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HomeMy WebLinkAboutAgreement A-23-337 2nd Amdt to Agt w Avenal Community Health Center Aria.pdf Agreement No. 23-337 1 AMENDMENT II TO AGREEMENT 2 THIS SECOND AMENDMENT TO AGREEMENT (hereinafter"Amendment") is made and 3 entered into this 20th day of June , 2023, by and between COUNTY OF FRESNO, a 4 Political Subdivision of the State of California, Fresno, California (hereinafter "COUNTY"), and Avenal 5 Community Health Center dba Aria Community Health Center, a California Non-Profit Corporation, 6 whose address is 555 E. Street, Lemoore, California 93245, hereinafter referred to as 7 "CONTRACTOR". 8 WITNESSETH: 9 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-22-182, dated 10 the 3rd of May 2022; and 11 WHEREAS, COUNTY and CONTRACTOR entered into a First Amendment number A-23-138, 12 dated the 28th of March 2023 (Agreement number A-22-182 and First Amendment Number A-23-138, 13 collectively, shall be referred to herein as "Agreement"); and 14 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to 15 increase the total compensation of the agreement; and 16 WHEREAS, County and CONTRACTOR now desire to extend the term of the Agreement 17 and add a year three budget to allow for services to be extended an additional twelve (12) month 18 period from July 1, 2023 through June 30, 2024; and 19 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement regarding 20 changes as stated below and restate the Agreement in its entirety. 21 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of 22 which is hereby acknowledged, COUNTY and CONTRACTOR agree as follows: 23 1. That all references in the Agreement to "Exhibit B" and all references to 24 "Revised Exhibit B" in the First Amendment shall be changed to read "Revised Exhibit 13-1". Revised 25 Exhibit B-1 is attached hereto and incorporated herein by this reference. 26 2. That Paragraph Five (5)— COMPENSATION/INVOICING, of the Agreement, 27 beginning on Page Three (3), Line Twenty-Two (22) with the word "In" and ending on Page Three (3), 28 Line Twenty-Seven (27) with the word "Year" shall be deleted in its entirety and replaced with the - 1 - 1 following: 2 "During the initial term of this Agreement for the period beginning May 3, 2022 through 3 June 30, 2023, in no event shall services performed be in excess of Five Hundred Thousand and One 4 Hundred Ninety-Eight Dollars and 05/100 ($500,198.05). During the extension term of this Agreement 5 for the period of July 1, 2023 through June 30, 2024, in no event shall services performed be in excess 6 of Two Hundred and Twenty-Seven Thousand Dollars and 00/100 ($227,000). It is understood that all 7 expenses incidental to CONTRACTOR'S performance of services under this Agreement shall be 8 borne by CONTRACTOR. COUNTY shall not be obligated to make any payments under this 9 Agreement if the request for payment is received by the COUNTY more than forty-five (45) days after 10 the end of the Federal Fiscal Year." 11 COUNTY and CONTRACTOR agree that this First Amendment is sufficient to amend the 12 Agreement, and that upon execution of this First Amendment, the Agreement and this First 13 Amendment together shall be considered the Agreement. 14 The parties agree that this First Amendment may be executed by electronic signature as 15 provided in this section. An "electronic signature" means any symbol or process intended by an 16 individual signing this Amendment to represent their signature, including but not limited to (1) a digital 17 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and 18 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature 19 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten 20 signature of the person signing this Amendment for all purposes, including but not limited to 21 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as 22 the valid original handwritten signature of that person. The provisions of this section satisfy the 23 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act 24 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital 25 signature represents that it has undertaken and satisfied the requirements of Government Code 26 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely 27 upon that representation. This Amendment is not conditioned upon the parties conducting the 28 transactions under it by electronic means and either party may sign this Amendment with an original - 2 - 1 handwritten signature. 2 The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 3 covenants, conditions, and promises contained in the Agreement and not amended herein shall 4 remain in full force and effect. This Amendment shall become effective upon execution. 5 /// 6 /// 7 /// 8 /// 9 /// 10 /// 11 /// 12 /// 13 /// 14 /// 15 /// 16 /// 17 /// 18 /// 19 /// 20 /// 21 /// 22 /// 23 /// 24 /// 25 /// 26 /// 27 /// 28 /// - 3 - 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I as of the day and 2 year first hereinabove written. 3 4 Avenal Community Health Center dba COUNTY OF FRESNO Aria Community Health Center 5 i 6 John Blain , CEO Sal uin er 7 Chair n of IT75013oard of Supervisors of 8 5 2 502-'3 the County of Fresno Date 9 Mailing Address: 10 555 E Street Lemoore, CA 93245 11 12 ATTEST: 13 Bernice E. Seidel Clerk of the Board of Supervisors 14 County of Fresno, State of California 15 FOR ACCOUNTING USE ONLY: By: N 16 Fund/Subclass: 0001/10000 Deputy Organization: 56201667 17 Account: 7295 18 19 20 21 22 23 24 25 26 27 28 -4- Initial Term Budget Revised Exhibit B-1 Advancing Health Literacy Program Aria Community Health Centers(ACHC) Term:May 3,2022-June 30,2023 Personnel Y1 Budget Y2 Budget Total 5/3/22-6/30/22 7/1/22-6/30/23 5/3/22-6/30/23 Program Coordinator 1,086.98 30,413.02 $ 31,500.00 Community Health Worker 780.52 28,492.40 $ 29,272.92 Community Health Worker 665.00 28,421.55 $ 29,086.55 Community Health Worker 31,110.96 $ 31,110.96 Community Health Worker 29,943.43 $ 29,943.43 Community Health Worker 2,881.35 $ 2,881.35 Analyst 880.21 30,619.79 $ 31,500.00 Project Coordinator 956.80 30,543.20 $ 31,500.00 Personnel Sub-Total $ 4,369.51 $ 212,425.70 $ 216,795.21 Fringe Benefits Program Coordinator 217.40 6,082.60 $ 6,300.00 Community Health Worker 156.10 5,698.48 $ 5,854.58 Community Health Worker 133.00 5,684.31 $ 5,817.31 Community Health Worker - 6,222.20 $ 6,222.20 Community Health Worker 5,988.69 $ 5,988.69 Community Health Worker - 576.27 $ 576.27 Analyst 176.04 6,123.96 $ 6,300.00 Project Coordinator 191.36 6)108.64 $ 6,300600 Fringe Benefits Sub-Total $ 873.90 $ 42,485.15 $ 43,359.05 Total Personnel $ 5,243.41 $ 254,910.85 $ 260,154.26 Operational Costs General Office Supplies 12,677654 $ 12,677654 Printing 22,987.40 $ 22,987.40 Meeting Room Rentals $ $ - Communications 18,279.00 $ 18,279.00 Total Operational $ $ 53,943.94 $ 53,943.94 Travel Costs Local Travel to complete SOW activities $ 37,625.00 $ 37,625.00 Total Travel $ $ 37,625.00 $ 37,625.00 Other Costs Technical Assistance $ 1 $ 15,469.501 $ 15,469.50 Meeting supplies,interpretation,child care,etc. $ 2,178670 27,821630 $ 30,000600 Education/Training Materials/Conferences $ $ 37,532.78 $ 37,532.78 Outreach Equipment&Supplies $ $ 20,000.00 $ 20,000600 Other Costs Subtotal $ 2,178.70 $ 100,823.58 $ 103,002.28 Total Direct Costs $ 7,422.11 $ 447,303.37 $ 454,725.48 Indirect Costs @ 10% $ 742.21 $ 44,730.34 $ 45,472.55 Grand Total $ 8,164.32 1 $ 492,033.71 $ 500,198.03 B-1 Extension Term Budget Revised Exhibit B-1 Agency Name ARIA COMMMUNITY HEALTH CENTERS (ACHC) Agency Name &Address: 555 E St Lemoore CA 93245 Agency Phone Number: 559-924-7400 Agency Contact Person: Samuel Griffith Budget Term 7/1/23-6/30/24 Year 1 Budget PERSONNEL Amount Benefit Position Title and Name Annual Salary % FTE Requested Rate* Benefit Cost Project Coordinator $ 49,920.00 90% $ 44,928.00 20% $ 8,985.60 CHW $ 41,600.00 90% $ 37,440.00 20% $ 7,488.00 CHW $ 41,600.00 90% $ 37,440.00 20% $ 7,488.00 CHW $ 41,600.00 90% $ 37,440.00 20% $ 7,488.00 $ - 20% $ - Subtotal 1 $ 157,248.00 $ 31,449.60 TOTAL PERSONNEL $ 188,697.60 *Not to exceed 20%of amount requested Operational General Office Supplies $ 2,500.00 Printing $ 2,000.00 Communcations $ 4,000.00 Total Operational $ 8,500.00 Travel Local travel to complete SOW activites $ 6,500.00 Conferences/Trainings $ 2,666.04 Total Travel $ 9,166.04 Other Technical Assistance/Promotion Meeting supplies, interpretation, child car Education/Training Materials Total Other $ - TOTAL DIRECT COSTS $ 206,363.64 ADMINSTRATIVE (INDIRECT) COSTS $ 20,636.36 Not to exceed 10%of Direct Costs I TOTAL BUDGET $ 227,000.00 B-2 Extension Term Budget Revised Exhibit B-1 ARIA COMMUNITY HEALTH CENTERS(ACHC) Itemized Budget with Justication 7/1/2023-6/30-2024 PERSONNEL Community Health Worker(CHW)to complete outreach efforts,data collection and increase health literacy through health CHW $ 37,440.00 education and provide resources.Performing at 1 FTE.Breakdown is:36 hours per week x 52 weeks(to match 12 month grant Community Health Worker(CHW)to complete outreach efforts,data collection and increase health literacy through health CHW $ 37,440.00 education and provide resources.Performing at 1 FTE.Breakdown is:36 hours per week x 52 weeks(to match 12 month grant Community Health Worker(CHW)to complete outreach efforts,data collection and increase health literacy through health CHW $ 37,440.00 education and provide resources.Performing at 1 FTE.Breakdown is:36 hours per week x 52 weeks(to match 12 month grant $ 44,928.00 Program Coordinator oversees outreach efforts and programmatic objectives.Program Coordinator @.90 FTE breakdown:36 Program Coordinator hrs per week x 52=1872 x$24 hr=$44928 Fringe Benefits $ 31,449.60 Fringe Benefits include the following:health,dental,and vision insurance, FICA,disability insurance,20%of total Personal Cost TOTAL PERSONEL EXPENSES 1$ 188,697.60 OPERATIONAL EXPENSES OCCUR General Office Supplies RATE QTY RENCE TOTALS NOTES Scissors $ 4.00 4 $ 16.00 All office supplies are needed for general operation of the project. Clipboards $ 8.00 4 $ 32.00 Privacy Screens for laptops $ 300.00 4 $ 400.00 Post It Notes $ 31.50 4 $ 126.00 Labels $ 27.00 5 $ 135.00 Over desk Organizers $ 45.00 4 $ 180.00 Paper Clips $ 3.50 1 $ 3.50 Binder Clips $ 10.00 1 $ 10.00 Stapler $ 4.00 2 $ 8.00 Staples $ 2.00 2 $ 4.00 Tape Dispenser w/tape roll $ 11.00 2 $ 22.00 Label maker $ 31.00 2 $ 62.00 Label Tape $ 17.00 2 $ 34.00 Desk File Organizer $ 22.00 4 $ 88.00 File Organizer(Field Ready) $ 31.25 2 $ 62.50 Folders $ 50.00 2 $ 100.00 Cardstock $ 30.00 4 $ 120.00 White Out $ 12.00 5 $ 60.00 Permanent Markers $ 15.00 5 $ 75.00 Post It Easel Pads(LRG 6 PK) $ 89.00 4 $ 356.00 Notebooks $ 11.00 10 $ 110.00 Batteries(36 PK) $ 23.00 2 $ 46.00 Envelopes $ 11.00 2 $ 22.00 Pens $ 28.25 4 $ 113.00 Dry Erase Markers $ 20.00 3 $ 60.00 Dry Erase Marker Cleaner $ 12.50 6 $ 75.00 Door Hangers $ 36.00 5 $ 180.00 TOTAL 1 $ 2,500.00 Printing RATE QTY OCCUR.TOTAL NOTES Ink $ 50.00 4 2 $ 400.00 Printing supplies are needed for project work(including flyers,health education,screeners, Paper $ 30.00 34 $ 1,020.00 event banners,surveys,etc) High Gloss Paper $ 50.00 3 $ 150.00 Toner $ 28.67 3 5 $ 430 Total $ 2,000 Communications RATE QTY OCCUR TOTAL Notes Phone Plan $ 60.00 4 12 $ 2,880.00 Assist with carrying out grant objectives such as communicating with patients on follow ups,following HotSpot Plan $ 46.67 2 12 $ 1,120 up on resources,reaching out to local CBOs for additional resources,etc Total 4,000 OPERATIONAL TOTAL Mileage QTY(Daily TOTAL FOR Federal Mileage Mile Avg) #of Staff Monthly GRANT NOTES Local Travel will be needed to perform project activities, Local Travel to complete SOW activities $ 0.655 50 4 $ 541.67 $ 6,500.00 local meetings and training events. Build team capacity by attending conferenee and trainings.Examples of proposed trainings/conferences: National Rural Health Conference(registration:average cost is$850),Insure the Uninsured Project(registration: average cost$450),Northwest Regional Primary Care Association Rural and Community Health Conference (avaerage cost:$750 per staff). Training/Conferences 3 staff Max $ 2,666.04 Mileage TOTAL $ N111111111�66.04 TOTAL DIRECT COSTS $ 206,364 ADMINSTRATIVE(INDIRECT)COS $ 20,636 1 10%of overall grant total(including accounting,administrative oversight,etcl TOTAL EXPENSES $ 227,000.09 B-3