HomeMy WebLinkAboutSTATE DPH-STD Program Management and Collaboration Project_A-22-516 A-20-290 A-22-280.pdf COUP County of Fresno Hall of Records, Room301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O 1856 O Telephone:(559)600-3529
FREs Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
November 8, 2022
Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco,and Vice Chairman Sal Quintero
Agenda No. 36. Public Health File ID:22-1086
Re: Approve and authorize the Chairman to execute Second Amendment to Revenue Agreement(State
Agreement No. 19-10960)with the California Department of Public Health for the Sexually Transmitted
Disease Program Management and Collaboration Project, effective upon execution with no change to
the grant term of July 1,2019 through June 30, 2024 and increasing the maximum by$530,664 to a
total of$1,667,417
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero
Agreement No.22-516
County of Fresno Page 39
co
(t Board Agenda Item 36
O 1$56 O
FRE`'�
DATE: November 8, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Second Amendment to the Revenue Agreement with the California Department of
Public Health for the Sexually Transmitted Disease Program Management and
Collaboration Project
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute Second Amendment to Revenue Agreement(State
Agreement No. 19-10960)with the California Department of Public Health for the Sexually
Transmitted Disease Program Management and Collaboration Project, effective upon execution
with no change to the grant term of July 1, 2019 through June 30, 2024 and increasing the maximum
by$530,664 to a total of$1,667,417.
There is no additional Net County Cost associated with the recommended action. The California
Department of Public Health (CDPH) has increased the County's FY 2022-23 and FY 2023-24 funding for
the Sexually Transmitted Disease Program Management and Collaboration Project(Project)to increase
Sexually Transmitted Disease (STD)screening in vulnerable populations and to subcontract with
community-based or other organizations in the County of Fresno.This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board choose not to approve the recommended action, the
Department would not receive the additional funding for its STD prevention program and would not be able to
fund these critical services to the vulnerable populations.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The annual allocation for
FY 2022-23 and FY 2023-24 will be increased by$265,332 each year for a maximum of$1,667,417 over the
term of the Agreement. The existing agreement allows full indirect cost recovery currently at 18.82% of
salaries and benefits. Sufficient appropriations and estimated revenues are included in the Department's
Org 5620 FY 2022-23 Adopted Budget for estimated expenses and will be included in subsequent budget
requests.
DISCUSSION:
On August 4, 2020, your Board approved a Revenue Agreement(A-20-290)with CDPH to provide continued
funding from the CDPH for the Department's STD prevention program for staff, services and supplies to
support evidence-based approaches to STD surveillance, investigation and treatment, with an emphasis on
Syphilis, Gonorrhea, and Chlamydia infections.
County of Fresno page 1 File Number:22-1086
File Number:22-1086
On June 21, 2022, your Board approved the First Amendment to Revenue Agreement No A-20-290 (State
Agreement No 19-10960, Al)to increase the FY 2021-22 funding revenue amount by$163,998.
The Department has received funding from CDPH since 1998 to support STD prevention and control
activities. Chlamydia, Gonorrhea, and Syphilis, including Congenital Syphilis, remain the most commonly
reported communicable diseases in the County. The recommended second amendment to the collaboration
agreement will help cover the cost of program staff as well as allow for the Department to increase and
improve community-based testing to assist the County in ensuring the success of STD Collaboration
program functions. The Program will partner with non-profit agencies that will provide STD testing to at risk
populations within the County.
This agreement deviates from the County's standard agreement language as the agreement stipulates a
dispute resolution process in which the State and County must partake to informally resolve any disputes
arising from the State's actions. The agreement also contains non-standard County general indemnification
and intellectual property indemnification provisions which require the County to indemnify the State.The
agreement may be cancelled or terminated without cause by the State with 30 calendar days advanced
written notice. The State may also cancel immediately for cause. The County may cancel only if the State
fails to perform its responsibilities.
REFERENCE MATERIAL:
BAI#43, August 4, 2020
BAI #65, June 21, 2022
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Amendment to Agreement with CDPH
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number.22-1086
State of California — Health and Human Services Agency— California Department of Public Health
CDPH 1229A (Rev. 06/2019)
Agreement No. 22-516
CALIFORNIA SEXUALLY TRANSMITTED DISEASES PROGRAM
STD Program Management
Awarded By
THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter "Department"
TO
County of Fresno, hereinafter "Grantee"
Implementing the "STD Program Management and Collaboration Project," hereinafter
"Project"
AMENDED GRANT AGREEMENT NUMBER 19-10960, A2
The Department amends this Grant, and the Grantee accepts and agrees to use the Grant
funds as follows:
AUTHORITY: The Department has authority to grant funds for the Project under Health and
Safety Code Section 131085(a).
PURPOSE FOR AMENDMENT: The purpose of the Grant amendment is to: The purpose of
the Grant amendment is to: Increase the Grant amount for Fiscal Year (FY) 2022 and FY 2023
to allow the Grantee to continue performing more of the same services as identified in Exhibit
A and to reimburse the Grantee accordingly. Revise Exhibit B, Budget Detail and Payment
Provision (in its entirety) and Exhibit E, Standards and Procedures to include the Health and
Safety Code (HSC) 120511 amended language regarding material support items for purposes
consistent with this section. Update project representatives' information. Once the Grant
Agreement has been fully executed, requests for modifications/changes thereafter to the
existing Exhibit A, Scope of Work, do not require a formal amendment but must be agreed to
in writing by both parties. The CDPH/Grantee Project Representatives are responsible for
keeping records of approved modifications/changes. Such modifications/changes must be
made at least 30 days prior to implementation. A formal written amendment is required when
there is an increase or decrease in funding or a change in the term of the agreement.
Amendments are shown as: Text additions are displayed in bold and underline. Text
deletions are displayed as strike through text (i.e., mike).
1
State of California — Health and Human Services Agency— California Department of Public Health
CDPH 1229A (Rev. 06/2019)
AMENDED GRANT AMOUNT: This amendment is to increase the grant for FY 2022 by
$265,332 and FY 2023 by $265,332 and is amended to read: The maximum amount
payable under this Grant shall not exceed nno Million One Hundred Thirty Six The isapA
SeveR H Rdred Fifty Three Dollars ($1 136 75 One Million, Six Hundred Sixty-Seven
Thousand, Four Hundred Seventeen Dollars ($1,667,417).
STANDARD PROVISIONS. The following exhibits are attached and made a part of this Grant
Amendment by this reference.
Exhibit B BUDGET DETAIL AND PAYMENT PROVISIONS
Exhibit E STANDARDS AND GENERAL TERMS AND CONDITIONS PROCEDURES
PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant
will be:
California Department of Public Health Grantee: County of Fresno
Name: Karle EstaGie Name: Jena Adams
Alexia McGonagle Supervising CDC Specialist
Chief, Business Operations Support
Section
Address: P.O. Box 997377, MS 7320 Address: 1221 F lt"n Street
P.O. Box 11867
City, ZIP: Sacramento, Ca 95899-7377 City, ZIP: Fresno, CA 93775
Phone: (916) 552-9820 Phone: (559) 600-3042
Fax: (916) 440-5106 Fax: N/A
E-mail: E-mail: wad ams(aD-fresnocountyca.gov
Alexia.McGonagleCaD-cdph.ca.gov
z
State of California— Health and Human Services Agency— California Department of Public Health
CDPH 1229A (Rev. 06/2019)
Direct all inquiries to:
California Department of Public Health, Grantee: County of Fresno
STD Control Branch
Attention: GhriStin^ ehno^n Attention: Jena Adams
Adriana Cervantes Supervising CDC Specialist
Grant Manager
Address: P.O. Box 997377, MS 7320
Address: 1221 Ful+^^ c+,-^^+
P.O. Box 11867
City, Zip: Sacramento, Ca 95899-7377 City, ZIP: Fresno, CA 93775
Phone: (916) 552-97- 6 Phone: (559) 600-3042
(916) 552-9788
Fax: 4 Fax: N/A
(916) 636-6755
E-mail: E-mail: jadams fresnocountyca.gov
Adriana.Cervantes(a_cdph.ca.gov
3
State of California— Health and Human Services Agency— California Department of Public Health
CDPH 1229A (Rev. 06/2019)
All payments from CDPH to the Grantee; shall be sent to the following address:
Remittance Address
Grantee: County of Fresno
Attention "Cashier": Bruna Chavez
Address: Address: PC) Box 11899
P.O. Box 11867
City, ZIP: Fresno, CA 93775
Phone: (559) 600-6415
Fax: N/A
E-mail: d phboa fresnocount ca. ov
Either party may make changes to the Project Representatives, or remittance address, by
giving a written notice to the other party, said changes shall not require an amendment to this
agreement but must be maintained as supporting documentation. Note: Remittance address
changes will require the Grantee to submit a completed CDPH 9083 Governmental Entity
Taxpayer ID Form or STD 204 Payee Data Record Form and the STD 205 Payee Data
Supplement which can be requested through the CDPH Project Representatives for
processing.
4
State of California— Health and Human Services Agency—California Department of Public Health
CDPH 1229A (Rev. 06/2019)
All other terms and conditions of this Grant shall remain the same.
IN WITNESS THEREOF, the parties have executed this Grant on the dates set forth below.
Executed By:
Date:
Ernest Buddy McRdes GhaiFMaR
ATTEST: Brian Pacheco, Chairman of the
BERNICE E.SEIDEL Board of Supervisors of the County
Clerk of the Board of Supervisors
Coun y of Fresno,State of California of Fresno
BY Deputy GOURty efv Fresno
22�81 TTYulare Street
Fresno, CA 93721
Date: 12-2-22 2!t
jesephh TerFez, Chief
Javier Sandoval, Chief
Contracts Management Unit
California Department of Public Health
1616 Capitol Avenue, Suite 74.262
P.O. Box 997377, MS 1800-1804
Sacramento, CA 95899-7377
5
County of Fresno
Grant 19-10960 A2
Exhibit B
Budget Detail and Payment Provisions
1. Invoicing and Payment
A. Upon completion of project activities as provided in Exhibit A Scope of Work, and upon
receipt and approval of the invoices, the State agrees to reimburse the Grantee for
activities performed and expenditures incurred in accordance with the total amount of
this agreement.
B. Invoices shall include the Grant Number and shall be submitted electronically or in
triplicate not more frequently than quarterly in arrears to:
Adriana Cervantes
California Department of Public Health
STD Control Branch
MS 7320
P.O. Box 997377
Sacramento, CA 95899-7377
Or submitted electronically to STDLHJlnvoices(cr).cdph.ca.gov.
C. Invoices shall:
1) Be prepared on Grantee letterhead. If invoices are not on produced letterhead
invoices must be signed by an authorized official, employee or agent certifying that
the expenditures claimed represent activities performed and are in accordance with
Exhibit A Scope of Work under this Grant.
2) Electronic submittal of invoices is the preferred method. Mailed hard copies are not
required.
3) Bear the Grantee's name as shown on the Grant.
4) Identify the billing and/or performance period covered by the invoice.
5) Itemize costs for the billing period in the same or greater level of detail as indicated
in this Grant. Subject to the terms of this Grant, reimbursement may only be sought
for those costs and/or cost categories expressly identified as allowable and
approved by CDPH.
D. Invoices must be submitted no more than forty-five (45) calendar days after the end of
each quarter unless a later or alternate deadline is agreed to in writing by the program
Grant Manager.
E. Amount awarded under this Grant is identified in the CDPH 1229 Grant Agreement.
Page 1 of 4
County of Fresno
Grant 19-10960 A2
Exhibit B
Budget Detail and Payment Provisions
2. Budget Contingency Clause
A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent
years covered under this Agreement does not appropriate sufficient funds for the
program, this Agreement shall be of no further force and effect. In this event, the State
shall have no liability to pay any funds whatsoever to Grantee or to furnish any other
considerations under this Agreement and Grantee shall not be obligated to fulfill any
provisions of this Agreement.
B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this
program, the State shall have the option to either cancel this Agreement with no liability
occurring to the State or offer an agreement amendment to Grantee to reflect the
reduced amount.
3. Prompt Payment Clause
Payment will be made in accordance with, and within the time specified in, Government
Code Chapter 4.5, commencing with Section 927.
4. Timely Submission of Final Invoice
A. A final undisputed invoice shall be submitted for payment no more than forty-five (45)
calendar days following the expiration or termination date of this Grant, unless a later or
alternate deadline is agreed to in writing by the program grant manager. Said invoice
should be clearly marked "Final Invoice", indicating that all payment obligations of the
State under this Grant have ceased and that no further payments are due or
outstanding.
B. The State may, at its discretion, choose not to honor any delinquent final invoice if the
Grantee fails to obtain prior written State approval of an alternate final invoice
submission deadline.
5. Travel and Per Diem Reimbursement
A. Any reimbursement for necessary travel and per diem shall, unless otherwise specified
in this Agreement, be at the rates currently in effect, as established by the California
Department of Human Resources (Cal HR). If the Cal HR rates change during the term
of the Agreement, the new rates shall apply upon their effective date and no
amendment to this Agreement shall be necessary. No travel outside the State of
California shall be reimbursed without prior authorization from the CDPH. Verbal
authorization should be confirmed in writing. Written authorization may be in a form
including fax or email confirmation.
B. In accordance with California Assembly Bill 1887 (Chapter 687, Statues of 2016), and
Government Code Section 11139.8, travel is prohibited to states that, enact the
following after June 26, 2015:
Page 2 of 4
County of Fresno
Grant 19-10960 A2
Exhibit B
Budget Detail and Payment Provisions
1. A law that voids or repeals, or has the effect of voiding or repealing, existing state
or local protections against discrimination on the basis of sexual orientation,
gender identity, or gender expression.
2. A law that authorizes or requires discrimination against same-sex couples or their
familiws or on the basis of sexual orientation, gender identity, or gender
expression.
3. A law that creates an exemption to antidiscrimination laws in order to permit
discrimination against same-sex copules or their families or on the basis of
sexual orientation, gender identity, or gender expression.
The California Attorney General's webpage lists the states to where travel is
prohibited.
C. The total budget amount for out-of-state travel shall not exceed five (5) percent of the
total annual budget of this grant agreement.
6. Use of Funds / Supplanting
These funds shall be used to supplement and enhance existing local STD program
activities and services and shall not replace existing services and activities, prevent the
addition of new services and activities, and does not duplicate reimbursement of costs and
services received from local funds or other sources. Supplanting of funds is defined (for
the purposes of this agreement) as using local assistance award monies to "replace" or
"take the place of existing local funding. For example, reductions in local funds cannot be
offset by the use of any dollars for the same purpose.
7. Proper Use of Funds
A. The funds for this grant agreement may be used for:
1. Local health jurisdiction staff to support STD prevention and control activities.
2. Out-of-state travel to conferences and meetings, except to prohibited states as
provided in 5.13. above. Travel costs may include travel and per diem for local
leadership and other relevant staff (listed in the budget as in-kind support) to attend
the Annual California STD HIV Controllers Association Membership Meeting, Annual
STDCB Statewide Meeting (e.g., Congenital Syphilis Prevention Forum), National
STD Prevention Conference, or other national forums as relevant. Prior written
approval for out-of-state travel approval must be obtained from STDCB and shall not
exceed five (5) percent of the total annual budget of this grant agreement.
3. In-state travel to support local capacity building, except to prohibited states as
provided in 5.B. above. This includes training course fees, travel, and per diem to
support enhancement of knowledge, skills, and abilities of Disease Intervention
Workforce (e.g., Principles, Practices, and Pathways to Disease Intervention (3PD1),
Phlebotomy, Cultural Humility), or other staff essential to STD prevention and
control.
4. STD test kits and other testing supplies.
5. STD treatment (i.e., Suprax, Azithromycin, Bicillin, Ceftriaxone, Doxycycline)
6. Condoms.
Page 3 of 4
County of Fresno
Grant 19-10960 A2
Exhibit B
Budget Detail and Payment Provisions
7. Provider education materials.
8. Client education materials.
B. The funds for this grant agreement may be used for the following items, with
supportive justification, tracking, and reporting of outcomes:
1. Incentives such as low value gift cards (e.g., WalMart, Safeway, transportation
vouchers), hygiene kits, and/or other STD-related incentives.
a. Client incentives, such as low value gift cards, may be approved as Behavioral
Modification Materials (BMM). The value of the incentive is limited to $50.00 of
merchandise per person per intervention (e.g. client attendance for syphilis
treatment at $25.00 for each Bicillin injection).
b. Current CDPH approvals require the BMM to be justified with scientific proof of
behavior change, and be accompanied by a targeted distribution plan, incentive
tracking log, and reporting of incentive distribution and client outcomes.
c. Incentives cannot be used for the purchase of alcohol, tobacco, or drug products.
d. The use of incentives must comply with the provisions in Exhibit E, STD Local
Assistance Funds — Standards and Procedures.
2. Material support items, including, but not limited to, sleeping bags, tarps, shelter,
clothing items, and hygiene kits, to people living with, or at risk for, STIs.
a. The use of material support items must comply with the provisions in Exhibit E,
STD Local Assistance Funds — Standards and Procedures.
3. BMMs and material support items are provided to program participants to motivate
and/or reinforce positive behavior and/or involvement in STD control and prevention
activities. Receipt of a BMM and/or material support items requires action on the
part of the recipient. The Grantee is responsible for the possession, security (e.g.,
will keep the BMMs and/or material support items in a secure location), and
accountability of the BMMs and/or material support items. The Grantee will prepare
a log sheet that will track and identify each of the BMMs and/or material support
items, value, transfer date, and recipient.
C. The funds for this grant agreement cannot be used for:
1. Stuff We All Get (SWAG) - The purchase of free promotional items for health
promotion events such as pens, mugs, t-shirts, posters, key chains, or bumper
stickers. This provision is in accordance with the California State Constitution,
Article 16, section 6, which prohibits any gifting of public funds.
2. Individual prizes or high value incentives (e.g., iPads, iPhones) for health promotion
competitions.
3. Cash incentives paid to an individual.
4. Scholarships paid to an individual or a school on behalf of an individual.
5. Food (e.g., sponsored lunch or dinner at provider education sessions, brown bag
lunches, buffets at screening events).
6. The purchase, lease, or other support of county vehicles or mobile testing units.
7. Construction, renovation, improvement, or repair of property.
8. The purchase of alcohol, tobacco, or cannabis.
Page 4 of 4
County of Fresno
Grant 19-10960 A2
Page 1 of o
Exhibit E
STD Local Assistance Funds — Standards and General Terms and GGnd;t'Gn
Procedures
1. Overview
The California Department of Public Health (CDPH) STD Control Branch (STDCB) sets
forth the following standards and procedures. These standards and procedures specify
the conditions for receipt of CDPH STDCB local assistance funds.
The local health department has the authority for STD prevention and control as outlined
in the Summary of Regulations Related to STD Prevention and Control Efforts in
California. https:Hwww.cdph.ca.gov/Programs/CID/DCDC/Pages/STD-
ForLocalHealthJurisdictions.aspx
2. Grantee's Responsibilities
The Grantee agrees to:
A. Direct activities toward achieving the program objectives set forth by the CDPH
STDCB.
B. Use these funds in accordance with any additional guidance set forth by the
CDPH STDCB regarding the granting, use and reimbursement of the STDCB
local assistance funds. Additional consideration should be given to other
guidance from the CDPH and Centers for Disease Control and Prevention (CDC)
intended to highlight successful STD, HIV and/or HCV prevention strategies or
outline California specific initiatives, policies and procedures. Please find relevant
programmatic guidance documents on the CDPH STDCB website:
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STD.aspx
C. Use these funds to augment existing funds and not supplant funds that have
been locally appropriated for the same purposes. Local assistance funds are
intended to provide local entities with increased capabilities to address STD
control needs. Supplanting of funds is defined (for the purposes of this
agreement) as using local assistance award monies to "replace" or"take the
place of existing local funding. For example, reductions in local funds cannot be
offset by the use of CDPH STDCB dollars for the same purpose.
D. Abide by the most recent standards of care for STD screening, treatment, control
and prevention as promulgated by:
1. California Department of Public Health
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STDs-
ClinicalGuidelines.aspx
2. Centers for Disease Control and Prevention
hftps://www.cdc.gov/std/
Page 1 of 6
County of Fresno
Grant 19-10960 A2
Pane
Exhibit E
STD Local Assistance Funds — Standards and General Terms and ('GRdot'en
Procedures
E. Share health advisories, health education materials, outreach, testing and
linkage to care and care coordination protocols, and other products created to
enhance STD awareness, prevention, testing, linkage to care, and care
coordination funded with these dollars with CDPH and other LHJs and
community-based organizations (CBOs) in California. The intent of this is to
allow duplication (where possible) and cross-jurisdictional reach of successful
STD interventions and activities aimed at the priority populations, clinical
providers, and community partners. Source documents should be submitted to
CDPH STDCB upon completion and with the annual progress report, and upon
request from CDPH, as relevant.
F. Submit information and reports as requested by the CDPH STDCB.
G. Ensure the use of a competitive bid process in the selection of all subcontracts.
If the subcontract is one where the LHJ has a current agreement with, indicate
the date the agreement was effective. If the CBO is a non-profit agency as
defined by Internal Revenue Code 501(c), ensure the LHJ has a current letter on
file from the Internal Revenue Service for the CBO.
3. Reporting Requirements
A. Case Report, Laboratory, and Interview Record
All Grantees shall comply with morbidity reporting requirements for reportable
STDs identified in Title 17, California Code of Regulations (CCR) §2500, §2593,
§2641.5-2643.20, and §2800—20182 Reportable Diseases and Conditions.
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/
ReportableDiseases.pdf
All Grantees, excluding Los Angeles and San Francisco, must enter STD case
reports, laboratory results, and interview data for their jurisdiction directly into the
California Reportable Disease Information Exchange (CaIREDIE) system, the
CDPH web-based reporting software for notifiable diseases. Data must be
entered into the appropriate tabs and forms in CaIREDIE. Submission of hard
copy forms for data entry into CaIREDIE by CDPH or scanning of case reports,
laboratory results, or interview records into the electronic filing cabinet (EFC),
sans data entry, will not be accepted. CDPH STD Control Branch will provide
essential variables for data entry and STD case report forms. Specific case
investigation and report requirements are as follows:
1. Syphilis laboratory tests and confidential morbidity reports should be
processed and assigned for investigation according to the California
Syphilis Reactor Alert System (SRAS). Some health jurisdictions may
have a more nuanced local system for prioritizing reported reactive
syphilis tests.
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20
Library/SyphilisReactorSRASChartAlgorithm.pdf
Page 2 of 6
County of Fresno
Grant 19-10960 A2
Page 3 f5
Exhibit E
STD Local Assistance Funds — Standards and General Terms and Gend't'e^n
Procedures
2. Syphilis cases and congenital syphilis case investigations are to be
reported according to updated CDPH STDCB protocols on the
appropriate case report forms (Syphilis Interview Record or California
Congenital Syphilis-CS Case Investigation and Report)found in
CaIREDIE; samples of these forms can be viewed at
https://www.cdph.ca.gov/Programs/PSB/Pages/CommunicableDiseaseCo
ntrol.aspx. Grantees will complete and close investigations in CaIREDIE
within 45 days of initial report to local health department.
3. Chlamydia and gonorrhea reports are automatically initiated through
CaIREDIE with electronic laboratory report information, data entry of
laboratory, or provider report.
4. Cases of gonorrhea with suspected treatment failure or with high
minimum inhibitory concentrations (MIC) to CDC-recommended treatment
should be reported to CDPH STDCB within 24 hours of initial report to
local health department. Reports should be conveyed by calling the
CDPH STDCB Office at (510) 620-3400.
5. Suspected or confirmed cases of lymphogranuloma venereum, and
chancroid should be reported to CDPH STDCB within 24 hours of initial
report to local health department. Reports should be conveyed by calling
the CDPH STDCB Office at (510) 620-3400.
6. Grantees will participate in STD-specific CaIREDIE trainings and conduct
quality control procedures, including review of cases to ensure
appropriate surveillance case definition and reconciliation of case counts.
For additional STD-related CaIREDIE help, please email
STDCaIREDI E(a_cdph.ca.gov.
For STD case definitions, please visit
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STDCaseDefinitions.aspx
For frequently asked questions, manuals/guidelines, and forms/instructions.
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STD-CalREDIE-
Resources.aspx
Los Angeles and San Francisco grantees must report the data outlined above to
CDPH STD Control Branch via a secure file transfer protocol (FTP) on a weekly
basis. Data will be transmitted using the following formats:
• Case report data to be submitted using the National Electronic
Telecommunications System for Surveillance (NETSS) or Message Mapping
Guides (MMG) standards.
• Interview record data to be submitted in a format that conforms to the
corresponding CaIREDIE data elements.
Page 3 of 6
County of Fresno
Grant 19-10960 A2
Page 4 of
Exhibit E
STD Local Assistance Funds — Standards and General Tormc and Gen dnt' nn
Procedures
B. Performance Measurement and Program Evaluation
Grantees will submit performance indicators specified in the scope of work,
including for activities subcontracted to one or more community-based
organizations. Project specific data reporting requirements and performance
indicators will be determined in collaboration with CDPH within the first three
months of the project period.
C. Data Security and Confidentiality
Grantees shall comply with recommendations set forth in CDC's "Data Security
and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted
Disease, and Tuberculosis Programs."
http://www.cdc.gov/nchhstp/programintegration/docs/PCSI DataSecurityGuideline
s.pdf. Grantees shall have staff complete CDPH required confidentiality and data
security training, and maintain on file associated confidentiality agreements for
each staff person with access to STD data.
D. Outbreak Reporting
The California Code of Regulations (Title 17, Section 2502[c]) directs local health
officers to immediately report unusual disease occurrences or outbreaks to
CDPH. Reports should be conveyed by calling the CDPH STDCB Office at (510)
620-3400.
E. Financial Expenditures and Reporting
Grantees must maintain records reflecting actual expenditures. Please see the
CDPH STDCB Use of Local Assistance Funds document for guidance on
allowable and non-allowable expenditures.
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/
UseofLocalAssistanceFunds.pdf. The CDPH STDCB reserves the right to
question and re-negotiate reimbursement for any expenditure that may appear to
exceed a reasonable cost for the service. Financial expenditures/reporting are
required and must be submitted within 45 calendar days after the end of each
quarter. Annual financial expenditures and reporting should be submitted no later
than 45 days after the end of the budget period. Invoices should be sent to
STDLHJInvoices(a-)cdph.ca.gov.
Page 4 of 6
County of Fresno
Grant 19-10960 A2
Page 5 f5
Exhibit E
STD Local Assistance Funds — Standards and General TeFrns and Gendatinn
Procedures
F. Performance Progress Reporting
The Annual Performance Progress Report is due no later than 30 days prior to
the end of the budget period (e.g. May 31, 2020), and serves as the continuation
application for the follow-on budget period. All publications and manuscripts
published as a result of the work supported in part or whole by the cooperative
grant must be submitted with the performance progress reports. Additionally,
health advisories, health education materials, and other products should be
submitted. Annual Performance Progress Report should be submitted to
STDLHJContracts(c-cdph.ca.gov.
G. Reporting Use of Incentives
Acceptable incentives include items such as low value gift cards (e.g., WalMart,
Safeway, transportation vouchers), hygiene kits, and/or other STD-related
incentives. All proposals for incentives must be submitted to CDPH STDCB for
review prior to purchase and project implementation, accompanying documents
must contain justification for use as behavior modification material, and
accompanied by a targeted distribution plan and tracking/reporting/outcome log.
When using incentives to achieve the goals and objectives outlined in the Scope
of Work, the Grantee must adhere to the following requirements:
1. Complete a Subject Reimbursement Log that is kept within a secure
study file. This log will contain the gift card brand, gift card number,
denomination, date purchased, reason for disbursement, the recipient of
the incentive, and the issue date (see attached log).
2. Each participant receiving an incentive must complete a Subject Incentive
Payment Receipt at the time the incentive is issued. The Subject
Incentive Payment Receipt must be kept in a secure location.
3. Participation incentives cannot be used for the purchase of alcohol,
tobacco, or drug products.
4. A copy of the Subject Reimbursement Log must be submitted with the
quarterly invoice.
5. The Subject Incentive Payment Receipt must be kept for a minimum of
five (5) years after the termination of the grant.
Page 5 of 6
County of Fresno
Grant 19-10960 A2
Page 6 of 5
Exhibit E
STD Local Assistance Funds — Standards and General Terms and GenditiGns
Procedures
H. Reporting Use of Material Support
Acceptable material support includes, but it is not limited to, sleeping baps,
tarps, shelter, clothing items, and hygiene kits. All proposals for material
support items must be submitted to CDPH STDCB for review prior to
purchase and project implementation, accompanying documents must
contain iustification for use, targeted distribution plan and
tracking/reporting/outcome log. When using material support items to
achieve the goals and objectives outlined in the Scope of Work, the
Grantee must adhere to the following requirements:
1. Complete a Subiect Reimbursement Log that is kept within a secure
study file. This log will contain the material support item name,
denomination, date purchased, reason for disbursement, the recipient
of the material support item, and the issue date (see attached lop).
2. Each participant receiving material support item must complete a
Subject Payment Receipt at the time the material support item is issued.
The Subject Payment Receipt must be kept in a secure location.
3. A copy of the Subject Reimbursement Log must be submitted with the
quarterly invoice.
4. The Subject Payment Receipt must be kept for a minimum of five (5)
years after the termination of the grant.
4. Rights of California Department of Public Health, Sexually Transmitted Disease
Control Branch
A. The CDPH STDCB reserves the right to modify the terms and conditions of all
awards. Additional information and documentation may be required.
B. The CDPH STDCB reserves the right to use and reproduce all reports and data
produced and delivered pursuant to the local assistance awards and reserves the
right to authorize others to use or reproduce such materials, provided that the
confidentiality of patient information and records is protected pursuant to
California State laws and regulations.
Pape 6 of 6
Contractor Certification Clauses
CCC 04/2017
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am
duly authorized to legally bind the prospective Contractor to the clause(s) listed
below. This certification is made under the laws of the State of California.
Contractor/Bidder Firm Name (Printed) Federal ID Number
County of Fresno 94-6000512
By (Authorized Signature) ATrEST:
BERNIEIDEL
Clerk o E E. Board
Clerk of the Board of Supervisors
Coun of Fresno,state of California
Printed Name and Title of Person Signing By �— ^Deputy
Brian Pacheco, Chairman of the Board of Supervisors of the County of Fresno
Date Executed Executed in the County of
I � /X/ZZ Fresno
CONTRACTOR CERTIFICATION CLAUSES
1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the
nondiscrimination program requirements. (Gov. Code §12990 (a-f) and CCR, Title 2,
Section 11102) (Not applicable to public entities.)
2. DRUG-FREE WORKPLACE REQUIREMENTS: Contractor will comply with the
requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free
workplace by taking the following actions:
a. Publish a statement notifying employees that unlawful manufacture, distribution,
dispensation, possession or use of a controlled substance is prohibited and specifying
actions to be taken against employees for violations.
b. Establish a Drug-Free Awareness Program to inform employees about:
1) the dangers of drug abuse in the workplace;
2) the person's or organization's policy of maintaining a drug-free workplace;
3) any available counseling, rehabilitation and employee assistance programs; and,
4) penalties that may be imposed upon employees for drug abuse violations.
c. Every employee who works on the proposed Agreement will:
1) receive a copy of the company's drug-free workplace policy statement; and,
2) agree to abide by the terms of the company's statement as a condition of employment
on the Agreement.
Failure to comply with these requirements may result in suspension of payments under
the Agreement or termination of the Agreement or both and Contractor may be ineligible
for award of any future State agreements if the department determines that any of the
following has occurred: the Contractor has made false certification, or violated the
certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et
seq.)
3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that
no more than one (1) final unappealable finding of contempt of court by a Federal court
has been issued against Contractor within the immediately preceding two-year period
because of Contractor's failure to comply with an order of a Federal court, which orders
Contractor to comply with an order of the National Labor Relations Board. (Pub. Contract
Code §10296) (Not applicable to public entities.)
4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO
REQUIREMENT: Contractor hereby certifies that Contractor will comply with the
requirements of Section 6072 of the Business and Professions Code, effective January 1,
2003.
Contractor agrees to make a good faith effort to provide a minimum number of hours of
pro bono legal services during each year of the contract equal to the lessor of 30
multiplied by the number of full time attorneys in the firm's offices in the State, with the
number of hours prorated on an actual day basis for any contract period of less than a full
year or 10% of its contract with the State.
Failure to make a good faith effort may be cause for non-renewal of a state contract for
legal services, and may be taken into account when determining the award of future
contracts with the State for legal services.
5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an
expatriate corporation or subsidiary of an expatriate corporation within the meaning of
Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the
State of California.
6. SWEATFREE CODE OF CONDUCT:
a. All Contractors contracting for the procurement or laundering of apparel, garments or
corresponding accessories, or the procurement of equipment, materials, or supplies,
other than procurement related to a public works contract, declare under penalty of
perjury that no apparel, garments or corresponding accessories, equipment, materials, or
supplies furnished to the state pursuant to the contract have been laundered or produced
.in whole or in part by sweatshop labor, forced labor, convict.labor, indentured labor under
penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor,
or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under
penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor.
The contractor further declares under penalty of perjury that they adhere to the Sweatfree
Code of Conduct as set forth on the California Department of Industrial Relations website
located at www.dir.ca.gov, and Public Contract Code Section 6108.
b. The contractor agrees to cooperate fully in providing reasonable access to the
contractor's records, documents, agents or employees, or premises if reasonably
required by authorized officials of the contracting agency, the Department of Industrial
Relations, or the Department of Justice to determine the contractor's compliance with the
requirements under paragraph (a).
7. DOMESTIC PARTNERS: For contracts of$100,000 or more, Contractor certifies that
Contractor is in compliance with Public Contract Code section 10295.3.
8. GENDER IDENTITY: For contracts of$100,000 or more, Contractor certifies that
Contractor is in compliance with Public Contract Code section 10295.35.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of California.
1. CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions
regarding current or former state employees. If Contractor has any questions on the
status of any person rendering services or involved with the Agreement, the awarding
agency must be contacted immediately for clarification.
Current State Employees (Pub. Contract Code §10410):
1). No officer or employee shall engage in any employment, activity or enterprise from
which the officer or employee receives compensation or has a financial interest and
which is sponsored or funded by any state agency, unless the employment, activity or
enterprise is required as a condition of regular state employment.
2). No officer or employee shall contract on his or her own behalf as an independent
contractor with any state agency to provide goods or services.
Former State Employees (Pub. Contract Code §10411):
1). For the two-year period from the date he or she left state employment, no former state
officer or employee may enter into a contract in which he or she engaged in any of the
negotiations, transactions, planning, arrangements or any part of the decision-making
process relevant to the contract while employed in any capacity by any state agency.
2). For the twelve-month period from the date he or she left state employment, no former
state officer or employee may enter into a contract with any state agency if he or she was
employed by that state agency in a policy-making position in the same general subject
area as the proposed contract within the 12-month period prior to his or her leaving state
service.
If Contractor violates any provisions of above paragraphs, such action by Contractor shall
render this Agreement void. (Pub. Contract Code §10420)
Members of boards and commissions are exempt from this section if they do not receive
payment other than payment of each meeting of the board or commission, payment for
preparatory time and payment for per diem. (Pub. Contract Code §10430 (e))
2. LABOR CODE/WORKERS' COMPENSATION: Contractor needs to be aware of the
provisions which require every employer to be insured against liability for Worker's
Compensation or to undertake self-insurance in accordance with the provisions, and
Contractor affirms to comply with such provisions before commencing the performance of
the work of this Agreement. (Labor Code Section 3700)
3. AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies
with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on
the basis of disability, as well as all applicable regulations and guidelines issued pursuant
to the ADA. (42 U.S.C. 12101 et seq.)
4. CONTRACTOR NAME CHANGE: An amendment is required to change the
Contractor's name as listed on this Agreement. Upon receipt of legal documentation of
the name change the State will process the amendment. Payment of invoices presented
with a new name cannot be paid prior to approval of said amendment.
5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA:
a. When agreements are to be performed in the state by corporations, the contracting
agencies will be verifying that the contractor is currently qualified to do business in
California in order to ensure that all obligations due to the state are fulfilled.
b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any
transaction for the purpose of financial or pecuniary gain or profit. Although there are
some statutory exceptions to taxation, rarely will a corporate contractor performing within
the state not be subject to the franchise tax.
c. Both domestic and foreign corporations (those incorporated outside of California) must
be in good standing in order to be qualified to do business in California. Agencies will
determine whether a corporation is in good standing by calling the Office of the Secretary
of State.
6. RESOLUTION: A county, city, district, or other local public body must provide the State
with a copy of a resolution, order, motion, or ordinance of the local governing body which
by law has authority to enter into an agreement, authorizing execution of the agreement.
7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall
not be: (1) in violation of any order or resolution not subject to review promulgated by the
State Air Resources Board or an air pollution control district; (2) subject to cease and
desist order not subject to review issued pursuant to Section 13301 of the Water Code for
violation of waste discharge requirements or discharge prohibitions; or (3) finally
determined to be in violation of provisions of federal law relating to air or water pollution.
8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all
contractors that are not another state agency or other governmental entity.
Amendment A2 to Agreement Between the County of Fresno and California
Department of Public Health
Name: Sexually Transmitted Disease (STD) Program Management and Collaboration
Project Grant Amendment to Agreement (No. 19-10960, A2)
Fund/Subclass: 0001/10000
Organization #: 56201661
Revenue Account#: 3530