HomeMy WebLinkAboutAgreement A-18-012-1 with FRWDB.pdf' ,~ Agreement No. 18-012-1
FRWDB:
MODIFICATION
Service Provider Agreement
Parties
Fresno Regional Workforce Development Board
Service Provider: County of Fresno
Administrative Information
Agreement No. #634 MOD# 1 Effective From 1/9/2018 To 12/31/2018 ---
Title/Program Clean Slate Program CFDA #: 17.258 / 17.278
Contact Person Cheri Yau Phone 559-600-1543 Fax 559-600-1570
Address 2220 Tulare Street, Suite 300, Fresno, CA Zip 93721
Email cvau@co.fresno.ca.us
Employer Identification Number
Internal Revenue Code
94-6000512
Funding Allocation
.,, -:<: . ,', .. : .· :, ····. ( . ,.;_ ... ;, :·. ~}Adqlt/Pv.V : .... ·.:: .. : .. • .. ·:.: .... :-,, ; . ·.: •·.
Program $43,561.67
Total (Maximum Funding Level) $43,561.67
Total Participants Served 100
Average Cost per Participant $435.62
'.·'·: : total•·•: C'
$43,561.67
$43,561.67
100
$435.62
IN WITNESS THEREOF; the parties to this Agreement do hereby indicate their acknowledgment and acceptance of
the terms and conditions stated herein below as evidence by the following signatures of their duly authorized
representatives:
Sal Quintero \
Administrator's Name
&<5h~ S n
Contractor
Chairperson !of the Board of Supervisors of the County of Fresno
Title
Fresno Regional Workforce Development Board
Fresno Regional Workforce Development Board
Executive Director
Title
Date
ATTEST:
BERNICE E. SEIDEL
Clerk of the Board of Supervisors
County of Fresno, State of California
By c::&J:a.__. 4 Deputy
002