HomeMy WebLinkAboutAgreement A-18-541 for HDAP services.pdf- 1 -
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AGREEMENT
This Agreement is made and entered into this ______ day of _____________ 2018, by and
between the COUNTY OF FRESNO, a Political Subdivision of the State of California, hereinafter
referred to as “COUNTY,” and WESTCARE CALIFORNIA, INC., a California non-profit corporation,
whose address is 1900 N. Gateway Blvd., Ste. 100, Fresno, CA 93727, hereinafter referred to as
"SUBRECIPIENT."
W I T N E S S E T H:
WHEREAS, COUNTY, through its Department of Social Services (DSS) has received allocation
funding from the California Department of Social Services (CDSS) to implement and administer the
Housing and Disability Advocacy Program (HDAP), authorized by Assembly Bill (AB) 1603 (Chapter
25, Statutes of 2016); and
WHEREAS, COUNTY, through its Department of Social Services (DSS) has received grant
funding from the United States Department of Housing and Urban Development (HUD) to administer
and implement the Emergency Solutions Grant (ESG) in the COUNTY OF FRESNO, in accordance
with the provisions of 24 CFR Part 576 (as now in effect and as may be amended from time to time)
and the laws of the State of California; and
WHEREAS, the COUNTY has a significant population of homeless and disabled individuals who
are in need of disability advocacy and housing assistance; and
WHEREAS, the SUBRECIPIENT is willing and able to provide said disability advocacy and
housing assistance and related case management services to homeless and disabled individuals.
NOW, THEREFORE, in consideration of their mutual covenants and conditions, the parties
hereto agree as follows:
1.SERVICES
A. SUBRECIPIENT shall perform all services and fulfill all responsibilities as set
forth in the Summary of Services, attached hereto as Exhibit A, and by this reference incorporated
herein. SUBRECIPIENT’s performance shall be in accordance with the following: COUNTY’s Request
for Proposal (RFP) No. 18-029 dated February 26, 2018, and Addendum No. One (1), dated March
20, 2018, herein collectively referred to as COUNTY’s Revised RFP No. 18-029, and
Agreement No. 18-541
11th September
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SUBRECIPIENT’s Response to Revised RFP No. 18-029, dated April 5, 2018; and COUNTY’s
Request for Proposal (RFP) No. 18-032 dated March 6, 2018, Addendum No. One (1), dated March
6, 2018, and Addendum No. Two (2), dated March 23, 2018, herein collectively referred to as
COUNTY’s Revised RFP 18-032, and SUBRECIPIENT’s Response to Revised RFP 18-032, dated
April 4, 2018, all of which are incorporated herein by this reference.
B.In the event of any inconsistency among the documents described in Paragraph
A herein above, the inconsistency shall be resolved by giving precedence in the following order of
priority:1) to this Agreement, including all Exhibits attached hereto; 2) COUNTY’s Revised RFPs No.
18-029 and No. 18-032; and 3) SUBRECIPIENT's Responses to Revised RFPs. A copy of
COUNTY's Revised RFPs No. 18-029 and 18-032, and SUBRECIPIENT's Responses to Revised
RFP, shall be retained and made available during the term of this Agreement by COUNTY's DSS.
C.SUBRECIPIENT shall participate in monthly, or as needed, meetings consisting
of staff from COUNTY's DSS to discuss requirements, data reporting, training, policies and
procedures, overall program operations, and any problems or foreseeable problems that may arise.
D.In the event of the termination or expiration of this Agreement in accordance with
Section Three (3) of this Agreement, SUBRECIPIENT shall provide transitional services to clients
currently receiving services, working with DSS staff and/or COUNTY's contracted vendor(s).
Transitional services shall include, but are not limited to the transfer of client records and shall not
exceed a maximum of thirty (30) days. This section of the Agreement shall survive thirty (30) days
from the expiration or written termination date of this Agreement.
2.TERM
This term of this Agreement shall commence on the 11th day of September, 2018, through and
including the 30th day of June, 2020.
3.TERMINATION
A.Non-Allocation of Funds - The terms of this Agreement, and the services to be
provided hereunder, are contingent on the approval of funds by the appropriating government
agencies. Should sufficient funds not be allocated, the services provided may be modified, or this
Agreement terminated at any time by giving SUBRECIPIENT thirty (30) days advance written notice.
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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; or
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 SUBRECIPIENT.
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 SUBRECIPIENT the repayment to
COUNTY of any funds disbursed to SUBRECIPIENT under this Agreement, which in the judgment of
COUNTY were not expended in accordance with the terms of this Agreement. SUBRECIPIENT shall
promptly refund any such funds upon demand or, at COUNTY’s option, such repayment shall be
deducted from future payments owing to SUBRECIPIENT under this Agreement.
C.Without Cause - Under circumstances other than those set forth above, this
Agreement may be terminated by SUBRECIPIENT or COUNTY or COUNTY’s DSS Director, or
designee, upon thirty (30) days advance written notice of an intention to terminate the Agreement.
4.COMPENSATION
For actual services provided as identified in the terms and conditions of this Agreement,
including Exhibit A, COUNTY agrees to pay SUBRECIPIENT and SUBRECIPIENT agrees to receive
compensation in accordance with Exhibit B, “Budget,” attached hereto and by this reference
incorporated herein. Mandated travel shall be reimbursed based on actual expenditures and mileage
reimbursement shall be at SUBRECIPIENT’s adopted rate per mile, not to exceed the IRS published
rate. Payment shall be made upon certification or other proof satisfactory to COUNTY’s DSS that
services have actually been performed by SUBRECIPIENT as specified in this Agreement.
For the term of this Agreement, in no event shall services performed under this
Agreement be in excess of Nine Hundred and Fifty-Seven Thousand Eight Hundred and No/100
Dollars ($957,800.00). It is understood that all expenses incidental to SUBRECIPIENT’s performance
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of services under this Agreement shall be borne by SUBRECIPIENT.
Except as provided below regarding State payment delays, payments by COUNTY shall
be in arrears, for services provided during the preceding month, within forty-five (45) days after receipt,
verification, and approval of SUBRECIPIENT’s invoices by COUNTY’s DSS. If SUBRECIPIENT
should fail to comply with any provision of this Agreement, COUNTY shall be relieved of its obligation
for further compensation. All final claims and/or any final budget modification requests shall be
submitted by SUBRECIPIENT within sixty (60) days following the final month of service for which
payment is claimed. No action shall be taken by COUNTY on claims submitted beyond the sixty (60)
day closeout period. Any compensation which is not expended by SUBRECIPIENT pursuant to the
terms and conditions of this Agreement shall automatically revert to COUNTY.
The services provided by SUBRECIPIENT under this Agreement are funded in whole or
in part by the State of California. In the event that funding for these services is delayed by the State
Controller, COUNTY may defer payment to SUBRECIPIENT. The amount of the deferred payment
shall not exceed the amount of funding delayed by the State Controller to COUNTY. The period of
time of the deferral by COUNTY shall not exceed the period of time of the State Controller’s delay of
payment to COUNTY plus forty-five (45) days.
5.INVOICING
SUBRECIPIENT shall invoice COUNTY in arrears by the tenth (10th) day of each month for
actual expenses incurred and services rendered in the previous month to: DSSInvoices@co.fresno.ca.us.
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 COUNTY’s DSS. Invoices shall include
all corresponding documentation submitted and identified by line item, as identified in Exhibit B.
Supporting documentation shall include, but is not limited to: receipts, invoices received, and documented
administrative/overhead costs. No reimbursement for services shall be made until invoices, reports and
outcomes are received, reviewed and approved by 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 substance, 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
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notice to SUBRECIPIENT. SUBRECIPIENT agrees to continue to provide services for a period of ninety
(90)days after notification of an incorrect or improper invoice. If after the ninety (90) day period, the
invoice(s) is still not corrected to COUNTY’s DSS satisfaction, 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. In addition, for invoices received ninety (90) days after the expiration of each term of this
Agreement or termination of this Agreement, at the discretion of COUNTY’s DSS Director or designee,
COUNTY’s DSS shall have the right to deny payment of any additional invoices received.
6.INDEPENDENT CONTRACTOR
In performance of the work, duties, and obligations assumed by SUBRECIPIENT under
this Agreement, it is mutually understood and agreed that SUBRECIPIENT, including any and all of
SUBRECIPIENT’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 COUNTY. Furthermore, COUNTY shall have no right
to control or supervise or direct the manner or method by which SUBRECIPIENT shall perform its
work and function. However, COUNTY shall retain the right to administer this Agreement so as to
verify that SUBRECIPIENT is performing its obligations in accordance with the terms and conditions
thereof. SUBRECIPIENT 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, SUBRECIPIENT shall have
absolutely no right to employment rights and benefits available to COUNTY employees.
SUBRECIPIENT shall be solely liable and responsible for providing to, or on behalf of, its employees
all legally-required employee benefits. In addition, SUBRECIPIENT shall be solely responsible and
save COUNTY harmless from all matters relating to payment of SUBRECIPIENT'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, SUBRECIPIENT may be providing
services to others unrelated to COUNTY or to this Agreement.
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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.Notwithstanding the above, changes to line items in the budget, as provided in
Exhibit B, in an amount not to exceed ten percent (10%) of the total maximum compensation as
identified in Section Four (4) of this Agreement, may be made with the written approval of COUNTY’s
DSS Director or designee and SUBRECIPIENT. Budget line item changes shall not result in any
change to the maximum compensation amount payable to SUBRECIPIENT, as stated herein.
C.SUBRECIPIENT hereby agrees that changes to the compensation under this
Agreement may be necessitated by a reduction in funding from State and/or Federal sources.
COUNTY’s DSS Director or designee may modify the maximum compensation depending on State
and Federal funding availability, as stated in Section Four (4) in this Agreement. SUBRECIPIENT
further understands that this Agreement is subject to any restrictions, limitations or enactments of all
legislative bodies which affect the provisions, term, or funding of this Agreement in any manner.
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
SUBRECIPIENT agrees to indemnify, save, hold harmless, and at COUNTY's request,
defend 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 SUBRECIPIENT, 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 SUBRECIPIENT, its officers, agents, or employees under this Agreement. In addition,
SUBRECIPIENT agrees to indemnify COUNTY for Federal, State of California and/or local audit
exceptions resulting from noncompliance herein on the part of the SUBRECIPIENT.
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10.INSURANCE
W ithout limiting COUNTY's right to obtain indemnification from SUBRECIPIENT or any
third parties, SUBRECIPIENT, 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 (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 SUBRECIPIENT employs licensed professional staff (e.g. Ph.D., R.N., L.C.S.W .,
M.F.C.T.) 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.
SUBRECIPIENT 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 COUNTY, its officers, agents and employees shall be excess only and not
contributing with insurance provided under SUBRECIPIENT's policies herein. This insurance shall not be
cancelled or changed without a minimum of thirty (30) days advance written notice given to COUNTY.
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W ithin thirty (30) days from the date SUBRECIPIENT signs this Agreement,
SUBRECIPIENT shall provide certificates of insurance and endorsements as stated above for all of the
foregoing policies, as required herein, to the County of Fresno, DSS, PO BOX 1912, Fresno, California,
93718-1912, Attention: Contracts, stating that such insurance coverages 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 COUNTY, its officers,
agents and employees, shall be excess only and not contributing with insurance provided under
SUBRECIPIENT’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 SUBRECIPIENT fails to keep in effect at all times insurance coverage as
herein provided, 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 SUBRECIPIENT under this Agreement shall be in strict
conformance with all applicable Federal, State of California and/or local laws and regulations relating to
confidentiality, including but not limited to, California Civil Code section 56 et seq., California Welfare and
Institutions Code sections 5328, 10850 and 14100.2, Health and Safety Code sections 11977 and 11812,
22 California Code of Regulations section 51009, and 42 Code of Federal Regulations sections 2.1 et
seq. SUBRECIPIENT shall submit to COUNTY’s monitoring of said compliance with all State and
Federal statutes and regulations regarding confidentiality. SUBRECIPIENT shall ensure that no list of
persons receiving services under this contract is published, disclosed, or used for any other purpose
except for the direct administration of the program or other uses authorized by law that are not in conflict
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with requirements for confidentiality.
12.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
SUBRECIPIENT by COUNTY, including but not limited to the following:
A.Contractor-Owned Mobile/Wireless/Handheld Devices may not be 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 – SUBRECIPIENT 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.SUBRECIPIENT may not store COUNTY’s private, confidential or sensitive data
on any hard-disk drive.
E.SUBRECIPIENT are 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
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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.SUBRECIPIENT are 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.The requirements in this Data Security provision shall apply to SUBRECIPIENT’s
subcontractor, if any.
13.NON-DISCRIMINATION
During the performance of this Agreement SUBRECIPIENT 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.
14.CONFLICT OF INTEREST
No officer, agent, or employee of COUNTY who exercises any function or responsibility
for planning and carrying out the services provided under this Agreement shall have any direct or
indirect personal financial interest in this Agreement. In addition, no employee of COUNTY shall be
employed by SUBRECIPIENT to fulfill any contractual obligations with COUNTY. SUBRECIPIENT
shall also 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, agent, or employee of COUNTY.
15.CHARITABLE CHOICE
SUBRECIPIENT 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 SUBRECIPIENT must be voluntary as well as separate in time and location from County funded
activities and services. SUBRECIPIENT shall inform COUNTY as to whether it is faith-based. If
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SUBRECIPIENT identifies as faith-based it must submit to DSS a copy of its policy on referring
individuals to an alternate provider, and include a copy of this policy in its 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 SUBRECIPIENT identifies as faith-based, by July
1 of each year SUBRECIPIENT will be required to report to DSS the number of individuals who requested
referrals to alternate providers based on religious objection.
16.PROHIBITION ON PUBLICITY
None of the funds, materials, property or services provided directly or indirectly under
this Agreement shall be used for SUBRECIPIENT ’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).
17.PUBLIC INFORMATION
SUBRECIPIENT shall disclose COUNTY as a funding source in all public information
related to the Housing and Disability Advocacy Program.
18.DISCLOSURE OF SELF-DEALING TRANSAC TIONS
This provision is only applicable if SUBRECIPIENT is operating as a corporation (a for-
profit or non-profit corporation) or if during the term of this Agreement, SUBRECIPIENT changes its
status to operate as a corporation.
Members of SUBRECIPIENT’s Board of Directors shall disclose any self-dealing
transactions that they are a party to while SUBRECIPIENT is providing goods or performing services
under this Agreement. A self-dealing transaction shall mean a transaction to which SUBRECIPIENT 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
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and signing a Self-Dealing Transaction Disclosure Form, attached hereto as Exhibit C and by this
reference incorporated herein, and submitting it to COUNTY prior to commencing with the self-dealing
transaction or immediately thereafter.
19.CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION-LOWER TIER COVERED TRANSACTIONS
A.COUNTY and SUBRECIPIENT recognize that Federal assistance funds may be
used under the terms of this Agreement. For purposes of this section, SUBRECIPIENT will be referred
to as the “prospective recipient”.
B.This certification is required by the regulations implementing Executive Order
12549, Debarment and Suspension, 29 Code of Federal Regulations (CFR) Part 98, section 98.510,
Participants’ Responsibilities.
(1)The prospective recipient of Federal assistance funds certifies by entering
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 this Agreement,
that it shall not knowingly enter into any lower tier covered transaction with a person who is debarred,
suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction,
unless authorized by the 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 Section Eighteen (18) 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, it will include a clause identical to Section Eighteen (18) of this Agreement entitled
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“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 transactions.
(6)The certification in Section Eighteen (18) of this Agreement is a material
representation of fact upon which COUNTY relied in entering into this Agreement.
20.AUDITS AND INSPECTIONS
SUBRECIPIENT 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. SUBRECIPIENT shall, upon request by COUNTY, permit
COUNTY to audit and inspect all such records and data necessary to ensure SUBRECIPIENT's
compliance with the terms of this Agreement.
If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00),
SUBRECIPIENT 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, SUBRECIPIENT 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 SUBRECIPIENT’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 SUBRECIPIENT’s deficiency, SUBRECIPIENT shall be financially liable for the amount
previously paid by COUNTY to SUBRECIPIENT and this disallowance will be adjusted from
SUBRECIPIENT’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.
21.HDAP AND ESG ELIGIBILITY AND REPORTING REQUIREMENTS
A.SUBRECIPIENT is required to be a member in good standing of the FMCoC. A
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member in good standing is defined as a current dues paid member with attendance at a minimum of
75% of all FMCoC General Meetings.
B.SUBRECIPIENT is required to utilize the FMCoC Coordinated Entry System for
all clients served under HDAP.
C.COUNTY’s failure to inform SUBRECIPIENT that ESG funds are provided under
this Agreement shall not relieve SUBRECIPIENT of compliance with any ESG eligibility and reporting
requirements. SUBRECIPIENT agrees, in accordance with the requirements of the ESG program, that
ALL beneficiaries of SUBRECIPIENT’s activities provided under this Agreement must meet the
following minimum criteria:
1)Any individual or family provided with assistance through ESG funding
must meet the HUD definition of homeless and must be documented.
2)The household must be at or below 30% of the Annual Area Median
Income (AMI) for Fresno as referenced in Exhibit D, incorporated herein by reference and made part
of this Agreement. The AMI may change on a yearly basis and SUBRECIPIENT is required to use the
most recent version as provided by COUNTY.
3)The households targeted must be those most in need of this assistance
and most likely to achieve stable housing, whether subsidized or unsubsidized, outside of HDAP after
the program concludes.
D.SUBRECIPIENT is expected to meet all other ESG requirements as described in
24 CFR Part 576 and all HDAP requirements described in California Welfare and Institutions Code
Section 18999.
22.LOBBYING ACTIVITY
None of the funds provided under this Agreement shall be used for publicity, lobbying or
propaganda purposes designed to support or defeat legislation pending in the Congress of the United
States of America or the Legislature of the State of California.
23.POLITICAL ACTIVITY
SUBRECIPIENT shall not directly or indirectly use any of the funds under this
Agreement for any political activity or to further the election or defeat of any candidate for public office.
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24.SUPPLEMENTAL SOURCES
SUBRECIPIENT shall not use any funds under this Agreement to the extent that there
are any other existing or contemplated funds available to SUBRECIPIENT to be expended for the
same services covered by this Agreement. Upon confirmation that SUBRECIPIENT has received
funds from any other source to conduct the same services covered by this Agreement COUNTY shall
have the right to reduce its payment amount accordingly.
25.COMPLIANCE WITH APPLICABLE LAWS
SUBRECIPIENT shall comply with all rules and regulations established pursuant to
California Welfare and Institutions Code Section 18999. SUBRECIPIENT shall also comply with all
rules and regulations established pursuant to Housing and Urban Development regulations at 24 CFR
Part 576, as revised by the Emergency Solutions Grant and Consolidated Plan Conforming
Amendments Interim Rule, published in the Federal Register on December 5, 2011 (76 Fed. Reg.
75954). SUBRECIPIENT must also comply with all applicable fair housing and civil rights requirements
in 24 CFR 5.105(a). SUBRECIPIENT and any subcontractors shall comply with all applicable local,
State, Federal laws, ordinances, regulations and Fresno County Charter provisions applicable to the
performance of services.
26.MINIMUM DATA COLLECTION REQUIREMENTS
SUBRECIPIENT is required to collect and report client-level data in the local Homeless
Management Information System (HMIS) administered by the Fresno Housing Authority. Reporting
through HMIS is a requirement of HDAP and ESG funding. HMIS will be used to collect data and
report on outputs and outcomes as required by CDSS and HUD. SUBRECIPIENT is required to enter
all client intakes, provide regular updates and exit all clients once services are completed.
At a minimum, SUBRECIPIENT must enter the following information in the FMCoC HMIS
database for federal reporting purposes:
(1)Name
(2)Social Security Number
(3)Date of Birth
(4)Race
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(5)Ethnicity
(6) Gender
(7)Veteran Status
(8)Disabling Condition
(9)Residence Prior to Program Entry
(10)Zip Code of Last Permanent Address
(11)Housing Status
(12)Program Entry Date
(13)Program Exit Date
(14)Personal Identification Number
(15)Household Identification Number
(16)Income and Sources
(17)Non-Cash Benefits
(18)Destination (where client will stay upon exit)
(19)Financial Services Provided
(20)Housing Relocation & Stabilization Services Provided
In addition, as required by California Welfare and Institutions Code Section 18999.6, the
selected vendor will be required to provide the following data to the County:
(1) The number of clients served in each of the targeted populations described in
Welfare and Institutions Code 18999.2, subdivision (b);
(2) The demographics of clients served, including race or ethnicity, age, and gender;
(3) The number of applications for benefits, and type of benefits, filed;
(4) The number of disability benefit applications approved initially, the number
approved after reconsideration, the number approved after appeal, and the number not
approved, and the time to benefits establishment;
(5)For applications that were denied, the reasons for denial;
(6) The number of clients who received subsidized housing during the period that their
applications were pending and a description of how that impacted the clients and the
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rates of completed applications or approval; and
(7) The number of clients who received subsidized housing who maintained that
housing during the SSI application period.
(8) The percentage of individuals approved for SSI who retain permanent housing 6,
12, and 24 months after benefits approval.
(9) The number of individuals eligible to be served by this program who have not yet
received services.
COUNTY reserves the right to add additional reporting requirements as required by CDSS
or HUD.
27.EQUIPMENT
A.All items purchased with funds provided under this Agreement or which are
furnished to SUBRECIPIENT which have a single unit cost in excess of Five Thousand and No/100
Dollars ($5,000.00) including sales tax and have a useful life of more than one (1) year shall be
considered capital equipment. Title to all items of capital equipment purchased shall vest and will
remain vested in the County of Fresno. SUBRECIPIENT further agrees to the following:
1)To maintain all items of capital equipment in good working order and
condition, normal wear and tear expected; and
2)To label all items of capital equipment, perform periodic inventories as
required by COUNTY and to maintain an inventory list showing where and how the capital equipment
is being used, in accordance with procedures developed by COUNTY. All such lists shall be submitted
to COUNTY within ten (10) days of any request therefore; and
3)To report in writing to COUNTY immediately after discovery, the loss or
theft of any items of capital equipment. For stolen items, the local law enforcement agency must be
contacted and a copy of the police report submitted to COUNTY.
B.The purchase of any capital equipment by SUBRECIPIENT shall require the prior
written approval of COUNTY, and must be appropriate and directly related to SUBRECIPIENT’s
service or activity under the terms of the Agreement. No capital equipment shall be purchased during
the fourth (4th) or last quarter of each term of this Agreement. COUNTY may refuse reimbursement for
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any costs resulting from capital equipment purchased, which are incurred by SUBRECIPIENT, if prior
written approval has not been obtained from COUNTY.
C.SUBRECIPIENT must obtain prior written approval from COUNTY whenever
there is any modification or change in the use of any property acquired or improved, in whole or in
part, using ESG funds. If any real or personal property acquired or improved with ESG funds is sold
and/or utilized by SUBRECIPIENT for a use which does not qualify under the ESG program,
SUBRECIPIENT shall reimburse COUNTY in an amount equal to the current fair market value of the
property, less any portion thereof attributable to expenditures of non-ESG funds. These requirements
shall continue in effect for the life of the property. In the event the ESG program is closed-out, the
requirements of this Section shall remain in effect for activities or property funded with ESG funds,
unless action is taken by the Federal government to relieve COUNTY of these obligations.
28.LIMITED ENGLISH PROFICIENCY
SUBRECIPIENT shall provide interpreting and translation services to persons
participating in SUBRECIPIENT’s services that 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 SUBRECIPIENT. Interpreter and translation services, including translation of
SUBRECIPIENT’s “vital” documents (those documents that contain information that is critical for
accessing SUBRECIPIENT’s services or are required by law) shall be provided to participants at no
cost to the participant. SUBRECIPIENT shall ensure that any employees, agents, subcontractors, 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
SUBRECIPIENT’s services.
29.RECORDS
A.Record Establishment and Maintenance - SUBRECIPIENT shall establish and
maintain records in accordance with those requirements prescribed by COUNTY, with respect to all
matters covered by this Agreement. SUBRECIPIENT shall retain all fiscal books, account records,
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and client files for services performed under this Agreement for at least five (5) years from the date of
the final payment under this Agreement or until all State and Federal audits are completed for that
fiscal year, whichever is later. Pursuant to State and Federal law, it is the intent of the parties to this
Agreement that the SUBRECIPIENT shall be reimbursed for actual costs incurred in the performance
of this Agreement not to exceed the contract maximum but that no profit is to accrue to the
SUBRECIPIENT on account of such performance.
B.Monthly Activity Reports - SUBRECIPIENT shall submit to COUNTY by the tenth
(10th) of each month, activity reports for the previous month. SUBRECIPIENT shall also furnish to
COUNTY such statements, receipts, reports, data, support documentation and other information as
COUNTY may request pertaining to matters covered by this Agreement. Said support documentation
must indicate the line item budget account number to which the cost is charged. In the event that
SUBRECIPIENT fails to provide such reports or other information required hereunder, it shall be
deemed sufficient cause for COUNTY to withhold monthly payments until there is compliance. In
addition, SUBRECIPIENT shall provide written notification and explanation to COUNTY of any funds
received from another source to conduct the same services covered by this Agreement within five (5)
days of the receipt of such funds. The invoice and monthly activity reports shall be in a form and in
such detail as acceptable to COUNTY’s Director of Social Services or designee.
C.HMIS Data Entry – HMIS entry must be completed by the 10th of each month for
all services provided the previous month.
30.EVALUATION
COUNTY shall monitor and evaluate the performance of SUBRECIPIENT under this
Agreement to determine to the best possible degree the success or failure of the services provided
under this Agreement and the adequacy of the program plan identified in Section One (1) and Exhibit
A of this Agreement. SUBRECIPIENT shall at any time during business hours, and as often as
COUNTY deems necessary, make available for examination, inspection, audit or copying all books
and records, pertaining to the goods and services furnished under the terms of this Agreement for the
purpose of and not limited to authorized review for fiscal and program audits.
///
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31.NEPOTISM
Except by written consent of COUNTY, no person shall be employed by
SUBRECIPIENT who is related by blood or marriage to any member of the Board of Directors or any
officer of SUBRECIPIENT.
32.SINGLE AUDIT CLAUSE
A.If SUBRECIPIENT expends Seven Hundred Fifty Thousand Dollars
($750,000.00) or more in Federal and Federal flow-through monies, SUBRECIPIENT agrees to
conduct an annual audit in accordance with the requirements of the Single Audit Standards as set
forth in Office of Management and Budget (OMB) Title 2 of the Code of Federal Regulations Part 200.
SUBRECIPIENT shall submit said audit and management letter to COUNTY. The audit must include
a statement of findings or a statement that there were no findings. If there were negative findings,
SUBRECIPIENT must include a corrective action plan signed by an authorized individual.
SUBRECIPIENT agrees to take action to correct any material non-compliance or weakness found as a
result of such audit. Such audit shall be delivered to COUNTY’s DSS, Administration, for review within
nine (9) months of the end of any fiscal year in which funds were expended and/or received for the
program. Failure to perform the requisite audit functions as required by this Agreement may result in
COUNTY performing the necessary audit tasks, or at COUNTY’s option, contracting with a public
accountant to perform said audit, or, may result in the inability of COUNTY to enter into future
agreements with SUBRECIPIENT. All audit costs related to this Agreement are the sole responsibility
of SUBRECIPIENT.
B.A single audit report is not applicable if all SUBRECIPIENT’s Federal contracts
do not exceed the Five Hundred Thousand Dollars ($750,000.00) requirement or SUBRECIPIENT’s
only funding is through Drug related Medi-Cal. If a single audit is not applicable, a program audit must
be performed and a program audit report with management letter shall be submitted by
SUBRECIPIENT to COUNTY as a minimum requirement to attest to SUBRECIPIENT’s solvency.
Said audit report shall be delivered to COUNTY’s DSS, Accounting Office for review no later than nine
(9) months after the close of the fiscal year in which the funds supplied through this Agreement are
expended. Failure to comply with this Act may result in COUNTY performing the necessary audit
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tasks or contracting with a qualified accountant to perform said audit. All audit costs related to this
Agreement are the sole responsibility of SUBRECIPIENT who agrees to take corrective action to
eliminate any material noncompliance or weakness found as a result of such audit. Audit work
performed by COUNTY under this paragraph shall be billed to the SUBRECIPIENT at COUNTY cost,
as determined by COUNTY’s Auditor-Controller/Treasurer-Tax Collector.
C.SUBRECIPIENT shall make available all records and accounts for inspection by
COUNTY, the State of California, if applicable, the Comptroller General of the United States, the
Federal Grantor Agency, or any of their duly authorized representatives, at all reasonable times for a
period of at least three (3) years following final payment under this Agreement or the closure of all
other pending matters, whichever is later.
33.NOTICES
The persons having authority to give and receive notices under this Agreement and their
addresses include the following:
COUNTY SUBRECIPIENT
Director, County of Fresno Senior Vice President
Department of Social Services WestCare California, Inc.
PO BOX 1912 1900 N. Gateway Blvd., Ste. 100
Fresno, CA 93718-1912 Fresno, CA 93727
All notices between the COUNTY and SUBRECIPIENT provided for or permitted under this
Agreement must be in writing and delivered either by personal service, by first-class United States
mail, by an overnight commercial courier service, or be telephonic facsimile transmission. A notice
delivered by personal service is effective upon service to the recipient. A notice delivered by first-class
United States mail is effective three COUNTY business days after deposit in the United States mail,
postage prepaid, addressed to the recipient. A notice delivered by an overnight commercial courier
service is effective one COUNTY business day after deposit with the overnight commercial courier
service, delivery fees prepaid, with delivery instructions given for next day delivery, addressed to the
recipient. A notice delivered by telephonic facsimile is effective when transmission to the recipient is
completed (but, if such transmission is completed outside of COUNTY business hours, then such
delivery shall be deemed to be effective at the next beginning of a COUNTY business day), provided
that the sender maintains a machine record of the completed transmission. For all claims arising out
of or related to this Agreement, nothing in this section establishes, waives, or modifies any claims
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presentation requirements or procedures provided by law, including but not limited to the Government
Claims Act (Division 3.6 of Title 1 of the Government Code, beginning with section 810).
34.CHANGE OF LEADERSHIP / MANAGEMENT
In the event of any change in the status of SUBRECIPIENT’S leadership or
management, SUBRECIPIENT 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
SUBRECIPIENT 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
SUBRECIPIENT’s finances.
35.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.
36.ENTIRE AGREEMENT
This Agreement, including all Exhibits, COUNTY’s Revised RFPs No. 18-029 and 18-
032 and SUBRECIPIENT’s responses thereto, constitutes the entire agreement between
SUBRECIPIENT and 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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1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day
2 and year first hereinabove written .
3 SUBRECIPIENT:
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WestCare California, Inc.
Seer · ary (of Corporation), or
any Assistant Secretary, or
Chief Financial Officer, or
any Assistant Treasurer
Mailing Address:
1900 N. Gateway Blvd .
Fresno, CA 93727
(559) 251-4800
Contact: Senior Vice President
For accounting use only:
Organization: 56107001
AccounUProgram: 7870/0
Fund/Subclass: 0001/10000
28 DEN:lm
COUNTY OF FRESNO
By: -=-s~~~~-?~""2----=---:-:---
s
ATTEST:
Bernice E. Seidel
Clerk of the Board of Supervisors
County of Fresno , State of California
By : ~J\~ i CH ~
Deputy
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Exhibit A
Page 1 of 4
SUMMARY OF SERVICES
ORGANIZATION:
ADDRESS:
TELEPHONE:
FAX:
CONTACT:
EMAIL:
CONTRACT:
CONTRACT TERM:
CONTRACT AMOUNT:
WestCare California, Inc.
1900 N. Gateway Blvd. Fresno CA 93727
559-251-4800
559-453-7827
Shawn Jenkins, Senior Vice President
shawn.jenkins@WestCare.com
Housing and Disability Advocacy Program
September 11, 2018 to June 30, 2020
$957,800
SUMMARY OF SERVICES
WestCare, California Inc. (WestCare) shall provide Housing and Disability Advocacy Program
(HDAP) services, including disability advocacy, case management, emergency shelter motel
vouchers, and permanent housing financial assistance. Disability benefits advocacy will be
provided in adherence with the Substance Abuse and Mental Health Services Administration’s
(SAMHSA) SSI/SSDI Outreach, Access, and Recovery (SOAR) model. Housing services will
primarily be provided through the rapid rehousing model of assistance, though linkages to
permanent supportive housing services shall be made when appropriate and available.
TARGET POPULATION
This program will provide services to individuals who are both homeless and disabled and are
seeking disability benefits. The chronically homeless and long-term recipients of County
General Relief benefits will be given the highest priority in receiving HDAP services. Veterans
will also be prioritized.
HOUSING AND DISABILITY ADVOCACY PROGRAM
WestCare shall provide HDAP services to clients that have been referred and accepted into the
program. WestCare shall review all HDAP referrals received, conduct an intake assessment to
determine eligibility, and if approved, provide services tailored to the needs of each individual
client. Clients that are referred but are not approved for HDAP services shall be linked to
outside resources as available.
The Sample SOAR Referral Application (incorporated herein as Attachment 1 to Exhibit A) shall
be used as a screening tool, unless WestCare and COUNTY’s DSS Director or designee
mutually agree in writing to use a different tool. The tool shall be used to determine if a client is
potentially eligible for disability benefits and is a viable candidate for HDAP services.
Exhibit A
Page 2 of 4
Additionally, all individuals referred to HDAP shall be administered a Vulnerability Index -
Service Prioritization Decision Assistance Tool (VI-SPDAT) prior to service commencement,
either during Coordinated Entry System (CES) intake, or at HDAP intake, if not previously
assessed.
WestCare shall provide the following services to approved HDAP participants:
1. Disability Advocacy and Case Management
WestCare will provide assistance in obtaining benefits for Supplemental Security
Income/State Supplementary Program for the Aged, Blind and Disabled (SSI/SSP); federal
Social Security Disability Insurance Program (SSDI); the Cash Assistance Program for
Immigrants (CAPI); and Veterans benefits provided under federal law, including disability
compensation.
Disability advocacy includes completion of the entire disability benefit application process for
any of the programs specified above. Advocacy services shall include, but are not limited to,
the following:
• Developing and filing completely prepared documents for applications, appeals,
reconsiderations, reinstatements, and recertifications;
• Coordinating with federal and state offices for pending applications, appeals,
reconsiderations, reinstatements, and recertifications;
• Obtaining all relevant documentation from hospitals/medical centers, physicians, clinics,
employers, case managers and others to meet the necessary burden of proof of a
disability application; and
• Advocating on behalf of the client in all activities listed above.
Once accepted into the program, clients will work with Disability Advocates to develop an
Individualized Service Plan and immediately begin to compile any documents they may
need to apply for benefits. Advocates will meet with participants as often as needed for each
specific case. Additionally, WestCare staff shall travel as needed for outreach and service
delivery, including case management meetings in the clients’ place of residence. Advocates
shall take a proactive role in working with clients to ensure accountability and progress with
each case.
Disability advocacy services shall continue until benefits are obtained. If a client is denied
benefits, the advocate shall continue with the appeals and reconsideration process for as
long as the client is willing to continue participation in services. In the event that the contract
expires while there are participants whose cases have not been resolved, they will be
transitioned to the Fresno Madera Continuum of Care (FMCoC) navigation process, and
WestCare will continue to monitor their progress through the CES.
Advocacy staff will work closely with the HDAP housing case managers in a team effort to
ensure efficiency and rapid progress for clients. Additionally, advocates with the housing
team are to maintain contact with clients after they exit the program to monitor progress and
housing retention.
Exhibit A
Page 3 of 4
2. Housing Financial Assistance and Housing Case Management
HDAP housing services provided shall include housing case management and rapid
rehousing financial assistance. Financial assistance shall include rental assistance (full or
partial rental subsidies), security deposits, utility deposits, utility payments, moving and
storage costs (including arrears), motel or hotel voucher costs, paid shelter costs, and costs
for making the home habitable (such as furniture, appliances, or household supplies). Case
management provided shall include housing and relocation services, including landlord
engagement, housing search and placement, and credit repair, as needed. The housing
case manager shall work closely with the Disability Advocates to foster clients’ self-
sufficiency and prevent returns to homelessness.
Upon entry to HDAP, participants will be assigned to a housing case manager who will
provide brief interventions, link them with the CES for housing prioritization, and help them
secure temporary shelter or bridge housing until they can be placed in permanent housing.
The housing case manager shall work with each participant to create a Housing First
Individualized Service Plan, which will serve as the basis for developing short- and long-
term goals for housing stability. Participants who desire treatment for substance use or
mental health disorders will be admitted to residential programs or enrolled in outpatient
treatment as needed.
Participants shall be placed into permanent housing within thirty to sixty days. Participants
will typically remain in the program for three to six months, while the disability benefit
application is reviewed, but those who require assistance for a longer duration will be
accommodated. Housing services shall be available to clients for the entire length of the
disability application process, including a brief transition period after final award or denial.
The housing case manager shall identify barriers to stable housing and work to help
participants overcome those challenges. The case manager shall provide wraparound
services for individuals and their families to ensure their successful transition to independent
living. This includes arranging, coordinating, monitoring, and delivering services related to
meeting participants’ housing needs and obtaining stability.
Once housed, the case manager shall work with participants to maintain their residence and
increase their economic, social, and medical stability. This may include, based on their
needs assessment, linkages to programs for literacy, vocational training, education (GED,
community college), and job readiness skills (interpersonal and interview skills, resume
preparation, job search assistance). Case managers shall also provide life skills training in
the areas of money management, hygiene, and nutrition education. Housing case managers
shall work closely with disability advocates to address each participant's medical, mental
health, medication management, and substance use treatment needs.
Exhibit A
Page 4 of 4
The HDAP housing component is funded in part by U.S. Housing and Urban Development
(HUD) Emergency Solutions Grant (ESG). WestCare is required to comply with 24 CFR 576
and all other federal, state, and local regulations regarding ESG funded services while
carrying out HDAP housing services.
SUBRECIPIENT RESPONSIBILITIES
• Provide Housing and Disability Advocacy services described above to homeless and
disabled individuals residing in Fresno County.
• Receive referrals, conduct appropriate screenings to determine potential eligibility for
disability benefits, and accept eligible candidates into the program. Ensure that ineligible
HDAP candidates are linked to other available resources.
• Engage clients in a linguistically and culturally-appropriate manner, including the use of
interpreters when needed. Interpreter services shall be arranged by WestCare
independently, and may be billed to this contract.
• Ensure that clients are placed in permanent housing that will be financially sustainable
upon award of disability benefits.
• Track all disability benefits application data in the SOAR Online Application Tracking
(OAT) database.
• Enter all clients assisted into the FMCoC Homeless Management Information System
(HMIS).
• Work with DSS to modify processes or forms as requested.
• Provide a match of $32,500 per fiscal year ($65,000 total) for ESG funding provided
through this contract. Match may be provided as dollar-for-dollar, or in-kind services.
COUNTY RESPONSIBILITIES
• Schedule and facilitate meetings as often as needed for service coordination,
problem/issue resolution, information sharing, training, review, and monitoring of
services.
• Provide the match for all ESG funding provided through this contract that is beyond the
$65,000 total required from WestCare.
MONTHLY REPORTS
WestCare shall provide complete and accurate monthly activity reports to COUNTY in a report
format approved by the County by the 10th of each month.
OUTCOMES
WestCare shall provide the following outcomes:
• Assist a minimum of 82 individuals with Disability Advocacy services, with a minimum of
53 individuals (or 64%) successfully approved for disability benefits by June 30, 2020.
• A minimum of 82 individuals will be provided temporary and/or permanent housing on a
voluntary basis, with a minimum of 49 individuals (or 60%) moved to permanent housing
within 60 days of entry into the program.
Attachment 1 to Exhibit A
SSI/SSDI Outreach, Access and Recovery (SOAR) Technical Assistance Center January 1, 2018
Sample SOAR Referral Application
Please complete in full and fax to: [Contact Person] at ___
Candidate Name: Date of referral:
Referring agency: Person making referral:
Staff contact number: Email address:
Candidate Identifying Information:
Date of birth: Gender: Race: Marital Status:
(must be within 30 days of 18 years of age, or within 180 days if exiting foster care)
SSN: Education (last grade completed):
Current living arrangement (address, shelter, area of town):
Employment status: Veteran?
Emergency contact name and number:
Part A: Homelessness/At-Risk Assessment
Where is the candidate currently living? Check the appropriate selection
Homeless At-Risk for Homelessness
Outdoors Doubled up/couch-surfing
Shelter Received eviction notice or has substantial arrears in
rent/utilities
Transitional Housing Permanent supportive housing that is grant funded
(Housing First placements)
Exiting foster care
Institution – hospital, nursing home, etc.
Jail
If homeless, how long has the candidate been homeless: Years Months
If the candidate is in an institution or jail, is he/she expected to be released within 30 days? Yes No
Was he/she experiencing homelessness before entering the facility? Yes No
Has the candidate had difficulty maintaining housing? Yes No
If yes, please describe:
Part B: Current Application for SSA Benefits or Pending Appeal
Has the candidate recently applied for Social Security benefits? Yes No If yes, date:
What was the decision on your application? Pending Denied
(If denied) Did the candidate appeal? Is he/she waiting on a decision? Is he/she working with a lawyer?
Part C: Diagnostic Information
Attachment 1 to Exhibit A
SSI/SSDI Outreach, Access and Recovery (SOAR) Technical Assistance Center January 1, 2018
Please list all mental and physical health diagnoses:
Where has the candidate been treated for these conditions?
Current medications and prescribing physician/agency:
Does the candidate have a history of substance use? Yes No
Prior or current substance use is not a disqualifying factor for SOAR
Last substance(s) used: Last known date of use:
Part D: Narrative questions for SOAR eligibility
Ask these questions to the candidate and record answers
1 Can you tell me about why you are looking to apply for Social Security benefits?
2 When was the last time you were able to work? Why did you leave that position? Can you tell me about any times
you have tried to work in the past couple of years?
(If candidate is currently working): Tell me about your job: How many hours per week do you work? How
much do you earn each month? Is there anything you struggle with while on the job or find difficult about
your work?
3 Tell me about any ways that your conditions make things difficult for you on a daily basis: Do you notice any
difficulties with day-to-day activities? Do you have trouble getting along with others or feeling like you want to avoid
people? Have you noticed any changes in your memory?
Summary and Next Steps
To assess SOAR eligibility we are looking for basic information on:
The presence of medical and/or psychiatric conditions or symptoms which would fit an SSA listing
Current treatment, or a history of treatment for conditions
Inability to work and earn SGA ($1,180/month in 2018) due to medical and/or psychiatric conditions (not
because he/she can not find work or was laid off)
Impairments in functioning due to medical and/or psychiatric conditions
SOAR specialists will contact the candidate to follow up on information provided on this form. A full intake
assessment may be required to gather additional supporting evidence to determine if we can assist the candidate
with a SOAR application.
Attachment 1 to Exhibit A
SSI/SSDI Outreach, Access and Recovery (SOAR) Technical Assistance Center January 1, 2018
SOAR Referral Follow-up
Candidate Name:
Date referral received:
Date candidate contacted:
If unable to contact, list dates of contact attempts:
Notes from call/meeting with candidate:
Next Steps:
Intake assessment is NOT appropriate. Reason:
List follow-up resources or referrals provided:
Candidate is Eligible for intake assessment and will have:
Active placement. Initial appointment for screening scheduled for:
Waitlist placement. Initial appointment to be scheduled at a later time.
SOAR Staff Signature Date
Exhibit B
BUDGET SUMMARY
ORGANIZATION: WestCare California, Inc.
SERVICES: Housing and Disability Advocacy Program
CONTRACT TERM: September 11, 2018 to June 30, 2020
CONTRACT AMOUNT: $957,800.00
Eligible Costs Amount
Housing Assistance
Emergency Shelter Motel Vouchers
Rapid Rehousing Financial Assistance
Rental Assistance
Security Deposits
Utility Deposits and Utility Payments
Moving and Storage Costs
Household Supplies and Furniture
Subtotal $518,400.00
Disability Advocacy and Case Management
Disability Benefits Advocacy and Case Management
Housing Case Management
Subtotal $377,400.00
Administration
Housing and Disability Advocacy Administration
Subtotal $62,000.00
Total $957,800.00
Exhibit C
1
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
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:
THIRTY PERCENT INCOME LIMITS
STATE:CALIFORNIA -------------------30% L O W I N C O M E L I M I T S---------------------------
MEDIAN 1 PERSON 2 PERSON 3 PERSON 4 PERSON 5 PERSON 6 PERSON 7 PERSON 8 PERSON
Bakersfield, CA MSA 58700 12550 14350 16150 17900 19350 20800 22200 23650
Chico, CA MSA 60500 12750 14550 16350 18150 19650 21100 22550 24000
El Centro, CA MSA 48200 12550 14350 16150 17900 19350 20800 22200 23650
Fresno, CA MSA 55500 12550 14350 16150 17900 19350 20800 22200 23650
Hanford-Corcoran, CA MSA 55400 12550 14350 16150 17900 19350 20800 22200 23650
Los Angeles-Long Beach-Anaheim, CA MSA
Santa Ana-Anaheim-Irvine, CA HM 92700 23000 26250 29550 32800 35450 38050 40700 43300
Los Angeles-Long Beach-Glendale,69300 20350 23250 26150 29050 31400 33700 36050 38350
Madera, CA MSA 55200 12550 14350 16150 17900 19350 20800 22200 23650
Merced, CA MSA 48200 12550 14350 16150 17900 19350 20800 22200 23650
Modesto, CA MSA 60700 12750 14600 16400 18200 19700 21150 22600 24050
Napa, CA MSA 88500 19300 22050 24800 27550 29800 32000 34200 36400
Oxnard-Thousand Oaks-Ventura, CA 96000 21300 24350 27400 30400 32850 35300 37700 40150
Redding, CA MSA 61400 12900 14750 16600 18400 19900 21350 22850 24300
Riverside-San Bernardino-Ontario 65800 14150 16200 18200 20200 21850 23450 25050 26700
Sacramento-Roseville-Arden-Arcade, CA MS
Sacramento--Roseville--Arden-Arc80100 16850 19250 21650 24050 26000 27900 29850 31750
Yolo, CA HMFA 85100 17500 20000 22500 24950 26950 28950 30950 32950
Salinas, CA MSA 69100 17550 20050 22550 25050 27100 29100 31100 33100
San Diego-Carlsbad, CA MSA 81800 20450 23400 26300 29200 31550 33900 36250 38550
San Francisco-Oakland-Hayward, CA MSA
Oakland-Fremont, CA HMFA 104400 24400 27900 31400 34850 37650 40450 43250 46050
San Francisco, CA HMFA 118400 30800 35200 39600 44000 47550 51050 54600 58100
San Jose-Sunnyvale-Santa Clara, CA MSA
San Benito County, CA HMFA 79800 19600 22400 25200 27950 30200 32450 34700 36900
San Jose-Sunnyvale-Santa Clara, 125200 27950 31950 35950 39900 43100 46300 49500 52700
San Luis Obispo-Paso Robles-Arro 80600 17500 20000 22500 24950 26950 28950 30950 32950
Exhibit D
U.S. Department of Housing and Urban Development. April 2018. ESG Income Limits.
Retrieved from http://www.hudexchange.info/resource/5079/esg-income-limits/