HomeMy WebLinkAboutAvenal Community Health Center dba Aria Community Health Center-Fresno Countys Advancing Health Literacy Intervention Program_A-23-337 A-22-182 A-23-138.pdf Co. County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� 185 0 Telephone:(559)600-3529
FRE`' Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
June 20, 2023
Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes,
Supervisor Brian Pacheco, and Chairman Sal Quintero
Agenda No. 74. Public Health File ID: 23-0571
Re: Approve and authorize the Chairman to execute second Amendment to Agreement with Avenal
Community Health Center dba Aria Community Health Center extending the term by one year from
July 1, 2023 to June 30,2024 and increasing the maximum compensation by$227,000 to a total of
$727,198
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero
Agreement No.23-337
County of Fresno page 76
co
Board Agenda Item 74
O 1856 O
DATE: June 20, 2023
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Second Amendment to Agreement with Avenal Community Health Center dba, Aria
Community Health Center
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute second Amendment to Agreement with Avenal
Community Health Center dba Aria Community Health Center extending the term by one year from
July 1,2023 to June 30, 2024 and increasing the maximum compensation by$227,000 to a total of
$727,198.
There is no additional Net County Cost associated with the recommended action. The recommended action
will increase Avenal Community Health Center dba Aria Community Health Center's (Aria)total
compensation by$227,000 to be used during an extension term of July 1, 2023 through June 30, 2024 to
continue to promote community health support and provide health intervention activities for the County's
Advancing Health Literacy Intervention Program. This item pertains to Districts 1 and 4.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the County
will not be able to contract with Aria for an extension year and Fresno County's Advancing Health Literacy
Intervention Program services will end.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum
compensation of the agreement with Aria will increase by$227,000 to $727,198 for the initial and extension
terms. The recommended action is fully funded by the Department's realignment fund. Sufficient
appropriations and estimated revenues will be included in the Department's Org 5620 FY 2023-24
Recommended Budget.
DISCUSSION:
On May 3, 2022, your Board approved agreement No. 22-182 which allowed the County to partner with Aria
to promote community health support and to provide health intervention activities for implementation of
Fresno County's Advancing Health Literacy Intervention Program. On March 28, 2023, your Board approved
agreement No. 23-138 to amend agreement No. 22-182 to allow for an option to extend the Agreement
dependent on satisfactory performance, service need, and approval from both parties. Since the execution
of the agreement, Aria has provided health literacy interventions to over 280 community members, a majority
of which are low-income agricultural workers, in underserved rural areas of west Fresno County.
Intervention activities include providing resources, education, and connecting community members to a
County of Fresno page 1 File Number.23-0571
File Number.23-0571
primary healthcare provider. Aria's partnership is critical in bridging the gap between rural community
members and the healthcare system through community health worker interventions, while improving health
literacy. Approval of the recommended action will allow for the total compensation of the Agreement to be
increased by$227,000 and adoption of a year 3 budget to allow for an extension of the Agreement by
12-months from July 1, 2023 through June 30, 2024.
REFERENCE MATERIAL:
BAI#50, March 28, 2023
BAI #42, May 3, 2022
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Second Amendment to Agreement with Avenal Community Health Center dba,Aria
Community Health Center
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number.23-0571
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 281h 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 B-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
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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.
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I 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 � ^
6
John Blain , CEO Sal urn r
7 Chair n of e Board of Supervisors of
8 Ze�2 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:
16 Fund/Subclass: 0001/10000 Deputy
Organization: 56201667
17 Account: 7295
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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 $ 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 Rate Notes
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 $ 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 $ 100.00 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 5 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 $ 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.DO 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 $ 8,500
Mileage
QTY(Daily TOTAL FOR
Federal Mileage Mile Avg) tt 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 conferencee 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 is 9,166..4
TOTAL DIRECT com $ 206,364
ADMINSTRATIVE(INDIRECT)CO $ 20,636 1 10%of,ver,ll grantmtal(including accounting,adminstrative oversight,etc)
TOTAL EXPENSES $ 227,000.09
B-3