HomeMy WebLinkAboutAgreement A-16-432 with LPC Consulting Associates Inc..pdf Agreement No. 16-432
1 AGREEMENT
2 THIS AGREEMENT, is made and entered into this 12tn day of July , 2016,by and between
3 COUNTY OF FRESNO, a Political Subdivision of the State of California, Fresno, California,
4 hereinafter referred to as "COUNTY", and LPC CONSULTING ASSOCIATES whose remit to address
5 is 2015 J Street, Suite 205, Sacramento, CA 95811-3124, hereinafter referred to as "CONTRACTOR"
6 (collectively the "parties").
7 WITNESSETH:
8 WHEREAS, COUNTY, through its Department of Behavioral Health, Substance Use Disorder
9 Services (DBH-SUDS)has determined there is a need for Fresno County youth and young adults to
10 receive alcohol and drug abuse prevention services; and
11 WHEREAS, COUNTY is authorized to contract with privately operated agencies for the provision
12 of alcohol and drug abuse prevention services; and
13 WHEREAS, CONTRACTOR has the staff, and is willing and able to provide prevention
14 evaluation services required by COUNTY,pursuant to the terms and conditions of this Agreement.
15 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
16 hereinafter set forth, the sufficiency of which is acknowledged, the parties agree to as follows:
17 1. CONTRACTOR'S RESPONSIBILITIES
18 A. CONTRACTOR shall perform all services and fulfill all responsibilities for the
19 provision of Alcohol and Other Drug Abuse Prevention Services, as identified in COUNTY's Request for
20 Proposal (RFP) # 952-5422 dated January 14, 2016, and Addendum I dated January 22, 2016, and
21 Addendum II dated February 11, 2016, hereinafter collectively referred to as COUNTY Revised RFP
22 #952-5422, and CONTRACTOR's response to said RFP #952-5422, dated February 25, 2016, all
23 incorporated herein by reference and made part of this Agreement.
24 B. In addition, CONTRACTOR shall provide all services and fulfill all responsibilities
25 identified in Exhibit A, Scope of Work, attached hereto and by this reference incorporated herein.
26 C. In the event of any inconsistency among these documents, the inconsistency shall be
27 resolved by giving precedence in the following order of priority: 1)to this Agreement, including all
28 Exhibits, 2) to the Revised RFP, and; 3) to the Response to the Revised RFP. A copy of COUNTY's
1 - COUNTY OF FRESNO
Fresno,CA
1 Revised REP #952-5414, and CONTRACTOR's response shall be retained and made available during
2 the term of this Agreement by COUNTY's Purchasing Division.
3 D. CONTRACTOR agrees that the COUNTY's DBH Director or her designee shall
4 have the right to discontinue or refuse the services of any of the CONTRACTOR's individual staff
5 members or volunteers who have not or are not satisfactorily performing services under this Agreement,
6 without being obligated to terminate this Agreement. COUNTY's DBH Director or her designee shall
7 determine whether a particular individual staff member or volunteer of CONTRACTOR is satisfactorily
8 performing services and such determination shall be binding upon the parties hereto.
9 E. CONTRACTOR shall maintain, at CONTRACTOR's cost, a computer system
10 compatible with the California Outcomes Measurement System(CalOMS) for the provision of
11 submitting information required under the terms and conditions of this Agreement. CONTRACTOR
12 shall complete required CalOMS data entry for prevention service/activity by date of occurrence on a
13 weekly basis. No more than one week's data shall be aggregated into one reported service.
14 F. CONTRACTOR's administrative level agency representative, who is duly authorized
15 to act on behalf of the CONTRACTOR, must attend regularly scheduled monthly Behavioral Health
16 Board Substance Use Disorder Sub-Committee meetings and CONTRACTOR meetings and quarterly
17 Prevention Provider meetings, as deemed necessary by DBH Director or her designee.
18 G. CONTRACTOR's staff may also be required to attend meetings and trainings on an
19 as-needed basis, which may include but are not limited to prevention and fiscal trainings provided by the
20 State of California.
21 2. TERM
22 The term of this Agreement shall be for a period of three (3) years, commencing on July 1,
23 2016 through and including June 30, 2019. This agreement may be extended for one (1) additional
24 consecutive twelve (12) month period and one (1) additional six (6)month period upon written approval
25 of both parties no later than thirty(30) days prior to the first day of the next twelve (12) month extension
26 period. The DBH Director or her designee is authorized to execute such written approval on behalf of
27 COUNTY based on CONTRACTOR's satisfactory performance.
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1 3. TERMINATION
2 A. Non-Allocation of Funds - The terms of this Agreement, and the services to be
3 provided thereunder, are contingent on the approval of funds by the appropriating government agency.
4 Should sufficient funds not be allocated, the services provided may be modified, or this Agreement
5 terminated at any time by giving the CONTRACTOR thirty(30) days advance written notice.
6 B. Breach of Contract - COUNTY may immediately suspend or terminate this
7 Agreement in whole or in part, where in the determination of COUNTY there is:
8 1) An illegal or improper use of funds;
9 2) A failure to comply with any term of this Agreement;
10 3) A substantially incorrect or incomplete report submitted to COUNTY;
11 4) Improperly performed service.
12 In no event shall any payment by COUNTY constitute a waiver by COUNTY of
13 any breach of this Agreement or any default which may then exist on the part of CONTRACTOR.
14 Neither shall such payment impair or prejudice any remedy available to COUNTY with respect to the
15 breach or default. COUNTY shall have the right to demand of CONTRACTOR the repayment to
16 COUNTY of any funds disbursed to CONTRACTOR under this Agreement, which in the judgment of
17 COUNTY were not expended in accordance with the terms of this Agreement. CONTRACTOR shall
18 promptly refund any such funds upon demand or, at COUNTY's option, such repayment shall be
19 deducted from future payments owing to CONTRACTOR under this Agreement.
20 C. Without Cause - Under circumstances other than those set forth above, this
21 Agreement may be terminated by CONTRACTOR or COUNTY or COUNTY's DBH Director or
22 designee, upon the giving of thirty(30) days advance written notice of an intention to terminate.
23 CONTRACTOR may terminate with the appropriate thirty(30) days advance written
24 notice of intent to terminate transmitted by CONTRACTOR to COUNTY by Certified U.S. Mail Return
25 Receipt Requested addressed to the office of COUNTY as follows:
26
27
28
3 - COUNTY OF FRESNO
Fresno,CA
1 Director(or her designee)
2 County of Fresno
3 Department of Behavioral Health
4 3133 N. Millbrook Ave
5 Fresno, CA 93703
6 4. COMPENSATION
7 A. For actual services provided as identified in the terms and conditions of this
8 Agreement and Exhibit A, COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to
9 receive compensation as identified in Exhibit B, "Budget," attached hereto and by this reference
10 incorporated herein, contingent upon confirmation of funding.
11 1. For the period July 1, 2016 through June 30, 2017, in no event shall actual
12 services performed be in excess of Ninety Thousand and No/100 Dollars ($90,000.00).
13 2. For the period July 1, 2017 through June 30, 2018, in no event shall actual
14 services performed be in excess of Eight Thousand and No/100 Dollars ($80,000.00).
15 3. For the period July 1, 2018 through June 30, 2019, in no event shall actual
16 services performed be in excess of Eighty Thousand and No/100 Dollars ($80,000.00).
17 4. If this agreement is renewed for an additional one-year period pursuant to
18 Section 2, TERM, for the period July 1, 2019 through June 30, 2020, in no event shall actual services
19 performed be in excess of Eighty Thousand and No/100 Dollars ($80,000.00).
20 5. For the period July 1, 2020 through December 31, 2020, in no event shall
21 actual services performed be in excess of Forty Thousand and No/100 Dollars ($40,000.00).
22 B. Except as described in this Agreement regarding State payment delays,payments by
23 COUNTY shall be in arrears after receipt, verification and approval of CONTRACTOR's monthly
24 itemized invoices and required reports further described in Section Thirty(30), REPORTS of this
25 Agreement, by COUNTY's DBH-SUD Services. All final claims and/or any final budget modification
26 requests shall be submitted by CONTRACTOR within sixty(60) days following the final month of
27 service for which payment is claimed. No action shall be taken by COUNTY's DBH-SUD Services on
28 claims submitted beyond the sixty(60) day closeout period. Any compensation which is not expended
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1 by CONTRACTOR pursuant to the terms and conditions of this Agreement shall automatically revert to
2 COUNTY's DBH-SUD Services.
3 C. The contract maximum amount as identified in this Agreement and in Exhibit B
4 may be reduced based upon State and Federal funding availability. In the event of such action, the
5 COUNTY's DBH Director or her designee shall notify the CONTRACTOR in writing of the reduction in
6 the maximum amount within thirty(30) days of COUNTY's notification.
V In the event that the State of California is unable to meet its financial obligations and
8 payment to Counties for substance abuse services, DBH-SUD Services may delay or defer payment to
9 CONTRACTOR until such a time as the State budget issues are resolved. The amount of deferred
10 payment shall not exceed the amount of funding delayed by the State Controller to the COUNTY's DBH-
11 SUD Services. The deferral by COUNTY shall not exceed the period of time the State Controller's delay
12 of payment plus forty-five (45) days. In addition, if the State of California does not allocate funding for
13 services described in the terms and conditions of this Agreement, DBH-SUD Services shall not be
14 obligated to reimburse CONTRACTOR for services performed.
15 D. Except as described in this Agreement regarding State payment delays,payments by
16 COUNTY shall be in arrears after receipt, verification and approval of CONTRACTOR's monthly
17 itemized invoices and required reports further described in Section Thirty(30), REPORTS of this
18 Agreement, by COUNTY's DBH-SUD Services. All final claims and/or any final budget modification
19 requests shall be submitted by CONTRACTOR within sixty(60) days following the final month of
20 service for which payment is claimed. No action shall be taken by COUNTY's DBH-SUD Services on
21 claims submitted beyond the sixty(60) day closeout period. Any compensation which is not expended by
22 CONTRACTOR pursuant to the terms and conditions of this Agreement shall automatically revert to
23 COUNTY's DBH-SUD Services.
24 E. If CONTRACTOR should fail to comply with any provision of this Agreement,
25 COUNTY shall be relieved of its obligation for further compensation. CONTRACTOR's and
26 COUNTY's obligations under this section shall survive the termination of this Agreement with respect to
27 services provided during the term of this Agreement up until the termination date, regardless of the cause
28 of termination of this Agreement.
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1 F. Public Information—CONTRACTOR shall disclose its funding source in all public
2 information, however, this requirement of disclosure of funding source shall not be required in spot radio
3 or television advertising.
4 G. Lobby Ag ctivity—CONTRACTOR shall not directly or indirectly use any of the
5 funds provided under this Agreement for publicity, lobbying, or propaganda purposes designed to support
6 or defeat legislation pending before the Congress of the United States or the Legislature of the State of
7 California.
8 H. Political Activity—CONTRACTOR shall not directly or indirectly use any of the
9 funds under this Agreement for any political activity or to further the election or defeat of any candidate
10 for public office.
11 L Cost of Living Adjustment—CONTRACTOR shall not utilize any funds provided
12 under this Agreement for cost of living adjustments to CONTRACTOR's employee compensation in
13 excess of what is approved in the budget submitted with the RFP response.
14 J. COUNTY shall not be obligated to make payments under this Agreement for
15 employee morale or other staff expenses such as food, drink, picnics, and/or parties. The DBH Director
16 or her designee may provide an exception to the aforementioned requirement in part or in its entirety as
17 circumstances may warrant.
18 5. INVOICING
19 CONTRACTOR shall invoice COUNTY by the twentieth (20th) of each month for actual
20 services rendered in the previous month in accordance with the budget projections in Exhibit B, attached
21 hereto and incorporated by this reference.
22 Invoices shall be submitted via e-mail to: sasgco.fresno.ca.us, Attn: Staff Analyst. As
23 indicated in Section Thirty-Three (33), herein below, invoices shall include all corresponding
24 documentation submitted and identified by line item, as identified in Exhibit B. Supporting
25 documentation shall include but is not limited to receipts; invoices received and documented
26 administrative/overhead costs.
27 If an invoice is incorrect or is otherwise not in proper form or substance, COUNTY's DBH
28 Director or designee shall have the right to withhold payment as to only that portion of the invoice that is
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1 incorrect or improper after five (5) days prior notice to CONTRACTOR. CONTRACTOR agrees to
2 continue to provide services for a period of ninety(90) days after notification of an incorrect or improper
3 invoice. If after said ninety(90) day period said invoice(s) is still not corrected to COUNTY's DBH,
4 Director's or designee's satisfaction, COUNTY's DBH, Director or designee may elect to terminate this
5 Agreement, pursuant to the termination provisions stated in Section Three (3), TERMINATION of this
6 Agreement. In addition, CONTRACTOR shall submit all invoices to COUNTY's DBH Director or
7 designee for services provided within ninety(90) days after each twelve (12)month period expires or this
8 Agreement is terminated. If invoices are not submitted within ninety(90) days after each twelve (12)
9 month period expires or this Agreement is terminated, COUNTY's DBH Director or designee shall have
10 the right to deny payment on such invoices.
11 6. INDEPENDENT CONTRACTOR
12 In performance of the work, duties, and obligations assumed by CONTRACTOR under this
13 Agreement, it is mutually understood and agreed that CONTRACTOR, including any and all of
14 CONTRACTOR's officers, agents and employees will at all times be acting and performing as an
15 independent contractor, and shall act in an independent capacity and not as an officer, agent, servant,
16 employee,joint venture, partner, or associate of the COUNTY. Furthermore, COUNTY shall have no
17 right to control or supervise or direct the manner or method by which CONTRACTOR shall perform its
18 work and function. However, COUNTY shall retain the right to administer this Agreement so as to
19 verify that CONTRACTOR is performing its obligations in accordance with the terms and conditions
20 thereof CONTRACTOR and COUNTY shall comply with all applicable provisions of law and the rules
21 and regulations, if any, of governmental authorities having jurisdiction over matters which are directly or
22 indirectly the subject of this Agreement.
23 Because of its status as an independent contractor, CONTRACTOR shall have absolutely
24 no right to employment rights and benefits available to COUNTY employees. CONTRACTOR shall be
25 solely liable and responsible for providing to, or on behalf of, its employees all legally-required employee
26 benefits. In addition, CONTRACTOR shall be solely responsible and save COUNTY harmless from all
27 matters relating to payment of CONTRACTOR's employees, including compliance with Social Security,
28 withholding, and all other regulations governing such matters. It is acknowledged that during the term of
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1 this Agreement, CONTRACTOR may be providing services to others unrelated to the COUNTY or to
2 this Agreement.
3 7. SUBCONTRACTS
4 CONTRACTOR shall be required to assume full responsibility for all services and
5 activities covered by this Agreement, whether or not CONTRACTOR is providing services directly.
6 Further, CONTRACTOR shall be the sole point of contact with regard to contractual matters, including
7 payment of any and all charges resulting from this Agreement.
8 If CONTRACTOR should propose to subcontract with one or more third parties to carry
9 out a portion of services covered by this Agreement, any such subcontract shall be in writing and
10 approved as to form and content by COUNTY's DBH Director or her designee prior to execution and
11 implementation. COUNTY's DBH Director or her designee shall have the right to reject any such
12 proposed subcontract. Any such subcontract together with all activities by or caused by CONTRACTOR
13 shall not require compensation greater than the total budget contained herein. An executed copy of any
14 such subcontract shall be received by COUNTY before any implementation and shall be retained by
15 COUNTY. CONTRACTOR shall be responsible to COUNTY for the proper performance of any
16 subcontract. Any subcontractor shall be subject to the same terms and conditions that CONTRACTOR is
17 subject to under this Agreement.
18 It is expressly recognized that CONTRACTOR cannot engage in the practice of medicine.
19 If any medical services are to be provided in connection with the services under this Agreement, such
20 medical services shall be performed by an independent contract physician. In this instance, the
21 requirements of the Confidential Medical Information Act (Civil Code 56 et seq.) shall be met.
22 8. MODIFICATION
23 Any matters of this Agreement may be modified from time to time by the written consent
24 of all the parties without, in any way, affecting the remainder.
25 Notwithstanding the above, changes to line items in the budget, attached hereto as Exhibit
26 B, which do not exceed ten percent(10%) of the total maximum compensation payable to
27 CONTRACTOR, may be made with the written approval of COUNTY's DBH Director or designee and
28
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1 CONTRACTOR. Said budget line item changes shall not result in any change to the maximum
2 compensation amount payable to CONTRACTOR, as stated herein.
3 CONTRACTOR hereby agrees that changes to the compensation under this Agreement
4 may be necessitated by a reduction in funding from State and/or Federal sources. The COUNTY's DBH
5 Director or her designee may modify the maximum compensation depending on State and Federal
6 funding availability, as stated in Section Four(4), COMPENSATION in this Agreement.
7 CONTRACTOR further understands that this Agreement is subject to any restrictions, limitations, or
8 enactments of all legislative bodies which affect the provisions, term or funding of this Agreement in any
9 manner.
10 9. NON-ASSIGNMENT
11 No party shall assign, transfer or subcontract this Agreement nor their rights or duties under
12 this Agreement without the prior written consent of COUNTY and CONTRACTOR.
13 10. HOLD-HARMLESS
14 CONTRACTOR agrees to indemnify, save, hold harmless, and at COUNTY's request,
15 defend COUNTY, its officers, agents, and employees from any and all costs and expenses, damages,
16 liabilities, claims, and losses occurring or resulting to COUNTY in connection with the performance, or
17 failure to perform, by CONTRACTOR, their officers, agents, or employees under this Agreement, and
18 from any and all costs and expenses, damages, liabilities, claims, and losses occurring or resulting to any
19 person, firm, or corporation who may be injured or damaged by the performance, or failure to perform, of
20 each CONTRACTOR, their officers, agents or employees under this Agreement.
21 CONTRACTOR agrees to indemnify COUNTY for Federal, State of California audit
22 exceptions resulting from noncompliance herein on the part of the CONTRACTOR.
23 11. INSURANCE
24 Without limiting the COUNTY's right to obtain indemnification from CONTRACTOR or
25 any third parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect, the
26 following insurance policies throughout the term of this Agreement:
27
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9 - COUNTY OF FRESNO
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1 A. Commercial General Liability
2 Commercial General Liability Insurance with limits of not less than One Million
Dollars ($1,000,000) per occurrence and an annual aggregate of Two Million
3 Dollars ($2,000,000). This policy shall be issued on a per occurrence basis. In
4 addition to the Commercial General Liability coverage, CONTRACTOR shall
provide an insurance policy for sexual abuse and molestation liability with these
5 same limits.
6 B. Automobile Liability
7 Comprehensive Automobile Liability Insurance with limits for bodily injury of
not less than Five Hundred Thousand Dollars ($500,000.00)per person, One
8 Million Dollars ($1,000,000.00) per accident and for property damages of not less
than One Hundred Thousand Dollars ($100,000.00), or such coverage with a
9 combined single limit of One Million Dollars ($1,000,000.00). Coverage should
10 include owned and non-owned vehicles used in connection with this Agreement.
C. Professional Liability
11
If CONTRACTOR employs licensed professional staff, (e.g., Ph.D., R.N.,
12 L.C.S.W., M.F.C.C.) in providing services, Professional Liability Insurance with
13 limits of not less than One Million Dollars ($1,000,000.00)per occurrence, Three
Million Dollars ($3,000,000.00) annual aggregate.
14 C. Worker's Compensation
15 A policy of Worker's Compensation insurance as may be required by the
16 California Labor Code.
CONTRACTOR shall obtain endorsements to the Commercial General Liability
17 insurance naming the County of Fresno, its officers, agents, and employees,
18 individually and collectively, as additional insured, but only insofar as the
operations under this Agreement are concerned. Such coverage for additional
19 insured shall apply as primary insurance and any other insurance, or self-
2 0 insurance, maintained by COUNTY, its officers, agents and employees shall be
excess only and not contributing with insurance provided under
21 CONTRACTORS'policies herein. This insurance shall not be cancelled or
changed without a minimum of thirty(30) days advance written notice given to
22 COUNTY.
23 Within thirty(30) days from the date CONTRACTOR executes this Agreement,
24 CONTRACTOR shall provide certificates of insurance and endorsement as stated above for all of the
25 foregoing policies, as required herein, to the County of Fresno, Department of Behavioral Health,
26 Substance Use Disorder Services, 3133 N. Millbrook Avenue, Fresno, CA 93703, Attention: DBH-
2 7 SUD Services Staff Analyst, stating that such insurance coverages have been obtained and are in full
28 force; that the County of Fresno, its officers, agents and employees will not be responsible for any
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1 premiums on the policies; that such Commercial General Liability insurance names the County of
2 Fresno, its officers, agents and employees, individually and collectively, as additional insured, but only
3 insofar as the operations under this Agreement are concerned; that such coverage for additional insured
4 shall apply as primary insurance and any other insurance, or self-insurance, maintained by COUNTY,
5 its officers, agents and employees, shall be excess only and not contributing with insurance provided
6 under CONTRACTORS' policies herein; and that this insurance shall not be cancelled or changed
7 without a minimum of thirty(30) days advance, written notice given to COUNTY.
8 In the event CONTRACTOR fails to keep in effect at all times insurance coverage as
9 herein provided, the COUNTY may, in addition to other remedies it may have, suspend or terminate
10 this Agreement upon the occurrence of such event.
11 All policies shall be with admitted insurers licensed to do business in the State of
12 California. Insurance purchased shall be purchased from companies possessing a current A.M. Best, Inc.
13 rating of A FSC VII or better.
14 12. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
15 COUNTY and CONTRACTOR each consider and represent themselves as covered entities
16 as defined by the U.S. Health Insurance Portability and Accountability Act of 1996, Public Law 104-
1 7 191(HIPAA) and agree to use and disclose protected health information as required by law.
18 COUNTY and CONTRACTOR acknowledge that the exchange of protected health
19 information between them is only for treatment,payment, and health care operations.
20 COUNTY and CONTRACTOR intend to protect the privacy and provide for the security
21 of Protected Health Information(PHI)pursuant to the Agreement in compliance with HIPAA, the Health
22 Information Technology for Economic and Clinical Health Act, Public Law 111-005 (HITECH), and
23 regulations promulgated thereunder by the U.S. Department of Health and Human Services (HIPAA
24 Regulations) and other applicable laws.
25 As part of the HIPAA Regulations, the Privacy Rule and the Security Rule require
26 CONTRACTOR to enter into a contract containing specific requirements prior to the disclosure of PHI,
27 as set forth in, but not limited to, Title 45, Sections 164.314(a), 164.502(e) and 164.504(e) of the Code of
28 Federal Regulations (CFR).
COUNTY OF FRESNO
Fresno,CA
1 13. DATA SECURITY
2 For the purpose of preventing the potential loss, misappropriation or inadvertent access,
3 viewing, use or disclosure of COUNTY data including sensitive or personal client information; abuse of
4 COUNTY resources; and/or disruption to COUNTY operations, individuals and/or agencies that enter
5 into a contractual relationship with the COUNTY for the purpose of providing services under this
6 Agreement must employ adequate data security measures to protect the confidential information provided
7 to CONTRACTOR by the COUNTY, including but not limited to the following:
8 A. CONTRACTOR-Owned Mobile, Wireless, or Handheld Devices
9 CONTRACTOR may not connect to COUNTY networks via personally-owned
10 mobile, wireless or handheld devices, unless the following conditions are met:
11 1) CONTRACTOR has received authorization by COUNTY for
12 telecommuting purposes;
13 2) Current virus protection software is in place;
14 3) Mobile device has the remote wipe feature enabled; and
15 4) A secure connection is used.
16 B. CONTRACTOR-Owned Computers or Computer Peripherals
17 CONTRACTOR may not bring CONTRACTOR-owned computers or computer
18 peripherals into the COUNTY for use, including but not limited to mobile storage devices without prior
19 authorization from the COUNTY's Chief Information Officer, or her designee. If data is approved to be
20 transferred, data must be stored on a secure server approved by the COUNTY and transferred by means
21 of a Virtual Private Network(VPN) connection, or another type of secure connection. Said data must be
22 encrypted.
23 C. COUNTY-Owned Computer Equipment
24 CONTRACTOR may not use COUNTY computers or computer peripherals on non-
2 5 COUNTY premises without prior authorization from the COUNTY's Chief Information Officer, or her
26 designee.
27 D. CONTRACTOR may not store COUNTY's private, confidential or sensitive data on
28 any hard-disk drive, portable storage device, or remote storage installation unless encrypted.
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1 E. CONTRACTOR shall be responsible to employ strict controls to ensure the integrity
2 and security of COUNTY's confidential information and to prevent unauthorized access, viewing, use or
3 disclosure of data maintained in computer files, program documentation, data processing systems, data
4 files and data processing equipment which stores or processes COUNTY data internally and externally.
5 F. Confidential client information transmitted to one party by the other by means of
6 electronic transmissions must be encrypted according to Advanced Encryption Standards (AES) of 128
7 BIT or higher. Additionally, a password or pass phrase must be utilized.
8 G. CONTRACTOR is responsible to immediately notify COUNTY of any violations,
9 breaches or potential breaches of security related to COUNTY's confidential information, data
10 maintained in computer files, program documentation, data processing systems, data files and data
11 processing equipment which stores or processes COUNTY data internally or externally.
12 H. COUNTY shall provide oversight to CONTRACTORS' response to all incidents
13 arising from a possible breach of security related to COUNTY's confidential client information provided
14 to CONTRACTOR. CONTRACTOR will be responsible to issue any notification to affected individuals
15 as required by law or as deemed necessary by COUNTY in its sole discretion. CONTRACTOR will be
16 responsible for all costs incurred as a result of providing the required notification.
17 14. NON-DISCRIMINATION
18 A. Eli ig'bility for Services - CONTRACTOR shall prepare, prominently post in its
19 facility, and make available to the DBH Director or her designee and to the public all eligibility
20 requirements to participate in the program funded under this Agreement. CONTRACTOR shall not
21 unlawfully discriminate in the provision of services because of race, religious creed, color, national
22 origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital
23 status, sex, gender, gender identity, gender expression, age, sexual orientation, or military or veteran
24 status as provided by State of California and Federal law in accordance with Title VI of the Civil Rights
25 Act of 1964 (42 USC Section 2000(d)); Age Discrimination Act of 1975 (42 USC Section 1681);
26 Rehabilitation Act of 1973 (29 USC Section 794); Education Amendments of 1972 (20 USC Section
27 1681); Americans with Disabilities Act of 1990 (42 USC Section 12132); Title 45, Code of Federal
28 Regulations, Part 84; provisions of the Fair Employment and Housing Act(California Government Code
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1 Section 12900); and regulations promulgated thereunder(Title 2, CCR, Section 7285.0); Title 2, Division
2 3, Article 9.5 of the California Government Code commencing with Section 11135; and Title 9, Division
3 4, Chapter 6 of the California Code of Regulations commencing with Section 10800.
4 B. Equal Opportunity - CONTRACTOR shall comply with California Government
5 Code, Section 12990 and California Code of Regulations, Title II, Division 4, Chapter 5, in matters
6 related to the development, implementation, and maintenance of a nondiscrimination program.
7 CONTRACTOR shall not discriminate against any employee or applicant for employment because of
8 race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical
9 condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual
10 orientation, or military or veteran status. Such practices include retirement, recruitment, advertising,
11 hiring, layoff, termination, upgrading, demotion, transfer, rates of pay or other forms of compensation,
12 use of facilities, and other terms and conditions of employment. CONTRACTOR agrees to post in
13 conspicuous places, notices available to all employees and applicants for employment setting forth the
14 provisions of the Equal Opportunity Act(42 USC Section 2000(e)) in conformance with Federal
15 Executive Order No. 11246. CONTRACTOR agrees to comply with the provisions of the Rehabilitation
16 Act of 1973 (29 USC Section 794).
17 C. Suspension of Compensation - If an allegation of discrimination occurs, DBH-
18 SUD Services may withhold all further funds,until CONTRACTOR can show by clear and convincing
19 evidence to the satisfaction of DBH-SUD Services that funds provided under this Agreement were not
20 used in connection with the alleged discrimination.
21 D. Nepotism - Except by consent of the DBH Director or her designee, no person
22 shall be employed by CONTRACTOR who is related by blood or marriage to or who is a member of the
23 Board of Directors or an officer of CONTRACTOR.
24 E. New Facilities and Disability Access - New facilities shall be wheelchair
25 accessible and provide access to the disabled, consistent with Title 9, California Code of Regulations,
26 Section 10820. If a new facility will be utilized, a plan ensuring accessibility to the disabled must be
27 developed. DBH-SUD Services shall assess, monitor, and document CONTRACTORS' compliance
28 with the Rehabilitation Act of 1973 and Americans with Disabilities Act of 1990 to ensure that
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1 recipientsibeneficiaries and intended recipients/beneficiaries of services are provided services without
2 regard to physical or mental disability and that CONTRACTOR has provided a facility accessible to the
3 physically disabled.
4 15. NO THIRD PARTY BENEFICIARIES
5 It is understood and agreed by and between the parties that the services provided by
6 CONTRACTOR for COUNTY herein are solely for the benefit of the COUNTY, and that nothing in this
7 Agreement is intended to confer on any person other than the parties hereto any right under or by reason
8 of this Agreement.
9 16. COMPLIANCE WITH LAWS AND POLICIES
10 CONTRACTOR shall comply with all applicable laws, ordinances and regulations in the
11 performance of its obligations under this Agreement and guidelines applicable to CONTRACTORS'
12 performance under this Agreement or any local ordinances, regulations, or policies applicable. Such
13 provisions include, but are not restricted to:
14 A. CONTRACTOR shall submit accurate, complete and timely claims and cost
15 reports, reporting only allowable costs.
16 B. CONTRACTOR shall comply with statistical reporting and program evaluation
17 systems as provided in State of California regulations and in this Agreement.
18 17. CONFLICT OF INTEREST
19 No officer, agent, or employee of COUNTY who exercises any function or responsibility
20 for planning and carrying out the services provided under this Agreement shall have any direct or indirect
21 personal financial interest in this Agreement. In addition, no employee of the COUNTY shall be
22 employed by CONTRACTOR to fulfill any contractual obligations with COUNTY. The
23 CONTRACTOR shall also comply with all Federal, State of California, and local conflict of interest
24 laws, statutes, and regulations, which shall be applicable to all parties and beneficiaries under this
25 Agreement and any officer, agent, or employee of COUNTY.
26 18. STATE ALCOHOL AND DRUG REQUIREMENTS
27 A. INDEMNIFICATION
28 CONTRACTOR agrees to indemnify, defend and save harmless the State, its
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1 officers, agents and employees from any and all claims and losses accruing or resulting to any and all
2 contractors, subcontractors, material men, laborers and any other person, firm or corporation furnishing
3 or supplying work, services, materials or supplies in connection with the performance of this Agreement
4 and from any and all claims and losses accruing or resulting to any person, firm or corporation who may
5 be injured or damaged by the CONTRACTOR in the performance of this Agreement.
6 B. INDEPENDENT CONTRACTOR
7 CONTRACTOR and the agents and employees of CONTRACTOR, in the
8 performance of this Agreement, shall act in an independent capacity and not as officers or employees or
9 agents of State of California.
10 C. CONTROL REQUIREMENTS
11 This Agreement is subject to all applicable Federal and State laws, regulations and
12 standards. CONTRACTOR shall establish written procedures consistent with the State NNA
13 requirements. The provisions of this Agreement are not intended to abrogate any provisions of law or
14 regulation existing or enacted during the term of this Agreement.
15 D. NON - DISCRIMINATION PROVISION
16 1) Eli ig bility for Services
17 CONTRACTOR shall prepare and make available to COUNTY and
18 to the public all eligibility requirements to participate in the program plan set forth in CONTRACTORS'
19 response to the RFP. No person shall, because of ethnic group identification, age, sex, color, disability,
20 medical condition, national origin, race, ancestry, marital status, religion, religious creed,political belief
21 or sexual preference be excluded from participation, be denied benefits of, or be subject to discrimination
22 under any program or activity receiving Federal or State of California assistance.
23 2) EMPLOYMENT OPPORTUNITY
24 CONTRACTOR shall comply with COUNTY policy, and the Equal
25 Employment Opportunity Commission guidelines, which forbids discrimination against any person on
26 the grounds of race, color, national origin, sex, religion, age, disability status, or sexual preference in
27 employment practices. Such practices include retirement, recruitment advertising, hiring, layoff,
28 termination, upgrading, demotion, transfer, rates of pay or other forms of compensation, use of facilities,
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1 and other terms and conditions of employment.
2 3) SUSPENSION OF COMPETITION
3 If an allegation of discrimination occurs, COUNTY may withhold all
4 further funds,until CONTRACTOR can show clear and convincing evidence to the satisfaction of
5 COUNTY that funds provided under this Agreement were not used in connection with the alleged
6 discrimination.
7 4) NEPOTISM
8 Except by consent of COUNTY's DBH Director or her designee, no
9 person shall be employed by CONTRACTOR who is related by blood or marriage to, or who is a
10 member of the Board of Directors or an officer of CONTRACTOR.
11 E. CONFIDENTIALITY
12 CONTRACTOR shall conform to and COUNTY shall monitor compliance with all
13 State of California and Federal statutes and regulations regarding confidentiality, including but not
14 limited to confidentiality of information requirements at Part 2, Title 42, Code of Federal Regulations;
15 California Welfare and Institutions Code, Sections 14100.2, 11977, 11812, 5328; Division 10.5 and 10.6
16 of the California Health and Safety Code; Title 22, California Code of Regulations, Section 51009; and
17 Division 1, Part 2.6, Chapters 1-7 of the California Civil Code.
18 F. REVENUE COLLECTION POLICY
19 CONTRACTOR shall conform to all policies and procedures regarding revenue
20 collection issued by the State under the provisions of the Health and Safety Code, Division 10.5.
21 G. EXPENDITURE OF STATE GENERAL AND FEDERAL FUNDS
22 CONTRACTOR agrees that all funds paid out by the State shall be used exclusively
23 for providing alcohol and/or drug program services, administrative costs, and allowable overhead.
24 H. ACCESS TO SERVICES
25 CONTRACTOR shall provide accessible and appropriate services in accordance
26 with Federal and State statutes and regulations to all eligible persons.
27 19. DRUG-FREE WORKPLACE
28 CONTRACTOR shall comply with the requirements of the Drug-Free Work Place Act of
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1 1990 (California Government Code Section 8350).
2 20. DISCLOSURE OF SELF-DEALING TRANSACTIONS
3 This provision is only applicable if the CONTRACTOR is operating as a corporation (a
4 for-profit or non-profit corporation) or if during the term of this agreement, the CONTRACTOR changes
5 its status to operate as a corporation.
6 Members of the CONTRACTORS' Board of Directors shall disclose any self-dealing
7 transactions that they are a party to while CONTRACTOR is providing goods or performing services
8 under this Agreement. A self-dealing transaction shall mean a transaction to which the CONTRACTOR
9 is a party and in which one or more of its directors has a material financial interest. Members of the
10 Board of Directors shall disclose any self-dealing transactions that they are a party to by completing and
11 signing a Self-Dealing Transaction Disclosure Form (Exhibit C) and submitting it to the COUNTY prior
12 to commencing with the self-dealing transaction or immediately thereafter.
13 21. TAX EQUITY AND FISCAL RESPONSIBILITY ACT
14 To the extent necessary to prevent disallowance of reimbursement under Section 1861(v)
15 (1) (I) of the Social Security Act, (42 U.S.C. § 1395x, subd. (v)(1)[I]),until the expiration of four(4)
16 years after the furnishing of services under this Agreement, CONTRACTOR shall make available, upon
17 written request of the Secretary of the United States Department of Health and Human Services, or upon
18 request of the Comptroller General of the United States General Accounting Office, or any of their duly
19 authorized representatives, a copy of this Agreement and such books, documents, and records as are
20 necessary to certify the nature and extent of the costs of these services provided by CONTRACTOR
21 under this Agreement. CONTRACTOR further agrees that in the event CONTRACTOR carries out any
22 of its duties under this Agreement through a subcontract, with a value or cost of Ten Thousand and
23 No/100 Dollars ($10,000.00) or more over a twelve (12)month period, with a related organization, such
24 Agreement shall contain a clause to the effect that until the expiration of four(4) years after the
25 furnishing of such services pursuant to such subcontract, the related organizations shall make available,
26 upon written request of the Secretary of the United States Department of Health and Human Services, or
27 upon request of the Comptroller General of the United States General Accounting Office, or any of their
28 duly authorized representatives, a copy of such subcontract and such books, documents, and records of
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1 such organization as are necessary to verify the nature and extent of such costs.
2 22. SINGLE AUDIT CLAUSE
3 A. If CONTRACTOR expends Seven Hundred Fifty Thousand Dollars
4 ($750,000.00) or more in Federal and Federal flow-through monies, CONTRACTOR agrees to conduct
5 an annual audit in accordance with the requirements of the Single Audit Standards as set forth in Office
6 of Management and Budget (OMB) Circular A-133. CONTRACTOR shall submit said audit and
7 management letter to COUNTY. The audit must include a statement of findings or a statement that there
8 were no findings. If there were negative findings, CONTRACTOR must include a corrective action plan
9 signed by an authorized individual. CONTRACTOR agrees to take action to correct any material non-
10 compliance or weakness found as a result of such audit. Such audit shall be delivered to COUNTY's
11 Human Services Finance for review within nine (9) months of the end of any fiscal year in which funds
12 were expended and/or received for the program. Failure to perform the requisite audit functions as
13 required by this Agreement may result in COUNTY performing the necessary audit tasks, or at
14 COUNTY's option, contracting with a public accountant to perform said audit, or, may result in the
15 inability of COUNTY to enter into future agreements with CONTRACTOR. All audit costs related to
16 this Agreement are the sole responsibility of CONTRACTOR.
17 B. A single audit report is not applicable if CONTRACTOR's Federal contracts do not
18 exceed the Seven Hundred Fifty Thousand Dollars ($750,000.00)requirement or CONTRACTOR's only
19 funding is through Drug related Medi-Cal. If a single audit is not applicable, a program audit must be
20 performed and a program audit report with management letter shall be submitted by CONTRACTOR to
21 COUNTY as a minimum requirement to attest to CONTRACTOR's solvency. Said audit report shall be
22 delivered to COUNTY's Human Services Finance for review, no later than nine (9) months after the
23 close of the fiscal year in which the funds supplied through this Agreement are expended. Failure to
24 comply with this Act may result in COUNTY performing the necessary audit tasks or contracting with a
25 qualified accountant to perform said audit. All audit costs related to this Agreement are the sole
26 responsibility of CONTRACTOR who agrees to take corrective action to eliminate any material
27 noncompliance or weakness found as a result of such audit. Audit work performed by COUNTY under
28 this section shall be billed to the CONTRACTOR at COUNTY's cost, as determined by COUNTY's
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1 Auditor-Controller/Treasurer-Tax Collector.
2 C. CONTRACTOR shall make available all records and accounts for inspection by
3 COUNTY, the State of California, if applicable, the Comptroller General of the United States, the
4 Federal Grantor Agency, or any of their duly authorized representatives, at all reasonable times for a
5 period of at least three (3) years following final payment under this Agreement or the closure of all other
6 pending matters, whichever is later.
7 23. REFERENCES TO LAWS AND RULES
8 In the event any law, regulation, or policy referred to in this Agreement is amended during
9 the term thereof, the parties hereto agree to comply with the amended provision as of the effective date of
10 such amendment.
11 24. CHILD ABUSE REPORTING
12 CONTRACTOR shall utilize a procedure acceptable to COUNTY to ensure that all of
13 CONTRACTORS' employees, volunteers, consultants, subcontractors or agents performing services
14 under this Agreement shall report all known or suspected child abuse or neglect to one or more of the
15 agencies set forth in Penal Code Section 11165.9. This procedure shall include having all of
16 CONTRACTORS' employees, volunteers, consultants, subcontractors or agents performing services
17 under this Agreement sign a statement that he or she knows of and will comply with the reporting
18 requirements set forth in Penal Code Section 11166. The statement to be utilized by CONTRACTOR is
19 set forth in Exhibit D, attached hereto and by this reference incorporated herein.
20 25. CHARITABLE CHOICE
21 CONTRACTOR may not discriminate in its program delivery against a participant or
22 potential participant on the basis of religion or religious belief, a refusal to hold a religious belief, or a
23 refusal to actively participate in a religious practice. Any specifically religious activity or service made
24 available to individuals by the CONTRACTOR must be voluntary as well as separate in time and
25 location from County-funded activities and services. CONTRACTOR shall inform COUNTY as to
26 whether it is faith-based. If CONTRACTOR identifies as faith-based it must submit to DBH-SUD
27 Services a copy of its policy on referring individuals to alternate services CONTRACTOR, and include a
28 copy of this policy for participants upon entry to services. The policy must inform individuals that they
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1 may be referred to an alternative provider if they object to the religious nature of the program, and
2 include a notice to DBH-SUD Services. Adherence to this policy will be monitored during annual site
3 reviews. If CONTRACTOR identifies as faith-based, by July 1 of each year CONTRACTOR will be
4 required to report to DBH-SUD Services the number of individuals who requested referrals to alternate
5 providers based on religious objection.
6 26. EVALUATION AND MONITORING
7 COUNTY's DBH Director or her designee shall monitor and evaluate the performance of
8 CONTRACTOR under this Agreement to determine to the best possible degree the success or failure of
9 the services provided under this Agreement. At the discretion of the COUNTY, a subcontractor may be
10 obtained by the COUNTY to independently evaluate and monitor the performance of the
11 CONTRACTOR. CONTRACTOR shall participate in the evaluation of the program for time periods as
12 determined by COUNTY's DBH-SUD Services. CONTRACTOR shall participate in a program review
13 at least yearly, or as needed, at the discretion of COUNTY. The CONTRACTOR agrees to supply all
14 information requested by the COUNTY, County-subcontracted evaluator, State and/or Federal agency
15 during program evaluation, monitoring, and/or review.
16 COUNTY shall recapture from CONTRACTOR the value of any services or other
17 expenditures determined to be ineligible based on the COUNTY or State monitoring results. At the
18 discretion of the COUNTY recoupment can be made through a future invoice reduction or
19 reimbursement by the CONTRACTOR.
20 27. CULTURAL COMPETENCY
21 As related to Cultural and Linguistic Competence,CONTRACTOR shall comply with:
22 A. Title 6 of the Civil Rights Act of 1964(42 U.S.C. section 2000d, and 45 C.F.R. Part
23 80) and Executive Order 12250 of 1979 which prohibits recipients of federal financial assistance from
24 discriminating against persons based on race, color,national origin, sex, disability or religion. This is
25 interpreted to mean that a Limited English Proficient(LEP) individual is entitled to equal access and
26 participation in federally funded programs through the provision of comprehensive and quality bilingual
27 services.
28 B. Policies and procedures for ensuring access and appropriate use of trained interpreters
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1 and material translation services for all LEP consumers, including,but not limited to, assessing the cultural
2 and linguistic needs of its consumers,training of staff on the policies and procedures, and monitoring its
3 language assistance program. The CONTRACTOR's procedures must include ensuring compliance of any
4 sub-contracted providers with these requirements.
5 C. CONTRACTOR shall not use minors as interpreters.
6 D. CONTRACTOR shall provide and pay for interpreting and translation services to
7 persons participating in CONTRACTOR's services who have limited or no English language proficiency,
8 including services to persons who are deaf or blind. Interpreter and translation services shall be provided as
9 necessary to allow such participants meaningful access to the programs, services and benefits provided by
10 CONTRACTOR. Interpreter and translation services, including translation of CONTRACTOR's"vital
11 documents"(those documents that contain information that is critical for accessing CONTRACTOR's
12 services or are required by law) shall be provided to participants at no cost to the participant.
13 CONTRACTOR shall ensure that any employees, agents, subcontractors, or partners who interpret or
14 translate for a program participant, or who directly communicate with a program participant in a language
15 other than English,demonstrate proficiency in the participant's language and can effectively communicate
16 any specialized terms and concepts peculiar to CONTRACTOR's services.
17 E. In compliance with the State mandated Culturally and Linguistically Appropriate
18 Services standards as published by the Office of Minority Health, CONTRACTOR must submit to
19 COUNTY for approval,within 60 days from date of contract execution, CONTRACTOR's plan to address
20 all fifteen national cultural competency standards as set forth in the"National Standards on Culturally and
21 Linguistically Appropriate Services(CLAS)"attached hereto as Exhibit E and incorporated herein by
22 reference. COUNTY's annual on-site review of CONTRACTOR shall include collection of documentation
23 to ensure all national standards are implemented. CONTRACTOR may solicit complementary assistance
24 from OnTrack Consulting(http://ontrackconsulting.org/news/culturally-linguistically-appropriate-services
25 for training in plan development. As the national competency standards are updated, CONTRACTOR's
26 plan must be updated accordingly.
27 28. RECORDS
28 A. Record Establishment and Maintenance - CONTRACTOR shall establish and
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1 maintain records in accordance with State and Federal rules and regulations in addition to those
2 requirements prescribed by COUNTY with respect to all matters covered by this Agreement. Except as
3 otherwise authorized by COUNTY, CONTRACTOR shall retain all other records for a period of five (5)
4 years after receiving the final payment under this Agreement or the earlier termination of this Agreement,
5 or until State and/or Federal audit findings applicable to such services are resolved, whichever is later.
6 B. Documentation - CONTRACTOR shall maintain adequate records in sufficient
7 detail to make possible an evaluation of services, and contain all the data necessary in reporting to the
8 State of California and/or Federal agency. All client records shall be maintained pursuant to applicable
9 State of California and Federal requirements concerning confidentiality.
10 C. Reports - CONTRACTOR shall submit to COUNTY monthly fiscal and all
11 program reports as further described in Section Thirty(30), REPORTS and as indicated in Exhibit A.
12 Following the end of each fiscal year affected by this Agreement, CONTRACTOR shall submit a
13 complete and accurate year-end cost report. CONTRACTOR shall also furnish to COUNTY such
14 statements, records, reports, data, and information as COUNTY may request pertaining to matters
15 covered by this Agreement. All reports submitted by CONTRACTOR to COUNTY must be typewritten.
16 D. Suspension of Compensation - In the event that CONTRACTOR fails to provide
17 reports specified in this Agreement, it shall be deemed sufficient cause for COUNTY to withhold
18 payments until there is compliance.
19 E. Disallowances—Payments by COUNTY shall be in arrears, for services provided
20 during the preceding month, within forty-five (45) days after receipt, verification and approval of
21 CONTRACTORS' invoices by COUNTY'S DBH-SUD Services. If payment for services is denied or
22 disallowed by State; and subsequently resubmitted to COUNTY by CONTRACTOR, the disallowed
23 portion will be withheld from the next reimbursement to the CONTRACTOR until COUNTY has
24 received reimbursement from State for said services.
25 F. Client Confidentiality—CONTRACTOR shall conform to and COUNTY shall
26 monitor compliance with all State and Federal statutes and regulations regarding confidentiality,
27 including but not limited to confidentiality of information requirements of 42 Code of Federal
28 Regulations § 2.1 et seq., Welfare and Institutions Code §§ 5328, 10850 and 14100.2, Health and Safety
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1 Code §§ 11977 and 11812, Civil Code, Division 1, Part 2.6, and 22 California Code of Regulations §
2 51009.
3 29. DISCLOSURE OF OWNDERSHIP AND CONTROL INTEREST INFORMATION
4 This provision is only applicable if CONTRACTOR is a disclosing entity, fiscal agent, or
5 managed care entity as defined in Code of Federal Regulations (C.F.R), Title 42 § 455.101 455.104, and
6 455.106(a)(1),(2).
7 In accordance with C.F.R., Title 42 §§ 455.101, 455.104, 455.105 and 455.106(a)(1),(2),
8 the following information must be disclosed by CONTRACTOR by completing Exhibit F, "Disclosure of
9 Ownership and Control Interest Statement", attached hereto and by this reference incorporated herein.
10 CONTRACTOR shall submit this form to the Department of Behavioral Health within thirty(30) days of
11 the effective date of this Agreement. Submissions shall be scanned pdf copies and are to be sent via
12 email to DBHAdministration(aco.fresno.ca.us attention: Contracts Administration:
13 1. Name and address of any person(s) whether it be an individual or corporation with an
14 ownership or controlling interest in the disclosing entity or managed care entity
15 a) Address must include the primary business address, every business location and
16 P.O. Box address(es)
17 b) Date of birth and Social Security Number for individuals
18 c) Tax identification number for other corporations or entities with ownership or
19 controlling interest in the disclosing entity
20 2. Any subcontractor in which the disclosing entity has five (5)percent or more interest
21 3. Whether the person(s)with an ownership or controlling interest of the disclosing entity
22 is related to another person having ownership or controlling interest as a parent, spouse,
23 sibling or child. Including whether the person(s) with ownership or controlling interest
24 of the disclosing entity is related to a person (parent, spouse, sibling or child)with
25 ownership or has five (5)percent or more interest in any of its subcontractors.
26 4. Name of any other disclosing entity in which an owner of the disclosing entity has an
27 ownership or control interest.
28 5. The ownership of any subcontractor with whom the provider has had business
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1 transactions totaling more than $25,000 during the 12-month period ending on the date
2 of the request; and
3
6. Any significant business transactions between the provider and any wholly owned
4
supplier, or between the provider and any subcontractor, during the 5-year period
5 ending on the date of the request.
6
7. Any person(s) with an ownership or control interest in the provider, or agent or
7
managing employee of the provider; and
8 a) Has been convicted of a criminal offense related to that person's involvement in any
9 program under Medicare, Medicaid, or the title XX services program since the
10
inception of those programs.
11
8. The ownership of any subcontractor with whom the provider has had business
12 transactions totaling more than $25,000 during the 12-month period ending on the
13
date of the request; and
14 a) Any significant business transactions between the provider and any wholly owned
15
supplier, or between the provider and any subcontractor, during the 5-year period
16
ending on the date of the request.
17 30. REPORTS
18 CONTRACTOR shall submit to COUNTY's DBH-SUD Services such statements, records,
19 reports, data, and other information as the COUNTY may request pertaining to matters covered by this
20
Agreement.
21
1. CalOMS - Prevention service/activity data is to be reported via California's
22
Outcomes Measurement System (CalOMS). Services are to be reported by the date of occurrence on a
23 weekly basis. No more than one week's data shall be aggregated into one reported service. Program data
24
and any other information required to report progress on prevention goals and objectives to the State of
25 California for the CalOMS Annual Progress Report shall be provided to the County-contracted Program
26 Evaluator and/or County no later than September 1 of each fiscal year.
27
2. Measurement Tools - In addition to other program activities and outcomes reporting
28 as may be required by this Agreement, CONTRACTOR shall implement program measurement tools
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1 and report program activities and outcomes as directed by the Program Evaluator and/or COUNTY staff.
2 3. Cost Reports—On an annual basis for each fiscal year ending June 30th
3 CONTRACTOR shall submit a complete and accurate detailed cost report(s). Cost reports must be
4 submitted to the COUNTY as a hard copy with a signed cover letter and an electronic copy by the due
5 date. Submittal must also include any requested support documents such as general ledgers. All reports
6 submitted by CONTRACTOR to COUNTY must be typewritten. COUNTY will issue instructions for
7 completion and submittal of the annual cost report, including the relevant cost report template(s) and due
8 dates within forty-five (45) days of each fiscal year end. All cost reports must be prepared in accordance
9 with Generally Accepted Accounting Principles. Unallowable costs such as lobbying or political
10 donations must be deducted from the cost report and all invoices. If the CONTRACTOR does not submit
11 the cost report by the due date, including any extension period granted by the COUNTY, the COUNTY
12 may withhold payment of pending invoices until the cost report(s)has been submitted and clears
13 COUNTY desk audit for completeness and accuracy.
14 During the term of this Agreement and thereafter, COUNTY and CONTRACTOR agrees
15 to settle dollar amounts disallowed or settled in accordance with California Department of Health Care
16 Services (DHCS) and COUNTY audit settlement findings related to the DMC and realignment
17 reimbursements. DHCS audit process is approximately eighteen(18) to thirty-six (36) months following
18 the close of the State fiscal year. COUNTY may choose to appeal DHCS settlement results and therefore
19 reserves the right to defer payback settlement with CONTRACTOR until resolution of the appeal.
20 In the event that CONTRACTOR fails to provide such reports or other information
21 required hereunder, it shall be deemed sufficient cause for the COUNTY to withhold monthly payments
22 until there is compliance. In addition, the CONTRACTOR shall provide written notification and
23 explanation to the COUNTY within fifteen(15) days of any funds received from another source to
24 conduct the same services covered by this Agreement.
25 31. PROPERTY OF COUNTY
26 A. All purchases over Five Thousand and No/100 Dollars ($5,000.00) shall be
27 identified as fixed assets and shall be maintained in COUNTY's Asset Management System. Certain
28 purchases under Five Thousand and No/100 Dollars ($5,000.00) including but not limited to computers,
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1 copiers, televisions, cameras and other sensitive items as determined by COUNTY's DBH Director or
2 designee made during the life of this Agreement shall be identified as assets that can be inventoried and
3 maintained in COUNTY's DBH Asset Inventory System. These assets shall be retained by COUNTY, as
4 COUNTY property, in the event this Agreement is terminated or upon expiration of this Agreement.
5 CONTRACTOR agrees to participate in an annual inventory of all COUNTY fixed and inventoried
6 assets and shall be physically present when fixed and inventoried assets are returned to COUNTY
7 possession at the termination or expiration of this Agreement. CONTRACTOR is responsible for
8 returning to COUNTY all COUNTY owned fixed and inventoried assets, or the monetary value of said
9 assets if unable to produce the assets at the expiration or termination of this Agreement.
10 CONTRACTOR further agrees to the following:
11 1. To maintain all items of equipment in good working order and condition,
12 normal wear and tear is expected;
13 2. To label all items of equipment, to perform periodic inventories as required
14 by COUNTY and to maintain an inventory list showing where and how the equipment is being used, in
15 accordance with procedures developed by COUNTY. All such lists shall be submitted to COUNTY
16 within ten(10) days of any request therefore; and
17 3. To report in writing to COUNTY immediately after discovery, the lost or
18 theft of any items of equipment. For stolen items, the local law enforcement agency must be contacted
19 and a copy of the police report submitted to COUNTY.
20 B. The purchase of any equipment by CONTRACTOR with funds provided hereunder
21 shall require the prior written approval of COUNTY's DBH Director or designee, shall fulfill the
22 provisions of this Agreement as appropriate, and must be directly related to CONTRACTORS' services
23 or activity under the terms of this Agreement. COUNTY's DBH Director or designee may refuse
24 reimbursement for any costs resulting from equipment purchased, which are incurred by
2 5 CONTRACTOR, if prior written approval has not been obtained from COUNTY.
26 C. The terms and conditions described in this Section are not applicable to the leasing
27 of vehicles by CONTRACTOR with the funds provided under this Agreement.
28
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1 32. PROHIBITION ON PUBLICITY
2 None of the funds, materials,property or services provided directly or indirectly under this
3 Agreement shall be used for CONTRACTORS' advertising, fundraising, or publicity(i.e., purchasing of
4 tickets/tables, silent auction donations, etc.) for the purpose of self-promotion. Notwithstanding the
5 above,publicity of the services described in Section One (1), CONTRACTOR's REPONSIBILITIES of
6 this Agreement shall be allowed as necessary to raise public awareness about the availability of such
7 specific services when approved in advance by the DBH Director or her designee and at a cost as
8 provided in Exhibit B for such items as written/printed materials, the use of media(i.e., radio, television,
9 newspapers) and any other related expense(s).
10 33. AUDITS AND INSPECTIONS
11 CONTRACTOR shall at any time during business hours, and as often as COUNTY may
12 deem necessary, make available to COUNTY for examination all of its records and data with respect to
13 the matters covered by this Agreement. CONTRACTOR shall,upon request by COUNTY, permit
14 COUNTY to audit and inspect all such records and data necessary to ensure CONTRACTORS'
15 compliance with the terms of this Agreement.
16 If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00),
17 CONTRACTOR shall be subject to the examination and audit of the State of California Auditor General
18 for a period of three (3) years after final payment under Contract(California Government Code Section
19 8546.7).
20 Notwithstanding the provisions stated in Section Three (3), TERMINATION of this
21 Agreement, it is acknowledged by the parties hereto that this Agreement shall continue in full force and
22 effect until all audit procedures and requirements as stated in this Agreement have been completed to the
23 review and satisfaction of COUNTY. CONTRACTOR shall bear all costs in connection with or
24 resulting from any audit and/or inspections including, but not limited to, actual costs incurred and the
25 payment of any expenditures disallowed by either COUNTY, State, or Federal governmental entities,
26 including any assessed interest and penalties.
27 34. NOTICES
28 The persons and their addresses have authority to give and receive notices under this
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1 Agreement include the following:
2 COUNTY CONTRACTOR
3 Director Chief Executive Officer
4 Fresno County DBH California Health Collaborative
5 3133 N. Millbrook Ave 1680 West Shaw Avenue
6 Fresno, CA 93703 Fresno, CA 93711-3504
7 35. CHANGE OF LEADERSHIP/MANAGEMENT
8 Any and all notices between COUNTY and CONTRACTOR provided for or permitted
9 under this Agreement or by law, shall be in writing and shall be deemed duly served when personally
10 delivered to one of the parties, or in lieu of such personal service, when deposited in the United States
11 Mail, postage prepaid, addressed to such party.
12 In the event of any change in the status of CONTRACTORS' leadership or management,
13 CONTRACTOR shall provide written notice to COUNTY within thirty(30) days from the date of
14 change. Such notification shall include any new leader or manager's name, address and qualifications.
15 "Leadership or management" shall include any employee, member, or owner of CONTRACTOR who
16 either a) directs individuals providing services pursuant to this Agreement, b) exercises control over the
17 manner in which services are provided, or c) has authority over CONTRACTORS' finances.
18 36. GOVERNING LAW
19 The parties agree that for the purpose of venue, performance under this Agreement is in
20 Fresno County, California.
21 The rights and obligations of the parties and all interpretation and performance of this
22 Agreement shall be governed in all respects by the laws of the State of California.
23 37. CONTRACTOR DOCUMENTATION
24 CONTRACTORS that are not licensed or certified by the State must submit organizational
2 5 documents to the State within thirty(30) days of Agreement execution date, within ninety(90) days of
26 the renewal or continuation of this Agreement or when there has been a change in name or ownership.
27 Organizational documents include Articles of Incorporation or Partnership Agreements (as applicable),
28 and business licenses, fictitious name permits, and such other information and documentation as may be
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1 requested by the State. CONTRACTORS not meeting these requirements may have payments withheld
2 and/or contracts terminated.
3 38. NO UNLAWFUL USE OR UNLAWFUL USE MESSAGES REGARDING DRUGS
4 CONTRACTOR agrees that information produced through these funds, and which pertains
5 to drug- and alcohol-related programs, shall contain a clearly written statement that there shall be no
6 unlawful use of drugs or alcohol associated with the program. Additionally, no aspect of a drug- or
7 alcohol-related program shall include any message on the responsible use, if the use is unlawful, of drugs
8 or alcohol (HSC Section 11999).
9 39. SMOKING PROHIBITION REOUIREMENTS
10 CONTRACTOR shall comply with Public Law 103-227, also known as the Pro-Children
11 Act of 1994 (20 USC Section 6081, et seq.), and with California Labor Code Section 6404.5, the
12 California Smoke-Free Workplace Law.
13 40. REPORTING REQUIREMENTS, COPYRIGHT AND PATENTS
14 The awarding agency's reporting requirements are stated in Section Thirty(30),REPORTS in
15 this Agreement. The awarding agency's requirements and regulations pertaining to copyright and rights in
16 data, and patent rights with respect to any discovery or invention which arise or is developed in the course of
17 or under this Agreement(if any), are likewise stated in this Agreement.
18 41. CLEAN AIR AND WATER
19 In the event funding under this Agreement exceeds One Hundred Thousand Dollars
20 ($100,000.00),the CONTRACTOR must comply with all applicable standards, orders, or requirements
21 issued under section 306 of the Clean Air Act(42 U.S.C. 1857 (h)), section 506 of the Clean Water Act(33
22 U.S.C. 1368),Executive Order 11738, and Environmental Protection Agency Regulations (40 CFR part 32).
23 42. TRAFFICKING IN PERSONS PROVISIONS—PRIVATE ENTITY
24 CONTRACTOR shall conform to all Federal statutes and regulations prohibiting
25 trafficking in persons, as well as trafficking-related activities, including,but not limited to the trafficking
26 of persons provisions in Section 106(g) of the Trafficking Victims Protection Act of 2000 (TVPA).
27 CONTRACTOR, CONTRACTOR's employees, subrecipients, and subrecipients'
28 employees may not:
- 30 - COUNTY OF FRESNO
Fresno,CA
1 A. Engage in severe forms of trafficking in person during the period of time that the
2 award is in effect;
3 B. Procure a commercial sex act during the period of time that the award is in effect; or
4 C. Use forced labor in the performance of the award or subawards under the award.
5 This agreement may be unilaterally terminated, without penalty, if CONTRACTOR or a
6 subrecipient that is a private entity is determined to have violated a prohibition of the TVPA or has an
7 employee who is determined by the DBH Director or her designee to have violated a prohibition of the
8 TVPA through conduct that is either associated with performance under the award or imputed to the
9 CONTRACTOR or their subrecipient using the standards and due process for imputing the conduct of an
10 individual to an organization that are provided in 2 C.F.R. Part 180, "OMB Guidelines to Agencies on
11 Government-wide Debarment and Suspension(Nonprocurement)."
12 CONTRACTOR must inform the DBH Director or her designee immediately of any
13 information received from any source alleging a violation of a prohibition of the TVPA.
14 43. ENERGY EFFICIENCY
15 The CONTRACTOR must comply with the mandatory standards and policies relating to
16 energy efficiency which are contained in the state energy conservation plan issued in compliance with
17 Energy Policy and Conservation Act(Pub. L. 94 163).
18 44. ENTIRE AGREEMENT
19 This Agreement, including RFP No. 952-5414, Addendum I, and all Exhibits attached
20 hereto, constitute the entire Agreement between the CONTRACTOR and COUNTY with respect to the
21 subject matter hereof and supersedes all previous negotiations,proposals, commitments, writings,
22 advertisements, publications, and understandings of any nature whatsoever unless expressly included in
23 this Agreement.
24 IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT as of the day and year
25
first hereinabove written.
26
27
28
- 31 - COUNTY OF FRESNO
Fresno,CA
1 IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT as of the day and year
2 first hereinabove written.
3
4 ATTEST:
5 CONTRACTOR: COUNTY OF FRESNO
LPC CONSULTING ASSOCIATES,INC.
6
By: , C° ,. By.
7 Ernest Buddy Mende ,Chairman
8 Board of Supervisors
Print Name: L=e P. Cannadv
9
10 Date: 7 - l a-11D
Title: President
11 Chairman, President or Vice President
12 BERNICE E. SEIDEL, Clerk
I13 Date: June 9. 2016 Board of Supervisors
14 ,
By By: 4a,
15
Print Name: —DAyi ot— rorok-
16 Date: I L0
17 Title: '�'e«4-*O"-1 i"`r�ASC&C %r, PLEASE SEE ADDITIONAL
Secretary(of Corporation),Assistant Secretary, SIGNATURE PAGE ATTACHED
18 Chief Financial Officer or Assistant Treasurer
19 Date:
20
21
22
23
Mailing Address:
24 2015 J Street,Suite 205
Sacramento, CA 95811-3124
2 5 Phone No.: (916)448-8026
26 Contact: President
27
28
- 32 - COUNTY OF FRESNO
Fresno,CA
I APPROVED AS TO ACCOUNTING FORM:
2 VICKI CROW, C.P.A., AUDITOR-CONTROLLER/
TREASURER-TAX COLLECTOR
3
4
5 By:
6
7 APPROVED AS TO LEGAL FORM:
8 COUNTY COUNSEL
DANIEL C. CEDERBORG
9
10
11 By:
12
13 REVIEWED AND RECOMMENDED FOR
14 APPROVAL:
15
16
17 By: l .tii�,tti_
Dawan Utecht, Director
18 Department of Behavioral Health
19
20
21
22 Fund/Subclass: 0001/10000
23
24 Organization: 56302081
25 Account/Program: 7295/0
26 jc
27
28
- 33 - COUNTY OF FRESNO
Fresno,CA
Exhibit A
Page 1 of 11
SCOPE OF WORK
Overview Evaluation of Substance Abuse Prevention Services in Fresno County
LPC will evaluate the community-wide initiative to decrease alcohol and drug use in youth and young
adults, specifically focusing on three objectives:
1) Decrease underage alcohol use by decreasing youth access to alcohol from adults and increasing
the average age of onset for alcohol use.
2) Decrease marijuana use among youth and increase the average age of onset for youth using
marijuana by increasing education and awareness about the consequences of marijuana use.
3) Decrease prescription drug and over-the-counter drug misuse by increasing public education
and awareness about the consequences of prescription misuse, and increasing efforts for safe
disposal of medications.
To achieve these objectives, LPC will work with the county and the prevention provider contracted to
implement evidenced based prevention programs and strategies from July 1, 2016 to June 30, 2020.
The evaluation of this initiative will be multi-site and multi-program, measuring how each provider
program is meeting its objectives, and how the county is meeting their overall goal identified in the
current SPP. The following section describes how LPC will conduct this evaluation, which is based on a
careful review and thorough understanding of the Strategic Prevention Framework (SPF) and the 2015-
2020 Fresno County-wide Alcohol and Other Drug(AOD) Strategic Prevention Plan (SPP).
Scope of Work
The 2015-20 SPP Logic Model and Implementation Plan provides the basis for the research questions
that will guide the development and implementation of the substance abuse prevention services
evaluation study (Figure 3).These broad questions will facilitate the framing of more detailed questions
for process and outcome evaluation data collection and analysis, and define data sources for both
quantitative and qualitative data.
Figure 1 -Research Questions for Proposed Evaluation Study
Questions ProcessOutcomes
How are the funded prevention projects being implemented in Fresno County X
countywide, and across sites?
What are the barriers to implementation and how have they been addressed? X
What lessons are being learned about prevention program implementation with X
specific populations, in specific geographic regions of the county(e.g., urban and rural)?
Who are the participants in the prevention programs? What are their demographic X
characteristics and risk factors for substance use and abuse?
What is the impact on the program participants? X
How have knowledge,attitudes and beliefs change during the SPP? X
What is the impact of the program on behavior among individual participants?At the X
school site and the County level?
The following sections describe the evaluation plan by major activity and year.
1
Exhibit A
Page 2 of 11
Year One
The first year of the evaluation will include: 1) the development of a comprehensive evaluation plan; 2)
meeting with prevention program staff to develop individualized evaluation plans; 3) reviewing options
for a countywide measure of youth and young adult behavior; 4) training and technical support to
launch the evaluation; 5) preliminary data analysis and reporting; and 6) meetings with DBH-SUD staff
and prevention program staff to include them in the design process, and to ensure data collection,
analysis and reporting addresses their needs. The evaluation will ensure that data is meaningful, shared,
and utilized to advance program implementation and inform decision making and accountability.
Evaluation Plan
LPC will collaborate with DBH-SUD staff and the prevention programs during the development of the
evaluation plans during the first three months of contract award. The evaluation plans will provide a
framework for tracking and reporting all strategic outcomes and will include a plan to gather
community-level data on youth and young adult alcohol and drug use, either from existing sources or
from a developed survey and survey administration protocol. The Evaluation Plan will be drafted using
the steps outlined in the work plan in Figure 4 below.
Figure 2-Year One Evaluation Work Plan: Evaluation Plan Phase
Milestones and
Tasks and Activities Deliverables Timeline
Meet with DBH-SUD staff to review proposed evaluation, update Collect new or additional By 7/30/16
information on prevention contracts,and clarify roles and materials to inform
(meetings
responsibilities evaluation design
within one
Memorandum to DBH-SUD week of
with summary from contract
meetings,decisions, and award)
roles and responsibilities
(within 5 days of meetings)
Convene brainstorming sessions with DBH-SUD staff and all funded Data collection plan (to By 7/30/16
prevention programs to collaboratively develop a strategic plan for be reflected in evaluation
county-wide data collection.This will provide an opportunity to plan)
introduce the evaluation team and collectively review scopes of
work and proposed evaluation plan, expectations,and tentative
schedule, as well as discuss county level data collection challenges
and ways to address these challenges.
Draft individual provider program evaluation plans. Evaluation plans 8/31/16
Develop checklist of data elements to be collected for the Data checklist and status 9/30/16
evaluation,citing sources of existing data, and anticipated schedule List of data sources,
for updates. questions, and who and
Review sources of data for community level for youth and young how data is collected,and 9/30/16
adult AOD use, and develop a plan for collecting community level availability of data sets.
data.
Develop additional process data collection forms and tools, based Data collection forms for 9/15/16
on program needs and work plans. primary data collection (drafts to
2
Exhibit A
Page 3 of 11
Milestones and
Tasks and Activities Deliverables Timeline
Submit forms and tools to DBH-SUD staff and key prevention (e.g.,tracking logs, DBH-SUD)
program staff for review and feedback; revise as directed. activity reporting forms) 9/30/16
Revise and finalize data collection forms and tools. (revise)
Provide each prevention program with an individualized evaluation Prevention program 9/30/16
plan that includes measureable activities and timelines consistent evaluation plan and
with the SPP. timeliness.
Draft comprehensive evaluation plan with detailed tasks, roles and Detailed Evaluation Plan 9/30/16
responsibilities,data collection forms and tools,and timelines for
reporting and other deliverables. Will include annual work plans for
each contracted prevention program,with measurable activities
and timelines.
The first phase of the evaluation will focus on meeting DBH-SUD staff and prevention programs to begin
developing a collaborative working relationship, and to clarify roles and responsibilities, expectations,
and steps for the proposed evaluation. We propose a brainstorming meeting in the first month of the
evaluation contract with LPC staff, DBH-SUD staff, and all funded prevention programs to collaboratively
develop a strategic methodology for shared data collection tools across sites, potential County-wide
indicators, and shared evaluation capacity across the provider agency. A shared strategy from the outset
will help inform LPC's development of evaluation plans and resources for each program, develop data
collection tools and protocols, provide technical assistance for collection and reporting data, and
address any potential challenges with programming or data collection. From these meetings, LPC will
create a detailed evaluation plan and protocol, with data collection tools and an evaluation plan for
DBH-SUD staff.The data collection tools will reflect services provided in each strategy area and will align
directly with the goals, objectives, and outcomes identified in the SPP logic models. The project plans
and protocols, and the county evaluation plan, will be completed within first three months of the
contract award.
Data Collection
LPC will provide each prevention program with training and a data collection plan and protocol within
three months of the contract award. Many of these data collection tools will align with CalOMS to assist
the programs with CalOMS reporting. As needed, others will be designed to gather process data to
enrich the evaluation and assist with "telling the story" of alcohol and drug prevention in Fresno County.
Following the provider trainings, LPC staff will contact the designated staff member in each program on
a regular basis to provide ongoing technical support for data collection and data entry.
LPC will utilize CalOMS data for the evaluation as much as possible to lessen duplicate data entry among
the programs. We will also create a simple web-based data reporting system to assist in regular data
reporting from the prevention programs, and prevention programs will be expected to complete this
quarterly, one-month after the close of each quarter.This process will provide up-to-date status reports
on implementation progress, and be summarized and reported back to the programs and DBH-SUD staff
in a data dashboard format. This process will assist with monitoring implementation progress
continually throughout each program year, for the evaluation staff, for DBH-SUD staff, as well as for the
prevention provider staff, and is an excellent source of implementation and data quality control.
3
Exhibit A
Page 4 of 11
LPC will assist the prevention programs in creating a small number of additional data collection tools and
mechanisms to facilitate their own internal evaluation process. LPC will provide feedback on new and/or
existing tools, knowing that this data is for the internal evaluation of the provider's programs, and that
this data will be analyzed by program staff and be a source of program feedback to the programs.
If at the time of this contract award, Fresno County school districts are not committed to administering
the CHKS, LPC will work with DBH-SUD and the prevention programs on identifying alternatives. These
may include, but are not limited to, developing a standardized survey tool and methodology to assess
AOD attitudes and behaviors at least biennially or working with the developers of the CHKS on a shorter
alternative format of the survey. LPC recommends that either DBH-SUD or the prevention provider
obtain MOUs with the school districts to ensure a consistent source of data for this SPP period.To lessen
the burden of surveying in schools, LPC highly recommends that prevention programs not individually
administer additional surveys to students. If LPC must develop a customized survey for Fresno County,
the survey will assess alcohol, marijuana, and prescription drug misuse among youth and young adults
to meet the county SPP objectives, and will take into account the needs of each program, with a defined
methodology and schedule. This survey will be pilot tested and used throughout Fresno County in
program sites, surveying the same sites at each administration. Preferably, this survey will be
administered annually, with baseline data collected in year one (2016/17), so we can compare baseline
to the final year (2019/20). However, the survey may need to be administered biennially to gain
agreement from participating school districts. By doing this, the evaluation will be assured a uniform
survey methodology among the prevention programs, and lessen the impact of surveying at schools.
We anticipate a wide variety of programs serving a diverse population across Fresno County. In order to
hear directly from participants, especially youth and young adults and increase their voice and
leadership in the community, we will conduct interviews and focus groups with clients, participants, and
stakeholders. The interview and focus group questions will elicit input related to: (a) observations about
emerging alcohol and drug use trends or behaviors; (b) awareness and utilization of existing resources
and community assets for prevention, intervention, and treatment; (c) identification of needs based on
gaps and systemic barriers; (d) how youth and young adults are responding to the prevention programs;
and (e) challenges related to implementation of prevention programs funded by Fresno County. These
qualitative methods will fill in gaps that are not addressed with quantitative data, and enrich the
evaluation with qualitative feedback and stories.
The evaluation plan will include data collection protocols for prevention programs and a resource that
supports participant and program level data collection. The protocol will explain the purpose and origin
of all data collection forms and tools, and include the tools, and a schedule outline for data retrieval. The
data collection protocol will be based on the forms and tools developed in the first three months of the
evaluation, all of which will include provider input and feedback. The protocols will provide the basis for
the initial training with programs, to ensure they understand how to use the data collection forms and
tools and to familiarize them with data reporting. The protocol will include contact information for
ongoing technical support from LPC staff.
Data Analysis & Reporting
Data analysis will address the target measures identified in the goals and objectives for the 2015-20 SPP
Logic Model. Findings will present frequency distributions for demographic and other characteristics of
program participants; analyze outcomes in terms of rates of change as well as proportion of participants
4
Exhibit A
Page 5 of 11
in various levels of change; and ultimately, cross tabulate specific participant outcomes with risk or
other characteristics, and by program. LPC will analyze trends for community level indicators, utilizing
CHKS (if available), CalOMS, CJSC, CHIS, and NSDUH data, and annually present findings, using GIS
mapping and data visualization.
LPC will submit status reports with invoices, describing accomplishments, identifying challenges or
barriers, and describing or requesting remedial actions to address the challenges encountered (e.g., lack
of response from programs, problems with data collection). LPC's status reports also project activities
for the coming month, with milestones for marking progress toward evaluation goals.
Pursuant to the requirements in the RFP, LPC will provide a summary report of evaluation activities at
three, six, and twelve months in Year One. In addition, LPC will provide a quarterly summary of the
prevention provider's data in a data dashboard format to DBH-SUD staff and programs throughout the
project.
• The 3-month report (due on 9/30/16) will consist primarily of the evaluation plan with the data
collection tools, prevention program work plans, the data collection protocol, and a summary
overview of the process and deliverables for the evaluation start up.
• The 6-month report (due on 12/31/16) will include a status report on all evaluation start-up
activities, a summary of evaluation accomplishments to date and a status of prevention
programs' activities and data collection based on the prevention provider's CalOMS data and
quarterly reporting to LPC.
• The 12-month report will include an annotated outline for the Year One report. The year one
comprehensive report will include: 1) a status report on evaluation activities and
accomplishments to date, 2) a summary of process and outcome findings based on site visits,
interviews and focus groups with program staff, stakeholders and program participants, 3)
implementation and demographic data collected by CaIOMS, and 4) baseline data for alcohol,
marijuana, and prescription drug misuse among youth and young adults. Each prevention
program will also receive an individualized evaluation report.
These reports will include status updates toward implementation and outcomes objectives, key findings
and recommendations. LPC will share these reports with each prevention program, and revise
evaluation work plans, as necessary.
LPC will present the findings in the context of progress toward the goals and objectives outlined in the
Logic Models. The annual evaluation report will focus on data collected on individual program
participants and program implementation, and will identify emerging alcohol and drug use issues and
trends from secondary data over the previous five years to be obtained primarily from CHKS, CHIS,
CaIOMS, and other community level data that is readily accessible. The report will include individual
summary reports for each prevention program, as well as a comprehensive report for Fresno County.
LPC will submit and review the reports with key staff from each prevention program and with Fresno
County DBH-SUD staff.
LPC will submit annual progress reports toward the evaluation goals and objectives for Fresno County in
the CalOMS Prevention website, as required by the Department of Alcohol and Drug Programs. LPC staff
will review CalOMS program data quarterly as we pull data for the quarterly data reports.
Figure 5 below presents an overview of core tasks, milestones and deliverables, and the projected
5
Exhibit A
Page 6 of 11
timeline for the data collection and analysis phase of Year One. Reports are shown as deliverables.
Figure 3-Year One(2016/17) Evaluation Work Plan: Data Collection and Analysis Phase
DeliverablesTasks and Activities Milestones and
Develop web-based quarterly evaluation reporting template for Web-based reporting 10/15/16
each prevention program. system.
Provide training to provider staff for data entry. Written instructions for each 10/15/16
program on data collection
and reporting.
Participate in monthly program meetings Meeting notes and agendas Monthly,as
determined
by DBH-SUD
Participate in quarterly provider meetings Prevention provider meeting Quarterly,as
notes and agendas determined
by DBH-SUD
If needed,create a universal data collection tool to be used by all Data collection tool and 10/30/16
programs biennially,with uniform methodologies,and a protocol administration plan and
for survey administration for programs to use at the same school methodology.
sites throughout the 2016-20.
Survey implemented during 2016/17 to collect baseline. Survey data By 5/31/17
Draft interview and focus groups questions for programs,youth, Interview protocols 12/31/16
young adults,and stakeholders
Focus group protocols
Develop site visit schedule Site visit schedule 12/31/16
Solicit contact information for stakeholders to interview Contact list for qualitative 12/31/16
data collection activities
Solicit contact information for focus groups with youth and young 1/30/17
adult participants,Youth Advisory Committees,and other key
constituency groups(to be determined during evaluation plan
phase)
Schedule site visits with each prevention program Site visit schedule 1/30/17
Conduct semi-annual site visits to meet programs,collect Qualitative data collection 1/30/17
qualitative data, and observe program services where feasible (observation checklist, 6/30/17
interviews,focus group
notes)
For each prevention program, analyze qualitative data to describe Program data summary 6/30/17
program implementation,successes,challenges and barriers, and reports
accomplishments.
Analyze qualitative data on feedback from participants,and
reflections from stakeholders.
6
Exhibit A
Page 7 of 11
Tasks and Activities Milestones and Deliverables
Pull CalOMS data and collect quarterly reporting data from Completed reporting forms 1/31/17
prevention programs one month after quarter ends, beginning 4/30/17
after programs' data collection plans are in place.
Provide a summary of program process data to county and each Summary of program 2/28/17
program one month after data collected. process data 5/31/17
Collect and analyze baseline data and any secondary data (e.g., Data files 6/30/17
CHKS,CJSC, CHIS, and NSDUH data, etc.)
Begin drafting annual evaluation report for Year One(note: due to Annual evaluation report 6/30/17
funding cycle and reporting in CalOMS, programs have until July 31 (program and
to enter their CalOMS data.Therefore, LPC does not have access county reports
to the data until August 1,so the report will be completed in year completed by
two. 9/15/17)
Training &Technical Assistance
We will provide opportunities to each of the DBH-SUD funded prevention programs, as well as DBH-SUD
staff, to build evaluation capacity through direct training, accessibility, and technical support. Capacity
begins with the development of the evaluation plan, involving project staff in the design and process,
and making tools useful not only to the evaluation but to the agency, as well. It is not our intention to
blanket the programs with a set of data collection tools, but to work with the programs and learn what
they have and need, and if possible, help streamline the data collection process. LPC will work with the
programs to develop data collection tools and protocols to assist with CalOMS reporting, and gather the
information needed for the evaluation quarterly reports, and then report back what we are collecting in
an easy to understand and useful format. Once each program has an individualized evaluation plan, we
will meet with the programs to review the plan and tools, and train their staff on collecting, reporting,
and interpreting the data.
LPC will respond quickly to email and telephone inquiries, and provide supporting materials or guidance
as needed. Since we will be checking in with programs monthly during the first year, we expect to
develop a rapport between the LPC team, DBH-SUD staff, and program staff. Feedback from programs
will guide the creation of meaningful reports, improve features of data collection, and troubleshoot to
minimize errors, incomplete or inconsistent entries, and inaccuracies in the data. And we may use
opportunities on-site to provide additional training or technical assistance, based on emerging needs.
Additionally, attending the monthly program meetings and quarterly provider meetings will increase
opportunities for check-ins and offering technical assistance and training. LPC will be available to meet
with DBH-SUD staff and prevention program staff, as needed.
Years Two and Three
At the beginning of each contract year, LPC will review the prevention programs for implementation
modifications, including addenda to their scopes of work, and evaluation plan modification, based on
lessons learned and/or recommendations from the previous year. We will submit an updated evaluation
design to DBH-SUD if significant changes are made.
Data Analysis& Reporting
7
Exhibit A
Page 8 of 11
The data collection for the following years will continue as established in Year One, subject to an annual
review of the evaluation plan and revisions as needed. We will continue to review data entered into
CalOMS quarterly, collect quarterly implementation reports from programs, and report a summary of
findings back to the prevention program staff and DBH-SUD staff in a data-dashboard type report. These
reports will allow project staff and LPC to determine the extent to which the data is reflecting the actual
program reach and levels of participation, and provide recommendations to the programs and DBH-SUD
staff to improve outcomes and develop the program, as well as ensure that data collection and date
entry are occurring. This will also provide regular opportunities for technical support to introduce
systems for improving data collection, data accuracy, and data entry.
While the quarterly summary reports will identify challenges in the data collection based on simple
analyses, the most comprehensive analysis will occur during the development of the annual evaluation
reports. Continuing with the format previously established by LPC and DBH-SUD staff, annual evaluation
reports will include both program level reports, as well as a cross-program County-wide summary. We
will present frequency distributions for demographic and other characteristics of program participants;
analyze outcomes in terms of rates of change as well as proportion of participants in various levels of
change; and cross-tabulate specific participant outcomes with risk or other characteristics, and by
program. Data will be presented in graphic format to enhance communicating findings, using GIS
mapping and data visualization, and an annual presentation of findings will include a comprehensive
status report on evaluation activities and accomplishments to date, a summary of process and outcome
findings based on site visits, interviews and focus groups with program staff, stakeholders and program
participants, and baseline data for youth and young adult alcohol, marijuana, and prescription and over-
the-the counter drug misuse.
LPC will present the findings in the context of progress toward the goals and objectives outlined in the
SPP Logic Models. The year two and three evaluation reports will focus on data collected on individual
program participants and program implementation, and will include trends from secondary data over
the previous five years to be obtained primarily from CHKS, CHIS, CalOMS, and other community level
data that is readily accessible. During year three of the project (2018/19), the survey used to collect
student alcohol and drugs use will be re-administered, providing comparison data to the baseline
measure collected in 2016/17. This survey will be administered in the same schools as the baseline
survey.
LPC will provide an annotated report outline to DBH-SUD staff at least one month prior to drafting the
annual report. This report will include the status of each prevention programs' contract deliverables
and/or implementation status; qualitative feedback on each program; descriptions of program
participants; preliminary findings on outcomes or final outcomes in the context of progress toward the
goals and objectives in the Logic Model and SPP; and conclusions and recommendations. Annual
community indicator trends, as available,will be in each annual report.
Training &Technical Assistance
LPC will continue to provide training and technical assistance to the prevention programs and DBH-SUD
staff, based on need. At the beginning of each program year, LPC staff will meet with the key prevention
provider program staff to review scope of work amendments and revise evaluation plans, as needed, to
align with any changes. LPC will also review the evaluation plans and data collection tools, reflect on
data entry or other challenges from the previous year, and address these. LPC will also review the
8
Exhibit A
Page 9 of 11
evaluation plan and methodology with program staff to ensure that there is a thorough understanding
of data collection, expectations, and schedules. Year three will include additional training, coaching, and
technical assistance as LPC works with staff to ensure that the programs are collecting the data needed
for Fresno County's goals and objectives via a customized survey, or the CHKS(yet to be determined).
LPC will continue to be available for telephone and/or web-based support, and LPC staff will be available
to provide support during monthly prevention and/or quarterly provider meetings. Figure 6 below
presents an overview of core tasks, milestones and deliverables, and the projected time line for the data
collection and analysis for each of Years Two and Three. Reports are shown as deliverables.
Figure 4-Years 2-3 (2017/18&2018/19) Evaluation Work Plan: Ongoing Data Collection and Analysis
Tasks • Activities Milestonesand Deliverables
Review revisions and addendums to program scope(s)of work Revised evaluation plans First month of
and revise evaluation plans as needed fiscal year
Participate in monthly program meetings Provide meeting notes and Monthly,as
agendas determined
by DBH-SUD
Participate in quarterly provider meetings Prevention provider meeting Quarterly,as
notes and agendas determined
by DBH-SUD
Pull CaIOMS and collect quarterly reporting data from Completed reporting forms Collected 30
prevention programs one month after quarter ends. days after
each quarter
Provide a summary of program process data to county and each Summary of program process Reported back
program one month after data collected. data 30 days after
collected
Conduct semi-annual site visits to meet program staff,collect Qualitative data collection 1/30/18
qualitative data, observe program services where feasible (observation checklist, 6/30/18
interviews,focus group notes) 1/30/19
6/30/19
For each prevention program,analyze qualitative data to describe Program data summary 6/30/18
program implementation,successes,challenges and barriers,and reports 6/30/19
accomplishments.
Analyze qualitative data on feedback from participants,and
reflections from stakeholders.
Work with programs to collect community level AOD indicator Survey data 2018/19
data, either through a universal survey administered by program
staff or the CH KS
Draft annual evaluation reports for years two and three(note: Annual evaluation report Due to delays
due to funding cycle and reporting in CalCMS, programs have getting CaIOMS
until July 31 to enter their CaIOMS data.Therefore, LPC does not data, reports
have access to the data until August 1,so the report will be completed by
9
Exhibit A
Page 10 of 11
Tasks and Activities Milestones and Deliverables
completed by September 15,2018 and 2019. 9/15/18 and
9/15/19.
Years Four and Five
At the beginning of the year four, LPC will review the program for final implementation modifications
based on lessons learned and/or recommendations from the previous years. The emphasis will be on
ensuring robust and accurate data collection as focus turns toward the final analysis and drafting of the
comprehensive evaluation reports in Year 5.
Final Analysis
During the final year of the prevention programming, data collection will continue as established during
the previous three years. We will continue to collect data quarterly, and collect qualitative data via focus
groups and interviews with program participants, stakeholders, and program staff at the conclusion of
the fourth year to gather comprehensive feedback for the four years of the Fresno County initiative.
During this final year, we will analyze community indicator findings to provide an analysis of trends over
time. This will yield an update for the baseline created in the 2015-2020 SPP to be used in the
development of the 2020-2025 SPP.
The final comprehensive evaluation report will include an annual update and comprehensive evaluation
report of the four years, and include summaries of activities during the SPP, progress toward the SPP
goals based on the selected measure of community-level data, as well as secondary community
indicator data that presents emerging and significant alcohol and drug issues in Fresno County. The
report will measure program effectiveness and changes over the four years. LPC will coordinate with
DBH-SUD staff to develop an annotated final report outline, integrating process and outcomes data with
quantitative and qualitative data analysis. We will examine trends over time, both within and across
programs and among selected community indicators. The analysis will compare baseline knowledge,
attitudes and behavior among program participants.
This final report will also include recommendations for future prevention programming. The final report
will include a graphic presentation of data and findings to facilitate communicating findings, using data
visualization and GIS mapping. The final report will be a product that represents the four-year
collaboration among the prevention programs and with DBH-SUD and LPC Consulting Associates, Inc.
We will use all data reporting for Years 1-4 to develop capacity for program evaluation, to foster an
environment of transparency and data driven decision making, and to celebrate achievements and
identify areas that require development or modification.
In addition to a written report, LPC staff will prepare a presentation of the evaluation findings to share
with the Behavioral Health board, partners, and prevention program staff. Not only will the final
presentation provide an opportunity for discussion of implementation and outcomes, but key elements
of the presentation may be used by prevention program staff and DBH-SUD to share findings with other
constituencies and stakeholder audiences, and assist and inform implementation of the 2020-2025
Fresno County Alcohol and Other Drug(AOD) Strategic Prevention Plan (SPP).
Figure 7 below presents an overview of core tasks, milestones and deliverables, and the projected
timeline for the data collection and analysis for the final year of the prevention work for this SPP (year
10
Exhibit A
Page 11 of 11
four, 2019/20) and for the analysis and development of the final comprehensive report and
presentation of evaluation findings (year five,July-December 2020). Reports are shown as deliverables.
Figure 5—Years 4-5 (2019/20 and 2020/21) Evaluation Work Plan: Data Collection and Final Analysis
Tasks • Activities Milestonesand Deliverables
Participate in monthly program meetings Provide meeting notes and Monthly, as
agendas determined
by DBH-SUD
Participate in quarterly provider meetings Prevention provider meeting Quarterly,as
notes and agendas determined
by DBH-SUD
Pull CalOMS data and collect quarterly reporting data from Completed reporting forms Collected 30
prevention programs one month after quarter ends. days after
each quarter
Provide a summary of program process data to county and each Summary of program process Reported back
program one month after data collected. data 30 days after
collected
Conduct semi-annual site visits to meet programs,collect Qualitative data collection 1/30/20
qualitative data,observe program services where feasible (observation checklist, 6/30/20
interviews,focus group notes)
For each prevention program, analyze qualitative data to describe Program data summary 6/30/20
program implementation, successes,challenges and barriers, and reports
accomplishments.
Analyze qualitative data on feedback from participants,and
reflections from stakeholders.
Draft comprehensive evaluation report that includes an annual Annual evaluation report Due to delays
summary for year four(note: due to funding cycle and reporting in getting CalOMS
CalOMS, programs have until July 31 to enter their CalOMS data. data, reports
Therefore, LPC does not have access to the data until August 1,so completed by
the final comprehensive report will be completed in by September 9/15/20
15, 2020.)
Present final comprehensive report findings and recommendations Presentation By 12/31/20
to the Fresno County Behavioral Health Board
11
Exhibit B
Page 1 of 20
FRESNO COUNTY
FY 2016-2017 BUDGET
BUDGET JUSTIFICATION NARRATIVE
PERSONNEL/SALARIES Annual Salary and FTE equivalence as in budget.
Annual(12 Month) %of FTE dedicated
Budget Categories-Line Item Description Salary for this to this program
Research Director $1,065 1%
Senior Associate $12,235 13%
Senior Associate $17,408 13%
Data Systems Manager $1,924 2%
Research Assistant $4,826 11%
Research Assistant $4,343 11%
Position descriptions submitted with proposal.
PAYROLL TAXES TOTAL 15.31%
EMPLOYEE BENEFITS
TOTAL 35.52%
INSURANCE List the following insurance categories:
0251 -Workers Compensation Insurance-
0252- Liability Insurance-
Li 0253- Insurance Other-
COMMUNICATIONS ❑ 0301 -Telecommunications/data lines-
❑ 0302-Answering Service-
OFFICE EXPENSE ❑ 0351-Office Supplies: Includes Items necessary to carry out the daily
activities to accomplish the program goals and objectives including paper, filing
supplies, pens, pencils, scissors, and other supplies.
❑ 0352-Social/Rec, Workbooks.-
Li 0353-Printing/Reproduction includes items such as the printing of business
cards, program pamphlets, position vacancy advertising and other materials
related to the program.
❑ 0354- Publications-
Li 0355- Legal Notices/Advertising -
EQUIPMENT List the following equipment categories and provide a brief description for each
❑ 0401 - Purchase of Equipment-
❑ 0402- Equipment Rent/Lease-
❑ 0403-E ui ment Maintenance: minor equipment repair for copier and
FACILITIES List the following facilities categories and provide a brief description for each
0451 - Rent/Lease Building-
Exhibit B
Page 2 of 20
FRESNO COUNTY
FY 2016-2017 BUDGET
BUDGET JUSTIFICATION NARRATIVE
0452- Facilities Maintenance-
0453- Utilities-
TRAVEL List the following travel categories and provide a brief description for each
i 1 0501 -Staff Mileage-
El 0502-Staff Travel (Out of County)-
❑ 0503-Staff Training/Registration -
❑ 0504-Transportation -
PROGRAM SUPPLIES List the following program supplies categories and provide a brief description
❑ 0551 - Program Supplies-Client Incentives
❑ 0552- Program Supplies-Curriculum
❑ 0553- Program Supplies- Food
CONSULTANCY List the following consulting categories and provide a brief description for each
❑ 0601 -Consultant Services-
1-1 0602-Contracted Services-
FISCAL AND AUDITS List the following fiscal and audits categories and provide a brief description for
❑ 0651 -Accounting/Bookkeeping -
Li 0652- External Audit-
OTHER COSTS List the following categories and provide a brief description for each category:
❑ 0701 - Indirect Costs-
1-1 0702- Licenses/Taxes-
❑ 0703-County Administration Fee-
1-1 0749-Other Costs-Other business services such as applicant TB tests,
drug screens, and other program-related items that don't necessarily fit into
another line item.
REVENUE/MATCH Please identify all anticipated funding sources and distinguish whether the
❑ 3120- Drug Medi-Cal -
Mental Health Medi-Cal -
1-1 3130-State Grant-
1-1 3140- Private Donations-
1-1 3150-Client Fees-
ONE TIME ADVANCE Used for startup costs and is available upon request with a detailed
The amount cannot exceed 1/12th of the total cost proposal for this section.
Exhibit B
Page 3 of 20
FRESNO COUNTY
PERSONNEL BUDGET
Fiscal Year: 2016-2017 Submitted by: LPC Consulting Associates,Inc.
Provider Name: LPC Consulting Associates,Inc. Date: February 24,2016
Program: Substance Abuse Prevention Evaluator Approved by: Lynne P.Cannady
Mailing Address: 2015 J Street#205,Sacramento,CA 95811
Street Address: 2015 J Street#205,Sacramento,CA 95811 Signature:
Phone Number: 916-448-8026 Date: February 24,2016
Fax Number: 916-448-1056
No.of Budgeted FTE Administration: Direct Service: E-Mail Address: NnneCa�ioc-associates.com
Budget Categories- Annual %of FTE %Time dedicated Proposed Program Budget
Line Item Description (12-Month) dedicated to to services SAPT Funding Other Funding Other Funding Total Proposed Budget
(Must be Itemized) Salary this program Admin. Direct Admin. Direct Admin. Direct Admin. Direct Admin. Direct
PERSON N E L/SALARI ES
0101 Research Director $138,445 1% 100% $1,065 $ 1,065 $
0102 Senior Associate $93,558 13% 100% $12,235 $ - $ 12,235
0103 Senior Associate $133,120 13% 100% $17,408 $ $ 17,408
0104 Data Systems Manager $100,048 2% 100% $1,924 $ $ 1,924
0105 Research Assistant $43,264 11% 100% $4,826 $ $ 4,826
0106 Research Assistant $38,938 11% 100% $4,343 $ $ 4,343
0107 $ $ -
0108 $ $
0109 $ $
0110 $ $
0111 $ $
0112 $ $
0113 $ $
0114 $ $
0115 $ $
0116 $ $
0117 $ $
0118 $ $
0119 $ $
0120 $ $
0121 $ $
0122 $ $
0123 $ $
0124 $ $
0125 $ $
0126 $ $
0127 $ $
0128 $ $
0129 $ $
0130 $ $ -
SALARIES TOTAL $1,065 $40,736 $ 1,065 $ 40,736
PAYROLL TAXES
0151 State Unemployment Insurance $45 $1,711 $ 45 $ 1,711
0152 F.I.C.A./O.A.S.D.I. $66 $2,526 $ 66 $ 2,526
0153 State Disability Insurance $11 $407 $ 11 $ 407
0154 Workers'Compensation Insurance $26 $1,002 $ 26 $ 1,002
0155 MediCare $15 $591 $ 15 $ 591
PAYROLL TAXES TOTAL $163 $6,237 $ 163 $ 6,237
EMPLOYEE BENEFITS
0201 Health Insurance $97 $3,723 $ 97 $ 3,723
0202 Life Insurance $111 $4,232 $ 111 $ 4,232
0203 Retirement $160 $6,110 $ 160 $ 6,110
0204 Benefits Other-Specify: Staff Professional Development $11 $407 $ 11 $ 407
EMPLOYEE BENEFITS TOTAL $379 $14,472 $ 379 $ 14,472
TAXES&BENEFITS TOTAL $ 542 $ 20,709
TOTAL PERCENT OF BENEFITS TO SALARIES error error
Exhibit B
Page 4 of 20
FRESNO COUNTY
FY 2016-2017 BUDGET
Provider Name: LPC Consulting Associates,Inc.
Program: Substance Abuse Prevention Evaluator Approved by:
Date: February 24,2016 Date:
Budget Categories-Line Item Description SAPT Funding Other Funding Other Funding Proposed Program
(Must Be Itemized) Budget Budget Budget Budget
SALARY,PAYROLL TAX,AND EMPLOYEE BENEFITS TOTAL $63,052 $0 $0 $63,052
INSURANCE
0252 Liability Insurance $0
0253 Insurance Other-Specify $0
INSURANCE TOTAL $0 $0 $0 $0
COMMUNICATIONS
0301 Telecommunications/data lines $0
0302 Answering Service $0
COMMUNICATIONS TOTAL $0 $0 $0 $0
OFFICE EXPENSE
0351 Office Supplies $0
0352 Soc Rec.,Workbooks $0
0353 Printing/Reproduction $0
0354 Publications $0
0355 Legal Notices/Advertising $0
OFFICE EXPENSE TOTAL $0 $0 $0 $0
EQUIPMENT
0401 Purchase of Equipment $0
0402 Equipment Rent/Lease $0
0403 Equipment Maintenance $0
EQUIPMENT TOTAL $0 $0 $0 $0
FACILITIES
0451 Rent/Lease Building $4,180 $4,180
0452 Facilities Maintenance $0
0453 Utilities $0
FACILITIES TOTAL $4,180 $0 $0 $4,180
TRAVEL COSTS
0501 Staff Mileage $3,456 $3,456
0502 Staff Travel(Out of County) $4,200 $4,200
0503 Staff Training/Registration $2,240 $2,240
0504 Transportation $0
TRAVEL COSTS TOTAL $9,896 $0 $0 $9,896
PROGRAM SUPPLIES
0551 Program Supplies-Client Incentives $0
0552 Program Supplies-Curriculum $0
0553 Program Supplies-Food $0
PROGRAM SUPPLIES TOTAL $0 $0 $0 $0
CONSULTANCY
0601 Consultant Services $0
0602 Contracted Services $0
CONSULTANCY TOTAL $0 $0 $0 $0
FISCAL AND AUDITS
0651 Accounting/Bookkeeping $0
0652 External Audit $0
FISCAL AND AUDITS TOTAL $0 $0 $0 $0
OTHER COSTS
0701 Indirect Costs $11,370 $11,370
0702 Licenses/Taxes $0
0703 County Administration Fee $0
0749 Other Business Services $0
OTHER COSTS TOTAL $11,370 $0 $0 $11,370
TOTAL PROGRAM EXPENDITURES $88,498 $0 $0 $88,498
REVENUE/MATCH
3120 Medi-Cal $0
3130 State Grant $0
3140 Private Donations $0
3150 Client Fees $0
REVENUE/MATCH TOTAL $0 $0 $0 $0
ONE TIME ADVANCE $0
NET PROGRAM BUDGET $88,498 $0 $0 $88,498
Exhibit B
Page 5 of 20
FRESNO COUNTY
FY 2017-2018 BUDGET
BUDGET JUSTIFICATION NARRATIVE
PERSONNEL/SALARIES Annual Salary and FTE equivalence as in budget.
Annual(12 Month) %of FTE dedicated
Budget Categories-Line Item Description Salary for this to this program
Research Director $1,108 1%
Senior Associate $10,479 11%
Senior Associate $14,377 10%
Data Systems Manager $1,000 1%
Research Assistant $5,191 12%
Research Assistant $4,673 12%
Position descriptions submitted with proposal.
PAYROLL TAXES TOTAL 15.31%
EMPLOYEE BENEFITS
TOTAL 35.53%
INSURANCE List the following insurance categories:
0251 -Workers Compensation Insurance-
0252- Liability Insurance-
Li 0253- Insurance Other-
COMMUNICATIONS ❑ 0301 -Telecommunications/data lines-
❑ 0302-Answering Service-
OFFICE EXPENSE ❑ 0351-Office Supplies: Includes Items necessary to carry out the daily
activities to accomplish the program goals and objectives including paper, filing
supplies, pens, pencils, scissors, and other supplies.
11 0352-Social/Rec, Workbooks.-
0353-Printing/Re prod uction includes items such as the printing of business
cards, program pamphlets, position vacancy advertising and other materials
related to the program.
❑ 0354- Publications-
Li 0355- Legal Notices/Advertising -
EQUIPMENT List the following equipment categories and provide a brief description for each
category:
❑ 0401 - Purchase of Equipment-
Li 0402- Equipment Rent/Lease-
Li 0403-Equipment Maintenance: minor equipment repair for copier and
vehicle maintenance.
Exhibit B
Page 6 of 20
FRESNO COUNTY
FY 2017-2018 BUDGET
BUDGET JUSTIFICATION NARRATIVE
FACILITIES List the following facilities categories and provide a brief description for each
category:
❑ 0451 - Rent/Lease Building-
1-1 0452- Facilities Maintenance-
1-1 0453- Utilities-
TRAVEL List the following travel categories and provide a brief description for each
❑ 0501 -Staff Mileage-
Li 0502-Staff Travel (Out of County)-
Li 0503-Staff Training/Registration-
Li 0504-Transportation -
PROGRAM SUPPLIES List the following program supplies categories and provide a brief description
❑ 0551 - Program Supplies-Client Incentives
❑ 0552- Program Supplies-Curriculum
0553- Program Supplies- Food
CONSULTANCY List the following consulting categories and provide a brief description for each
❑ 0601 -Consultant Services-
❑ 0602-Contracted Services-
FISCAL AND AUDITS List the following fiscal and audits categories and provide a brief description for
❑ 0651 -Accounting/Bookkeeping -
1-1 0652- External Audit-
OTHER COSTS List the following categories and provide a brief description for each category:
❑ 0701 - Indirect Costs-
Li 0702- Licenses/Taxes-
Li 0703-County Administration Fee-
Li 0749-Other Costs-Other business services such as applicant TB tests,
drug screens, and other program-related items that don't necessarily fit into
another line item.
REVENUE/MATCH Please identify all anticipated funding sources and distinguish whether the
❑ 3120- Drug Medi-Cal -
Mental Health Medi-Cal -
❑ 3130-State Grant-
❑ 3140- Private Donations-
❑ 3150-Client Fees-
Exhibit B
Page 7 of 20
FRESNO COUNTY
PERSONNEL BUDGET
Fiscal Year: 2017-2018 Submitted by: LPC Consulting Associates,Inc.
Provider Name: LPC Consulting Associates,Inc. Date: February 24,2016
Program: Substance Abuse Prevention Evaluator Approved by: Lynne P.Cannady
Mailing Address: 2015 J Street#205,Sacramento,CA 95811
Street Address: 2015 J Street#205,Sacramento,CA 95811 Signature:
Phone Number: 916-448-8026 Date: February 24,2016
Fax Number: 916-448-1056
No.of Budgeted FTE Administration: Direct Service: E-Mail Address: NnneCa�ioc-associates.com
Budget Categories- Annual %of FTE %Time dedicated Proposed Program Budget
Line Item Description (12-Month) dedicated to to services SAPT Funding Other Funding Other Funding Total Proposed Budget
(Must be Itemized) Salary this program Admin. Direct Admin. Direct Admin. Direct Admin. Direct Admin. Direct
PERSON N E L/SALARI ES
0101 Research Director $143,978 1% 100% $1,108 $ 1,108 $
0102 Senior Associate $97,302 11% 100% $10,479 $ - $ 10,479
0103 Senior Associate $138,445 10% 100% $14,377 $ $ 14,377
0104 Data Systems Manager $104,042 1% 100% $1,000 $ $ 1,000
0105 Research Assistant $44,990 12% 100% $5,191 $ $ 5,191
0106 Research Assistant $40,498 12% 100% $4,673 $ $ 4,673
0107 $ $ -
0108 $ $
0109 $ $
0110 $ $
0111 $ $
0112 $ $
0113 $ $
0114 $ $
0115 $ $
0116 $ $
0117 $ $
0118 $ $
0119 $ $
0120 $ $
0121 $ $
0122 $ $
0123 $ $
0124 $ $
0125 $ $
0126 $ $
0127 $ $
0128 $ $
0129 $ $
0130 $ $ -
SALARIES TOTAL $1,108 $35,720 $0 $0 $0 $0 $ 1,108 $ 35,720
PAYROLL TAXES
0151 State Unemployment Insurance $47 $1,500 $ 47 $ 1,500
0152 F.I.C.A./O.A.S.D.I. $69 $2,215 $ 69 $ 2,215
0153 State Disability Insurance $11 $357 $ 11 $ 357
0154 Workers'Compensation Insurance $27 $879 $ 27 $ 879
0155 MediCare $16 $518 $ 16 $ 518
PAYROLL TAXES TOTAL $170 $5,469 $0 $0 $0 $0 $ 170 $ 5,469
EMPLOYEE BENEFITS
0201 Health Insurance $101 $3,265 $ 101 $ 3,265
0202 Life Insurance $115 $3,711 $ 115 $ 3,711
0203 Retirement $166 $5,358 $ 166 $ 5,358
0204 Benefits Other-Specify: Staff Professional Development $11 $357 $ 11 $ 357
EMPLOYEE BENEFITS TOTAL $393 $12,691 $0 $0 $0 $0 $ 393 $ 12,691
TAXES&BENEFITS TOTAL $ 563 $ 18,160
TOTAL PERCENT OF BENEFITS TO SALARIES error error
Exhibit B
Page 8 of 20
FRESNO COUNTY
FY 2017-2018 BUDGET
Provider Name: LPC Consulting Associates,Inc.
Program: Substance Abuse Prevention Evaluator Approved by:
Date: February 24,2016 Date:
Budget Categories-Line Item Description SAPT Funding Other Funding Other Funding Proposed Program
(Must Be Itemized) Budget Budget Budget Budget
SALARY,PAYROLL TAX,AND EMPLOYEE BENEFITS TOTAL $55,551 $0 $0 $55,551
INSURANCE
0252 Liability Insurance $0
0253 Insurance Other-Specify $0
INSURANCE TOTAL $0 $0 $0 $0
COMMUNICATIONS
0301 Telecommunications/data lines $0
0302 Answering Service $0
COMMUNICATIONS TOTAL $0 $0 $0 $0
OFFICE EXPENSE
0351 Office Supplies $0
0352 Soc Rec.,Workbooks $0
0353 Printing/Reproduction $0
0354 Publications $0
0355 Legal Notices/Advertising $0
OFFICE EXPENSE TOTAL $0 $0 $0 $0
EQUIPMENT
0401 Purchase of Equipment $0
0402 Equipment Rent/Lease $0
0403 Equipment Maintenance $0
EQUIPMENT TOTAL $0 $0 $0 $0
FACILITIES
0451 Rent/Lease Building $3,683 $3,683
0452 Facilities Maintenance $0
0453 Utilities $0
FACILITIES TOTAL $3,683 $0 $0 $3,683
TRAVEL COSTS
0501 Staff Mileage $3,456 $3,456
0502 Staff Travel(Out of County) $4,200 $4,200
0503 Staff Training/Registration $1,920 $1,920
0504 Transportation $0
TRAVEL COSTS TOTAL $9,576 $0 $0 $9,576
PROGRAM SUPPLIES
0551 Program Supplies-Client Incentives $0
0552 Program Supplies-Curriculum $0
0553 Program Supplies-Food $0
PROGRAM SUPPLIES TOTAL $0 $0 $0 $0
CONSULTANCY
0601 Consultant Services $0
0602 Contracted Services $0
CONSULTANCY TOTAL $0 $0 $0 $0
FISCAL AND AUDITS
0651 Accounting/Bookkeeping $0
0652 External Audit $0
FISCAL AND AUDITS TOTAL $0 $0 $0 $0
OTHER COSTS
0701 Indirect Costs $10,054 $10,054
0702 Licenses/Taxes $0
0703 County Administration Fee $0
0749 Other Business Services $0
OTHER COSTS TOTAL $10,054 $0 $0 $10,054
TOTAL PROGRAM EXPENDITURES $78,864 $0 $0 $78,864
REVENUE/MATCH
3120 Medi-Cal $0
3130 State Grant $0
3140 Private Donations $0
3150 Client Fees $0
REVENUE/MATCH TOTAL $0 $0 $0 $0
NET PROGRAM BUDGET $78,864 $0 $0 $78,864
Exhibit B
Page 9 of 20
FRESNO COUNTY
FY 2018-2019 BUDGET
BUDGET JUSTIFICATION NARRATIVE
PERSONNEL/SALARIES Annual Salary and FTE equivalence as in budget.
Annual(12 Month) %of FTE dedicated
Budget Categories-Line Item Description Salary for this to this program
Research Director $1,153 1%
Senior Associate $10,508 10%
Senior Associate $14,398 10%
Data Systems Manager $1,039 1%
Research Assistant $5,580 12%
Research Assistant $5,022 12%
Position descriptions submitted with proposal.
PAYROLL TAXES TOTAL 15.30%
EMPLOYEE BENEFITS
TOTAL 35.53%
INSURANCE List the following insurance categories:
0251 -Workers Compensation Insurance-
0252- Liability Insurance-
Li 0253- Insurance Other-
COMMUNICATIONS ❑ 0301 -Telecommunications/data lines-
❑ 0302-Answering Service-
OFFICE EXPENSE ❑ 0351-Office Supplies: Includes Items necessary to carry out the daily
activities to accomplish the program goals and objectives including paper, filing
supplies, pens, pencils, scissors, and other supplies.
11 0352-Social/Rec, Workbooks.-
0353-Printing/Re prod uction includes items such as the printing of business
cards, program pamphlets, position vacancy advertising and other materials
related to the program.
❑ 0354- Publications-
Li 0355- Legal Notices/Advertising -
EQUIPMENT List the following equipment categories and provide a brief description for each
category:
❑ 0401 - Purchase of Equipment-
Li 0402- Equipment Rent/Lease-
Li 0403-Equipment Maintenance: minor equipment repair for copier and
vehicle maintenance.
Exhibit B
Page 10 of 20
FRESNO COUNTY
FY 2018-2019 BUDGET
BUDGET JUSTIFICATION NARRATIVE
FACILITIES List the following facilities categories and provide a brief description for each
category:
❑ 0451 - Rent/Lease Building-
1-1 0452- Facilities Maintenance-
1-1 0453- Utilities-
TRAVEL List the following travel categories and provide a brief description for each
❑ 0501 -Staff Mileage-
Li 0502-Staff Travel (Out of County)-
Li 0503-Staff Training/Registration-
Li 0504-Transportation -
PROGRAM SUPPLIES List the following program supplies categories and provide a brief description
❑ 0551 - Program Supplies-Client Incentives
❑ 0552- Program Supplies-Curriculum
❑ 0553- Program Supplies- Food
CONSULTANCY List the following consulting categories and provide a brief description for each
❑ 0601 -Consultant Services-
Li 0602-Contracted Services-
FISCAL AND AUDITS List the following fiscal and audits categories and provide a brief description for
❑ 0651 -Accounting/Bookkeeping -
1-1 0652- External Audit-
OTHER COSTS List the following categories and provide a brief description for each category:
❑ 0701 - Indirect Costs-
Li 0702- Licenses/Taxes-
Li 0703-County Administration Fee-
❑ 0749-Other Costs-Other business services such as applicant TB tests,
drug screens, and other program-related items that don't necessarily fit into
another line item.
REVENUE/MATCH Please identify all anticipated funding sources and distinguish whether the
❑ 3120- Drug Medi-Cal -
Mental Health Medi-Cal -
❑ 3130-State Grant-
❑ 3140- Private Donations-
In 3150-Client Fees-
Exhibit B
Page 11 of 20
FRESNO COUNTY
PERSONNEL BUDGET
Fiscal Year: 2018-2019 Submitted by: LPC Consulting Associates,Inc.
Provider Name: LPC Consulting Associates,Inc. Date: February 24,2016
Program: Substance Abuse Prevention Evaluator Approved by: Lynne P.Cannady
Mailing Address: 2015 J Street#205,Sacramento,CA 95811
Street Address: 2015 J Street#205,Sacramento,CA 95811 Signature:
Phone Number: 916-448-8026 Date: February 24,2016
Fax Number: 916-448-1056
No.of Budgeted FTE Administration: Direct Service: E-Mail Address: ivnnena 1pc-associates.com
Budget Categories- Annual %of FTE %Time dedicated Proposed Program Budget
Line Item Description (12-Month) dedicated to to services SAPT Funding Other Funding Other Funding Total Proposed Budget
(Must be Itemized) Salary this program Admin. Direct Admin. Direct Admin. Direct Admin. Direct Admin. Direct
PERSONNEL/SALARIES
0101 Research Director $149,739 1% 100% $1,153 $ 1,153 $
0102 Senior Associate $101,192 10% 100% $10,508 $ - $ 10,508
0103 Senior Associate $143,978 10% 100% $14,398 $ $ 14,398
0104 Data Systems Manager $108,202 1% 100% $1,039 $ $ 1,039
0105 Research Assistant $46,800 12% 100% $5,580 $ $ 5,580
0106 Research Assistant $42,120 12% 100% $5,022 $ $ 5,022
0107 $ $ -
0108 $ $
0109 $ $
0110 $ $
0111 $ $
0112 $ $
0113 $ $
0114 $ $
0115 $ $
0116 $ $
0117 $ $
0118 $ $
0119 $ $
0120 $ $
0121 $ $
0122 $ $
0123 $ $
0124 $ $
0125 $ $
0126 $ $
0127 $ $
0128 $ $
0129 $ $
0130 $ $ -
SALARIES TOTAL $1,153 $36,547 $0 $0 $0 $0 $ 1,153 $ 36,547
PAYROLL TAXES
0151 State Unemployment Insurance $48 $1,535 $ 48 $ 1,535
0152 F.I.C.A./O.A.S.D.I. $71 $2,266 $ 71 $ 2,266
0153 State Disability Insurance $12 $365 $ 12 $ 365
0154 Workers'Compensation Insurance $28 $899 $ 28 $ 899
0155 Medicare $17 $530 $ 17 $ 530
PAYROLL TAXES TOTAL $176 $5,595 $0 $0 $0 $0 $ 176 $ 5,595
EMPLOYEE BENEFITS
0201 Health Insurance $105 $3,340 $ 105 $ 3,340
0202 Life Insurance $120 $3,797 $ 120 $ 3,797
0203 Retirement $173 $5,482 $ 173 $ 5,482
0204 Benefits Other-Specify $12 $365 $ 12 $ 365
EMPLOYEE BENEFITS TOTAL 1 $410 $12,984 $0 $0 $0 $0 $ 410 $ 12,984
TAXES&BENEFITS TOTAL $ 586 $ 18,579
TOTAL PERCENT OF BENEFITS TO SALARIES error error
Exhibit B
Page 12 of 20
FRESNO COUNTY
FY 2018-2019 BUDGET
Provider Name: LPC Consulting Associates,Inc.
Program: Substance Abuse Prevention Evaluator Approved by:
Date: February 24,2016 Date:
Budget Categories-Line Item Description SAPT Funding Other Funding Other Funding Proposed Program
(Must Be Itemized) Budget Budget Budget Budget
SALARY,PAYROLL TAX,AND EMPLOYEE BENEFITS TOTAL $56,865 $0 $0 $56,865
INSURANCE
0252 Liability Insurance $0
0253 Insurance Other-Specify $0
INSURANCE TOTAL $0 $0 $0 $0
COMMUNICATIONS
0301 Telecommunications/data lines $0
0302 Answering Service $0
COMMUNICATIONS TOTAL $0 $0 $0 $0
OFFICE EXPENSE
0351 Office Supplies $0
0352 Soc Rec.,Workbooks $0
0353 Printing/Reproduction $0
0354 Publications $0
0355 Legal Notices/Advertising $0
OFFICE EXPENSE TOTAL $0 $0 $0 $0
EQUIPMENT
0401 Purchase of Equipment $0
0402 Equipment Rent/Lease $0
0403 Equipment Maintenance $0
EQUIPMENT TOTAL $0 $0 $0 $0
FACILITIES
0451 Rent/Lease Building $3,770 $3,770
0452 Facilities Maintenance $0
0453 Utilities $0
FACILITIES TOTAL $3,770 $0 $0 $3,770
TRAVEL COSTS
0501 Staff Mileage $3,456 $3,456
0502 Staff Travel(Out of County) $4,200 $4,200
0503 Staff Training/Registration $1,920 $1,920
0504 Transportation $0
TRAVEL COSTS TOTAL $9,576 $0 $0 $9,576
PROGRAM SUPPLIES
0551 Program Supplies-Client Incentives $0
0552 Program Supplies-Curriculum $0
0553 Program Supplies-Food $0
PROGRAM SUPPLIES TOTAL $0 $0 $0 $0
CONSULTANCY
0601 Consultant Services $0
0602 Contracted Services $0
CONSULTANCY TOTAL $0 $0 $0 $0
FISCAL AND AUDITS
0651 Accounting/Bookkeeping $0
0652 External Audit $0
FISCAL AND AUDITS TOTAL $0 $0 $0 $0
OTHER COSTS
0701 Indirect Costs $9,787 $9,787
0702 Licenses/Taxes $0
0703 County Administration Fee $0
0749 Other Business Services $0
OTHER COSTS TOTAL $9,787 $0 $0 $9,787
TOTAL PROGRAM EXPENDITURES $79,998 $0 $0 $79,998
REVENUE/MATCH
3120 Medi-Cal $0
3130 State Grant $0
3140 Private Donations $0
3150 Client Fees $0
REVENUE/MATCH TOTAL $0 $0 $0 $0
NET PROGRAM BUDGET $79,998 $0 $0 $79,998
Exhibit B
Page 13 of 20
FRESNO COUNTY
FY 2019-2020 BUDGET
BUDGET JUSTIFICATION NARRATIVE
PERSONNEL/SALARIES Annual Salary and FTE equivalence as in budget.
Annual(12 Month) %of FTE dedicated
Budget Categories-Line Item Description Salary for this to this program
Research Director $592 0%
Senior Associate $10,727 10%
Senior Associate $14,686 10%
Data Systems Manager $1,080 1%
Research Assistant $5,803 12%
Research Assistant $5,223 12%
Position descriptions submitted with proposal.
PAYROLL TAXES TOTAL 15.31%
EMPLOYEE BENEFITS
TOTAL 35.53%
INSURANCE List the following insurance categories:
0251 -Workers Compensation Insurance-
0252- Liability Insurance-
Li 0253- Insurance Other-
COMMUNICATIONS ❑ 0301 -Telecommunications/data lines-
❑ 0302-Answering Service-
OFFICE EXPENSE ❑ 0351-Office Supplies: Includes Items necessary to carry out the daily
activities to accomplish the program goals and objectives including paper, filing
supplies, pens, pencils, scissors, and other supplies.
11 0352-Social/Rec, Workbooks.-
0353-Printing/Re prod uction includes items such as the printing of business
cards, program pamphlets, position vacancy advertising and other materials
related to the program.
❑ 0354- Publications-
Li 0355- Legal Notices/Advertising -
EQUIPMENT List the following equipment categories and provide a brief description for each
category:
❑ 0401 - Purchase of Equipment-
Li 0402- Equipment Rent/Lease-
Li 0403-Equipment Maintenance: minor equipment repair for copier and
vehicle maintenance.
Exhibit B
Page 14 of 20
FRESNO COUNTY
FY 2019-2020 BUDGET
BUDGET JUSTIFICATION NARRATIVE
FACILITIES List the following facilities categories and provide a brief description for each
category:
❑ 0451 - Rent/Lease Building-
1-1 0452- Facilities Maintenance-
1-1 0453- Utilities-
TRAVEL List the following travel categories and provide a brief description for each
❑ 0501 -Staff Mileage-
Li 0502-Staff Travel (Out of County)-
Li 0503-Staff Training/Registration-
Li 0504-Transportation -
PROGRAM SUPPLIES List the following program supplies categories and provide a brief description
❑ 0551 - Program Supplies-Client Incentives
❑ 0552- Program Supplies-Curriculum
❑ 0553- Program Supplies- Food
CONSULTANCY List the following consulting categories and provide a brief description for each
❑ 0601 -Consultant Services-
Li 0602-Contracted Services-
FISCAL AND AUDITS List the following fiscal and audits categories and provide a brief description for
❑ 0651 -Accounting/Bookkeeping -
1-1 0652- External Audit-
OTHER COSTS List the following categories and provide a brief description for each category:
❑ 0701 - Indirect Costs-
Li 0702- Licenses/Taxes-
Li 0703-County Administration Fee-
❑ 0749-Other Costs-Other business services such as applicant TB tests,
drug screens, and other program-related items that don't necessarily fit into
another line item.
REVENUE/MATCH Please identify all anticipated funding sources and distinguish whether the
❑ 3120- Drug Medi-Cal -
Mental Health Medi-Cal -
❑ 3130-State Grant-
❑ 3140- Private Donations-
In 3150-Client Fees-
Exhibit B
Page 15 of 20
FRESNO COUNTY
PERSONNEL BUDGET
Fiscal Year: 2019-2020 Submitted by: LPC Consulting Associates,Inc.
Provider Name: LPC Consulting Associates,Inc. Date: February 24,2016
Program: Substance Abuse Prevention Evaluator Approved by: Lynne P.Cannady
Mailing Address: 2015 J Street#205,Sacramento,CA 95811
Street Address: 2015 J Street#205,Sacramento,CA 95811 Signature:
Phone Number: 916-448-8026 Date: February 24,2016
Fax Number: 916-448-1056
No.of Budgeted FTE Administration: Direct Service: E-Mail Address: ynne(d1pc-associates.com
Budget Categories- Annual %of FTE %Time dedicated Proposed Program Budget
Line Item Description (12-Month) dedicated to to services SAPT Funding Other Funding Other Funding Total Proposed Budget
(Must be Itemized) Salary this program Admin. Direct Admin. Direct Admin. Direct Admin. Direct Admin. Direct
PERSONNEL/SALARIES
0101 Research Director $155,730 0% 100% $592 $ 592 $
0102 Senior Associate $105,248 10% 100% $10,727 $ - $ 10,727
0103 Senior Associate $149,739 10% 100% $14,686 $ $ 14,686
0104 Data Systems Manager $112,549 1% 100% $1,080 $ $ 1,080
0105 Research Assistant $48,672 12% 100% $5,803 $ $ 5,803
0106 Research Assistant $43,805 12% 100% $5,223 $ $ 5,223
0107 $ $ -
0108 $ $
0109 $ $
0110 $ $
0111 $ $
0112 $ $
0113 $ $
0114 $ $
0115 $ $
0116 $ $
0117 $ $
0118 $ $
0119 $ $
0120 $ $
0121 $ $
0122 $ $
0123 $ $
0124 $ $
0125 $ $
0126 $ $
0127 $ $
0128 $ $
0129 $ $
0130 $ $ -
SALARIES TOTAL $592 $37,519 $0 $0 $0 $0 $ 592 $ 37,519
PAYROLL TAXES
0151 State Unemployment Insurance $25 $1,576 $ 25 $ 1,576
0152 F.I.C.A./O.A.S.D.I. $37 $2,326 $ 37 $ 2,326
0153 State Disability Insurance $6 $375 $ 6 $ 375
0154 Workers'Compensation Insurance $15 $923 $ 15 $ 923
0155 Medicare $9 $544 $ 9 $ 544
PAYROLL TAXES TOTAL $92 $5,744 $0 $0 $0 $0 $ 92 $ 5,744
EMPLOYEE BENEFITS
0201 Health Insurance $54 $3,429 $ 54 $ 3,429
0202 Life Insurance $61 $3,898 $ 61 $ 3,898
0203 Retirement $89 $5,628 $ 89 $ 5,628
0204 Benefits Other-Specify $6 $375 $ 6 $ 375
EMPLOYEE BENEFITS TOTAL $210 $13,330 $0 $0 $0 $0 $ 210 $ 13,330
TAXES&BENEFITS TOTAL $ 302 $ 19,074
TOTAL PERCENT OF BENEFITS TO SALARIES error error
Exhibit B
Page 16 of 20
FRESNO COUNTY
FY 2019-2020 BUDGET
Provider Name: LPC Consulting Associates,Inc.
Program: Substance Abuse Prevention Evaluator Approved by:
Date: February 24,2016 Date:
Budget Categories-Line Item Description SAPT Funding Other Funding Other Funding Proposed Program
(Must Be Itemized) Budget Budget Budget Budget
SALARY,PAYROLL TAX,AND EMPLOYEE BENEFITS TOTAL $57,487 $0 $0 $57,487
INSURANCE
0252 Liability Insurance $0
0253 Insurance Other-Specify $0
INSURANCE TOTAL $0 $0 $0 $0
COMMUNICATIONS
0301 Telecommunications/data lines $0
0302 Answering Service $0
COMMUNICATIONS TOTAL $0 $0 $0 $0
OFFICE EXPENSE
0351 Office Supplies $0
0352 Soc Rec.,Workbooks $0
0353 Printing/Reproduction $0
0354 Publications $0
0355 Legal Notices/Advertising $0
OFFICE EXPENSE TOTAL $0 $0 $0 $0
EQUIPMENT
0401 Purchase of Equipment $0
0402 Equipment Rent/Lease $0
0403 Equipment Maintenance $0
EQUIPMENT TOTAL $0 $0 $0 $0
FACILITIES
0451 Rent/Lease Building $3,812 $3,812
0452 Facilities Maintenance $0
0453 Utilities $0
FACILITIES TOTAL $3,812 $0 $0 $3,812
TRAVEL COSTS
0501 Staff Mileage $3,456 $3,456
0502 Staff Travel(Out of County) $4,200 $4,200
0503 Staff Training/Registration $1,920 $1,920
0504 Transportation $0
TRAVEL COSTS TOTAL $9,576 $0 $0 $9,576
PROGRAM SUPPLIES
0551 Program Supplies-Client Incentives $0
0552 Program Supplies-Curriculum $0
0553 Program Supplies-Food $0
PROGRAM SUPPLIES TOTAL $0 $0 $0 $0
CONSULTANCY
0601 Consultant Services $0
0602 Contracted Services $0
CONSULTANCY TOTAL $0 $0 $0 $0
FISCAL AND AUDITS
0651 Accounting/Bookkeeping $0
0652 External Audit $0
FISCAL AND AUDITS TOTAL $0 $0 $0 $0
OTHER COSTS
0701 Indirect Costs $9,125 $9,125
0702 Licenses/Taxes $0
0703 County Administration Fee $0
0749 Other Business Services $0
OTHER COSTS TOTAL $9,125 $0 $0 $9,125
TOTAL PROGRAM EXPENDITURES $80,000 $0 $0 $80,000
REVENUE/MATCH
3120 Medi-Cal $0
3130 State Grant $0
3140 Private Donations $0
3150 Client Fees $0
REVENUE/MATCH TOTAL $0 $0 $0 $0
NET PROGRAM BUDGET $80,000 $0 $0 $80,000
Exhibit B
Page 17 of 20
FRESNO COUNTY
FY 2020-2021 BUDGET
BUDGET JUSTIFICATION NARRATIVE
PERSONNEL/SALARIES Annual Salary and FTE equivalence as in budget.
Annual(12 Month) %of FTE dedicated
Budget Categories-Line Item Description Salary for this to this program
Research Director $592 0%
Senior Associate $6,315 6%
Senior Associate $8,986 6%
Data Systems Manager 0%
Research Assistant $2,824 6%
Research Assistant $2,542 6%
Position descriptions submitted with proposal.
PAYROLL TAXES TOTAL 15.32%
EMPLOYEE BENEFITS
TOTAL 35.53%
INSURANCE List the following insurance categories:
0251 -Workers Compensation Insurance-
0252- Liability Insurance-
Li 0253- Insurance Other-
COMMUNICATIONS ❑ 0301 -Telecommunications/data lines-
❑ 0302-Answering Service-
OFFICE EXPENSE ❑ 0351-Office Supplies: Includes Items necessary to carry out the daily
activities to accomplish the program goals and objectives including paper, filing
supplies, pens, pencils, scissors, and other supplies.
11 0352-Social/Rec, Workbooks.-
0353-Printing/Re prod uction includes items such as the printing of business
cards, program pamphlets, position vacancy advertising and other materials
related to the program.
❑ 0354- Publications-
Li 0355- Legal Notices/Advertising -
EQUIPMENT List the following equipment categories and provide a brief description for each
category:
❑ 0401 - Purchase of Equipment-
Li 0402- Equipment Rent/Lease-
Li 0403-Equipment Maintenance: minor equipment repair for copier and
vehicle maintenance.
Exhibit B
Page 18 of 20
FRESNO COUNTY
FY 2020-2021 BUDGET
BUDGET JUSTIFICATION NARRATIVE
FACILITIES List the following facilities categories and provide a brief description for each
category:
❑ 0451 - Rent/Lease Building-
1-1 0452- Facilities Maintenance-
1-1 0453- Utilities-
TRAVEL List the following travel categories and provide a brief description for each
❑ 0501 -Staff Mileage-
Li 0502-Staff Travel (Out of County)-
Li 0503-Staff Training/Registration-
Li 0504-Transportation -
PROGRAM SUPPLIES List the following program supplies categories and provide a brief description
❑ 0551 - Program Supplies-Client Incentives
❑ 0552- Program Supplies-Curriculum
❑ 0553- Program Supplies- Food
CONSULTANCY List the following consulting categories and provide a brief description for each
❑ 0601 -Consultant Services-
Li 0602-Contracted Services-
FISCAL AND AUDITS List the following fiscal and audits categories and provide a brief description for
❑ 0651 -Accounting/Bookkeeping -
1-1 0652- External Audit-
OTHER COSTS List the following categories and provide a brief description for each category:
❑ 0701 - Indirect Costs-
Li 0702- Licenses/Taxes-
Li 0703-County Administration Fee-
❑ 0749-Other Costs-Other business services such as applicant TB tests,
drug screens, and other program-related items that don't necessarily fit into
another line item.
REVENUE/MATCH Please identify all anticipated funding sources and distinguish whether the
❑ 3120- Drug Medi-Cal -
Mental Health Medi-Cal -
❑ 3130-State Grant-
❑ 3140- Private Donations-
In 3150-Client Fees-
Exhibit B
Page 19 of 20
FRESNO COUNTY
PERSONNEL BUDGET
Fiscal Year: 2020-2021 Submitted by: LPC Consulting Associates,Inc.
Provider Name: LPC Consulting Associates,Inc. Date: February 24,2016
Program: Substance Abuse Prevention Evaluator Approved by: Lynne P.Cannady
Mailing Address: 2015 J Street#205,Sacramento,CA 95811
Street Address: 2015 J Street#205,Sacramento,CA 95811 Signature:
Phone Number: 916-448-8026 Date: February 24,2016
Fax Number: 916-448-1056
No.of Budgeted FTE Administration: Direct Service: E-Mail Address: ynne(d1pc-associates.com
Budget Categories- Annual %of FTE %Time dedicated Proposed Program Budget
Line Item Description (12-Month) dedicated to to services SAPT Funding Other Funding Other Funding Total Proposed Budget
(Must be Itemized) Salary this program Admin. Direct Admin. Direct Admin. Direct Admin. Direct Admin. Direct
PERSONNEL/SALARIES
0101 Research Director $155,730 0% 100% $592 $ 592 $
0102 Senior Associate $109,450 6% 100% $6,315 $ - $ 6,315
0103 Senior Associate $155,730 6% 100% $8,986 $ $ 8,986
0104 Data Systems Manager $117,042 0% 100% $ $ -
0105 Research Assistant $50,606 6% 100% $2,824 $ $ 2,824
0106 Research Assistant $45,552 6% 100% $2,542 $ $ 2,542
0107 $ $ -
0108 $ $
0109 $ $
0110 $ $
0111 $ $
0112 $ $
0113 $ $
0114 $ $
0115 $ $
0116 $ $
0117 $ $
0118 $ $
0119 $ $
0120 $ $
0121 $ $
0122 $ $
0123 $ $
0124 $ $
0125 $ $
0126 $ $
0127 $ $
0128 $ $
0129 $ $
0130 $ $ -
SALARIES TOTAL $592 $20,667 $0 $0 $0 $0 $ 592 $ 20,667
PAYROLL TAXES
0151 State Unemployment Insurance $25 $868 $ 25 $ 868
0152 F.I.C.A./O.A.S.D.I. $37 $1,281 $ 37 $ 1,281
0153 State Disability Insurance $6 $207 $ 6 $ 207
0154 Workers'Compensation Insurance $15 $508 $ 15 $ 508
0155 Medicare $9 $300 $ 9 $ 300
PAYROLL TAXES TOTAL $92 $3,164 $0 $0 $0 $0 $ 92 $ 3,164
EMPLOYEE BENEFITS
0201 Health Insurance $54 $1,889 $ 54 $ 1,889
0202 Life Insurance $61 $2,147 $ 61 $ 2,147
0203 Retirement $89 $3,100 $ 89 $ 3,100
0204 Benefits Other-Specify $6 $207 $ 6 $ 207
EMPLOYEE BENEFITS TOTAL $210 $7,343 $0 $0 $0 $0 $ 210 $ 7,343
TAXES&BENEFITS TOTAL $ 302 $ 10,507
TOTAL PERCENT OF BENEFITS TO SALARIES error error
Exhibit B
Page 20 of 20
FRESNO COUNTY
FY 2020-2021 BUDGET
Provider Name: LPC Consulting Associates,Inc.
Program: Substance Abuse Prevention Evaluator Approved by:
Date: February 24,2016 Date:
Budget Categories-Line Item Description SAPT Funding Other Funding Other Funding Proposed Program
(Must Be Itemized) Budget Budget Budget Budget
SALARY,PAYROLL TAX,AND EMPLOYEE BENEFITS TOTAL $32,068 $0 $0 $32,068
INSURANCE
0252 Liability Insurance $0
0253 Insurance Other-Specify $0
INSURANCE TOTAL $0 $0 $0 $0
COMMUNICATIONS
0301 Telecommunications/data lines $0
0302 Answering Service $0
COMMUNICATIONS TOTAL $0 $0 $0 $0
OFFICE EXPENSE
0351 Office Supplies $0
0352 Soc Rec.,Workbooks $0
0353 Printing/Reproduction $0
0354 Publications $0
0355 Legal Notices/Advertising $0
OFFICE EXPENSE TOTAL $0 $0 $0 $0
EQUIPMENT
0401 Purchase of Equipment $0
0402 Equipment Rent/Lease $0
0403 Equipment Maintenance $0
EQUIPMENT TOTAL $0 $0 $0 $0
FACILITIES
0451 Rent/Lease Building $2,126 $2,126
0452 Facilities Maintenance $0
0453 Utilities $0
FACILITIES TOTAL $2,126 $0 $0 $2,126
TRAVEL COSTS
0501 Staff Mileage $216 $216
0502 Staff Travel(Out of County) $175 $175
0503 Staff Training/Registration $80 $80
0504 Transportation $0
TRAVEL COSTS TOTAL $471 $0 $0 $471
PROGRAM SUPPLIES
0551 Program Supplies-Client Incentives $0
0552 Program Supplies-Curriculum $0
0553 Program Supplies-Food $0
PROGRAM SUPPLIES TOTAL $0 $0 $0 $0
CONSULTANCY
0601 Consultant Services $0
0602 Contracted Services $0
CONSULTANCY TOTAL $0 $0 $0 $0
FISCAL AND AUDITS
0651 Accounting/Bookkeeping $0
0652 External Audit $0
FISCAL AND AUDITS TOTAL $0 $0 $0 $0
OTHER COSTS
0701 Indirect Costs $5,019 $5,019
0702 Licenses/Taxes $0
0703 County Administration Fee $0
0749 Other Business Services $0
OTHER COSTS TOTAL $5,019 $0 $0 $5,019
TOTAL PROGRAM EXPENDITURES $39,684 $0 $0 $39,684
REVENUE/MATCH
3120 Medi-Cal $0
3130 State Grant $0
3140 Private Donations $0
3150 Client Fees $0
REVENUE/MATCH TOTAL $0 $0 $0 $0
NET PROGRAM BUDGET $39,684 $0 $0 $39,684
Exhibit C
Page 1 of 2
SELF-DEALING TRANSACTION DISCLOSURE FORM
In order to conduct business with the County of Fresno (hereinafter referred to as "County"), members
of a contractor's board of directors (hereinafter referred to as "County Contractor"), must disclose any
self-dealing transactions that they are a party to while providing goods,performing services, or both for
the County. A self-dealing transaction is defined below:
`A self-dealing transaction means a transaction to which the corporation is a party and in which one
or more of its directors has a material financial interest"
The definition above will be utilized for purposes of completing this disclosure form.
INSTRUCTIONS
(1) Enter board member's name,job title (if applicable), and date this disclosure is being made.
(2) Enter the board member's company/agency name and address.
(3) Describe in detail the nature of the self-dealing transaction that is being disclosed to the
County. At a minimum, include a description of the following:
a. The name of the agency/company with which the corporation has the transaction; and
b. The nature of the material financial interest in the Corporation's transaction that the
board member has.
(4) Describe in detail why the self-dealing transaction is appropriate based on applicable provisions
of the Corporations Code.
(5) Form must be signed by the board member that is involved in the self-dealing transaction
described in Sections (3) and(4).
Exhibit C
Page 2 of 2
(1)Company Board Member Information:
Name: Date:
Job
Title:
(2)Company/Agency Name and Address:
(3)Disclosure(Please describe the nature of the self-dealing transaction you are a party to):
(4)Explain why this self-dealing transaction is consistent with the requirements of Corporations Code 5233
(a):
(5)Authorized Signature
Signature: Date:
Exhibit D
Page l of l
NOTICE OF CHILD ABUSE REPORTING LAW
The undersigned hereby acknowledges that Penal Code Section 11166 and the contractual
obligations between County of Fresno (COUNTY) and CONTRACTOR, related to provision
of services for visitation centers, require that the undersigned report all known or suspected
child abuse or neglect to one or more of the agencies set forth in Penal Code (P.C.) Section (§)
11 165.9.
For purposes of the undersigned's child abuse reporting requirements, "child abuse or neglect"
includes physical injury inflicted by other than accidental means upon a child by another
person, sexual abuse as defined in P.C. §11165.1, neglect as defined in P.C. §l 1165.2, willful
cruelty or unjustifiable punishment as defined in P.C. §11 165.3, and unlawful corporal
punishment or injury as defined in P.C. §11165.4.
A child abuse report shall be made whenever the undersigned, in his or her professional
capacity or within the scope of his or her employment, has knowledge of or observes a child
whom the undersigned knows or reasonably suspects has been the victim of child abuse or
neglect. (P.0 §11166.) The child abuse report shall be made to any police department or
sheriff s department (not including a school district police or security department), or to any
county welfare department, including Fresno County Department of Social Services 24 Hour
CARELINE. (See PC §11165.9.).
For purposes of child abuse reporting, a"reasonable suspicion" means that it is objectively
reasonable for a person to entertain a suspicion, based upon facts that could cause a reasonable
person in a like position, drawing, when appropriate, on his or her training and experience, to
suspect child abuse or neglect. The pregnancy of a child does not, in and of itself, constitute a
basis for reasonable suspicion of sexual abuse. (P.C. §11166(a)(1).)
Substantial penalties may be imposed for failure to comply with these child abuse reporting
requirements.
Further information and a copy of the law may be obtained from the department head or
designee.
I have read and understand the above statement and agree to comply with the child abuse
reporting requirements.
C'c►,
SIGIOTURE DATE
Exhibit E
Page 1 of 2
CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES
CONTRACTOR shall adhere to and develop written procedures in accordance with the below standards
adapted from the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in
Health Care:
Culturally Competent Care:
1. Organizations must ensure that consumers receive from all staff members effective,
understandable, and respectful care that is provided in a manner compatible with
their cultural health beliefs and practices and preferred language.
2. Organizations must implement strategies to recruit, retain, and promote at all levels
of the organization a diverse staff and leadership that are representative of the
demographic characteristics of the service area.
3. Organizations must ensure that staff at all levels and across all disciplines receive
ongoing education and training in culturally and linguistically appropriate service
delivery.
Language Access Services:
4. Organizations must offer and provide language assistance services, including bilingual
staff and interpreter services, at no cost to consumers with limited English proficiency
at all points of contact, in a timely manner during all hours of operation.
5. Organizations must provide to consumers in their preferred language both verbal
offers and written notices informing them of their right to receive language assistance
services.
6. Organizations must assure the competence of language assistance provided to limited
English proficient consumers by interpreters and bilingual staff. Family and friends
should not be used to provide interpretation services (except on the request of the
consumer).
7. Organizations must make available easily understood patient-related materials and
post signage in the languages of the commonly encountered groups and/or groups
represented in the service area.
Organizational Supports:
8. Organizations must develop, implement, and promote a written strategic plan that
outlines clear goals, policies, operational plans, and management
accountability/oversight mechanisms to provide culturally and linguistically
appropriate services.
Exhibit E
Page 2 of 2
9. Organizations must conduct initial and ongoing organizational self-assessments of
CLAS related activities and are encouraged to integrate cultural and linguistic
competence-related measures into their internal audits, performance improvement
programs, consumer satisfaction Assessments, and Outcomes-Based Evaluations.
10. Organizations must ensure that data on the individual consumer's race, ethnicity, and
spoken and written language are collected in program records, integrated into the
organizations management information systems, and periodically updated.
11. Organizations must maintain a current demographic, cultural, and epidemiological
profile of the community as well as a needs assessment to accurately plan for and
implement services that respond to the cultural and linguistic characteristics of the
service area.
12. Organizations must develop participatory, collaborative partnerships with
communities and utilize a variety of formal and informal mechanisms to facilitate
community and consumer involvement in designing and implementing CLAS-related
activities.
13. Organizations must ensure that conflict and grievance resolution processes are
culturally and linguistically sensitive and capable of identifying, preventing, and
resolving cross-cultural conflicts or complaints by consumers.
14. Organizations must regularly make available to the public information about their
progress and successful innovations in implementing these standards and to provide
public notice in their communities about the availability of this information.
15. Organizations must ensure communication regarding the organization's progress in
implementing and sustaining CLAS to all stakeholders, constituents, and general
public.
CONTRACTOR shall develop written procedures in accordance with the above standards. The
provisions of this Agreement are not intended to abrogate any provisions of law or regulation existing
or enacted during the term of this Agreement.
Exhibit F
Page 1 of 2
DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST STATEMENT
I. Identifying Information
Name of entity D/8/A
L?C- 62.
Address(number,street) City State ZIP code
S LOS S", rAmk,.& CA 9S3 ( -311`
CLIA number Taxpayer ID number(EIN) Telephone number
OS- 05a;L '1_-2-g (91(0 ) qq - Da-(,o
II. Answer the following questions by checking "Yes" or "No." If any of the questions are answered "Yes," list names and
addresses of individuals or corporations under"Remarks" on page 2. Identify each item number to be continued.
YES NO
A. Are there any individuals or organizations having a direct or indirect ownership or control interest
of five percent or more in the institution, organizations, or agency that have been convicted of a criminal
offense related to the involvement of such persons or organizations in any of the programs established
by Titles XVI11, XIX, or XX?......................................................................................................................... o i
B. Are there any directors, officers, agents, or managing employees of the institution, agency, or
organization who have ever been convicted of a criminal offense related to their involvement in such
programs established by Titles XVIII, XIX, or XX?...................................................................................... n
C. Are there any individuals currently employed by the institution, agency, or organization in a managerial,
accounting, auditing, or similar capacity who were employed by the institution's, organization's, or
agency's fiscal intermediary or carrier within the previous 12 months? (Title XVIII providers only)........... O
ill. A. List names, addresses for individuals, or the EIN for organizations having direct or indirect ownership or a controlling
interest in the entity. (See instructions for definition of ownership and controlling interest.) List any additional names
and addresses under "Remarks" on page 2. If more than one individual is reported and any of these persons are
related to each other, this must be reported under"Remarks."
NAME ADDRESS EIN
n ?. S� sirmt #Z-)J5 p�- 052512
B. Type of entity: o Sole proprietorship o Partnership corporation
o Unincorporated Associations o Other(specify)
C. If the disclosing entity is a corporation, list names, addresses of the directors, and EINs for corporations
under"Remarks."
D. Are any owners of the disclosing entity also owners of other Medicare/Medicaid facilities?
(Example: sole proprietor, partnership, or members of Board of Directors) If yes, list names, addresses
of individuals, and provider numbers................ .......... ...................................................................... o a
NAME ADDRESS PROVIDER NUMBER
Exhibit F
Page 2 of 2
YES NO
IV. A. Has there been a change in ownership or control within the last year?....................................................... o Fr--
If yes, give date.
B. Do you anticipate any change of ownership or control within the year?....................................................... o
If yes, when?
C. Do you anticipate filing for bankruptcy within the year?................................................................................ o
If yes, when?
V. Is the facility operated by a management company or leased in whole or part by another organization?.......... o ;T�-
If yes, give date of change in operations.
VI. Has there been a change in Administrator, Director of Nursing, or Medical Director within the last year?......... o 'OV-1
VI I. A. Is this facility chain affiliated? ...................................................................................................................... o
(If yes, list name, address of corporation, and EIN.)
Name EIN
Address(number,name) City State ZIP code
B. If the answer to question VII.A. is NO, was the facility ever affiliated with a chain?
(If yes, list name, address of corporation, and EIN.) NO
Name EIN
Address(number,name) City State ZIP code
Whoever knowingly and willfully makes or causes to be made a false statement or representation of this statement, may be
prosecuted under applicable federal or state laws. In addition, knowingly and willfully failing to fully and accurately disclose the
information requested may result in denial of a request to participate or where the entity already participates, a termination of
its agreement or contract with the agency, as appropriate.
Name of authorized representative(typed) Title
L n rlp— -�- &4 F
Signature Date
Remark c,p (7lrtGiz<S LG' Coy-,S��� (nc-
)