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Home My WebLink AboutSTATE DPH-Maternal Child and Adolescent Health Black Infant Health Programs_A-23-581 .pdf co County of Fresno Hall of Records, Room 301 2281 Tulare Street Fresno,California Board of Supervisors 93721-2198 O� 1$56 O Telephone:(559)600-3529 Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us October 24, 2023 Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes, Supervisor Brian Pacheco, and Chairman Sal Quintero Agenda No. 45. Public Health File ID:23-0788 Re: Approve and authorize the Chairman to execute a retroactive revenue Agreement with California Department of Public Health for the Maternal, Child and Adolescent Health and Black Infant Health programs,effective July 1, 2023 through June 30, 2024($9,798,974) APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero Agreement No.23-581 County of Fresno Page 48 co Board Agenda Item 45 o 18;6 0 PR�s� DATE: October 24, 2023 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Retroactive Agreement Funding Application with California Department of Public Health RECOMMENDED ACTION(S): Approve and authorize the Chairman to execute a retroactive revenue Agreement with California Department of Public Health for the Maternal, Child and Adolescent Health and Black Infant Health programs, effective July 1, 2023 through June 30, 2024($9,798,974). There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will provide the Department of Public Health (Department) continued funding support from the California Department of Public Health (CDPH)for the Maternal, Child and Adolescent Health (MCAH)and Black Infant Health (BIH) programs. MCAH uses local funding ($4,874,984) including funding from various partner agencies as a local match to draw down Federal Financial Participation (FFP)Title XIX funds. The funding will support salary and benefits, operational, indirect, and subcontract costs to execute the required services. The programs provide outreach, home visitation, health education and linkage to community resources for pregnant and parenting women and their families. This item is countywide. ALTERNATIVE ACTION(S): There are no viable alternative actions. Should your Board not approve the recommended action, the Department would not be able to accept the program specific CDPH funds, resulting in staff and critical program service reduction. RETROACTIVE AGREEMENT: The recommended agreement is retroactive to July 1, 2023. The MCAH and BIH programs have been CDPH supported programs for over three decades. The process for receiving a yearly ongoing allocation requires a submittal of an Agreement Funding Application (AFA). The Department received the CDPH MCAH Fiscal Year(FY)2023-24 Agreement Funding Application (AFA)on June 1, 2023. FISCAL IMPACT: There is no increase in Net County Cost associated with the recommended action. CDPH approved a non-competitive allocation ($4,923,990)to the County for the MCAH and BIH programs which include funding from: • FFP (Federal Title XIX) (MCAH $2,780,322 and BIH $310,070) • Federal Title V (MCAH $422,226 and BIH $259,379). • State General Fund (BIH $1,144,621), County of Fresno Page 1 File Number.23-0788 File Number.23-0788 • Sudden Infant Death Syndrome (MCAH $7,372). The local match ($4,874,984) includes funding from: • Children and Families Commission of Fresno County($1,711,667), • Fresno County Superintendent of Schools ($300,000), • Department of Behavioral Health ($273,844), • Health Resources and Services Administration (HRSA) Babies First($995,000), • Health Realignment($1,594,473). The Department's indirect cost rate of 18.314% will be fully covered with the above mentioned resources. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2023-24 Adopted Budget. DISCUSSION: For over three decades, CDPH funding has supported the Department's MCAH and BIH programs in providing outreach, home visitation, health education and linkage to community resources for pregnant and parenting women and their families. Some of these programs include Nurse-Family Partnership (NFP), Sudden-Infant Death Syndrome/Fetal-Infant Mortality Review(FIMR), Child Care Health Linkages (CCHL), Nurse Liaison, High-Risk Infant Program (HRIP), Comprehensive Perinatal Services Program (CPSP), Community Health Teams (CHT)and Babies First. The recommended action will accept continued funding for staff salaries and benefits, operational expenses, subcontracts, and indirect costs for the MCAH and BIH programs to continue their work towards: • reducing infant mortality; • improving the health and safety of children attending childcare programs; • reducing maternal morbidity and mortality; • supporting the physical and cognitive development of children; • promoting exclusive breastfeeding; and, • optimizing the health and well-being of the client populations across their life span. In FY 2022-23, these programs continued to provide a wide range of services to the community. Nurse Liaison provided case management services to 182 pregnant/parenting teens, high-risk children, and their families. The NFP program served 294 pregnant and parenting women, helped 94% of women initiate breastfeeding after birth and ensured 75% of infants served were current on immunizations at 12 months of age. CHT provided intensive home visitation services using research-based models and curriculum to 254 families with children 0-5. The CCHL program provided health/safety consultation and training to 273 child care providers. The SIDS program disseminated guidelines on infant sleep and SIDS risk reduction to 137 medical providers and 239 community members through community presentations. Ongoing grief support was provided to 15 SIDS families. The FIMR program established the Case Review Team (CRT) consisting of community providers, advocates, physicians, and nurses from local hospitals and neonatal intensive care units. There were 4 CRT meetings held and 12 FIMR cases reviewed in the last fiscal year. The BIH program served 144 women through an 18-group series, with 72 women served through the Group/Life Planning Model and 72 women served through the Case Management Only Model. The recommended agreement is based on the submitted Agreement Funding Application budget and scope of work, as reviewed and approved by CDPH. The recommended agreement deviates from the County's standard indemnification language and requires the County(or County's contractors receiving this funding) to indemnify the State in the event of any exceptions (i.e., not following procedures or maintenance of documents)found as a result of a federal audit, in connection with the performance of the agreement. REFERENCE MATERIAL: County of Fresno page 2 File Number.23-0788 File Number:23-0788 BAI #33, November 8, 2022 BAI #49, November 16, 2021 BAI #36, November 3, 2020 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk-Agreement Funding Application with CDPH CAO ANALYST: Ron Alexander County of Fresno Page 3 File Number:23-0788 Agreement No. 23-581 CALIFORNIA DEPARTMENT OF PUBLIC HEALTH MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) DIVISION FUNDING AGREEMENT PERIOD FY 2023-2024 Agencies are required to submit an electronic and signed copy(original signatures only) of this form along with their Annual AFA Package. Agencies are required to submit updated information when updates occur during the fiscal year. Updated submissions do not require certification signatures. iggplingal • �i� i�i hill Any program related information being sent from the CDPH MCAH Division will be directed to all Program Directors. Please enter the agreement or contract number for each of the applicable programs 202310 202310 MCAH BIH AFLP Update Effective Date (only required when submitting updates) Federal Employer ID#: Complete Official Agency Name: County of Fresno Business Office Address: 1221 Fulton Street, Fresno, CA 93721 Agency Phone: (559)600-3330 Agency Fax: (559)455-4705 wrnrw.fcdp h.org Agency Website: Revised 2/7/2023 Page 1 of 5 AGREEMENT FUNDING APPLICATION POLICY COMPLIANCEAND + • Please enter the agreement or contract number for each of the applicable programs 202310 202310 MCAH BIH AFLP The undersigned hereby affirms that the statements contained in the Agreement Funding Application (AFA) are true and complete to the best of the applicant's knowledge. I certify that these Maternal, Child and Adolescent Health (MCAH) programs will comply with all applicable provisions of Article 1, Chapter 1, Part 2, Division 106 of the Health and Safety code (commencing with section 123225), Chapters 7 and 8 of the Welfare and Institutions Code (commencing with Sections 14000 and 142), and any applicable rules or regulations promulgated by CDPH pursuant to this article and these Chapters. I further certify that all MCAH related programs will comply with the most current MCAH Policies and Procedures Manual, including but not limited to, Administration, Federal Financial Participation (FFP)Section. I further certify that the MCAH related programs will comply with all federal laws and regulations governing and regulating recipients of funds granted to states for medical assistance pursuant to Title XIX of the Social Security Act (42 U.S.C. section 1396 et seq.) and recipients of funds allotted to states for the Maternal and Child Health Service Block Grant pursuant to Title V of the Social Security Act(42 U.S.C.section 701 et seq.). I further agree that the MCAH related programs may be subject to all sanctions, or other remedies applicable, if the MCAH related programs violate any of the above laws, regulations and policies with which it has certified it will comply. 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L) co 7' C4. % :a co -Co C4 -co V, IS 0 0 71 -Iry �wl 0 0 co 0 ILI) 0 7' 0 ro 0 0 to d) co co cn co C4 0 ,0 0 �j (0 u 0 a 0 CO to cc Cl- tn. rn o- 0 0 C 0 CO 7' vt 0 co Ci. V4. CO bp C3 cO to S: to r�4 UD tto m aj cu rz ai 7 _0 CL cli < ai < -a -a a E E 0 0 y y E c r ai ai bo E 2 CL CL =s m tm on < 00 u 0 D D lu — to (a N 6 ro > N 0 T m 0 bn m (v u 0 E V) 0 ix =3 o CL CL) CD cu c — E (14 :3 E cu :3 CL 0- E! bo -2 0 V) 0) CL -t:, a; > z > bD E m U ai t Zz m M 'a C3 -0 E t3 (U CU CL CL > m cu aj (D LL. ztjl. u > m m C3 CU a) CL _r_ J-_ Q Q, -0 tw U Qj 0 -Z (U -Z .2 u Cc M t, m u 1:L > (U v C, 0 :�- CU 0 Q, a) -E -E �-: E EL > -C Ln Qj Ln (v a) m rO E -al 0 = C) to > W M > 0- 0 (U > > a 2 Ln 5 C3 > > :E c 0 E W w f (n E CL 0 -0 CL a ai cu 0 M to aj m tj bo Gi ra 2 Qj 0 m m M to u 0 C C� C , -C —, ai 0 w cu tA 0 w 0 C E m In E CL -r- (U u CL-C3 o -C 0 -.z: ,@ :z E .2 0, a) :z 0 > -Z cu u > -Q (D �i >� M - u QJ -r3 tio a) a) -cj cu �5 , - tw 0) o < ro >. C, 0 U cu CL Q� (V cL QJ E w .0 QL CU CL Q, CL C tw 0 Z3 .. - c:l Jq, - to I c kD r) cu rz tw (D 0. Qj a- z 0 z ILnu CL :3 CL :3 0 0 0 u ai L2 _0 cu rz aj 0 z 15 m c a) m 0 z i5 u (V I cu m u C: .2 (V -C fa 0) LU cu aj -L:. m cu co b CL 0 .2 M :3 L6 CL m n- 2v 0i a) r1i o 0 m m c a) 0 u u co cu m , c Gi >- E ru m -4 m u to 0 U- rn w E c a) V) E .. C14 u 0 ai u c 0 0 E _2 CL 0 0 N CL 0 Ln =3 (U 75 Ln L: a) > M :Ll E (�u > z V) m cu > U > m ry) (a c 0 0 co 0 E .0 N :3 fa a u ru 0 tw rn 0 LI) < 0 u Ln to (L) 0 aj m C > -o o Q) 0 Qj m -ro u E aj ro Lu cL < cL m bD 0 bD t c: -E U ca- -1 o m c -a < -Z < c aj u E 0 E E c E E o > t-n bD-0 m tit u a) m -o - .2 2 -6 =— t -ro - m 0 (u -r- E 0 LU M > all; I Q) A -o Qj ru -X I Ci Ln W -Io txo U m -F, m �j c u U 0 aj 0 0 > E > 0 E Qj aj aj aj rN E Q) m j_- C 0 c: r'4 C: C, m C U 0 v) b a) o m >- 0 u 2:- u V� LL -r- c c a) -Fu mn 4) E -o m v) - -r- r- 'a m -o L: r_ s m m u clj ro c: _--z -6 tio t: r4 B = -.F� u Ln _c E 0 cu CL E m Q) -o I- D- L3 -0 — m a) I Q) o E > c c vi - T cc & 2 cu aj u 2 2 > tw Qj c c cL ej L.L (D 0 u Q) E o E =1 -D u m 2- < 0 U 0 aj m 0 -Fu U 0 u u 0 -o 'o 0 U0 m 0 0 0 > a) 0 u. :"3 .§ .5 -Z = -.F .? a) co :3 u c: - 0 0 0 0 u ('D aj m a) N c: rn -o c ri t E 0 m aj Itt �5 (a m m u co m = rj 0 cL 0 El E— mc: u El u El -ro-_ u 2 (A 0 E u oo _0 c: a) _o co 0 0 1 U Qj a 0 cu E C 0 cu Q) cu bD cu cu uo m 0 > Ln 14 0 uj E > co tw >. ej (u to cu aj _r > ai 0 aj cu v) Q) co m > t; 0 cu Q) (A -, (u u > aj m u 0 a) 0 a) > u 0 m Lr� N :E cu W u o Lu o u .0 m ra >. 0 " p c: c co w c c (u .0 o m rl rl M > cL cL kn 0 0 .0 o u c, 0 bD 0 —Q) > w aj (L) E W E Q) 0 0 LL m 0 < . rL cL DL m u -Fa u Ln u (f) 2 u a) Q) 0 0 6 0 N ai — o m 0 m E 'o u E 0 U m > m -0 — c: cL CL m E c: 0 aj CL =1 aj u z 0 m m I c - m ra Ln a) Q) ro u :3 u w c -a 0 0 0 0 N E ra t .5 > co tw fn Ln cu cu o 4 4 0 -.F u �2 m 0 cc 0 Ln 0 —j < El u El r,4 to .C: ro ai .0 (Ii 0 E 2 0- 0 p C� _0 cu rn 4� r14 E C) 0 Q) rq >- bn Lj- r- T C3 V) to co E c3 (V 0 E CL L 0 .w cl. LL. S E E E z 0 0 CL 0 W V) M a) :3 tA 0 0 0 M a) 41 u 12 CL) m >. m CL a) _0 m — LID > M :3 CD :3 a 0 0 u 0 0 .2 Lf! N 4- m m 0 V) 0 X- I'D CL) El u (i El a, Z m 41 U L) u 4- m 0 w 4-1 m CL -2 aj > Z 4-1 E 0 Ln —A u :3 m aj u U� 4.1 m 0 ra c 4� .0 .0 u E CL CL 0 0 2 0 0 r6- C6. (1) a) w 0 u E ai E (D E m 0 0- a a- 0 tA -W U- m u Ln Ln tA N Gi U m 0 :3 0 0 C4 0 m 0 m 0 E "o m -2 '0 m .2 01 ai (U c m m m 0 > CL CL CL E u .r. ii u —u a m m z u a m 0 m m m m u 0 u > w 0 0 0 0 0 m 0 cq E ::. — — >. 0 r -W N Lq 0 LA a) -C 0 m I m M m 0 tID 0 0 u El El tz 0 < Ln u V) m E 0 CL Q) z u V; a) M =3 u 'n > 0 -a > C: , a) =3 ul o < W :3 E Z 0 u 0 ai 0 = 0 cu ai co - ., > cu CL C: Z 0 m — z u — U u 'w a) -Fu z 1_0 0 LF a) 0 Ln -0 CL .2 0 u 0 CL 0 r4 0 z (1) u LL V) CL u 0 Ln L: u U m V) CL m c 0 Q) u E u cli LA- cu 7a D cu M: :E ai ai C: < Q) > ? u 0 0 0 u E c E > E 0 0 0 0 -r- E 0 U o -cL 0 2 Q, > m m Z 0 > Z! tu m ai �n 0 0) U w C: 0 G) E aj 0 - vi m m 0 r- < > QJ M E u U 'rZ CL M =1 0) 2i u 0 Ln tTo Cl) m 0- u a) u S ro _I- r u V) z :6 Ln 14 1F3 - 0 E u ai u 0 M W 4,� V; '0 r u ai E 0 ra s < �o u E z m z W a a) < E w u t u :2 .2 — u Ln Q) Ln -6 0 aj _qj :5 0 -0 E vi M E 0 >n tw C: 0 u o S U .0 CL cu E z 0) u u u -0 -U r U =3 u tw :3 Q) V) = w w m -C U 0 z 0 z 0 U _0 A- tn V) 'o u 'a 1-- ;4 >- m E 0 Eli Z a) U u 0 u 0 U E m M " m 1c: L) CL u (D 0 0 U u M Lj >- U 0 E -q- z -0 rm- 0 IUJ 0 — E m E u m E I = 2 fa 0 u m C: CL 0 0 u 0 0 0 CL 0) 0 m — ::. - t 0 aj o E a) 0 T — 2 m r- -0 -�:, - M - D cu m m aj ra 0 > �4 = t; :!,'� C u 0 u 0 r m ai :I- - L o —j El -2 u X L) cr > 11 < V� CL u a) .- (a > zi 0 bD 75 u Lr- u E M -0 Ln 14 C: 0) >- m 0) 0 0 u Z m Ln ;4 0 41 U 1) U > 0 0 ei 61 4-- a,) r- > E > :3 c -0 0 (1) > w CU LLJ c , m a) C: 0 t3D CL > CL 0) CL m CL 0 aj -0 V� >� E u 0 m > :�. U >- M C: E 0 U — I- (V t w 0 0 0 Q) m u U cu ai ai I) (D aj ra u m GJ 0 E E CL I r-, 't 2 E 2p-C U- co Qj m — - 4b 0 Q) 0 E CL 0 1 =1 u F= 11 LU r�4 CL cu Lr� u D bn 0 u r4 -r- aj 0 C: (v 0 0 W m -a >� I < ±� m �o 0 0 E u 0 Z u L: (n E C U 0) 2 c: 0 co z T) 0 M: - 0 CL IL u -Z' Ln m - E ai U -0 2 MR m >- CL 0 0 =5 — r .7 > 0 U Ln U L; >. -0 CL > i6 ui C: -0 < a) m 2 C: r- 0 Q) 2 0 U I Y o 0 Ln ca u ai i-- 0- 0 _r_ u 0 CL) 0 a) CL 0 E ra ro x u 3: �i -a u E w > CL > 0 0 0 -0 _0 2 :3 =3 > C: ra o �4 C: r-I CL 0- 0 txa 0 CO L, 0) m M Ln -0 -C 2 t = -2 E < rl u E �4 E 'L ' I I El z cm: U> x 2 T) E u 00 m r14 CD >- LL V) L E u to m V) u OJ LL M u 76 cu ra ho ro > E m 0 0 (u CL 0. CL 0 0 0 cu 0i a) ai E cv E E M 0 a 0 CL 0 CL 0 1 u Lr) u V) u V) cu 0 m 0 m 0 E Qj ai cu ci m m m RL u m c ra > QJ Qj Li a) " N z < 0 El El U Q u u 0 0 CL u 0 z U) u Qj u (U cu V) 0 U '0 0 0 > 2 'A CL u =3 E 0 u C� 12 0 W u Cl) < w E u p co 0 tb C: CL 0 co C) cu ai U aj u cli m 0 m 0 E E E — Ll- M 0 -C .0 0 u -0 0 cc P4 ro -U ±:� a -V U C: u u 0 2 M CL) :3 >, ra 0 0 r,4 co 0 ai 0 Ln 0 — > -C U -0 m u L M U 13 U a) c 0 1 0 m cu :3 'E w CL E -0 .2- CL =3 EL w .2 ra 0 Lj o w z u 41 0 m 0 ai ai 0 0 >. m 0 u 0 E > > Lq C ai Ln c - M u t (U 0 0 ri 2 = m 0 bi) r-4 r4 m u U L/) 4- Lr) El u u cn u Ln '0 _0 cc > 0 r1i R C; CL E _0 C: ai 0 V 0 cr- > u ti C) CU -0 - M W cr - 00 4t -1 2: V) E ca cu 0 t: E 0 Qj u 0 :x 0 2 u u 'r. CL cu (u u u J3 E 0 0 cv V) u >- u 0 Q) o 10 Ln 0 u aj fu 0 tn - m >- 0 V) r,4 Q) 2 -0 u CD > Ln u r4 .@ u Ln u u LL (V V) 0 L: -C 0 ca 0 _0 ai ai u 0 ai ai 0 U- CL 0 Fo (a 0 0 cu - 0 c cu cu u -Fu E IV a) -.- z. U U C: ai (U -T C CL txo o > E E u :6 E .5 0 0 Z� 2 0 -0 u (u E w V) — U _0 U CL C: ai o w C) 2 m M 0 u " .> L 0 a) 4,� t a) CL -U CL co o o (u m <1 =3: r04 u E ImJ fA W u 0 Z a) U u F� U 0 u -Fa = r-I (1) u V) tn u 6 0 E C) ru o 0 0 -, u U U ci Ln zz. (V Ln 0 u a) I;j u a t�: 'I Qj -Fa 0 z cu V) U- ui -C 0 0 ai C: ai 0 u ai m ai u bD to 0 u (U co CL u I d) 16 c: ai aj 0) 0 C: 0 C,-2 a) u tx U 72 m m -E Fu c u > u 2 t; c: = CL > tu co ul ra t LU t! E CU CL CL) m CL M W OL u a) CL U :3 > _0 .1 '41 0 0 ±2 U u -0 r_o a) M =3 =3 _0 > ai 0 m W a) — — 0 m > - w -,-- 0 t M u 0 0 D _r_ fl. o w z C-: CL u a C) 'r- CL a) cu ci a) C) u c E c .0 X co E _0 a LL M cc u bo u -r 0 0 Ln 0 0 E u 0 8 w -- E U _0 0 E 2 - 10 -i5 , - :3 �6 0 It 8C� m C: -Is "'i T 0 0 u > 0 Ln 0) " - to-I- -M T U w 't *@ ai E Z :L- u :5 n. a) - z to v ci 'A CL u m E m m nu a) E cu -0 u CL ra Ln E ci z m >- u > m cu - E cL U Q) z WW 0 E Ln u u 0 -0 L) m u m -0 0 r1l V) 0 0 CL 0 0 E Lr� U C = m c u (U (V u cli -2 t Qj m 0 c a) C4 CL N ra > o 0 bO 0 M (1) CL m U r_ EL Ln co > E) u 0 rn r-4 LL V) L: m aj a Q) m =S -0 2 r- tw 10 m X Q) 0 CL 0- 0. 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Q tt cj , -6 aj 4-1 -0 = -0 -0 -0 CX tw QJ CX *� > 73 o 0 -0 1 cu -0 , 0 E o c r,, z uw .- c -z- Z3 ai w fu fu C) cu w E v) E w Ln _0 4� VI 4- o 4-1 aj 0) W 4� n - w ci fu < C: m Ln CU 0- vi m o- �D OL -o CL 40 c w m 2 :.a ai fu IV a) = 4� u E 4 0 cj Ln E 4' Lan) 14 0 4- 0 Ln Ln Ln cu -- ra Ln fu Qj E -0 aj cu ai a) to 0 to tw tw cu Ln E E u 0 4- :3 -C tw m o aj vi tw u c C V) Ln u ai _0 C: 0 ai 0 .41 Ln ro E C: bn bZ Qj L- ? ai a) CU L- .0 2: > Ln 0 +1 5 -r- t; c U U aj 4 n a) E to V) U 0 bD Z -0 4-- n Ln u tn ai to tn U) (n > in 0 o 0 V) +� " ai 0 -c- w 'E LU Ln 0 W GJ 0 V) +a 4- (.0 " (A ai tf ru G) Ln 4-, Q) -0 :3 U 4� r- a) In .4- U 0 C: ai LU u 3� tw tw 4 ': Ln E -0 -ru ci 0 C, 0 Ln m r- U Ln U 0 u A o 0 C: vi -0 V) :3 aj -0 4� Qj _0 In CZ 41 u a) pi m Q' o a) , CL E u w u -0 m ci m c w cu u Ln 4- aj 0- m > Zj M 4� C: -0 C: O_ u _0 u ro CL a) ai Ln ai m 4- =3 4- u a) Y +3 0 u C) Ln En U, n > E L- Ln -0 c -0 0 4" 0 V) CL W 0 o vj ai c: LO CU 0 a) CU m E CL 0 ra 0 to 0- M u -a 3: 0 u 0- Ln -0 ai u Ln 0 ri 9 0 0 0 a; 14 1.4 0 ai a) 4� 0) 41 !F (v = -4-1 0 W I.- ai 4-; -0 — C .�p uo -0 W o 0 4- co — — ai E ai M U, V, a) :3 a) E 41 cu E +, CL 0 =3 -M 0 m 4- 4� 0 fA -C C: 4-1 >- 41 4- 4- 41 Ln 0 Qj o m -0 " 4A 0 LA V) 4� a) 4- 4� Lq _0 a) 4� 1.- 4- .> -0 4� 41 u, 4� cu E (11 40- 4-- ru 4� C, CL 0 CL LO m aj 4-1 0 ra Ln w m In U ru (D -0 CL 0 M 0 CL 4--- — 4-1 4� 0 4� 4- 0- V) cr c 0 > 4-1 CL 0 .- c 0 > aj Ln u CL aj 41 " CU 4-1 C: 4- _0 tw m ci E Ln u .- L- 0 CL 4-1 C 0- 'n C: a) < > 0 0 m Ln 0 0- U - ai a) E CL A 4- Ln 0- M ra Ln .2- -o a-j u E cr aj c 41 tn a 3: E U tW 4- V, 0 0 m a a) -o u Ln c- E w -=5 C: U 'n C) tw .�p ai o- w EL cn a ro w on cii co E o a- < LL CL u U) m V) -0 X 4� u m 0 0 C4 0 0 ci 0 r4 r4 0 a) -0 E FE 4- aj Q) =3 0 cu -T z 0 4-- -0 CU ai 4- 3: a) ai (v aj 0 a) 0 w 0 0 (n CL ai ai >- -E 4- 4- V, 41 — _r_ -C cu -0 C) 41 > r-i 4� m m bD E 4� 41 > Co m a) 4-- a� E EL >- CL C 4- Q) 4-1 0 M a) 0 ai 0 a) -0 V) (D 0 _r -0 -0 0 06 -1� C: to Qj GJ u 4-1 0� =3 4� .- D- :3 aj o C) C) 41 4� Ln V) ::!, u C: u W- :E v) m LA ra ai .— .— .. E -zl- 0 C: aj Qj C: 4- 4� > -0 m u Ln u 4-- F- Ln aj aj ai +1 ai u 0 r- 0 Ln C -0 4-1 m 3: t3 Ci > a) a) ci rn - CL E� 41 > E _0 0 ai Ln -0 , Qj 4� cu m V, 4 Qj CL 4� V' +1 c 4- -C 0 a) o �E 0 0 a a) 4- 0 0 C: a) ci 4, m V) m _0 ai QJ 0- W CL �F- fu _0 4� " a) - 72 o E -Fu E C: u cl- (D E v) - Cu QJ u E :3 E =5 'G s ro C: 0 E 0 .2- ai 0 41 0 0 a) m Ln > u u CU 0 _0 Ln >� m 0- ai 7, a) 3: =1 0 to bD CL cu n .2 Z 4- M 0 0 u -a " V) C� 0 u w u w In ai 0 = Ln 4� 4_ U C: M Q) 4-- CC 0 C: " = C = Ln 0 C V) C: 41 a) ci 0 0 LA 0 CL m M: < 0- tw ai < - -1 m -i U M C: _C u < 0 E 0 < .- m ci m -0 " U U = E 2 0 0 4) �4 0 a) ED bn 40 N bm 4— a) - 0) C� m 0) 4 1.4 < < I;j- C14 CIS Q) clq E 0 C\j > tw -0 (u z 0 W Qj > tw CD L: 4- ru Lq Cc m 0 0 -C +- m c CD cu 0 V, Q) — .- - 0 -C CO c — Q = = L. (u E 0 ru �i C) rQ 4cu -0 -C to QL -E E D- -o Lj U Lu- 4� Qj +' .— -:�: cu co (n +, E C) -0 v" cu t3 d V) Q) C: a) Ea' E! a 0 cu cu _0 M c)- Q0, CD L- = -0 E 2 w , w — - DL p: aj 0- v 0 - E o w E E Li 1, _0 E/) MV' 4 1 'D C) — a - , -0 (n Q- Cc L) (1) C 5 ru ci U x 3: --Z. 0- c -0 0 (U Qj E a Q, -0 4-- to cc - -0 .!n LU 0 c in QJ a) 0- U 4U� ;:- -0 =: CU E p 0 E E m GJ cz I " 4� cu Cc >w E E 0 E o o -3 S-- qj -0 Q) m 2: a) ci M C W U Qj W -a 4- — 4-- z E (n UL 1� 40 0 V) -0 0) c E m 0 aj V) M 0 aj a) -r -C V) 41 > C V� 0 ra t m u 0 C 0 CL 0 of u Ln 4� Q) > 0 " M Ln z M Ln Ul cr ai u 0 LO CY) 4- 0 aj -0 to LO C,6 m c o E E C.L 4- M -0 0 Ln aj 0 C: GJ M 76 0 V) 11 cu ai 0 u tw 0) m 4� u > 4� 0- C: cu E 0 C) LL 0 ai c- fu aj tw 4 t4 a- Q) 0 ai Ln w tn V) o c -2 — M ai m M 0 Q) w 0- V) M V) 0- C) CL m 41 _0 (A 4- bD -0 Ln 0 0 ci 4� $_ u 6- E -a lzi m E C') c) -u C' Lw _0 r- C: — Qj 0 -0 a- . j cu — C 0 :j C) 4-1 C: Qj to Qi o c- 0- 0) m c w o -0 .0 4- a: .1 -0 E m 5 -0 w ro -0 w tn u -0 V) ai M Ln Ln < s- > a) E ai C: m u a) QJ .2 v 0 m 6 Cc: w 0. ru -0 0 W 1 4- C M -0 0 0 C: M C: V) Qj E ro V) LM > u 0 Q) 41 4- Q) m -0 m M fu w o 0 bD S -T W s .2� m E u m C: CL (u (u cL o u 0 m u S c: Q) Ln a) Z a- c U U, -C > .p 4, ;- m w aj C: ('7 QJ QJ Ln M L- 4-1 0 Q, m cu (n W 0 CL 0 m bn u 41 > QJ -6 12 E v 4- tn bo C: -a 0 U t a,,- X u ai m E 4� v) +' " m L- V) ai V) 'cl *s; 5 V) c U 0 V) ej -0 CL m o w :2 Lu > 0 i� E C i�� o ai 4-j U LU M U V) 4� m ru 0 Cc/)) E LCU w 0 C uu ci U U-i ro P :6 C: 0 (D 41 Ln �? m V� -C = c t --.,4 W M aj 0 :a u CD 0 -0 4-1 w 0 (v u -6 w _0 _0 C: m > o ra — C " > -0 �"i u Ln m lu CD vi U� u 'a; 4� 0 M Ln C 4,1 V) Q; CJ C: " 4- V, — C: " a) IIJ 76 >� U I-- GJ U 0 Q) — V) In " +1 C) ai — w OL -0 U V) — ru ru aj , W a) Q) LM 7= CL CL U C U E — , L- 'n ai 0 0 0 w cn Q) 4-- C: -0 QJ GJ —C� M c 0 �n- 0 D -Z c +-, ci V) m u ro (a 0) v) bD 1� 0 V) .;5 C: > L- L- . .C)L OL W V V) -0 -- C '- -a ru v) -E :�,- b.0 � 0 >- 0 GJ — C C: Qj tjO 0 M M 4� Cl M L- L) 4-, 40 LL Q- V) u V) w 0 4, .— 0- 'A CL) 0 cu C: V� =) CD — 0 m w -;-; m bP - cu aj 0 U t 0 E Ln w 0 m i w o E Um .- w 0 > 0 E ai ro 0 -0 Ln 4-- .— — M > c: 0 c 0- 6 :3 CD 0- M LU (D c tw 0 w -0 m (U tLO 3: 0 m m 4- V) c — ,-, > CO c aj CU C) 0 41 t)_o (u C: 0 ro M (10 r-L -0 < < 4� M cl cu o L'I m < U, 0 < < > It 04 N ai Qj -0 N cu > E a) C) > u C14 E _0 qj CD 0 u a) a) C: U — CN u M > a- -0 U aj z 4- Qj o -0 0 L m 0 a) o r- 0 4-- 4- gj ca 4- > b 0 C: C) = o z Co W w (1) cu CL > -0 > ru L) . V, " +1 — -Z, w w I-j (V M U 0 Q) CJ cli Ln w a) Q) V) 4-1 >- 0) L c CL ro E u rz 0 E M _0 CL V) U- Ln Ln 0 (U VI a) 0- W C 'n CU V) 0 CL ru 0- 41 a) CLJ _a U cu cu -0 a) .2 _,Z _, U aj aj uo _0 — Ln c Qj a) E '4- Z:- > M 4� 4-1 0 Qj u " +1 a) < OL -0 Q- cu CL Q) 'ru 2 :Ei (D C) Q) -C 4-1 Ei 41 0 cz a) J- a; E 4� (Qni V) T-i " C " 0 " :3 0 Ln _0 M Ln E -0 0 a) ai E ai 0 :3 u " 4-- 0 4� Lan) Ln C: to IV C C: 4� ai ai " .2 0 0 ru D = _I_- CA 0 4ul ai 4- > V) 4� m , c _0 " tn E ai > Ln 0 o ai 0 Ln LU V) (v u o U Q) LU W M 0 0 0 0 4- - . _0 U 4� aj 4- M E ai aj 10 F- > Ln u a) a) 0 u aj ai u > E " -Z > = CL 0 (1) 0 V) u Lzr,) V) ai u LO 0 C14 A C� 14 0 ai ai Ul Ln to u 0) Ln E tL- co aj 4-- En a) a) u CU o cu +1 4-;. 2i "' E a) 4- ra u W C 0- 0) co CL 0 W -4- M cu a) (U ru Ln 4-- Cl m ci 0 4- -0 4� tXO E E L2- 'u E L- 0 41 4� Vi C: 'n E . 41 Ln 4- a) 4- u Ln a) a) V) 4� 0 0 Ln C: fA -C CL tn CU a) F .�:: +1 41 t U m _0 -0 ai ai Qj bn 4-- w 0 aj M bD E ai a) 4- " V) o -C 0 > +1 Qj CL _0 E 4- 4- 7a 0 CL aj 4-1 aj Ln 0- CU 0 C: a) 0 > CL fa 4- -0 m w — ai c W = 4- m u bD 0 _0 Q) ai m m c E w fu 41 C: -0 E u .— 0- !CL 0 0 L- a) -C m ai r- < " > m CL 4� a) a) C: c w :3 0 41 U V; 4-1 4-1 41 u ai E C) a) 4- A Q) M m M o u Ln U U U +1 M :� u cL E m m -C 41 0 4u ,, aj 0 E u 2 a) _0 > 0 a) 4- Z, =3 V) :3 m :L, ra C: 4-- aj u C) s -0 *E -0 ' - < Zn ra D- CL - =3 oi E " 4 -0 -�19 t > a) Q) > aj a) Q) E p u a) V, tA C: V) a) V) Qj 0 o z, E Ul m o w m 5 w o 0 -W ci -70 U V) LL- CL U ai -0 0- u o o .- OU 42) > CL o U < V) m U 0- u 4-- CL CL 0 X ai Q) 4� H 0 �4 0 V) a) _0 a) cu U 0 (11 -r- — 4- 41 0 U = — c 41 41 CL a) o 0 4- -1 0 -0 (Ij CL -U (n Q) 4-1 Qj a) > 0- - w 5 E E .— :3 ai C-- ID _0 to (V "n "z o w w -0 o ai -0 a U M U 4� to V� cu (U < 41 4� E C3 M E = u C: C,6 C: V, >- c 4.1 tw ai cu -0 w o 4- ai 2 E E u > ai cu (V ai a) E c .- _0 (v Ln (a cu 0- 4Ul to V) ED -C - w w L.L 0 ai E �2 a) -0 Ln 0 a) 4-J — M +-j M c V) In 0 m -6 C: C vi OJ -0 -0 o 4-- m m M M 4- 4- U 0 _0 U a) 0 0 0 aj u (L' 0 +1 a) u txo :E =+ Q) 4� 1 41 co Fn aj 41 2 z 4- W Ln 4- L) Ln -0 Q) a) 0 0 (Li iu =3 0 a) u CL u -0 < D- 4� k1l V) E LU _0 _0 0 M V) E -0 0 aj C: 0 a) N U QJ 0 0 c a) C� a) cn 0) .4 Fo ro cli cli 0 m LL3 CO 0 0 0 C� TZ 4� 0 4LI) _C- CO 0 13 rn -0 c _ 4� a. -- -0 (1) U., rA C m --1 00 c CL 0- t3a 'Z cr) 0 c n '�C' =0$ C: N 0 C) W 0 CO kn CL. f-- 0 rL 0 CL Ln vi .:5 41 Ln U) U, cr- (13 C: kn 0 (1) 0 0 -::3 r- 0 0 �W- 0 V) 0 CZ CO ul 0 0 48 W cr 0. -0 W o -0 C-4 0 55 cl, LA 0 0 n cl) o C-1 o 17- 0) CO 'A C: CO C: 0 41j Ln u 0 it co a.) C: u CO S- IW -0 :::- ::5 V) > 0 0 LL. CL- -co 0 cc :5 C L) cr) Awl 0 0 0 0 cL aw) Or- cl) TA t; w C: �a o In w u +j 0 5, S 0 w CZ — U') -W Ln o c 0 .6 w c -10 C) 0 M Ln .�n C: co c o V; CL (1) Ln u tn 0 r tio 0 C) (o en 'u Ln 0) w Ln 0 —w '4- V, 0 0- co w u u C: o ot W r 0- 0 �i *.:3 U 0 kA 0 03 *oj 0. LA 0 Ln a) M CL Q3 0 w C-' co L) m 0 w cc W -u 48 Z;7- :3 ,-A u w co V) C) w m co -t) -- w 0 C) :�a L) L) W CO L) Lu Ln 0 0 LA 0 Ln �3 A-, 4-d CL CL. 03 to Cl) I*- a� CN (N N CU C) E -0 Q- -0 0 CN cli 0 a) E Ln C) V) ul -i� u ru 4- 4.1 = > a) 0 -0 - 0 4-1 bD C +, W CU m 0 4-1 0 W 0 -0 o C: 0 4.1 4-1 r = 4- 4- 4- 0 0 a) CU U 4- 0 0 a) CL c 0 4-1 u +1 C: > a m Z) �;i - u 4� 41 C: X 0 Ln W " c: x 0- -0 C: a) E Cf a) -0 CO ai vi -a +Q,) a CL ai 4-; w , Ln E I a) 0 E E w E aj 4- Ln E a) 0 -0 C 0 Ln LU D W W M o E w D- �: 4- E o Lu 4- -0 4-- Ln M ._ — a- u +, +- 'n w CC 4-1 _0 0 4� cL _0 o 0 o m m _0 -0 W " bD _0 0 c w al: aj cu w w - - ru C - -0 w m 0) m (D Ci C: ai a) to to -0 cc -0 (U D 2 73 , _a 0 > -0 E W 0 - tw Qj 3: E 0 (n ci ai E 4' ai 0 E -0 w E cu 41 Z, ton 4-1 CL 4� w a) 4� ai tw -0 c ru < 2: cu m C: CL :3 c- Z (u m rZ E c: E Ln V) < C) fu E c 0- -r- 4� -0 :3 0 ro CO CuE ' "O 0 MZ3: Ea- ELn LO V4 0 E. 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(D u ai cl: — CL m u 4, 4- ai c: 41 L" " M m m W u, =3 CZ L- .2- 2 C 0 M a) m cli m > m > m -a Cl. u C- (D is EL V E H: V > CU 41 cu Q) u, aj = Ln X cu M M 4- a) +1 u -0 vu E Fn CI- u s Fn m C: cli m u q* 0 0 (1) �F C� C� 0 �4 �4 0 Ln cu V; -S- ai , bD 41 >- QJ 0 (L) 4- (1) m 0 0 W 4� -0 V) CL m z D In 4 1 0 0 ci 4- OU) Cc) ui Q) C Ln E 0 c " L, -0 In 0 c Ln W 41 CL Uj 0 (D — -(L- c E T, > (U CU u bn W 0 m E z 0 W W 4-1 tW 4� 0 4� C: ra m (D 0 ai M: .0 M M C: c c Fn .- M 4� E 0 a �E .2 -0 C: U u j 41 L- CIJ m 43 0 u .2 z 4- n CL CL m (U U m Lj c 0 " 4� _0 4� 0 C: 3: U 41 -C LO 4� 0 M E m 41 tw m C: cm 0) .4 114 < < , I C14 N CN 0 C\l E 0 CD 4-1 :3 0 0 a) a) 2: 41 Ln LU 0) 0 E "D LL Ln (U GJ 2 :3 0 Ln q: -- aj r- 0 a) a) -C 41 E 4' 0 ai E 41 a) 0 0 a) —1 Ln 0 a) 0 E fA LU a) ra +, C: 0 41 ro ai cu 0 -C V) cc C: V) 0) cr. 41 > Ln 0 C: ro LU Ln di — a t 4-1 .— a) 0 G3 U 0 0 CL +, Ln C ai 41 M Ln W L C C: =3 c- ai 0 00 u E 4-� =3 ai w Ln 4� ci C 0 4� 11 aj aj t�) 4Ln U V) Lo ce) 0 0 Ln 0 0 a) 41 0 4- cu 0 u W u 0 ai +1 0 vi C: CL 4� _0 .- L- 4- > CL -0 M " 0 0 0 E > 0 4� 0 a) 4� 41 > C: 0 4, 4� 41 4- Ln .2 M c M >, w 0 E 0 ro C: 4� CL 4� ro " aj -0 (v u 0 4� E 4� aJ bD cu bD m 4- Ln Q) 0 0) tw C >, 4- 4- 0 -0 to =5 2*7 =s a) E 4- M CU 0 4- 4� 0 u > _0 4-- 0 4- CL C: M m a) " — U 0 E Cc: aj E w cu 0- a) c 'cu E -o w o 6. > m V) Ln 4, -J 0 a) E 0 ai .5 r CL 4-1 ra 0 u ca > C: CL Ln W 0 fo '- 4-1 ro ra 0 -0 I - L- 0 r_ L� 0 -0 4-1 '- L u w cL 0 w E C: Ul 0 4-1 W 0 In 4� E U 0 L4 'Z a) W W E 41 -0 Ln CL 4� ra Vi < > a) S- 0 M U u Ln > a) U UD Ln E a) C) V) m Ul c a) cu C: = cu 0- S 0 -a C) ul m o Ln U Li m 0 . 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Vol ce) Ln �co U) CO 10 1) 0 cc cc 4uw 0 c 0 C) 0 J5 co 0) C) 'o 0 130 C:. q) 24 CD E 4- 04 0 0 u C) _0 04 u 4 C 4� - LL 4- CD L: ai (1) 3: >- 0 C: — -�e tLo -0 — tto 0 rl- m 0 txo M 73 -0 -0 -C u CD c cr (1) u 4� 4- m (Ij 4� CD :3 .4� > Z ru (u (1) L- u u V; 0 C) c ca ru u 4- V) V) 4a Ln E m -r- E 0 = -0 +, o cn 1.- -0 Ul o cu 0 E 0 U LL 0 =3 0 0 Lu E 0 ui M V) 0 4- Qj U 4- u M U 0 aj 4-; a) E =3 'L m a-) v� 4- -0 0 E :L- uo 0 (1) 0 E u < ro 41 r 4' r,4 0 m 0- -L Z3 0 4 U = 0- 41 V) E >. w :, . u m CD Fn w :3 < E 4� 0 cu C14 0 2i :6 W m -0 a) aj -r- 4� u E 0" V) Ln E 0 L- 41 0 Z3 4-- Ic o ul 0 4- CL CU ru Ln Ln LM 0 aj 0) u 4� 4-1 C: >- 4� E z, E QJ C: m a) — Ln 0 t 'n 0 Ln " M M Ln o a, -C Ln t: o a) a) a) M W Ln Qj Ln cu Ln 4 V) :3 0 aj C: 0- 0 c t kn I- t! 5; 0 cu C: w C) c V) Ul a) C:L C: 4� 4� -0 u ho M U 4� o 4-� — - u cr W CL - w 0 u LLJ CL 0 fu , C: 0 m o > tA 0 E 4-J M V) C) M -Fu E: c 4- Lu L, bn a) Q) u cu =3 0 0 0- W Ln bn U C: u v) � cu V� -0 u OJ -0 r- 0 C: 0 a) t u LA E ro 0 U o u 0 m > 4-1 V) 0 0 > 0 E M -Y V, u ai Qj m C o Ln 0 -0 -a 4-1 0 0 0 > cu Ln 0 (Z 4� 0 4- cu CL Q) CL _0 < 4� Ln 41 4� > -0 4- =3 4- -0 L- > o E OJ ul 'E u V, m ro -FU a) _0 C) 4- 4-1 0 C) E V3 :0:5- 0 -E E C) fu c ai " 0 a) _0 E vl fu E 0 -i� " E w > a) -a a) a) cu 0 -o E Im -0 0 > E E -z, '5 0- E E 'P— = c E Wo U -0 Ln cu E -0 L- u a) =3 =3 cr m a) -0 U U '.p " CL 4� E a) E (A, u 0 > 0 E -r- 0 m a) E 4� o :L -0 E 4� CJ U u o o 0 0 Ln Q) E 0 o c 0 0 u GJ C) 0 0 bia (Ii 0 _0 (1) u 'Ci -0 (D CL LO U U u 4-J -C _0 V) (Y) 4- 0 CN E a) 4- a) (v > CD a) V� 41 0 CL 4- CJ bD 4� _0 a) m CU -0 Ln 0 w ?: = Qj 4� to a) -0 CU o 0 aj (D 0 Ln 4- — -C m 1: = C 4-1 0- E 2 'n . M 4- E a) +1 > E pi !E Ln :t 0 Ln 4- a) t: > a) tA E 0 bD 0 4� 0- E w 0 4., 4-1 u 0 o m "n V, cu iz Ln 0 =S 4- -0 CL 4-- C: -0 a) a) a) C: u le (A 0 (n 7, C: w +1 .- " cu �E E! 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Q) a) " c -0 fu 0 Ln C: :3 txo 'I-- cu > fu CU 4� 4� E a� (U c ru 0- Ln 4- (U 0 0 -0 v) ra = 0 0 Q) E umo a) u Ln ai C) 4-1 4- 0 4� +1 0 C C2. 4- U V) V) 4- 0 4� tw rZ m Ln 0 0 Ln > 4� :L' m C: ai 0 .- V) 4� U 4� 0 — ro to E — 0 tD N E —0 4-1 Co 4� 4� Q) -C 0 u M ru 4� 0 U > U E 4- Cr- 41 E (31 :L' Ln (1) - = 4- (n V) 4� V) 41 -0 0 Ul cu 0 L- 4- 4- > (Ij 4- 41 ai 4Ul c 3: -0 bio 41 — (1) t! 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M Q) u m =j m c- to 0 0- on o - E D- -0 0 m m Q) 4� (u > ru D a) 4� 0) a) -Eb u >. = 0- -o u o C: E5 i= 0 ci E u 0- m E -10-5 m " - a_ -0 u z u 0 -C — s " i= S� , 0 a) ai -0 U 4-1 U 4� u Lq u _0 a) +� E E < =3 D- ai :3 ai M o =3 D M ?: D -C 4� V) -0 - 0 -0 U 4� +- 0 CU M -0 M 41 U ai 0 _0 -0 0 S- ru M M m c o 0- a) C: Gi W OJ CL 41 aj 4- Ln 6q m E 2 -45 ca ��e ��e = E (1) ci L) bD 0 0 0 0 0 0 0 LO m cr) 41 T-4 I.- C 0 a) co u CY) ai E +1 a) CL Ln c 0) 0 C) Ln m _0 cu -r- 0 4 4- -0 4- 0 M t 4- tw L- .Lj C: Ln pi — -a 4- — >� — V) 0- m 4- -0 -0 0 V) LO bn 0 a) m E 16 -o 5 w (u 1 -0 - C V) 4-, 4� _6 E E 3: w - ro .- m Ln E a"i —M c .— 0 a) -0 M ai C: U 4- kn - 4- tW U M " a) c- 4� — -- -0 u 2 o w w W OJ C 4� 76 1- 6 aj w C: 4-1 0- 4- M > W ai u .- -0 11 .- = " - .- 4-1 0 :3 0 u u c E ci U 4-1 - m to co — V) -0 C 3�, M = .- ai M " " C CL 0- 0 " -0 tw a) 41 -E 4� 0 0- -0 -0 4- M -j,- C: m In L- -Z 4� > u CL < L) L- C: a) < Ln --,e M M Ln aj -0 o (1) u CT =3 L ai QJ Ln Ln a) 4- 4.1 -0 _0 CL " tw 0 di Ln a) 0 m u m E u M 0 a) m -7, 5 c Ln ' 0 :3 4-1 -0 m V) > Ln E 4-1 0 E E �cj 4� a) Ln 0 m m -0 a) 0 tn Ln 0 0 4-1 .�-: u M 0 M > ai -c w (1) 0- —j 0- -a 0 c: m 0 > 41 -0 Ln V) 0- u 4 X E 4-1 U c a) C m -0 C: >� 0 (D 41 0 a) - 1.- -0 V) 0 c W 0 E Q) _0 - 41 4� m 0 0) 4� 4- > C)- - 0) -E ci Q) 4- E Q, ai w CD 4� W L- 4� > 'c o cu 0- Ln M 4� w 0 Ln a) CL -- S� W Nj 4- -0 0 -0 m 0 E 0 0- .7 qj 41 aj :3 41 m , =1 u Z Ln 4- m C C — In " M aj C: 0 M -1-1 u Ln V) u 4-J 0 0 < < (D Cc LL- IW -or— -Ow cr) C- co - 0,,) w e s3 c 0 t w —,7 7 OD (1) Ac, ,;p 0 o -0 0 cr) co S- w 0 co o- t� j 0 (1) -T- co co 0 'o *cG 0 0- 0 co a) 0 0 0 0 0 0 o .V.j *CIO —IP 0 0 -ool 06) 0 C-4 CIA 0 1�5 16 (3) —co e 3P W 77 'o CO to t�o o 5-- co co 0 CO co co a) 0 0 L) OD rj 0 U" co u C� w -0 o -5 co a) m -1- 0 —31 co A-j —0 0 — u 0) co —0 u t1a 7 0 ul Q (1) o .!&, 3) o ul S 0) o 0 0 0 co w C) 0 4-1 CD 0- o 0 ul C- aD C-- — o C� 4� - 0 0 co u u aD UD to Ir- Ln 0 o 4j VII 7;:5 M ir- e) 0 0 CO CO 0 1,D cr a 7::3 m co S7- - - �) — v 14.- — 0 .�p C) 0 co co (1) If) V) a) L) C3, 71- - — (1) 5--- Ln 'o 7- In Co -16 , -.:5 S., — 0 CO CO q) a) r) 0 C, U U 0 co 0 vD 0 IaD 0 0 o W 'OD co co 7�0 0 U a) Q�)j V- 0 0 7::� (G tO .3� 0 0 0 0 0 0 70 0 0 0 7� 435 VI 0 a) Cl) In 4.j 0 0 V,) .:.-, w :- 0 U) u -0 ce) 0 cc u 0 m- in 7j' V- : co aD 0 co 0 0- 'n co 0 5 0 'o V u �11 4.1 CO 0 tLD 0 r4. r- W co 0- to 0 0 o 7� 0 C� blo 0 0 r- �a 0) ts *, CO M un %P 2� o o co co Cl- zn co 4) -0 ZA to .— r- — W 0 a 0 0 co Aj A6 4j 0 0 AP CO 0 " �p u *-� 4- (D 0 0 0 0 co -0 to 7— to .— C- .— (15 co 4� 0 co o u-- co u. 0 co u co w Agreement Between the County of Fresno and the California Department of Public Health Name/No.: CDPH Maternal, Child and Adolescent Health (MCAH) Division Agreement Funding Application (AFA). Agreement —Agreement No. 202310 MCAH and Agreement No. 202310 Black Infant Health (BIH) Fund/Subclass: 0001/10000 Organization #: 56201700, 56201706 Revenue Account #: 4382, 3530