HomeMy WebLinkAboutAmendment to Agreement A-14-647-1 with Childhood Lead Poisoning Prevention Program.pdfAgreement No. 14-647-1
1 AMENDMENT TO AGREEMENT
2 THIS AMENDMENT TO AGREEMENT A-14-647 (hereinafter "Amendment") is made
3 and entered into this llR'-Ih day of JLL.l\s?.... , 2015, by and between COUNTY OF
4 FRESNO, a political subdivision of the State of California, Fresno, California (hereinafter
5 "COUNTY"), and City of Fresno, a municipal corporation, acting through its Housing &
6 Community Development Division, whose address is 2600 Fresno Street, Fresno, California
7 93721, hereinafter referred to as "CONTRACTOR".
8 WITNESSETH:
9 WHEREAS, COUNTY and CONTRACTOR entered into Agreement No. A-14-647,
10 dated October 28, 2014 (hereinafter "Agreement"), pursuant to which CONTRACTOR agreed
11 to partner with the COUNTY to provide services to the community for the purpose of
12 increasing awareness regarding the hazards of lead exposure, reducing lead exposure,
13 increasing the number of children assessed and appropriately blood tested for lead poisoning
14 to administer the State of California funded CLPPP through the COUNTY's Department of
15 Public Health Childhood Lead Poisoning Prevention Program (CLPPP) from July 1, 2014
16 through June 30, 2017; and
17 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement to
18 modify the Modification clause and revise Exhibit B;
19 NOW, THEREFORE, COUNTY and CONTRACTOR agree as follows:
20 1. Under the "Modification" section of the Agreement, beginning on Page five (5),
21 with Paragraph two (2), Line thirteen (13) with the word "Any" and ending on
22 Line fourteen (14) with the word "remainder" be deleted and the following
23 inserted in its place:
24 "Any matters of this Agreement may be modified from time to time
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by the written consent of all the part ies without , in any way , affecting the
remainder .
Notwithstanding the above , changes to line items in the budget, attached hereto
as Exhibit B , that do not exceed the maximum compensation payable to the
CONTRACTOR as set forth in section 4 herein , may be made with the written
approval of COUNTY's Department of Publ ic Health Director, or his/her
designee . Said budget line item changes shall not result in any change to the
maximum compensation amount payable to CONTRACTOR , as stated herein ."
That all references in existing COUNTY Agreement No. A-14-647 to "Exhibit B"
10 shall be changed to read "Revised Exhibit B", where appropriate , attached
11 hereto and incorporated herein by reference .
12 COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
13 Agreement and , that upon execution of this Amendment , the Agreement and this First
14 Amendment together shall be considered the Agreement.
15 The Agreement, as hereby amended , is ratified and continued . All provisions , terms ,
16 covenants , conditions and promises contained in the Agreement and not amended herein
17 shall remain in full force and effect.
18 Ill
19 Ill
20 Ill
21 Ill
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23 Ill
24 Ill
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IN WITNESS WHEREOF, the parties hereto have executed this First Amendment as of
2 the day and year first hereinabove written.
3 CONTRACTOR: COUNTY OF FRESNO
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5
6 Deborah A. Poochigian, Chain
Board of Supervisors Print Name: Jennifer Clark, Director
7 Development and Resource Management Department
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9
Date: -------------------------10
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17 Mailing Address:
City of Fresno
Date: ~ / ~ .:W/5
ATTEST:
Bernice Seidel, Clerk to Board of
Supervisors
By d\~ ~t
Depu~ 1
/
18 Development and Resource Management Department
Housing and Community Development Division
19 2600 Fresno Street, Room 3070
Phone#: (559) 621-8300
20 Contact: John Robertson, Interim Manager
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APPROVED AS TO LEGAL FORM :
2
DANIEL C . CEDERBORG , COUN T Y COUNSEL
By:_e --'-.._....;,. ~-~_:h_r c:/_ 3
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5 APPROVED AS TO ACCOUNTING FORM :
VICKI CROW, C .P .A., AUDITOR -CONTROLLER/
6 TREASURER-TAX COLLECTOR
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FOR ACCOUNT ING USE ONLY :
17 Fund/S ubclass: 0001110000
Organization: 5620 1612
Account/Program: 7295 18
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County/City : City of Fresno-Tier Ill Funding
Contract No:
Federal ID : 94-000338
I CLPPP Allocation:
. $145,4 90
l=vnon~. ·Category
(a) Total Salaries & Wages (from
(b) Total Salaries & Wages (from
(c) Staff Benefits -"'""' · = 31 .94%
Personnel & Benefits Subtotal
(a}lndirect_ Cost(%)= 10.00%
(b) Ind . Cos ts Assoc . w. Enhanced Activ . (%) = 10.00%
Indirect Costs Subtotal
(a) General "''
(b) Space/Rent
(c) Equipment, Minor & :teciromc Equipment
(d) Printing
(e) Travel and PerDiem
(f) Train ing Expe nses_
Subtotal :
I JSA, ~nntr:"-t'"
Katch , ·~omo nt
Construction Contracts
"" Operating and Su
Subtotal
Subtotal
(a) Tier 3 Funding
(bJ )(RFLoan Program
(c) 'rloor<>t inn<>l Material_s
(d) 1::1 Sampling
Other Costs Subtotal
TOTAL Budget (should match Total Budget below) $
!Funding (PCA) Codes
I State Funds
I Federal Funds
!Total State Funds [should match CLPPP allocation]
JTotal Budget
Revised Exh ibit B
CLPPP Budg et Detai l Works heet
Fiscal Year 2014-2015 Preparer's Name: ..:;J::=,o::,:hn,:-M~. R~oO:.:b::C:e':'rt:::.:so:::_n:__ ____ _
Total Funding
(Do Not Enter)
49 ,623
15,850
65.473
6 ,547
6,547
1 ,969
1,000
3 ,500
6,469
15,000
15,000
15,000
45,000
51 ,469
5 ,000 1Tooo
22,000
Preparer's Phone No. : _,_(5.:..5:.:9..._) ..::.62=-1:...-8.:..:5:.c1..:.8 ______ _
Pre parer's Fax No.: -':(5,...5:...:9.:...)_48'-8:....-1...,0:-:7..:.8_,---____ _
Date Prepared/Revised : September 23 ,2013
PRIMARY CONTRACT MEDI-CAL LEAD PROGRAM
l0iilfii1u5fbe minimum 30% of Nurse Case Mgt. Administrative "'-" "'"'"
:CLPPP Allocation): 11---....c:_;7;: Se:;::T,rvic=es~:__--!.1 NO:::on-i:-En~han=ce:;::.:d:..:r.=..:..~~=:;----f
$ 43 ,647 l<;nO/,(I;nQ/o) (50%/50%) (~~~:.;~~1)
Amount Amount Amount Amount
49 .623
15,850
65.473
6 ,547
-6 .547
1 .969
1,
3 ,500
6 ,469
15,
15.uuu
15.
45,1
51,469
<;
17.
??
145,490 $ 145,490 $
T 51700 II 51701 I 51703 I 51702 1
I $ 145,490 II $ -I $ -I $ -I
II $ -I $ -I $ -I
I$ 145,490 I Total Federal Contribution to MCLP : I $ -I
I $ 145,489 1 Unbudgeted Allocation Funds A vailable: I $o I
As the CLPPP Coordinator, I certify that this budget has been constructed in compliance with all CLP PB and DHS
Admin istrative and Program Policies .
As the Fiscal Agent for this agency, I certify that this budget ha s been constructed in compliance with all CLPPB and
DHS Administrative and Program Policies .
-------------------------·--cri'•rF>-coorctiriaio?s-sf9iiaiure ____________________________ _ Date
County/City : City o f Fresno-Ti e r Ill Fund i ng
Contract No:
Federal ID : 94-000338
I CLPPP Allocation:
. $14 5,4 90
I Ex p e n se Category
(a) Total Salaries & Wages (from Su I
(b) Total Salaries & Wages (from "" I
(c) Staff Benefits = 31 .94 %
I & Benefits Subtotal
(a ) Indirect Cost (%)= 10.00%
(b) Ind . Cos ts Assoc . w. Enh ance d Activ . (%) = 10.00%
Indirect Costs Subtotal
(a ) Gen e ral
(b)
:) Eq uipment, M inor & Electron ic 'n• ,;n m<>nt
I) Printing
!) T rave l and Per D iem
Training Expenses
Ope rating Expe nses Subtota l
(a) l1
C::o oh r nnlr:>r\ Subtotal
upera11ng and Subcon 'd'-'" Subtotal
(a) Tier 3 Funding
(b) XRF Loan Program
(c) Educational Materials
{d ) Outreach activities ,
Other Costs Subtotal
TOT,o\L Budget (should match Total Budget below)
!Funding (PCA) Codes
I State Funds
!Federal Funds
I Total State Funds [shou ld match CLPP P allocation]
!Total Budget
$
CLPPP B u dget D et ail Works h eet
Fiscal Ye ar 201 5-2016
PRIMARY CONTRACT
!(Total must be minimum 30% of
Total Fundi ng C LPPP Allocation):
$ 43 ,647
(Do Not Enter) Amount
79,665 7 9 ,665
25 ,441 2 5,445
105,110 105,110
10,511 10 ,51
10 ,511 10 ,51
1,869 1,869
1_,_00i) 1
2 ,869 2 ,869
15 ,000 1~ nnn
15,000 15,uuc
32,869 17 ,86 9
2 ,000 2 ,000
10,000 10.000
12,000 12,000
145,490 $. 145,490 $
I 51700 II
I $ 145.490 II $
I II$
I $ 145.490 I
I $ 145,490 I
Revised Ex hibit B
Pre pare r's Name: John M . Robertson
Pre parer's Phone No. : ->.(::.:55:.:9"-) .::.62::..1:_·::.:85:..:1c:::8 ______ _
P repa re r's Fax No.: -7(5
7
5_9-':),.-48
7
8,-:-::10_7_8 ______ _
D ate Pre pared/R evi sed : .:..Mc:.:a:.<.y--=6"-, =-20=-1-=5 _______ _
MEDI-CAL LEAD PROGRAM
Nurse Case Mgt. Ad_llli l m•~~
Se rvices •v• ,-~~;,~;;~d ~~~~:~~:1.) EJI.!"Io/OU %)
Amount Amount Amount
, •.. ,
:.;•:·:·:
,·~···
, •• -!·~-:~!•:·= ;!;!; :. • ;·: ·!•:
I ~~·=···-:-Y+"•' :·::;•;·::;-.
1•'•=•:=:<=•=•=•= >
·:·;~:·::
.;.,
-$ -
51701 I 51703 I 51702 I
-I $ -I $ -I
-I $ -I $ -I
Total Federal Contribution to MCLP: I $ -I
Unbudgeted Allocation Funds Available: I ($0)1
As the CLPPP Coordinator, I ce rtify th at thi s budget ha s bee n co nstructed in compli ance with all CL PPB and DH S As th e Fis cal Agent for this agency , I ce rt ify that thi s budg et has bee n co nstructed in co mpliance with all CLPPB and
Adm inis trative and Program Policies . DH S Admin is trativ e and Prog ram Policies .
----------------------------c'Li''J5fi -coordiriaia~5 -si9riaiure _____________________________ Date
--------------------------------A'9e-ri c'YF'iscaT.A.9ent~s-Si (iriall.ire ________________________________________ oale ________
County/City : City of Fresno-Tier Ill Funding
CLPPP Budget Detail Worksheet
Fiscal Year 2016-2017 Preparer's Name: John M . Robertson
Preparer's Phone No. : --;(5;:-;5:;:9:;--) ;:.62;;-:1;'-·8::;:;5=-:1.:;;8=-='--------Contract No:
Federal ID : 94..000338
I
CLPPP Allocation :
. $145,490
Expense Category_
(a) Total Salaries & Wages (from
(b) Total Salaries & W ages (from
(c) Staff Be nef its =
(a) Ind irect Cost (%)=
31 .94%
~"'·-~~ I & Benefits Subtotal
10.00%
(b) Ind . Co sts Assoc . w. Enhanced Activ. (%) = 10.00%
(a) General Expenses
(b) Space/Rent
(c) Equipment, Minor &
(d) Printing
(e) Travel and Per Die m
(f) Trainin" Expenses
J SA. A ssessment r.nn tr,rtnr
Katch,
'"ct" '"''"" Contracts
(a) T ier 3 Funding
(b ) X RF Loan Prog ram
(c) I M aterials
(d) M edia Events
Indirect Costs Subtotal
C:rrhrnntr,rt S ubtotal
P"'"""Y and Sui • Subtotal .
Other Costs Subtotal
TOTAL Budget (should match Total Budget below] $
IFundin" (PC A ) Codes
I State F unds
!Federa l Funds
!Total State Funds [should match C LPP P allocation]
!Total B udget
Total Funding
(D o Not E nter)
79 ,665
25,445
105,1 1(
10,511
10,51 1
_1 ,869
1,000
2 ,869
15 ,000
15,000
32,869
2 ,000
10,0 0C
12,000
As the CLPPP Coordinator, I certify that this budg et ha s been constructed in compliance wi th all CLPPB and DHS
Adminis tra tive and Program Policies .
····························ci'f'r"P·coordiriaia25 .si9riaiure····························· Date
Preparer's Fax No. : ..;.15:--:5:..:9--::) _48::-,8:--::·.:;;1 0:..:.7..:.8 ______ _
Date Prepared/Revised : ~M:.:.:a:1.y..::6"-, 2::::0:...:1..::5 _______ _
PRIMARY CONTRACT MEDI -CAL LEAD PROGRAM
(T otal must be minimum 30% ot 1 L__....!N::.::uJ~rrse_=Cas=~~_rJigt;:_._-b::-;:~Adm~ini~stra~tive~ Al~ortiv~itoi~'""''~~
C L PPP Allocation) lr .~~rv_~~es I Non:~"?~~;'"~~ Enhanced
$ 43,647 \"' \OlU 7 ot Olu·/o) (25%/75%)
$
I
I
A mount Amount Amount Amount
51700
79 ,665
25,445
105,110
10,51
10,51
1,869
1
2 ,869
1S
1
17 ,869
2,000
10,000
1?
145,490
II
145.490 II $
. $
5170 1 1 51703 I 51702 I
·I $ ·I $ ·I
·I $ ·I $ ·I
I$ 145 .490 I Total Federal Contribution to M C LP : I $ • I
~==::::=::::~ 14 5 ,490 1 Unbudgeted A llocation Funds Available: J ($0)J
As the Fiscal Agent for this agency , I certify that thi s budget ha s bee n const ructed in co mpliance with all CLPP B and
DHS Administrati ve and Program Policies .
································ii9eriC:"Y."Fi5caT.A.9ent~5·Si~iriiiiL;r-e········································oaie········
Budget Cover Sheet
Fiscal Year 2015-2016
Local Program Information ...
County/City I City of Fresno -Tier Ill Funding I Maximum Staff Benefit % Rate I 31 .94% I
Federaii.D. Number 194-000338 I Indirect Cost % Rate I 10.00% I
Contact/Prepared by ...
Preparer's Name I John M. Robertson I Preparer's Phone 1(559) 62 1-8518 I
Preparer's email addressl john.robertson@.fresno.gov I Preparer's Fax 1(559) 488-1078 I
Contract Information ...
State Allocation I s 145,490 1 Contract No. I I
Total Budget Amountl $ 145.490 1 Date Prepared I Revised i May 6 , 2015 I
I Do Not Enter-Linked to Detail Wksheet I
S :\OSS\2005 -2008 RFA Templates\2005 -2006 Budget Detail Worksheet
County/City: City of Fresno-Tier Ill Funding
Contract No:
Federa l ID: ..::9::::4.:..:-0:.::0,:::03::.:3:.::8:.._ _______ _
Exoe nse Cateaorv
Personnel (with benefits}
1 John M Robertson , Manaa ement Ana lvst Ill
2 Roxane Morse , Management Analyst Ill
3 ·ohn Giannetta, Senior Communitv Revitalizati
4 Rick Helm ,C ommunitv Revita lization Soecialis
5 Susie Williams , Senior Admin Clerk
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 Subtotal Personnel with benefits
Personnel lno benefits)
21
22
23
24
25 Subtotal Personnel (no benefits)
Total Salaries & Wages
% ofFTE
2.00 %
5.00%
29 .00%
70 .00 %
28 .00 %
Personnel Supplement
CLPP P Budget Detail Worksheet
Fiscal Year 2015-20 16
Pri mary
Contract
Annual Salary Tota l Funding abs % Amount
(Do Not Enter) (Do Not Enter)
100 ,291 2,006
85,497 4 ,275
68 ,916 19 ,986
61 ,452 43 ,016
37 ,080 10 ,382
79 ,665
$ 79 ,665 $ -
Note . Totals Will transfer automatically to CLPPP Budget Deta1l Worksheet
Preparer's Name: Joh n M. Robertson
Preparer's Phone No.: _~:(5:::5:.::9"L) .:::62::.1:....-:::::85::...1:.::8'---------
Date Prepared/Revi sed : .::M:!!:a!Ly..::6:,_, =:20~1:..::5:.._ ________ _
MEDI -CAL LEAD PROGRAM
Public Health Administrative Activities
Nurse Case Mgt. Non-Enhanced Enhanced
Services 50/5 0} 25/75)
abs % Amount abs % Amount abs % Amount
(Do Not En ter) (Do Not En ter) (Do Not Enter)
$ -$ -$ -
Rev ised Exhibit B
County/City: City of Fresno-Tier Ill Fund i ng
CL PPP Budget Detail Works heet
Fisc al Year 2015-2 016 Preparer's Name : John M . Robertson
Contrac t No:
Fed eraiiD : 94-000338
I
CLPPP Alloc:atlon :
$145,490
should match CL PPP allocation
Total Funding
As the C LPPP Coordinator, I certify that thi s budget has been constructed in compliance with all CLPPB and DHS
Administrative and Program Policies.
---------------------------cl'F>"Pficoordiriaio~ssi9riailire----------------------------· Date
Preparer's Phone No. : (559) 621 -8518
Preparer's Fax No. : (559) 488-1078
Date Prepared/Revised : May 6 , 2015
51700 51701
Unbudgeted Allocation Funds Available :
As the Fi sca l Agent for this agency , I certify that this budget has bee n constru cted in compliance with all CLPPB and
DHS Administrative and Program Policies .
--------------------------------A'9eriC:"Yt=r5caTA9ent~s-Si~iriaiiire ________________________________________ oaie _______ _