall:
a) Continue to build regional collaboration between continuums of care, counties,
and cities in a given region, regardless of population, and ultimately be used to
develop a unified regional response to homelessness.
b) Be paired strategically with other local, state, and federal funds provided to
address homelessness in order to achieve maximum impact. Grantees of this
16-
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Exhibit Q
Fresno County
21-HHAP-00063
Page 2 of 23
funding are encouraged to reference the Guide to Strategic Uses of Key State
and Federal Funds to Reduce Homelessness During the COVID-19 Pandemic.
c) Be deployed with the goal of reducing the number of homeless individuals in a
given region through investing in long-term solutions, such as permanent
housing, and that the state be an integral partner through the provision of
technical assistance, sharing of best practices, and implementing an
accountability framework to guide the structure of current and future state
investments.
In accordance with the authority cited above, an application was created and
submitted by the Grantee for HHAP-2 funds to be allocated for eligible uses as
stated in Health and Safety Code section 50220.5, subdivision (d)(1) — (8).
3) Definitions
The following HHAP-2 program terms are defined in accordance with Health
and Safety Code section 50216, subdivisions (a) — (q):
(a) "Agency" means the Business, Consumer Services, and Housing Agency.
(b) "Applicant" means a Continuum of Care, city, or county.
(c) "City" means a city or city and county that is legally incorporated to provide local
government services to its population. A city can be organized either under the
general laws of this state or under a charter adopted by the local voters.
(d) "Continuum of Care" means the same as defined by the United States
Department of Housing and Urban Development at Section 578.3 of Title 24 of the
Code of Federal Regulations.
(e) "Coordinated Entry System" means a centralized or coordinated process
developed pursuant to Section 578.7 of Title 24 of the Code of Federal Regulations,
as that section read on January 10, 2019, designed to coordinate homelessness
program participant intake, assessment, and provision of referrals. In order to satisfy
this subdivision, a centralized or coordinated assessment system shall cover the
geographic area, be easily accessed by individuals and families seeking housing or
services, be well advertised, and include a comprehensive and standardized
assessment tool.
(f) "Council" means the Homeless Coordinating and Financing Council created
pursuant to Section 8257 of the Welfare and Institutions Code.
(g) "Emergency shelter" has the same meaning as defined in subdivision (e) of
Section 50801.
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Exhibit Q
Fresno County
21-HHAP-00063
Page 3 of 23
(h) "Homeless" has the same meaning as defined in Section 578.3 of Title 24 of the
Code of Federal Regulations, as that section read on January 10, 2019.
(i) "Homeless Management Information System" means the information system
designated by a Continuum of Care to comply with federal reporting requirements as
defined in Section 578.3 of Title 24 of the Code of Federal Regulations. The term
"Homeless Management Information System" also includes the use of a comparable
database by a victim services provider or legal services provider that is permitted by
the federal government under Part 576 of Title 24 of the Code of Federal
Regulations.
0) "Homeless point-in-time count" means the 2019 homeless point-in-time count
pursuant to Section 578.3 of Title 24 of the Code of Federal Regulations. A
jurisdiction may elect to instead use their 2017 point-in-time count if they can
demonstrate that a significant methodology change occurred between the 2017 and
2019 point-in-time counts that was based on an attempt to more closely align the
count with HUD best practices and undertaken in consultation with HUD
representatives. A jurisdiction shall submit documentation of this to the agency by
the date by which HUD's certification of the 2019 homeless point-in-time count is
finalized. The agency shall review and approve or deny a request described in the
previous sentence along with a jurisdiction's application for homeless funding.
(k) "Homeless youth" means an unaccompanied youth between 12 and 24 years of
age, inclusive, who is experiencing homelessness, as defined in subsection (2) of
Section 725 of the federal McKinney-Vento Homeless Assistance Act (42 U.S.C.
Sec. 11434a(2)). "Homeless youth" includes unaccompanied youth who are
pregnant or parenting.
(1) "Housing First" has the same meaning as in Section 8255 of the Welfare and
Institutions Code, including all of the core components listed therein.
(m) "Jurisdiction" means a city, city that is also a county, county, or Continuum of
Care, as defined in this section.
(n) "Navigation center" means a Housing First, low-barrier, service-enriched shelter
focused on moving homeless individuals and families into permanent housing that
provides temporary living facilities while case managers connect individuals
experiencing homelessness to income, public benefits, health services, shelter, and
housing.
(o) "Program" means the Homeless Housing, Assistance, and Prevention program
established pursuant to this chapter.
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Exhibit Q
Fresno County
21-HHAP-00063
Page 4 of 23
(1) "Round 1" of the program means the funding allocated under the program
with moneys appropriated during the fiscal year beginning on July 1, 2019.
(2) "Round 2" of the program means the funding allocated under the program
with moneys appropriated during the fiscal year beginning on July 1, 2020.
(p) "Program allocation" means the portion of program funds available to expand or
develop local capacity to address immediate homelessness challenges.
(q) "Recipient" means a jurisdiction that receives funds from the agency for the
purposes of the program.
Additional definitions for the purposes of the HHAP-2 program:
"Obligate" means that the Grantee has placed orders, awarded contracts, received
services, or entered into similar transactions that require payment using HHAP-2
funding. Grantees, and the subrecipients who receive awards
from those Grantees, must obligate the funds by the statutory deadlines set forth in
this Exhibit A.
"Expended" means all HHAP-2 funds obligated under contract or subcontract have
been fully paid and receipted, and no invoices remain outstanding. In the case of an
award made through subcontracting, subcontractors are required to expend the
funds by the same statutory deadlines.
4) Scope of Work
The Scope of Work ("Work") for this Agreement shall include uses that
are consistent with Health and Safety Code section 50220.5, subdivision (d)—(f), and
any other applicable laws. The grantee shall expend funds on evidence-based
solutions that address and prevent homelessness among eligible populations
including any of the following:
a) Rapid rehousing, including rental subsidies and incentives to landlords, such as
security deposits and holding fees.
b) Operating subsidies in new and existing affordable or supportive housing units,
emergency shelters, and navigation centers. Operating subsidies may include
operating reserves.
c) Street outreach to assist persons experiencing homelessness to access
permanent housing and services.
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Exhibit Q
Fresno County
21-HHAP-00063
Page 5 of 23
d) Services coordination, which may include access to workforce, education, and
training programs, or other services needed to promote housing stability in
supportive housing.
e) Systems support for activities necessary to create regional partnerships and
maintain a homeless services and housing delivery system, particularly for
vulnerable populations including families and homeless youth.
f) Delivery of permanent housing and innovative housing solutions, such as hotel
and motel conversions.
g) Prevention and shelter diversion to permanent housing, including rental
subsidies.
h) New navigation centers and emergency shelters based on demonstrated need.
Demonstrated need for purposes of this paragraph shall be based on the
following:
(i) The number of available shelter beds in the city, county, or region served by a
Continuum of Care.
(ii) The number of people experiencing unsheltered homelessness in the
homeless point-in-time count.
(iii) Shelter vacancy rate in the summer and winter months.
(iv) Percentage of exits from emergency shelters to permanent housing solutions.
(v) A plan to connect residents to permanent housing.
5) Agency Contract Coordinator
The Agency's Contract Coordinator for this Agreement is the Council's HHAP Grant
Manager or the Grant Manager's designee. Unless otherwise instructed, any notice,
report, or other communication requiring an original Grantee signature for this
Agreement shall be mailed to the Agency Contract Coordinator. If there are
opportunities to send information electronically, Grantee will be notified via email by
the HHAP Grant Manager or the Grant Manager's designee.
The Representatives during the term of this Agreement will be:
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Exhibit Q
Fresno County
21-HHAP-00063
Page 6 of 23
PROGRAM GRANTEE
ENTITY: Business Consumer Services and County of Fresno
Housing Agency
SECTION/UNIT: Homeless Coordinating and
Financing Council (HCFC)
ADDRESS: 915 Capitol Mall Suite 350-A PO Box 24055
Sacramento, CA, 95814 Fresno, CA 93612
CONTRACT MANAGER Victor Duron Laura Moreno
PHONE NUMBER: (916) 510-9442 (559) 600-2335
EMAIL ADDRESS: Victor.Duron@bcsh.ca.gov Ihaga@fresnocountyca.gov
All requests to update the Grantee information listed within this Agreement shall be
emailed to the Homeless Coordinating and Financing Council's general email box
at hhaP(cD-bcsh.ca.gov. The Council reserves the right to change their representative
and/or contact information at any time with notice to the Grantee.
6) Effective Date, Term of Agreement, and Deadlines
a) This Agreement is effective upon approval by the Agency (indicated by the
signature provided by Agency in the lower left section of page one, Standard
Agreement, STD. 213), when signed by all parties.
b) Contractual Obligation:
i) Grantees that are counties must contractually obligate 100 percent of their
full program allocations on or before May 31, 2023.
ii) Grantees that are cities or continuums of care must contractually obligate no
less than 50 percent of program allocations on or before May 31, 2023.
iii) Counties that contractually obligate less than 100 percent of program
allocations after May 31, 2023 will have their unallocated funds reverted to
the CoC that serves the county. Specific to Los Angeles County, funds that
are not contractually obligated by this date shall be divided proportionately
using the HHAP funding allocation formula among the four CoC's that serve
Los Angeles County: City of Glendale CoC, City of Pasadena CoC, the City
of Long Beach CoC, and the Los Angeles Homeless Services Authority
_ �16
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Exhibit Q
Fresno County
21-HHAP-00063
Page 7 of 23
Cities or Continuums of Care that, after May 31, 2023, have contractually
obligated less than 50 percent of program allocations must submit and have
approved by the Council an alternative disbursement plan as required
under (Health & Safety Code, § 50220.5, subdivision (k)(2)).
c) Full Expenditure of HHAP-2 Grant Funds
i) All HHAP-2 grant funds (100 percent) must be expended by June 30, 2026.
Any funds not expended by that date shall revert to the General Fund (Health
& Safety Code, § 50220.5, subdivision (o)).
7) Special Conditions
Agency reserves the right to add any special conditions to this Agreement it deems
necessary to ensure that the goals of the Program are achieved.
S�
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Exhibit Q
Fresno County
21-H HAP-00063
Page 8 of 23
Homeless Housing, Assistance, and Prevention Program Round 2 (HHAP-2)
Standard Agreement
EXHIBIT B
BUDGET DETAIL and DISBURSEMENT PROVISIONS
1) Budget Detail & Changes
The Grantee agrees that HHAP-2 funds shall be expended on uses that support
regional coordination and expand or develop local capacity to address immediate
homelessness challenges. Such activities must be informed by a best-practices
framework focused on moving people experiencing homelessness into permanent
housing and supporting the efforts of those individuals and families to maintain their
permanent housing.
The Grantee shall expend HHAP-2 funds on eligible activities as detailed in
the expenditure plan and funding plan submitted with the Grantee's approved
application. The Grantee shall submit an updated funding plan with
the annual report that revises and reports all actual and projected expenditures of
HHAP-2 funds.
a) Budget Changes
i) Changes may be made to the timing (e.g., fiscal year) of eligible use
expenditures without prior approval by the Agency so long as the total
expenditures (actual and projected) for each eligible use category remain the
same as described in the expenditure plan approved with
the Grantee's application.
ii) Any decrease or increase to the total expenditures for
any eligible use category must otherwise be approved by the Council's
HHAP-2 Grant Manager or his/her designee, in writing, before
the Grantee may expend HHAP-2 funds according to an alternative
expenditure plan. The HHAP-2 Grant Manager will respond to Grantee with
approval or denial of request. Failure to obtain written approval from the Grant
Manager or his/her designee as required by this section may be considered a
breach of this Agreement. A breach of this agreement may result in remedies
listed within Exhibit C of this agreement.
2) General Conditions Prior to Disbursement
All Grantees must submit the following forms prior to HHAP-2 funds being released:
• Request for Funds Form ("RFF")
• STD 213 Standard Agreement - Two original copies of the signed STD 213
form and initialed Exhibits A through D V
S
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Exhibit Q
Fresno County
21-HHAP-00063
Page 9 of 23
• STD 204 Payee Data Record or Government Agency Taxpayer ID Form
3) Disbursement of Funds
HHAP-2 funds will be disbursed to the Grantee upon receipt, review and approval of
the completed Standard Agreement and RFF by Agency, the Department of General
Services (DGS) and the State Controller's Office (SCO).
The RFF must include the proposed eligible uses and the amount of funds proposed
for expenditure under each eligible use. HHAP-2 funds will be disbursed in a
single allocation via mailed check once the RFF has been received by the
SCO. Checks will be mailed to the address and contact name listed on the RFF.
4) Expenditure of Funds
Specific requirements and deadlines for contractually obligating and expending
awarded funds are set forth in the Homeless Housing, Assistance, and Prevention
Program statutes. Health and Safety Code sections 50218.5 and 50220.5 mandate
the following:
a) Up to 5 percent of an applicant's HHAP-2 program allocation may be expended
for the following uses that are intended to meet federal requirements for housing
funding:
i) Strategic homelessness plan, as defined in Section 578.7(c) of Title 24 of the
Code of Federal Regulations.
ii) Infrastructure development to support coordinated entry systems and
Homeless Management Information Systems.
b) The applicant shall not use more than 7 percent of a HHAP-2 program allocation
for administrative costs incurred by the city, county, or Continuum of Care to
administer its program allocation. For purposes of this subdivision,
"administrative costs" does not include staff or other costs directly related to
implementing activities funded by the program allocation.
c) A program recipient shall use at least 8 percent of the funds allocated under this
section for services for homeless youth populations.
d) Recipients of HHAP-2 funds shall comply with Housing First as provided in
Chapter 6.5 (commencing with Section 8255) of Division 8 of the Welfare and
Institutions Code.
e) Grantees that are cities or continuums of care shall contractually obligate no less
than 50 percent of HHAP-2 funds by May 31, 2023. If less than 50 percent is d
_ Sd
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Fresno County
21-H HAP-00063
Page 10 of 23
obligated after May 31, 2023, continuums of care and cities shall not expend any
remaining portion of the 50 percent of program allocations required to have been
obligated unless and until both of the following occur:
i) On or before June 30, 2023, the Grantee submits an alternative disbursement
plan to HCFC that includes an explanation for the delay and a plan
to fully expend these funds by December 31, 2023.
ii) HCFC approves the alternative disbursement plan or provides the Grantee
with guidance on the revisions needed in order to approve the alternative
disbursement plan.
iii) If the funds identified in the approved alternative disbursement plan are
not fully expended by December 31, 2023, the funds shall be returned to the
HCFC for a subsequent round of awards by HCFC.
f) Grantees that are counties shall contractually obligate the full
allocation (100 percent) awarded to them by May 31, 2023. Any funds that are
not contractually obligated by this date shall be reverted to the Continuum of
Care that serves the county. Specific to Los Angeles County, funds that are not
contractually obligated by this date shall be divided proportionately using the
HHAP-2 funding allocation formula among the four CoC's that serve Los
Angeles County: City of Glendale CoC, City of Pasadena CoC, the City of Long
Beach CoC, and the Los Angeles Homeless Services Authority.
Counties not obligating their full program allocation by May 31, 2023 are required
to notify HCFC, on or before that date, of the name of the CoC(s) in which the
county is served, and the amount of program funds that will be reverted to
the CoC(s). By June 30, 2023, the county shall provide HCFC with evidence that
the funds were transferred and submit an updated budget that clearly identifies
the funds that were transferred.
g) HHAP-2 funds shall be expended by June 30, 2026
h) In accordance with Health and Safety Code section 50220.5, subdivision (1),
HCFC retains the right to require a corrective action plan of grantees that are not
on track to fully expend funds by the statutorily required deadline.
i) Any funds not expended by June 30, 2026 shall revert to the General Fund.
5) Ineligible Costs
HHAP-2 funds shall not be used for costs associated with activities in violation of
any law or for any activities not consistent with the intent of the Program and
the eligible uses identified in Health and Safety Code section 50220.5.
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21-HHAP-00063
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HCFC reserves the right to request additional clarifying information to determine the
reasonableness and eligibility of all uses of the funds made available by this
Agreement. If the Grantee or its funded subrecipients use HHAP-2 funds to pay
for ineligible activities, the Grantee shall be required to reimburse these funds
to Agency.
An expenditure which is not authorized by this Agreement, or by written approval of
the Grant Manager or his/her designee, or which cannot be adequately documented,
shall be disallowed and must be reimbursed to Agency by the Grantee.
HCFC, at its sole and absolute discretion, shall make the final determination
regarding the allowability of HHAP-2 fund expenditures.
Program funds shall not be used to supplant existing local funds for homeless
housing, assistance, or prevention.
Reimbursements are not permitted in HHAP-2 for any expenditures prior to the date
of execution of this Agreement.
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21-HHAP-00063
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Homeless Housing, Assistance, and Prevention Program Round 2 (HHAP-2)
Standard Agreement
EXHIBIT C
GENERAL TERMS AND CONDITIONS
1) Termination and Sufficiency of Funds
a) Termination of Agreement
Agency may terminate this Agreement at any time for cause by giving a minimum
of 14 days' notice of termination, in writing, to the Grantee. Cause shall consist
of violations of any conditions of this Agreement, any breach of contract as
described in paragraph 6 of this Exhibit C; violation of any federal or state laws;
or withdrawal of Agency's expenditure authority. Upon termination of this
Agreement, unless otherwise approved in writing by Agency, any unexpended
funds received by the Grantee shall be returned to Agency within 30 days
of Agency's notice of termination.
b) Sufficiency of Funds
This Agreement is valid and enforceable only if sufficient funds are made
available to Agency by legislative appropriation. In addition, this Agreement is
subject to any additional restrictions, limitations or conditions, or statutes,
regulations or any other laws, whether federal or those of the State of California,
or of any agency, department, or any political subdivision of the federal or State
of California governments, which may affect the provisions, terms or funding of
this Agreement in any manner.
2) Transfers
Grantee may not transfer or assign by subcontract or novation, or by any other
means, the rights, duties, or performance of this Agreement or any part thereof,
except as allowed within Exhibit C Section 12 (Special Conditions —
Grantees/SubGrantee) or with the prior written approval of HCFC and a formal
amendment to this Agreement to affect such subcontract or novation.
3) Grantee's Application for Funds
Grantee has submitted to HCFC an application for HHAP-2 funds to support regional
coordination and expand or develop local capacity to address its immediate
homelessness challenges.Agency is entering into this Agreement on the basis of
Grantee's facts, information, assertions and representations contained in
that application. Any subsequent modifications to the original funding plans
submitted within the original application must be requested through the formal HHAP
Change Request Process and are subject to approval by HCFC.
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21-HHAP-00063
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Grantee warrants that all information, facts, assertions and representations
contained in the application and approved modifications and additions thereto are
true, correct, and complete to the best of Grantee's knowledge. In the event that any
part of the application and any approved modification and addition thereto is untrue,
incorrect, incomplete, or misleading in such a manner that would substantially affect
HCFC approval, disbursement, or monitoring of the funding and the grants or
activities governed by this Agreement, then Agency may declare a breach of this
Agreement and take such action or pursue such remedies as are legally available.
4) Reporting/Audits
a) Annual Reports
By January 1, 2022, and annually on that date thereafter until all funds have
been expended, the Grantee shall submit an annual report to HCFC in a
format provided by HCFC.Annual Reports will include a request for data on
expenditures and people served with HHAP-2 funding in addition to details on
specific projects selected for the use of HHAP-2 funding. If the Grantee fails to
provide such documentation, HCFC may recapture any portion of the amount
authorized by this Agreement with a 14-day written notification. No later than
January 1, 2027, the Grantee shall submit a final report, in a format provided
by HCFC, as well as a detailed explanation of all uses of the Program funds.
b) Expenditure Reports
In addition to the annual reports, HCFC requires the Grantee to submit quarterly
expenditure reports due no later than 30 days following the end of each fiscal
quarter. Grantee shall submit a report to HCFC on a form and method provided
by HCFC that includes the ongoing tracking of the specific uses and expenditures
of any program funds broken out by eligible uses listed, including the current
status of those funds, as well as any additional information HCFC deems
appropriate or necessary. If the Grantee fails to provide such documentation,
HCFC may recapture any portion of the amount authorized by this Agreement
with a 14-day written notification.
c) Reporting Requirements
i) Annual Report: The annual report shall contain detailed information in
accordance with Health and Safety Code section 50222, subdivision (a).
This information includes the following, as well as any additional information
deemed appropriate or necessary by HCFC:
(1) Data collection shall include, but not be limited to, information regarding
individuals and families served, including demographic information,
information regarding partnerships among entities or lack thereof, and
participant and regional outcomes.
_ S'J
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21-HHAP-00063
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(2) The performance monitoring and accountability framework shall include
clear metrics, which may include, but are not limited to, the following:
(a) The number of individual exits to permanent housing, as defined by the
United States Department of Housing and Urban Development, from
unsheltered environments and interim housing resulting from this
funding.
(b) Racial equity, as defined by the council in consultation with
representatives of state and local agencies, service providers, the
Legislature, and other stakeholders.
(c) Any other metrics deemed appropriate by the council and developed in
coordination with representatives of state and local agencies,
advocates, service providers, and the Legislature.
(3) Data collection and reporting requirements shall support the efficient and
effective administration of the program and enable the monitoring of
jurisdiction performance and program outcomes.
ii) Expenditure Report: The expenditure report shall contain data on
expenditures of HHAP-2 funding including but not limited to obligated funds,
expended funds, interest accrued, and other funds derived from HHAP-2
funding.
iii) Final Expenditure Plan: During the final fiscal year of reporting, grantees may
be required to include a plan to fully expend HHAP-2 grant funding. This plan
must be submitted with the quarterly expenditure report in a format to be
provided by HCFC.
iv) HCFC may require additional supplemental reporting with written notice to the
Grantee.
v) Grantee may, at their discretion, fully expend their HHAP-2 allocation prior to
the end date of the grant term and will not be required to submit quarterly
fiscal reports after the quarter in which their allocation was fully expended.
d) Auditing
Agency reserves the right to perform or cause to be performed a financial audit.
At Agency request, the Grantee shall provide, at its own expense, a financial
audit prepared by a certified public accountant. HHAP-2 administrative funds may
be used to fund this expense. Should an audit be required, the Grantee shall
adhere to the following conditions:
i) The audit shall be performed by an independent certified public accountant.
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21-HHAP-00063
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ii) The Grantee shall notify Agency of the auditor's name and address
immediately after the selection has been made. The contract for the audit
shall allow access by Agency to the independent auditor's working papers.
iii) The Grantee is responsible for the completion of audits and all costs of
preparing audits.
iv) If there are audit findings, the Grantee must submit a detailed response
acceptable to Agency for each audit finding within 90 days from the date of
the audit finding report.
5) Inspection and Retention of Records
a) Record Inspection
HCFC or its designee shall have the right to review, obtain, and copy all records
and supporting documentation pertaining to performance under this Agreement.
The Grantee agrees to provide HCFC, or its designee, with any relevant
information requested. The Grantee agrees to give HCFC or its designee access
to its premises, upon reasonable notice and during normal business hours, for
the purpose of interviewing employees who might reasonably have information
related to such records, and of inspecting and copying such books, records,
accounts, and other materials that may be relevant to
an investigation of compliance with the Homeless Housing, Assistance, and
Prevention Program laws, the HHAP-2 program guidance document published
on the website, and this Agreement.
In accordance with Health and Safety Code section 50220.5, subdivision (1), if
upon inspection of records HCFC identifies noncompliance with grant
requirements HCFC retains the right to impose a corrective action plan on the
Grantee.
b) Record Retention
The Grantee further agrees to retain all records described in subparagraph A for
a minimum period of five (5)years after the termination of this Agreement.
If any litigation, claim, negotiation, audit, monitoring, inspection or other action
has been commenced before the expiration of the required record retention
period, all records must be retained until completion of the action and resolution
of all issues which arise from it.
6) Breach and Remedies
a) Breach of Agreement
Breach of this Agreement includes, but is not limited to, the following events:
-S6
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21-HHAP-00063
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i) Grantee's failure to comply with the terms or conditions of this Agreement.
ii) Use of, or permitting the use of, HHAP-2 funds provided under this
Agreement for any ineligible activities.
iii) Any failure to comply with the deadlines set forth in this Agreement.
b) Remedies for Breach of Agreement
In addition to any other remedies that may be available to Agency in law or equity
for breach of this Agreement, Agency may:
i) Bar the Grantee from applying for future HHAP funds;
ii) Revoke any other existing HHAP-2 award(s) to the Grantee;
iii) Require the return of any unexpended HHAP-2 funds disbursed under this
Agreement;
iv) Require repayment of HHAP-2 funds disbursed and expended under this
Agreement;
v) Require the immediate return to Agency of all funds derived from the use of
HHAP-2 funds
vi) Seek, in a court of competent jurisdiction, an order for specific performance of
the defaulted obligation or participation in the technical assistance in
accordance with HHAP-2 requirements.
c) All remedies available to Agency are cumulative and not exclusive.
d) Agency may give written notice to the Grantee to cure the breach or
violation within a period of not less than 15 days.
7) Waivers
No waiver of any breach of this Agreement shall be held to be a waiver of any prior
or subsequent breach. The failure of Agency to enforce at any time the provisions of
this Agreement, or to require at any time, performance by the Grantee of these
provisions, shall in no way be construed to be a waiver of such provisions nor to
affect the validity of this Agreement or the right of Agency to enforce
these provisions.
8) Nondiscrimination
During the performance of this Agreement, Grantee and its subrecipients shall not
unlawfully discriminate, harass, or allow harassment against any employee or
applicant for employment because of sex (gender), sexual orientation, gender
identity, gender expression, race, color, ancestry, religion, creed, national origin
(including language use restriction), pregnancy, physical disability (including HIV and
AIDS), mental disability, medical condition (cancer/genetic characteristics), age
45�
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Fresno County
21-HHAP-00063
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(over 40), genetic information, marital status, military and veteran status, and denial
of medical and family care leave or pregnancy disability leave. Grantees and Sub
grantees shall ensure that the evaluation and treatment of their employees and
applicants for employment are free from such discrimination and harassment.
Grantee and its subrecipients shall comply with the provisions of California's laws
against discriminatory practices relating to specific groups: the California Fair
Employment and Housing Act (FEHA) (Gov. Code, § 12900 et seq.); the regulations
promulgated thereunder (Cal. Code Regs., tit. 2, § 11000 et seq.); and the
provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the Government
Code (Gov. Code, §§ 11135 - 11139.5). Grantee and its subrecipients shall give
written notice of their obligations under this clause to labor organizations with which
they have a collective bargaining or other agreement.
9) Conflict of Interest
All Grantees are subject to state and federal conflict of interest laws. For
instance, Health and Safety Code section 50220.5, subdivision (i) states, " For
purposes of Section 1090 of the Government Code, a representative of a county
serving on a board, committee, or body with the primary purpose of administering
funds or making funding recommendations for applications pursuant to this chapter
shall have no financial interest in any contract, program, or project voted on by the
board, committee, or body on the basis of the receipt of compensation for holding
public office or public employment as a representative of the county."
Failure to comply with these laws, including business and financial disclosure
provisions, will result in the application being rejected and any subsequent contract
being declared void. Other legal action may also be taken. Additional applicable
statutes include, but are not limited to, Government Code section 1090 and Public
Contract Code sections 10410 and 10411.
a) Current State Employees: No State 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. No State officer or employee shall
contract on his or her own behalf as an independent Grantee with any State
agency to provide goods or services.
b) Former State Employees: 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. 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
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Fresno County
21-H HAP-00063
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general subject area as the proposed contract within the twelve-month period
prior to his or her leaving State service.
c) Employees of the Grantee: Employees of the Grantee shall comply with all
applicable provisions of law pertaining to conflicts of interest, including but not
limited to any applicable conflict of interest provisions of the a Political Reform
Act of 1974 (Gov. Code, § 81000 et seq.).
d) Representatives of a County: A representative of a county serving on a board,
committee, or body with the primary purpose of administering funds or making
funding recommendations for applications pursuant to this chapter shall have no
financial interest in any contract, program, or project voted on by the board,
committee, or body on the basis of the receipt of compensation for holding public
office or public employment as a representative of the county.
10)Drug-Free Workplace Certification
Certification of Compliance: By signing this Agreement, Grantee hereby certifies,
under penalty of perjury under the laws of State of California, that it and its
subrecipients will comply with the requirements of the Drug-Free Workplace Act of
1990 (Gov. Code, § 8350 et seq.) and have or will provide a drug-free workplace by
taking the following actions:
Publish a statement notifying employees and subrecipients that unlawful
manufacture distribution, dispensation, possession, or use of a controlled substance
is prohibited and specifying actions to be taken against employees, Grantees, or
subrecipients for violations, as required by Government Code section 8355,
subdivision (a)(1).
a) Establish a Drug-Free Awareness Program, as required by Government Code
section 8355, subdivision (a)(2) to inform employees, Grantees, or
subrecipients about all of the following:
i) The dangers of drug abuse in the workplace;
ii) Grantee's policy of maintaining a drug-free workplace;
iii) Any available counseling, rehabilitation, and employee assistance program;
and
iv) Penalties that may be imposed upon employees, Grantees, and
subrecipients for drug abuse violations.
b) Provide, as required by Government Code section 8355, subdivision (a)(3), that
every employee and/or subrecipient that works under this Agreement:
i) Will receive a copy of Grantee's drug-free policy statement, and
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21-HHAP-00063
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ii) Will agree to abide by terms of Grantee's condition of employment or
subcontract.
11)Child Support Compliance Act
For any Contract Agreement in excess of$100,000, the Grantee acknowledges in
accordance with Public Contract Code 7110, that:
a) The Grantee recognizes the importance of child and family support obligations
and shall fully comply with all applicable state and federal laws relating to child
and family support enforcement, including, but not limited to, disclosure of
information and compliance with earnings assignment orders, as provided in
Chapter 8 (commencing with section 5200) of Part 5 of Division 9 of the Family
Code; and
b) The Grantee, to the best of its knowledge is fully complying with the earnings
assignment orders of all employees and is providing the names of all new
employees to the New Hire Registry maintained by the California Employment
Development Department.
12)Special Conditions — Grantees/Subgrantee
The Grantee agrees to comply with all conditions of this Agreement including
the Special Conditions set forth in Exhibit D. These conditions shall be met to the
satisfaction of Agency prior to disbursement of funds. The Grantee shall ensure that
all Subgrantees are made aware of and agree to comply with all the conditions of this
Agreement and the applicable State requirements governing the use of HHAP-2
funds. Failure to comply with these conditions may result in termination of this
Agreement.
a) The Agreement between the Grantee and any Subgrantee shall require
the Grantee and its Subgrantees, if any, to:
i) Perform the work in accordance with Federal, State and Local housing and
building codes, as applicable.
ii) Maintain at least the minimum State-required worker's compensation for
those employees who will perform the work or any part of it.
iii) Maintain, as required by law, unemployment insurance, disability insurance,
and liability insurance in an amount that is reasonable to compensate any
person, firm or corporation who may be injured or damaged by the Grantee or
any Subgrantee in performing the Work or any part of it.
iv) Agree to include all the terms of this Agreement in each subcontract.
13)Compliance with State and Federal Laws, Rules, Guidelines and Regulations
1156
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21-HHAP-00063
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The Grantee agrees to comply with all state and federal laws, rules and regulations
that pertain to construction, health and safety, labor, fair employment practices,
environmental protection, equal opportunity, fair housing, and all other matters
applicable and/or related to the HHAP-2 program, the Grantee, its subrecipients, and
all eligible activities.
Grantee shall also be responsible for obtaining any and all permits, licenses, and
approvals required for performing any activities under this Agreement, including
those necessary to perform design, construction, or operation and maintenance of
the activities. Grantee shall be responsible for observing and complying with any
applicable federal, state, and local laws, rules or regulations affecting any such work,
specifically those including, but not limited to, environmental protection,
procurement, and safety laws, rules, regulations, and ordinances. Grantee shall
provide copies of permits and approvals to HCFC upon request.
14)Inspections
a) Grantee shall inspect any work performed hereunder to ensure that the work is
being and has been performed in accordance with the applicable federal, state
and/or local requirements, and this Agreement.
b) HCFC reserves the right to inspect any work performed hereunder to ensure that
the work is being and has been performed in accordance with the
applicable federal, state and/or local requirements, and this Agreement.
c) Grantee agrees to require that all work that is determined based on such
inspections not to conform to the applicable requirements be corrected and to
withhold payments to the subrecipient until it is corrected.
15)Litigation
a) If any provision of this Agreement, or an underlying obligation, is held invalid by a
court of competent jurisdiction, such invalidity, at the sole discretion
of Agency, shall not affect any other provisions of this Agreement and the
remainder of this Agreement shall remain in full force and effect. Therefore, the
provisions of this Agreement are and shall be deemed severable.
b) The Grantee shall notify HCFC immediately of any claim or action undertaken by
or against it, which affects or may affect this Agreement or Agency, and shall take
such action with respect to the claim or action as is consistent with the terms of
this Agreement and the interests of Agency.
- .4s6-
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21-H HAP-00063
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Homeless Housing, Assistance, and Prevention Program Round 2 (HHAP-2)
Standard Agreement
EXHIBIT D
SPECIAL TERMS AND CONDITIONS
1) All proceeds from any interest-bearing account established by the Grantee for the
deposit of HHAP-2 funds, along with any interest-bearing accounts opened
by subrecipients to the Grantee for the deposit of HHAP-2 funds, must be used for
HHAP-2-eligible activities and reported on as required by Agency.
2) Per Health and Safety Code Section 50220.5 (g), any housing-related activities
funded with HHAP-2 funds, including but not limited to emergency shelter, rapid-
rehousing, rental assistance, transitional housing and permanent supportive
housing, must be in compliance or otherwise aligned with the core components of
Housing First, as described in Welfare and Institutions Code section 8255,
subdivision (b). Individuals and families assisted with these funds must not be
required to receive treatment or perform any other prerequisite activities as a
condition for receiving shelter, housing, or other services for which these funds are
used. In addition, HHAP-2 funding shall be used to adopt a Housing First approach
within the entire local homelessness response system, including outreach and
emergency shelter, short-term interventions like rapid re-housing, and longer-term
interventions like supportive housing.
3) Grantee shall utilize its local Homeless Management Information System (HMIS) to
track HHAP-2-funded projects, services, and clients served. Grantee will ensure that
HMIS data are collected in accordance with applicable laws and in such a way as to
identify individual projects, services, and clients that are supported by HHAP-2
funding (e.g., by creating appropriate HHAP-2-specific funding sources and project
codes in HMIS).
4) Grantee shall participate in and provide data elements, including, but not limited to,
health information, in a manner consistent with federal law, to the statewide
Homeless Management Information System (known as the Homeless Data
Integration System or "HDIS"), in accordance with their existing Data Use
Agreement entered into with the Council, if any, and as required by Health and
Safety Code section 50220.6. Any health information provided to, or maintained
within, the statewide Homeless Management Information System shall not be
subject to public inspection or disclosure under the California Public Records Act
(Chapter 3.5 (commencing with Section 6250) of Division 7 of Title 1 of the
Government Code). For purposes of this paragraph, "health information" means
"protected health information," as defined in Part 160.103 of Title 45 of the Code of
Federal Regulations, and "medical information," as defined in subdivision 0) of
Section 56.05 of the Civil Code. The Council may, as required by operational
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21-HHAP-00063
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necessity, amend or modify required data elements, disclosure formats, or
disclosure frequency.
5) Grantee shall include in their annual report and upon request from HCFC an update
on progress towards meeting goals provided within Section 4: HHAP Round 2 Goals
of the HHAP-2 application. Grantees will report on these goals in a manner and
format provided to Grantee by HCFC.
6) Grantee agrees to accept technical assistance as directed by HCFC or by a
contracted technical assistance provider acting on behalf of HCFC and report to
HCFC on programmatic changes the grantee will make as a result of the technical
assistance and in support of their grant goals.
7) Grantee agrees to demonstrate a commitment to racial equity and, per Section
50222 (a)(2)(B), the grantee shall use data provided through HDIS to analyze racial
disproportionality in homeless populations and, in partnership with HCFC, establish
clear metrics and performance monitoring for achieving equity in provision of
services and outcomes for Black, Native, and Indigenous, Latinx, Asian, Pacific
Islanders and other People of Color who are disproportionately impacted by
homelessness and COVID-19
8) Grantee should establish a mechanism for people with lived experience of
homelessness to have meaningful and purposeful opportunities to inform and shape
all levels of planning and implementation, including through opportunities to hire
people with lived experience.
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21-HHAP-00063
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Homeless Housing, Assistance, and Prevention Program Round 2 (HHAP-2)
Standard Agreement
EXHIBIT E
STATE OF CALIFORNIA GENERAL TERMS AND CONDITIONS
This exhibit is incorporated by reference and made part of this agreement. The General
Terms and Conditions (GTC 04/2017) can be viewed at the following link:
https://www.dgs.ca.gov/-/media/Divisions/OLS/Resources/GTC-April-2017-
FI NALapril2017.pdf?la=en&hash=3A64979F777D5B9D35309433EE81969FD69052D2
In the interpretation of this Agreement, any inconsistencies between the State of
California General Terms and Conditions (GTC - 04/2017) and the terms of this
Agreement and its exhibits/attachments shall be resolved in favor of this Agreement and
its exhibits/attachments.
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Exhibit Q
FOR ACCOUNTING USE ONLY:
SRF Org: 1132 Homeless Services
Fund: 0065
Subclass: 17237
Account: 3575 - State Other