HomeMy WebLinkAboutAgreement A-23-428 with CDPH.pdf State of California— Health and Human Services Agency— California Department of Public Health Agreement No. 23-428
CDPH 1229 (12/2021)
NUTRITION EDUCATION AND OBESITY PREVENTION BRANCH
SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM-EDUCATION
Awarded By
THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter "Department"
TO
County of Fresno, hereinafter "Grantee"
Implementing the "CalFresh Healthy Living Program," hereinafter "Project"
GRANT AGREEMENT NUMBER 23-10314
The Department awards 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 iealth and
Safety Code (HSC), Section 131085(a)(b)i
PURPOSE: The Department administers a portion of the United States Department of
Agriculture (USDA)-funded Supplemental Nutrition Assistance Program — Education (SNAP-
Ed), known in California as the CalFresh Healthy Living program (CFHL). The purpose of
the Grant is to provide allowable nutrition education and obesity prevention activities and
interventions for low-income Californians under the CFHL program. The negative health
effects of obesity and resulting chronic diseases, such as heart disease, high blood pressure,
diabetes, arthritis, and some forms of cancer, are well-documented. Obesity rates continue to
grow and remain high among children, adolescents, and adults. The focus of the project is
upstream public health approaches and individual and organizational health promotion to
help the CFHL target audience establish healthy eating habits, a physically active lifestyle,
and for primary prevention of disease. The CalFresh Healthy Living program in California
offers a comprehensive public health approach that enables partners to work together to
prevent obesity and serve California's individuals and families with low incomes. The target
audience for CFHL is CFHL-eligible Californians. CFHL-eligible individuals refer to the
SNAP-Ed eligible audience, specifically SNAP participants and other low-income individuals
who qualify for SNAP (CalFresh Food) benefits or other means-tested Federal assistance
programs. The term "means-tested Federal Assistance programs" is defined as Federal
programs that require the populations, they serve have a gross individual or family income at
or below 185 percent of the Federal Poverty Level. There may be additional eligibility
requirements to receive these programs, which provide cash and noncash assistance to
eligible individuals and families.
Page 1 of 4
State of California— Health and Human Services Agency— California Department of Public Health
CDPH 1229 (12/2021)
GRANT AMOUNT: The maximum amount payable under this Grant Agreement shall not
exceed the amount of�$7,149,527.00]. The total budget authority for this grant includes an
additional 20 percent above the FFY 2024-2026 funding allocation projections. This
additional amount provides flexibility for budget allocations and minimizes the administrative
burden in the event additional funds become available and are awarded to the Grantee. The
maximum amount of this grant does not guarantee that the Grantee will receive this full
amount. Funds awarded above the base funding allocation projection amount are contingent
upon available funds.
TERM OF GRANT AGREEMENT: The term of the Grant shall begin on October 1, 2023
and terminates on September 30, 2026. No funds may be requested or invoiced for services
performed or costs incurred after[September 30, 2026.
PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant will
be:
California Department of Public Health Grantee:[County of Fresno,
Name: Rosemarie Amaral
Name: Kimmy Casjens Project Director, Health Educator
Address: 1616 Capitol Avenue Address: 1221 Fulton Street, 3rd floor
Sacramento, CA 95814 Fresno, CA 93721
Phone: 916-449-5456 Phone: 559-600-6445
E-mail: kimmy.casjens@cdph.ca.gov E-mail: ramaral(a)fresnocountyca.gov
Direct all inquiries to the following representatives:
California Department of Public Health,
Grantee: County of Fresno
Project Officer]
Attention: Chris Bilbrey Attention: Rosemarie Amaral
Project Director, Health Educator
Address: 1616 Capitol Avenue Address: 1221 Fulton Street, 3rd floor
Sacramento, CA 95814 Fresno, CA 93721
Phone: 916-319-9809 Phone: 559-600-6445
E-mail: Chris.bilbrey(@_cdph.ca.gov T-mail: ramaral _ fresnocountyca.gov
All payments from CDPH to the Grantee; shall be sent to the following address:
Page 2 of 4
State of California— Health and Human Services Agency— California Department of Public Health
CDPH 1229 (12/2021)
Remittance Address
Grantee: [County of Fresno
Attention: Irene Parada
Address: PO Box 11867
Fresno CA 93775
Phone: 559-600-6415
E-mail: dphboap(a-)fresnocountyca.gov
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.
STANDARD GRANT PROVISIONS. The Grantee must adhere to all Exhibits listed
and any subsequent revisions. The following Exhibits are attached hereto or attached by
reference and made a part of this Grant Agreement:
Exhibit A GRANT APPLICATION FORMS (Response from applicant)
Exhibit B BUDGET DETAIL AND PAYMENT PROVISIONS
Exhibit C STANDARD GRANT CONDITIONS
Exhibit D FEDERAL FISCAL YEAR 2024-2026 FUNDING APPLICATION PACKAGE —
Including all the requirements and attachments contained therein
Exhibit E ADDITIONAL PROVISIONS
Exhibit F FEDERAL TERMS AND CONDITIONS
Page 3 of 4
State of California— Health and Human Services Agency—California Department of Public Health
CDPH 1229 (12/2021)
GRANTEE REPRESENTATIONS: The Grantee(s) accepts all terms, provisions, and
conditions of this grant, including those stated in the Exhibits incorporated by reference
above. The Grantee(s) shall fulfill all assurances and commitments made in the application,
declarations, other accompanying documents, and written communications (e.g., e-mail,
correspondence) filed in support of the request for grant funding. The Grantee(s) shall
comply with and require its subgrantee's to comply with all applicable laws, policies, and
regulations.
IN WITNESS THEREOF, the parties have executed this Grant on the dates set forth below.
Executed By:
/ZZ/Z3
Date: [� _
[ Sa Qu t ro, hairman of the Board of
Su is the County of Fresno]
[ 1221 Fulton Street,
Fresno, CA 937211
Maksim Digitally signed by
Maksim Lyulkin
Lyulkin I ki n Date:2023.09.04
Date: Y 22:21:18-07'00'
] Maksim Lyulkin, Chief
[Fiscal Services Unit
California Department of Public Health
1616 Capitol Avenue, Suite 74.262
P.O. Box 997377, MS 1800- 1804
Sacramento, CA 95899-7377
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
.,tat t cwwornia
B� r �1.�0�t�ic. ►/�`(,slc. _Deputy
Page 4 of 4
Exhibit A
California Department of Public Health
CalFresh Healthy Living (CFHL) Funding Application
Federal Fiscal Years 2024 — 2026 (October 1, 2023 — September 30, 2026)
Submit this form by 4:00 pm December 30, 2022 to:
Email: neopbfiscalrequest(a�_cdph.ca.gov
Attn: Ashley Nubla
CDPH CalFresh Healthy Living
Please include your county/agency name and "Letter of Intent" in the subject line of
your email.
Please complete the fields below for your Agency:
Project Representative: Rosemarie Amaral
Title: Project Director/Health Educator
Agency: County of Fresno, Department of Public Health
Address: 1221 Fulton Street, 3rd Floor, Fresno CA 93721
Telephone: 559-600-6445
Email: ramaral@fresnocountyca.gov
Please check the appropriate box that applies to your Agency:
Question Check
Box
1 Our Agency intends to participate in the CFHL program for
FFY24-26
Our Agency intends to participate in the CFHL program for ❑
2. FFY24-26 and designate the following agency to participate on our
behalf:
3 Our Agency does not intend to participate in the CFHL program for
FFY24-26
4. Other, please explain: ❑
Page 1 11/30/2022
Exhibit A
Please check the appropriate box(es) that applies to your funding allocation.
Check/complete only one box for each row.
FFY 2023 FFY 2024 Other amount between
FFY FFY 23 and 24 allocations
Allocation Allocation (specify amount below)
1 For FFY 2024, our Agency accepts and ❑
intends to use the following award selection
2 For FFY 2025, our Agency accepts and ❑ ❑✓
intends to use the following award selection
3 For FFY 2026, our Agency accepts and ❑
intends to use the following award selection
NOTE: Funding allocations are projections and are contingent upon the funding amount
CDPH receives each year. Local health departments or their designee are expected to
spend 90 percent of their funding allocation each year.
Please complete the fields below in order to expedite processing of your State agreement:
Question Answer
Does your Agency require a board resolution for Yes
1 a new contract?
When are your scheduled board meeting dates 2/7, 2/28, 3/14, 3/28, 4/11, 4/25, 5/9, 5/23,
2. between February and September 2023? 6/6, 6/20, 7/11, 8/8, 8/22, 9/5, & 9/22
Does your Agency require the contract be in Yes
3. hand to get on the Agenda?
When do you need the contract? (i.e., two 6 weeks prior to board meeting date
4. weeks before, one month before, etc.)
By signing below, your Agency agrees to prepare the required contract documents for
this funding application.
D I91ta��y si9ned by Rosema,e Ama,aI 12/8/2 0 2 2
Rosemarie Amaral DN uH.Itheokyo U5.0-F,es0�o tYoeoatmetof
Health,ow Health Policyy and Wellness,email'ramaral@(resnocovnNca 9ov
Date:2122,12 OS 13:5533-OB'00'
Signature of Project Director or Designee Date
Printed Name: Rosemarie Amaral
Page 2 11/30/2022
Exhibit A
FFY 2024-2026 CDPH CFHL LHD Programmatic Projections Form
Complete and submit the Programmatic Projections Form to CDPH CFHL by email to
both your Project Officer and neopbfiscalrequest(a)_cdph.ca.gov by January 31, 2023.
Please include your county name and "Programmatic Projections Form" in the subject
line of your email.
County Name: Fresno
Funded amount: $1,985,980
(Based on FFY 2024 CDPH
CFHL LHD Funding Projections
Grant #: 23-10314
(To be completed by CDPH
CFHL
Complete the following tables based on the CDPH CFHL LHD Funding Tiers found in
the CDPH CFHL Federal Fiscal Year 2024-2026 Funding Application Package (Table
1),and based on the CFHL Integrated Work Plan (IWP) Blueprint Packet Settings and
Strategies table.
Funding Tier Total number of Total number of Total number of
Settings selected PSE Strategies PSE Levels
selected selected
4 5 7 3
Required Priority PSE Bicycle and Walking Paths
Setting(s):
PSE Strategy name(s): Access to Physical Activity, Active Transportation
PSE Level(s): 3
Name of 2nd Setting Farmers Markets
(if applicable):
PSE Strategy name(s):
Increasing access to and utilization of Farmers Markets (improving)
PSE Level(s): 1 , 3
Exhibit A
FFY 2024-2026 CDPH CFHL LHD Programmatic Projections Form
Name of 3rd Setting Other Neighborhood Settings Where People Live or Live
(if applicable): Nearby
PSE Strategy name(s): Access t0 Healthy Foods
PSE Level(s): 1 , 2
Name of 4th Setting Before and After Schools
(if applicable):
PSE Strategy name(s): Access to Healthy Foods, Daily Quality Physical Activity
PSE Level(s): 1 , 2
Name of 5th Setting Retail (Small & Large)
(if applicable):
PSE Strategy name(s): Behavioral Economics
PSE Level(s): 1 , 2
Health Department
List additional Program Family Resource Centers(school and/or community)
Activity Settings where Other Living Settings(community based organizations)
direct education will be the City Recreation/Senior Centers
only activity taking place (if Libraries(County/City)
applicable: Parent Resource Centers(high school)
Early Care Centers
ApperExhibit A
California Department of Public Health
CalFresh Healthy Living
Grantee Information Form
This is the information that will appear on your grant agreement cover.
Federal Tax ID # Contract/Grant # 23-10314
o Name County of Fresno
co Mailing Address P.O. Box 11867 Fresno, CA 93775
a Street Address (If Different)
a�
0 County Fresno
Phone 559-600-6449 Fax NA
Website www.fcdph.org
The Grant Signatory has authority to sign the grant agreement cover.
Name Sal Quintero
c�
Title Chairman, Board of Supervisor
If address is the same as above, check this box 0
Mailing Address
a Street Address (If Different)
Phone Fax
Email
The Project Director is responsible for the day-to-day activities of project implementation
and seeing that all grant requirements are met. This person will be in contact with State
CFHL staff, will receive all programmatic and budgetary information for the project, and
will be responsible for the proper dissemination of program information.
v
Name Rosemarie Amaral
Title Project Director, Health Educator
If address is the same as above, check this box ❑
0
Mailing Address 1221 Fulton Street, 3rd floor, Fresno, CA 93721
a Street Address (If Different)
Phone 559-600-6445 Fax NA
Email ramaral@fresnocountyca.gov
Rev. 11/10/2022
Appe Ldix it A
California Department of Public Health Exhit
CalFresh Healthy Living
Grantee Information Form
The Fiscal Contact prepares invoices, maintains fiscal documentation, serves as the
primary contact for all related questions, and has signature authority for invoices and all
fiscal documentation. All payments are sent to the attention of this person at the
designated address.
ca
Name Bruna Chavez
= Title Public Health Business Manager
0
v /f address is the same as above, check this box ❑
N Mailing Address P.O Box 11867, Fresno CA 93775
i7- Street Address (If Different)
Phone 559-600-6415 Fax NA
Email dphboap@fresnocountyca.gov
Contact Is responsible for overseeing the Division of Health Policy and Wellness and
description:
Name Claudia Sandoval
Title Program Manager, Division of Health Policy and Wellness
_
0 /f address is the same as above, check this box ❑
U
Mailing Address 1221 Fulton Street, 3rd floor, Fresno, CA 93721
O
Street Address (If Different)
Phone 559-600-6546 Fax NA
Email clsandoval@fresnocountyca.gov
Rev. 11/10/2022
Exhibit A
California Department of Public Health
CalFresh Healthy Living
Non-Disparagement Certification and Agreement not to distribute
Manufacturer's or Store (cents off) Coupons
We certify that Fresno County Department of Public Health will not use nutrition
education materials, resources and/or curriculum in our Supplemental Nutrition
Assistance Program Education (SNAP-Ed) interventions that have messages that
convey negative written, visual or verbal expressions about any specific brand of
food, beverage, or commodity or that are not consistent with the latest version of the
Dietary Guidelines forAmericans. Such messaging about specific brands is not an
acceptable part of the FFY 2023 SNAP-Ed Plan Guidance, pg. 10. We also agree not
to distribute manufacturer's or store (cents off) coupons during SNAP-Ed classes or
events as per the FFY 2023 SNAP-Ed Plan Guidance, pg. 106.
❑✓ By checking this box, you are certifying that the Non-Disparagement
Certification and Agreement not to distribute Manufacturer's or Store (cents
off) Coupons is not applicable to your Agency.
Certified By:
Rosemarie Amaral, Project Director/Health Educator
CFHL Project Director Name & Title
Digitally signed by Rosemarie Amaral
DN..en-Rosemarie Amaral,ok-Fresno County Department of 1/31/2023
Rosemarie Amaral Public Health,ou=Health Polley and Wellness,
mail=ramaral@fresnocounlyca gov,-US
Date 2023 01 31 14.11.16-08'00'
CFHL Project Director Signature Date
Claudia Sandoval, Program Manager
Supervisor Name & Title
County of Fresno
Agency Name
Exhibit B
County of Fresno
23-10314
Page 1 of 2
Exhibit B
Budget Detail and Payment Provisions
1. Invoicing and Payment
A. Upon completion of project activities as provided in Exhibit A Grant Application /Attachment 1
Grantee Written Modification, 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 not more frequently than
monthly in arrears to:
Kimmy Casjens, Contract Manager
California Department of Public Health
Nutrition Education and Obesity Prevention Branch
neopbfiscalrequest(cbcdph.ca.gov
C. Invoices shall:
1) Be submitted no more than thirty(30)calendar days following the last day of the reporting
period, with a fifteen (15)-day grace period (45 days total).
2) 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 Grant
Application under this Grant.
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. Amount awarded under this Grant amount is identified in the CDPH 1229 Grant
Agreement.
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.
Exhibit B
County of Fresno
23-10314
Page 2 of 2
Exhibit B
Budget Detail and Payment Provisions
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. Amounts Payable
A. The amounts payable under this Grant shall not exceed $7,149,527.00.
B. Payment Allocations shall be made for allowable expenses up to the amount annually
encumbered commensurate with the state fiscal year in which services are fulfilled and /
or goods are received.
5. 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.
6. Travel and Per Diem Reimbursement
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.
Exhibit C
County of Fresno
23-10314
Page 1 of 4
EXHIBIT C
STANDARD GRANT CONDITIONS
1. APPROVAL: This Grant is of no force or effect until signed by both parties and approved by
the Department of General Services, if required. The Grantee may not commence
performance until such approval has been obtained
2. AMENDMENT: No amendment or variation of the terms of this Grant shall be valid unless
made in writing, signed by the parties, and approved as required. No oral understanding or
Agreement not incorporated in the Grant is binding on any of the parties. In no case shall
the Department materially alter the scope of the Project set forth in Exhibit A.
3. ASSIGNMENT: This Grant is not assignable by the Grantee, either in whole or in part,
without the written consent of the Grant Manager in the form of a written amendment to the
Grant.
4. AUDIT: Grantee agrees that the Department, the Bureau of State Audits, or their designated
representative shall have the right to review and to copy any records and supporting
documentation pertaining to this Grant. Grantee agrees to maintain such records for a
possible audit for a minimum of three (3) years after final payment or completion of the
project funded with this Grant, unless a longer period of records retention is stipulated.
Grantee agrees to allow the auditor(s) access to such records during normal business hours
and to allow interviews of any employees who might reasonably have information related to
such records. Further, Grantee agrees to include a similar right of the State to audit records
and interview staff in any subcontract related to the project.
5. CONFLICT OF INTEREST: Grantee certifies that it is in compliance with all applicable state
and/or federal conflict of interest laws.
6. INDEMNIFICATION: Grantee agrees to indemnify, defend and save harmless the State, its
officers, agents and employees from any and all claims and losses accruing or resulting to
any and all contractors, subcontractors, suppliers, laborers, and any other person, firm or
corporation furnishing or supplying work services, materials, or supplies in connection with
the project, and from any and all claims and losses accruing or resulting to any person, firm
or corporation who may be injured or damaged by Grantee in the performance of any
activities related to the Project.
7. FISCAL MANAGEMENT SYSTEMS AND ACCOUNTING STANDARDS: Grantee agrees
that, at a minimum, its fiscal control and accounting procedures will be sufficient to permit
tracing of all grant funds to a level of expenditure adequate to establish that such funds have
not been used in violation of any applicable state or federal law, or the provisions of this
Grant. Grantee further agrees that it will maintain separate Project accounts in accordance
with generally accepted accounting principles.
8. GOVERNING LAW: This Grant is governed by and shall be interpreted in accordance with
the laws of the State of California.
Exhibit C
County of Fresno
23-10314
Page 2 of 4
9. INCOME RESTRICTIONS: Grantee agrees that any refunds, rebates, credits, or other
amounts (including any interest thereon) accruing to or received by the Grantee under this
Grant shall be paid by the Grantee to the Department, to the extent that they are properly
allocable to costs for which the Grantee has been reimbursed by the Department under this
Grant.
10. INDEPENDENT CONTRACTOR: Grantee, and its agents and employees of Grantee, in the
performance of the Project, shall act in an independent capacity and not as officers,
employees or agents of the Department.
11. MEDIA EVENTS: Grantee shall notify the Department's Grant Manager in writing at least
twenty (20) working days before any public or media event publicizing the accomplishments
and/or results of the Project and provide the opportunity for attendance and participation by
Department's representatives.
12. NO THIRD-PARTY RIGHTS: The Department and Grantee do not intend to create any
rights or remedies for any third- party as a beneficiary of this Grant or the project.
13. NOTICE: Grantee shall promptly notify the Department's Grant Manager in writing of any
events, developments or changes that could affect the completion of the project or the budget
approved for this Grant.
14. PROFESSIONALS: Grantee agrees that only licensed professionals will be used to perform
services under this Grant where such services are called for.
15. RECORDS: Grantee certifies that it will maintain Project accounts in accordance with
generally accepted accounting principles. Grantee further certifies that it will comply with the
following conditions for a grant award as set forth in the Request for Applications (Exhibit D)
and the Grant Application (Exhibit A).
A. Establish an official file for the Project which shall adequately document all
significant actions relative to the Project;
B. Establish separate accounts which will adequately and accurately depict all
amounts received and expended on this Project, including all grant funds received
under this Grant;
C. Establish separate accounts which will adequately depict all income received which
is attributable to the Project, especially including any income attributable to grant
funds disbursed under this Grant;
D. Establish an accounting system which will adequately depict final total costs of the
Project, including both direct and indirect costs; and,
E. Establish such accounts and maintain such records as may be necessary for the
state to fulfill federal reporting requirements, including any and all reporting
requirements under federal tax statutes or regulations.
16. RELATED LITIGATION: Under no circumstances may Grantee use funds from any
disbursement under this Grant to pay for costs associated with any litigation between the
Grantee and the Department.
Exhibit C
County of Fresno
23-10314
Page 3 of 4
17. RIGHTS IN DATA: Grantee and the Department agree that all data, plans, drawings,
specifications, reports, computer programs, operating manuals, notes, and other written or
graphic work submitted under Exhibit A in the performance of the Project funded by this Grant
shall be in the public domain. Grantee may disclose, disseminate and use in whole or in part,
any final form data and information received, collected, and developed under this Project,
subject to appropriate acknowledgment of credit to the Department for financial support.
Grantee shall not utilize the materials submitted to the Department (except data)for any profit
making venture or sell or grant rights to a third-party who intends to do so. The Department
has the right to use submitted data for all governmental purposes.
18. VENUE: (This provision does not apply to Local Governmental Entities)
The Department and Grantee agree that any action arising out of this Grant shall be filed and
maintained in the Superior Court, California. Grantee waives any existing sovereign immunity
for the purposes of this Grant, if applicable.
19. STATE-FUNDED RESEARCH GRANTS:
A. Grantee shall provide for free public access to any publication of a department-funded
invention or department-funded technology. Grantee further agrees to all terms and
conditions required by the California Taxpayer Access to Publicly Funded Research Act
(Chapter 2.5 (commencing with Section 13989) of Part 4.5 of Division 3 of Title 2 of the
Government Code).
B. As a condition of receiving the research grant, Grantee agrees to the following terms and
conditions which are set forth in Government Code section 13989.6 ("Section 13989.E"):
1) Grantee is responsible for ensuring that any publishing or copyright agreements
concerning submitted manuscripts fully comply with Section 13989.6.
2) Grantees shall report to the Department the final disposition of the research grant,
including, but not limited to, if it was published, when it was published, where it was
published, when the 12-month time period expires, and where the manuscript will be
available for open access.
3) For a manuscript that is accepted for publication in a peer-reviewed journal, the
Grantee shall ensure that an electronic version of the peer-reviewed manuscript is
available to the department and on an appropriate publicly accessible database
approved by the Department, including, but not limited to, the University of California's
eScholarship Repository at the California Digital Library, PubMed Central, or the
California Digital Open Source Library, to be made publicly available not later than 12
months after the official date of publication. Manuscripts submitted to the California
Digital Open Source Library shall be exempt from the requirements in subdivision (b)
of Section 66408 of the Education Code. Grantee shall make reasonable efforts to
comply with this requirement by ensuring that their manuscript is accessible on an
approved publicly accessible database, and notifying the Department that the
manuscript is available on a department-approved database. If Grantee is unable to
ensure that their manuscript is accessible on an approved publicly accessible
database, Grantee may comply by providing the manuscript to the Department not
later than 12 months after the official date of publication.
Exhibit C
County of Fresno
23-10314
Page 4 of 4
4) For publications other than those described inparagraph B.3 above„ including
meeting abstracts, Grantee shall comply by providing the manuscript to the
Department not later than 12 months after the official date of publication.
5) Grantee is authorized to use grant money for publication costs, including fees charged
by a publisher for color and page charges, or fees for digital distribution.
Exhibit D
Exhibit D
California Department of Public Health
CalFresh Healthy Living
Federal Fiscal Year 2024-2026 Funding Allocation Projections
Proportional Share of
SNAP-Ed Eligible
Health Jurisdiction Population Proposed FFY 2024 Allocation Current(IFFY 23)Allocation
Alameda County 2.60% $1,372,554 $1,343,654
Alpine County 0.00% $162,390 $150,000
Amador County 0.07% $162,390 $150,000
Berkeley City,CA 0.28% $162,390 $161,207
Butte County 0.75% $392,781 $347,529
Calaveras County 0.12% $162,390 $150,000
Colusa County 0.07% $162,390 $150,000
Contra Costa County 1.92% $1,011,499 $940,191
Del Norte County 0.09% $162,390 $150,000
El Dorado County 0.32% $170,157 $159,375
Fresno County 3.77% $1,985,980 $1,786,482
Glenn County 0.09% $162,390 $150,000
Humboldt County 0.48% $250,906 $215,058
Imperial County 0.72% $377,760 $309,894
Inyo County 0.04% $162,390 $150,000
Kern County 3.46% $1,824,793 $1,491,998
Kings County 0.49% $257,505 $237,633
Lake County 0.22% $162,390 $150,000
Lassen County 0.06% $162,390 $150,000
Long Beach,CA 1.41% $859,392 $859,392
Los Angeles County 27.23% $14,354,545 $13,274,899
Madera County 0.55% $290,376 $265,759
Marin County 0.37% $197,604 $168,639
Mariposa County 0.05% $162,390 $150,000
Mendocino County 0.29% $162,390 $150,000
Merced County 1.03% $544,147 $506,249
Modoc County 0.03% $162,390 $150,000
Mono County 0.03% $162,390 $150,000
Monterey County 1.20% $632,467 $619,343
Napa County 0.24% $162,390 $150,000
Nevada County 0.22% $162,390 $150,000
Orange County 6.66% $3,512,769 $3,275,088
Pasadena,CA 0.35% $249,595 $249,595
Placer County 0.55% $291,613 $276,519
Plumas County 0.05% $162,390 $150,000
Riverside County 6.67% $3,516,677 $3,163,407
Sacramento County 4.19% $2,207,438 $1,984,699
San Benito County 0.13% $162,390 $150,000
San Bernardino County 6.56% $3,458,078 $3,123,272
San Diego County 7.44% $3,920,698 $3,704,059
San Francisco County 1.59% $836,772 $803,720
San Joaquin County 2.15% $1,133,937 $1,039,164
San Luis Obispo County 0.58% $304,777 $288,215
San Mateo County 1.02% $536,346 $533,403
Santa Barbara County 1.18% $623,150 $562,655
Santa Clara County 2.75% $1,464,508 $1,464,508
Santa Cruz County 0.60% $316,785 $305,640
Shasta County 0.53% $279,218 $254,495
Sierra County 0.00% $162,390 $0
Siskiyou County 0.15% $162,390 $150,000
Solaro County 0.83% $437,254 $399,000
Sonoma County 0.91% $509,427 $509,427
Stanislaus County 1.70% $895,208 $814,595
Sutter County 0.29% $162,390 $150,000
Tehama County 0.23% $162,390 $150,000
Trinity County 0.05% $162,390 $150,000
Tulare County 1.93% $1,018,959 $918,742
Tuolumne County 0.11% $162,390 $150,000
Ventura County 1.73% $912,824 $819,273
Yolo County 0.62% $328,524 $283,399
Yuba County 0.24% $162,390 $150,000
Exhibit D
Exhibit D
FEDERAL FISCAL YEAR 2024-2026 FUNDING APPLICATION PACKAGE
Supplemental Nutrition Assistance Program — Education
Known in California as CalFresh Healthy Living Program
California Department of Public Health
Nutrition Education and Obesity Prevention Branch
Released November 30, 2022
Nutrition Education and Obesity Prevention Branch
California Department of Public Health
1616 Capitol Avenue, Suite 74.516
PO Box 997377, MS 7204
Sacramento, CA 95899-7377
•
04Fresh,
C.DPN
HEALTHY LIVING
I ,.
PublicHaalth
This material was produced by the California Department of Public Health's Nutrition
Education and Obesity Prevention Branch. This material was funded by the United
States Department of Agriculture (USDA) Supplemental Nutrition Assistance Program--
SNAP. This institution is an equal opportunity provider.
Exhibit D
Table of Contents
TIMELINE.......................................................................................................................................................4
INTRODUCTION.............................................................................................................................................5
GENERAL INFORMATION ..............................................................................................................................7
Funding Application Purpose and Objective.............................................................................................7
Funding Amount and Timeframe..............................................................................................................8
WhoMay Apply.........................................................................................................................................8
InformationalWebinar.............................................................................................................................9
Submissionof Application.........................................................................................................................9
Mandatory, Non-Binding Letter of Intent...............................................................................................10
Information,Addenda and/or Changes..................................................................................................10
Grant Agreement Award Process ...........................................................................................................10
APPLICATION INSTRUCTIONS......................................................................................................................11
ApplicationContent................................................................................................................................11
Application Section Descriptions............................................................................................................11
Mandatory, Non-Binding Letter of Intent...........................................................................................11
Programmatic Projections Form.........................................................................................................11
Non-Disparagement Certificate..........................................................................................................12
ProgrammaticPriorities......................................................................................................................12
Table 1: LHD Funding Tier Requirements.......................................................................................12
Reporting Income Targeting Data...........................................................................................................13
SiteList................................................................................................................................................13
Census Tract/Census Block Group Data:.........................................................................................14
Free and Reduced Price Meal (FRPM) Percentage Data:................................................................14
Additional Site Qualification Methods............................................................................................15
Multiple LIAs working within a Site.................................................................................................15
Budget.................................................................................................................................................15
Subgranting.........................................................................................................................................16
Staffing................................................................................................................................................16
GranteeInformation...........................................................................................................................16
Letter of Agreement of Memorandum of Understanding(when applicable)....................................17
OTHER APPLICANT INFORMATION.............................................................................................................17
Project Reporting—Program and Administrative...................................................................................17
Project Reporting—Evaluation...............................................................................................................17
PEARS..................................................................................................................................................17
2
Exhibit D
AssessmentTool Data.........................................................................................................................18
Figure 1:Assessment Requirement Decision Tree.........................................................................19
Impact and Outcome Evaluation (IOE)................................................................................................19
Table 2: ICE Site Requirements by Funding Tier.............................................................................20
FORMS AND ATTACHMENTS.......................................................................................................................21
Forms......................................................................................................................................................21
Budget, Site List and IWP Documents and Instructions..........................................................................21
Attachments............................................................................................................................................21
3
Exhibit D
TIMELINE
DATE ACTIVITY
November 30, 2022 Funding Application Package released via email
December 1, 2022 Informational Webinar(Special All LHD Call) at
2:OOpm (PST)
December 30, 2022 Mandatory, non-binding Letter of Intent due by email
to NEOPBfiscalrequest(abcdph.ca.gov by 4:OOpm
(PST).
January 31, 2023 Programmatic Projections Form due by email to
Project Officer and
NEOPBfiscalrequest(a�cdph.ca.gov
April 21, 2023 Application IFFY 2024-2026 Integrated Work Plan due
to CDSS, CFHL SharePoint Site
May 12, 2023 FFY 2024 Automated Budget due to CDSS, CFHL
SharePoint Site
September 30, 2023 Notification of Award Letter sent to applicants
October 1, 2023 Grant Agreements begin
Please note:
Application funding and due dates are subject to change at any time because of
changes in Federal or State program funding allocations or amendments. Changes will
be communicated via email to applicants. When posted, applicants must check the
California Department of Public Health — Nutrition Education and Obesity Prevention
website frequently for any Funding Application addenda, which includes additional
application information.
4
Exhibit D
INTRODUCTION
Overall Purpose of Funding Application
The California Department of Public Health (CDPH) Nutrition Education and Obesity
Prevention Branch (NEOPB) administers a portion of the United States Department of
Agriculture (USDA)-funded Supplemental Nutrition Assistance Program — Education
(SNAP-Ed), known in California as the CalFresh Healthy Living program (CFHL). CDPH
NEOPB identifies as CDPH CFHL for purposes of this application package. CDPH
CFHL is soliciting applications from all California Local Health Departments (LHDs) to
provide allowable nutrition education and obesity prevention activities and interventions
for low-income Californians. The negative health effects of obesity and resulting chronic
diseases, such as heart disease, high blood pressure, diabetes, arthritis, and some
forms of cancer are well documented. Obesity rates continue to grow and remain high
among children, adolescents, and adults. The focus of CDPH CFHL is upstream public
health approaches and individual and organizational health promotion to help the CFHL
target audience establish healthy eating habits, a physically active lifestyle, and for
primary prevention of disease. CDPH CFHL offers a comprehensive public health
approach that enables partners to work together to prevent obesity and serve
California's individuals and families with low incomes. The target audience for CFHL is
CFHL-eligible Californians. CFHL-eligible individuals refer to the SNAP-Ed eligible
audience, specifically SNAP participants and other low-income individuals who qualify
for SNAP (CalFresh Food) benefits or other means-tested Federal assistance
programs. The term "means-tested Federal assistance programs" for the purposes of
this Guidance is defined as Federal programs that require the populations they serve
have a gross individual or family income at or below 185 percent of the Federal Poverty
Level. There may be additional eligibility requirements to receive these programs, which
provide cash and noncash assistance to eligible individuals and families.
The California Department of Social Services (CDSS) as the oversight agency
administers CFHL. CDSS oversees four State Implementing Agencies that consist of
the California Department of Public Health (CDPH CFHL), University of California,
CalFresh Healthy Living, California Department of Aging, and Catholic Charities of
California, Inc. These state-level agencies, including CDSS, collectively represent
California's five CFHL State Implementing Agencies (SIAs). SIAs oversee the
implementation of CFHL programs and services by providing directives, support, and
guidance to their respective Local Implementing Agencies (LIAs). As a result of
California's state and local structure for CFHL, services are provided in all but one
county in the state (57 of 58 counties).
This application begins the process by which CDPH CFHL will prepare a three-year
State Plan for CFHL in collaboration with CDSS and collaborating SIAs. The CDPH
CFHL authority for these grant agreements is vested in the Federal-Healthy Hunger-
Free Kids Act of 2010 which established the Nutrition Education and Obesity Prevention
Grant Program for eligible low-income individuals. The services in these grant
agreements are classified as direct services based on the funding authority. The
5
Exhibit D
services have been identified as 100 percent local assistance funding in our agency's
budget and meet the conditions of State Contracting Manual 3.17. The Grantee will
provide healthy eating and active living activities for SNAP-Ed eligible individuals and
families. The SNAP-Ed programmatic focus is outlined in the current USDA SNAP-Ed
Guidance. The California SNAP-Ed program administered through CDSS is 100 percent
federally funded through the USDA.
6
Exhibit D
GENERAL INFORMATION
Funding Application Purpose and Objective
CDPH CFHL is issuing a funding application request to LHDs or their designated non-
profit (classified as 501(c) (3) tax exempt under the Internal Revenue Code) for a three-
year grant period from October 1, 2023, to September 30, 2026. CDPH CFHL employs
a Local Health Department funding model for CFHL service delivery for the promotion
and protection of health among California's diverse communities. LHDs are sought for
their leadership in the practice of public health and policy development. The United
States Department of Agriculture, Western Regional Office (USDA/WRO), endorses the
LHD model of CDPH CFHL. Funding for each county is based on the county's portion of
California's total SNAP-Ed eligible population. Approximately $55 million is the
estimated annual funding amount available to LHDs (pending annual funding allocations
from USDA and CDSS, and final approval from the USDA/WRO).
The overall objective is to award funding for work with CFHL eligible participants to
provide evidenced based interventions and activities related to improving healthy eating
and active living behavior and environments. CDPH CFHL program funds account for
state and local health equity goals while meeting the program requirements. LHDs are
expected to serve populations with low-income (i.e., sites and settings serving > 50% of
persons with household incomes of< 185% of the Federal Poverty Level), and those
who are disproportionately impacted by obesity and chronic diseases related to diet and
physical activity. LHDs in counties with ethnic minorities that meet CFHL qualifications
should deliver interventions for those populations in a culturally appropriate manner. In
addition, USDA SNAP-Ed has strongly encouraged focusing on women and children in
households with low-incomes to increase the greatest potential impact. Additional
audience segments may be the focus of interventions and activities based on a local
needs assessment.
The guiding goals for this funding are to:
• Mobilize communities and institutions to transform policies and systems towards
a culture of equity, antiracism, healing and health for all people and our planet;
• Work collaboratively with community members and other partners to increase
impact, strengthen relationships between and across sectors, and ensure
sustainable outcomes;
• Optimize and enhance the food system to support a healthy diet;
• Adopt, implement, maintain, and support programs and policies that increase
access to and demand for healthy food;
• Adopt, implement, maintain, and support programs and policies that decrease
access to and demand for unhealthy food;
• Adopt, implement, maintain, and support programs and policies that promote
drinking water and restrict access to and consumption of sugar sweetened
beverages; and
• Adopt, implement, maintain, and support programs, policies, and enhancements
to the natural and built environment to increase physical activity opportunities.
Exhibit D
In addition to individual and/or group nutrition education, requirements of the funding
include policy, systems and environmental (PSE) change work. Cohesive, multi-level
public health interventions in multiple complementary settings are an essential part of a
comprehensive scope of work. All messaging must be consistent with the most current
Dietary Guidelines for Americans (DGA) and MyPlate, and may not use SNAP-Ed funds
to convey negative written, visual, or verbal expressions about any specific brand of
food, beverage, or commodity.
Funding Amount and Timeframe
Approximately $55 million is available each year to fund all LHDs or their designee.
Projected funding amounts can be viewed in the attachment titled FFY 2024-2026
CFHL LHD Funding Allocation Projections. Final funding allocation per LHD or their
designee will be provided after all Letters of Intent are submitted. Funding for the grants
is contingent on the continued availability of annual funds through the California CFHL
Plan, may change per fiscal year, and is subject to USDA SNAP-Ed Plan Guidance
requirements.
Successful applicants awarded a grant agreement from this Funding Application will be
eligible for a three-year grant agreement, beginning on October 1, 2023, and ending
September 30, 2026.
Applicants shall submit a three-year Integrated Work Plan (IWP)for Federal Fiscal Year
(FFY) 2024 (October 1, 2023-September 30, 2024), FFY 2025 (October 1,
2024-September 30, 2025), and FFY 2026 (October 1, 2025-September 30, 2026) as a
part of the CFHL IWP submittal process led by CDSS. Applicants shall submit one
budget worksheet per fiscal year. As a part of this application submission, applicants
must submit a budget worksheet for FFY 2024. Detailed budgets for FFY 2025 and
2026 will be collected through the annual State Plan process. The three-year grant
agreement will be for the total cumulative amount projected for LHD funding for FFY
2024-2026 (the FFY 2024-2026 CFHL LHD Funding Allocation Projections), plus a
defined proportional cushion, which increases the budget authority in the event funds
are added.
Who May Apply
Applicants must be a California LHD or an LHD designated agency. The designated
agency must meet all the following criteria:
• Operate within the county they are authorized to serve;
• Provide proof of non-profit status as part of the response to the Funding
Application Request (for example, a copy of your signed 501(c) (3) IRS form);
• Have expertise to implement nutrition education and obesity prevention
strategies through policy, systems, and environmental strategies as
applicable;
• Demonstrate experience or capacity to provide CFHL services to identified
eligible individuals and families;
8
Exhibit D
• Collaborate and coordinate with community members and partners
representing the diverse assets and needs of the community, including
addressing and promoting efforts such as: racial equity, food waste prevention
and recovery, economic development, reduction of health disparities and
inequities, education, appropriate policies, and local food systems among
others; and
• Possess the capacity to adhere to the contractual, fiscal, and program
reporting requirements of CDPH CFHL and USDA.
Informational Webinar
An informational webinar is scheduled for Thursday, December 1, 2022, at 2:00 pm
(PST) as a part of a special CDPH CFHL All LHD Call. The purpose of the webinar is to
review the information in this Funding Application Package and answer any questions
applicants have regarding the application process. If CDPH CFHL updates the Funding
Application Package, any such changes or updates will be indicated with highlights
(additions) and strikethrough (deletions). The Funding Application Package will serve as
the final answer to questions should there be a discrepancy in responses between the
Funding Application Package and the webinar.
Submission of Application
CDPH CFHL reserves the right to reject any or all applications and/or cancel the grant
agreement made under this funding application request. Acceptance of an application is
subject to negotiations of an agreement between CDPH CFHL and the applicant
organization.
All materials submitted in response to this Funding Application Package will become the
property of CDPH CFHL at the time the application is received.
All applicants agree that by submitting an application, they authorize CDPH CFHL to
verify any or all claimed information.
All applications must be complete when submitted. CDPH CFHL reserves the right to
contact applicants during any application evaluation phase to clarify the content of the
application and negotiate changes.
Submission of an application signifies that:
• The lead organization and any subcontractor(s) have carefully investigated all
conditions which affect, now and in the future, the performance of the work
covered by the application;
• The lead organization and any subcontractor(s) are fully informed concerning
the conditions to be encountered, quantity and quality of work to be
performed; and
• The lead organization and any subcontractor(s) are familiar with all federal
and state laws that affect the work to be conducted and the persons employed
in the work.
9
Exhibit D
Mandatory, Non-Binding Letter of Intent
CDPH CFHL must receive the mandatory, non-binding Letter of Intent from all
applicants by 4:00 pm (PST) on December 30, 2022. See Application Sections
Description below for more information.
Information, Addenda and/or Changes
If any clarifications or modifications to this Funding Application Package are necessary,
all questions and answers, addenda, or changes will be posted on the CDPH NEOPB
Website and/or sent via email.
It is the responsibility of applicants to check the website frequently to keep updated
regarding clarifications or changes to the Funding Application Package.
Grant Agreement Award Process
Awarded Grant Agreements will be executed by September 30, 2023, for work to begin
on October 1, 2023. CDPH CFHL reserves the right to fund any or none of the
applications submitted.
Awards will be made to LHDs, or their designee, whose applications are determined to
be technically complete, and whose professional qualifications and experience meet the
terms of the Funding Application Package. The selection process may include a request
for additional information to support the application. In addition, telephone interviews
and/or site visits may take place between the selection processes, grant agreement
negotiations, and grant agreement award dates.
10
Exhibit D
APPLICATION INSTRUCTIONS
This Funding Application Package includes all elements of the application that are due
to CDPH CFHL. Some elements of this application package are submitted directly
through the CDSS CFHL SharePoint site submission systems. LHDs are expected to
follow all State Plan submission timelines and directions as released. The CFHL State
Plan timeline resides on the CDSS CFHL SharePoint site.
Application Content
Any application that does not comply with FAP requirements will be considered non-
responsive and will not be reviewed. A checklist, found in the Forms and Attachments
section at the end of this document, is provided to assist with submitting a complete
application.
LHDs should reference all attachments to clearly understand and address all elements
of the application. LHDs should reference the attachment titled IFFY 2024-2026 CFHL
LHD Deliverables when submitting application materials to ensure all deliverables are
achievable.
Application Section Descriptions
Mandatory, Non-Binding Letter of Intent
Prospective applicants who intend to apply are required to indicate their intention to
apply via submission of a mandatory, non-binding Letter of Intent. Failure to submit the
mandatory, non-binding Letter of Intent will result in application rejection. The
mandatory Letter of Intent is non-binding and prospective applicants are not required to
apply merely because a Letter of Intent is submitted. Use the Letter of Intent form found
in Forms and Attachments section below.
The mandatory, non-binding Letter of Intent must be received by 4:00pm (PST) on
December 30, 2022. Submit the Letter of Intent via email to the attention of Ashley
Nubla at the email address listed below:
Subject Line: Letter of Intent: County/Agency Name, CDPH CFHL FFY 2024-2026
FAP; Attention: Ashley Nubla
Email: NEOPBfiscalrequest(cbcdph.ca.gov
Programmatic Projections Form
To support local and state level planning and programming, all LHDs are required to
complete the Programmatic Projections Form to accompany application by January 31,
2023. The form will provide a high-level snapshot of individual LHD work inclusive of
work planned for the projected numbers of Domains, Settings, Policy, Systems, and
Environmental Change (PSE) Strategies and PSE levels. Use the Programmatic
Projections Form located in Forms and Attachments section below. Submit the
Programmatic Projections Form by email to both your Project Officer and
11
Exhibit D
NEOPBfiscalrequest@cdph.ca.gov. Include your county name and "Programmatic
Projections Form" in the subject line of your email.
Non-Disparagement Certificate
All Applicants must complete the Non-Disparagement Form acknowledging the USDA
SNAP-Ed requirements around coupon use and non-disparagement practices. This
form can be found in the Forms and Attachments section of this application package.
Programmatic Priorities
LHDs will use the FFY 2024-2026 CDPH CFHL Programmatic Priorities to guide the
development of LHD specific activities. The minimum work expected per LHD is
dependent upon the projected base funding amounts for FFY 2024, and the enactment
of the Healthy Hunger-Free Kids Act of 2010. In addition, the depth, complexity, number
of activities and interventions that LHDs propose from the Programmatic Priorities, as
well as the number of Domains, Settings, and PSE Levels in which the LHD works,
should be appropriate for and align with each LHD's funding level. The following table
details the work LHDs must complete based on their Funding Tier.
Table 1:LHD Funding Tier Requirements
Tier 1 Tier 2 Tier 3 Tier 4 Tier 5
LHDs LHDs LHDs LHDs LHDs
projected projected projected projected projected
to receive a to receive a to receive a to receive a to receive a
budget budget budget budget budget
allocation of allocation of allocation of allocation of allocation
$162,390 $162,391 - $440,000 - $925,000 - above
annually $439,999 $924,999 $4,399,999 $4,400,000
annually annually annually annually
Minimum: Minimum: Minimum: Minimum: Minimum:
2 PSE Levels 2 PSE Levels 3 PSE Levels 3 PSE Levels 3 PSE Levels
and and and and and
1 PSE Strategy 2 PSE 2 PSE 2 PSE 3 PSE
Strategies Strategies Strategies Strategies
Minimum: Minimum: Minimum: Minimum: Minimum:
1 Setting (Must 2 Settings 2 Settings 3 Settings 3 Settings
be from at (Must be from (Must be from (Must be from (Must be from
least one at least one at least one at least one at least one
priority PSE priority PSE priority PSE priority PSE priority PSE
Settings) Settings) Settings) Settings) Settings)
12
Exhibit D
LHDs have the option to exceed the minimum expectations stated within the
assigned tier requirements for number of Settings, PSE Levels and PSE Strategy
expectations.
LHDs must meet the LHD Programmatic Priority Deliverables in addition to the
funding tier requirements.
Refer to the Forms and Attachments section of this application package for additional
information regarding IFFY 2024-2026 CDPH CFHL Local Health Department
Programmatic Priorities (identifies priority PSE Settings, PSE Levels, and other
programmatic priorities referenced above), IFFY 2024-2026 LHD Deliverables, and IFFY
2024-2026 CDPH CFHL LHD Funding Allocation Projections.
Reporting Income Targeting Data
All CFHL-funded programs must provide income-targeting data for the populations that
are served with USDA SNAP-Ed funding. The income targeting data source will verify
that the target audience meets the USDA SNAP-Ed funding guidelines, which are at or
below 185 percent of the Federal Poverty Level (FPL). This includes education and PSE
change activities at the site, institutional and community/jurisdiction levels. The CDPH-
NEOPB Geographic Information System (GIS) mapping tool is available to assist in
identifying qualifying census tract data. Targeting information will be submitted as a part
of the CFHL State Plan submittal process led by CDSS.
Site List
CDPH CFHL funded programs must provide income-targeting data for the populations
they serve with USDA SNAP-Ed funding. Income targeting data verifies that proposed
CFHL services will be provided in approved communities, settings and sites, and that
the primary audience members have annual household incomes at or below 185
percent of the Federal Poverty Level (FPL).
As a part of the IFFY 2024-2026 Funding Application Package, applicants are required
to submit a completed CFHL IFFY 2024-2026 Site List (Site List) according to the CFHL
Site List submittal process led by CDSS. The Site List will include all the sites where
applicants plan to conduct CFHL activities as part of their grant agreements. The Site
List should be comprehensive and include only the sites in which applicants plan to
conduct CFHL activities over the three-year term of the grant agreement as noted in
their IFFY 2024-2026 IWP.
The Site List may be revised in each subsequent fiscal year according to the most
current Site List Revision Guide for LIAs found on the Resources page of the CDSS
CFHL SharePoint website. Site Lists that are revised are submitted for approval as part
of the annual State Plan during each designated time period within the fiscal year.
Applicants must qualify all sites listed on their Site List where they provide CFHL
services in accordance with the methodologies provided in the most current California
13
Exhibit D
SNAP-Ed Targeting Methodologies Summary posted in the Site Change Process
Resources section of the CDSS CFHL SharePoint site. Below are examples of datasets
that can be used to qualify CFHL sites.
Census Tract/Census Block Group Data:
Census tracts or Census block groups and other defined locations are areas where at
least 50 percent of persons have gross incomes that are less than 185 percent of the
Federal Poverty Level (FPL). CFHL has provided the most current American
Communities Survey (ACS) datasets in a modified, user-friendly format found on the
CDSS CFHL SharePoint Site to identify sites qualified for CFHL services.
• Applicants are required to use the most current ACS data to qualify eligible census
tracts below 185 percent of the FPL. Intervention sites may qualify by census tract
or census blocks. If the intervention site does not qualify by census tract, census
block data may be used.
• To complete the Site List as part of the FFY 2024-2026 Funding Application
Package, the three most current ACS datasets must be used for qualifying and
adding new sites to the Site List. New qualifying ACS datasets may become
available each fiscal year and a list of the most current datasets can be found on
the CDSS CFHL SharePoint site.
• When adding sites to the site list, applicants must use the most current datasets
first for qualifying sites, then moving to the next listed datasets only if sites do not
qualify under the more current data.
• If the CFHL activity is targeting a specific race/ethnicity, then a specific
race/ethnicity may be used to qualify the site. The ACS 2015-2019 (race and
ethnicity only) and the datasets noted above may be used in those instances. To
use this data, the site must have at least 50 percent of the identified audience fall
within the selected race/ethnicity category and this race/ethnicity category must be
checked off in Section A, Target Audience, Ethnicity and Race in the agency's FFY
2024-2026 IWP.
• The CDPH-NEOPB Geographic Information System (GIS) mapping tool may be
used to identify eligible census tracts for intervention sites as well.
Free and Reduced Price Meal(FRPM) Percentage Data:
Beginning in School Year (SY) 2022-23, California became the first state to implement
a statewide Universal Meals Program for school children. While school meals are
provided free of charge, the California Department of Education continues to collect
family income data from individual school sites. Schools where at least 50 percent of
children in the school receive free or reduced priced meals are considered eligible to
receive CFHL services. All school sites qualified by FRPM, or Child and Adult Care
Food Program (CACFP) data must be entered on the Site List. The most current FRPM
data is available on the CDSS CFHL SharePoint site at CDE FRPM Data 2021-2022
Version 2.0.
• If a school site cannot be qualified using the FRPM data provided and more
current FRPM data for the school site would qualify the school, the Food Service
Director of the site may be contacted to obtain the most current FRPM data. If the
14
Exhibit D
more recent Food Service data qualifies the school site, this information must be
included on the Site List. The backup documentation from the Food Service
Director (email, letter) verifying the more recent data must be kept on file by the
LHD and be made available upon request.
Additional Site Qualification Methods
For additional site qualification methods, refer to the California SNAP-Ed Targeting
Methodologies Summary posted on the Resource page of the CDSS, CFHL SharePoint
site and the Means Tested site qualification information in the Overall Purpose of
Funding Application section above.
Multiple LIAs working within o Site
Per USDA and CDSS guidance, more than one LIA (e.g., those funded by CDPH CFHL,
CDA, CFHL UC, CCC, and CDSS) may deliver Direct Education (DE) interventions at
the same site provided they are working with a different audience and with the
understanding that only one LIA is reporting the reach for the DE audience they worked
with. A qualified site can have multiple DE interventions with separate and distinct
audiences, implemented by the same or different LIA(s), if each LIA serves a different
audience and there is only one DE intervention for each audience.
A qualified site can have a mix of strategies and work plan activities conducted at the
same site and potentially at the same time. However, the mix of strategies and activities
can include only one DE activity per participant per site as noted above. It is possible to
include one or more additional PSE strategies and activities across the site or
participants. For example, a mix of PSE change activities could be implemented by
more than one LIA across multiple IWP activity categories and target audiences at the
same site to ensure a collaborative and comprehensive approach is received at the site.
LIAs are expected to collaborate and coordinate during the development of their IWPs
to ensure there are no duplicative activities at the same site. It is important that all CFHL
activities be complementary, collaborative, and comprehensive in approach and should
be conducted to strengthen the overall CFHL work within the jurisdiction.
Budget
An automated budget for FFY 2024 detailing the projected cost of the LHD component
of the local CFHL IWP must be submitted by each LHD by May 12, 2023. The
automated budget form will be made available for LHD completion by CDSS (FFY 2024
Budget will be posted on CDSS CFHL SharePoint site).
Detailed instructions for completing the automated budget form are available on the
CDSS CFHL SharePoint site under Resources. Additional information and resources
are available within the CDPH CFHL Administrative Guidelines Manual (AGM).
Grantees must adhere to USDA, CDSS, and CDPH CFHL deadlines to meet required
timely submission of the CFHL State Plan and supporting grant and deliverables.
Failure to comply with the timeline will cause lengthy delays in the contracting process
or loss of the opportunity to receive an agreement with CDPH CFHL. In addition,
15
Exhibit D
Grantees will be required to adhere to the CDPH AGM and any Program Letters
throughout the year.
Subgranting
Subgranting is an expectation, and CDPH CFHL expects that a portion of the LHD
allocation is subgranted to reach the state's diverse population adequately and
appropriately. Each health jurisdiction will determine the level of subgranting based on
work plan requirements and eligible subgrantees. Subgrantees, including school-based
organizations (SBOs), community-based organizations (CBOs), and local cities with a
high proportion of Californians with low incomes, should be chosen based on their
capacity and ability to complete the LHD components of the local Integrated Work Plan
working with the most vulnerable eligible populations. Equity priorities should be
considered when making subgranting decisions such as how subgrantees are recruited,
which subgrantees are chosen, and what their scopes of work entail. Reflecting on and
implementing subgranting practices that ensure subgrantees reflect the communities
with which they intend to work is an important way to support equity priorities. LHDs are
encouraged to find ways to fund CFHL-eligible community members as part of program
planning, implementation, and support. Examples can include funding community
engagement agreements or community representative roles (such as subject matter
experts) through their subgrant agreements.
Staffing
The size and expertise of the LHD staff will depend in large part on the funding level.
Language-specific and cultural competencies are needed for reaching California's
diverse population, along with skills in promoting health equity, PSE implementation,
health promotion, community engagement, business, organizational-level, and
community-level public health approaches. It is recommended that LHD staff reference
the tier-based Core Competencies for Public Health Professionals when staffing
appropriate CFHL-funded positions. Funded LHDs are expected to meet the following
staffing positions and/or expertise:
• One full-time Project Director. The Project Director is expected to have a Master's
in Public Health (MPH), or an equivalent degree, or three years' experience as a
Public Health Project Director implementing multi-level public health programs.
• Nutrition expertise (Registered Dietitian, R.D.) is expected to be part of the staffing
of this grant or the LHD should have access to a R.D., should the Project Director
not have this expertise. Access to evaluation expertise ensures ongoing and as
needed competence for evaluating program effectiveness.
• Adequate fiscal and administrative support.
Grantee Information
Applicants must ensure that the information provided is up to date on the Grantee
Information Form (GIF). An updated GIF is to be provided to the assigned Contract
Manager if any changes occur throughout the grant term.
16
Exhibit D
Letter of Agreement of Memorandum of Understanding (when applicable)
If CFHL activities are provided in conjunction with other federally funded nutrition
education programs, then a letter of agreement is required to delineate the
responsibilities of each program to demonstrate collaboration and prevent
supplantation. In addition, all CFHL activities that address the topic of breastfeeding
must be planned and implemented in collaboration with the State Women, Infant, and
Children (WIC) agency. The WIC Program should have the lead and primary role in all
breastfeeding activities with CFHL supplementing existing WIC activities. A written
agreement such as an Inter-Agency Agreement or Memorandum of Understanding
stating the degree of collaboration and the specific responsibilities of WIC (i.e., staff,
duties, and time) and CFHL shall be signed by all collaborating agencies and
maintained for inspection. CFHL can advance breastfeeding in its programming through
such activities as working on lactation policies and promotion at childcare facilities
and/or other community venues.
OTHER APPLICANT INFORMATION
Project Reporting— Program and Administrative
For each year of the three-year grant period, CDPH CFHL funded projects will be
required to submit a Biannual Progress Report consisting of a Mid-Year Report due
April 15 and Year-End Report at the end of each Federal Fiscal Year due October 15.
These reports will be submitted via email to the CDPH CFHL Project Officer assigned to
the Grantee.
Project Reporting— Evaluation
A detailed description of reporting requirements for evaluation are as follows:
PEARS
LHDs must use the online Program Evaluation and Reporting System (PEARS) to
provide information necessary to complete federally required reporting. Additionally,
PEARS is used to report program and evaluation activities and outcomes of interest to
CFHL. PEARS is designed to link data with local, state, and national objectives,
allowing CDPH CFHL and LHDs to more effectively measure and report program
impact. LHDs will report their activities, including SIA-specific custom fields and
supplemental surveys, in the following PEARS modules:
• Program Activities: LHDs must report all direct education activities in the
Program Activities module. Direct education takes place when a participant is
actively engaged in the learning process with an educator and/or interactive
media within an evidence-based intervention. Program Activities entries require
session dates and length, participant demographics, and information about
program objectives.
• Indirect Activities: LHDs must report all distribution of information and
resources, including any mass communications, community events, interviews,
advertisements, materials distributions, and LHD-specific social marketing
17
Exhibit D
activities that are not considered direct education in the Indirect Activities
module.
• PSE: LHDs must use the PSE module to track efforts to make policy, system,
and environment (PSE) changes at all stages from planning to maintenance. This
module should be completed for all sites and organizations that are involved in
SNAP-Ed supported PSE efforts. LHDs will also be required to track their specific
efforts related to organization-level, community-level, and government
jurisdiction-related PSE work, through supplemental questions or surveys
available via PEARS.
• Success Stories: LHDs must submit at least one PSE-related success story
annually by September 30 each year of the grant period. It is preferred that
success stories are related to the stated FFY 2024-2026 LHD Programmatic
Priorities. The story should relate to PSE efforts that happened during the
Federal Fiscal Year in which it took place and follow the Success Story
Instructions provided by CDPH CFHL.
• Partnerships: LHDs must use this module to report any site level (e.g.,
elementary school), organization (e.g., school district), or complementary site
partnerships activity during a reporting year. Active partnerships may include two
or more individuals or organizations who regularly meet, exchange information,
identify and implement mutually reinforcing activities that will contribute to
organizational changes or policies.
• Coalitions: LHDs must use this module to report any multi-sector coalition
activities during a reporting year. This may include County Nutrition Action
Partnerships (CNAPs) or other relevant collective impact initiatives.
Activities may be reported in PEARS on an ongoing basis throughout the year. PEARS
reporting for each Federal Fiscal Year (October 1 — September 30) must be completed
by the deadline shared annually by CDPH.
Assessment Tool Data
Site level assessment tools are intended to assist with program planning and can be
used to assess changes in institutional policies and practices over time. All LHDs must
complete an assessment of each site where they are doing site-level PSE CFHL work in
settings where an assessment tool has been created or recommended by NPI.
Standardized tools, referred to as SLAQs (site-level assessment questionnaires) and
LACs (LHD Activity Checklists) have been developed and tested and are required for
schools, early childhood education sites (ECE), out-of-school time (OST) programs, and
stores. In addition to SLAQs, an organization-level assessment will be required for
school districts involved in district-level PSE efforts using a combination of WeIISAT and
an Organization Assessment Questionnaire (OAQ) developed and tested for school
districts. For CFHL work occurring in other settings (e.g., food pantries, farmers'
markets, other organizations, etc.), LHDs may choose to use another assessment tool
until a SLAQ, OAQ, and/or LAC becomes available, or another standardized instrument
is required for that setting.
18
Exhibit D
Assessments should take place once each year that CFHL-supported PSE interventions
will be occurring and before implementation begins. Sites should already be engaged
and on-board before assessments occur. LACs should be completed at the end of the
year after all activities for a given year have occurred. LHDs with a larger number of
site-level PSE sites within a setting may work with a state-level evaluation liaison to
develop an alternative assessment strategy. Assessments do not need to be conducted
at sites that only host education and no PSE efforts.
Assessment requirement decision tree (ask yourself these questions each year):
Figure 1:Assessment Requirement Decision Tree
Has the site or organization been recruited and is interested in making PSE
changes? J
I
No/Not yet/Education Yes,they are on board to
intervention only start working on PSE changes!
i
ILI
Assessment not required Is the site a school district,school,
at this point. ECE site,OST program or a store?
� 1
Yes,the site is a school I Yes,the site is a school,
district.Complete a OAQ ECE site,OST program or No.Choose any
before making changes and retail food store. assessment tool
complete a LAC once Complete a SLAQ before
intervention activities are making changes and
finished for the year complete a LAC once
intervention activities
are finished for the year
Impact and Outcome Evaluation (IOE)
If series-based direct education is carried out with 4th-12th grade students in the school
or school-based after school setting, then an LHD (at any funding Tier) must evaluate
intervention(s) in the LEARN Setting. The number of sites required for the LHD to
evaluate will be based on funding tier. LHDs must collect pre and post behavioral
outcome data from intervention sites using the Eating and Activity Tool for Students. To
the extent possible, LHDs should evaluate their earliest occurring interventions in the
fiscal year. Pre- and post-testing should occur at the beginning and end of school year,
regardless of timing of direct education implementation. Technical assistance will be
available by Nutrition Policy Institute CFHL staff throughout the year, including during
19
Exhibit D
FFY 2023 to support planning, to ensure the guidelines are applied to produce valid
evaluation results as well as to fit unique situations.
Table 2:10E Site Requirements by Funding Tier
Students per Students per
Number of Sites* School Site After School Site
Funding Tier (School or Afterschool**) (Matched) OR (Matched)
5 5
4 4 30 30
3 3 (At least 2 (Or max students
2 2 classrooms) attending)
1 1
* If you do not plan to conduct interventions in the number of sites required by your
funding tier, you can evaluate in the maximum number of sites in which you do have
applicable interventions.
** IOE requirements applicable to school-based afterschool programs only.
Evaluation of Adult Direct Education
All LHDs (regardless of funding tier) utilizing an adult direct education curriculum
consisting of four or more sessions delivered over four or more weeks must collect pre
and post behavioral outcome data using the CFHL Adult Survey. LHDs delivering class
series adult direct education that does not meet these criteria are exempt. Technical
assistance will be provided by NPI on survey administration/data collection
methodology.
20
Exhibit D
FORMS AND ATTACHMENTS
Forms
1. Letter of Intent
2. Programmatic Projections Form
3. IFFY 2024-2026 CFHL Application Checklist
4. Grantee Information Form
5. Non-Disparagement Certificate
Budget, Site List and IWP Documents and Instructions
All instructions, planning tools, documents and submission links for the Budget, Site
List, and Integrated Work Plan (IWP) will be communicated separately by CDSS or
CDPH CFHL. LHDs are responsible for monitoring communications and all submission
deadlines.
Attachments
Attachment 1: SNAP-Ed Plan Guidance and Templates
Attachment 2: Recent ACS and FRPM datasets (via the CDSS CFHL SharePoint Site)
Attachment 3: Federally Qualified Health Centers
Attachment 4: CA SNAP-Ed Targeting Methodologies Summary
Attachment 5: FFY 2024-2026 CFHL Local Health Department Programmatic Priorities
Attachment 6: FFY 2024-2026 CFHL LHD Funding Allocation Projections
Attachment 7: IFFY 2024-2026 CFHL LHD Deliverables
21
Exhibit D
FFY 2024-2026 CDPH CFHL Local Health Department Programmatic
Priorities Guidance for Grant Deliverables and Work Plan Development
FFY 2024-2026 FAP Attachment 5
Introduction
The Nutrition Education and Obesity Prevention Branch (NEOPB) of the California
Department of Public Health (CDPH) serves California through statewide, regional, and
local partnerships, programs, and policy initiatives to promote healthy eating, physical
activity, and nutrition security with an emphasis on communities with the greatest health
disparities. NEOPB's vision is "well-nourished, physically active Californians living in
healthy communities."All NEOPB activities aim to fulfill the Branch mission and
vision, and programmatic priorities are derived from these values.
CDPH is one of several organizations in California that receive grant funding for
nutrition education and obesity prevention efforts from the United States Department of
Agriculture (USDA) Supplemental Nutrition Assistance Program-Education (SNAP-Ed).
SNAP-Ed is known as CalFresh Healthy Living (CFHL) in California, and CDPH
identifies as CDPH CFHL for the purposes of implementing this program. CFHL aims to
reduce the prevalence of overweight and obesity among California's SNAP-Ed eligible
individuals through educational strategies, and multi-level organizational and
community-wide public health approaches that support healthy behaviors at multiple
socioeconomic levels of influence. CDPH CFHL issues this funding to Local
Implementing Agencies (LIAs)for SNAP-Ed service delivery through Local Health
Departments (LHDs) or their designees.
During Federal Fiscal Years (FFY) 2024-2026, CDPH CFHL supported work will aim to
create change at the individual, organizational and community levels. This work will
focus on specific programmatic priorities, strategies, and settings to increase the reach
and impact of CFHL in California. To facilitate a focused approach, the local FFY 2024-
2026 Integrated Work Plan (IWP)will consist of a set menu of options—titled the IWP
Blueprint Packet—that will define the allowable CFHL work at the local level. This menu
of options will include a list of allowable settings for specific Policy, Systems, and
Environmental Change (PSE) strategies with specified sub-strategies. There will be
required core and optional complementary sub-strategies that support each of the
broader PSE Strategies. Each sub-strategy selected will have a defined activity table
with appropriate activities for each selected PSE strategy. LIAs will be able to specify
which activities are appropriate for their work given their capacity and program
progression to date. Direct and Indirect Education activities, along with others, will be
reflected in the PSE sub-strategy activity tables. The LIAs will also add integrated local
projection numbers for their work with participants and partners to local three-year
objectives, shared statewide, tied to priority CFHL work. These include objectives for
community engagement, sustainability, direct education, and partnership and coalition
work. More information on the FFY 2024-2026 IWP Blueprint will be released in
1
Exhibit D
December 2022 by the CFHL lead State Implementing Agency (SIA), the California
Department of Social Services (CDSS).
The statewide CFHL program requires each county (or city in some cases, referred to
as an IWP jurisdiction) to submit an IWP that incorporates the work of all CFHL-funded
Local Implementing Agencies, including the CDPH CFHL-funded LHDs, in one
complete projected work plan. The IWPs include two sections: Section A, which
establishes local need, priorities, partnerships and a narrative justification and
explanation of the plan. Section B can be developed using the current CFHL IWP
Blueprint Packet, which includes a menu of available PSE Strategies and Sub-
strategies and their applicable PSE Settings, and the CalFresh Healthy Living
Integrated Curricula List to establish Direct Education plans. CDPH CFHL-funded LHDs
must follow the IWP Blueprint Packet guidance to determine which Sub-strategies are
allowable in which settings, apart from proposed and approved innovative work. See the
IWP Blueprint Packet and the IWP submission instructions for full guidance. CDPH
CFHL-funded LHDs must follow all CDSS and CDPH guidance and deadlines provided
to complete the IWP submission process as a portion of this Funding Application
Package.
Within the IWP Blueprint structure and submission, CDPH CFHL has selected specific
Programmatic Priorities for funded LHDs. Programmatic Priorities are exclusive to
the CFHL LHD implementers and must be incorporated into the overall work plan
within Section A and Section B along with the selected PSE Strategies. For FFY
2024-2026, the following LHD Programmatic Priorities serve as guidelines that LHDs
will use to complete their three-year local CFHL IWP and CFHL grant deliverables.
CDPH CFHL will use the submitted IWP to generate the LHD's Scope of Work (SOW)
for the LHD's three-year grant agreement with CDPH CFHL. For details of the CDPH
CFHL funding application and requirements, refer to the CDPH CFHL FFY 2024-2026
Funding Application Package (FAP). The overarching programmatic priorities for FFY
2024-2026 are:
• Advancing Equity
• Healthy Beverage Consumption and Purchases
• Supporting PSE Change at the Community Level and in Priority PSE Settings
• Reaching and Impacting Youth
2
Exhibit D
Figure 1:CFHL Program Guidance Process Flowchart
CFHL
(Guidance
SNAP-Ed Programmatic Jurisdiction
Guidance Integrated LHD Portion
1 (Goals and 1 Work Plan
Objectives)
rIWP Blueprint FAIR
Packet and Programmatic
Instructions Priorities are
are primary embedded
guiding here
documents
Figure 2:Programmatic Priorities across the Integrated Work Plan
r"-
Advancing Equity .
Healthy Beverage
Consumption and
Purchases Analyze and share
existing local data and
assessments _
Reaching and Work with coalitions
Impacting Youth and partners
Setting Strategy Sub strategyAll completed Any
Selections Selections Selections Activity Tables Innovative
Work with community Work
Supporting PSE members to determine
Change at the desire and need
Community Level and
in Priority PSE Settings
3
Exhibit D
Programmatic Priority Expectations and Deliverables
The minimum amount of work each LHD grantee is required to do is based on projected
funding amounts for FFY 2024. For more detail refer to the LHD Funding Tiers in the
Funding Application Package (FAP).
Throughout this document, items identified by bolded text signify a FAP grant
deliverable related to the programmatic priorities established below. For a summary of
all LHD FAP grant deliverables and the exact deliverable requirement, see the LHD FFY
24-26 Deliverables document. The deliverables document states where to place efforts
planned to address the priorities in the IWP (within Section A, B, or both), and how to
report on progression and outcomes of the work related to the priorities (in PEARS or
other required reports and documentation).
Programmatic Priorities: Background and Description
As a part of the FFY 2017 USDA Western Regional Office Management Evaluation of
California's CFHL program, the USDA recommended that the SIAs provide the LHDs
(and other LIAs) with a defined menu of options for their CFHL workplans. This allows
for the development and implementation of focused local work plans that are rooted in
evidence-based, effective strategies. The IWP Blueprint was created in partnership with
CDPH CFHL internal program and evaluation staff, LHD staff(as well as other LIAs),
other CFHL SIAs, and external subject matter expert stakeholders.
Programmatic Priorities: Consideration and Inclusion Criteria
To inform the development of Programmatic Priorities for LHDs, CDPH CFHL created
and has updated a list of criteria to align with the CFHL State Goals and Objectives,
CFHL Principles and Priorities, CFHL IWP Blueprint and further CDPH goals. The
programmatic priorities are in line with the identified strategies and settings within the
CFHL documents stated above. CDPH CFHL developed the FFY 2024-2026 LHD
Programmatic Priorities based on these eight criteria:
• Evidence-based: effectiveness and impact of specific priorities at changing
environments, health behaviors and/or weight status through research-tested,
practice-tested, and/or emerging or innovative strategies.
• Equity: Ensure the selection of priorities and practices are linked to established
and defined inequities and work to advance health equity.
• Feasibility: strategies are appropriate and feasible based on staff size and
capacity to implement.
• Maximizes impact in the community: have significant reach and impact across
the socio-ecological model with an emphasis on upstream efforts.
• Aligns with existing priorities and indicators in California: look to CDPH, California
Health and Human Services Agency and statewide priorities that promote equity,
healthy eating and active living.
• Timing: when applicable, reasonable, and achievable in a defined timetable
• Leverage: can be leveraged by other known funding and programming either
internally or externally to drive partnership and greatest impact.
4
Exhibit D
• Momentum: has support in the field gained by existing priorities or by a series of
events; opportunity to capitalize on timely local and/or state priorities that align
with other priorities and goals.
When determining programmatic priorities, CDPH CFHL reviewed and adhered to the
USDA SNAP-Ed Plan Guidance. Additional inputs included established obesity
prevention programmatic recommendations such as Centers for Disease Control and
Prevention (CDC) Overweight and Obesity Prevention Strategies & Guidelines, The
Community Guide, County Health Rankings & Roadmaps, the CDC's Practitioner's
Guide for Advancing Health Equity, Voices for Healthy Kids, and the National
Academies of Science, Engineering, and Medicine's Accelerating Progress in Obesity
Prevention: Solving the Weight of the Nation.
Programmatic Priorities: Guiding Goals
Based on the selected programmatic priorities, consideration and inclusion criteria, and
a review of the established obesity prevention programmatic recommendations, and
CFHL Principles and Priorities, CDPH CFHL created the following guiding goals for
CFHL funded LHDs:
• Mobilize communities and institutions to transform policies and systems towards
a culture of equity, antiracism, healing and health for all people and our planet;
• Work collaboratively with community members and other partners to increase
impact, strengthen relationships between and across sectors, and ensure
sustainable outcomes;
• Optimize and enhance the food system to support a healthy diet;
• Adopt, implement, maintain, and support programs and policies that increase
access to and demand for healthy food;
• Adopt, implement, maintain, and support programs and policies that decrease
access to and demand for unhealthy food;
• Adopt, implement, maintain, and support programs and policies that promote
drinking water and restrict access to and consumption of sugar sweetened
beverages; and
• Adopt, implement, maintain, and support programs, policies, and enhancements
to the natural and built environment to increase physical activity opportunities.
Programmatic Priorities:Advancing Equity
Advancing Equity is a primary goal of CDPH and the CDPH CFHL team. Despite
decades of efforts to reduce and eliminate health disparities, they persist—and in some
cases, they are widening among some population groups. Addressing racial and health
equity means that every person has an opportunity to achieve optimal health regardless
of:
• The color of their skin
• Level of education
• Gender identity
• Sexual orientation
• The job they have
• The neighborhood they live in
5
Exhibit D
• Whether or not they have a disability
While health inequities and disparities can be addressed at multiple levels, CDPH CFHL
focuses on PSE improvement strategies designed to improve the places where people
live, learn, work, shop, eat, and play. To maximize the health effects for all and reduce
health inequities, it is important to consider the following:
• Different strategies require varying levels of individual or community effort and
resources, which may affect who benefits and at what rate.
• Certain population groups may face barriers to or negative unintended
consequences from certain strategies. Such barriers can limit the strategy's
effect and worsen the disparity.
• Population groups experiencing health disparities have further to go to attain their
full health potential, so even with equitable implementation, health effects may
vary.
• Health equity should not only be considered when designing interventions. To
help advance the goal, health equity should be considered in other aspects of
public health practice (e.g., organizational capacity, partnerships, evaluation).
CDPH CFHL acknowledges that there is no one-size-fits-all approach to addressing
disparities and inequities in communities. CDPH CFHL recommends using the CDC's
A Practitioner's Guide forAdvancinq Health Equity to provide guidance on how to
operationalize the skills and practices below. CDPH CFHL funded LHDs are expected
to consider the following, among others, when identifying their CFHL work:
• Building Organizational Capacity
o Establish an institutional commitment to advance health equity
o Where possible, align funding and sub-granting decisions with your
commitment to equity
o Be deliberate in recruiting and building staff skills to advance equity
• Engaging Community Members
o Understand historical context before developing engagement strategies
o Build community relationships and establish trust; maintain
relationships
o Select engagement techniques appropriate to your context
o Understand barriers
o Support and build the community's capacity to act
o Value both lived community experience and professional expertise
• Developing Partnerships and Coalitions
o Engage partners from many fields and sectors
o Include those working with populations experiencing health inequities
• Identifying and Analyzing Health Inequities
o Do not rely on assumptions about health inequities in program planning
o Use appropriate tools to identify health inequities
o Value both community and technical expertise
• Selecting, Designing, and Implementing Strategies
o Balance community input and best available evidence
o Select a set of comprehensive approaches, strategies, and settings
6
Exhibit D
o Support and build the community's capacity to act
• Developing Effective Communication Efforts
o Support the case for equity with relevant data
o Highlight solutions when framing messages around equity
Programmatic Priority: Healthy Beverage Consumption and Purchases
CDPH CFHL will place an emphasis on limiting purchases and decreased consumption
of sugar sweetened beverages (SSBs) as the primary behavioral strategy for
implementation in FFY 2024-2026. This core behavioral strategy is supported by
various PSE sub-strategies, including but not limited to nutrition standards,
procurement, wellness policies, and places that sell beverages, and a complementary
PSE sub-strategy to increase access to and the consumption of safe drinking water.
Consumption of SSBs is more strongly linked to obesity than any other single type of
food or beverage and is the largest contributor of added sugar in the diet, and promotion
of water consumption complements and strengthens other efforts to discourage SSB
consumption.
Therefore, all settings and sites involved in CDPH CFHL nutrition supported
efforts should include (but not necessarily be limited to) efforts to reduce access
to and consumption of SSBs. This can be achieved through education and/or PSE
efforts. Examples of applicable PSE Strategies include Healthy Default, Nutrition
Standards, Access to Healthy Food, and others. Examples of PSE Settings include
Restaurants, Retail, Before and After School, and others. Additional programmatic
supports, including trainings, materials, resources, and tools, will be made available as
part of the IWP Blueprint and CFHL Statewide Training to guide local program planning
and implementation.
Programmatic Priorities: Supporting PSE Change at the Community Level and in Priority PSE
Settings
Priority PSE Settings
The following define the CDPH CFHL priority Domains and PSE Settings for the CDPH
CFHL funded PSE change work in FFY 2024-2026. As stated in the Funding Tier
Requirements listed in the FAP, all LHDs must complete some (but not
necessarily all) of their PSE work in the following established priority PSE
settings. These Domains and PSE Settings have been established based on the
Consideration and Inclusion Criteria and existing behavior change evidence. The
following priority settings (Table 1) are to be utilized for selected PSE Strategy
implementation as submitted by LHDs in the IWP. Beyond the Funding Tier requirement
of PSE work in at least one priority setting, the remaining IWP PSE work can be done in
any available PSE settings in the IWP Blueprint. Direct and Indirect Education activities
can occur in any qualified SNAP-Ed site that reaches the local defined, intended
audience. All IWPs must be submitted as a cohesive approach as detailed in the
Section A Intervention and Evaluation Plan Narrative and be supported by selected
work in Section B.
Exhibit D
Table 1. FFY24-26 Priority Domains and Settings for Site and Organizational PSE Change Work
LEARN SHOP EAT PLAY LIVE
Early Care and Food Stores Restaurants Parks and Health Care
Education Open Spaces
Schools Food Banks Bicycle and
and Pantries Walking Paths
Before and Farmers
Afterschool Markets
Programmatic Priorities:PSE Levels
The following constitute the required levels of PSE work for CFHL LHDs in their
efforts to address the guiding goals. These levels can be applied to appropriate IWP
Blueprint Strategies and Sub-strategies in addition to allowable community goals
established in Section A of the IWP. As indicated in the Funding Tier requirements,
combinations of the PSE Sub-strategies at different PSE Levels across settings below
should create a cohesive and comprehensive overall work plan approach.
PSE Levels:
Level 1: Site PSE Changes: Targeted CFHL allowable activities to establish,
implement and sustain written policies, systems, and environmental changes
through comprehensive programming at the site level (e.g., at a school or store).
Policies are meant to address the established CFHL statewide, CDPH and LHD
priorities.
Level 2: Organizational PSE Changes: Targeted CFHL allowable activities to
establish, implement and sustain written policies, systems, and environmental
changes at the multi-site level. Multi-site level work is referred to as "organization
or institutional" level in the USDA SNAP-Ed Program Guidance and Evaluation
Framework. Work could include, for example, activities at a school district, ECE
chain, and/or chain store corporate office and is intended to influence multiple
sites under their jurisdiction. Policies are meant to address the established CFHL
statewide, CDPH and LHD priorities.
Level 3: Community PSE Changes: Targeted CFHL allowable activities to
establish, implement and sustain written policies, systems, and environmental
changes at the community level. Community or areawide level work is defined as
work in neighborhoods, communities, and jurisdictions (e.g., cities, towns,
districts, and counties). Community level efforts may involve work to mobilize
multiple sectors (stores, schools, whole of government, etc.) to benefit the CFHL-
eligible population across a larger geographic area through PSE changes.
Policies are meant to address the established CFHL statewide, CDPH and LHD
priorities.
8
Exhibit D
Figure 3:Alignment of Socio-Ecological Model with PSE Change Priorities
PSE LevelLevel
SOCIAL& SECTORS
CULTURAL SETTINGSINDIVIDUAL
NORMS& Systems
VALUES Government HomesFACTORS
• Education • Early Care& Demographics
• Belief systems . Health Care Education ,
• Traditions • Transportation • Schools
• Heritage OrganizMions • WorksitesSocioeconomic
• Religion • Public Health • Recreational9 Race/Ethnicity
• Communi Facilities • •
• Priorities N Food Service&Retail
• Lifestyle • Advocacy Establishments Other
Psychosocial
• Body image Businesses&Industries . Other Community
• Planning& Settin sKnowledge
&Skills
Development g
• AgricultureInteractions
• Food&Beverage "'Preferences
• Manufacturing
Programmatic Priority: Reaching and Impacting Youth
According to the CDC, establishing healthy behaviors to prevent chronic disease is
easier and more effective during childhood and adolescence than trying to change
unhealthy behaviors during adulthood. CDPH CFHL will place emphasis on reaching
• fletail
• Entertainment FOOD&
• Marketing BEVERAGE PHYSICAL
• Media ACTIVITY
INTAKE
=HEALTH
OUTCOMES
DATA SOINLCES Adapted from:(1)Centers for Disease Control and Prevention.Division of Nutrition,Physical Activity,and Obesity.National
Center for Chronic Disease Prevention and Ilealth Promotion.Addressing Obesity Disparities:Social Ccological Model.Available at:http:!!
www.cdc.gov/obesitylhealth equityladdressingtheissue.htmLAccessed October 19,2015.(2)Institute of Medicine.Preventing Childhood
Obesity:Health In the Balance,Washington(DC):The National Academies Press;2005,page 85.(3)Story M,Kaphfngst KM.Robinson-O'Brien R,
Glanz K.Creating healthy food and eating environments:Policy and environmental approaches.Annu Rev Public Health 2008;29:253-272.
• impacting youthand play.
Exhibit D
select a targeted age range or set of age ranges within the overall youth segment (e.g.,
4t" graders, 2-5-year-old children, high school students, etc.). LHDs may select from the
list of available IWP Blueprint strategies, sub-strategies, and settings to fulfill this
priority. A selected PSE sub-strategy that targets youth must be a part of a cohesive,
comprehensive overall approach to community work.
While any of the allowable PSE Settings are available, LHDs are encouraged to engage
youth in the LEARN Domain, specifically in two priority Settings (Early Care and
Education (ECE) and Schools). The ECE and Schools settings were selected for priority
focus as research indicates that youth who are overweight or obese are more likely to
remain so into adulthood, thus a focus on early intervention is imperative. The ECE and
Schools settings are prioritized over other youth settings due to their high potential for
reach and consistent access to the same group of youth. Additionally, interventions in
the School and ECE settings are well-documented and proven effective.
The youth-focused PSE effort can also satisfy the Funding Tier requirement of at least
one PSE effort undertaken in the established "priority" PSE settings if it occurs in one of
the 10 priority settings (see following section for more details). See the IFFY 2024-2026
Funding Application Package for more information regarding funding tier requirements.
Steps for Building Local Integrated Work Plans
Sections A and B of the IWP have been updated to reflect IFFY 24-26 CFHL principles
and priorities, as well as statewide goals and objectives. The instructions have been
updated as well. The information below is additional supportive information for
completing the IWP.
Community Goals, Intended Impact, Domains and Settings, and PSE Strategies
Community goals and community needs assessments support LHDs in identifying:
1. Population intended for impact (in terms of geographic location and demographic
characteristics);
2. Domains and settings where the program can most effectively reach a significant
number of CFHL-eligible participants;
3. Applicable and appropriate PSE strategies for each setting, and;
4. Community level work that supports a large portion of the CFHL-eligible
population and aligns with community change goals and site/organizational level
interventions.
Identification of Domains, PSE Settings, Sites and PSE strategies must be done in
conjunction with community members and local, trusted organizations (see
Advancing Equity section above and in the LHD Deliverables document). PSE
strategies selected at the site and organizational level (PSE Levels 1 and 2) should
align with any community or jurisdiction level work (PSE Level 3) to address locally
determined CFHL goals. See the IWP planning tools to support planning.
Once all planning is complete, LHDs will add work plan content to the CDSS CFHL
SharePoint site that houses the automated IWP forms for submission. After PSE
10
Exhibit D
strategies are selected, Section B will automatically populate with activity tables for
each strategy/setting pairing. LHDs, and any applicable LIA partners, must make each
activity specific to their local work by adding specific narrative text to the sub-strategy
activity tables in the IWP Automation site. Some activities may apply to multiple sub-
strategies and/or settings. See the IWP Blueprint Packet for details and ideas for each
PSE Sub-strategy activity.
Work with Local Partners
LHDs are encouraged and expected to work with all appropriate partners to ensure that
CFHL work is maximizing impact within their selected target population. Partners should
include the members of the community you aim to serve and include CFHL-funded and
unfunded organizations and agencies. LHDs are highly encouraged to work with chronic
disease prevention and cross-sector partners (through diverse multi-sector coalitions
and otherwise) to enhance individual CFHL work plan deliverables and to support
comprehensive, collaborative community-wide health initiatives. Work within County
Nutrition Action Partnership groups (or similar county-wide coalitions and/or
collaboratives) can assist with the maintenance of multi-sector partnerships and can
contribute to mutually advantageous outcomes for partners and the communities they
serve.
11
Exhibit D
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
NUTRITION EDUCATION AND OBESITY PREVENTION BRANCH
CalFresh Healthy Living Program
Local Health Department Deliverables
Attachment 7
Federal Fiscal Year 2024-2026
DELIVERABLES/MEASURES: Local Health Departments (LHDs) are required to deliver California Department of Public Health
CalFresh Healthy Living (CDPH CFHL) services that integrate nutrition education and policy, systems, and environmental (PSE)
change approaches on multiple levels of the Social-Ecological Model (SEM)to support community health goals that address obesity
prevention. To ensure that the CDPH CFHL program meets its statewide Supplemental Nutrition Assistance Program-Education
(SNAP-Ed, known as CHFL in California) objectives, the LHDs are responsible for following the United States Department of
Agriculture (USDA) guidance, the Integrated Work Plan (IWP) instructions, and the following numbered deliverables. Deliverables
not met will result in a corrective action plan and/or denial or reduction in future CFHL funding.
Deliverables will be assessed by reviewing the two defined element categories below:
1. Planned Elements are written into the Integrated Work Plan and capture LHD's projected "work" or "activities." This will
demonstrate each local jurisdiction's plan and intention to address the grant deliverables, and allow for monitoring, planned
technical assistance and support throughout the work plan period.
2. Reporting Elements are defined as shared progress and action regarding Planned Element efforts and outcomes in the
stated, required reporting system.
1
Exhibit D
Deliverable# Deliverable Requirements Deliverable Documentation
Deliverable 1 Federal Fiscal Year(FFY) 2024-2026 CFHL
Required Programmatic Documentation
Three-year Integrated Work Plan (IWP): The
IWP must describe the intent and approach
planned to serve the CFHL-eligible population
based on the SEM. LHDs must use assessment(s)
of equity, ethnicity, obesity, chronic disease,
and/or other related jurisdictional data, as well as 1. Planned Elements:
community input, to create the LHD portion of the
IWP. Using IFFY 2024 Funding Allocation ❑ IWP Submitted
Projections and funding tiers, the LHD specific
components of the IWP must adhere to the ❑ Site List Submitted
designated IFFY 2024-2026 CFHL LHD
Programmatic Priorities. ❑ IWP Revisions Submitted, as applicable
Site List: As a part of the IFFY 2024-2026 2. Reporting Elements:
Funding Application Package (FAP), applicants
are required to submit a completed CFHL IFFY See Deliverable 2 and Programmatic Priorities
2024-2026 Site List. Sections below
IWP Revision Process: If the LHD component of
the IWP must be revised, all changes will be made
in accordance with the most current IWP Revision
Process Guide for LIAs posted on the California
Department of Social Services (CDSS) CFHL
SharePoint Resources page.
2
Exhibit D
Deliverable 2 Federal Fiscal Year(FFY) 2024-2026 Required
Reporting and Outcome Documentation
Reports:
Funded projects will be required to submit two
Progress Reports each fiscal year of the grant
cycle: a Mid-Year Progress Report due April 15
and Year-End Progress Report due October 15
(or other designated dates). These reports will 1. Planned Elements:
be sent by email to the CDPH CFHL Project See Deliverable 1 above
Officer assigned to the Grantee.
2. Reporting Elements:
PEARS:
LHDs will use the online Program Evaluation and ❑ Twice-yearly Progress Reports (six total
Reporting System (PEARS) to provide the required during grant cycle)
reporting information outlined in the FAP related to
the following modules: ❑ PEARS reporting (ongoing throughout each
• Program Activities fiscal year)
• Indirect Activities
• PSE Activities ❑ Document submissions as outlined in
• Success Stories Programmatic Priorities below
• Partnerships
• Coalitions
All PEARS reporting must be completed for the
Federal Fiscal Year (October 1 — September 30) by
the deadline shared annually by CDPH CFHL.
3
Exhibit D
Deliverable 3 Federal Fiscal Year(FFY) 2024-2026
Evaluation Requirements
Assessments: Conduct or review a community
assessment using an evidence-based
assessment tool to assess readiness and need for 1. Planned Elements:
specific program areas during the current and
future grant cycles. The community assessment
should inform the overall direction of the IWP. El IWP, Section A, Community Goals,
Addressing Equity, Community Jurisdiction,
All LHDs must complete an assessment of each Intervention Plan Narrative
site where they are doing site-level PSE CFHL ❑ IWP, Section B, Evaluation Type, Evaluation
work in settings where an assessment tool has
been created or recommended by CDPH CFHL Tool Documentation, Resources/Materials
Nutrition Policy Institute (NPI). See FAP for full
2. Reporting Elements:
details.
Direct Education: Impact/Outcome Evaluations ❑ Site level assessments entered into an online
(IOE) data: If series-based direct education is link
carried out with 4t1-12'h grade students in the
school or school-based after school setting, then ❑ Pre- and post-behavioral data collected via
an LHD (at any funding tier) must evaluate the Eating and Activity Tool for Students (EATS);
intervention(s) in the LEARN Setting. The number all data (paper or online) entered into asite-
of sites required per LHD will be based on funding specific online link by June 30.
tier. See FAP for full details.
❑ Pre- and post-behavioral data collected via
Adult Direct Education: All LHDs (regardless of the CFHL Adult Survey; all data entered into an
funding tier) utilizing an adult direct education online link by August 31.
curriculum consisting of four or more sessions
delivered over four or more weeks must collect
pre and post behavioral outcome data using a
common online evaluation tool that will be
provided by CDPH and NPI.
4
Exhibit D
Deliverable 4 Federal Fiscal Year(FFY) 2024-2026 Required 2. Reporting Elements:
Fiscal and Administrative Reporting
Documentation: all expenses incurred during ❑ Quarterly invoices submitted to CDPH to be
each Federal Fiscal Year with the ability to provide reimbursed for CFHL expenditures.
back-up documentation for expenses in sufficient
detail to allow CDPH CFHL to ascertain ❑ Management Evaluation: required
compliance with USDA grant rules for allowable documentation as requested by FINIS and/or
expenses. CDSS as part of a fiscal review.
❑ Administrative Desk Review: required
documentation as requested by CDPH as part of
an administrative desk review to ensure
administrative and fiscal compliance with CFHL
policy and procedures.
Exhibit D
CFHL LHD Programmatic Priorities Deliverables
Deliverable 5 Programmatic Priority: Advancing Equity 1. Planned Elements:
LHDs are expected to take specific action to
advance equity. This includes making advances in ❑ All: IWP, Section A, Equity Narrative, overall
programmatic practice with the intent to increase approach to equity
equity and decrease disparities within the CFHL
community. Review the FFY 2024-2026 CFHL ❑ 513: IWP, Section A, Share community
LHD Programmatic Priorities for details. member input in assessment narrative
• 5A: Include equity language and intention
into all CFHL solicitations and/or ❑ 513: IWP, Section B, Complete all relevant CE
subcontracts, relevant program/LHD activities across PSE Settings/Sub-Strategies
materials, and staffing recruitments or
interview protocols ❑ 5C/7C: IWP, Section A, List relevant partners
• 513: Engage community members by: and coalitions
o Retaining an advisory committee or
group of subject matter experts with ❑ 5D: IWP, Section B, include all relevant
lived experience to inform program sustainability activities and efforts across PSE
planning and design throughout the Settings/Sub-Strategies
work plan period
o Utilizing community engagement 2. Reporting Elements:
(CE) IWP activities as necessary
across strategy planning and ❑ All: Twice-yearly Progress Reports
implementation
• 5C/7C: Engage/participate in, or convene, ❑ Document submission
one or more diverse, multi-sector and/or • 5A: Subcontracting or solicitation language
community representative coalition(s) • 5A: Program materials
• 5D: Support and build the community's • 5A: Staffing recruitments/interview guides
capacity to act . 513: List of advisory community members
❑ All: PEARS Reporting
• Coalition Module
• PSE Module (including the sustainability
section
6
Exhibit D
Deliverable 6 Programmatic Priority: Healthy Beverage
Consumption and Purchases 1. Planned Elements:
LHDs are expected to take specific action to
reduce access to and consumption of sugar ❑ 6A: IWP, Section A, Intervention and
sweetened beverages (SSBs). Therefore, all Evaluation Plan Narrative
settings and sites involved in CDPH CFHL nutrition
supported efforts should include (but not ❑ 613: IWP, Section B Sub-strategies, Direct
necessarily be limited to) efforts to reduce access Education and All Other Activities
to and consumption of SSBs. Review the FFY
2024-2026 CFHL LHD Programmatic Priorities for
details. 2. Reporting Elements:
• 6A: Explain SSB reduction approach in
IWP, Section A ❑ All: Twice-yearly Progress Reports
• 613: Select applicable PSE Sub-strategies
and education activities and curricula in ❑ All: PEARS reporting as applicable
IWP, Section B
7
Exhibit D
Deliverable 7 Programmatic Priority: Supporting PSE Change
at the Community Level and in Priority PSE
Settings
LHDs are expected to take an upstream, public 1. Planned Elements:
health approach to their work plan design and
implementation. LHDs are expected to complete all ❑ All: IWP, Section A Intervention and
FAP Funding Tier requirements. The FAP Funding Evaluation Plan Narrative, Explain
Tier table lists the required number of PSE Levels, comprehensive approach
PSE Strategies, and PSE Settings, including the
requirement to include at least one priority PSE ❑ All: IWP, Section B, Settings, select
Setting (with selected PSE sub-strategies) in the applicable Sub-strategies, and define all
IWP. The LHD Programmatic Priorities Document activities
lists the 10 priority PSE Settings for LHDs. Review
the FAP and LHD Programmatic Priorities for 2. Reporting Elements:
details.
• 7A: Selection of appropriate IWP sub- ❑ All: Twice-yearly Progress Reports
strategies that impact PSE change at Level
2 (organizational) and/or Level 3 ❑ Documentation Submission
(community), and that meet funding tier • 7A: Proposed or enacted policies and/or
requirements changes
• 713: Present to an applicable decision- • 7B: Board/Committee agenda and
making body (School Board, City presentation materials
Council/Committee, County
Board/Committee, etc.) annually to educate ❑ PEARS Reporting as applicable
and inform on healthy eating and active . 7A/7B: PSE module surveys to describe
living best practices and program organizational and community level work
opportunities through policy or environment . 5C/7C: Coalition/Partner Modules
change
• 5C/7C: Engage/participate in, or convene,
one or more diverse, multi-sector and/or
community representative coalition(s)
8
Exhibit D
Deliverable 8 Programmatic Priority: Reaching and Impacting 1. Planned Elements:
Youth
LHDs must include a minimum of one PSE effort ❑ IWP, Section A, explain efforts focused on
(selected PSE sub-strategy or sub-strategies) reaching and impacting youth
focused on youth (0-17 years) in their FFY 2024-
2026 IWP. The preferred settings for this PSE work ❑ IWP, Section B, Selection of applicable
are Schools and Early Care & Education. Settings and PSE Sub-strategies
2. Reporting Elements:
❑ PEARS reporting as applicable
Exhibit D
California Department of Public Health
CalFresh Healthy Living (CFHL) Funding Application
Federal Fiscal Years 2024—2026 (October 1, 2023 — September 30, 2026)
Submit this form by 4:00 pm December 30, 2022 to:
Email: neopbfiscalrequest(o_)cdph.ca.gov
Attn: Ashley Nubla
CDPH CalFresh Healthy Living
Please include your county/agency name and "Letter of Intent" in the subject line of
your email.
Please complete the fields below for your Agency:
Project Representative:
Title: Chairman, Board of Supervisor
Agency:
Address:
Telephone:
Email:
Please check the appropriate box that applies to your Agency:
Question Check
Box
1 Our Agency intends to participate in the CFHL program for ❑
F FY24-26
Our Agency intends to participate in the CFHL program for ❑
2. FFY24-26 and designate the following agency to participate on our
behalf:
3 Our Agency does not intend to participate in the CFHL program for ❑
F FY24-26
4. Other, please explain: ❑
Page 1 11/30/2022
Exhibit D
Please check the appropriate box(es) that applies to your funding allocation.
Check/complete only one box for each row.
FFY 2023 FFY 2024 Other amount between
FFY FFY 23 and 24 allocations
Allocation Allocation (specify amount below)
1 For FFY 2024, our Agency accepts and ❑ El
to use the following award selection
For FFY 2025, our Agency accepts and ❑ ❑
2' intends to use the following award selection
For FFY 2026, our Agency accepts and ❑
3' intends to use the following award selection
NOTE: Funding allocations are projections and are contingent upon the funding amount
CDPH receives each year. Local health departments or their designee are expected to
spend 90 percent of their funding allocation each year.
Please complete the fields below in order to expedite processing of your State agreement:
Question Answer
Does your Agency require a board resolution for
1 a new contract?
When are your scheduled board meeting dates
2• between February and September 2023?
Does your Agency require the contract be in
3. hand to get on the Agenda?
When do you need the contract? (i.e., two
4. weeks before, one month before, etc.)
By signing below, your Agency agrees to prepare the required contract documents for
this funding application.
Signature of Project Director or Designee Date
Printed Name:
Page 2 11/30/2022
Exhibit D
FFY 2024-2026 CDPH CFHL LHD Programmatic Projections Form
Complete and submit the Programmatic Projections Form to CDPH CFHL by email to
both your Project Officer and neopbfiscalreguest(a)cdph.ca.gov by January 31, 2023.
Please include your county name and "Programmatic Projections Form" in the subject
line of your email.
County Name: Fresno
Funded amount: $1,985,980
(Based on FFY 2024 CDPH
CFHL LHD Funding Projections
Grant#: 23-10314
(To be completed by CDPH
CFHL
Complete the following tables based on the CDPH CFHL LHD Funding Tiers found in
the CDPH CFHL Federal Fiscal Year 2024-2026 Funding Application Package (Table
1),and based on the CFHL Integrated Work Plan (IWP) Blueprint Packet Settings and
Strategies table.
Funding Tier Total number of Total number of Total number of
Settings selected PSE Strategies PSE Levels
selected selected
4 5 7 3
Required Priority PSE Bicycle and Walking Paths
Setting(s):
PSE Strategy name(s): Access to Physical Activity, Active Transportation
PSE Level(s): 3
Name of 2nd Setting Farmers Markets
(if applicable):
PSE Strategy name(s): Increasing access to and utilization of Farmers Markets (improving)
PSE Level(s): 1 , 3
Exhibit D
FFY 2024-2026 CDPH CFHL LHD Programmatic Projections Form
Name of 3rd Setting Other Neighborhood Settings Where People Live or
(if applicable): Live Nearby
PSE Strategy name(s): /� Healthy CCess to Foods
PSE Level(s): /1`1 , 2
Name of 4th Setting Before and After Schools
(if applicable):
PSE Strategy name(s): Access to Healthy Foods, Daily Quality Physical Activity
PSE Level(s): 1 , 2
Name of 5th Setting Retail (Small & Large)
(if applicable):
PSE Strategy name(s): Behavioral Economics
PSE Level(s): 1 1 2
Health Department
List additional Program Family Resource Centers(school and/or community)
Activity Settings where Other Living Settings(community based organizations)
direct education will be the City Recreation/Senior Centers
only activity taking place (if Libraries(County/City)
applicable: Parent Resource Centers(high school)
Early Care Centers
Exhibit D
Exhibit Al
California Department of Public Health
CalFresh Healthy Living
FFY 2024-2026 Funding Application Checklist
DATE OF
SUBMISSION
ORGANIZATION
NAME
Funding Application Contact Name:
Phone Number: 559-600-6449 E-mail Address:
The following documents must be completed and submitted with this Application
Checklist. Email all completed application components by the due dates below to
NEOPBfiscalrequest@cdph.ca.gov. The FFY 2024 Budget and FFY 2024-2026 Integrated Work
Plan are to be completed within the California Department of Social Services' CFHL SharePoint
Site based on the CFHL State Plan submission deadlines.
APPLICATION CONTENTS:
Due by December 30, 2022 Please Check
Letter of Intent ❑
Due by January 31, 2023 Please Check
Funding Application Checklist ❑
Programmatic Projections Form ❑
Grantee Information Form ❑
Non-Disparagement Certification ❑
Exhibit D
Appendix 1
California Department of Public Health
CalFresh Healthy Living
Grantee Information Form
This is the information that will appear on your grant agreement cover.
Federal Tax ID # Contract/Grant#
o Name County of Fresno
N Mailing Address P.O. Box 11867 Fresno, CA 93775
Street Address (If Different)
a�
o County Fresno
Phone Fax NA
Website www.fcdph.org
The Grant Signatory has authority to sign the grant agreement cover.
Name Sal Quintero
Title
If address is the same as above, check this box ❑
N Mailing Address
L Street Address (If Different)
Phone Fax
Email
The Project Director is responsible for the day-to-day activities of project implementation
and seeing that all grant requirements are met. This person will be in contact with State
CFHL staff, will receive all programmatic and budgetary information for the project, and
will be responsible for the proper dissemination of program information.
° Name Rosemarie Amaral
°-' Title Project Director, Health Educator
2 2If address is the same as above, check this box El
0
Mailing Address 1221 Fulton Street, 3rd floor, Fresno, CA 93721
a Street Address (If Different)
Phone 559-600-6445 Fax NA
Email ramaral@fresnocountyca.gov
Rev. 11/10/2022
Exhibit D
Appendix 1
California Department of Public Health
CalFresh Healthy Living
Grantee Information Form
The Fiscal Contact prepares invoices, maintains fiscal documentation, serves as the
primary contact for all related questions, and has signature authority for invoices and all
fiscal documentation. All payments are sent to the attention of this person at the
designated address.
Name Bruna Chavez
oTitle Public Health Business Manager
v /f address is the same as above, check this box ❑
Mailing Address P.O Box 11867, Fresno CA 93775
u_ Street Address (If Different)
Phone 559-600-6415 Fax NA
Email dphboap@fresnocountyca.gov
Contact description: Is responsible for overseeing the Division of Health Policy and Wellness and
Name Claudia Sandoval
c
Title Program Manager, Division of Health Policy and Wellness
o /f address is the same as above, check this box ❑
� Mailing Address
1221 Fulton Street, 3rd floor, Fresno, CA 93721
O
Street Address (If Different)
Phone 559-600-6546 Fax NA
Email clsandoval@fresnocountyca.gov
Rev. 11/10/2022
Exhibit D
California Department of Public Health
CalFresh Healthy Living
Non-Disparagement Certification and Agreement not to distribute
Manufacturer's or Store (cents off) Coupons
We certify that will not use nutrition
education materials, resources and/or curriculum in our Supplemental Nutrition
Assistance Program Education (SNAP-Ed) interventions that have messages that
convey negative written, visual or verbal expressions about any specific brand of
food, beverage, or commodity or that are not consistent with the latest version of the
Dietary Guidelines forAmericans. Such messaging about specific brands is not an
acceptable part of the FFY 2023 SNAP-Ed Plan Guidance, pg. 10. We also agree not
to distribute manufacturer's or store (cents off) coupons during SNAP-Ed classes or
events as per the FFY 2023 SNAP-Ed Plan Guidance, pg. 106.
❑ By checking this box, you are certifying that the Non-Disparagement
Certification and Agreement not to distribute Manufacturer's or Store (cents
off) Coupons is not applicable to your Agency.
Certified By:
CFHL Project Director Name & Title
CFHL Project Director Signature Date
Supervisor Name & Title
Agency Name
County of Fresno
Agreement # 23-10314
Page 1 of 5
Exhibit E
Additional Provisions
1. Additional Incorporated Documents
A. The following documents and any subsequent updates are not attached but are
incorporated herein and made a part hereof by this reference. CDPH will maintain on
file, all documents referenced herein and any subsequent updates, as required by
program directives. CDPH shall provide the Contractor with copies of said
documents and any periodic updates thereto, under separate cover.
1) Administrative Guidelines Manual
2) LHD Program Letters:
https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/NEOPB/Pages/LHDProgra
mLetters.aspx
3) SNAP-Ed Plan Guidance and Templates:
https://snaped.fns.usda.gov/program-administration/guidance-and-templates
2. Cancellation / Termination
A. This Grant may be cancelled by CDPH without cause upon thirty (30) calendar days
advance written notice to the Grantee.
B. CDPH reserves the right to cancel or terminate this Grant immediately for cause.
The Grantee may submit a written request to terminate this Grant only if CDPH
substantially fails to perform its responsibilities as provided herein.
C. The term "for cause" shall mean that the Grantee fails to meet the terms, conditions,
and/or responsibilities of this agreement. Causes for termination include, but are not
limited to the following occurrences:
1) If the Grantee knowingly furnishes any statement, representation, warranty, or
certification in connection with the agreement, which representation is materially
false, deceptive, incorrect, or incomplete.
2) If the Grantee fails to perform any material requirement of this Grant or defaults
in performance of this agreement.
3) Failure to adhere to the funding application parameters and or submitted plans to
address the application deliverables.
4) If the Grantee files for bankruptcy, or if CDPH determines that the Grantee
becomes financially incapable of completing this agreement.
D. Grant termination or cancellation shall be effective as of the date indicated in
CDPH's notification to the Grantee. The notice shall stipulate any final performance,
invoicing or payment requirements.
E. In the event of early termination or cancellation, the Grantee shall be entitled to
compensation for services performed satisfactorily under this agreement and
County of Fresno
Agreement # 23-10314
Page 2 of 5
Exhibit E
Additional Provisions
expenses incurred up to the date of cancellation and any non-cancelable obligations
incurred in support of this Grant.
F. In the event of termination, and at the request of CDPH, the Grantee shall furnish
copies of all proposals, specifications, designs, procedures, layouts, copy, and other
materials related to the services or deliverables provided under this Grant, whether
finished or in progress on the termination date.
G. The Grantee will not be entitled to reimbursement for any expenses incurred for
services and deliverables pursuant to this agreement after the effective date of
termination.
H. Upon receipt of notification of termination of this Grant, and except as otherwise
specified by CDPH, the Grantee shall:
1) Place no further order or subgrants for materials, services, or facilities.
2) Settle all outstanding liabilities and all claims arising out of such termination of
orders and subgrants.
3) Upon the effective date of termination of the Grant and the payment by CDPH of
all items properly changeable to CDPH hereunder, Grantee shall transfer, assign
and make available to CDPH all property and materials belonging to CDPH, all
rights and claims to any and all reservations, grants, and arrangements with
owners of media/PR materials, or others, and shall make available to CDPH all
written information regarding CDPH's media/PR materials, and no extra
compensation is to be paid to Grantee for its services.
4) Take such action as may be necessary, or as CDPH may specify, to protect and
preserve any property related to this agreement which is in the possession of the
Grantee and in which CDPH has or may acquire an interest.
I. CDPH may, at its discretion, require the Grantee to cease performance of certain
components of the Scope of Work as designated by CDPH and complete
performance of other components prior to the termination date of the Grant.
3. Avoidance of Conflicts of Interest by Grantee
A. CDPH intends to avoid any real or apparent conflict of interest on the part of the
Grantee, subgrants, or employees, officers and directors of the Grantee or
subgrants. Thus, CDPH reserves the right to determine, at its sole discretion,
whether any information, assertion or claim received from any source indicates the
existence of a real or apparent conflict of interest; and, if a conflict is found to exist,
to require the Grantee to submit additional information or a plan for resolving the
conflict, subject to CDPH review and prior approval.
B. Conflicts of interest include, but are not limited to:
County of Fresno
Agreement# 23-10314
Page 3 of 5
Exhibit E
Additional Provisions
1) An instance where the Grantee or any of its subgrants, or any employee, officer,
or director of the Grantee or any subgrant or has an interest, financial or
otherwise, whereby the use or disclosure of information obtained while
performing services under the grant would allow for private or personal benefit or
for any purpose that is contrary to the goals and objectives of the grant.
2) An instance where the Grantee's or any subgrant's employees, officers, or
directors use their positions for purposes that are, or give the appearance of
being, motivated by a desire for private gain for themselves or others, such as
those with whom they have family, business or other ties.
C. If CDPH is or becomes aware of a known or suspected conflict of interest, the
Grantee will be given an opportunity to submit additional information or to resolve
the conflict. A Grantee with a suspected conflict of interest will have five (5) working
days from the date of notification of the conflict by CDPH to provide complete
information regarding the suspected conflict. If a conflict of interest is determined to
exist by CDPH and cannot be resolved to the satisfaction of CDPH, the conflict will
be grounds for terminating the grant. CDPH may, at its discretion upon receipt of a
written request from the Grantee, authorize an extension of the timeline indicated
herein.
4. Dispute Resolution Process
A. A Grantee grievance exists whenever there is a dispute arising from CDPH's action
in the administration of an agreement. If there is a dispute or grievance between the
Grantee and CDPH, the Grantee must seek resolution using the procedure outlined
below.
1) The Grantee should first informally discuss the problem with the CDPH Program
Grant Manager. If the problem cannot be resolved informally, the Grantee shall
direct its grievance together with any evidence, in writing, to the program Branch
Chief. The grievance shall state the issues in dispute, the legal authority or other
basis for the Grantee's position and the remedy sought. The Branch Chief shall
render a decision within ten (10) working days after receipt of the written
grievance from the Grantee. The Branch Chief shall respond in writing to the
Grantee indicating the decision and reasons therefore. If the Grantee disagrees
with the Branch Chief's decision, the Grantee may appeal to the second level.
2) When appealing to the second level, the Grantee must prepare an appeal
indicating the reasons for disagreement with Branch Chief's decision. The
Grantee shall include with the appeal a copy of the Grantee's original statement
of dispute along with any supporting evidence and a copy of the Branch Chief's
decision. The appeal shall be addressed to the Deputy Director of the division in
which the branch is organized within ten (10) working days from receipt of the
Branch Chief's decision. The Deputy Director of the division in which the branch
is organized or his/her designee shall meet with the Grantee to review the issues
raised. A written decision signed by the Deputy Director of the division in which
County of Fresno
Agreement# 23-10314
Page 4 of 5
Exhibit E
Additional Provisions
the branch is organized or his/her designee shall be directed to the Grantee
within twenty (20) working days of receipt of the Grantee's second level appeal.
B. If the Grantee wishes to appeal the decision of the Deputy Director of the division in
which the branch is organized or his/her designee, the Grantee shall follow the
procedures set forth in Division 25.1 (commencing with Section 38050) of the Health
and Safety Code and the regulations adopted thereunder. (Title 1, Division 2,
Chapter 2, Article 3 (commencing with Section 1140) of the California Code of
Regulations).
C. Disputes arising out of an audit, examination of an agreement or other action not
covered by subdivision (a) of Section 20204, of Chapter 2.1, Title 22, of the
California Code of Regulations, and for which no procedures for appeal are provided
in statute, regulation or the Agreement, shall be handled in accordance with the
procedures identified in Sections 51016 through 51047, Title 22, California Code of
Regulations.
D. Unless otherwise stipulated in writing by CDPH, all dispute, grievance and/or appeal
correspondence shall be directed to the CDPH Grant Manager.
E. There are organizational differences within CDPH's funding programs and the
management levels identified in this dispute resolution provision may not apply in
every contractual situation. When a grievance is received and organizational
differences exist, the Grantee shall be notified in writing by the CDPH Grant
Manager of the level, name, and/or title of the appropriate management official that
is responsible for issuing a decision at a given level.
5. Executive Order N-6-22 - Economic Sanctions
On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (the EO) regarding
Economic Sanctions against Russia and Russian entities and individuals. "Economic Sanctions"
refers to sanctions imposed by the U.S. government in response to Russia's actions in Ukraine, as
well as any sanctions imposed under state law. The EO directs state agencies to terminate
contracts with, and to refrain from entering any new contracts with, individuals or entities that are
determined to be a target of Economic Sanctions. Accordingly, should the State determine Grantee
is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned
individuals or entities, that shall be grounds for termination of this Agreement. The State shall
provide Grantee advance written notice of such termination, allowing Grantee at least 30 calendar
days to provide a written response. Termination shall be at the sole discretion of the State.
Prior to awarding and executing grant, the State shall conduct its due diligence to determine if the
proposed awardee is a named individual or entity on federal and any state Economic Sanctions
lists. If the proposed awardee is listed, the State shall refrain from entering into the Grant.
Resources for locating names of sanctioned individuals and entities are available on the DGS Office
of Legal Services' webpage: Ukraine-Russia (ca.gov).
County of Fresno
Agreement# 23-10314
Page 5 of 5
Exhibit E
Additional Provisions
If this Agreement is valued at$5 million or more, upon execution the State will send a separate
notification outlining additional requirements specified under the EO. Compliance with this
Economic Sanctions imposed in response to Russia's actions in Ukraine is required, including with
respect to, but not limited to, the federal executive orders identified in the EO and the sanctions
identified on the U.S. Department of the Treasury website (https://home.treasurV.gov/policy-
issues/financial-sanctions/sanctionsprograms-and-country-information/ukraine-russia-
related-sanctions). Failure to comply may result in the termination of this Agreement.
California Department of Public Health
County of Fresno
23-103141
Exhibit F
Federal Terms and Conditions
(For Federally Funded Grant Agreements)
This exhibit contains provisions that require strict adherence to various contracting laws and
policies.
Index of Special Terms and Conditions
1. Federal Funds
2. Federal Equal Employment Opportunity Requirements
3. Debarment and Suspension Certification
4. Covenant Against Contingent Fees
5. Lobbying Restrictions and Disclosure Certification
6. Additional Restrictions
7. Human Subjects Use Requirments
8. Audit and Record Retention
9. Federal Requirements
CDPH (rev. 12-21) Page 1 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
1. Federal Funds
(Applicable only to that portion of an agreement funded in part or whole with federal funds.)
a. It is mutually understood between the parties that this Agreement may have been written
before ascertaining the availability of congressional appropriation of funds, for the mutual
benefit of both parties, in order to avoid program and fiscal delays which would occur if
the Agreement were executed after that determination was made.
b. This Agreement is valid and enforceable only if sufficient funds are made available to the
State by the United States Government for the fiscal years covered by the term of this
Agreement. In addition, this Agreement is subject to any additional restrictions,
limitations, or conditions enacted by the Congress or any statute enacted by the Congress
which may affect the provisions, terms or funding of this Agreement in any manner.
c. It is mutually agreed that if the Congress does not appropriate sufficient funds for the
program, this Agreement shall be amended to reflect any reduction in funds.
d. CDPH has the option to invalidate or cancel the Agreement with 30-days advance written
notice or to amend the Agreement to reflect any reduction in funds.
2. Federal Equal Opportunity Requirements
(Applicable to all federally funded grants entered into by the California Department of Public
Health (CDPH) formerly known as California Department of Health Services (CDHS).)
a. The Grantee will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, national origin, physical or mental handicap,
disability, age or status as a disabled veteran or veteran of the Vietnam era. The Grantee
will take affirmative action to ensure that qualified applicants are employed, and that
employees are treated during employment, without regard to their race, color, religion,
sex, national origin, physical or mental handicap, disability, age or status as a disabled
veteran or veteran of the Vietnam era. Such action shall include, but not be limited to the
following: employment, upgrading, demotion or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation; and career
development opportunities and selection for training, including apprenticeship. The
Grantee agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the Federal Government or CDPH, setting forth
the provisions of the Equal Opportunity clause, Section 503 of the Rehabilitation Act of
1973 and the affirmative action clause required by the Vietnam Era Veterans'
Readjustment Assistance Act of 1974 (38 U.S.C. 4212). Such notices shall state the
Grantee's obligation under the law to take affirmative action to employ and advance in
employment qualified applicants without discrimination based on their race, color, religion,
sex, national origin physical or mental handicap, disability, age or status as a disabled
veteran or veteran of the Vietnam era and the rights of applicants and employees.
b. The Grantee will, in all solicitations or advancements for employees placed by or on behalf
of the Grantee, state that all qualified applicants will receive consideration for employment
CDPH(rev. 12-21) Page 2 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
without regard to race, color, religion, sex, national origin physical or mental handicap,
disability, age or status as a disabled veteran or veteran of the Vietnam era.
c. The Grantee will send to each labor union or representative of workers with which it has
a collective bargaining agreement or other contract or understanding a notice, to be
provided by the Federal Government or the State, advising the labor union or workers'
representative of the Grantee's commitments under the provisions herein and shall post
copies of the notice in conspicuous places available to employees and applicants for
employment.
d. The Grantee will comply with all provisions of and furnish all information and reports
required by Section 503 of the Rehabilitation Act of 1973, as amended, the Vietnam Era
Veterans' Readjustment Assistance Act of 1974 (38 U.S.C. 4212) and of the Federal
Executive Order No. 11246 as amended, including by Executive Order 11375, `Amending
Executive Order 11246 Relating to Equal Employment Opportunity,` and as
supplemented by regulation at 41 CFR part 60, "Office of the Federal Contract
Compliance Programs, Equal Employment Opportunity, Department of Labor," and of the
rules, regulations, and relevant orders of the Secretary of Labor.
e. The Grantee will furnish all information and reports required by Federal Executive Order
No. 11246 as amended, including by Executive Order 11375, 'Amending Executive Order
11246 Relating to Equal Employment Opportunity,' and as supplemented by regulation
at 41 CFR part 60, "Office of the Federal Contract Compliance Programs, Equal
Employment Opportunity, Department of Labor," and the Rehabilitation Act of 1973, and
by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and
will permit access to its books, records, and accounts by the State and its designated
representatives and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.
f. In the event of the Grantee's noncompliance with the requirements of the provisions
herein or with any federal rules, regulations, or orders which are referenced herein, this
Agreement may be cancelled, terminated, or suspended in whole or in part and the
Grantee may be declared ineligible for further federal and state contracts in accordance
with procedures authorized in Federal Executive Order No. 11246 as amended and such
other sanctions may be imposed and remedies invoked as provided in Federal Executive
Order No. 11246 as amended, including by Executive Order 11375, `Amending Executive
Order 11246 Relating to Equal Employment Opportunity,' and as supplemented by
regulation at 41 CFR part 60, "Office of the Federal Contract Compliance Programs,
Equal Employment Opportunity, Department of Labor," or by rule, regulation, or order of
the Secretary of Labor, or as otherwise provided by law.
g. The Grantee will include the provisions of Paragraphs a through g in every subcontract
or purchase order unless exempted by rules, regulations, or orders of the Secretary of
Labor issued pursuant to Federal Executive Order No. 11246 as amended, including by
Executive Order 11375, 'Amending Executive Order 11246 Relating to Equal
Employment Opportunity,` and as supplemented by regulation at 41 CFR part 60, "Office
of the Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor," or Section 503 of the Rehabilitation Act of 1973 or(38 U.S.C. 4212)
of the Vietnam Era Veteran's Readjustment Assistance Act, so that such provisions will
be binding upon each subgrantee or vendor. The Grantee will take such action with
CDPH (rev. 12-21) Page 3 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
respect to any subcontract or purchase order as the Director of the Office of Federal
Contract Compliance Programs or CDPH may direct as a means of enforcing such
provisions including sanctions for noncompliance provided, however, that in the event the
Grantee becomes involved in, or is threatened with litigation by a subgrantee or vendor
as a result of such direction by CDPH, the Grantee may request in writing to CDPH, who,
in turn, may request the United States to enter into such litigation to protect the interests
of the State and of the United States.
3. Debarment and Suspension Certification
a. By signing this Grant, the Grantee agrees to comply with applicable federal suspension
and debarment regulations including, but not limited to 7 CFR Part 3017, 45 CFR 76, 40
CFR 32 or 34 CFR 85.
b. By signing this Grant, the Grantee certifies to the best of its knowledge and belief, that it
and its principals:
(1) Are not presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded by any federal department or agency;
(2) Have not within a three-year period preceding this application/proposal/agreement
been convicted of or had a civil judgment rendered against them for commission of
fraud or a criminal offense in connection with obtaining, attempting to obtain, or
performing a public (Federal, State or local) transaction or contract under a public
transaction; violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making
false statements, or receiving stolen property;
(3) Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (Federal, State or local) with commission of any of the offenses
enumerated in Paragraph b(2) herein; and
(4) Have not within a three-year period preceding this application/proposal/agreement
had one or more public transactions (Federal, State or local) terminated for cause or
default.
(5) Shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under federal regulations (i.e., 48 CFR part 9, subpart 9.4),
debarred, suspended, declared ineligible, or voluntarily excluded from participation in
such transaction, unless authorized by the State.
(6) Will include a clause entitled, "Debarment and Suspension Certification" that
essentially sets forth the provisions herein, in all lower tier covered transactions and
in all solicitations for lower tier covered transactions.
c. If the Grantee is unable to certify to any of the statements in this certification, the Grantee
shall submit an explanation to the CDPH Program Contract Manager.
d. The terms and definitions herein have the meanings set out in the Definitions and
Coverage sections of the rules implementing Federal Executive Order 12549.
CDPH(rev. 12-21) Page 4 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
e. If the Grantee knowingly violates this certification, in addition to other remedies available
to the Federal Government, the CDPH may terminate this Agreement for cause or default.
4. Covenant Against Contingent Fees
The Grantee warrants that no person or selling agency has been employed or retained to
solicit/secure this Grant upon an agreement of understanding for a commission, percentage,
brokerage, or contingent fee, except bona fide employees or bona fide established
commercial or selling agencies retained by the Grantee for the purpose of securing business.
For breach or violation of this warranty, CDPH shall have the right to annul this Grant without
liability or in its discretion to deduct from the Grant price or consideration, or otherwise
recover, the full amount of such commission, percentage, and brokerage or contingent fee.
5. Lobbying Restrictions and Disclosure Certification
(Applicable to federally funded grants in excess of $100,000 per Section 1352 of the 31,
U.S.C.)
a. Certification and Disclosure Requirements
(1) Each person (or recipient)who requests or receives a grant, subgrant, which is subject
to Section 1352 of the 31, U.S.C., and which exceeds $100,000 at any tier, shall file
a certification (in the form set forth in Attachment 1, consisting of one page, entitled
"Certification Regarding Lobbying")that the recipient has not made, and will not make,
any payment prohibited by Paragraph b of this provision.
(2) Each recipient shall file a disclosure (in the form set forth in Attachment 2, entitled
"Standard Form-LLL `disclosure of Lobbying Activities"') if such recipient has made or
has agreed to make any payment using nonappropriated funds (to include profits from
any covered federal action) in connection with a grant or any extension or amendment
of that grant, which would be prohibited under Paragraph b of this provision if paid for
with appropriated funds.
(3) Each recipient shall file a disclosure form at the end of each calendar quarter in which
there occurs any event that requires disclosure or that materially affect the accuracy
of the information contained in any disclosure form previously filed by such person
under Paragraph a(2) herein. An event that materially affects the accuracy of the
information reported includes:
(a) A cumulative increase of $25,000 or more in the amount paid or expected to be
paid for influencing or attempting to influence a covered federal action;
(b) A change in the person(s) or individuals(s) influencing or attempting to influence a
covered federal action; or
(c) A change in the officer(s), employee(s), or member(s) contacted for the purpose
of influencing or attempting to influence a covered federal action.
(4) Each person (or recipient) who requests or receives from a person referred to in
CDPH(rev. 12-21) Page 5 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
Paragraph a(1) of this provision a grant or subgrant exceeding $100,000 at any tier
under a grant shall file a certification, and a disclosure form, if required, to the next tier
above.
(5) All disclosure forms (but not certifications) shall be forwarded from tier to tier until
received by the person referred to in Paragraph a(1) of this provision. That person
shall forward all disclosure forms to CDPH Program Contract Manager.
b. Prohibition
Section 1352 of Title 31, U.S.C., provides in part that no appropriated funds may be
expended by the recipient of a federal contract or agreement, grant, loan, or cooperative
agreement to pay any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with any of the following covered
federal actions: the awarding of any federal contract or agreement, the making of any
federal grant, the making of any federal loan, entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification of any federal
contract or agreement, grant, loan, or cooperative agreement.
6. Additional Restrictions
Grantee shall comply with the restrictions under Division F, Title V, Section 503 of the
Consolidated Appropriations Act, 2012 (H.R. 2055), which provides that:
"SEC. 503.(a) No part of any appropriation contained in this Act or transferred pursuant
to section 4002 of Public Law 111-148 shall be used, other than for normal and
recognized executive-legislative relationships, for publicity or propaganda purposes, for
the preparation, distribution, or use of any kit, pamphlet, booklet, publication, electronic
communication, radio, television, or video presentation designed to support or defeat the
enactment of legislation before the Congress or any State or local legislature or legislative
body, except in presentation to the Congress or any State or local legislature itself, or
designed to support or defeat any proposed or pending regulation, administrative action,
or order issued by the executive branch of any State or local government, except in
presentation to the executive branch of any State or local government itself.
(b) No part of any appropriation contained in this Act or transferred pursuant to section
4002 of Public Law 111-148 shall be used to pay the salary or expenses of any grant or
contract recipient, or agent acting for such recipient, related to any activity designed to
influence the enactment of legislation, appropriations, regulation, administrative action, or
Executive order proposed or pending before the Congress or any State government,
State legislature or local legislature or legislative body, other than for normal and
recognized executive-legislative relationships or participation by an agency or officer of a
State, local or tribal government in policymaking and administrative processes within the
executive branch of that government.
(c) The prohibitions in subsections (a) and (b) shall include any activity to advocate or
promote any proposed, pending or future Federal, State or local tax increase, or any
proposed, pending, or future requirement or restriction on any legal consumer product,
including its sale or marketing, including but not limited to the advocacy or promotion of
gun control."
CDPH(rev. 12-21) Page 6 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
7. Human Subjects Use Requirements
(Applicable only to federally funded agreements in which performance, directly or through a
subgrantee/subaward, includes any tests or examination of materials derived from the human
body.)
By signing this Agreement, Grantee agrees that if any performance under this Agreement or
any subcontract or subagreement includes any tests or examination of materials derived from
the human body for the purpose of providing information, diagnosis, prevention, treatment or
assessment of disease, impairment, or health of a human being, all locations at which such
examinations are performed shall meet the requirements of 42 U.S.C. Section 263a (CLIA)
and the regulations thereunder.
8. Audit and Record Retention
(Applicable to agreements in excess of$10,000.)
a. The Grantee shall maintain books, records, documents, and other evidence, accounting
procedures and practices, sufficient to properly reflect all direct and indirect costs of
whatever nature claimed to have been incurred in the performance of this Agreement,
including any matching costs and expenses. The foregoing constitutes "records" for the
purpose of this provision.
b. The Grantee's facility or office or such part thereof as may be engaged in the performance
of this Agreement and his/her records shall be subject at all reasonable times to
inspection, audit, and reproduction.
c. Grantee agrees that CDPH, the Bureau of State Audits, or their designated
representatives including the Comptroller General of the United States shall have the right
to review and to copy any records and supporting documentation pertaining to the
performance of this Agreement. Grantee agrees to allow the auditor(s) access to such
records during normal business hours and to allow interviews of any employees who
might reasonably have information related to such records. Further, the Grantee agrees
to include a similar right of the State to audit records and interview staff in any subgrantee
related to performance of this Agreement. (GC 8546.7, CCR Title 2, Section 1896).
d. The Grantee shall preserve and make available his/her records (1) for a period of three
years from the date of final payment under this Agreement, and (2)for such longer period,
if any, as is required by applicable statute, by any other provision of this Agreement, or
by subparagraphs (1) or (2) below.
(1) If this Agreement is completely or partially terminated, the records relating to the work
terminated shall be preserved and made available for a period of three years from the
date of any resulting final settlement.
(2) If any litigation, claim, negotiation, audit, or other action involving the records has been
started before the expiration of the three-year period, the records shall be retained
until completion of the action and resolution of all issues which arise from it, or until
the end of the regular three-year period, whichever is later.
CDPH (rev. 12-21) Page 7 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
f. The Grantee may, at its discretion, following receipt of final payment under this
Agreement, reduce its accounts, books and records related to this Agreement to
electoronic data storage device. Upon request by an authorized representative to inspect,
audit or obtain copies of said records, the Grantee and/or Subgrantee must supply or
make available applicable devices, hardware, and/or software necessary to view, copy
and/or print said records.
9. Federal Requirements
Grantee agrees to comply with and shall require all subgrantee's, if any, to comply with
all applicable Federal requirements including but not limited to the United States Code,
the Code of Federal Regulations, the Funding Opportunity Announcement, the Notice of
Award, the funding agreement, and any memoranda or letter regarding the applicable
Federal requirements.
CDPH(rev. 12-21) Page 8 of 13
California Department of Public Health —Federal Terms and Conditions Exhibit F
Attachment 1
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CERTIFICATION REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
an agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the making, awarding or entering into of this Federal
contract, Federal grant, or cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of this Federal contract, grant, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any agency of the
United States Government, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this Federal contract, grant, or
cooperative agreement, the undersigned shall complete and submit Standard Form LLL,
"Disclosure of Lobbying Activities" in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the
award documents for all subawards at all tiers (including subGrantees, subgrants, and contracts
under grants and cooperative agreements) of$100,000 or more, and that all subrecipients shall
certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by Section 1352, Title 31, U.S.C., any person who fails
to file the required certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
;County of Fresnq Sal Quintero
Name of Grantee Printed Name of Person Signing for Grantee
23-10314)
Contract/Grant Number n to e o Person Signing for Grantee
Chairma of the Board of Supervisors of the
County of Fresno
Date Title
After execution by or on behalf of Grantee, please return to:
ATTEST:
BERNICE E.SEIDEL
CDPH(rev. 12-21) Clerk of the Board of Supervisors Page 9 of 13
County of Fresno,state of California
By�`. I1I "y, Deputy
California Department of Public Health — Federal Terms and Conditions Exhibit F
California Department of Public Health
Nutrition Education and Obesity Prevention Branch
P.O. Box 997377, MS 7204
Sacramento, CA 95899-7377
Attn: Kimmy Casjens, Grant Manager
CDPH reserves the right to notifiy the Grantee in writing of an alternate submission address.
CDPH(rev. 12-21) Page 10 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
Attachment 2
CERTIFICATION REGARDING LOBBYING
Approved by OMB Complete this form to disclose lobbying
activities pursuant to 31 U.S.C. 13520348-0046
(See reverse for public burden disclosure)
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
[ ] a. contract [ ] a. bid/offer/application [ ] a. initial filing
b. grant b. initial award b. material change
c. cooperative c. post-award For Material Change Only:
agreement
d. loan Year quarter
e. loan guarantee
f. loan insurance date of last report
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Enter
Name
and Address of Prime:
❑ Prime ❑ Subawardee
Tier , if known:
6. Federal Department/Agency 7. Federal Program Name/Description:
8. Federal Action Number, if known: 9. Award Amount, if known:
10.a. Name and Address of Lobbying b. Individuals Performing Services (including
Registrant address if different from 10a.
(If individual, last name, first name, Ml): (Last name, First name, MI):
11.Information requested through this form
is authorized by title 31 U.S.C. section Signature:
1352. This disclosure of lobbying
activities is a material representation of Print Name:
fact upon which reliance was placed by Title:
the tier above when this transaction was Telephone No.: Date:
made or entered into. This disclosure is
required pursuant to 31 U.S.C. 1352.
This information will be available for
public inspection. required disclosure
shall be subject to a not more than
$100,000 for each such failure.
Federal Use Only Authorized for Local Reproduction
Standard Form-LLL (Rev. 7-97)
CDPH (rev. 12-21) Page 11 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal
recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous
filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or
agreement to make payment to any lobbying entity for influencing or attempting to influence an officer
or employee of any agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with a covered Federal action. Complete all items
that apply for both the initial filing and material change report. Refer to the implementing guidance
published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured
to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a
material change to the information previously reported, enter the year and quarter in which the
change occurred. Enter the date of the last previously submitted report by this reporting entity
for this covered Federal action.
4. Enter the full name, address, city, State and zip code of the reporting entity. Include
Congressional District, if known. Check the appropriate classification of the reporting entity that
designates if it is, or expects to be a prime or subaward recipient. Identify the tier of the
subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are
not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name,
address, city, State and zip code of the prime Federal recipient. Include Congressional District,
if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least
one organizational level below agency name, if known. For example, Department of
Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known,
enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative
agreements, loans, and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified
in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant
announcement number; the contract, grant, or loan award number; the application/proposal
control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal
agency, enter the Federal amount of the award/loan commitment for the prime entity identified
in item 4 or 5.
CDPH (rev. 12-21) Page 12 of 13
California Department of Public Health — Federal Terms and Conditions Exhibit F
10.(a) Enter the full name, address, city, State and zip code of the lobbying registrant under the
Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to
influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services and include full address if
different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI).
11.The certifying official shall sign and date the form, print his/her name, title, and telephone
number.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid
OMB Control Number.The valid OMB control number for this information collection is OMB No.0348-0046. Public reporting burden for this collection
of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork
Reduction Project(0348-0046),Washington,DC 20503.
CDPH (rev. 12-21) Page 13 of 13
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
By (Authorized Signature) ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,state of California
Pri to Na e a d Title of Person Signing By,�� .. U Deputy
Sal Quintero, Chairman of the Board of Supervisors of the County of Fresno
Date Executed Executed in the County of
V22 /Z 5 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, Page 86
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.
Agreement Between the County of Fresno and the California Department of
Public Health
Agreement Name: CDPH Nutrition Education and Obesity Prevention Branch —
Supplemental Nutrition Assistance Program-Education for the CalFresh Healthy Living
Program Agreement No. 23-10314
Fund/Subclass: 0001/10000
Organization #: 56201662
Revenue Account #: 4380