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Home My WebLink AboutP-21-081 Amendment 2 Rhoda Howell-Gonzales.pdf CO County of Fresno INTERNAL SERVICES DEPARTMENT 1$5 0 Facilities • Fleet•Graphics• Purchasing •Security•Technology AMENDMENT NUMBER TWO (2) Agreement Number: P-21-081 June 29, 2023 Rhoda Howell-Gonzales, RDHAP, BSDH P.O. Box 27011 Fresno, CA 93729 Contract Number P-21-081 covering Oral Health Consultation Services is amended as follows: The contract with your company expires June 30, 2023. The County of Fresno desires to extend this contract for an additional three (3)year period effective July 1, 2023, through June 30, 2026. Prices will be firm for the contract period. Amendment provisions shall remain in full force and effect with any. Maximum: The County of Fresno desires to increase this Agreement in the amount of Seventy-Five Thousand Dollars ($75,000.00), in accordance with Exhibit"B". In no event shall services performed and/or fees paid under this Agreement be in excess of One Hundred Thirty-Three Thousand Two Hundred Fifty Dollars ($133,250.00). Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as provided in this section. A. An "electronic signature" means any symbol or process intended by an individual signing this Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed version of an original handwritten signature; or(3)an electronically scanned and transmitted (for example by PDF document) of a handwritten signature. B. Each electronic signature affixed or attached to this Agreement(1) is deemed equivalent to a valid original handwritten signature of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as the valid original handwritten signature of that person. C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). D. Each party using a digital signature represents that it has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each other party may rely upon that representation. This Agreement is not conditioned upon the parties conducting the transactions under it by electronic means and either party may sign this Agreement with an original handwritten signature. Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS. 333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110 *The County of Fresno is an Equal Employment Opportunity Employer* CONTRACT NO. P-21-081 Page 2 Rhoda Howell-Gonzales, RDHAP, BSDH June 29, 2023 If you have any questions, please contact Susan Walker, Purchasing Technician, at(559) 600-7111 or email suwalker(aVresnocountyca.gov. FOR THE COUNTY OF FRESNO Gary Cornuelle Digitally signed by Gary Cornuelle Date:2023.06.30 10:09:56-07'00' Gary E. Cornuelle Purchasing Manager 333 W. Pontiac Way Clovis, CA 93612 GEC:slw P-21-081 Amendment 2 Rhoda Howell-Gonzales.docx CONTRACT NO. P-21-081 Page 3 Rhoda Howell-Gonzales, RDHAP, BSDH June 29,2023 CONTRACTOR TO COMPLETE: Company: C��1 C� Type of Entity: AIndividual ❑ Limited Liability Company ❑ Sole Proprietorship ❑ Limited Liability Partnership ❑ Corporati ❑ General Partnership Signature Print Name and Title Date Signature Print Name and Title Date Address 7T1 Itv State Zip Ll TELEPHONE NUMBER FAX RbMER E-MAIL ADDRES `, 'C' ACCOUNTING USE ONLY ORG No.: 56201553 Account No.: 7295 Requisition No.: 5622301105 (8/2022) P-21-081 Amendment 2 Rhoda Howell-Gonzales.docx CONTRACT NO. P-21-081 REVISED ATTACHMENT"A" Rhoda Howell-Gonzales, RDHAP,BSDH Page 1 of 3 06/29/2023 EXHIBIT A Oral Health Consultant Scope of Work FY July 1, 2023—June 30, 2026 Activity Description Time Evaluation/Deliverable/ Frame Performance Measure Provide oral health consultation to local oral 7/1/23- Submit a tracking sheet of hours health program (LOHP) staff and LOHP 6/30/26 dedicated to providing consultation subcontractors. This may include, but is not services to LOHP staff and limited to, general oral health care services subcontractors. and education, school-based sealant 1 program activities, workgroup participation, Kindergarten oral health assessment activities, and referral management, and oral health activities. (Obj. 2, 3, 4, 5,7) Provide presentations to educate school staff 7/1/23- Final presentation with the (teachers, administrators, nurses, office 6/30/26 roster of presentation attendees/Sign-in managers) about the importance of conducting sheet 2 Kindergarten Oral Health Assessments (KOHA) and best practices on how to report them. (Obj. 3) Update letter of support to key stakeholders 7/1/23- Copy of finalized letter of support with list that will support resolutions for KOHA 6/30/26 of letter recipients reporting. The letter will be signed by the local Health Officer or Health Director or 3 school official. (Obj. 3) Provide guidance to LOHP staff in 7/1/23- Submit a tracking sheet of consultation implementing a referral management system, 6/30/26 hours dedicated to referral management oral health campaign and assist with system, oral health campaign and 5 recruitment of Champions for Campaign. champion recruitment. (Obj. 4 and 5) Facilitate trainings on how to incorporate oral 7/1/23- Final presentation with the roster of health education curricula in a variety of 6/30/26 training attendees and the copy of settings. A variety of organizations will be the training materials target audience for these trainings including, schools, dental partners, providers, 6 community-based organizations, and health clinics. One hour per training. Time spent to prepare materials for each training session may also be included. (Obj. 2 and 7) Page 1 of 2 CONTRACT NO. P-21-081 REVISED ATTACHMENT"A" Rhoda Howell-Gonzales, RDHAP,BSDH Page 2 of 3 06/29/2023 EXHIBIT A Oral Health Consultant Scope of Work FY July 1, 2023—June 30, 2026 Activity Description Time Evaluation/Deliverable/ Frame Performance Measure Attend and participate in bi-monthly Oral 7/1/23- Submit meeting agenda and recruitment Health Advisory Committee meetings (6 per 6/30/26 log that details name of contact, contact 7 12-month period). Assist with the promotion information, organization, and attempts of the committee by recruiting one (1) to two made. (2) new members. (Obj.1 and 7) Attend one (1) webinar/training per month 7/1/23- Submit meeting agendas and/or notes. promoted by the California Department of 6/30/26 8 Public Health, Office of Oral Health. (Obj.1) Attend monthly calls with LOHP staff to 7/1/23- Submit meeting notes discuss progress in activities. 6/30/26 9 Submit progress reports in January and July 7/1/23- Submit a narrative of the work completed of every year. Dates: 1/2024,7/2024,01/2025, 6/30/26 during the 6 previous months for the July 10 7/2025,1/2026,7/2026. through December report and again for the January through June report. 7/1/23- Monthly invoice with back up Submit monthly invoices by 201h of the month 6/30/26 documentation for hours worked 11 for the prior month's expenses Page 2 of 2 CONTRACT NO.P-21-081 REVISED ATTACHMENT"A" Rhoda Howell-Gonzales,RDHAP,BSDH Pag'1IRII A.hiait B 06/29/2023 Page 1 of 1 Fresno County Department of Public Health,Division of Health Policy and Wellness,Local Oral Health Frog Fresno County Department of Public Health,Division of Health Policy and Wellness,Local Oral Health Program Fresno County Department of Public Health,Division of Health Policy and Wellness,Local Oral Health Program Oral Health Consultant Budget Oral Health Consultant Budget Oral Health Consultant Budget Budget Year 1(07/01/23-06/30/24) Budget Year 2(07/01/24-06/30/25) Budget Year(07/01/25-06/30/26) PERSONNEL Hours Rate Total Cost PERSONNEL Hours Rate Total Cost PERSONNEL Hours Rate Total Cost Position 307.00 $ 80.00 $24,560.00 Position 307.00 $ 80.00 $24,560.00 Position 307.00 $ 80.00 $24,560.00 PERSONNELTOTAL S 24,560 PERSONNEL TOTAL $24,560.00 PERSONNELTOTAL $24,560.00 MATERIALS/SUPPLIES EXPENSE Unit Unit Cost Total Cost MATERIALS/SUPPLIES EXPENSE Unit Unit Cost Total Cost MATERIALS/SUPPLIES EXPENSE Unit Unit Cost Total Cost Ex:pens,paper,toner $211.00 Ex:pens,paper,toner $211.00 Ex:pens,paper,toner $211.00 MATERIALS/SUPPLIES EXPENSE TOTAL $ 211 MATERIALS/SUPPLIES EXPENSE TOTAL $211.00 MATERIALS/SUPPLIES EXPENSE TOTAL $211.00 TRAVEL COSTS Unit Unit Cost Total Cost TRAVEL COSTS Unit Unit Cost Total Cost TRAVEL COSTS Unit Unit Cost Total Cost Ex:Mileage 3501 1$ 0.655 1 $229.25 Ex:Mileage 350 $ 0.655 1 $229.25 Ex:Mileage i 350 $ 0.655 1 1 $229.25 TRAVEL COSTS TOTAL F $229.25 TRAVEL COSTS TOTAL $229.25 TRAVEL COSTS TOTAL $229.25 OTHER COSTS Total Cost OTHER COSTS Total Cost OTHER COSTS Total Cost OTHER COSTS TOTAL $ - OTHER COSTS TOTAL $0.00 OTHER COSTS TOTAL $0.00 Budget Year 1(07/01/23-06/30/24) Budget Year 2(07/01/24-06/30/25) Budget Year 3(07/01/25-06/30/26) YEAR 1 TOTAL" $25,000 YEAR 2 TOTAL* $25,000 YEAR 3 TOTAL* $25,000 *Budget Year 1(7/1/23-6/30/241 maxium total$25,000 *Budget Year 2(7/1/24-6/30/25)maxium total$25,000 *Budget Year 3(7/1/25-6/30/26)maxium total$25,000 Budget Year 1(07/01/23-06/30/24) $25,000.00 Budget Year 2(07/01/24-06/30/25) $25,000.00 Budget Year 3(07/01/25-06/30/26) $25,000.00 Total $75,000.00 Page 1 of 1