HomeMy WebLinkAboutAgreement A-14-602-4 with CDPH.pdfAgreement No. 14-602-4
5TAT!i DF~Ld:O~IA
STANDARD AGREEMENT AMENDMENT
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IX! Chock hete If .ctdiUcnal P8Qet are tllctdOd: 1 Page{s) 14-10501
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1. ihls Ag~er;t is entet'ed Into bel'Neen the State A~ncy and Contractor named below:
~~a .. ~·lt N-i .. -~ .. -~---
California Departmenl of Public H~lth
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Fre&nO County
2. The. tt1m of thf• July 11 2014 throtAGh June :ro. 20~8
Agreement II :
3. The maximum amount of thla f 4 .!57,899,00
Agreement after this amendment is: Four MIIUon Sfx 11undrlld FJrtv Sewn Thouaand 5flC Hurtdred Nine ty Nine Oollars.
4. The parties mutuaJiy agr~ to thia amendment ae foil~. All actions noted below are by this referenea made a part
of thl!l Agreement and in·corporated heraln:
I. The purpose of this amendment Is to amend Exhibn A. Scope of Wort<, Attachment 1, and exnlblt B. Bl.ldget.
to add addltfo.nra I funds, actl:vitlet and a one-year extension for year 16117 to allow the contractor to complete
the setVlcea outlined In the Scope of WorK. The one-year extension {Ju!y 11 201'7' to Jun~ SO, 2018} Is
contingent UpcOn approval of the federal ~ent, Off'10e of the Assla1ant Secr&tary for Preparedness and
R!!~tponse (AS~R)IHoepital ~reparedrieas Program (HPP) and the Center& for Olteate Control and Pnwentlon
(CDC)IPubllc Health Emergeney Preparednesa (PHEP). p
0'\ ublic
II. Certain changes made In this amel'\dment art;) s~'a s : Text ad~s are dia played In b9!d and underllno .
Text deletions are displayed as strike through te~te., Strike througt)~
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All other terms and cond itions shali remain the same .
0 IN WITNESS WHERE F, thJs Aaru•m•nt has bean •x•cuted tft_ th~t partial . hereto.
CONTRACTOR
Conl111clat'1 KWT\11 ({f O tll~r M\M IIi trrQ/IIJduf( tfJI.t. lil'flellllf I COIJIQ'JIIO!l, Pffrl"lli»A IJie.)
Fresno County
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Ptinled N-·•M r~~~e ct PtM~ 58UnJn; ~~1~p~~38P3~oi0 fiRl9rwtntrRBft&d o.f
f!:l't'U!:9'i Eh:~eay Meftaaa, s~~rd of Sttl'el\. eMS
Addtu•
1221 Fulton Mall Fre1no CA 93721' P.O. Box 11667 Fresn o CA 93775 .. -. -. -
STATE OF CALIFORNIA
AG•"~Y Name
Catifornra Department of P\Jbl!c Health
Qy f'Aulhoriz;~
g ,. ?-I 67J/~~,-J •'" 1/1 '
l'lilnled Hlll{f¥d TIIJII cl ,.. .... D~Ignlno I
Jeff M._pes, Ch ief; Contracts Management Unit
Al.ltlreu
1816 Capitol Avenue , Suite 74.317 , MS 1802, P.O. B~ 997377 ,
Sacramento CA 95899·7377
ATIEST:
BE~ICE E. SEIDEL, Clert
Board of Supeivisors
By Q)J.J..;;A ty'\. e S.h c -,l"j
Deputy ·
(Continued on next page)
C:AUFOANIA
O.pmmeltt tJif ~llOral Sarvklfl
Uaa(Wy
-
181 Exempt per:tta c 1r>1~1e
STAT[ or CALIFORNIA
CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT
DGS OLS 04 (Rev. 01/17)
DEPARTMFNT Of-GhNERAL SERVlC[S
OFF ICI: 01-LEGAL S[RVICES
Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to , or
otherwise proposes to enter into or renew a contract with, a state agency with respect to any
contract in the amount of $100,000 or above shall certify, under penalty perjury, at the time the
bid or proposal is submitted or the contract is renewed, all of the following:
1. CALIFORNIA CIVIL RIGHTS LAWS : For contracts executed or renewed after January 1,
2017 , the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil
Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code);
and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after
January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples
recognized by the United States government, the Contractor certifies that such policies are not
used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair
Employment and Housing Act (Section 12960 of the Government Code).
CERTIFICATION
,--------------------------------------------------------.----------------------1
1 I, the official named below, certify under penalty of perjury under l Federa/10 Numbor ,
1 I the laws of the State of California that the foregoing is true and 1 1 I I I ! correct I 94-6000512 I
I Proposer/Bidder Firm Name (Printed) I I
1 I I
I f F I I ! County o resno 1 I
~--------------------------------------------------------~----------------------1 i By (A[o ~!Signature) ~
~-------------------------------------------------------------------------------~
1 Pn·nted Name and Title of Person Signing :
I I
I Brian Pacheco, Chairman , Board of Supervisors 1 ~--------------------------------.----------------------------------------------1 1 Date Executed ' Executed in the County and State of 1
I I ! Lo _ Lo _ 1 / I Fresno, California I
L--------------------------------L----------------------------------------------J
ATTEST:
BERNICE E . SEIDEL , Clerk
Board of Supervisors
By ~~ G-\sh 91=>
Deputy