HomeMy WebLinkAboutAgreement A-16-697 with California Health Collaborative with Exs. A-D.pdf
COUNTY OF FRESNO
Fresno, CA
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AGREEMENT
THIS AGREEMENT 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 CALIFORNIA HEALTH COLLABORATIVE, a
California Non-Profit Organization, whose address is 1680 West Shaw Avenue, Fresno, California,
93711, hereinafter referred to as "CONTRACTOR".
W I T N E S S E T H:
WHEREAS, COUNTY, through its Department of Public Health, is in need of a qualified
agency to provide nutrition education in retail and worksite locations; to provide a measurable impact
in target communities; and to provide integrated, layered, community-driven interventions under the
Department’s Nutrition Education and Obesity Prevention (NEOP) program; and
WHEREAS, CONTRACTOR, has the facilities, equipment and personnel skilled in the
provision of such services; and
WHEREAS, CONTRACTOR, is qualified and is willing to provide such services, pursuant to
the terms and conditions of this Agreement.
NOW, THEREFORE, in consideration of their mutual covenants and conditions, the parties
hereto agree as follows:
1. RESPONSIBILITIES
A. CONTRACTOR shall perform all services and fulfill all responsibilities as
identified in COUNTY’s Request for Proposal (RFP) No. 17-018 dated September 26, 2016,
Addendum No. One (1) to RFP No. 17-018 dated October 12, 2016 (collectively referred to herein as
COUNTY’s Revised RFP), and CONTRACTOR’s Response to said Revised RFP dated October 21,
2016, both incorporated herein by reference and made part of this Agreement. In the event of any
inconsistency among these documents, the inconsistency shall be resolved by giving precedence in the
following order of priority: (1) to this Agreement; (2) to the Revised RFP; (3) to the Response to RFP.
A copy of COUNTY’s RFP No. 17-018 and CONTRACTOR’s Response shall be retained and made
available during the term of this Agreement by COUNTY’s General Services Department, Purchasing
Division.
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B. CONTRACTOR shall perform all services and fulfill all responsibilities
identified in Exhibit A, attached hereto and by this reference incorporated herein.
2. TERM
This Agreement shall become effective on January 1, 2017 and shall terminate on the
30th day of September, 2019. This Agreement may be extended for two (2) additional consecutive
twelve (12) month periods upon the same terms and conditions herein set forth upon written approval
of both parties no later than thirty (30) days prior to the first day of the next twelve (12) month
extension period. The Department of Public Health Director or designee is authorized to execute such
written approval on behalf of COUNTY based on CONTRACTOR’s satisfactory performance and
available funding.
3. TERMINATION
A. Non-Allocation of Funds - The terms of this Agreement, and the services to be
provided thereunder, are contingent on the approval of funds by the appropriating government agency.
Should sufficient funds not be allocated, the services provided may be modified, or this Agreement
terminated at any time by giving CONTRACTOR thirty (30) days advance written notice.
B. Breach of Contract - COUNTY may immediately suspend or terminate this
Agreement in whole or in part, where in the determination of COUNTY there is:
1) An illegal or improper use of funds;
2) A failure to comply with any term of this Agreement;
3) A substantially incorrect or incomplete report submitted to COUNTY;
4) Improperly performed service.
In no event shall any payment by COUNTY constitute a waiver by COUNTY of any
breach of this Agreement or any default which may then exist on the part of CONTRACTOR. Neither
shall such payment impair or prejudice any remedy available to COUNTY with respect to the breach
or default. COUNTY shall have the right to demand of CONTRACTOR the repayment to COUNTY
of any funds disbursed to CONTRACTOR under this Agreement, which in the judgment of COUNTY
were not expended in accordance with the terms of this Agreement. CONTRACTOR shall promptly
refund any such funds upon demand or, at COUNTY’s option, such repayment shall be deducted from
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future payments owing to CONTRACTOR under this Agreement.
C. Without Cause - Under circumstances other than those set forth above, this
Agreement may be terminated by COUNTY upon the giving of thirty (30) days advance written notice
of an intention to terminate to CONTRACTOR.
4. COMPENSATION
A. COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
compensation at the rates as identified in Exhibit B, attached hereto and incorporated herein by this
reference. For the period of January 1, 2017 through and including September 30, 2017, in no event
shall actual services performed under this Agreement be in excess of One Hundred Seventy-Six
Thousand, Two Hundred Fifty and No/100 ($176,250.00). For the period of October 1, 2017 through
and including September 30, 2018 and each subsequent renewal year thereafter, in no event shall
actual services performed under this Agreement be in excess of Two Hundred Eleven Thousand Five
Hundred and No/100 ($211,500.00). It is understood that all expenses incidental to CONTRACTOR's
performance of actual services under this Agreement shall be borne by CONTRACTOR.
B. Payments by COUNTY shall be in arrears, for services provided during the
preceding month, within forty-five (45) days after receipt and verification of CONTRACTOR's
invoices by COUNTY's Department of Public Health. If CONTRACTOR should fail to comply with
any provision of this Agreement, COUNTY shall be relieved of its obligation for further
compensation.
C. COUNTY shall not be obligated to make any payments under this Agreement if
the request for payment is received by the COUNTY more than forty-five (45) days after the end of
the Federal Fiscal Year.
D. COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
compensation based on actual expenditures incurred by CONTRACTOR for monthly program costs in
accordance with the budget identified in Exhibit B.
E. CONTRACTOR shall be held financially liable for any and all future
disallowances/audit exceptions due to CONTRACTOR’s deficiency discovered through the State
audit process. At COUNTY’S election, the disallowed amount will be remitted within forty-five (45)
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days to County upon notification or shall be withheld from subsequent payments to CONTRACTOR.
5. INVOICING
CONTRACTOR shall invoice COUNTY monthly, by the thirtieth (30th) day of each
month for the prior month’s expenditures, addressed to the County of Fresno, Department of Public
Health, OPPC-NEOP, P.O. Box. 11867, Fresno, CA 93775, Attention: OPPC-NEOP Staff Analyst.
Invoices shall detail line items as specified in Exhibit B, including original budget amount(s), current
month’s expenses, year-to-date expenses, and budget balances. In addition, invoices shall also include
all relevant supporting documentation including but not limited to copies of original statements,
program expense receipts, payroll records and mileage claims.
6. INDEPENDENT CONTRACTOR
In performance of the work, duties, and obligations assumed by CONTRACTOR under
this Agreement, it is mutually understood and agreed that CONTRACTOR, including any and all of
CONTRACTOR's officers, agents, and employees will at all times be acting and performing as an
independent contractor, and shall act in an independent capacity and not as an officer, agent, servant,
employee, joint venturer, partner, or associate of the COUNTY. Furthermore, COUNTY shall have
no right to control or supervise or direct the manner or method by which CONTRACTOR shall
perform its work and function. However, COUNTY shall retain the right to administer this
Agreement so as to verify that CONTRACTOR is performing its obligations in accordance with the
terms and conditions thereof. CONTRACTOR and COUNTY shall comply with all applicable
provisions of law and the rules and regulations, if any, of governmental authorities having jurisdiction
over matters which are directly or indirectly the subject of this Agreement.
Because of its status as an independent contractor, CONTRACTOR shall have
absolutely no right to employment rights and benefits available to COUNTY employees.
CONTRACTOR shall be solely liable and responsible for providing to, or on behalf of, its employees
all legally-required employee benefits. In addition, CONTRACTOR shall be solely responsible and
save COUNTY harmless from all matters relating to payment of CONTRACTOR's employees,
including compliance with Social Security, withholding, and all other regulations governing such
matters. It is acknowledged that during the term of this Agreement, CONTRACTOR may be
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providing services to others unrelated to the COUNTY or to this Agreement.
7. MODIFICATION
Any matters of this Agreement may be modified from time to time by the written
consent of all the parties without, in any way, affecting the remainder. Notwithstanding the above,
changes to line items in the budget, attached hereto as Exhibit B, that do not exceed ten percent (10%)
of the maximum compensation payable to the CONTRACTOR may be made with written approval of
COUNTY’s Department of Public Health Director or designee and the designee of the California
Department of Public Health.
8. NON-ASSIGNMENT
Neither party shall assign, transfer or subcontract this Agreement nor their rights or
duties under this Agreement without the prior written consent of the other party.
9. HOLD-HARMLESS
CONTRACTOR agrees to indemnify, save, hold harmless, and at COUNTY's request,
defend the COUNTY, its officers, agents and employees from any and all costs and expenses,
including attorney fees and court costs, damages, liabilities, claims and losses occurring or resulting to
COUNTY in connection with the performance, or failure to perform, by CONTRACTOR, its officers,
agents or employees under this Agreement, and from any and all costs and expenses, including
attorney fees and court costs, damages, liabilities, claims and losses occurring or resulting to any
person, firm or corporation who may be injured or damaged by the performance, or failure to perform,
of CONTRACTOR, its officers, agents or employees under this Agreement.
10. INSURANCE
Without limiting the COUNTY's right to obtain indemnification from CONTRACTOR
or any third parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect the
following insurance policies throughout the term of this Agreement:
A. Commercial General Liability
Commercial General Liability Insurance with limits of not less than One Million
Dollars ($1,000,000) per occurrence and an annual aggregate of Two Million
Dollars ($2,000,000). This policy shall be issued on a per occurrence basis.
COUNTY may require specific coverage including completed operations,
product liability, contractual liability, Explosion, Collapse, and Underground
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(XCU), fire legal liability or any other liability insurance deemed necessary
because of the nature of the Agreement.
B. Automobile Liability
Comprehensive Automobile Liability Insurance with limits for bodily injury of
not less than Two Hundred Fifty Thousand Dollars ($250,000) per person, Five
Hundred Thousand Dollars ($500,000) per accident and for property damages of
not less than Fifty Thousand Dollars ($50,000), or such coverage with a
combined single limit of Five Hundred Thousand Dollars ($500,000). Coverage
should include owned and non-owned vehicles used in connection with this
Agreement.
C. Professional Liability
If CONTRACTOR employs licensed professional staff (e.g. Ph.D., R.N.,
L.C.S.W., M.F.C.C.) in providing services, Professional Liability Insurance with
limits of not less than One Million Dollars ($1,000,000) per occurrence, Three
Million Dollars ($3,000,000) annual aggregate.
D. Worker's Compensation
A policy of Worker's Compensation Insurance as may be required by the
California Labor Code.
E. Child Abuse/Molestation and Social Services Liability
Sexual Abuse / Molestation Liability Insurance (including but not limited to
corporal punishment liability, sexual abuse and molestation liability, and child
abduction liability) with limits of not less than One Million Dollars
($1,000,000.00) per occurrence, Two Million Dollars ($2,000,000.00) annual
aggregate. This policy shall be issued on a per occurrence basis.
CONTRACTOR shall obtain endorsements to the Commercial General Liability
insurance naming the County of Fresno, its officers, agents, and employees, individually and
collectively, as additional insured, but only insofar as the operations under this Agreement are
concerned. Such coverage for additional insured shall apply as primary insurance and any other
insurance, or self-insurance, maintained by the COUNTY, its officers, agents and employees shall be
excess only and not contributing with insurance provided under the CONTRACTOR's policies herein.
This insurance shall not be cancelled or changed without a minimum of thirty (30) days advance
written notice given to COUNTY.
Within thirty (30) days from the date CONTRACTOR executes this Agreement,
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CONTRACTOR shall provide certificates of insurance and endorsements as stated above for all of the
foregoing policies, as required herein, to the County of Fresno, Department of Public Health, P.O. Box
11867, Fresno, California, 93775, Attention: Contracts Section – 6th Floor, stating that such insurance
coverage have been obtained and are in full force; that the County of Fresno, its officers, agents and
employees will not be responsible for any premiums on the policies; that such Commercial General
Liability insurance names the County of Fresno, its officers, agents and employees, individually and
collectively, as additional insured, but only insofar as the operations under this Agreement are
concerned; that such coverage for additional insured shall apply as primary insurance and any other
insurance, or self-insurance, maintained by the COUNTY, its officers, agents and employees, shall be
excess only and not contributing with insurance provided under the CONTRACTOR’s policies herein;
and that this insurance shall not be cancelled or changed without a minimum of thirty (30) days
advance, written notice given to COUNTY.
In the event CONTRACTOR fails to keep in effect at all times insurance coverage as
herein provided, the COUNTY may, in addition to other remedies it may have, suspend or terminate
this Agreement upon the occurrence of such event.
All policies shall be with admitted insurers licensed to do business in the State of
California. Insurance purchased shall be from companies possessing a current A.M. Best, Inc. rating
of A FSC VII or better.
11. CONFIDENTIALITY
All services performed by CONTRACTOR under this Agreement shall be in strict
conformance with all applicable Federal, State of California and/or local laws and regulations relating
to confidentiality.
12. DATA SECURITY
For the purpose of preventing the potential loss, misappropriation or inadvertent access,
viewing, use or disclosure of COUNTY data including sensitive or personal client information; abuse
of COUNTY resources; and/or disruption to COUNTY operations, individuals and/or agencies that
enter into a contractual relationship with the COUNTY for the purpose of providing services under
this Agreement must employ adequate data security measures to protect the confidential information
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provided to CONTRACTOR by the COUNTY, including but not limited to the following:
A. CONTRACTOR-Owned Mobile, Wireless, or Handheld Devices
CONTRACTOR may not connect to COUNTY networks via personally-owned
mobile, wireless or handheld devices, unless the following conditions are met:
1) CONTRACTOR has received authorization by COUNTY for
telecommuting purposes;
2) Current virus protection software is in place;
3) Mobile device has the remote wipe feature enabled; and
4) A secure connection is used.
B. CONTRACTOR-Owned Computers or Computer Peripherals
CONTRACTOR may not bring CONTRACTOR-owned computers or computer
peripherals into the COUNTY for use without prior authorization from the COUNTY’s Chief
Information Officer, and/or designee(s), including but not limited to mobile storage devices. If data is
approved to be transferred, data must be stored on a secure server approved by the COUNTY and
transferred by means of a Virtual Private Network (VPN) connection, or another type of secure
connection. Said data must be encrypted.
C. COUNTY-Owned Computer Equipment
CONTRACTOR or anyone having an employment relationship with the
COUNTY, may not use COUNTY computers or computer peripherals on non-COUNTY premises
without prior authorization from the COUNTY’s Chief Information Officer, and/or designee(s).
D. CONTRACTOR may not store COUNTY’s private, confidential or sensitive
data on any hard-disk drive, portable storage device, or remote storage installation unless encrypted.
E. CONTRACTOR shall be responsible to employ strict controls to ensure the
integrity and security of COUNTY’s confidential information and to prevent unauthorized access,
viewing, use or disclosure of data maintained in computer files, program documentation, data
processing systems, data files and data processing equipment which stores or processes COUNTY
data internally and externally.
F. Confidential client information transmitted to one party by the other by means of
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electronic transmissions must be encrypted according to Advanced Encryption Standards (AES) of
128 BIT or higher. Additionally, a password or pass phrase must be utilized.
G. CONTRACTOR is responsible to immediately notify COUNTY of any
violations, breaches or potential breaches of security related to COUNTY’s confidential information,
data maintained in computer files, program documentation, data processing systems, data files and
data processing equipment which stores or processes COUNTY data internally or externally.
H. COUNTY shall provide oversight to CONTRACTOR’s response to all incidents
arising from a possible breach of security related to COUNTY’s confidential client information
provided to CONTRACTOR. CONTRACTOR will be responsible to issue any notification to
affected individuals as required by law or as deemed necessary by COUNTY in its sole discretion.
CONTRACTOR will be responsible for all costs incurred as a result of providing the required
notification.
13. NON-DISCRIMINATION
During the performance of this Agreement, CONTRACTOR shall not unlawfully
discriminate against any employee or applicant for employment, or recipient of services, because of
race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical
condition, genetic information, marital status, sex, gender, gender identity, gender expression, age,
sexual orientation, or military or veteran status pursuant to all applicable State of California and
Federal statutes and regulations.
14. LICENSES/CERTIFICATION
CONTRACTOR shall throughout the term of this Agreement maintain all necessary
licenses, permits, approvals, certificates, waivers and exemptions necessary for the provision of the
services hereunder and required by the laws and regulations of the United States of America, State of
California, Fresno County and any other applicable government agencies. CONTRACTOR shall
notify COUNTY immediately in writing of its inability to obtain or maintain such licenses, permits,
approvals, certificates, waivers and exemptions, irrespective of the pendency of any appeal related
thereto. In addition, CONTRACTOR shall comply with all other applicable laws, rules, or regulations,
as any may now exist or be hereafter changed.
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15. COMPLIANCE WITH STATE REQUIREMENTS
CONTRACTOR recognizes that COUNTY operates is NEOP program under an
agreement with the State of California Department of Public Health, and that under said agreement the
State imposes certain requirements on the COUNTY and its subcontractors. CONTRACTOR shall
adhere to all State requirements, including those identified in Exhibit C, attached hereto and b y this
reference incorporated herein. It is understood that Exhibit C also grants the COUNTY certain rights
which are reserved to the State; such rights are fully described therein.
16. PROPERTY OF COUNTY
All purchases over Five Thousand and No/100 Dollars ($5,000.00) and certain
purchases under Five Thousand and No/100 Dollars ($5,000.00) such as computers, printers, cameras
and other sensitive items made during the life of this Agreement shall be identified as fixed assets with
an assigned County of Fresno Accounting Inventory Number. These fixed assets shall be retained by
the COUNTY, as COUNTY property, in the event this Agreement is terminated or upon expiration of
this Agreement. CONTRACTOR agrees to participate in an annual inventory of all COUNTY fixed
assets and shall be physically present when fixed assets are returned to COUNTY possession at the
termination or expiration of this Agreement.
17. RECORDS
Financial and statistical data shall be kept and reports made as required by the
COUNTY’s Department of Public Health Director and the State. All such records shall be available
for inspection by the designated Auditors of COUNTY or State at reasonable times during normal
business hours. All such records shall be maintained through the end of this Agreement. All records
shall be considered property of COUNTY and shall be retained by COUNTY at the termination or
expiration of this Agreement.
18. REPORTS
CONTRACTOR shall submit to COUNTY within ten (10) calendar days all program
reports for the preceding month. CONTRACTOR shall also furnish to COUNTY such statements,
records, reports, data, and other information as COUNTY may request pertaining to matters covered
by this Agreement. In the event that CONTRACTOR fails to provide such reports or other information
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required hereunder, it shall be deemed sufficient cause for COUNTY to withhold monthly payments
until there is compliance. In addition, CONTRACTOR shall provide written notification and
explanation to the COUNTY within five (5) days of any fund received from another source to conduct
the same services covered by this Agreement.
19. PROHIBITION OF PUBLICITY
None of the funds, materials, property or services provided directly or indirectly under
this Agreement shall be used for CONTRACTOR’s advertising, fundraising or publicity (e.g.,
purchasing of tickets/tables, silent auction donations, media promotions) for the purpose of self-
promotion. Notwithstanding the above, publicity of the services described in Section One (1) of this
Agreement shall be allowed as necessary to raise public awareness about the availability of such
specific services when approved in advance in writing by COUNTY’s NEOP Project Coordinator and
the California Department of Public Health. Such items include but are not limited to written/printed
materials, materials posted on the Internet, or the use of media (e.g., radio, television, billboards,
newspapers), and any related expense. Documents prepared by CONTRACTOR using funding under
this Agreement for external release shall undergo appropriate review and approval prior to release.
Review may take up to thirty (30) business days. Materials, whether newly developed or reprinted,
shall include an appropriate acknowledgement/funding statement.
20. DISCLOSURE OF SELF-DEALING TRANSACTIONS
This provision is only applicable if the CONTRACTOR is operating as a corporation (a
for-profit or non-profit corporation) or if during the term of this Agreement, the CONTRACTOR
changes its status to operate as a corporation.
Members of the CONTRACTOR’s Board of Directors shall disclose any self-dealing
transactions that they are a party to while CONTRACTOR is providing goods or performing services
under this agreement. A self-dealing transaction shall mean a transaction to which the
CONTRACTOR is a party and in which one or more of its directors has a material financial interest.
Members of the Board of Directors shall disclose any self-dealing transactions that they are a party to
by completing and signing a Self-Dealing Transaction Disclosure Form, attached hereto as Exhibit D
and incorporated herein by reference, and submitting it to the COUNTY prior to commencing with the
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self-dealing transaction or immediately thereafter.
21. AUDITS AND INSPECTIONS
CONTRACTOR shall at any time during business hours, and as often as the COUNTY
may deem necessary, make available to the COUNTY for examination all of its records and data with
respect to the matters covered by this Agreement. CONTRACTOR shall, upon request by the
COUNTY, permit the COUNTY to audit and inspect all such records and data necessary to ensure
CONTRACTOR's compliance with the terms of this Agreement.
If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00),
CONTRACTOR shall be subject to the examination and audit of the State Auditor for a period of
three (3) years after final payment under contract (Government Code Section 8546.7).
22. NOTICES
The persons and their addresses having authority to give and receive notices under this
Agreement include the following:
COUNTY CONTRACTOR
Director, County of Fresno CEO
Department of Public Health California Health Collaborative
P.O. Box 11867 1680 W. Shaw Ave.
Fresno, CA 93775 Fresno, CA 93711
Any and all notices between the COUNTY and the CONTRACTOR provided for or
permitted under this Agreement or by law shall be in writing and shall be deemed duly served when
personally delivered to one of the parties, or in lieu of such personal service, when deposited in the
United States Mail, postage prepaid, addressed to such party.
23. GOVERNING LAW
The parties agree, that for the purposes of venue, performance under this Agreement is
to be in Fresno County, California.
The rights and obligations of the parties and all interpretation and performance of this
Agreement shall be governed in all respects by the laws of the State of California.
24. SEVERABILITY
The provisions of this Agreement are severable. The invalidity or unenforceability of
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any one provision in the Agreement shall not affect the other provisions.
25. ENTIRE AGREEMENT
This Agreement, including all Exhibits, constitutes the entire agreement between the
CONTRACTOR and COUNTY with respect to the subject matter hereof and supersedes all previous
Agreement negotiations, proposals, commitments, writings, advertisements, publications, and
understanding of any nature whatsoever unless expressly included in this Agreement.
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IN WITNESS WHEREOF, the parties hereto have exec uted this Agreement as of the day and
1 0
year first hereinabove written .
CONTRACTOR:
CALIFORNIA HEALTH COLLABORATIVE
::nt~~,kz_
Title: C£11 lfJ(U uXJf
Chairman of the Board, or
President, or any Vice President
1 1 Date : (V.J.) llf-{,... lJ1/,
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By £~~
Print Name : lh'da Var~/c:V 'Ia 11
Title: llccou~~tdi'ng Nana@er'
Secretary (of Corporation), or
any Assistant Secretary, or
Chief Financial Officer, or
any Assistant Treasurer
Date : u ltsl zotB , .
Mailing Address :
1680 W . Shaw Ave .
Fresno, CA 93711
Phone #: (559) 244-4525
Contact: Stephen Ram irez, CEO
Email : sramirez@healthcollaborative.org
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COUNTY OF FRESNO:
By E" ~ .... ~~
Chairman, Board {;rSUT\Iisors
Date: I c1 -l 2l -\ Lo
BERNICE E. SEIDEL, Clerk
Board of Supervisors
Date: I J.. -l3 -\ I o
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
CO UNIT OF FRESNO
Fresno, CA
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Exhibit A
Page 1 of 11
Retail & Marketing
RETAIL & MARKETING SUBCONTRACT SCOPE OF WORK
Activity Activity Description Time Frame** Documentation
1.15 UC CalFresh, Local Health Department (LHD), LHD
subcontractors, and other obesity prevention partners will
participate in at least 3 FCHIP Quarterly meetings year 1
and 4 FCHIP Quarterly meetings in year 2 and year 3 to
align and leverage resources, provide consistent
messaging, and enhance impact of funded activities, as
appropriate.
Year 1
Q1 Q2 Q3 Q4
X X X
Year 2
Q1 Q2 Q3 Q4
X X X X
Year 3
Q1 Q2 Q3 Q4
X X X X
ATF
On file: Agenda, Notes
*Contributes to CNAP requirement
1.17 Provide referrals to partner agencies both SNAP-Ed and
non-SNAP-Ed to provide strategic coordinated nutrition
and physical activity education to eligible SNAP-Ed
population. For example, LHD will provide referrals to UC
CalFresh when receiving a request for services outside of
the LHD six targeted communities.
Year 1
Q1 Q2 Q3 Q4
X X X
Year 2
Q1 Q2 Q3 Q4
X X X X
Year 3
Q1 Q2 Q3 Q4
X X X X
Referral Log, e-mails
*Contributes to annual objective 1.e,2.d,3.e
1.24 LHD Community Coordinator (Nutritionists) will convene
at least 4 meetings in each target community to include
UC CalFresh, LHD subcontractors, community and agency
champions, and other non-SNAP-Ed partners to
strategically coordinate SNAP-Ed and non-SNAP-Ed
activities, align and leverage resources, provide consistent
messaging, and enhance impact of funded activities.
Year 1
Q1 Q2 Q3 Q4
X X X
Year 2
Q1 Q2 Q3 Q4
X X X X
Year 3
Q1 Q2 Q3 Q4
X X X X
ATF, Agendas, meeting notes, sign in sheets
*Contributes to all annual objectives
1.32 To prepare staff to build Champion capacity and support
community-driven PSE, conduct a staff training using the
selected curriculum(a). Throughout the training, staff will
learn how to apply community-driven PSE strategies and
techniques and how to deliver the training to Champions.
Year 1
Q1 Q2 Q3 Q4
x x X
Year 2
Q1 Q2 Q3 Q4
Year 3
Q1 Q2 Q3 Q4
ATF
On file: curricula, training agenda and
materials, sign in sheet, pictures, evaluations
*Contributes to annual objectives 1.b,2.a,
2.b,3.a, 3.b
2.1 In partnership with LHD Tobacco Prevention, NEOP, UC
CalFresh, and LHD subcontractors will participate in at
Year 1
Q1 Q2 Q3 Q4
Activity Tracking Form (ATF)
On file: Agenda, notes
Exhibit A
Page 2 of 11
Retail & Marketing
least 3 FCHIP Healthy Stores for Healthy Community
Workgroup meetings in year one and participate in at
least 4 FCHIP Healthy Stores for Healthy Community
Workgroup meetings in year two and year three.
Potential partners to include LHD NEOP subcontractors,
and other non-SNAP-Ed partners to strategically
coordinate activities, provide consistent messaging, and
enhance impact of funded activities.
x x x
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
*Contributes to objective 1.a, 2.a, 3.a
2.2 Identify and partner with a minimum of 2 qualifying retail
site within the six targeted communities to facilitate a
healthy sustainable change.
Year 1
Q1 Q2 Q3 Q4
x x x
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
ATF
On file: meeting notes, e-mails, pictures,
evaluations, media stories
*Contributes to objective 1.a, 2.a, 3.a
2.3 Provide 6 retail store tours annually to at least 150
individuals (total from all tours) in year one and 8 retail
store tours to at least 200 individuals (total from all tours)
in year two and year three in qualifying retail locations.
Taste-testing may be included during some tours.
Year 1
Q1 Q2 Q3 Q4
x x x
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
Flyers, ATF, materials distributed
*Contributes to objective 1.c, 2.c, 3.c
2.4 Recruit at least 5 qualifying retail sites within the six
targeted communities to reach a minimum of 6,250 SNAP-
Ed eligible individuals using NEOPB Retail program
activities and merchandising materials.
Year 1
Q1 Q2 Q3 Q4
x x x
Year 2
Q1 Q2 Q3 Q4
Year 3
Q1 Q2 Q3 Q4
MOU/MOA, ATF, RE-AIM (PSE database)
*Contributes to objective 1.c, 2.c, 3.c
2.5 Maintain at least 4 qualified retail sites and recruit 3
additional qualifying retail sites in year two and maintain
at least 6 qualified retail sites and recruit additional 3
qualifying retail sites in year three to reach a minimum of
Year 1
Q1 Q2 Q3 Q4
Year 2
Q1 Q2 Q3 Q4
MOU/MOA, ATF, RE-AIM (PSE database)
Exhibit A
Page 3 of 11
Retail & Marketing
20,000 SNAP-Ed eligible individuals (total for years two
(8,750) and three (11,250)) within the six targeted
communities using NEOPB Retail program activities and
merchandising materials.
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
*Contributes to objective 1.c, 2.c, 3.c
2.7 Coordinate and facilitate at least 2 Fruit and Veggie Fest
retail events reaching 100 eligible individuals.
Year 1
Q1 Q2 Q3 Q4
x x
Year 2
Q1 Q2 Q3 Q4
x x
Year 3
Q1 Q2 Q3 Q4
x x
ATF
On file: flyers, agendas, media articles,
pictures
*Contributes to objective 1.c, 2.c, 3.c
**Time Frame: Year & Quarter:
Year 1 (FFY 2017); Year 2 (FFY 2018); Year 3 (FFY 2019)
Qtr. 1 (Oct. 1-Dec. 31); Qtr. 2 (Jan. 1-March 31); Qtr. 3 (Apr. 1-Jun. 30); Qtr. 4 (Jul. 1-Sept.30)
Educational Materials, Resources, and Curriculum
Activity Curriculum, Toolkit, Resource Name Level of Evidence Base
2.2, 2.3, 2.4,
2.5, 2.6, 2.7
NEOPB Retail Program- Fruit and Veggie Marketing and Point of Sale Materials,
Recipe Cards
x Research Tested
Practice Tested
Emerging
N/A - Please describe below:
2.2, 2.3, 2.4,
2.5, 2.6, 2.7
NEOPB Retail Food Demonstration Kit Research Tested
Practice Tested
x Emerging
N/A - Please describe below:
2.2, 2.3, 2.4,
2.5, 2.7
NEOPB Produce Guide
Research Tested
Practice Tested
Emerging
x N/A - Please describe below:
Approved SNAP-Ed Resource Materials
2.7 Cooking Matters
x Research Tested
Practice Tested
Emerging
N/A - Please describe below:
2.2, 2.3, 2.4
2.5, 2.7, 2.9
Harvest of the Month Handouts
Research Tested
Exhibit A
Page 4 of 11
Retail & Marketing
x Practice Tested
Emerging
N/A - Please describe below:
2.2, 2.3, 2.4,
2.5
NEOPB Treasure Hunt Booklet Research Tested
Practice Tested
Emerging
N/A - Please describe below:
Approved SNAP-Ed Resource Materials
2.9 Power Play A Team 2 Table Adventure Research Tested
Practice Tested
Emerging
N/A - Please describe below:
Approved SNAP-Ed Resource Materials
2.7 NEOPB Fruit, Vegetable, and Physical Activity Tool Box for Community Educators,
Flavors of My Kitchen Cookbook(Eng/Span)
Research Tested
Practice Tested
Emerging
x N/A - Please describe below:
Approved SNAP-Ed Resource Materials
2.3, 2.4, 2.5,
2.7, 2.9
My Plate Ten Tips Nutrition Education Series (Hmong, Spanish, English) Research Tested
Practice Tested
Emerging
N/A - Please describe below:
Approved SNAP-Ed Resource Materials
2.3, 2.4, 2.5,
2.7, 2.9
Rethink your Drink Choosing Healthy Beverages Lesson with corresponding
handouts and posters
Research Tested
x Practice Tested
Emerging
N/A - Please describe below:
2.2, 2.3, 2.4,
2.7, 2.9, 1.21
EatFresh.org Research Tested
Practice Tested
x Emerging
N/A - Please describe below:
2.2, 2.8, 2.9,
2.10, 2.11
CDPH Policy Systems and Environmental Change Resource Guide: Strategies for
Increased Access to Healthy Tools, Beverages and Physical Activity
Research Tested
Practice Tested
Emerging
X N/A - Please describe below:
Approved SNAP-Ed Resource Materials
Exhibit A
Page 5 of 11
Retail & Marketing
Exhibit A
Page 6 of 11
Worksite Wellness
WORKSITE WELLNESS SUBCONTRACT SCOPE OF WORK
Activity Activity Description Time Frame** Documentation
1.14 Utilize media, social media, blogs, and agency websites
each year to promote and cross-promote at least 5
SNAP-Ed activities, success stories, events, community
forums, and/or approved messaging, for a total of 15
over three years. Also in Objective 2, and 4.
Year 1
Q1 Q2 Q3 Q4
X X X
Year 2
Q1 Q2 Q3 Q4
X X X X
Year 3
Q1 Q2 Q3 Q4
X X X X
ATF
On file: Facebook analytics, blog analytics,
*Contributes to all annual objectives as
appropriate
1.15 UC CalFresh, Local Health Department (LHD), LHD
subcontractors, and other obesity prevention partners
will participate in at least 3 FCHIP Quarterly meetings
year 1 and 4 FCHIP Quarterly meetings in year 2 and year
3 to align and leverage resources, provide consistent
messaging, and enhance impact of funded activities, as
appropriate.
Year 1
Q1 Q2 Q3 Q4
X X X
Year 2
Q1 Q2 Q3 Q4
X X X X
Year 3
Q1 Q2 Q3 Q4
X X X X
ATF
On file: Agenda, Notes
*Contributes to CNAP requirement
1.17 Provide referrals to partner agencies both SNAP-Ed and
non-SNAP-Ed to provide strategic coordinated nutrition
and physical activity education to eligible SNAP-Ed
population. For example, LHD will provide referrals to UC
CalFresh when receiving a request for services outside of
the LHD six targeted communities.
Year 1
Q1 Q2 Q3 Q4
X X X
Year 2
Q1 Q2 Q3 Q4
X X X X
Year 3
Q1 Q2 Q3 Q4
X X X X
Referral Log, e-mails
*Contributes to annual objective 1.e,2.d,3.e
1.24 LHD Community Coordinator will convene at least 4
meetings in each target community to include UC
CalFresh, subcontractors, community and agency
champions, and non-SNAP-Ed partners to strategically
coordinate SNAP-Ed and non-SNAP-Ed activities, align
and leverage resources, provide consistent messaging,
and enhance impact of funded activities.
Year 1
Q1 Q2 Q3 Q4
X X X
Year 2
Q1 Q2 Q3 Q4
X X X X
Year 3
Q1 Q2 Q3 Q4
X X X X
ATF, Agendas, meeting notes, sign in sheets
*Contributes to all annual objectives
1.32 To prepare staff to build Champion capacity and support Year 1
Q1 Q2 Q3 Q4
ATF
Exhibit A
Page 7 of 11
Worksite Wellness
community-driven PSE, conduct a staff training using the
selected curriculum(a). Throughout the training, staff will
learn how to apply community-driven PSE strategies and
techniques and how to deliver the training to
Champions.
x x X
Year 2
Q1 Q2 Q3 Q4
Year 3
Q1 Q2 Q3 Q4
On file: curricula, training agenda and materials,
sign in sheet, pictures, evaluations
*Contributes to annual objectives 1.b,2.a, 2.b,3.a,
3.b
3.1 Recruit and qualify at least 5 worksites in year one, 4
worksites in year two, and 4 worksites in year three for a
total of 13 worksites (11 worksites and 2 school districts)
to participate in the NEOPB Worksite Program by end of
year 3.
Year 1
Q1 Q2 Q3 Q4
x x x
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
Worksite Program Qualification documents,
Activity Tracking Form (ATF)
*Contributes to 1.a, 2.a, 3.a
3.2 Complete the “Check for Health” in the California Fit
Business Kit with worksites and school districts that have
not yet completed.
Year 1
Q1 Q2 Q3 Q4
x x x
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
ATF, RE-AIM (PSE Database)
On file: Check for Health Documents
*Contributes to objective 1.b, 2.b, 3.b
3.3 Each of the participating worksites and participating
school districts will complete a minimum of 1 activity in
the California Fit Business Kit over the contract term.
Year 1
Q1 Q2 Q3 Q4
x x x
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
ATF, RE-AIM (PSE Database)
ATF, RE-AIM
On file: Activity documentation, pictures,
*Contributes to 1.b, 2.b, 3.b
3.4 Provide ongoing technical assistance to participating
worksites and school districts on the California Fit
Business Kit.
Year 1
Q1 Q2 Q3 Q4
x x x
ATF, RE-AIM (PSE Database)
On file: notes, e-mails, TA log
Exhibit A
Page 8 of 11
Worksite Wellness
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
*Contributes to objectives 1.a, 2.a, 3.a
3.5 Provide technical assistance and support to 1
participating worksite in year two and 2 participating
worksites in year three in developing and implementing
at least 1 policy, system, environmental change that will
support healthy behavior changes.
Year 1
Q1 Q2 Q3 Q4
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
ATF, RE-AIM (PSE Database)
On file: meetings notes, e-mails, TA log, pictures,
media stories
*Contributes to objective 2.c, 3.c
3.6 Connect each worksite with the Regional Lactation
Liaison (WIC) who will provide technical assistance and
resources to ensure worksites have lactation
accommodations available to their employees.
Year 1
Q1 Q2 Q3 Q4
x x x
Year 2
Q1 Q2 Q3 Q4
x x x x
Year 3
Q1 Q2 Q3 Q4
x x x x
meetings notes, e-mails, TA log,
*Contributes to objective 1.b, 2.b, 3.b
**Time Frame
Year 1 (FFY 2017); Year 2 (FFY 2018); Year 3 (FFY 2019)
Qtr. 1 (Oct. 1-Dec. 31); Qtr. 2 (Jan. 1-March 31); Qtr. 3 (Apr. 1-Jun. 30); Qtr. 4 (Jul. 1-Sept.30)
Educational Materials, Resources, and Curriculum
Activity Curriculum, Toolkit, Resource Name Level of Evidence Base
3.1, 3.2, 3.3,
3.4, 3.5
California Fit Business Kit, Posters – Worksite Program
Research Tested
Practice Tested
x Emerging
N/A - Please describe below:
3.3, 3.4, 3.6
USDA/Choose My Plate x Research Tested
Practice Tested
Emerging
N/A - Please describe below:
Exhibit A
Page 9 of 11
Worksite Wellness
3.3, 3.4 NEOPB Cookbooks (Flavors of My Kitchen (Eng/Spa), Everyday Healthy Meals
(Eng/Spa), Healthy Latino Recipes (Eng/Spa), Soulful Recipes
Research Tested
Practice Tested
Emerging
x N/A - Please describe below:
Approved SNAP-Ed Resource Materials
3.3 EatFresh.org
Research Tested
Practice Tested
x Emerging
N/A - Please describe below:
3.5 CDPH Policy Systems and Environmental Change Resource Guide: Strategies for
Increased Access to Healthy Tools, Beverages and Physical Activity
Research Tested
Practice Tested
Emerging
x N/A - Please describe below:
Approved SNAP-Ed Resource Materials
Exhibit A
Page 10 of 11
Standard Activities
STANDARD ACTIVITIES FOR ALL SUBCONTRACTS
Activity Description Timeframe** Documentation
5.1 Monthly invoices Due 30 days after
the end of each
month
Monthly invoices with backup documentation
including but not limited to: Checklist, Personnel
Salaries and Benefits, Summary Spreadsheets, Bi-
weekly Time Logs or timesheets, detail for travel,
receipts, invoices, recipes
5.2 Enter program activity data entry into ATF database. Due Jan. 15, Apr.
15, Jul. 15, Oct. 15
Year 1 reporting
will only include
April 30, July 31
and October 31.
Program activity, demographic and participation
data entry single sessions provided into ATF.
5.3 Work with Department to complete the Semi-Annual
Progress Report
Due Apr. 15 and
Oct. 15
May include but is not limited to: backup
documentation, pictures, evaluation reports,
policies, success stories, press releases, challenges
and strategies to address them, fiscal reports.
5.4 Submit Quarterly Champions for Change Narrative
Reports on progress towards meeting subcontractors’
respective activities.
Due January 31,
April 30, July 31
and October 31 for
Year 1, 2, & 3
Year 1 reporting
will only include
April 30, July 31
and October 31.
Back up documentation includes Champions for
Change Narrative Report. Respective back up
documentation for activity reporting must be kept
on file by activity number and quarter and readily
accessible if needed. This includes but not limited
to:
Nutrition and physical activity single session
classes (sing in sheets, agenda, data cards)
Events (event flyer, pictures)
Trainings/Meetings (agenda, Notes)
PSE (Meeting Agendas, e-mails, pictures)
5.5 Work with Department-contracted Evaluator to
evaluate and to comply with required and PSE change
evaluation activities
Ongoing Evaluation Reports, RE-AIM and Success Stories
5.6 Participate in Department and State periodic in-person
trainings and webinars as appropriate.
Ongoing ATF, Department Quarterly Champions for Change
Narrative Reports
5.7 Participate in Champions for Change Program Lead
meetings and All Team meetings as scheduled.
Ongoing Agenda, meeting notes
Exhibit A
Page 11 of 11
Standard Activities
5.8 Participate in FCHIP workgroups as appropriate to
communicate, cross-promote, facilitate a coordinated
approach to enhance the consistency of nutrition
messaging and integrate activities with contractors
and community partners to improve access to healthy
foods and physical activity in target communities.
Ongoing Agenda, meeting notes
5.9 Work with community engagement subcontractor to
engage champions in completing scope of work
activities as appropriate and to the extent feasible.
Ongoing ATF, E-mail communication, Champion Engagement
System, pictures, success story
**Time Frame:
Year 1 (FFY 2017); Year 2 (FFY 2018); Year 3 (FFY 2019)
Qtr. 1 (Oct. 1-Dec. 31); Qtr. 2 (Jan. 1-March 31); Qtr. 3 (Apr. 1-Jun. 30); Qtr. 4 (Jul. 1-Sept.30)
Exhibit B1 of 6 1. Staffing: Salary/Benefits:
% of SNAP-Ed Time spent on Mgmt/Admin Duties% of SNAP-Ed Time spent on Direct SNAP-Ed Delivery1Brandi Muro0.10 95.00% 5.00% 53,072.31$ $5,307.2321.00%$1,114.52 $6,100.66 $6,4222Michelle Alcantara1.00 5.00% 95.00% 35,009.70$ $35,009.7021.00%$7,352.04 $2,118.09 $42,3623Karen Ard1.00 5.00% 95.00% 35,009.70$ $35,009.7030.00%$10,502.91 $2,275.63 $45,5134Norma Vail0.755.00%95.00%35,009.70$ $26,257.2830.00%$7,877.18$1,706.72$34,1342.85Total Staffing: Salary/Benefits:$101,584$26,847$12,201$128,4312. Non-Capital Equipment/Supplies:FTECost per Item# of ItemsTotal12.85$50.009$1,2831$0Total Supplies:$1,2833. Materials:# of ItemsTotal11025$61522$5103283$283Total Materials:$1,4084. Travel:LocationTrips FTE Days Nights Per Diem Lodging Air
Miles
@ $.54Reg. FeeOther Total1Fresno County 162 2.851312.20$1,312Health-0.105%, Vision-0.004%, Dental-0.009%, Life Ins-0.007%, WC-0.011%, SUI-0.010%, Pension,0.080%Definition and basis for calculations of benefit rate(s):Describe what is covered in the benefit rate for your agency.Cost per Item$0.60 $255.00 $1.00 Theft-sensitive equipment/supplies that are less than $5,000 (Computers, printers, projectors, etc.)
Description/JustificationGeneral Supplies, duplicating, postage (1.65FTE x $75 per month x 9 months)Budget ItemOffice SuppliesDescription/Justification1 Food demonstrations per retail location reaching 50 people per demonstration (1 x 15 x 50) + food demonstrations for worksites (11 sites x 25 Materials for two Fruit and Veggie Fest events. Materials include: signage, fliers, food demo items, rental of generatorNEOP approved worksite materials such as recipe cards, posters, and other nutrition education materialsProgram CoordinatorYEAR ONESNAP-Ed Admin CostsTotal SNAP-Ed Funded Salary and FTETotal SNAP-Ed SalarySNAP-Ed Time Spent Annual SalaryPosition #Program CoordinatorProgram CoordinatorPosition Title NameBenefit RateTotal SNAP-Ed BenefitsProgram DirectorPosition Title/Name3 Program Coordinators and
1 Program Director Description/ JustificationTravel within Reedley, Parlier, Sanger, Kerman, Lowell and West Fresno to work with 15 retail locations and 11 worksite locations. 9 months x 6 communities x 4 visits per month x 15 miles per trip. May also include meetings/trainings.
In-StateBudget ItemWorksite Program MaterialsFood Demonstrations/Taste Fruit and Veggie Fest J
Exhibit B2 of 61$0$1,312.205. Building/Space:FTECost per Month# of Mo(s).Total12.85 6229$15,954Total Building/Space:$15,9546. Maintenance:FTE# of Mo(s).Total12.859$4,874$4,8747. Equipment and Other Capital Expenditures:FTE# ofItemsMisc. Total1$0$08. ConsultantsTotal1$0$09. Indirect Costs:Indirect Cost RateTotal115.00%$22,989.16$22,989RentTotal Travel:Out-of-StateCalculation Description($1.34 x 426.6 Sq. Ft.) + $50.40 per month Ins. X 1.65FTE Location Name/AddressLocation Name/AddressCalculation DescriptionCost per MonthCommunications Phone, fax, Internet, IT Support (1.65FTE x $190 per month x 9 months)$190.00Total Maintenance:Budget ItemDescription/JustificationCost per ItemOrganization NameDescription of Service(s)Calculation MethodTotal Indirect Costs:Total Year 1 Budget:$176,250Total Consultants: Total Admin/Program Dollars$153,261I[IIII
Exhibit B3 of 6 1. Staffing: Salary/Benefits:
% of SNAP-Ed Time spent on Mgmt/Admin Duties% of SNAP-Ed Time spent on Direct SNAP-Ed Delivery1Brandi Muro0.06 95.00% 5.00% 70,763.08$ $4,245.7821.00%$891.61 $4,880.53 $5,1372Michelle Alcantara1.00 5.00% 95.00% 46,679.60$ $46,679.6021.00%$9,802.72 $2,824.12 $56,4823Karen Ard1.00 5.00% 95.00% 46,679.60$ $46,679.6030.00%$14,003.88 $3,034.17 $60,6834Norma Vail0.505.00%95.00%46,679.60$ $23,339.8030.00%$7,001.94$1,517.09$30,3422.56Total Staffing: Salary/Benefits:$120,945$31,700$12,256$152,6452. Non-Capital Equipment/Supplies:FTE# of ItemsTotal12.5612$3,0721$0$3,0723. Materials:# of ItemsTotal12050$1,23022$7053150$150$2,0854. Travel:LocationTrips FTE Days Nights Per Diem Lodging AirMiles@ $.54Reg. FeeOther Total1Fresno County 144 2.561,166.40$1,166.401$02$0$1,166.40Health-0.105%, Vision-0.004%, Dental-0.009%, Life Ins-0.007%, WC-0.011%, SUI-0.010%, Pension-0.080%Total SNAP-Ed Funded Salary and Program DirectorProgram CoordinatorProgram CoordinatorProgram CoordinatorYEAR TWO Position #Position Title Name Annual SalaryTotal SNAP-Ed SalaryBenefit RateTotal SNAP-Ed BenefitsSNAP-Ed Admin CostsFTESNAP-Ed Time Spent$100.00Definition and basis for calculations of benefit rate(s):Budget ItemDescription/JustificationCost per ItemOffice Supplies General Supplies, duplicating, postage (1.48FTE x $100 per month x 12 months)Total Supplies: Budget ItemDescription/JustificationCost per ItemFood Demonstrations/Taste 2 Food demonstration per retail location reaching 50 people per demonstration (2 x 15 x 50) and 2 per worksite location reaching 25 people (11x25x2) $0.60Theft-sensitive equipment/supplies that are less than $5,000 (Computers, printers, projectors, etc.)Fruit and Veggie Fest Materials for two Fruit and Veggie Fest events. Materials include: signage, fliers, food demo items, rental of generator, radio remote $352.50Worksite approved NEOP NEOP approved worksite materials such as recipe cards, posters, and other nutrition education materials$1.00Out-of-StateTotal Materials: Position Title/NameDescription/ JustificationTravel within the six communities: Reedley, Parlier, Sanger, Kerman, Lowell and West Fresno to work with Retail and worksite locations. 12 months x 6 communities x 2 visits per month x 15 miles per tripIn-State
3 Program Coordinators and
1 Program Director Total Travel:n
Exhibit B4 of 65. Building/Space:FTE# of Mo(s).Total12.5612$19,1082$0$19,108 6. Maintenance:FTE# of Mo(s).Total12.5612$5,8372$03$0$5,8377. Equipment and Other Capital Expenditures:FTE# ofItemsMisc. Total1$02$0$08. ConsultantsTotal1$02$0$09. Indirect Costs:$183,912.98Indirect Cost RateTotal115.00%$27,586.95$27,587Location Name/AddressCalculation DescriptionCommunications Phone, fax, Internet, IT Support (1.48FTE x $190 per month x 12 months)Total Consultants: Total Admin/Program Dollars183,912.98Cost per MonthRent ($1.34 x 426.6 Sq. Ft.) + $50.40 per month Ins. X 1.48FTE$622.00$190.00Total Building/Space:Location Name/AddressCalculation DescriptionCost per MonthTotal Maintenance:Budget ItemDescription/JustificationCost per ItemTotal Equipment: Calculation MethodOrganization NameDescription of Service(s)Total Indirect Costs:Total Year 2 Budget:$211,500
Exhibit B5 of 6 1. Staffing: Salary/Benefits:% of SNAP-Ed Time spent on Mgmt/Admin Duties% of SNAP-Ed Time spent on Direct SNAP-Ed Delivery1Brandi Muro0.06 95.00% 5.00% 70,763.08$ $4,245.7821.00%$891.61 $4,880.53 $5,1372Michelle Alcantara1.00 5.00% 95.00% 46,679.60$ $46,679.6021.00%$9,802.72 $2,824.12 $56,4823Karen Ard1.00 5.00% 95.00% 46,679.60$ $46,679.6030.00%$14,003.88 $3,034.17 $60,6834Norma Vail0.505.00%95.00%46,679.60$ $23,339.8030.00%$7,001.94$1,517.09$30,3422.56Total Staffing: Salary/Benefits:$120,945$31,700$12,256$152,6452. Non-Capital Equipment/Supplies:FTE# of ItemsTotal12.5612$3,0722$01$02$0$3,0723. Materials:# of ItemsTotal12050$1,23022$7053150$150$2,0854. Travel:LocationTrips FTE Days Nights Per Diem Lodging AirMiles@ $.54Reg. FeeOther TotalProgram DirectorProgram CoordinatorBudget ItemDescription/JustificationCost per ItemHealth-0.105%, Vision-0.004%, Dental-0.009%, Life Ins-0.007%, WC-0.011%, SUI-0.010%, Pension,0.080%Definition and basis for calculations of benefit rate(s):Position #Position Title Name Annual SalaryTotal SNAP-Ed SalaryBenefit RateTotal SNAP-Ed BenefitsSNAP-Ed Admin CostsTotal SNAP-Ed Funded Salary and FTESNAP-Ed Time SpentYEAR THREEProgram CoordinatorProgram CoordinatorOffice Supplies General Supplies, duplicating, postage (1.48FTE x $100 per month x 12 months)$100.00Budget ItemDescription/JustificationCost per ItemFood Demonstrations/Taste Testing2 Food demonstrations per retail location reaching 50 people per demonstration (2 x 15 x 50) and 2 Food demonstrations at each worksite reaching 25 people(11 x 2 x25)$0.60Total Supplies: Theft-sensitive equipment/supplies that are less than $5,000 (Computers, printers, projectors, etc.)Fruit and Veggie Fest Materials for two Fruit and Veggie Fest events. Materials include: signage, fliers, food demo items, rental of generator, radio remote $352.50Worksite approved NEOP NEOP approved worksite materials such as recipe cards, posters, and other nutrition education materials$1.00Total Materials: Position Title/NameDescription/ JustificationIn-State
Exhibit B6 of 61Fresno County 144 2.561166.4$1,166.4019$0$1,166.405. Building/Space:FTE# of Mo(s).Total12.5612$19,1082$0$19,1086. Maintenance:FTE# of Mo(s).Total12.5612$5,8372$0$5,8377. Equipment and Other Capital Expenditures:FTE# ofItemsMisc. Total1$02$0$08. ConsultantsTotal1$02$0$09. Indirect Costs:$183,912.98Indirect Cost RateTotal115.00%$27,586.95$27,587Total Travel:3 Program Coordinators and
1 Program DirectorTravel within the six communities: Reedley, Parlier, Sanger, Kerman, Lowell and West Fresno to work with Retail and Worksite locations. 12 months x 6 communities x 1 visits per month x 15 miles per tripOut-of-State
Total Building/Space:Location Name/AddressCalculation DescriptionCost per MonthLocation Name/AddressCalculation DescriptionCost per MonthRent ($1.34 x 426.6 Sq. Ft.) + $50.40 per month Ins. X 1.48FTE$622.00Total Maintenance:Budget ItemDescription/JustificationCost per ItemCommunications Phone, fax, Internet, IT Support (1.48FTE x $190 per month x 12 months)$190.00Total Year 3 Budget:$211,50015% of all expensesTotal Indirect Costs:Calculation MethodTotal Consultants: Total Admin/Program Dollars$183,912.98Organization NameDescription of Service(s)1I[
County of Fresno
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EXHIBIT C
STANDARD GRANT CONDITIONS
1. APPROVAL: This Grant is of no force or effect until signed by both parties and
approved by the Department of General Services, if required. The Grantee may not
commence performance until such approval has been obtained
2. AMENDMENT: No amendment or variation of the terms of this Grant shall be
valid unless made in writing, signed by the parties, and approved as required. No oral
understanding or Agreement not incorporated in the Grant is binding on any of the
parties. In no case shall the Department materially alter the scope of the Project set
forth in Exhibit A.
3. ASSIGNMENT: This Grant is not assignable by the Grantee, either in
whole or in part, without the written consent of the Grant Manager in the form
of a written amendment to the Grant.
4. AUDIT: Grantee agrees that the Department, the Bureau of State Audits,
or their designated representative shall have the right to review and to copy any
records and supporting documentation pertaining to this Grant. Grantee agrees
to maintain such records for a possible audit for a minimum of three (3) years
after final payment or completion of the project funded with this Grant, unless a
longer period of records retention is stipulated. Grantee agrees to allow the
auditor(s) access to such records during normal business hours and to allow
interviews of any employees who might reasonably have information related to
such records. Further, Grantee agrees to include a similar right of the State to
audit records and interview staff in any subcontract related to the project.
5. CONFLICT OF INTEREST: Grantee certifies that it is in compliance
with all applicable state and/or federal conflict of interest laws.
6. INDEMNIFICATION: Grantee agrees to indemnify, defend and save
harmless the State, its officers, agents and employees from any and all claims
and losses accruing or resulting to any and all contractors, subcontractors,
suppliers, laborers, and any other person, firm or corporation furnishing or
supplying work services, materials, or supplies in connection with the project,
and from any and all claims and losses accruing or resulting to any person, firm
or corporation who may be injured or damaged by Grantee in the performance
of any activities related to the Project.
County of Fresno
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Page 2 of 3
7. FISCAL MANAGEMENT SYSTEMS AND ACCOUNTING STANDARDS:
Grantee agrees that, at a minimum, its fiscal control and accounting procedures will
be sufficient to permit tracing of all grant funds to a level of expenditure adequate to
establish that such funds have not been used in violation of any applicable state or
federal law, or the provisions of this Grant. Grantee further agrees that it will
maintain separate Project accounts in accordance with generally accepted
accounting principles.
8. GOVERNING LAW: This Grant is governed by and shall be interpreted in
accordance with the laws of the State of California.
9. INCOME RESTRICTIONS: Grantee agrees that any refunds, rebates,
credits, or other amounts (including any interest thereon) accruing to or
received by the Grantee under this Grant shall be paid by the Grantee to the
Department, to the extent that they are properly allocable to costs for which the
Grantee has been reimbursed by the Department under this Grant.
10. INDEPENDENT GRANTEE: Grantee, and its agents and employees of
Grantee, in the performance of the Project, shall act in an independent capacity
and not as officers, employees or agents of the Department.
11. MEDIA EVENTS: Grantee shall notify the Department’s Grant Manager
in writing at least twenty (20) working days before any public or media event
publicizing the accomplishments and/or results of the Project and provide the
opportunity for attendance and participation by Department’s representatives.
12. NO THIRD-PARTY RIGHTS: The Department and Grantee do not
intend to create any rights or remedies for any third- party as a beneficiary of
this Grant or the project.
13. NOTICE: Grantee shall promptly notify the Department’s Grant
Manager in writing of any events, developments or changes that could affect
the completion of the project or the budget approved for this Grant.
14. PROFESSIONALS: Grantee agrees that only licensed professionals
will be used to perform services under this Grant where such services are
called for.
County of Fresno
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Page 3 of 3
15. RECORDS: Grantee certifies that it will maintain Project accounts in
accordance with generally accepted accounting principles. Grantee further
certifies that it will comply with the following conditions for a grant award as set
forth in the Request for Applications (Exhibit D) and the Grant Application
(Exhibit A).
Establish an official file for the Project which shall adequately document all
significant actions relative to the Project;
Establish separate accounts which will adequately and accurately depict all
amounts received and expended on this Project, including all grant funds
received under this Grant;
Establish separate accounts which will adequately depict all income
received which is attributable to the Project, especially including any income
attributable to grant funds disbursed under this Grant;
Establish an accounting system which will adequately depict final total
costs of the Project, including both direct and indirect costs; and,
Establish such accounts and maintain such records as may be necessary
for the state to fulfill federal reporting requirements, including any and all
reporting requirements under federal tax statutes or regulations.
16. RELATED LITIGATION: Under no circumstances may Grantee use funds from
any disbursement under this Grant to pay for costs associated with any litigation between
the Grantee and the Department.
17. RIGHTS IN DATA: Grantee and the Department agree that all data, plans,
drawings, specifications, reports, computer programs, operating manuals, notes,
and other written or graphic work submitted under Exhibit A in the performance of
the Project funded by this Grant shall be in the public domain. Grantee may
disclose, disseminate and use in whole or in part, any final form data and
information received, collected, and developed under this Project, subject to
appropriate acknowledgment of credit to the Department for financial support.
Grantee shall not utilize the materials submitted to the Department (except data) for
any profit making venture or sell or grant rights to a third-party who intends to do
so. The Department has the right to use submitted data for all governmental
purposes.
18. VENUE: The Department and Grantee agree that any action arising
out of this Grant shall be filed and maintained in the Superior Court, County of
Sacramento, California. Grantee waives any existing sovereign immunity for
the purposes of this Grant, if applicable.
Exhibit D
Page 1 of 2
SELF-DEALING TRANSACTION DISCLOSURE FORM
In order to conduct business with the County of Fresno (hereinafter referred to as “County”),
members of a contractor’s board of directors (hereinafter referred to as “County Contractor”), must
disclose any self-dealing transactions that they are a party to while providing goods, performing
services, or both for the County. A self-dealing transaction is defined below:
“A self-dealing transaction means a transaction to which the corpora tion is a party and in which one
or more of its directors has a material financial interest .”
The definition above will be utilized for purposes of completing this disclosure form.
INSTRUCTIONS
(1) Enter board member’s name, job title (if applicable), and dat e this disclosure is being made.
(2) Enter the board member’s company/agency name and address.
(3) Describe in detail the nature of the self -dealing transaction that is being disclosed to the
County. At a minimum, include a description of the following:
a. The name of the agency/company with which the Corporation has the transaction;
and
b. The nature of the material financial interest in the Corporation’s transaction that the
board member has.
(4) Describe in detail why the self -dealing transaction is appropriate based on applicable
provisions of the Corporations Code.
(5) Form must be signed by the board member that is involved in the self -dealing transaction
described in Sections (3) and (4).
Exhibit D
Page 2 of 2
(1) Company Board Member Information:
Name: Date:
Job Title:
(2) Company/Agency Name and Address:
(3) Disclosure (Please describe the nature of the self-dealing transaction you are a party to):
(4) Explain why this self-dealing transaction is consistent with the requirements of Corporations Code 5233 (a):
(5) Authorized Signature
Signature: Date: