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Home My WebLink AboutP-22-466 CSU Fresno Foundation Amendment One.pdf County of Fresno INTERNAL SERVICES DEPARTMENT 1$5 Facilities• Fleet-Graphics• Purchasing •Security•Technology ARE`' AMENDMENT NUMBER ONE (1) Agreement Number: P-22-466 October 16, 2023 California State University, Fresno Foundation 4910 N. Chestnut Avenue Fresno, CA 93726 Contract Number P-22-466 covering Assessment and Evaluation of Jewel of Justice Community Participatory Action Research project is amended as follows: County of Fresno, Department of Behavioral Health is replacing the current Attachment"B" (Budget)with the Revised Attachment"B" (Budget). This amendment will be effective October 16, 2023, through the expiration date of the agreement. Amendment provisions shall remain in full force and effect with any contract renewals. Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as provided in this section. A. An "electronic signature" means any symbol or process intended by an individual signing this Agreement to represent their signature, including but not limited to (1) a digital signature; (2)a faxed version of an original handwritten signature; or(3) an electronically scanned and transmitted (for example by PDF document)of a handwritten signature. B. Each electronic signature affixed or attached to this Agreement(1) is deemed equivalent to a valid original handwritten signature of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as the valid original handwritten signature of that person. C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act(Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). D. Each party using a digital signature represents that it has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each other party may rely upon that representation. This Agreement is not conditioned upon the parties conducting the transactions under it by electronic means and either party may sign this Agreement with an original handwritten signature. Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS. 333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110 The County of Fresno is an Equal Employment Opportunity Employer CONTRACT NO. P-22-466 Page 2 California State University, Fresno Foundation October 16, 2023 If you have any questions, please contact Susan Walker, Purchasing Technician, at(559) 600-7110 or email suwalker(a-)fresnocountyca.gov. FOR THE COUNTY OF FRESNO Digitally signed by Gary Gary Cornuelle Cornuelle Date:2023.10.30 13:14:49 -07'00' Gary E. Cornuelle Purchasing Manager 333 W. Pontiac Way Clovis, CA 93612 GEC:slw P-22-466 CSU Fresno Foundation Amendment One.docx CONTRACT NO. P-22-466 Page 3 California State University, Fresno Foundation October 16, 2023 CONTRACTOR TO COMPLETE: Company: California State University, Fresno Type of Entity: ❑ Individual ❑ Limited Liability Company ❑ Sole Proprietorship ❑ Limited Liability Partnership ❑ Corporation ❑ General Partnership Signature '4 / Joy J. Goto Interim Dean of Research & Grad St. 10/20/2023 Print Name and Title Date Signature Keith Kompsi Director of Fdn. Fin. Ser. 10/19/2023 Print Name and Title Date 4910 N Chestnut Ave Fresno CA 93726 Address City State Zip 559-278-0850 orsp@csufresno.edu TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS ACCOUNTING USE ONLY ORG No.: 56304792 Account No.: 7295 Requisition No.: 5632410046 (8/2022) P-22-466 CSU Fresno Foundation Amendment One.docx CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 1 of 23 10/16/2023 Community Participatory Action Evaluation California State University Fresno Foundation Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 $ $ - 1102 - 1103 - 1104 1105 - 1106 1107 - 1108 - 1109 - - 1110 - 1111 - 1112 - 1113 - - 1114 - 1115 - Direct Personnel Admin Salaries Subtotal 0.00 $ $ - Acct# Program Position FTE Admin Program Total 1116 Student Assistants 6.00 $ 9,600 $ 9,600 1117 R.Sias(Co-Principal Investigator) 0.25 2,405 2,405 1118 T.Cronin (Co-Investigator 0.25 1 2,196 2,196 1119 D. Reese(key personnel) 0.10 1,208 1,208 1120 C.Whittle(key personnel) 0.10 1,227 1,227 1121 J. Pitt-Parker(Principal Investigator) 0.00 1122 - 1123 1124 1125 1126 1127 - 1128 - 1129 - 1130 1131 1132 - 1133 - 1134 - Direct Personnel Program Salaries Subtotal 6.70 $ 16,636 $ 16,636 Admin Program Total Direct Personnel Salaries Subtotal 6.70 1 $ 16,636 Is 16,636 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ - $ - $ - 1202 Worker's Compensation - 1203 Health Insurance - - CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 2 of 23 10/16/2023 1204 Other(All Aca Yr Overload/Summer Pay/Faculty Stipends at 10%) 704 704 1205 Other(Students 2.23%) - 214 214 1206 Other(specify) - - Direct Employee Benefits Subtotal: $ $ 918 $ 918 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ $ - 1302 FICA/MEDICARE - 1303 SUI - - 1304 10ther(specify) - - 1305 10ther(specify) - 1306 10ther(specify) - Direct Payroll Taxes&Expenses Subtotal: $ $ - $ - DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ - $ 17,554 $ 17,554 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 0%1 100% 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support - 2004 lClothing, Food,&Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 10ther(specify) 2015 10ther(specify) 2016 10ther(specify) DIRECT CLIENT CARE TOTAL 1 $ - 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 3002 Printing/Postage - 3003 Office, Household&Program Supplies 500 3004 lAdvertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,000 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 10ther(specify) - 3010 10ther(specify) - CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 3 of 23 10/16/2023 3011 Other(specify) d 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 1,50 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building - 4003 Rent/Lease Equipment - 4004 1 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other(specify) - 4008 Other(specify) - 4009 10ther(specify) 4010 10ther(specify) DIRECT FACILITIES/EQUIPMENT TOTAL: $ - 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 ITranslation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL: $ - 6000: INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 jProfessional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit - 6005 Insurance(Specify): - 6006 Payroll Services - 6007 IlDepreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ INDIRECT COST RATE 0.007/ 7000:DIRECT FIXED ASSETS Acct# I Line Item Description Amount CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 4 of 23 10/16/2023 7001 Computer Equipment&Software $ - 7002 lCopiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 1 Other(specify) - 7008 10ther(specify) FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES 1 $ 19,054 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 $ 8002 Case Management 0 8003 Crisis Services 0 8004 IMedication Support 0 8005 Collateral 0 8006 Plan Development 0 8007 Assessment 0 8008 Rehabilitation 0 8009 10ther(Specify) 0 8010 10ther(Specify) 0 Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation (FFP)% 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 SABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 8302 PEI-Prevention &Early Intervention - 8303 INN-Innovations Community Participatory Action Research 19,054 8304 WET Workforce Education&Training 8305 JCFTN-Capital Facilities&Technology MHSA TOTAL $ 19,054 8400-OTHER REVENUE Acct# Line Item Description Amount CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 5 of 23 10/16/2023 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 Other(Specify) - OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: $ 19,054 NET PROGRAM COST: $ - CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 6 of 23 10/16/2023 Community Participatory Action Evaluation California State University Fresno Foundation Fiscal Year (FY) 2022 - 23 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Co-Principal Investigator (R. Sias) INN -CPAR 0.25 Total 0.25 Position Contract#/Name/Department/County FTE Co-Investigator (T. Cronin) INN -CPAR 0.25 Total 0.25 Position Contract#/Name/Department/County FTE Key Personnel (D. Reese) INN -CPAR 0.10 Total 0.10 Position Contract#/Name/Department/County FTE Key Personnel (C. Whittle) INN -CPAR 0.10 CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 7 of 23 10/16/2023 Total 0.10 Position Contract#/Name/Department/County FTE Principal Investigator (J. Pitt-Parker) INN -CPAR - Total 0.00 Position Contract#/Name/Department/County FTE Student Assistants INN -CPAR 6.00 Total 6.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 8 of 23 10/16/2023 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 9 of 23 10/16/2023 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 10 of 23 10/16/2023 Community Participatory Action Evaluation California State University Fresno Foundation Fiscal Year(FY)2022-23 Budget Narrative PROGRAM EXPENSE ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 17,554 Administrative Positions - 1101 1102 1103 1104 1105 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 10 Program Positions 16,636 1116 Student Assistants 9,600 In Year 1,the budget has allotted funds for 6 students(undergraduate and graduate) 1117 R.Sias(Co-Principal Investigator) 2,405 25%of 1-summer month one pay.Dr.Sias will serve as a Co-Principal Investigator on 1118 T.Cronin(Co-Principal Investigator) 2,196 25%of 1-summer month pay.Dr.Cronin will serve as a Co-Principal Investigator on the 1119 D.Reese(key personnel) 1,208 10%of 1-summer month pay.Dr.Reese will be involved in research design and initial 1120 C.Whittle(key personnel) 1,227 10%of 1-summer month pay.Dr.Whittle will be involved in research design and 1121 J.Pitt-Parker(Principal Investigator&Project Director) - In accordance with University policy,the time of campus administrators is not charged 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 - Direct Employee Benefits 918 1201 Retirement - 1202 Worker's Compensation 1203 Health Insurance - 1204 Other(All Aca Yr Overload/Summer Pay/Faculty 704 $7,033 x 10% -All Aca Yr Overload/Summer Pay/Faculty Stipends=$703 1205 Other(Students 2.23%) 214 $9,600 x 2.23%-All Student researchers=$214 1206 Other(specify) - Direct Payroll Taxes&Expenses: - 1301 OASDI 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 2001 Child Care 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers CONTRACT NO.P-22466 REVISED ATTACHMENT'B" California State University,Fresno Foundation Page 11 of 23 10/16/2023 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) - 3000:DIRECT OPERATING EXPENSES 1,500 3001 Telecommunications - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 500 $500 is allocated for Year 1.Supplies might include but are not limited to white 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,000 Mileage reimbursement for staff to travel within Fresno County.This will support 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 4001 Building Maintenance 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 6009 Other(specify) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 12 of 23 10/16/2023 ACCT# LINE ITEM 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 19,054 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 19,054 BUDGET CHECK: - CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 13 of 23 10/16/2023 Community Participatory Action Evaluation California State University Fresno Foundation Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 $ $ 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.00 $ $ Acct# Program Position FTE Admin Program Total 1116 Student Assistants 2.00 $ 12,600 $ 12,600 1117 R.Sias(key personnel) 0.42 4,040 4,040 1118 T.Cronin(PI) 0.42 3,689 3,689 1119 D.Reese(co-PI) 0.42 5,074 5,074 1120 C.Whittle(key personnel) 0.10 1,309 1,309 1121 - - 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 3.36 $ 26,712 $ 26,712 Admin Program Total Direct Personnel Salaries Subtotal 3.36 $ $ 26,712 $ 26,712 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ $ - $ 1202 Worker's Compensation 1203 Health Insurance - 1204 Other(All Aca Yr Overload/Summer Pay/Faculty Stipends at 10%) 1,411 1,411 1205 10ther(Students 2.23%) 281 281 1206 10ther(specify) - - Direct Employee Benefits Subtotal:l $ $ 1,692 $ 1,692 Direct Payroll Taxes&Expenses: CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 14 of 23 10/16/2023 Acct# Description Admin Program Total 1301 OASDI $ $ $ - 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 10ther(specify) 1306 10ther(specify) Direct Payroll Taxes&Expenses Subtotal: $ $ $ - DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ - $ 28,404 $ 28,404 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 0%1 100% 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) DIRECT CLIENT CARE TOTAL $ 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 3002 Printing/Postage 3003 Office,Household&Program Supplies 430 3004 Advertising - 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 430 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Isecurity CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 15 of 23 10/16/2023 4006 Utilities - 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENTTOTAL: $ 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 4,112 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 3,000 5006 Other(specify) - 5007 Other(specify) 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ 7,112 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-OwnedEquipment to be Usedfor Program Purposes) 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(specify) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) INDIRECT EXPENSES TOTAL $ INDIRECT COST RATE 0.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ TOTAL PROGRAM EXPENSES $ 35,946 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units I Rate Amount 8001 JIVIental Health Services 0 $ 1 CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" California State University,Fresno Foundation Page 16 of 23 10/16/2023 8002 Case Management 0 - 8003 Crisis Services 0 8004 Medication Support 0 8005 Collateral 0 8006 Plan Development 0 8007 Assessment 0 8008 Rehabilitation 0 8009 Other(Specify) 0 8010 Other(Specify) 0 Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% MEDI-CAL FFP TOTAL $ 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 SABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 8302 PEI-Prevention&Early Intervention 8303 INN-Innovations Community Participatory Action Research 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance - 8403 Grants(Specify) 35,946 8404 Other(Specify) - 8405 Other(Specify) OTHER REVENUE TOTAL $ 35,946 TOTAL PROGRAM FUNDING SOURCES: $ 35,946 NET PROGRAM COST: CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 17 of 23 10/16/2023 Community Participatory Action Evaluation California State University Fresno Foundation Fiscal Year (FY) 2022 - 23 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Key Personnel (R. Sias) INN - CPAR 0.42 Total 0.42 Position Contract#/Name/Department/County FTE Co-Principal Investigator(T. Cronin) INN - CPAR 0.42 Total 0.42 Position Contract#/Name/Department/County FTE Co- Investigator(D. Reese) INN - CPAR 0.42 Total 0.42 Position Contract#/Name/Department/County FTE Key Personnel (C. Whittle) INN - CPAR 0.10 CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 18 of 23 10/16/2023 Total 0.10 Position Contract#/Name/Department/County FTE INN -CPAR - Total 0.00 Position Contract#/Name/Department/County FTE Student Assistants INN -CPAR 6.00 Total 6.00 Position Contract#/Name/Department/County FTE Total 0.00 Position lContract#/Name/Department/County FTE CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 19 of 23 10/16/2023 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position lContract#/Name/Department/County FTE CONTRACT NO. P-22-466 REVISED ATTACHMENT"B" California State University, Fresno Foundation Page 20 of 23 10/16/2023 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 CONTRACT NO.P-22-466 REVISED ATTACHMENT'B" Califomia State University,Fresno Foundation Page 21 of 23 10/16/2023 Community Participatory Action Evaluation California State University Fresno Foundation Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 28,404 Administrative Positions - 1101 1102 1103 1104 1105 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 10 Program Positions 26,712 1116 Student Assistants 12,600 During Year 2,an increase of student time on project is anticipated.In Year 2,the budget has allotted funds for 2 students(graduate)at$20 an hour,21 hours a week, for 15 weeks out of the year.The budget does not build in increases for student researchers.In Year 2,student researchers will work alongside faculty researchers and supervisors to develop and implement qualitative and quantitative measures that align with the phase of implementation of the cultural intervention facilitated by Jewel of Justice(contractor). Student researchers will be responsible for various aspects of research including but not limited to ongoing data collection,transcription,data analysis of qualitative and quantitative measures,and supporting faculty researchers and supervisors with dissemination of aggregated findings.Student Assistants will work part-time not to exceed $15,600 cumulative in year two for all Student Workers combined.$20/hr x 21 hr per week x 15 weeks x 2 students=$12,600.00 1117 R.Sias(Co-Principal Investigator) 4,040 42%of 1-summer month one pay.Dr.Sias will serve as a Co-Principal Investigator on the project.Duties will include,but are not limited to supervision of student researchers,research design and initial evaluation of the Community Participatory Action Research Project,preliminary data collection and analysis,and dissemination of aggregated project findings. 1118 T.Cronin(Co-Principal Investigator) 3,689 42%of 1-summer month pay.Dr.Cronin will serve as a Co-Principal Investigator on the project.Duties will include,but are not limited to supervision of student researchers, research design and initial evaluation of the Community Participatory Action Research Project,preliminary data collection and analysis,and dissemination of aggregated project findings. 1119 D.Reese(key personnel) 5,074 42%of 1-summer month pay.Dr.Reese will be involved in research design and initial 1120 C.Whittle(key personnel) 1,309 10%of 1-summer month pay.Dr.Whittle will be involved in research design and initial evaluation of the Community Participatory Action Research Project,preliminary data collection and analysis,and dissemination of aggregated project findings. 1121 - 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 - Direct Employee Benefits 1,692 1201 IRetirement CONTRACT NO.P-22-466 REVISED ATTACHMENT"B" Califomia State University,Fresno Foundation Page 22 of 23 10/16/2023 1202 Worker's Compensation 1203 Health Insurance - 1204 Other(All Aca Yr Overload/Summer Pay/Faculty 1,411 $14,112.00 x 10%-All Aca Yr Overload/Summer Pay/Faculty Stipends=$1411.00 1205 Other(Students 2.23%) 281 $12,600.00 x 2.23%-AIIStudent researchers=$280.98 1206 Other(specify) - Direct Payroll Taxes&Expenses: 1301 OASDI 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 2001 Child Care 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) - 3000:DIRECT OPERATING EXPENSES 430 3001 Telecommunications - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 430 $430 is allocated for Year 2 Supplies might include but are not limited to binders,file folders,printer paper,toner,staples,etc.Approximately$71.67 x 6 months=$430 3004 Advertising - 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 4001 Building Maintenance 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) - 5000:DIRECT SPECIAL EXPENSES 7,112 5001 Consultant(Network&Data Management) 4,112 This budget line was created to handle any overflow of transcription that cannot be managed by the student assistants nor project faculty. We intend to use an approved Fresno State vendor qualified in transcription of sensitive health information. 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 Focus Group Incentives 3,000 Research incentives for focus groups 5006 Other(specify) - 5007 Other(specify) 5008 Other(specify) CONTRACT NO.P-22-466 REVISED ATTACHMENT'B" Califomia State University,Fresno Foundation Page 23 of 23 10/16/2023 6000:INDIRECT EXPENSES 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 6009 Other(specify) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) ACCT# LINE ITEM 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 35,946 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 35,946 BUDGETCHECK: -