HomeMy WebLinkAboutAgreement A-17-071 with WFP (Huron).pdf
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COUNTY OF FRESNO
Fresno CA
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AGREEMENT
THIS AGREEMENT is made and entered into this day of _______________, 2017, by and
between the COUNTY OF FRESNO, a Political Subdivision of the State of California, hereinafter referred
to as "COUNTY", and WESTSIDE FAMILY PRESERVATION SERVICES NETWORK a private
non-profit corporation, whose address is 16846 4th Street, Huron, CA 93234, hereinafter referred to as
"CONTRACTOR".
W I T N E S S E T H:
WHEREAS, pursuant to the provisions of 42 United States Code sections 629, et seq. ("Promoting
Safe and Stable Families"), COUNTY, on behalf of its’ Department of Social Services (DSS), desires to
participate in and fund Family Preservation and Family Support services to strengthen families through the
provision of activities that improve physical and mental health, keep homes and neighborhoods safe, support
children's academic performance and help families become economically self-sufficient; and
WHEREAS, COUNTY, pursuant to Division 9, Part 6, Chapter 11, of the California Welfare and
Institutions Code [WIC] (hereafter "CAPIT Legislation") and the rules and regulations of the California
Department of Social Services, desires to participate in and fund Child Abuse Prevention, Intervention and
Treatment (CAPIT) services for children who are at high risk of abuse or neglect and their families; and
WHEREAS, COUNTY, pursuant to Title II of the federal Child Abuse Prevention and Treatment
Act (CAPTA) Amendments of 1996 and reauthorized in June 2003, desires to participate and fund
Community Based Child Prevention Programs (CBCAP) aimed at the prevention of child abuse and neglect;
and
WHEREAS, COUNTY, desires further to enhance Child Abuse Prevention services through the use
of Child Welfare trust fund monies; and
WHEREAS, CONTRACTOR is willing and able to provide Child Abuse Prevention services
needed by COUNTY, pursuant to the terms of this Agreement;
NOW, THEREFORE, in consideration of the terms, covenants and conditions to be kept and
performed by each party, it is agreed as follows:
1. SERVICES
A. CONTRACTOR shall perform all services and fulfill all responsibilities as identified in
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COUNTY’s Request for Proposal (RFP) No. 17-027, dated October 27, 2016, and Addendum No. One
(1) to COUNTY’s RFP No. 17-027 dated November 9, 2016, collectively hereinafter referred to as
COUNTY’s Revised RFP No. 17-027 and CONTRACTOR’s response to said Revised RFP, all
incorporated herein by reference and made part of this Agreement.
B. CONTRACTOR shall be held responsible for all services as set forth in Exhibit A,
Summary of Services, attached hereto and by this reference incorporated herein.
C. In the event of any inconsistency among the documents described in Paragraphs 1.A and
1.B hereinabove, the inconsistency shall be resolved by giving precedence in the following order of
priority: 1) to this Agreement, including all Exhibits attached hereto, 2) to COUNTY’s Revised RFP No.
17-027, and 3) to the CONTRACTOR’s response to Revised RFP. A copy of COUNTY’s Revised RFP
No. 17-027, and CONTRACTOR’s response shall be retained and made available during the term of this
Agreement by COUNTY’s Department of Social Services.
D. CONTRACTOR shall provide services and activities to children and their families,
pursuant to the staffing pattern and program expenses detailed in Exhibit B “Budget”, attached hereto
and by this reference incorporated herein.
E. If requested by COUNTY, CONTRACTOR shall participate in training, staff
development and other activities that support the intent and goals of these Child Abuse Prevention
services.
2. TERM
The term of this Agreement shall be for a period of three (3) years, commencing on July 1,
2017 through and including June 30, 2020. This Agreement may be extended for two (2) additional
consecutive twelve (12) month periods upon the written approval of both parties no later than thirty (30)
days prior to the first day of the next twelve month extension period. The DSS Director, or designee, is
authorized to execute such written approval on behalf of COUNTY based on CONTRACTOR's
satisfactory performance.
3. TERMINATION
Non-Allocation of Funds - The terms of this Agreement, and the services to be provided
thereunder, are contingent upon the approval of funds by the appropriating government agency. Should
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sufficient funds not be allocated, the services provided may be modified, or this Agreement terminated, at
any time by giving the CONTRACTOR thirty (30) days advance written notice.
A. Breach of Contract - The COUNTY or CONTRACTOR may immediately suspend or
terminate this Agreement in whole or in part, where in the determination of the 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 the COUNTY;
4) Improperly performed service.
In no event shall any payment by the COUNTY constitute a waiver by the COUNTY of any
breach of this Agreement or any default which may then exist on the part of the CONTRACTOR. Neither
shall such payment impair or prejudice any remedy available to the COUNTY with respect to the breach or
default. The COUNTY shall have the right to demand of the CONTRACTOR the repayment to the
COUNTY of any funds disbursed to the CONTRACTOR under this Agreement, which in the judgment of
the COUNTY were not expended in accordance with the terms of this Agreement. The CONTRACTOR
shall promptly refund any such funds upon demand.
B. Without Cause - Under circumstances other than those set forth above, this Agreement
may be terminated by CONTRACTOR or COUNTY or COUNTY’s DSS Director or designee, upon the
giving of thirty (30) days advance written notice of an intention to terminate the Agreement.
4. COMPENSATION
For actual services provided pursuant to the terms of this Agreement, COUNTY agrees to pay
CONTRACTOR and CONTRACTOR agrees to receive compensation in accordance with Exhibit B.
Mandated travel shall be reimbursed based on actual expenditures and mileage reimbursement shall be at
CONTRACTOR’s adopted rate per mile, not to exceed the IRS published rate.
In no event shall actual services performed under this Agreement be in excess of Two Hundred
Twenty Thousand and No/100 Dollars ($220,000) for each twelve (12) month period of this Agreement
(July 1 through June 30). The cumulative total of this Agreement shall not be in excess of One Million One
Hundred Ten Thousand and No/100 Dollars ($1,110,000).
Payments by COUNTY shall be in arrears, for services provided during the preceding month,
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within forty-five (45) days after receipt, verification and approval of CONTRACTOR’s invoices by
COUNTY.
It is understood that all expenses incidental to CONTRACTOR’s performance of services
under this Agreement shall be borne by CONTRACTOR.
To the extent permitted by State and Federal rules and regulations, advanced payment of up to
twenty percent (20%) of the compensation under this Agreement may be requested of COUNTY by
CONTRACTOR. Advance payments shall be limited to implementation costs for new and/or expanded
services only. Approval of an advanced payment is at the sole discretion of COUNTY’s DSS Director or
designee. If advanced payment occurs, the amount of the advanced payment shall be deducted in equal
installments from claims submitted for the final six (6) months of this Agreement.
5. MATCH
CONTRACTOR agrees to make a cash and/or in-kind match from Non-California Department
of Social Services sources in an amount equal to, or more than, ten (10%) percent of the amount of CAPIT
funds, if received, for the program identified herein, which will support the goals of child abuse and neglect
prevention and intervention.
6. INVOICING
CONTRACTOR shall invoice COUNTY’s DSS in arrears by the tenth (10th) of each month
for expenditures incurred to provide services rendered in the previous month to:
DSSInvoices@co.fresno.ca.us. Payments by COUNTY’s DSS shall be in arrears, for actual services
provided during the preceding month, within forty-five (45) days after receipt, verification and approval of
CONTRACTOR’s invoices by COUNTY’s DSS. A monthly activity report shall accompany the invoice,
reflecting services supported by the invoiced expenditures and be in a form and in such detail as acceptable
to the COUNTY’s DSS.
At the discretion of COUNTY’s DSS Director or designee, if an invoice is incorrect or is
otherwise not in proper form or detail, COUNTY’s DSS Director or designee shall have the right to
withhold payment as to only that portion of the invoice that is incorrect or improper after five (5) days
prior written notice or email correspondence to CONTRACTOR. CONTRACTOR agrees to continue to
provide services for a period of ninety (90) days after written or email notification of an incorrect or
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improper invoice. If after the ninety (90) day period the invoice(s) is still not corrected to COUNTY’s
DSS satisfaction, COUNTY or COUNTY’s DSS Director or designee may elect to terminate this
Agreement, pursuant to the termination provisions stated in Paragraph Three (3) of this Agreement.
All final claims shall be submitted by CONTRACTOR within sixty (60) days following the
month of actual service for which payment is claimed. No payment for services shall be made by
COUNTY’s DSS on claims submitted beyond sixty (60) days following the month of actual service for
which payment is invoiced.
7. MODIFICATION
A. 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.
B. Changes to the line items in the attached Budget (Exhibit B) that do not exceed ten
percent (10%) of the annual maximum compensation payable to the CONTRACTOR may be made by a
written amendment signed by COUNTY’s DSS Director, or designee, and the CONTRACTOR and
approved by County Counsel and Auditor. Said budget line item changes shall not result in any change to
the annual maximum compensation payable to CONTRACTOR, as set forth in Section Four (4) of this
Agreement.
C. CONTRACTOR hereby agrees that changes to the compensation under this
Agreement may be necessitated by a reduction in funding from State and/or Federal sources. The
COUNTY’s DSS Director or designee may modify the annual maximum compensation and cumulative
maximum compensation payable to CONTRACTOR, as set forth in Section Four (4) of this Agreement,
necessitated by reductions in funding from State and/or Federal sources.
8. 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 the
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, the COUNTY shall not have
any right to control or supervise or direct the manner or method by which CONTRACTOR shall perform
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their work and function. However, COUNTY shall retain the right to administer this Agreement so as to
verify that CONTRACTOR is performing their 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 the subject thereof.
Because of their 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 hold 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 providing services to others unrelated to the COUNTY or to this
Agreement.
9. NON-ASSIGNMENT
Neither party shall assign or transfer this Agreement nor their rights or duties under this
Agreement without the prior written consent of the other party.
10. HOLD HARMLESS
CONTRACTOR agree to indemnify, save, hold harmless, and at COUNTY’s request, defend
the COUNTY, their officers, agents, and employees from any and all costs and expenses, damages,
liabilities, claims, and losses occurring or resulting to COUNTY in connection with the performance, or
failure to perform, by CONTRACTOR, their officers, agents, or employees under this Agreement, and from
any and all costs and expenses, 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, their officers, agents, or employees under this Agreement. In addition, CONTRACTOR
agrees to indemnify COUNTY for Federal, State of California and/or local audit exceptions resulting from
noncompliance herein on the part of CONTRACTOR.
///
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11. INSURANCE
Without limiting the COUNTY’S right to obtain indemnification from CONTRACTOR or any
third parties, CONTRACTOR, at their sole expense, shall maintain in full force and effect, the following
insurance policies or a program of self-insurance, including but not limited to, an insurance pooling
arrangement or Joint Powers Agreement (JPA) throughout the term of the 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
coverages including completed operations, products liability, and contractual liability,
Explosion-Collapse-Underground, fire legal liability or any other liability insurance deemed
necessary because of the nature of this contract.
B. Automobile Liability
Comprehensive Automobile Liability Insurance with limits for bodily injury of not less than
Two Hundred Fifty Thousand Dollars ($250,000.00) per person, Five Hundred Thousand
Dollars ($500,000.00) per accident and for property damages of not less than Fifty
Thousand Dollars ($50,000.00), or such coverage with a combined single limit of Five
Hundred Thousand Dollars ($500,000.00). Coverage should include owned and non-owned
vehicles used in connection with this Agreement.
C. Professional Liability
If CONTRACTOR employ licensed professional staff, (e.g., Ph.D., R.N., L.C.S.W.,
M.F.C.C.) in providing services, Professional Liability Insurance is required with limits of
not less than One Million Dollars ($1,000,000.00) per occurrence, Three Million Dollars
($3,000,000.00) annual aggregate.
D. Worker's Compensation
A policy of Worker's Compensation insurance as may be required by the California Labor
Code.
CONTRACTOR shall obtain endorsements to the Commercial General Liability insurance
naming the County of Fresno, its officers, agents, and employees, individually and collectively, as
additionally 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 COUNTY, its officers, agents and employees shall be excess only and not contributing with
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insurance provided under 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 signs and executes this Agreement,
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, P.O. Box 1912, Fresno, CA 93718-1219,
Attention: Contract Analyst, stating that such insurance coverage has been obtained and is 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 additionally insured, but only insofar as the operations
under this Agreement are concerned; that such coverage for additionally insured shall apply as primary
insurance and any other insurance, or self-insurance, maintained by COUNTY, its officers, agents and
employees, shall be excess only and not contributing with insurance provided under CONTRACTOR
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 fail 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 an event.
All policies shall be with admitted insurers licensed to do business in the State of California.
Insurance purchased shall be purchased from companies possessing a current A.M. Best, Inc. rating of A
FSC VII or better.
12. SUBCONTRACTS
CONTRACTOR shall obtain written approval from COUNTY or COUNTY’s DSS Director,
or designee before subcontracting any of the services delivered under this Agreement. Any transferee,
assignee or subcontractor will be subject to all applicable provisions of this Agreement, and all applicable
State and Federal regulations. CONTRACTOR shall be held primarily responsible by COUNTY for the
performance of any transferee, assignee or subcontractor unless otherwise expressly agreed to in writing by
COUNTY. The use of subcontractor by CONTRACTOR shall not entitle CONTRACTOR to any
additional compensation than is provided for under this Agreement.
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13. CONFLICT OF INTEREST
No officer, employee or agent of the COUNTY who exercises any function or responsibility
for planning and carrying out of the services provided under this Agreement shall have any direct or indirect
personal financial interest in this Agreement. In addition, no employee of the COUNTY shall be employed
by the CONTRACTOR under this Agreement to fulfill any contractual obligations with the COUNTY. The
CONTRACTOR shall comply with all Federal, State of California and local conflict of interest laws, statutes
and regulations, which shall be applicable to all parties and beneficiaries under this Agreement and any
officer, employee or agent of the COUNTY.
14. 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 the 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 C and by this references
incorporated herein, and submitting it to the COUNTY prior to commencing with the self-dealing
transaction or immediately thereafter.
15. 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
ethnic group identification, gender, gender identity, gender expression, sexual orientation, color, physical
disability, mental disability, medical condition, national origin, race, ancestry, marital status, religion, or
religious creed, pursuant to all applicable State of California and Federal statutes and regulations.
16. RECRUITMENT OF EMPLOYEES AND SERVICES TO CLIENTS
CONTRACTOR shall ensure that its employment recruitment efforts, including administrative
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and professional staff positions, are carried out so as to adequately reflect the cultural and ethnic diversity of
the population of Fresno County. CONTRACTOR shall use its best efforts to serve all cultural and ethnic
groups residing in Fresno County. CONTRACTOR’s employment efforts will be monitored by COUNTY
at periodic intervals.
17. LIMITED ENGLISH PROFICIENCY
CONTRACTOR shall provide interpreting and translation services to persons participating in
CONTRACTOR’s services who have limited or no English language proficiency, including services to
persons who are deaf or blind. Interpreter and translation services shall be provided as necessary to allow
such participants meaningful access to the programs, services and benefits provided by CONTRACTOR.
Interpreter and translation services, including translation of CONTRACTOR’s “vital documents” (those
documents that contain information that is critical for accessing CONTRACTOR’s services or are required
by law) shall be provided to participants at no cost to the participant. CONTRACTOR shall ensure that any
employees, agents, subcontractor, or partners who interpret or translate for a program participant, or who
directly communicate with a program participant in a language other than English, demonstrate proficiency
in the participant’s language and can effectively communicate any specialized terms and concepts peculiar to
CONTRACTOR’S services.
18. 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.
19. DATA SECURITY
For the purpose of preventing the potential loss, misappropriation or inadvertent 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 COUNTY for the purpose of providing services under this Agreement must employ
adequate data security measures to protect the confidential information provided to CONTRACTOR by
COUNTY, including but not limited to the following:
A. Contractor-Owned Mobile/Wireless/Handheld Devices may not be
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connected to COUNTY networks via personally owned mobile, wireless or handheld devices, except
when authorized by COUNTY for telecommuting and then only if virus protection software currency
agreements are in place and if a secure connection is used.
B. Contractor-Owned Computers or Computer Peripherals may not brought
into COUNTY for use, including and not limited to mobile storage devices, without prior authorization
from COUNTY’s Chief Information Officer or her designee. Data must be stored on a secure server
approved by COUNTY and transferred by means of a VPN (Virtual Private Network) connection, or
another type of secure connection of this type if any data is approved to be transferred.
C. County-Owned Computer Equipment – CONTRACTOR or anyone having
an employment relationship with COUNTY may not use COUNTY computers or computer peripherals
on non-COUNTY premises without prior authorization from COUNTY’s Chief Information Officer or
her designee.
D. CONTRACTOR may not store COUNTY’s private, confidential or
sensitive data on any hard-disk drive.
E. CONTRACTOR is responsible to employ strict controls to insure the
integrity and security of COUNTY’s confidential information and to prevent unauthorized access to 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 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
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. In the event of a breach of security related to COUNTY’s confidential
client information provided to CONTRACTOR, COUNTY will manage the response to the incident,
however, CONTRACTOR will be responsible to issue any notification to affected individuals as required
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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. When no longer needed, all Medi-
Cal Personally Identifiable Information, as defined in the Medi-Cal Data Privacy and Security
Agreement between the California DHCS and the County of Fresno, Agreement No. A-14-075, whether
stored in print or electronic format, must be destroyed or disposed of through confidential means, as
described in Agreement No. A-14-075. Agreement No. A-14-075, is available upon request or can be
viewed at: http://www.co.fresno.ca.us/MediCalPrivacy/.
I. The requirements in this Data Security provision shall apply to
CONTRACTOR’s subcontractor, if any
20. CLEAN AIR AND WATER
In the event the funding under this Agreement exceeds One Hundred Thousand and No/100
Dollars ($100,000.00), CONTRACTOR shall comply with all applicable standards, orders or requirements
issued under the Clean Air Act contained in 42 U.S. Code 7601 et seq; the Clean Water Act contained in 33
U.S. Code 1368 et seq.; and any standards, laws and regulations, promulgated thereunder. Under these laws
and regulations, CONTRACTOR shall assure:
A. No facility shall be utilized in the performance of the Agreement that has been listed on
the Environmental Protection Agency (EPA) list of Violating Facilities;
B. COUNTY shall be notified prior to execution of this Agreement of the receipt of any
communication from the Director, Office of Federal Activities, U.S. EPA indicating that a facility to be
utilized in the performance of this Agreement is under consideration to be listed on the EPA list of Violating
Facilities;
C. COUNTY and U.S. EPA shall be notified about any known violation of the above laws
and regulations; and
D. This assurance shall be included in every nonexempt subgrant, contract, or subcontract.
21. DRUG-FREE WORKPLACE REQUIREMENTS
For purposes of this paragraph, CONTRACTOR will be referred to as the “grantee”. By
drawing funds against this grant award, the grantee is providing the certification that is required by
regulations implementing the Drug-Free Workplace Act of 1988, 45 CFR Part 76, Subpart F. These
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regulations require certification by grantees that they will maintain a drug-free workplace. False
certification or violation of the certification shall be grounds for suspension of payments, suspension or
termination of grants, or government wide suspension or debarment. CONTRACTOR shall also comply
with the requirements of the Drug-Free Workplace Act of 1990 (California Government Code section 8350
et seq.)
22. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INTELIGIBILITY
AND VOLUNTARY EXCLUSION-LOWER TIER COVERED TRANSACTIONS
A. COUNTY and CONTRACTOR recognize that Federal assistance funds will be used
under the terms of this Agreement. For purposes of this paragraph, CONTRACTOR will be referred to as
the “prospective recipient”.
B. This certification is required by the regulation implementing Executive Order 12549,
Debarment and Suspension, 29 CFR Part 98m section 98.510, Participant’s responsibilities.
1) The prospective recipient of Federal assistance funds certified by entering
into this Agreement, that neither it nor its principals are presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal
department or agency.
2) The prospective recipient of funds agrees by entering into this Agreement,
that it shall not knowingly enter into any lower tier covered transaction with a person who is debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency with which this transaction originated.
3) Where the prospective recipient of Federal assistance funds is unable to
certify to any of the statements in this certification, such prospective participant shall attach an explanation
to this Agreement.
4) The prospective recipient shall provide immediate written notice to
COUNTY if at any time prospective recipient learns that its certification in Paragraph Twenty Two (22) of
this Agreement was erroneous when submitted or has become erroneous by reason of changed
circumstances.
5) The prospective recipient further agrees that by entering into this Agreement,
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it will include a clause identical to Paragraph Twenty Two (22) of this Agreement and titled “Certification
Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered
Transactions”, in all lower tier covered transactions and in all solicitations for lower tier covered transaction.
6) The certification in Paragraph Twenty Two (22) of this Agreement is a
material representation of fact upon which COUNTY relied in entering into this Agreement.
23. STATE ENERGY CONSERVATION
CONTRACTOR must comply with the mandatory standard and policies relating to energy
efficiency which are contained in the State Energy Conservation Plan issued in compliance with 42 United
States (US) Code sections 6321, et. seq.
24. FRATERNIZATION
CONTRACTOR shall establish procedures addressing fraternization between
CONTRACTOR’S staff and clients. Such procedures will include provisions for informing
CONTRACTOR’S staff and clients regarding fraternization guidelines.
25. INTERPRETATION OF LAWS AND REGULATIONS
COUNTY reserves the right to make final interpretations or clarifications on issues relating to
Federal and State laws and regulations, to ensure compliance.
26. COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS
CONTRACTOR, its officers, consultants, subcontractors, agents and employees shall comply
with all applicable State, Federal and local laws and regulations governing projects that utilize Federal Funds
27. RECORDS
A. Record Establishment and Maintenance
CONTRACTOR shall establish and maintain records in accordance with those
requirements prescribed by COUNTY, with respect to all matters covered by this Agreement.
CONTRACTOR shall retain all fiscal books, account records and client files for services performed under
this Agreement for at least three (3) years from date of final payment under this Agreement or until all State
and Federal audits are completed for that fiscal year, whichever is later.
B. Cost Documentation
1) CONTRACTOR shall submit to COUNTY within fifteen (15) calendar days
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following the end of each month, all fiscal and program reports for that month. CONTRACTOR shall also
furnish to COUNTY such statements, records, data and information as COUNTY may request pertaining to
matters covered by this Agreement. In the event that CONTRACTOR fail to provide reports as provided
herein, it shall be deemed sufficient cause for COUNTY to withhold payments until compliance is
established.
2) All costs shall be supported by properly executed payrolls, time records, invoices,
vouchers, orders, or any other accounting documents pertaining in whole or in part to this Agreement and
they shall be clearly identified and readily accessible. The support documentation must indicate the line
budget account number to which the cost is charged.
3) COUNTY shall notify CONTRACTOR in writing within thirty (30) days of any
potential State or Federal audit exception discovered during an examination. Where findings indicate that
program requirements are not being met and State or Federal participation in this program may be imperiled
in the event that corrections are not accomplished by CONTRACTOR within thirty (30) days of receipt of
such notice from COUNTY, written notification thereof shall constitute COUNTY’S intent to terminate this
Agreement.
C. Service Documentation
CONTRACTOR agrees to maintain records to verify services under this Agreement
including names and addresses of clients served, the dates of service and a description of services provided
on each occasion. These records and any other documents pertaining in whole or in part to this Agreement,
shall be clearly identified and readily accessible.
D. Use of Data
CONTRACTOR shall grant to COUNTY and the United States Department Health
and Human Services the royalty-free, nonexclusive and irrevocable license throughout the world to publish,
translate, reproduce, deliver, perform, dispose of, duplicate, use, disclose in any manner and for any purpose
whatsoever and to authorize others to do so, all subject data now or hereafter covered by copyright.
However, with respect to subject data not originated in the performance of this Agreement, such license shall
be only to the extent that CONTRACTOR have the right to grant such licenses without becoming liable to
pay any compensation to others because of such grants. CONTRACTOR shall exert all reasonable effort to
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advise COUNTY at time of delivery of subject data furnished under this Agreement, of all possible
invasions of the right of privacy therein contained, and of all portions of such subject data copied from work
not composed or produced in the performance of this Agreement and not licensed under this provision.
As used in this clause, the term “Subject Data” means writing, sound recordings,
pictorial reproductions, drawings, designs or graphic representations, procedural manuals, forms, diagrams,
work flow charts, equipment descriptions, data files and data processing of computer programs, and works
of any similar nature (whether or not copyrighted or copyrightable) which are first produced or developed
under this Agreement. The term does not include financial reports, cost analyses and similar information
incidental to contract administration.
CONTRACTOR shall report to COUNTY promptly and in written detail, each notice
of claim of copyright infringement received by CONTRACTOR with respect to all subject data delivered
under this Agreement. CONTRACTOR shall not affix any restrictive markings upon any data. If markings
are affixed, COUNTY shall have the right at any time to modify, remove, obliterate or ignore such
markings.
COUNTY shall have access to any report, preliminary findings or data assembled by
CONTRACTOR under this Agreement. In addition, CONTRACTOR must receive written permission from
COUNTY prior to publication of any materials developed under this Agreement and file with COUNTY a
copy of all educational and training materials, curricula, audio/visual aids, printed material and periodicals,
assembled pursuant to this Agreement prior to publication.
28. SINGLE AUDIT CLAUSE
As a sub recipient of Federal financial assistance, CONTRACTOR agrees to provide copies of
their audit reports, performed in accordance with the requirements of the Single Audit Act of 1984 (31 USC
section 7502) and subject to the terms of Office of Management and Budget (OMB) Circulars (A-110, A-
122 and A-133), to the County of Fresno. Such audits shall be delivered to COUNTY’s DSS, for review not
later than nine (9) months after the close of the sub recipients’ fiscal year in which the funds supplied
through this Agreement are expended and/or received for this program. The audits must include a statement
of findings or a statement that there were no findings. If there were negative findings, CONTRACTOR
must include a corrective action plan signed by an authorized individual. Failure to comply with this Act
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may result in COUNTY performing the necessary audit tasks, or, at COUNTY’s option, contracting with a
qualified accountant to perform this audit. All audit costs related to this Agreement are the sole
responsibility of CONTRACTOR who agrees to take corrective actions to eliminate any material
noncompliance or weakness found as a result of such audits. Audit work performed by COUNTY under this
paragraph shall be billed at COUNTY cost as determined by COUNTY’s Auditor-Controller/Treasurer-Tax
Collector.
29. TAX EQUITY AND FISCAL RESPONSIBILITY ACT
To the extent necessary to prevent disallowance of reimbursement under section 1861 (v) (1)
(1) (I) of the Social Security Act, (42 U.S.C § 1395x, subd. (v)(1)[I]), until the expiration of four (4) years
after the furnishing of services under this Agreement, CONTRACTOR shall make available, upon written
request to the Secretary of the United States Department of Health and Human Services, or upon request to
the Comptroller General of the United States General Accounting Office, or any of their duly authorized
representatives, a copy of this Agreement and such books, documents, and records as are necessary to certify
the nature and extent of the costs of these services provided by CONTRACTOR under this Agreement.
CONTRACTOR further agrees that in the event CONTRACTOR carries out any of its duties under this
Agreement through a subcontract, with a value or cost of Ten Thousand and No/100 Dollars ($10,000) or
more over a twelve (12) month period, with a related organization, such Agreement shall contain a clause to
the effect that until the expiration of four (4) years after the furnishing of such services pursuant to such
subcontract, the related organizations shall make available, upon written request to the Secretary of the
United Sates General Accounting Office, or any of their duly authorized representatives, a copy of such
subcontract and such books, documents, and records of such organization as are necessary to verify the
nature and extent of such costs.
30. CHILD ABUSE REPORTING
CONTRACTOR shall utilize a procedure acceptable to COUNTY to ensure that all of
CONTRACTOR’s employees, volunteers, consultants, subcontractor or agents performing services under
this Agreement shall report all known or suspected child abuse or neglect to one or more of the agencies set
forth in Penal Code Section 11165.9. This procedure shall include having all of CONTRACTOR’s
employees, volunteers, consultants, subcontractor or agents performing services under this Agreement sign a
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statement that he or she knows of and will comply with the reporting requirements set forth in Penal Code
Section 11166. The statement to be utilized by CONTRACTOR is set forth in Exhibit D, attached hereto
and by this reference incorporated herein.
31. CHARITABLE CHOICE
CONTRACTOR may not discriminate in its program delivery against a client or potential
client on the basis of religion or religious belief, a refusal to hold a religious belief, or a refusal to actively
participate in a religious practice. Any specifically religious activity or service made available to individuals
by the CONTRACTOR must be voluntary as well as separate in time and location from County funded
activities and services. CONTRACTOR shall inform County as to whether it is faith-based. If
CONTRACTOR identifies as faith-based, they must submit to DSS a copy of its policy on referring
individuals to alternate treatment CONTRACTOR, and include a copy of this policy in their client
admission forms. The policy must inform individuals that they may be referred to an alternative provider if
they object to the religious nature of the program, and include a notice to DSS. Adherence to this policy will
be monitored during annual site reviews, and a review of client files. If CONTRACTOR identifies as faith-
based, by July 1 of each year CONTRACTOR will be required to report to DSS the number of individuals
who requested referrals to alternate providers based on religious objection.
32. PERSONNEL DISCLOSURE
CONTRACTOR shall make available to COUNTY a current list of all personnel providing
services hereunder. Changes to this list will be immediately provided to COUNTY in writing. The list shall
provide the following information:
A. All full or part-time staff positions by title whose direct services are required to provide
the programs described herein;
B. A brief description of the functions of each such position and hours each person in such
position works each week or, for part-time positions, each day or month, as appropriate;
C. The education and experience levels required for each position; and
D. The names of persons filling the identified positions.
33. PROHIBITION ON PUBLICITY
None of the funds, materials, property or services provided directly or indirectly under this
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Agreement shall be used for CONTRACTOR’s advertising, fundraising, or publicity (i.e., purchasing of
tickets/tables, silent auction donations, etc.) for the purpose of self-promotion. Notwithstanding the above,
publicity of the services described in Paragraph 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 by the
Director or designee and at a cost as provided in Exhibit B for such items as written/printed materials, the
use of media (i.e., radio, television, newspapers) and any other related expense(s).
34. PROPERTY OF COUNTY
Any use of COUNTY funds provided under this Agreement, as specified in Exhibit B, for the
purchase of computer hardware, software and printer must be approved by COUNTY prior to purchase and
must meet COUNTY specifications. Any hardware and software so provided shall remain the property of
COUNTY and shall revert to COUNTY’s physical possession upon termination or expiration of this
Agreement. CONTRACTOR agrees to take reasonable and prudent steps to ensure the security of any and
all said hardware and software provided to it by COUNTY under this Agreement, to maintain replacement-
value insurance coverage on said hardware and software of like kind and quality approved by COUNTY.
All purchases over Five Hundred Dollars ($500), and certain purchases under Five Hundred
Dollars ($500) such as cameras, televisions, VCRs/DVD players and other sensitive items, made during the
life of this Agreement that will outlive the life of this Agreement, shall be identified as fixed assets with an
assigned Fresno County DSS Accounting Inventory Number. These fixed assets shall be retained by
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. CONTRACTOR is responsible for returning to COUNTY all COUNTY
owned fixed assets upon the expiration or termination of this Agreement.
35. AUDITS AND INSPECTIONS
CONTRACTOR shall at any time during business hours, and as often as COUNTY may
deem necessary, make available to COUNTY for examination all of its records and data with respect to
the matters covered by this Agreement. CONTRACTOR shall, upon request by COUNTY, permit
COUNTY to audit and inspect all such records and data necessary to ensure CONTRACTOR's
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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 of California Auditor General for a period of
three (3) years after final payment under contract (California Government Code section 8546.7).
In addition, CONTRACTOR shall cooperate and participate with COUNTY’s fiscal review
process and comply with all final determinations rendered by the COUNTY’s fiscal review process. If
COUNTY reaches an adverse decision regarding CONTRACTOR’s services to consumers, it may result
in the disallowance of payment for services rendered; or in additional controls to the delivery of services,
or in the termination of this Agreement, at the discretion of COUNTY’s DSS Director or designee. If as
a result of COUNTY’s fiscal review process a disallowance is discovered due to CONTRACTOR’s
deficiency, CONTRACTOR shall be financially liable for the amount previously paid by COUNTY to
CONTRACTOR and this disallowance will be adjusted from CONTRACTOR’s future payments, at the
discretion of COUNTY’s DSS Director or designee. In addition, COUNTY shall have the sole discretion
in the determination of fiscal review outcomes, decisions and actions.
36. 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 Executive Director Department of Social Services P.O. Box 1912 Fresno, CA 93721
Westside Family Preservation 16846 4th Street Huron, CA 93234
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 services, when deposited in the United States Mail, postage
prepaid, addressed to such party.
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37. CHANGE OF LEADERSHIP/MANAGEMENT
In the event of any change in the status of CONTRACTOR’s leadership or management,
CONTRACTOR shall provide written notice to COUNTY within thirty (30) days from the date of change.
Such notification shall include any new leader or manager’s name, address and qualifications. “Leadership
or management” shall include any employee, member, or owner of CONTRACTOR who either a) directs
individuals providing services pursuant to this Agreement, b) exercises control over the manner in which
services are provided, or c) has authority over CONTRACTOR’S finances.
38. GOVERNING LAW
The parties agree that, for the purposes of venue, performance under this Agreement shall only
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.
39. ENTIRE AGREEMENT
This Agreement, including all Exhibits, constitutes the entire agreement between the
CONTRACTOR and the COUNTY with respect to the subject matter hereof and supersedes all previous
agreement negotiations, proposals, commitments, writings, advertisements, publications, and understandings
of any nature whatsoever unless expressly included in this Agreement.
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IN WITNESS WHEREOF. the parties hereto have executed this Agreement as of the day and
year lirst hereinabove written.
ATTEST:
CONTRACTOR:
WESTSIDE FAMILY PRESERVATION
SERVICES NETWORK
By r~····~~
Print Name: ~oaHI.S~p :r. C ~Qv~z
Title: P~J.(A... +
Chairman ofthe Board. or
President, or any Vice President
By~~L/
Prin N me: YvO'<)'r\Q.__\J. fv-e\/C::..,
Title: ~e~~~
Secretary (of Corporation), r
any Assistant Secretary. or
Chief Financial Officer. or
any Assistant Treasurer
Date:~· 'i -020 I 'l
Mailing Address:
16846 4 111 Street,
Huron, CA 93234
COUNTY OF FRESNO
rL~~ By __ ~~-----------------
Brian Pacheco, Chairman
Board of Supervisors
BERNICE E. SEIDEL Clerk
Board of Supervisors
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
Attn: Jeannemarie Caris-McManus. PhD. MBA. Executive Director
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Exhibit A
Page 1 of 2
SUMMARY OF SERVICES
ORGANIZATION: Westside Family Preservation Services Network
PROJECT TITLE: NRC Site 5 – Huron
ADDRESS: 16846 4th Street, Huron, CA 93234
TELEPHONE: (559) 945-1022
EXECUTIVE DIRECTOR: Jeannemarie Caris-McManus , Ph.D.
CONTRACT PERIOD: July 1, 2017 – June 30, 2020,
with possible two (2) one (1) year extensions
PROJECT DESCRIPTION
Westside Family Preservation Services Network (“Contractor”) will provide child abuse prevention
and intervention services through the Huron Neighborhood Resource Center (NRC) located in
Huron and through services to be offered in the surrounding communities. NRCs are
characterized by a commitment to work in partnership with local residents, including the
beneficiaries of services, and to strengthen families and build strong, healthy communities. NRCs
are located in the community or neighborhood that they serve and must be of sufficient size to
provide services to multiple families and accommodate multiple staff work areas. NRC services
include ensuring access to health insurance and services, case management, parent education,
advocating for affordable housing, promoting family economic success, and increasing availability
of healthy foods. Services offered will develop skills and knowledge so that fam ilies can prevent
and address future challenges. NRCs will provide assistance to people to gain access to
resources through referrals and linkages, and to have a say in their children’s education.
TARGET POPULATION
The majority of clients served at the Huron NRC are Hispanic/Latino residents, most of whom are
monolingual Spanish speaking immigrants from Mexico. Further, the majority of visitors to the NRC are
women between the ages of 27 and 45 with three to five children who attend school. Children ages 0
to 18 and their parents and families will be served. The NRC anticipates serving 1,500 unduplicated
clients/families annually.
GOALS AND OUTCOMES
Identified Long Term Goals and Outcomes are considered preliminary and may be modified, by mutual
written consent, by DSS and Westside Family Preservation Services Network, Inc., during the contract
term. Service provider will report outcomes in a method determined by DSS. Preliminary outcomes are
included below:
Exhibit A
Page 2 of 2
Neighborhood Resource Center
Outcome to be Reported Outcome Indicator
Engagement
1) Families will experience a
welcoming environment and
recognize the benefits of the
service.
2) Families will take advantage of
programs offered to build stronger,
more resilient families.
1) 75% of families will report feeling
welcomed and are participating in
services and accessing referrals.
2) 75% of participants will indicate that
they will utilize the programs
offered via survey.
Intermediate
1) Parents will gain the ability to
accept, solve, and manage
problems.
2) Parents in parenting classes will
realize increases in parental
resilience, social connections,
knowledge of parenting and child
development, concrete support in
times of need, and/or the social
and emotional competence of their
children.
1) 75% of families participating in case
management services will have
made progress on two goals in their
case management plan.
2) 75% of participants will demonstrate
an increase in knowledge of
parenting as measured by a
pre/post survey.
Long-Term
1) Families will receive concrete
support in times of need to obtain
self-sufficiency.
2) Families participating in case
management will demonstrate an
increase in self-sufficiency.
1) 75% of families in need of concrete
supports will access support(s)
through the NRC/DR or from
referral source(s) to which they
have been referred.
2) 65% of families completing case
management services will have
made progress on self-sufficiency
skills goals in their case plan.
ADDITIONAL RESPONSIBILITIES:
1. Contractor will document services, as appropriate, using an internet-based computer software
system with integrated case management and family assessment capability as provided by
DSS.
2. Contractor may be required to maintain a sub license DSS provided software.
3. Contractor will attend program and contract meetings coordinated by DSS.
Exhibit B
NAME OF ORGANIZATION:Westside Family Preservation Services Network
NAME OF PROJECT:Neighborhood Resource Center
July 1, 2017 - June 30, 2019
Budget Categories Account Number TOTAL BUDGET
SALARIES & BENEFITS
Personnel Salaries 0100 $171,968
Payroll Taxes 0150 $17,197
Benefits 0200 $0
Subtotal……..$189,165
SERVICES & SUPPLIES Budgeted Amount
Insurance 0250 8,620$
Communications 0300 4,680$
Office Expense 0350 1,177$
Equipment 0400 -$
Facilities 0450 4,800$
Travel Costs 0500 5,778$
Program Supplies 0550 -$
Consultancy/Subcontracts 0600 -$
Fiscal & Audits 0650 5,780$
Training 0660 -$
Indirect Costs 0700 -$
Subtotal……..30,835$
TOTAL (Salaries/Benefits & Services/Supplies)$220,000
BUDGET EXPENSE CATEGORY DESCRIPTIONS
July 1, 2017 - June 30, 2019
BUDGET SUMMARY -
(for each 12-month period)
Exhibit B
Account Total
0100 $171,968
0150 Payroll Taxes $17,197
0200 Benefits $0
0250 $8,620
Insurance $3,960
Workers Compensation $4,660
0300 $4,680
$3,960
Internet $720
0350 $1,177
$1,177
0400 $0
0450 $4,800
Water $720
Sewer $540
Garbage $540
Gas $2,400
Electric $600
0500 $5,778
$4,800
Mileage $978
0550 $0
0600 Consultancy/Subcontracts $0
0650 $5,780
$5,280
990 Tax Fee $500
0660 Training $0
0700 $0
$220,000
Communications
Office Expense
BUDGET EXPENSE CATEGORY DESCRIPTIONS
Westside Family Preservation Services Network
Neighborhood Resource Center
NAME OF ORGANIZATION:
Telephone expenses
Fiscal & Audits
Budget Total
Program Supplies
External Accounting and Record Keeping
July 1, 2017 - June 30, 2019
Salaries
NAME OF PROJECT:
Insurance
Account
Number Expense Category Descriptions
Indirect Costs
Office Supplies
Travel Costs
Equipment
Mileage Stipend ED
Facilities
Exhibit B
NAME OF ORGANIZATION:Westside Family Preservation Services Network
NAME OF PROJECT:Neighborhood Resource Center
July 1, 2019 - June 30, 2022
Budget Categories Account Number TOTAL BUDGET
SALARIES & BENEFITS
Personnel Salaries 0100 $171,968
Payroll Taxes 0150 $17,197
Benefits 0200 $0
Subtotal……..$189,165
SERVICES & SUPPLIES Budgeted Amount
Insurance 0250 7,958$
Communications 0300 3,240$
Office Expense 0350 557$
Equipment 0400 -$
Facilities 0450 7,800$
Travel Costs 0500 6,000$
Program Supplies 0550 -$
Consultancy/Subcontracts 0600 -$
Fiscal & Audits 0650 5,280$
Training 0660 -$
Indirect Costs 0700 -$
Subtotal……..30,835$
TOTAL (Salaries/Benefits & Services/Supplies)$220,000
BUDGET EXPENSE CATEGORY DESCRIPTIONS
July 1, 2019 - June 30, 2022
BUDGET SUMMARY -
(for each 12-month period)
Exhibit B
Account Total
0100 $171,968
0150 Payroll Taxes $17,197
0200 Benefits $0
0250 $7,958
Insurance $2,799
Workers Compensation $5,159
0300 $3,240
$2,640
Internet $600
0350 $557
$557
0400 $0
0450 $7,800
Water $1,260
Sewer $720
Garbage $720
Gas $4,200
Electric $900
0500 $6,000
$6,000
0550 $0
0600 Consultancy/Subcontracts $0
0650 $5,280
$5,280
0660 Training $0
0700 $0
$220,000
BUDGET EXPENSE CATEGORY DESCRIPTIONS
July 1, 2019 - June 30, 2022
NAME OF ORGANIZATION:Westside Family Preservation Services Network
NAME OF PROJECT:Neighborhood Resource Center
Account
Number Expense Category Descriptions
Salaries
Insurance
Communications
Telephone expenses
Office Expense
Office Supplies
Equipment
Facilities
Travel Costs
Mileage Stipend ED
Program Supplies
Budget Total
Fiscal & Audits
External Accounting and Record Keeping
Indirect Costs
Exhibit D
NOTICE OF CHILD ABUSE REPORTING LAW
The undersigned hereby acknowledges that Penal Code section 11166 and the contractual
obligations between County of Fresno (COUNTY) and Fresno Economic Opportunities
Commission , related to provision of services, require that the undersigned report all known or
suspected child abuse or neglect to one or more of the agencies set forth in Penal Code (P.C.)
section (§) 11165.9.
For purposes of the undersigned’s child abuse reporting requirements, “child abuse or
neglect” includes physical injury inflicted by other than accidental means upon a child by
another person, sexual abuse as defined in P.C. §11165.1, neglect as defined in P.C. §11165.2,
willful cruelty or unjustifiable punishment as defined in P.C. §11165.3, and unlawful corporal
punishment or injury as defined in P.C. §11165.4.
A child abuse report shall be made whenever the undersigned, in his or her professional
capacity or within the scope of his or her employment, has knowledge of or observes a child
whom the undersigned knows or reasonably suspects has been the victim of child abuse or
neglect. (P.C §11166.) The child abuse report shall be made to any police department or
sheriff’s department (not including a school district police or security department), or to any
county welfare department, including Fresno County Department of Social Services’ 24 Hour
CARELINE. (See PC §11165.9.)
For purposes of child abuse reporting, a “reasonable suspicion” means that it is
objectively reasonable for a person to entertain a suspicion, based upon facts that could cause a
reasonable person in a like position, drawing, when appropriate, on his or her training and
experience, to suspect child abuse or neglect. The pregnancy of a child does not, in and of
itself, constitute a basis for reasonable suspicion of sexual abuse. (P.C. §11166(a)(1).)
Substantial penalties may be imposed for failure to comply with these child abuse
reporting requirements. Further information and a copy of the law may be obtained from the
County of Fresno Department of Social Services Director or designee.
I have read and understand the above statement and agree to comply with the child abuse
reporting requirements.
__________________________________ ________________________
SIGN ATURE DATE
Exhibit C
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 corporation 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 date 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 C
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: