HomeMy WebLinkAboutAgreement A-16-060-1 with United Health Centers.pdf
COUNTY OF FRESNO
Fresno, CA
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AMENDMENT I TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as “Amendment I”, is made and entered into this
____ day of __________, 2016, by and between the COUNTY OF FRESNO, a Political Subdivision
of the State of California, hereinafter referred to as “COUNTY”, and United Health Centers of the San
Joaquin Valley, Incorporated, a California Non-Profit Organization, whose address is 650 Zediker
Avenue Building 3, Parlier, California, 93648-0790, hereinafter referred to as “CONTRACTOR”
(collectively the “parties”).
WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
No. A-16-060, effective February 2, 2016, hereinafter referred to as “Agreement”, whereby
CONTRACTOR agreed to provide certain healthcare system improvement services to COUNTY’s
Department of Public Health; and
WHEREAS the parties now desire to amend the Agreement regarding changes as stated below
and restate the Agreement in its entirety.
NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
1. That the following be inserted to existing COUNTY Agreement No. A-16-060, Section
Four (4), “COMPENSATION,” beginning on Page Three (3), Line Twenty-Seven (27) before the
number “5”:
“CONTRACTOR and COUNTY agree that travel reimbursement paid to
CONTRACTOR under this Agreement will be limited to the expenses and reimbursement rates as
stated in Exhibit E, “Travel Reimbursement Information,” attached hereto and incorporated herein by
reference. COUNTY will not reimburse CONTRACTOR for any travel expenses by CONTRACTOR
that are not permitted expenses as stated in Exhibit E. In no event shall the total travel expenses under
this Agreement exceed the total travel amounts stated in Exhibit B, “Budget,” attached hereto and
incorporated herein by reference.
2. Except as otherwise provided in this Amendment I, all other provisions of the
Agreement remain unchanged and in full force and effect. This Amendment I shall become effective
upon execution.
COUNTY OF FRESNO
Fresno, CA
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3. COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the
Agreement; and that upon execution of this Amendment I, the Agreement and Amendment I together
shall be considered the Agreement.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement as
2 of the day and year first hereinabove written.
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CONTRACTOR:
UNITED HEALTH CENTERS OF THE
SAN JOAQUIN VALLEY
By: ~fU.<"~ 6' -
PrintName: {Z;&r/1 tfi.Uf5
Title: &M . :£ {!£"" D
1 Chairman of the Board, or
President, or any Vice President
Date: -----./-#""""'~""'·--"'"'" J
By:-... 7~fkk-~-·. -
Print Name: jf21,\j. ~ r(a.Lc'iot.~ cOo
Title: Q "'F 0
Secretary (of Corporation), or
any Assistant Secretary, or
ChiefFinancial Officer, or
any Assistant Treasurer
Date: --~-=-/_r=-!.lr/J.-,:2D=--=' ~:;.=-·
Mailing Address:
P.O. Box 790
Parlier, CA 93648-0790
Phone: ( 5 59) 646-6618
Contact: Colleen Curtis, Chief Executive Officer
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COUNTY OF FRESNO:
By:£__,¢-~
Chainnan>BOa:rdOfSU1)ekrs
Date: .:J ~ I :1., .1o \tv
BERNICE E. SEIDEL, Clerk
Board of Supervisors
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
COUNTY OF FRESNO
Fresno, CA
Exhibit B
Page 1 of 3
PERSONNEL
Position Title and Name Annual Salary % FTE Program Salary Ben. Rate Ben. Cost
Chief Clinical Services Officer 115,066$ 0.30 34,520$ 23% 7,940$
Program Coordinator 86,985$ 0.80 69,588$ 23% 16,005$
Health Educator 45,760$ 4.75 217,360$ 23% 49,993$
Registered Dietition 54,760$ 1.20 65,712$ 23% 15,114$
Patient Navigator (CHW)40,000$ 2.40 96,000$ 23% 22,080$
Data & Analytics Director 100,000$ 0.25 25,000$ 23% 5,750$
Transportation Driver 26,000$ 0.50 13,000$ 23% 2,990$
Sub-Total 468,571$ 10.20 521,180$ 119,871$
Total Personnel 641,051$
EQUIPMENT
Equipment 5,000$
Total Equipment 5,000$
OPERATIONAL
General Office Supplies 2,500$
Total Operational 2,500$
TRAVEL
Local travel 3,000$
Conferences/Trainings 15,000$
Total Travel 18,000$
OTHER
Meeting supplies, interpretation, child care 5,390$
Education/Training Materials 25,000$
Printing and reproduction 5,000$
Total Other 35,390$
Total Direct Costs 701,941$
Administrative (Indirect) Costs 92,090$
TOTAL BUDGET 794,031$
YEAR 1
Exhibit B
Page 2 of 3
PERSONNEL
Position Title and Name Annual Salary % FTE Program Salary Ben. Rate Ben. Cost
Program Coordinator 86,986$ 0.75 65,240$ 23% 15,005$
Patient Navigator (CHW) 40,000$ 1.20 48,000$ 23% 11,040$
Health Educator 45,760$ 2.50 114,400$ 23% 26,312$
Transportation Driver 26,000$ 0.50 13,000$ 23% 2,990$
Sub-Total 198,746$ 4.95 240,640$ 55,347$
Total Personnel 295,987$
OPERATIONAL
General Office Supplies 2,500$
Total Operational 2,500$
TRAVEL
Local travel 2,792$
Conferences/Trainings 1,000$
Total Travel 3,792$
OTHER
Meeting supplies, interpretation, child care 1,000$
Education/Training Materials 11,000$
Total Other 12,000$
Total Direct Costs 314,279$
Administrative (Indirect) Costs 3,193$
TOTAL BUDGET 317,472$
YEAR 2 BUDGET
Exhibit B
Page 3 of 3
PERSONNEL
Position Title and Name Annual Salary % FTE Program Salary Ben. Rate Ben. Cost
Program Coordinator 86,986$ 0.75 65,240$ 23% 15,005$
Patient Navigator (CHW) 40,000$ 1.20 48,000$ 23% 11,040$
Health Educator 45,760$ 2.50 114,400$ 23% 26,312$
Transportation Driver 26,000$ 0.50 13,000$ 23% 2,990$
Sub-Total 198,746$ 4.45 240,640$ 55,347$
Total Personnel 295,987$
OPERATIONAL
General Office Supplies 2,500$
Total Operational 2,500$
TRAVEL
Local travel 3,000$
Conferences/Trainings 1,000$
Total Travel 4,000$
OTHER
Meeting supplies, interpretation, child care 1,000$
Education/Training Materials 10,204$
Total Other 11,204$
Total Direct Costs 313,691$
Administrative (Indirect) Costs 27,124$
TOTAL BUDGET 340,815$
YEAR 3 BUDGET
Travel Reimbursement Information
(Mileage Reimbursement Effective 12/31/13)
1. The following rate policy is to be applied for reimbursing the travel expenses of persons under contract. The terms
“contract” and/or “subcontract” have the same meaning as “grantee” and/or “subgrantee” where applicable.
a. Reimbursement for travel and/or per diem shall be at the rates established for nonrepresented/excluded state
employees. Exceptions to California Department of Human Resources (CalHR) lodging rates may be approved by
the California Department of Public Health (CDPH) upon the receipt of a statement on/with an invoice indicating
that such rates are not available.
b. Short Term Travel is defined as a 24-hour period, and less than 31 consecutive days, and is at least 50 miles
from the main office, headquarters or primary residence. Starting time is whenever a contract or subcontract
employee leaves his or her home or headquarters. "Headquarters" is defined as the place where the contracted
personnel spends the largest portion of their working time and returns to upon the completion of assignments.
Headquarters may be individually established for each traveler and approved verbally or in writing by the program
funding the agreement. Verbal approval shall be followed up in writing or email.
c. Contractors on travel status for more than one 24-hour period and less than 31 consecutive days may claim a
fractional part of a period of more than 24 hours. Consult the chart appearing on Page 2 of this exhibit to
determine the reimbursement allowance. All lodging reimbursement claims must be supported by a receipt*. If a
contractor does not or cannot present receipts, lodging expenses will not be reimbursed.
(1) Lodging (with receipts*):
Travel Location / Area Reimbursement Rate
Statewide (excluding the counties identified below) $ 90.00 plus tax
Counties of Napa, Riverside and Sacramento $ 95.00 plus tax
Counties of Los Angeles, Orange and Ventura counties, and Edwards
AFB, excluding the City of Santa Monica
$120.00 plus tax
Counties of Alameda, Monterey, San Diego, San Mateo, and Santa Clara $125.00 plus tax
Counties of San Francisco and Santa Monica $150.00 plus tax
Reimbursement for actual lodging expenses that exceed the above amounts may be allowed with the
advance approval of the Deputy Director of the California Department of Public Health (CDPH) or his or her
designee. Receipts are required.
*Receipts from Internet lodging reservation services such as Priceline.com which require prepayment for that
service, ARE NOT ACCEPTABLE LODGING RECEIPTS and are not reimbursable without a valid lodging
receipt from a lodging establishment.
(2) Meal/Supplemental Expenses (with or without receipts): With receipts, the contractor will be reimbursed
actual amounts spent up to the maximum for each full 24-hour period of travel.
Meal / Expense Reimbursement Rate
Breakfast $ 7.00
Lunch $ 11.00
Dinner $ 23.00
Incidental expenses $ 5.00
d. Out-of-state travel may only be reimbursed if such travel is necessitated by the scope or statement of work and
has been approved in advance by the program with which the contract is held. For out-of-state travel, contractors
may be reimbursed actual lodging expenses, supported by a receipt, and may be reimbursed for meals and
supplemental expenses for each 24-hour period computed at the rates listed in c. (2) above. For all out-of-state
travel, contractors/subcontractors must have prior CDPH written or verbal approval. Verbal approval shall be
confirmed in writing (email or memo).
e. In computing allowances for continuous periods of travel of less than 24 hours, consult the chart appearing on
Page 2 of this exhibit.
Exhibit E
Page 1 of 2
f. No meal or lodging expenses will be reimbursed for any period of travel that occurs within normal working hours,
unless expenses are incurred at least 50 miles from headquarters.
2. If any of the reimbursement rates stated herein is changed by CalHR, no formal contract amendment will be required
to incorporate the new rates. However, CDPH shall inform the contractor, in writing, of the revised travel
reimbursement rates and the applicable effective date of any rate change.
At CDPH’s discretion, changes or revisions made by CDPH to this exhibit, excluding travel reimbursement policies
established by CalHR may be applied retroactively to any agreement to which a Travel Reimbursement Information
exhibit is attached, incorporated by reference, or applied by CDPH program policy. Changes to the travel
reimbursement rates stated herein may not be applied earlier than the date a rate change is approved by CalHR.
3. For transportation expenses, the contractor must retain receipts for parking; taxi, airline, bus, or rail tickets; car rental;
or any other travel receipts pertaining to each trip for attachment to an invoice as substantiation for reimbursement.
Reimbursement may be requested for commercial carrier fares; private car mileage; parking fees; bridge tolls; taxi,
bus, or streetcar fares; and auto rental fees when substantiated by a receipt.
4. Note on use of autos: If a contractor uses his/her or a company car for transportation, the rate of reimbursement will
be 56.0 cents maximum per mile. If a contractor uses his/her or a company car "in lieu of" airfare, the air coach fare
will be the maximum paid by the State. The contractor must provide a cost comparison upon request by the State.
Gasoline and routine automobile repair expenses are not reimbursable.
5. The contractor is required to furnish details surrounding each period of travel. Travel expense reimbursement detail
may include, but not be limited to: purpose of travel, departure and return times, destination points, miles driven,
mode of transportation, etc. Reimbursement for travel expenses may be withheld pending receipt of adequate travel
documentation.
6. Contractors are to consult with the program with which the contract is held to obtain specific invoicing procedures.
Per Diem Reimbursement Guide
Length of travel
period
This condition exists… Allowable Meal(s)
Less than 24 hours Trip begins at or before 6 a.m. and ends at or after 9 a.m. Breakfast may be claimed.
Less than 24 hours Trip begins at or before 4 p.m. and ends at or after 7 p.m. Dinner may be claimed.
Contractor may not claim lunch or incidentals on one-day trips. When trips are less than 24 hours and there’s no
overnight stay, meals claimed are taxable.
24 hours Trip begins at or before 6 a.m. Breakfast may be claimed.
24 hours Trip begins at or before 11 a.m. Lunch may be claimed.
24 hours Trip begins at or before 5 p.m. Dinner may be claimed.
More than 24 hours Trip ends at or after 8 a.m. Breakfast may be claimed.
More than 24 hours Trip ends at or after 2 p.m. Lunch may be claimed.
More than 24 hours Trip ends at or after 7 p.m. Dinner may be claimed.
Contractor may not claim meals provided by the State, meals included in hotel expenses or conference fees,
meals included in transportation costs such as airline tickets, or meals that are otherwise provided. Snacks and
continental breakfasts such as rolls, juice, and coffee are not considered to be meals.
Exhibit E
Page 2 of 2