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Home My WebLink AboutAgreement A-16-695 with CDPH.pdfSTA1£ Of C.-LWOIIh'IA Agreement No . 16-695 STANDARd AGREEMENT AMENDMENT !JD'21JA CMiot llilnS i Afrtll"'!11 i'I'Um~r : 14-10501 A03 1. This AQraement Ia entered Into between the state Agen·cy and Contnlc«or named below: SI&*'Ag~~nc:y'• f','"ame • ·-, •• --------AJ-IIG-Io.n-~-u-~s;;.;- C8Jifotnla Department of Public Health CO~'INamt Fresno County ~--~~~~~-------~~~~--~-------~-------------------------------2. 'rhe term ofthls July 1, 2014 tnro~h June 3.0, 2017 Agreement is; 3. The maximum amount of this $4,585 154 0.00 Ag!lement after this amen dment is: Four Million Five Hundred e:-Ghty F"lve TI!o~.aand ~ H~dred Forty Collars a.nd No Cents. 4. The perttea mutually agree to lf:lla amendment as to:lows . All actions noted below are by this reference made a part of the Agreement and lnccrporated hereln: I. The pvrpoae or this amendment Is to amend Exhlb1t A, Scope cf Work, and Extllblt B, Bud;et, to adj ust the funding amount for St:lte Fiscal Year (SFY) 16/17 and to add addlbonal runctlons to allow the contractor to complete the services ou~lned In the origfnal scope of work (SOW). II . Certai n changes made in th is amendment are ~own as : Text adc!itlons are displayed in bold and underline. Text deletions are displayed as slrlko through text (I .e,, Strike through). o\ Public If. 00~ ' DEC 21 2 16 \ # All other terms and conditions shall remain the·same: ~A9pa~"!l IN \NITNESS WHEREOF thla A rtomont haa beon oxocutod b CONTRACTOR Cclnlr1ldlof'l NIWI1• (d OIIHir t:Mn •lnQIIIIdwl. stllll wllet/ler • C#fPO..~Il, ,.rtnft.h/p, •1(;.) Fresnocoun O.!o s antcl (00 ~ I~J /:}..-;5 -I~ Pn riteo' Nll'tlall\d Tille ill' P-t-'101'-g. Ernest Buddy Mendes, Chairman , Board of Supervisors 1221 Funton Mall Freano CA g3721 · P.O. Box 11867 Fresno CA 93775 STATE OF CALIFORNIA P;lnled Nlm 1 l1g Jeff MatJes, Chief, Contra'cts Management U!11t Acfdreu 1e16 C11pttol Avenue , SUite 7-4 .317, MS 1802, P.O. Box 997377, Sacramento, CA 95899~73n (Contfnued on next page} CALIFORNIA Do(l.artmtl\1 Of O:.nenl 8trvlc.et UMOttly 121 E~~emptt~er:H80 101319 AlTEST: BERNICE E. SEIDE L. Clerk Board of Supervisors ay Sus<>-ro {S',sb'?l'l Deputy std.213a Continuation Fresno County 14-10501 A03 Page 2 III. Exhibit A, Scope of Work, Attachment 1, is hereby replaced in its entirety. IV. Exhibit B – Page 2, paragraph 4 is amended as follows: 4. Amounts Payable A. The maximum amount payable under this agreement shall not exceed the total sum of $4,508,724.00 $4,625,956.00 $4,658,209.00 $4,585,540.00. Financial year individual fund limits are: 1) Financial Year July 1, 2014 through June 30, 2015. Funds pursuant to this amendment must be expended by June 30, 2015 and will be liquidated first. 1. $629,121.00 $509,810.00, CDC PHEP Base Funds. 2. $260,246.00 $148,255.00, Laboratory Funds. 3. $0.00, Laboratory Trainee Funds. 4. $0.00, Laboratory Training Assistance Funds. 5. $197,577.00 $113,932.00, Cities Readiness Initiative Funds. 6. $323,875.00 $441,107.00 $393,253.00, HPP Funds. 7. $92,089.00, State General Funds Pandemic Influenza Funds. 2) Financial Year July 1, 2015 through June 30, 2016 1. $629,121.00.00 $750,404.00 $637,885.00, CDC PHEP Base Funds. 2. $260,246.00 $402,237.00 $253,642.00, Laboratory Funds. 3. $0.00, Laboratory Trainee Funds. 4. $0.00, Laboratory Training Assistance Funds. 5. $197,577.00 $281,279.00 $190,326.00, Cities Readiness Initiative Funds. 6. $323,875.00 $371,903.00 $309,924.00, HPP Funds. 7. $92,089.00 $92,139.00, State General Funds Pandemic Influenza Funds. 3) Financial Year July 1, 2016 through June 30, 2017 1. $629,121.00.00 $659,816.00, CDC PHEP Base Funds. 2. $260,246.00 $438,841.00, Laboratory Funds. 3. $0.00, Laboratory Trainee Funds. 4. $0.00, Laboratory Training Assistance Funds 5. $197,577.00 $268,093.00, Cities Readiness Initiative Funds 6. $323,875.00 $385,443.00, HPP Funds. 7. $92,089.00 $92,092.00, State General Funds Pandemic Influenza Funds. V. Exhibit B, Attachment 1 – Payment Criteria is hereby replaced in its entirety. VI. Exhibit B – Attachment 3 and 4, are hereby replaced in their entirety. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 1 of 27 HPP Capability 1: Healthcare System Preparedness Objective: Strengthen the ability of a community’s healthcare system to prepare, respond, and recover from incidents that have a public health and m edical impact in the short and long term. The healthcare system role in community preparedness involves coordination with emergency management, public health, mental/behavioral health providers, community and faith-based partners, state, local, and territorial governments to do the following: 1) Provide and sustain a tiered, scalable, and flexible approach to attain needed disaster response and recovery capabilities while not jeopardizing services to individuals in the community; 2) Provide timely monitoring and management of resources; 3) Coordinate the allocation of emergency medical care resources; and 4) Provide timely and relevant information on the status of the incident and healthcare system to key stakeholders. Healthcare system preparedness is achieved through a continuous cycle of planning, organizing and equipping, training, exercises, evaluations and corrective actions. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Develop, refine, or sustain Healthcare Coalitions Function 2: Coordinate healthcare planning to prepare the healthcare system for a disaster Function 3: Identify and prioritize essential healthcare assets and services Function 4: Determine gaps in the healthcare preparedness and identify resources for mitigation of these gaps Function 5: Coordinate training to assist healthcare responders to develop the necessary skills in order to respond Function 6: Improve healthcare response capabilities through coordinated exercise and evaluation Function 7: Coordinate with planning for at-risk individuals and those with special medical needs 7/1/14 – 6/30/17 7/1/16- 6/30/17 7/1/14 – 6/30/17 1. Maintain Hospital Preparedness Coordinator and HPP Partnership Coordinator. 2. Support Operational Area Healthcare Coalition by providing resources to participating healthcare facilities for planning and other preparedness activities. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. Submit annual performance measure data as required by the federal government. 6. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 2 of 27 HPP Capability 2: Healthcare System Recovery Objective: Collaborate with Emergency Management and other community partners, (public health, business, education and other partners) to develop efficient processes and advocate for the rebuilding of public health, medical, and mental/behavioral health systems to at least a level of functioning comparable to pre- incident levels and improved levels where possible. The focus is an effective and efficient return to normalcy or a new standard of normalcy for the provision of healthcare delivery to the community. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Develop recovery processes for the healthcare delivery system Function 2: Assist healthcare organizations to implement Continuity of Operations (COOP) 7/1/14 – 6/30/17 1. Support healthcare facility and operational area recovery planning. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 3 of 27 HPP Capability 3: Emergency Operations Coordination Objective: Strengthen ability for healthcare organizations to engage with incident management at the Emergency Operations Center or with on-scene incident management during an incident to coordinate information and resource allocation for affected healthcare organizations. This is done through multi-agency coordination representing healthcare organizations or by integrating this coordination into plans and protocols that guide incident management to make the appropriate decisions. Coordination ensures that the healthcare organizations, incident management, and the public have relevant and timely information about the status and needs of the healthcare delivery system in the community. This enables healthcare organizations to coordinate their response with that of the community response and according to the framework of the National Incident Management System (NIMS). Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Healthcare organization multi-agency representation and coordination with emergency operations Function 2: Assess and notify stakeholders of healthcare delivery status Function 3: Support healthcare response efforts through coordination of resources Function 4: Demobilize and evaluate healthcare operations 7/1/14 – 6/30/17 7/1/14 – 6/30/16 7/1/14 – 6/30/17 1. Maintain HPP Coordinator, Partnership Coordinator, and Healthcare Coalition and maintain operational area response plans to ensure coordination across healthcare providers, emergency management, emergency medical services, and public health. 2. Maintain emergency operation centers within Healthcare Coalition member facilities and train healthcare staff in emergency response activities including ICS (Hospital Incident Command, Nursing Facility Incident Command, and Clinic Incident Command). For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Attend CDPH annual workshop, healthcare provider related workshops, Homeland Security, other approved emergency preparedness workshops, and CDC and ASPR sponsored workshops. 4. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. Revise work plan as directed by CDPH. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 4 of 27 HPP Capability 5: Fatality Management Objective: Coordinate with organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/behavioral health services for family members, responders, and survivors of an incident. Coordination also includes the proper and culturally sensitive storage of human remains during periods of increased deaths at healthcare organizations during an incident. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Coordinate surges of deaths and human remains at healthcare organizations with community fatality management operations Function 2: Coordinate surges of concerned citizens with community agencies responsible for family assistance Function 3: Mental/behavioral support at the healthcare organization level 7/1/14 16– 6/30/17 1. Maintain HPP Coordinator, HPP Partnership Coordinator, and Healthcare Coalition. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 5 of 27 HPP Capability 6: Information Sharing Objective: Conduct multijurisdictional, multidisciplinary exchange of public health and medical related information and situational awareness between the healthcare system and local, state, Federal, tribal, and territorial levels of government and the private sector. This includes the sharing of healthcare information through routine coordination with the Joint Information System for dissemination to the local, state, and Federal levels of government and the community in preparation for and response to events or incidents of public health and medical significance. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Provide healthcare situational awareness that contributes to the incident common operating picture Function 2: Develop, refine, and sustain redundant, interoperable communication systems 7/1/14 – 6/30/17 1. Maintain HPP Coordinator, Partnership Coordinator, and Healthcare Coalition and maintain communications plan and communication equipment for Local HPP Entity and Healthcare Coalition members. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 6 of 27 HPP Capability 10: Medical Surge Objective: Strengthen ability to provide adequate medical evaluation and care during incidents that exceed the limits of the normal medical infrastructure within the community. This encompasses the ability of healthcare organizations to survive an all-hazards incident, and maintain or rapidly recover operations that were compromised. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: The Healthcare Coalition assists with the coordination of the healthcare organization response during incidents that require medical surge Function 2: Coordinate integrated healthcare surge operations with pre-hospital Emergency Medical Services (EMS) operations Function 3: Assist healthcare organizations with surge capacity and capability Function 4: Develop Crisis Standards of Care guidance Function 5: Provide assistance to healthcare organizations regarding evacuation and shelter in place operations 7/1/14 – 6/30/17 7/1/16 – 6/30/17 1. Maintain HPP Coordinator, Partnership Coordinator, and Healthcare Coalition. 2. Purchase, store and/or maintain medical supplies and equipment to ensure operational readiness to respond to a public health or medical emergency. Items may be purchased for healthcare coalition members. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 4. Revise work plan as directed by CDPH. 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 7. Submit annual performance measure data as required by the federal government. 8. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 7 of 27 HPP Capability 14: Responder Safety and Health Objective: Strengthen the ability of healthcare organizations to protect the safety and health of healthcare workers from a variety of hazards during emergencies and disasters. This includes processes to equip, train, and provide other resources needed to ensure healthcare workers at the highest risk for adverse exposure, illness, and injury are adequately protected from all hazards during response and recovery operations. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Assist healthcare organizations with additional pharmaceutical protection for healthcare workers Function 2: Provide assistance to healthcare organizations with access to additional Personal Protective Equipment (PPE) for healthcare workers during response 7/1/14 16– 6/30/17 1. Maintain HPP Coordinator, Partnership Coordinator, and Healthcare Coalition. 2. Healthcare Coalition members should maintain policies and procedures to ensure healthcare worker safety and purchase and maintain protective equipment for healthcare coalition member staff. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 4. Revise work plan as directed by CDPH. 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 7. Submit annual performance measure data as required by the federal government. 8. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 8 of 27 HPP Capability 15: Volunteer Management Objective: Strengthen the ability to coordinate the identification, recruitment, registration, credential verification, training, engagement, and retention of volunteers to support healthcare organizations with the medical preparedness and response to incidents and events. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Participate with volunteer planning processes to determine the need for volunteers in healthcare organizations Function 2: Volunteer notification for healthcare response needs Function 3: Organization and assignment of volunteers Function 4: Coordinate the demobilization of volunteers 7/1/14 – 6/30/17 7/1/16 – 6/30/17 1. Maintain access to Disaster Healthcare Volunteers system. 2. Each Healthcare Coalition member should maintain policies and procedures for incorporating volunteers into operations during public health and medical emergencies. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 4. Revise work plan as directed by CDPH. 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 7. Submit annual performance measure data as required by the federal government. 8. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Hospital Preparedness Program (HPP) Page 9 of 27 HPP Capability 16: Program Management Objective: Support Hospital Preparedness Program activities including application, progress reporting, invoicing, fiscal monitoring, and coordination across multiple capabilities including alignment with Hospital Preparedness Program (HPP). Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Coordination across multiple Capabilities Function 2: Fiscal Monitoring and Tracking Function 3: Grants Management Function 4: Reporting on Performance Measures 7/1/14 – 6/30/17 1. Maintain local HPP Coordinator, Partnership Coordinator and Healthcare Coalition to coordinate activities across capabilities. 2. Support staff to prepare application, progress reports, fiscal reports, invoicing, performance measures and other data reporting. 3. Support program operations including office supplies and equipment, communications, laptops, cell phones, fax machines, satellite phones, and other forms of communication necessary for daily operations or emergency response. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 10 of 27 PHEP Capability 1: Community Preparedness Objective: The ability of communities to prepare for, withstand, and recover — in both the short and long terms — from public health incidents. By engaging and coordinating with emergency management, healthcare organizations (private and community-based), mental/behavioral health providers, community and faith- based partners, state, local, and territorial, public health’s role in community preparedness is to do the following: 1) Support the development of public health, medical, and mental/behavioral health systems that support recovery; 2) Participate in awareness training with community and faith-based partners on how to prevent, respond to, and recover from public health incidents; 3) Promote awareness of and access to medical and mental/behavioral health resources that help protect the community’s health and address the functional needs of at-risk individuals; 4) Engage public and private organizations in preparedness activities that represent the functional needs of at-risk individuals 5) Identify those populations that may be at higher risk for adverse health outcomes; and 6) Receive and/or integrate the health needs of populations who have been displaced due to incidents that have occurred in their own or distant communities. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Determine risks to the health of the jurisdiction Function 2: Build community partnerships to support health preparedness Function 3: Engage with community organizations to foster public health, medical, and mental/behavioral health social networks Function 4: Coordinate training or guidance to ensure community engagement in preparedness efforts 7/1/14 – 6/30/17 1. Maintain Public Health Emergency Preparedness Coordinator and staff trained in emergency preparedness outreach. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by California Department of Public Health (CDPH). 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 11 of 27 PHEP Capability 2: Community Recovery Objective: Strengthen capability to collaborate with community partners (e.g., healthcare organizations, business, education, and emergency management) to plan and advocate for the rebuilding of public health, medical, and mental/behavioral health systems to at least a level of functioning comparable to pre-incident levels, and improved levels where possible. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Identify and monitor public health, medical, and mental behavioral health system recovery needs Function 2: Coordinate community public health, medical, and mental behavioral health system recovery operations Function 3: Implement corrective actions to mitigate damages from future incidents 7/1/14 16– 6/30/17 1. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 2. Revise work plan as directed by CDPH. 3. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 4. Complete and submit specific deliverables (response plans, After-Action Reports/Improvement Plans, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 5. Submit annual performance measure data as required by the federal government. 6. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 12 of 27 PHEP Capability 3: Emergency Operations Coordination Objective: Maintain Emergency operations coordination: the ability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable system of oversight, organization, and supervision consistent with jurisdictional standards and practices and with the National Incident Management System. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Conduct preliminary assessment to determine need for public activation Function 2: Activate public health emergency operations Function 3: Develop incident response strategy Function 4: Manage and sustain the public health response Function 5: Demobilize and evaluate public health emergency operations 7/1/14 – 6/30/17 7/1/14 – 6/30/16 7/1/14 – 6/30/17 1. Maintain staff trained in emergency response activities. 2. Maintain or maintain access to emergency operations center for local public health and medical response with the health department or county. 3. Attend CDPH annual workshop, healthcare provider related workshops, Homeland Security, other approved emergency preparedness workshops, and CDC and ASPR sponsored workshops. 4. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 5. Revise work plan as directed by CDPH. 6. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 7. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules, emergency operations center maintenance and software) as described in approved work plan under each selected function for each budget year. 8. Submit annual performance measure data as required by the federal government. 9. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 13 of 27 PHEP Capability 4: Emergency Public Information and Warning Objective: Maintain ability to develop, coordinate, and disseminate information, alerts, warnings, and notifications to the public and incident management responders. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Activate the emergency public information system Function 2: Determine the need for a joint public information system Function 3: Establish and participate in information system operations Function 4: Establish avenues for public interaction and information exchange Function 5: Issue public information, alerts, warnings and notifications 7/1/14 – 6/30/17 7/1/16 – 6/30/17 1. Maintain access to trained public information staff. 2. Attend training specific to the PIO function during an emergency response. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 4. Revise work plan as directed by CDPH. 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 7. Submit annual performance measure data as required by the federal government. 8. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 14 of 27 PHEP Capability 5: Fatality Management Objective: Coordinate with other organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/behavioral health services to the family members, responders, and survivors of an incident. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Determine role for public health in fatality management Function 2: Activate public health fatality management operations Function 3: Assist in the collection and dissemination of antemortem data Function 4: Participate in survivor mental/behavioral health services Function 5: Participate in fatality processing and storage operations 7/1/14 16– 6/30/17 1. Maintain staff with expertise in data collection and dissemination. 2. Maintain partnership with local fatality management lead. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 4. Revise work plan as directed by CDPH. 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 7. Submit annual performance measure data as required by the federal government. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 15 of 27 PHEP Capability 6: Information Sharing Objective: Maintain capability to conduct multi-jurisdictional, multidisciplinary exchange of health-related information and situational awareness data among federal, state, local, territorial, and tribal levels of government, and the private sector. This capability includes the routine sharing of information as well as issuing of public health alerts to federal, state, local, territorial, and tribal levels of government and the private sector in preparation for, and in response to, events or incidents of public health significance. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Identify stakeholders to be incorporated into information flow Function 2: Identify and develop rules and data elements for sharing Function 3: Exchange information to determine a common operating picture 7/1/14 – 6/30/17 7/1/14 – 6/30/16 1. Maintain Health Alert Network Administration functions (CAHAN or CAHAN Replacement system) 2. Maintain Epidemiologist or other staff with expertise in data collection and dissemination. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 4. Revise work plan as directed by CDPH. 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules, software/system costs for information sharing/redundant communications) as described in approved work plan under each selected function for each budget year. 7. Submit annual performance measure data as required by the federal government. 8. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 16 of 27 PHEP Capability 7: Mass Care Objective: Maintain ability to coordinate with partner agencies to address the public health, medical, and mental/behavioral health needs of those impacted by an incident at a congregate location. This capability includes the coordination of ongoing surveillance and assessment to ensure that health needs continue to be met as the incident evolves. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Determine public health role in mass care operations Function 2: Determine mass care needs of the impacted population Function 3: Coordinate public health, medical, and mental/behavioral health services Function 4: Monitor mass care population health 7/1/14 – 6/30/17 7/1/16 – 6/30/17 1. Maintain partnership with local mass care lead. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 17 of 27 PHEP Capability 8: Medical Countermeasure Dispensing Objective: Maintain ability to provide medical countermeasures (including vaccines, antiviral drugs, antibiotics, antitoxin, and any others needed.) in support of treatment or prophylaxis (oral or vaccination) to the identified population in accordance with public health guidelines and/or recommendations. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Identify and initiate medical countermeasure (MCM) dispensing strategies Function 2: Receive medical countermeasures Function 3: Activate dispensing modalities Function 4: Dispense medical countermeasures to identified population Function 5: Report adverse events 7/1/14 – 6/30/17 7/1/14 – 6/30/16 7/1/14 – 6/30/17 1. Maintain Public Health Emergency Preparedness Coordinator and staff trained in emergency response activities. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, Rand drills as required, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Meet annual MCM distribution requirements including inventory system drill and facility call down drill. 7. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 18 of 27 PHEP Capability 9: Medical Materiel Management and Distribution Objective: Maintain ability to acquire, maintain (e.g., cold chain storage or other storage protocol) transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) during an incident and to recover and account for unused medical materiel, as necessary, after an incident. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Direct and activate medical materiel management and distribution Function 2: Acquire medical materiel Function 3: Maintain updated inventory management and reporting system Function 4: Establish and maintain security Function 5: Distribute medical materiel Function 6: Recover medical materiel and demobilize distribution operations 7/1/14 – 6/30/17 7/1/14 – 6/30/16 1. Purchase, store, and/or maintain medical supplies and equipment to ensue operational readiness to respond to a public health or medical emergency. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 19 of 27 PHEP Capability 10: Medical Surge Objective: Maintain the ability to provide adequate medical evaluation and care during events that exceed the limits of the normal medical infrastructure of an affected community, encompassing the ability of the healthcare system to survive a hazard impact and maintain or rapidly recover operations that were comprised. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Assess the nature and scope of the incident Function 2: Support activation of medical surge Function 3: Support jurisdictional medical surge operations Function 4: Support demobilization of medical surge operations 7/1/14 16– 6/30/17 7/1/14 – 6/30/17 7/1/16 – 6/30/17 1. Maintain partnership with County Hospital Preparedness Program to align activities and goals. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Purchase, store, and/or maintain medical supplies and equipment to ensure operational readiness to respond to a public health or medical emergency. 7. Submit annual performance measure data as required by the federal government. 8. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 20 of 27 PHEP Capability 11: Non-Pharmaceutical Interventions Objective: Maintain ability to recommend to the applicable local lead agency (if not local public health) and implement, if applicable, strategies for disease, injury and exposure control. Strategies include: isolation and quarantine; restrictions on movement and travel advisory/warnings; social distancing; external decontamination; hygiene; and precautionary protective behaviors. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Engage partners and identify factors that impact non-pharmaceutical interventions Function 2: Determine non-pharmaceutical interventions Function 3: Implement non-pharmaceutical interventions Function 4: Monitor non-pharmaceutical interventions 7/1/14 16– 6/30/17 1. Maintain Public Health Emergency Preparedness Coordinator and staff trained in emergency response activities. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 21 of 27 PHEP Capability 12: Public Health Laboratory Testing Objective: Maintain ability to conduct rapid and conventional detection, characterization, confirmatory testing, data reporting, investigative support, and laboratory networking to address actual or potential exposure to all-hazards. Hazards include chemical, radiological, and biological agents in multiple matrices that may include clinical samples, food, and environmental samples (e.g., water, air, and soil). This capability support routine surveillance, including pre-event or pre- incident and post-exposure activities. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Manage laboratory activities Function 2: Perform sample management Function 3: Conduct testing and analysis for routine surge capacity Function 4: Support public health investigations Function 5: Report laboratory results 7/1/14 – 6/30/17 7/1/16 – 6/30/17 7/1/14 – 6/30/17 1. Maintain Public Health Laboratory or access to Public Health Laboratory and maintain list of laboratory contacts. 2. Purchase and/or maintain laboratory supplies needed for a surge in laboratory testing including items such as reagents and other testing items. 3. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 4. Revise work plan as directed by CDPH. 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 7. Submit annual performance measure data as required by the federal government. 8. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 22 of 27 PHEP Capability 13: Public Health Surveillance and Epidemiological Investigation Objective: Ensure ability to create, maintain, support, and strengthen routine surveillance and detection systems and epidemiological investigation processes, as well as to expand these systems and processes in response to incidents of public health significance. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Conduct public health surveillance and detection Function 2: Conduct public health and epidemiological investigations Function 3: Recommend, monitor, and analyze mitigation actions Function 4: Improve public health surveillance and epidemiological investigation systems 7/1/14 – 6/30/17 1. Maintain capacity for surveillance and epidemiological investigation. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 23 of 27 PHEP Capability 14: Responder Safety and Health Objective: Maintain ability to protect public health agency staff responding to an incident and the ability to support the health and safety needs of hospital and medical facility personnel, as requested. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Identify responder safety and health risks Function 2: Identify safety and personal protective needs Function 3: Coordinate with partners to facilitate risk-specific safety and health training Function 4: Monitor responder safety and health actions 7/1/14 – 6/30/17 7/1/16 – 6/30/17 1. Develop procedures to ensure safety of public health workforce and purchase and maintain protective equipment for employees according to these procedures. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 24 of 27 PHEP Capability 15: Volunteer Management Objective: The ability to coordinate the identification, recruitment, registration, credential verification, training, and engagement of volunteers to support the jurisdictional public health agency’s response to incidents of public health significance. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Coordinate volunteers Function 2: Notify volunteers Function 3: Organize, assemble, and dispatch volunteers Function 4: Demobilize volunteers 7/1/14 16– 6/30/17 1. Maintain local administrative functions to ensure operational readiness of the Disaster Healthcare Volunteers system. 2. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. 3. Revise work plan as directed by CDPH. 4. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 5. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 6. Submit annual performance measure data as required by the federal government. 7. Participate in annual statewide medical and health exercise. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Public Health Emergency Preparedness (PHEP) Page 25 of 27 PHEP Capability 16: Program Management Objective: Support public health emergency preparedness program activities including application, progress reporting, invoicing, fiscal monitoring, and coordination across multiple capabilities including alignment with Hospital Preparedness Program (HPP). Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Coordination across multiple Capabilities Function 2: Fiscal Monitoring and Tracking Function 3: Grants Management Function 4: Reporting on Performance Measures 7/1/14 – 6/30/17 1. Maintain local Public Health Emergency Preparedness Coordinator. 2. Support staff to prepare application, progress reports, fiscal reports, invoicing, performance measures and other data reporting. 3. Support program operations including office supplies and equipment, communications, laptops, cell phones, fax machines, satellite phones, and other forms of communication necessary for daily operations or emergency response. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Pandemic Influenza Planning Page 26 of 27 Pandemic Influenza Capability 1: Planning and Preparedness Activities Objective: The ability of communities to prepare for, withstand, and recover from public health incidents including a potential pandemic influenza. By engaging and coordinating with emergency management, healthcare organizations (private and community-based), mental/behavioral health providers, community and faith- based partners, state, local, and territorial, public health’s role in preparing for, responding to, and recovering from a public health incident such as a pandemic influenza. Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Develop, maintain and/or strengthen local pandemic influenza emergency response plan Function 2: Test pandemic influenza response in drills, exercises, and real events Function 3: Engage public and private partners to ensure coordinated response efforts Function 4: Maintain surveillance system for reporting severe and fatal cases of laboratory confirmed influenza as required by CDPH 7/1/14 – 6/30/17 1. Maintain Pandemic Influenza Coordinator and other trained staff needed to complete pandemic plans and testing of plans. 2. Maintain pandemic influenza operational response plans including plans for Government Authorized Alternate Care Sites. Purchase, store, and/or maintain supplies and equipment for operation of an alternate care site. 3. Hold mass vaccination clinics including the purchase of influenza or pneumococcal vaccine and other supplies for use in these clinics. Maintain capacity to store vaccine under refrigeration. 4. For each selected function, develop work plan activities for each budget year according to annual Local Application Guidance. Revise work plan as directed by California Department of Public Health (CDPH). 5. Submit mid-year and year-end progress reports to CDPH according to guidelines within the Local Application Guidance. 6. Complete and submit specific deliverables (response plans, After-Action Reports, meeting minutes, training schedules) as described in approved work plan under each selected function for each budget year. 7. Test capability in annual statewide medical and health exercise and/or other drills, exercises or real events. Fresno County 14-10501 A03 Exhibit A – Attachment 1 Fresno County Scope of Work Pandemic Influenza Planning Page 27 of 27 Pandemic Influenza Capability 16: Program Management Objective: Support Pandemic Influenza planning and preparedness program activities including application, progress reporting, invoicing, fiscal monitoring, and coordination across multiple capabilities including alignment with Hospital Preparedness Program (HPP). Activities to Support the Objective Timeline Evaluation/Deliverables Function 1: Coordination across multiple Capabilities Function 2: Fiscal Monitoring and Tracking Function 3: Grants Management 7/1/14 – 6/30/17 1. Maintain local Public Health Emergency Preparedness Coordinator. 2. Support staff to prepare application, progress reports, fiscal reports, invoicing, performance measures and other data reporting. 3. Support program operations including office supplies and equipment, communications, laptops, cell phones, fax machines, satellite phones, and other forms of communication necessary for daily operations or emergency response. Exhibit B - Attachment 3 Fresno County Budget Cost Sheet - Year 2 Fresno County 14-10501 A03 2015 - 2016 PROJECT BUDGET Personnel Position Title and Number of each FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost Public Health Nurse (1)35%83,246$ $29,136 -$ $0 -$ $0 -$ $0 30%83,247$ $24,974 25%74,890$ $18,723 15%74,890$ $11,234 316,272$ $84,066 Coordinator (1)25%67,998$ $17,000 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 67,998$ $17,000 PHEP Coordinator (2)50%75,976$ $37,988 -$ $0 -$ $0 -$ $0 10%75,975$ $7,598 -$ $0 10%75,980$ $7,598 227,931$ $53,184 Health Education Specialist (3)75%42,309$ $31,732 -$ $0 -$ $0 -$ $0 40%42,309$ $16,924 -$ $0 35%42,309$ $14,808 126,927$ $63,464 Epidemiologist (2)80%68,755$ $55,004 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 68,755$ $55,004 System Procedure Analyst (1)10%70,079$ $7,008 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 70,079$ $7,008 Staff Analyst (1)60%71,232$ $42,739 -$ $0 -$ $0 -$ $0 5%71,230$ $3,562 30%71,230$ $21,369 5%71,230$ $3,562 284,922$ $71,231 Staff Analyst I (1)100%42,330$ $42,330 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 42,330$ $42,330 Office Assistant (1)30%35,487$ $10,646 -$ $0 -$ $0 -$ $0 70%35,487$ $24,841 -$ $0 -$ $0 70,974$ $35,487 Program Technician (2)40%37,338$ $14,935 -$ $0 -$ $0 -$ $0 79%36,211$ $28,607 10%37,340$ $3,734 -$ $0 110,888$ $47,276 Sr Public Health Microbiologist (1)-$ $0 100%68,859$ $68,859 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 68,859$ $68,859 Public Health Microbiologist (1)-$ $0 40%48,143$ $19,257 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 48,143$ $19,257 Lab Assistant (1)-$ $0 25%23,020$ $5,755 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 23,020$ $5,755 HPP Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 30%75,977$ $22,793 -$ $0 75,977$ $22,793 LEMSA Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 50%28,064$ $14,032 -$ $0 28,064$ $14,032 Sr. Epidemiologist (1)50%72,430$ $36,215 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 72,430$ $36,215 Extra Help EPI Program Tech (1)20%34,270$ $6,854 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 34,270$ $6,854 Extra Help PH Mircrobiologist (1)-$ $0 26%40,767$ $10,599 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 40,767$ $10,599 Lab Trainee (1)-$ $0 100%16,535$ $16,535 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 16,535$ $16,535 PHN/Partnership Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 20%83,245$ $16,649 -$ $0 83,245$ $16,649 PHN/Pan Flu Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 15%83,243$ $12,487 83,243$ $12,487 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 $254,603 $121,006 $0 $0 $81,663 $64,545 $38,454 $560,271 $235,600 $103,772 $68,833 $60,232 $506,892 Fringe Benefits %%%%%%% 75.51%$192,257 63.12%$76,374 #DIV/0!$0 #DIV/0!$0 71.58%$58,452 80.29%$51,823 77.08%$29,642 $408,548 $177,908 $65,497 $49,269 $48,360 $370,675 Subtotal Personnel and Fringe $446,860 $197,380 $0 $0 $140,115 $116,368 $68,096 $968,819 $413,508 $169,270 $118,102 $108,592 $877,567 Operating Expenses $63,341 $31,809 $0 $0 $62,682 $61,352 $9,522 $228,705 $58,349 $12,833 $36,876 $55,584 $173,163 Equipment (Minor)Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Folding Chairs 24 52.47 $1,259 $0 $0 $0 $0 $0 $0 $1,259 Folding Stacked Chair Cart 1 235.66 $236 $0 $0 $0 $0 $0 $0 $236 Crown Control Barricade 3 227.27 $682 $0 $0 $0 $0 $0 $0 $682 Victor X4 $0 1 $28,158 $28,158 $0 $0 $0 $0 $0 $28,158 Laptop/Tablet $0 1 $1,500 $1,500 $0 $0 5 $2,500 $12,500 $0 $0 $14,000 16' Storage Trailer $0 $0 $0 $0 $0 3 $7,146 $21,438 $0 $21,438 Gamma Scout Hand Held Geiger Counter $0 $0 $0 $0 $0 1 $670 $670 $0 $670 Shelter 20x10 ft $0 $0 $0 $0 $0 1 $481 $481 $0 $481 Motorola XPR6550 Portable Radio $0 $0 $0 $0 $0 3 $981 $2,942 $0 $2,942 Portable Generator $0 $0 $0 $0 2 $6,500 $13,000 $0 3 $4,842 $14,526 $27,526 Storage Trailer, Trailer cover, and logo wrap 1 12000 $12,000 $0 $0 $0 $0 $0 $0 $12,000 Refrigerator/ Freezer with warranty 1 10984.9 $10,985 $0 $0 $0 $0 $0 $0 $10,985 Replacement of Safety Hood $0 1 $9,789 $9,789 $0 $0 $0 $0 $0 $9,789 XE 1200 HVAC System $0 $0 $0 $0 $0 1 $8,091 $8,091 $0 $8,091 APS All Purpose Stacker $0 $0 $0 $0 $0 1 $12,379 $12,379 $0 $12,379 Laptop/Tablet and accessories $0 $0 $0 $0 $0 $0 1 $2,000 $2,000 $2,000 $0 $0 $0 $0 $0 $0 $0 $0 Equipment Subtotal $22,985 $9,789 $0 $0 $13,000 $20,470 $2,000 $68,244 $10,985 $0 $0 $20,469 $33,454 In State Travel/Per Diem (Be sure travel is referenced in the SOW)$6,709 $4,494 $0 $0 $2,600 $1,303 $550 $15,656 $3,711 $0 $637 $6,201 Out of State Travel/Per Diem (Be sure OST is referenced in the SOW)$4,609 $3,000 $0 $0 $0 $0 $0 $7,609 $0 $4,609 TOTALSCDC PHEP Base Funds Laboratory Funds Laboratory Trainee Funds Laboratory Training Assistance Funds GFPFCities Readiness Initiative Funds HPP Funds Exhibit B - Attachment 3 Fresno County Budget Cost Sheet - Year 2 Fresno County 14-10501 A03 2015 - 2016 PROJECT BUDGET TOTALSCDC PHEP Base Funds Laboratory Funds Laboratory Trainee Funds Laboratory Training Assistance Funds GFPFCities Readiness Initiative Funds HPP Funds Subcontracts Resources for Independence, Central Valley (RICV)$20,500 $0 $0 $0 $20,500 $0 $0 $41,000 HMS, Inc.$10,250 $0 $0 $0 $0 $0 $0 $10,250 Verizon $2,281 $0 $0 $0 $0 $0 $0 $2,281 Sprint $3,500 $0 $0 $0 $0 $0 $0 $3,500 DOC phone lines $3,090 $0 $0 $0 $0 $0 $0 $3,090 SAS License $3,615 $0 $0 $0 $0 $0 $0 $3,615 Peninsula Courier $0 $2,500 $0 $0 $0 $0 $0 $2,500 New Life Technologies $0 $22,720 $0 $0 $0 $0 $3,000 $25,720 Flu media campaign $0 $0 $0 $0 $0 $0 $0 $0 IEHIE Agreement $7,500 $0 $0 $0 $0 $0 $0 $7,500 PerkinElmer Victor X4/TRF Maintance Agreement $0 $6,000 $0 $0 $0 $0 $0 $6,000 Lab Director $0 $11,100 $0 $0 $0 $0 $0 $11,100 Consultant Time $0 $0 $0 $0 $0 $23,500 $0 $23,500 $0 $0 $0 $0 $0 $0 $0 $0 Subcontract Subtotal $50,736 $42,320 $0 $0 $20,500 $23,500 $0 $137,056 $25,144 $39,150 $7,625 $95,418 Other Costs Software and Licenses $42,000 $61,964 $0 $0 $2,300 $0 $162 $106,426 Training $17,185 $0 $0 $0 $0 $101,357 $0 $118,542 Exercise Materials $0 $0 $0 $0 $4,061 $31,920 $5,000 $40,981 Maintenance Agreements $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Other Costs Subtotal $59,185 $61,964 $0 $0 $6,361 $101,357 $162 $229,029 $40,770 $0 $2,727 $61,554 $105,213 Total Direct Costs $654,424 $350,756 $0 $0 $245,258 $324,351 $80,330 $1,655,119 $557,074 $221,252 $165,967 $271,002 $1,295,625 Total Indirect Costs $95,980 $51,481 $0 $0 $36,021 $47,552 $11,809 $242,842 (14.67%,14.51%; 14.64%;14.68; 14,36%; 14.7% of Total Direct Costs)$80,810 $32,390 $24,359 $38,922 $188,290 Total Costs $750,404 $402,237 $0 $0 $281,279 $371,903 $92,139 $1,897,961 $637,885 $253,642 $190,326 $309,924 $1,483,915 Out of State Travel: LRN Training, Richmond Virginia Supplies means: consumables office supply these are item that may be destroyed, dissipated, wasted are products that consumers buy recurrently i.e., items which "get used up" or discarded. For example consumable office supplies are such products as paper, pens, file folder, binders, post-it notes, computer disks, and toner or ink cartridges..etc.. Note: Supplies do not include capital goods such as computers, fax machines, and other business machines or office furniture these would need to be set up in there own line item. Note: Budget should link back to the SOW i.e. subcontractors/conferences/meeting/training/travel/printing/major equipment etc.... these types of services must be identified in the SOW (who/what/when and where) Exhibit B - Attachment 4 Fresno County Budget Cost Sheet - Year 3 Fresno County 14-10501 A03 2016 - 2017 PROJECT BUDGET Personnel Position Title and Number of each FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost FTE Salary Cost Public Health Nurse (1)35%85,440$ $29,904 -$ $0 -$ $0 -$ $0 30%85,440$ $25,632 25%74,890$ $18,723 15%74,890$ $11,234 320,660$ $85,492 Coordinator (1)25%67,998$ $17,000 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 67,998$ $17,000 PHEP Coordinator (2)45%78,300$ $35,235 -$ $0 -$ $0 -$ $0 10%78,300$ $7,830 35%78,300$ $27,405 10%78,300$ $7,830 313,200$ $78,300 Health Education Specialist (3) (2)75%42,788$ $32,091 -$ $0 -$ $0 -$ $0 40%42,788$ $17,115 -$ $0 35%42,789$ $14,976 128,364$ $64,182 Epidemiologist (2) (1)50%59,926$ $29,963 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 59,926$ $29,963 System Procedure Analyst (1)10%70,079$ $7,008 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 70,079$ $7,008 Staff Analyst (1)55%70,902$ $38,996 -$ $0 -$ $0 -$ $0 5%70,900$ $3,545 35%70,903$ $24,816 5%70,900$ $3,545 283,605$ $70,902 Staff Analyst I (1)100%42,330$ $42,330 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 42,330$ $42,330 Office Assistant (1)30%35,487$ $10,646 -$ $0 -$ $0 -$ $0 70%35,487$ $24,841 -$ $0 -$ $0 70,974$ $35,487 Program Technician (1)40%39,475$ $15,790 -$ $0 -$ $0 -$ $0 50%39,475$ $19,738 10%39,475$ $3,948 -$ $0 118,425$ $39,475 Sr Public Health Microbiologist (1)-$ $0 100%68,484$ $68,484 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 68,484$ $68,484 Public Health Microbiologist (1)-$ $0 40%47,210$ $18,884 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 47,210$ $18,884 Lab Assistant (1)-$ $0 25%31,278$ $5,773 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 31,278$ $5,773 HPP Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 75%68,000$ $51,000 -$ $0 68,000$ $51,000 LEMSA Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 50%28,064$ $14,032 -$ $0 28,064$ $14,032 Sr. Epidemiologist (1)23%72,046$ $16,571 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 72,046$ $16,571 Supervising PHN (1)20%99,113$ $19,823 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 99,113$ $19,823 Lab Trainee (1)-$ $0 100%18,275$ $18,275 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 18,275$ $18,275 PHN, Coalition Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 20%85,438$ $17,088 -$ $0 85,438$ $17,088 Pan Flu Coordinator (1)-$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 15%85,437$ $12,816 85,437$ $12,816 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 -$ $0 $218,372 $111,416 $0 $0 $73,860 $73,256 $39,167 $516,070 Fringe Benefits %%%%%%% 74.17%$161,967 65.50%$72,978 #DIV/0!$0 #DIV/0!$0 0.00%$56,593 77.75%$56,957 74.38%$29,132 $377,627 Subtotal Personnel and Fringe $380,339 $184,394 $0 $0 $130,452 $130,213 $68,299 $893,697 Operating Expenses $63,286 $89,549 $0 $0 $15,146 $163,620 $11,458 $343,059 Equipment (Minor)Quantity Unit Price Total Quantity Unit Price Total Quantit Unit Price Total Quantit Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Quantity Unit Price Total Folding Chairs 24 52.47 $1,259 $0 $0 $0 $0 $0 $0 $1,259 Folding Stacked Chair Cart 1 235.66 $236 $0 $0 $0 $0 $0 $0 $236 Crown Control Barricade 3 227.27 $682 $0 $0 $0 $0 $0 $0 $682 Victor X4 $0 1 $28,158 $28,158 $0 $0 $0 $0 $0 $28,158 Laptop/Tablet $0 1 $1,500 $1,500 $0 $0 5 $2,500 $12,500 $0 $0 $14,000 16' Storage Trailer $0 $0 $0 $0 $0 3 $7,146 $21,438 $0 $21,438 Gamma Scout Hand Held Geiger Counter $0 $0 $0 $0 $0 1 $670 $670 $0 $670 Shelter 20x10 ft $0 $0 $0 $0 $0 1 $481 $481 $0 $481 Motorola XPR6550 Portable Radio $0 $0 $0 $0 $0 3 $981 $2,942 $0 $2,942 Portable Generator $0 $0 $0 $0 $0 $0 3 $4,842 $14,526 $14,526 Lab/ Pharmacy Refrigerator 2 7000 $14,000 $0 $0 $0 $0 $0 $0 $14,000 Hood Fan Replacement $0 1 $20,000 $20,000 $0 $0 $0 $0 $0 $20,000 Bio Safety Hood - 6ft $0 2 $10,724 $21,449 $0 $0 $0 $0 $0 $21,449 Bio Safety Hood - 3ft $0 1 $6,920 $6,920 $0 $0 $0 $0 $0 $6,920 Generator for HVAC $0 $0 $0 $0 1 $7,239 $7,239 $0 $7,239 $0 $0 $0 $0 $0 $0 $0 $0 Equipment Subtotal $14,000 $48,369 $0 $0 $0 $7,239 $0 $69,607 TOTALSCDC PHEP Base Funds Laboratory Funds Laboratory Trainee Funds Laboratory Training Assistance Funds GFPFCities Readiness Initiative Funds HPP Funds Exhibit B - Attachment 4 Fresno County Budget Cost Sheet - Year 3 Fresno County 14-10501 A03 2016 - 2017 PROJECT BUDGET TOTALSCDC PHEP Base Funds Laboratory Funds Laboratory Trainee Funds Laboratory Training Assistance Funds GFPFCities Readiness Initiative Funds HPP Funds In State Travel/Per Diem (Be sure travel is referenced in the SOW)$4,084 $5,303 $0 $0 $2,050 $6,273 $550 $18,260 Out of State Travel/Per Diem (Be sure OST is referenced in the SOW)$3,300 $1,500 $0 $0 $0 $3,450 $0 $8,250 Subcontracts Resources for Independence, Central Valley (RICV)$14,350 $0 $0 $0 $26,650 $0 $0 $41,000 HMS, Inc.$10,250 $0 $0 $0 $0 $0 $0 $10,250 Verizon $3,193 $0 $0 $0 $0 $0 $0 $3,193 Sprint $3,307 $0 $0 $0 $0 $0 $0 $3,307 DOC phone lines $3,090 $0 $0 $0 $0 $0 $0 $3,090 SAS License $1,800 $0 $0 $0 $0 $0 $0 $1,800 Peninsula Courier $0 $1,500 $0 $0 $0 $0 $0 $1,500 New Life Technologies $0 $18,320 $0 $0 $0 $0 $3,000 $21,320 Flu media campaign $0 $0 $0 $0 $0 $0 $0 $0 Inland Empire Health Information Exchange (IEHIE)$21,500 $0 $0 $0 $0 $0 $0 $21,500 Prezi Software (2)$1,590 $0 $0 $0 $0 $0 $0 $1,590 Jerry Petersen, Lab Director $0 $11,100 $0 $0 $0 $0 $0 $11,100 Bio Defense $0 $0 $0 $0 $57,485 $0 $0 $57,485 $0 $0 $0 $0 $0 $0 $0 $0 Subcontract Subtotal $49,490 $12,600 $0 $0 $84,135 $0 $0 $146,225 Other Costs Software and Licenses $35,650 $12,000 $0 $0 $0 $0 $0 $47,650 Training $25,225 $245 $0 $0 $2,000 $25,320 $0 $52,790 Exercise Materials $0 $0 $0 $0 $5,142 $31,920 $5,000 $42,062 Maintenance Agreements $0 $28,720 $0 $0 $0 $0 $0 $28,720 $0 $0 $0 $0 $0 $0 $0 $0 $0 Other Costs Subtotal $60,875 $40,965 $0 $0 $2,000 $25,320 $0 $129,160 Total Direct Costs $575,374 $382,679 $0 $0 $233,783 $336,115 $80,306 $1,608,257 Total Indirect Costs $84,442 $56,162 $0 $0 $34,310 $49,328 $11,786 $236,028 (14.67% 14.7% of Total Direct Costs) Total Costs $659,816 $438,841 $0 $0 $268,093 $385,443 $92,092 $1,844,285 Out of State Travel: CSTE Conferences, TBD; PHEP Summit, Atlanta GA.; Conventional BT Methods, Richmond, CA; National Healthcare Coalition Conference, Washington, DC. Supplies means: consumables office supply these are item that may be destroyed, dissipated, wasted are products that consumers buy recurrently i.e., items which "get used up" or discarded. For example consumable office supplies are such products as paper, pens, file folder, binders, post-it notes, computer disks, and toner or ink cartridges..etc.. Note: Supplies do not include capital goods such as computers, fax machines, and other business machines or office furniture these would need to be set up in there own line item. Note: Budget should link back to the SOW i.e. subcontractors/conferences/meeting/training/travel/printing/major equipment etc.... these types of services must be identified in the SOW (who/what/when and where) Fresno County 14-10501 A03 Page 1 of 5 •Signed FY 2014-15 Allocation Agreement Contract. Fully executed FY 15-16 Contract Amendment. •Signed FY 2014-15 Allocation Agreement Contract. Fully executed FY 15-16 Contract Amendment. •Receipt of all required application documents •Receipt of all required application documents •Approved PHEP/CRI Work Plan •Approved PHEP Lab Work Plan •Approved PHEP/CRI Budget •Approved PHEP Lab Budget •Submission of FY13-14 PHEP Year End Progress Report, Submission of FY14-15 PHEP/CRI Year End Progress and Expenditure Reports •Submission of FY 13-14 Year End Progress Report, Submission of FY14-15 LAB Year End Progress and Expenditure Reports Payment •1st Quarter Payment Criteria must be met •Same as PHEP/CRI as it Applies to Lab •Receipt of FY13-14 PHEP Year End Expenditure Report Submission of FY 15-16 PHEP/CRI Year End Progress and Expenditure Reports •Approved budget revision Carry-Forward amount •Signed Agreement Amendment, includes Carry- Forward •If required, submission of FY13-14 Supplemental Work Plan Progress Report •Receipt of PHEP Supporting Documentation demonstrating unique expenditures for a minimum of 25% of Initial PHEP Base and/or CRI to cover the Q1 advance payment. •Contractor submits an invoice for unique approvable PHEP/CRI expenditures for a minimum of 25% of their initial allocation enough to cover the Q1 advance payment. Payment CDPH must receive the following: CDPH must receive the following: Advance payment of 25% of initial FY 14-15, 15-16, 16-17 CDC PHEP Base and/or CRI Fund allocation Advance payment of 25% of initial FY 14-15, 15-16, 16-17 Lab Fund (not including lab trainees) allocation Receipt of an invoice equivalent to the Q1 advance payment, is a no payment. Any expenditures exceeding the Q1 advance payment will be paid from funds expiring June 30, 2015, 2016, 2017, in the appropriate category, first. Exhibit B, Attachment 1 - Payment Criteria 2014-15, 2015-16, 2016-17 CDC Public Health Emergency Preparedness (PHEP), HHS Hospital Preparedness Program (HPP) Funding (CFDA# 93.074) and State General Fund (GF) Pandemic Influenza 2014-15, 2015-16, 2016-17 Allocation Agreement Criteria Reference Lab Funds ($260,246 total to each Reference Lab) 1st Quarter Payment 2nd Quarter Payment CDC PHEP and Cities Readiness Initiative (CRI) CDPH must receive the following: Criteria CDPH must receive the following: If receipt of more than the 25% minimum requirement, first pay carry-forward, if applicable, matching PHEP Supporting Documentation submission up to the carry- forward total. Second pay 25% of PHEP allocation, if there is still PHEP Supporting Documentation remaining will be 25% of the total CDC PHEP Base and/or CRI Fund. Same as PHEP/CRI as it applies to Lab Fresno County 14-10501 A03 Page 2 of 5 Exhibit B, Attachment 1 - Payment Criteria 2014-15, 2015-16, 2016-17 CDC Public Health Emergency Preparedness (PHEP), HHS Hospital Preparedness Program (HPP) Funding (CFDA# 93.074) and State General Fund (GF) Pandemic Influenza 2014-15, 2015-16, 2016-17 Allocation Agreement •1st & 2nd Payment Criteria must be met •1st & 2nd Payment Criteria must be met •Receipt of FY 14-15, 15-16, 16-17 PHEP/CRI Mid- Year reports •Same as PHEP/CRI as it applies to Lab •if required, completed PHEP/CRI Supplemental Work Plan and final report Funds carried over from the previous year must be spent by March 31, 2017 and Invoiced by April 30, 2017. •Receipt of PHEP Supporting Documentation demonstrating unique expenditures for a minimum of 25% of Initial Allocation. •Contractor Submits an invoice for unique approvable PHEP/CRI expenditures. Payment •1st, 2nd & 3rd Payment Criteria must be met •1st, 2nd & 3rd Payment Criteria must be met •Receipt of required Performance Measure reports •Same as PHEP/CRI as it applies to Lab •Receipt of PHEP Supporting Documentation demonstrating unique expenditures for a minimum of 25% of Initial Allocation. •Contractor Submits an invoice for unique approvable PHEP/CRI expenditures. Payment Additional expenditures will be paid from funds expiring June 30, 2015, 2016, 2017, in the appropriate category first. Same as PHEP/CRI as it applies to Lab Additional expenditures will be paid from funds expiring June 30, 2015, 2016, 2017, in the appropriate category first. Same as PHEP/CRI as it applies to Lab If receipt of more than the 25% minimum requirement, first pay carry-forward, if applicable, matching PHEP Supporting Documentation submission up to the carry- forward total. Second pay 25% of PHEP allocation, if there is still PHEP Supporting Documentation remaining will be 25% of the total CDC PHEP Base and/or CRI Fund. Criteria Final Payment Criteria If receipt of more than the 25% minimum requirement, first pay carry-forward, if applicable, matching PHEP Supporting Documentation submission up to the carry- forward total. Second pay 25% of PHEP allocation, if there is still PHEP Supporting Documentation remaining will be 25% of the total CDC PHEP Base and/or CRI Fund. 3rd Quarter Payment Fresno County 14-10501 A03 Page 3 of 5 Exhibit B, Attachment 1 - Payment Criteria 2014-15, 2015-16, 2016-17 CDC Public Health Emergency Preparedness (PHEP), HHS Hospital Preparedness Program (HPP) Funding (CFDA# 93.074) and State General Fund (GF) Pandemic Influenza 2014-15, 2015-16, 2016-17 Allocation Agreement •Signed FY 14-15 Allocation Agreement Fully executed FY 15-16 Contract Amendment, includes Lab Trainee Funds •Signed FY 14-15 Allocation Agreement Fully executed FY 15-16 Contract Amendment, includes Lab Trainee Funds •Receipt of all required Trainee application documents •Receipt of all required Training Assistance application documents •Approved Lab trainee(s) must be included in the approved Work Plan and Lab budget •Approved Lab Training Assistance must be included in the approved Work Plan and Lab budget •Same as PHEP/CRI as it applies to Lab Trainee •Same as PHEP/CRI as it applies to Lab Trainee Assistance Payment Criteria •N/A Same as PHEP/CRI as it applies to Lab Trainee •N/A Same as PHEP/CRI as it applies to Lab Trainee Assistance Payment •N/A Same as PHEP/CRI as it applies to Lab Trainee •N/A Same as PHEP/CRI as it applies to Lab Trainee Assistance Criteria •N/A Same as PHEP/CRI as it applies to Lab Trainee •N/A Same as PHEP/CRI as it applies to Lab Trainee Assistance Payment •N/A Same as PHEP/CRI as it applies to Lab Trainee •N/A Same as PHEP/CRI as it applies to Lab Trainee Assistance Criteria •N/A Same as PHEP/CRI as it applies to Lab Trainee •N/A Same as PHEP/CRI as it applies to Lab Trainee Assistance Payment •N/A Same as PHEP/CRI as it applies to Lab Trainee •N/A Same as PHEP/CRI as it applies to Lab Trainee Assistance Lab Trainee Funds Lab Training Assistance Funds 1st Quarter Payment Criteria CDPH must receive the following: LHD must: CDPH must receive the following: Advance payment of 25% of initial FY 14-15, 15-16, 16-17 PHEP Trainee initial allocation Advance payment of 25% of initial FY 14-15, 15-16, 16-17 PHEP Training Assistance initial allocation 2nd Quarter Payment 3rd Quarter Payment Final Payment Fresno County 14-10501 A03 Page 4 of 5 Exhibit B, Attachment 1 - Payment Criteria 2014-15, 2015-16, 2016-17 CDC Public Health Emergency Preparedness (PHEP), HHS Hospital Preparedness Program (HPP) Funding (CFDA# 93.074) and State General Fund (GF) Pandemic Influenza 2014-15, 2015-16, 2016-17 Allocation Agreement •Signed FY 14-15 Allocation Agreement Fully executed FY 15-16 Contract Amendment •Signed FY 14-15 Allocation Agreement Fully executed FY 15-16 Contract Amendment •Receipt of all required application documents •Receipt of all required application documents •Five Letters of Support (Refer to the FY 14-15 Application Guidance) •Receipt of FY 13-14 GF Pan Flu Year End Progress Report •Approved HPP Work Plan •Approved GF Pan Flu Work Plan •Approved HPP Budget •Approved GF Pan Flu Budget •Submission of Health Care Organization data Facility (HCF) Form •Submission of FY14-15 HPP Year End Progress and Expenditure Reports •Receipt of FY 13-14 HPP Year End Progress Report, Submission of FY14-15 HPP Year End Progress and Expenditure Reports Payment •1st Payment Criteria must be met •1st Payment Criteria must be met •Receipt of HPP FY13-14 Year End Expenditure Report Submission of FY 15-16 PHEP Year End Progress and Expenditure Reports •Receipt of GF Pan Flu FY13-14 Year End Expenditure Report Submission of FY 15-16 PHEP Year End Progress and Expenditure Reports •An invoice for unique HPP expenditures for a minimum of 25% of Initial Allocation to cover the Q1 advance payment •An invoice for unique GF Pan Flu expenditures for a minimum of 25% of Initial Allocation to cover the Q1 advance payment •If required, submission of completed FY 13-14 Supplemental Work Plan •If required, submission of completed FY 13-14 Supplemental Work Plan •Contractor submits an invoice for unique approvable HPP expenditures for a minimum of 25% of initial allocation to cover the Q1 advance payment. •Contractor submits an invoice for unique approvable GF Pan Flu expenditures for a minimum of 25% of initial allocation to cover the Q1 advance payment. Payment Receipt of an invoice equivalent to the Q1 advance payment, is a no payment. Any expenditures exceeding the Q1 advance payment will be paid from funds expiring June 30, 2015, 2016, 2017, in the appropriate category, first. 1st Quarter Payment Criteria Receipt of an invoice equivalent to the Q1 advance payment, is a no payment. CDPH must receive the following: CDPH must receive the following: Advance payment of 25% of HPP Initial FY 15-16, FY 16-17 allocation Advance payment of 25% of State GF Pandemic Influenza Initial FY 15-16, FY 16-17 allocation. HPP State GF Receipt of an invoice for more than the Q1 advance payment, is a payment of expenditures less the Q1 advance payment. 2nd Quarter Payment Criteria HPP for unique expenditures less the advance payment of 25% of HPP Initial Allocation. GF Pandemic Influenza for unique expenditures less the advance payment of 25% of State GF Pandemic Influenza Initial Allocation. Fresno County 14-10501 A03 Page 5 of 5 Exhibit B, Attachment 1 - Payment Criteria 2014-15, 2015-16, 2016-17 CDC Public Health Emergency Preparedness (PHEP), HHS Hospital Preparedness Program (HPP) Funding (CFDA# 93.074) and State General Fund (GF) Pandemic Influenza 2014-15, 2015-16, 2016-17 Allocation Agreement •1st & 2nd Payment Criteria must be met •1st & 2nd Payment Criteria must be met •An invoice for unique HPP expenditures for a minimum of 25% of Initial Allocation •An invoice for unique GF Pan Flu expenditures for a minimum of 25% of Initial Allocation •Contractor Submits an invoice for unique approvable HPP expenditures. •Contractor Submits an invoice unique approvable GF Pan Flu expenditures. •Receipt of FY 16-17 HPP Mid-Year Progress and Expenditure reports •Receipt of FY 16-17 GF Pan Flu Mid-Year Progress and Expenditure reports •Funds carried over from the previous year must be spent by March 31, 2017 and Invoiced by April 30, 2017. •Funds carried over from the previous year must be spent by March 31, 2017 and Invoiced by April 30, 2017. Payment •1st, 2nd & 3rd Payment Criteria must be met •1st, 2nd & 3rd Payment Criteria must be met •Receipt of required Performance Measure reports •An invoice for unique HPP expenditures for a minimum of 25% amount of Initial Allocation •Contractor Submits an invoice for unique approvable HPP expenditures. •Contractor Submits an invoice unique approvable GF Pan Flu expenditures. Payment • Final Payment An invoice for unique GF Pan Flu expenditures for a minimum of 25% of Initial Allocation HPP for unique expenditures . Contractor Submits an invoice for unique approvable HPP expenditures. Additional expenditures will be paid from funds expiring June 30, 2017 in the appropriate category first. Additional expenditures will be paid out of the appropriate category. Criteria HPP for unique expenditures .GF Pandemic Influenza for unique expenditures. 3rd Quarter Payment Criteria GF Pandemic Influenza for unique expenditures. Additional expenditures will be paid from funds expiring June 30, 2015, 2016, 2017 in the appropriate category first. Additional expenditures will be paid out of the appropriate category.