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Home My WebLink AboutP-21-081 Amendment 1 Rhoda Howell-Gonzales.pdf co�� County of Fresno INTERNAL SERVICES DEPARTMENT ROBERT BASH,DIRECTOR-CIO ` Facility Services e Fleet Services o Graphics Information Technology e Purchasing Security m Telecommunications AMENDMENT NUMBER ONE Agreement Number: P-21-081 August 4, 2022 Rhoda Howell-Gonzales, RDHAP, BSDH PO 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, 2022. The County of Fresno desires to extend this contract for an additional one-year period effective July 1, 2022 through June 30, 2023. Prices will be firm for the contract period. Amendment provisions shall remain in full force and effect with any contract renewals. Maximum: The County of Fresno desires to increase this Agreement in the amount of twenty-five thousand dollars ($25,000.00). ,In no event shall services performed and/or fees paid under this Agreement be in excess of fifty-seven thousand two hundred fifty dollars ($57z50:00). In accordance with Exhibit"A"and Exhibit"B"dated August 3, 2022. #5%, a5 u,Cc 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. If you have any questions, please contact Susan Walker, Purchasing Technician, at(559)600-7111 or email im;. 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, RDHAR BSDH August 4,2022 FOR THE COUNTY OF FRESNO Digitally signed by Gary Comuefle Gary C O rn u e I I e Date:2022.08.05 09:13:15-07'00' Gary E- Cornuelle Purchasing Manager 333 W. Pontiac Way Clovis, CA 93612 GEC_stw G:\PUBLIC\CONTRACTS&EXTRACTS\2021 CONTRACTS\P-21-081 RHODA HOWELL GONZALES\CONTRACT &AMENDMENT3121-081 AMENDMENT 1.DOCX CONTRACT NO. P-21-081 Page 3 Rhoda Howell-Gonzales, RDHAP, BSDH August 4, 2022 CONTRACTOR TO COMPLETE: Company: Type of Entity: 191 individual ❑ Limited Liability Company ❑ Sole Proprietor. ,� ❑ Limited Liability Partnership D Corporati In ❑ General Partnership Signature ` Print Name and Title Date Signature Print Name and Title Date Address City State Zip TELEPHONif NUMBER FAXNUMDER E-MAILADDRES ACCOUNTING USE ONLY ORG No.: 56201553 Account No.: 7295 Requisition No.: 5622300122 (2/2021) G\PUBLIC\CONTRACTS&EXTRACTS\2021 CONTRACTS\P-21-081 RHODA HOWELL GONZALES\CONTRACT &AMENDMENTS\21-081 AMENDMENT 1.DOCX Procurement Agreement P-21-081 Amendment#1 Exhibit"A' Page 1 of 2 Rhoda Howell-Gonzales,RDHAP,BSDH 08/04/22 EXHIBIT A Oral Health Consultant Scope of Work FY 2022-23 Activity Description Time Evaluation/Deliverable/ Frame Performance Measure Provide oral health consultation to local oral Execution- Submit a tracking sheet of hours health program (LOHP)staff and LOHP 6/30123 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 program activities, Kindergarten oral health assessment activities, and referral management, and oral health activities. (Obi. 2, 3, 5, 6) Provide presentations to educate school staff Execution- Final presentation with the (teachers, administrators, nurses, office 6/30/23 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) I Update letter of support to key stakeholders Execution- Copy of finalized letter of support with list that will support resolutions for KOHA 6/30/23 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 Execution- Submit a tracking sheet of consultation implementing a referral management system, 6/30/23 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. 5, 6) Facilitate trainings on how to incorporate oral Execution- Final presentation with the roster of health education curricula in a variety of 6/30/23 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, g 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) Page 1 of 2 Procurement Agreement P-21-081 Amendment#1 Exhibit"A' Page 2 of 2 Rhoda Howell-Gonzales,RDHAP,BSDH 08/04/22 EXHIBIT A Oral Health Consultant Scope of Work FY 2022-23 Time Evaluation/Deliverable/ Activity Description Frame Performance Measure Attend and participate in bi-monthly Oral Execution- Submit meeting agenda and recruitment Health Advisory Committee meetings (6 per 6/30/23 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 Execution- Submit meeting agendas and/or notes. promoted by the California Department of 6/30/23 8 Public Health, Office of Oral Health_ (Obj.1) Attend monthly calls with LOHP staff to Execution- Submit meeting notes 9 discuss progress in activities. 6/30/23 Submit progress reports in January 2023 and Execution- Submit a narrative of the work completed June 2023. 6/30/23 during the 6 previous months for the 10 January 2023 report and again for the June 2023 report. Execution- Monthly invoice with back up Submit monthly invoices by 201 of the month 6/30/23 documentation for hours worked 11 for the prior month's expenses Page 2 of 2 Procurement Agreement P-21-081 Amendment#1 Exhibit"S" Page 1 of 1 Rhoda Howell-Gonzales,RDHAP,BSDH 08/04/22 Fresno County Department of Public Health, Division of Health Policy and Wellness, Exhibit B Local Oral Health Program Oral Health Consultant Budget Rhoda Howell-Gonzales, RDHAP, BSDH Budget Year : Execution 2022-June 30,2023 PERSONNEL Hours Rate Total Cost Position 307.00 $ 80.00 $24,560.00 PERSONNEL TOTAL $24,560 MATERIALS/SUPPLIES EXPENSE Unit Unit Cost Total Cost Ex: pens, paper,toner $208.00 MATERIALS/SUPPLIES EXPENSE TOTAL $208 TRAVEL COSTS Unit Unit Cost Total Cost Ex:Mileage 4- M-_ $ 0.585 $231.65 TRAVEL COSTS TOTAL $232 TOTAL $25,000 Page 1 of 1