HomeMy WebLinkAboutAgreement A-16-432-2 with LPC Consulting Associates.pdf1
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Agreement No . 16-432-2
AMENDMENT II TO AGREEMENT
THIS AMENDMENT is made and entered into this _..::.6.:.:.:th __ day of Novembe r , 2018 , by
and between the COUNTY OF FRESNO , a political subdivision of the State of Cal ifornia , hereinafter
referred to as "COUNTY", and LPC CONSULTING ASSOCIATES, and whose remit t o address is 1451
River Park Drive , Suite 100, Sacramento , CA. 95815 , hereinafter referred to as "CONTRACTOR"
( collectively the "parties ").
WHEREAS , the parties entered into that certain Agreement , identified as COUNTY Agreement
No . 16-432, effective July 1, 2016 , as amended by Amendment I, effective June 20 , 2017 collectively
referred to as the "Agreement"; and
WHEREAS , the parties desire to amend the Agreement , regarding changes as stated below
and restate the Agreement in its entirety.
WHEREAS , the parties desire to amend t he Agreement in order to incorporate the development
of the Fiscal Year 2020-2025 Strategic Prevent ion Plan and to provide for increase compensation to
CONTRACTOR for the additional work required.
NOW, THEREFORE , in consideration of their mutual prom ises , covenants and conditions ,
hereinafter set forth , the sufficiency of which is acknowledged , the parties agree to as follows :
1. That the portion of Section 1. CONTRACTORS RESPONSIBILITIES of existing
18 COUNTY Agreement No. 16-432, as set forth in the original Agreement beginn i ng on Page One (1 ),
19 Line Eighteen (18) with the word "CONTRACTOR" and ending on Page Two (2) Line Twenty (20) with
20 the word "Californ ia" be deleted and the following inserted in its place :
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"1. CONTRACTOR'S RESPONSIBILITIES
A. CONTRACTOR shall perform all services and fulfill all responsibilities for
23 the provis ion of Alcohol and Other Drug Abuse Prevention Services , as identified in COUNTY's
24 Request for Proposal (RFP) # 952-5422 dated January 14 , 2016 , and Addendum I dated January 22 ,
25 2016 , and Addendum II dated February 11 , 2016 , hereinafter collectively referred to as COUNTY
26 Revised RFP #952-5422 , and CONTRACTOR 's response to said RFP #952-5422 , dated Feb r uary 25 ,
27 2016 , all incorporated herein by reference and made part of th is Agreement.
28 B . In addition , CONTRACTOR shall provide all services and fulfill all
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responsibilities identified in Revised Exhibit A, Scope of Work, attached hereto and by this reference
incorporated herein. Furthermore, CONTRACTOR shall provide additional, one-time services to
develop a Strategic Prevention Plan, as identified in Revised Exhibit A, Scope of Work, attached hereto
and by this reference incorporated herein.
C. In the event of any inconsistency among these documents, the
inconsistency shall be resolved by giving precedence in the following order of priority: 1) to this
Agreement, including all Exhibits, 2) to the Revised RFP, and, 3) to the Response to the Revised RFP.
A copy of COUNTY’s Revised RFP #952-5422, and CONTRACTOR’s response shall be retained and
made available during the term of this Agreement by COUNTY’s Purchasing Division.
D. CONTRACTOR agrees that the COUNTY’s DBH Director or her designee
shall have the right to discontinue or refuse the services of any of the CONTRACTOR’s individual staff
members or volunteers who have not or are not satisfactorily performing services under this
Agreement, without being obligated to terminate this Agreement.
E. CONTRACTOR’s administrative level agency representative, who is duly
authorized to act on behalf of the CONTRACTOR, must attend regularly scheduled monthly Behavioral
Health Board Substance Use Disorder Sub-Committee meetings and CONTRACTOR meetings and
quarterly Prevention Provider meetings, as deemed necessary by DBH Director or her designee.
F. CONTRACTOR’s staff may also be required to attend meetings and
trainings on an as-needed basis, which may include but are not limited to prevention and fiscal trainings
by the State of California.”
2. That the portion of Section Four (4) COMPENSATION of existing COUNTY Agreement
No. 16-432, as set forth in the original Agreement beginning on Page Four (4), Paragraph “A”, Line
Seven (7) with the word “For” and ending on Page Four (4), Line Twenty-One (21) with the word
“$40,000” shall be deleted and the following inserted in its place:
“4. COMPENSATION
A. For actual services provided as identified in the terms and conditions of
this Agreement and revised Exhibit A, COUNTY agrees to pay CONTRACTOR and CONTRACTOR
agrees to receive compensation as identified in revised Exhibit B, “Budget,” attached hereto and by this
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reference incorporated herein, contingent upon confirmation of funding.
1. For the period July 1, 2016 through June 30, 2017, in no event
shall actual services performed be in excess of Ninety Thousand and No/100 Dollars ($90,000.00).
2. For the period July 1, 2017 through June 30, 2018, in no event
shall actual services performed be in excess of Eighty Thousand and No/100 Dollars ($80,000.00).
3. For the period July 1, 2018 through June 30, 2019, in no event
shall actual services performed be in excess of One Hundred Twenty Thousand and No/100 Dollars
($120,000.00).
4. If this agreement is renewed for an additional one-year period
pursuant to Section 2, TERM, for the period July 1, 2019 through June 30, 2020, in no event shall
actual services performed be in excess of One Hundred and Five Thousand and No/100 Dollars
($105,000.00).
5. For the period July 1, 2020 through December 31, 2020, in no
event shall actual services performed be in excess of Forty Thousand and No/100 Dollars
($40,000.00).”
3. That the portion of Section 16. COMPLIANCE WITH LAWS AND POLICIES of existing
COUNTY Agreement No. 16-432-1, as set forth in the Amendment (16-432-1) beginning on page Two
(2), Line Fourteen (14) with the word “CONTRACTOR” and ending on page Three (3), Line Two (2)
with the word “Agreement” be deleted and the following inserted in its place:
“16. COMPLIANCE WITH LAWS, REGULATIONS, OR POLICIES
CONTRACTOR shall comply with all applicable laws, ordinances and regulations in the
performance of its obligations under this Agreement and guidelines applicable to CONTRACTORS’
performance under this Agreement or any local ordinances, regulations, or policies applicable. Such
provisions include, but are not restricted to:
A. CONTRACTOR shall submit accurate, complete and timely claims and cost
reports, reporting only allowable costs.
B. CONTRACTOR shall comply with statistical reporting and program evaluation
systems as provided in State of California regulations and in this Agreement.
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C. CONTRACTOR shall comply with SUBSTANCE ABUSE PREVENTION AND
TREATMENT (SAPT) – PREVENTION SPECIFIC REQUIREMENTS identified on Exhibit J, attached
hereto and incorporated herein by reference.
D. In the event any law, regulation, or policy referred to in this Agreement is amended
during the term thereof, the parties hereto agree to comply with the amended provision as of the effective
date of such amendment. Exhibit J will be updated as needed and no formal amendment of this contract
is required for new rules to apply.”
4. That the portion of Section 18. STATE ALCOHOL AND DRUG REQUIREMENTS of
existing COUNTY Agreement No. 16-432, as set forth in the Agreement 16-432 beginning on page
Fifteen (15), Line Twenty-seven (27) with the word “IDEMNIFICATION” and ending on page Seventeen
(17), Line Twenty-six (26) with the word “persons” be deleted and the following inserted in its place:
“18. STATE ALCOHOL AND DRUG REQUIREMENTS
A. INDEMNIFICATION
The PROVIDER agrees to indemnify, defend and save harmless the State, its officers,
agents and employees from any and all claims and losses accruing or resulting to any and all
contractors, subcontractors, materialmen, laborers and any other person, firm or corporation furnishing
or supplying work, services, materials or supplies in connection with the performance of this Agreement
and from any and all claims and losses accruing or resulting to any person, firm or corporation who may
be injured or damaged by the PROVIDER in the performance of this Agreement.
B. INDEPENDENT CONTRACTOR
The PROVIDER and the agents and employees of PROVIDER, in the performance of
this Agreement, shall act in an independent capacity and not as officers or employees or agents of
State of California.
C. CONTROL REQUIREMENTS
This Agreement is subject to all applicable Federal and State laws, regulations and
standards. PROVIDER(S) shall establish written procedures consistent with State-County Contract
requirements. The provisions of this Agreement are not intended to abrogate any provisions of law or
regulation existing or enacted during the term of this Agreement.
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D. CONFIDENTIALITY
PROVIDER shall conform to and COUNTY shall monitor compliance with all State of
California and Federal statutes and regulations regarding confidentiality, including but not limited to
confidentiality of information requirements at Part 2, Title 42, Code of Federal Regulations; California
Welfare and Institutions Code, sections 14100.2, 11977, 11812, 5328; Division 10.5 and 10.6 of the
California Health and Safety Code; Title 22, California Code of Regulations, section 51009; and
Division 1, Part 2.6, Chapters 1-7 of the California Civil Code.
E. REVENUE COLLECTION POLICY
PROVIDER shall conform to all policies and procedures regarding revenue collection
issued by the State under the provisions of the Health and Safety Code, Division 10.5.
F. EXPENDITURE OF STATE GENERAL AND FEDERAL FUNDS
PROVIDER agrees that all funds paid out by the State shall be used exclusively for
providing alcohol and/or drug program services, administrative costs, and allowable overhead.
G. ACCESS TO SERVICES
PROVIDER shall provide accessible and appropriate services in accordance with
Federal and State statutes and regulations to all eligible persons.
H. REPORTS
PROVIDER agrees to participate in surveys related to the performance of this
Agreement and expenditure of funds and agrees to provide any such information in a mutually agreed
upon format.
I. AUDITS
All State and Federal funds furnished to the PROVIDER(S) pursuant to this Agreement
along with related patient fees, third party payments, or other related revenues and funds commingled
with the foregoing funds are subject to audit by the State. The State may audit all alcohol and drug
program revenue and expenditures contained in this Agreement for the purpose of establishing the
basis for the subsequent year's negotiation.
J. RECORDS MAINTENANCE
1) PROVIDER shall maintain books, records, documents, and other
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evidence necessary to monitor and audit this Agreement.
2) PROVIDER shall maintain adequate program and fiscal records relating
3 to individuals served under the terms of th is Agreement , as required , to meet the needs of the State in
4 monitoring quality , quantity , fiscal accountability , and accessibility of services . Information on each
5 ind ividual shall include , but not be limited to , admission records , patient and participant interviews and
6 progress notes, and records of service provided by var ious service locations , in sufficient detail to make
7 possible an evaluat ion of services provided and compl iance with this Agreement."
8 5. That the portion of Section 38 . UNLAWFUL USE OF DRUGS AND ALCOHOL of
9 exist ing COUNTY Agreement No . 16-432-1 , as set forth in the Amendment (16-432-1) beginning on
10 page Three (3), Line Seven (7) with the word "CONTRACTOR" and ending on page Three (3), Line
11 Twenty-one (21) with the word "message " be deleted and the following inserted in its place :
12 "38 . UNLAWFUL USE OF DRUGS AND ALCOHOL
13 1) CONTRACTOR shall ensure that information produced w ith Federal funds
14 pertaining to drug and alcohol related programs contains a clearly written statement that there shall be
15 no unlawful use of drugs or alcohol associated with the program . Additionally , CONTRACTOR shall
16 ensure that no aspect of the program includes any message in materials , curricula , teachings , or
17 promotion of the responsible use , if the use is unlawful , of drugs or alcohol pursuant to Health and
18 Safety Code (HSC) 11999-11999 .3.
19 2) CONTRACTOR must sign the Unlawful Use of Drugs and Alcohol Certification,
20 attached hereto as Attachment B, incorporated herein by reference and made part of this Agreement
21 agreeing to uphold the obligations of HSC 11999 -11999.3.
22 6. This agreement may be un ilaterally terminated , without penalty , if CONTRACTOR or a
23 subcontractor that is a private entity is determined to have violated a prohibition of the Unlawful Use of
24 Drugs and Alcohol message or has an employee who is determined by the DBH Director or her
25 designee to have violated a prohibition of the Unlawful Use of Drugs and Alcohol message ."
26 7. That, effective November 6 , 2018, all references in existing COUNTY Agreement No.
27 16-432 to "Exhibit A ," shall be changed to read "Revised Exhibit A-1 ," attached hereto and
28 incorporated herein by reference .
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8. COUNTY and CONTRACTOR agree that this Amendment II is sufficient to amend the
Agreement #16-432, Amendment I #16-432-1 and, that upon execution of this Amendment, the
Agreement, Amendment I, and Amendment II together shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
covenants, conditions and promises contained in the Agreement and not amended herein shall remain
in full force and effect.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year
2 first hereinabove written .
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LPC CONSULTING ASSOCIATES, INC.
~P, Ca-,"~
(Authed Signature)
Lynne Cannady, President
Print Name & Title
1451 River Park Drive, Suite 100
Sacramento, CA 95815
Ma iling Address
17 FOR ACCOUNTING USE ONLY :
18 ORG No .: 56302081
Account No .: 7295
19 Requisition No .:
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COUNTY OF FRESNO
nte
Irp n of the Board of
Supervisors of the County of Fresno
ATTEST:
Bernice E . Seidel
Clerk of the Board of Supervisors
County of Fresno, State of California
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Revised Exhibit A
1
SCOPE OF WORK
Overview Evaluation of Substance Abuse Prevention Services in Fresno County
LPC will evaluate the community-wide initiative to decrease alcohol and drug use in youth and young
adults, specifically focusing on three objectives:
1) Decrease underage alcohol use by decreasing youth access to alcohol from adults and increasing
the average age of onset for alcohol use.
2) Decrease marijuana use among youth and increase the average age of onset for youth using
marijuana by increasing education and awareness about the consequences of marijuana use.
3) Decrease prescription drug and over-the-counter drug misuse by increasing public education and
awareness about the consequences of prescription misuse, and increasing efforts for safe disposal
of medications.
To achieve these objectives, LPC will work with the county and the prevention provider contracted to
implement evidenced-based prevention programs and strategies from July 1, 2016 to June 30, 2020.
The evaluation of this initiative will be multi-site and multi-program, measuring how each provider
program is meeting its objectives, and how the county is meeting their overall goal identified in the current
Strategic Prevention Plan (SPP). The following section describes how LPC will conduct this evaluation,
which is based on a careful review and thorough understanding of the Strategic Prevention Framework
(SPF) and the 2015-2020 Fresno County-wide Alcohol and Other Drug (AOD) Strategic Prevention Plan
(SPP).
Scope of Work
The 2015-20 SPP Logic Model and Implementation Plan provides the basis for the research questions
that will guide the development and implementation of the substance abuse prevention services
evaluation study (Figure 1). These broad questions will facilitate the framing of more detailed questions
for process and outcome evaluation data collection and analysis, and define data sources for both
quantitative and qualitative data.
Figure 1 - Research Questions for Proposed Evaluation Study
Questions Process Outcomes
How are the funded prevention projects being implemented in Fresno County
countywide, and across sites? X
What are the barriers to implementation and how have they been addressed? X
What lessons are being learned about prevention program implementation with
specific populations, in specific geographic regions of the county (e.g., urban and rural)? X
Who are the participants in the prevention programs? What are their demographic
characteristics and risk factors for substance use and abuse? X
What is the impact on the program participants? X
How have knowledge, attitudes and beliefs change during the SPP? X
What is the impact of the program on behavior among individual participants? At the
school site and the County level? X
Revised Exhibit A
2
The following sections describe the evaluation plan by major activity and fiscal year (FY).
Year One (FY 2016-17)
The first year of the evaluation will include: 1) the development of a comprehensive evaluation plan; 2)
meeting with prevention program staff to develop individualized evaluation plans; 3) reviewing options
for a countywide measure of youth and young adult behavior; 4) training and technical support to launch
the evaluation; 5) preliminary data analysis and reporting; and 6) meetings with D BH-SUD staff and
prevention program staff to include them in the design process, and to ensure data collection, analysis
and reporting addresses their needs. The evaluation will ensure that data is meaningful, shared, and
utilized to advance program implementation and inform decision-making and accountability.
Evaluation Plan
LPC will collaborate with DBH-SUD staff and the prevention programs during the development of the
evaluation plans during the first three months of contract award. The evaluation plans will provide a
framework for tracking and reporting all strategic outcomes and will include a plan to gather community-
level data on youth and young adult alcohol and drug use, either from existing sources or from a
developed survey and survey administration protocol. The Evaluation Plan will be drafted using the steps
outlined in the work plan in Figure 2 below.
Figure 2 - Year One Evaluation Work Plan: Evaluation Plan Phase
Tasks and Activities
Milestones and
Deliverables Timeline
Meet with DBH-SUD staff to review proposed evaluation, update
information on prevention contracts, and clarify roles and
responsibilities
Collect new or additional
materials to inform
evaluation design
Memorandum to DBH-SUD
with summary from
meetings, decisions, and
roles and responsibilities
(within 5 days of meetings)
By 7/30/16
(meetings
within one
week of
contract
award)
Convene brainstorming sessions with DBH -SUD staff and all funded
prevention programs to collaboratively develop a strategic plan for
county-wide data collection. This will provide an opportunity to
introduce the evaluation team and collectively review scopes of
work and proposed evaluation plan, expectations, and tentative
schedule, as well as discuss county level data collection challenges
and ways to address these challenges.
Data collection plan (to
be reflected in evaluation
plan)
By 7/30/16
Draft individual provider program evaluation plans. Evaluation plans 8/31/16
Develop checklist of data elements to be collected for the
evaluation, citing sources of existing data, and anticipated schedule
for updates.
Review sources of data for community level for youth and young
adult AOD use, and develop a plan for collecting community level
data.
Data checklist and status
List of data sources,
questions, and who and
how data is collected, and
availability of data sets.
9/30/16
9/30/16
Develop additional process data collection forms and tools, based Data collection forms for 9/15/16
Revised Exhibit A
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Tasks and Activities
Milestones and
Deliverables Timeline
on program needs and work plans.
Submit forms and tools to DBH-SUD staff and key prevention
program staff for review and feedback; revise as directed.
Revise and finalize data collection forms and tools.
primary data collection
(e.g., tracking logs,
activity reporting forms)
(drafts to
DBH-SUD)
9/30/16
(revise)
Provide each prevention program with an individualized evaluation
plan that includes measureable activities and timelines consistent
with the SPP.
Prevention program
evaluation plan and
timeliness.
9/30/16
Draft comprehensive evaluation plan with detailed tasks, roles and
responsibilities, data collection forms and tools, and timelines for
reporting and other deliverables. Will include annual work plans for
each contracted prevention program, with measurable activities
and timelines.
Detailed Evaluation Plan 9/30/16
The first phase of the evaluation will focus on meeting DBH-SUD staff and prevention programs to begin
developing a collaborative working relationship, and to clarify roles and responsibilities, expectations, and
steps for the proposed evaluation. We propose a brainstorming meeting in the first month of the
evaluation contract with LPC staff, DBH-SUD staff, and all funded prevention programs to collaboratively
develop a strategic methodology for shared data collection tools across sites, potential County-wide
indicators, and shared evaluation capacity across the provider agency. A shared strategy from the outset
will help inform LPC’s development of evaluation plans and resources for each program, develop data
collection tools and protocols, provide technical assistance for collection and reporting data, and address
any potential challenges with programming or data collection. From these meetings, LPC will create a
detailed evaluation plan and protocol, with data collection tools and an evaluation plan for DBH-SUD staff.
The data collection tools will reflect services provided in each strategy area and will align directly with the
goals, objectives, and outcomes identified in the SPP logic models. The project plans and protocols, and
the county evaluation plan, will be completed within first three months of the contract award.
Data Collection
LPC will provide each prevention program with training and a data collection plan and protocol within
three months of the contract award. Many of these data collection tools will align with CalOMS to assist
the programs with CalOMS reporting. As needed, others will be designed to gather process data to enrich
the evaluation and assist with “telling the story” of alcohol and drug prevention in Fresno County .
Following the provider trainings, LPC staff will contact the designated staff member in each program on a
regular basis to provide ongoing technical support for data collection and data entry.
LPC will utilize CalOMS data for the evaluation as much as possible to lessen duplicate data entry among
the programs. We will also create a simple web-based data reporting system to assist in regular data
reporting from the prevention programs, and prevention programs will be expected to complete this
quarterly, one-month after the close of each quarter. This process will provide up-to-date status reports
on implementation progress, and be summarized and reported back to the programs and DBH-SUD staff
in a data dashboard format. This process will assist with monitoring implementation progress continually
throughout each program year, for the evaluation staff, for DBH-SUD staff, as well as for the prevention
provider staff, and is an excellent source of implementation and data quality control.
LPC will assist the prevention programs in creating a small number of additional data collection tools and
mechanisms to facilitate their own internal evaluation process. LPC will provide feedback on new and/or
Revised Exhibit A
4
existing tools, knowing that this data is for the internal evaluation of the provider’s programs, and that
this data will be analyzed by program staff and be a source of program feedback to the programs.
If at the time of this contract award, Fresno County school districts are not committed to administering
the CHKS, LPC will work with DBH-SUD and the prevention programs on identifying alternatives. These
may include, but are not limited to, developing a standardized survey tool and methodology to assess
AOD attitudes and behaviors at least biennially or working with the developers of the CHKS on a shorter
alternative format of the survey. LPC recommends that either DBH-SUD or the prevention provider obtain
MOUs with the school districts to ensure a consistent source of data for this SPP period. To lessen the
burden of surveying in schools, LPC highly recommends that prevention programs not individually
administer additional surveys to students. If LPC must develop a customized survey for Fresno County,
the survey will assess alcohol, marijuana, and prescription drug misuse among youth and young adults to
meet the county SPP objectives, and will take into account the needs of each program, with a defined
methodology and schedule. This survey will be pilot tested and used throughout Fresno County in
program sites, surveying the same sites at each administration. Preferably, this survey will be
administered annually, with baseline data collected in year one (FY 2016/17), so we can compare baseline
to the final year (FY 2019/20). However, the survey may need to be administered biennially to gain
agreement from participating school districts. By doing this, the evaluation will be assured a uniform
survey methodology among the prevention programs, and lessen the impact of surveying at schools.
We anticipate a wide variety of programs serving a diverse population across Fresno County. In order to
hear directly from participants, especially youth and young adults and increase their voice and leadership
in the community, we will conduct interviews and focus groups with clients, participants, and
stakeholders. The interview and focus group questions will elicit input related to: (a) observations about
emerging alcohol and drug use trends or behaviors; (b) awareness and utilization of existing resources
and community assets for prevention, intervention, and treatment; (c) identification of needs based on
gaps and systemic barriers; (d) how youth and young adults are responding to the prevention programs;
and (e) challenges related to implementation of prevention programs funded by Fresno County. These
qualitative methods will fill in gaps that are not addressed with quantitative data, and enrich the
evaluation with qualitative feedback and stories.
The evaluation plan will include data collection protocols for prevention programs and a resource that
supports participant and program level data collection. The protocol will explain the purpose and origin
of all data collection forms and tools, and include the tools, and a schedule outline for data retrieval. The
data collection protocol will be based on the forms and tools developed in the first three months of the
evaluation, all of which will include provider input and feedback. The protocols will provide the basis for
the initial training with programs, to ensure they understand how to use the data collection forms and
tools and to familiarize them with data reporting. The protocol will include contact information for
ongoing technical support from LPC staff.
Data Analysis & Reporting
Data analysis will address the target measures identified in the goals and objectives for the 2015 -20 SPP
Logic Model. Findings will present frequency distributions for demographic and other characteristics of
program participants; analyze outcomes in terms of rates of change as well as proportion of participants
in various levels of change; and ultimately, cross tabulate specific participant outcomes with risk or other
characteristics, and by program. LPC will analyze trends for community level indicators, utilizing CHKS (if
available), CalOMS, CJSC, CHIS, and NSDUH data, and annually present findings, using GIS mapping and
Revised Exhibit A
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data visualization.
LPC will submit status reports with invoices, describing accomplishments, identifying challenges or
barriers, and describing or requesting remedial actions to address the challenges encountered (e.g., lack
of response from programs, problems with data collection). LPC’s status reports also project activities for
the coming month, with milestones for marking progress toward evaluation goals.
Pursuant to the requirements in the RFP, LPC will provide a summary report of evaluation activities at
three, six, and twelve months in Year One. In addition, LPC will provide a quarterly summary of the
prevention provider’s data in a data dashboard format to DBH-SUD staff and programs throughout the
project.
The 3-month report (due on 9/30/16) will consist primarily of the evaluation plan with the data
collection tools, prevention program work plans, the data collection protocol, and a summary
overview of the process and deliverables for the evaluation start up.
The 6-month report (due on 12/31/16) will include a status report on all evaluation start-up
activities, a summary of evaluation accomplishments to date and a status of prevention programs’
activities and data collection based on the prevention provider’s CalOMS data and quarterly
reporting to LPC.
The 12-month report will include an annotated outline for the Year One report. The year one
comprehensive report will include: 1) a status report on evaluation activities and
accomplishments to date, 2) a summary of process and outcome findings based on site visits,
interviews and focus groups with program staff, stakeholders and program participants, 3)
implementation and demographic data collected by CalOMS, and 4) baseline data for alcohol,
marijuana, and prescription drug misuse among youth and young adults. Each prevention
program will also receive an individualized evaluation report.
These reports will include status updates toward implementation and outcomes objectives, key findings
and recommendations. LPC will share these reports with each prevention program, and revise evaluation
work plans, as necessary.
LPC will present the findings in the context of progress toward the goals and objectives outlined in the
Logic Models. The annual evaluation report will focus on data collected on individual program participants
and program implementation, and will identify emerging alcohol and drug use issues and trends from
secondary data over the previous five years to be obtained primarily from CHKS, CHIS, CalOMS, and other
community level data that is readily accessible. The report will include individual summary reports for
each prevention program, as well as a comprehensive report for Fresno County. LPC will submit and
review the reports with key staff from each prevention program and with Fresno County DBH-SUD staff.
LPC will submit annual progress reports toward the evaluation goals and objectives for Fresno County in
the CalOMS Prevention website, as required by the Department of Alcohol and Drug Programs. LPC staff
will review CalOMS program data quarterly as we pull data for the quarterly data reports.
Figure 3 below presents an overview of core tasks, milestones and deliverables, and the projected timeline
for the data collection and analysis phase of Year One. Reports are shown as deliverables.
Revised Exhibit A
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Figure 3 - Year One (FY 2016-17) Evaluation Work Plan: Data Collection and Analysis Phase
Tasks and Activities Milestones and Deliverables Timeline
Develop web-based quarterly evaluation reporting template for
each prevention program.
Web-based reporting
system.
10/15/16
Provide training to provider staff for data entry. Written instructions for each
program on data collection
and reporting.
10/15/16
Participate in monthly program meetings Meeting notes and agendas Monthly, as
determined
by DBH-SUD
Participate in quarterly provider meetings Prevention provider meeting
notes and agendas
Quarterly, as
determined
by DBH-SUD
If needed, create a universal data collection tool to be used by all
programs biennially, with uniform methodologies, and a protocol
for survey administration for programs to use at the same school
sites throughout the 2016-20.
Data collection tool and
administration plan and
methodology.
10/30/16
Survey implemented during 2016/17 to collect baseline. Survey data By 5/31/17
Draft interview and focus groups questions for programs, youth,
young adults, and stakeholders
Interview protocols
Focus group protocols
12/31/16
Develop site visit schedule Site visit schedule 12/31/16
Solicit contact information for stakeholders to interview Contact list for qualitative
data collection activities
12/31/16
Solicit contact information for focus groups with youth and young
adult participants, Youth Advisory Committees, and other key
constituency groups (to be determined during evaluation plan
phase)
1/30/17
Schedule site visits with each prevention program Site visit schedule 1/30/17
Conduct semi-annual site visits to meet programs, collect
qualitative data, and observe program services where feasible
Qualitative data collection
(observation checklist,
interviews, focus group
notes)
1/30/17
6/30/17
For each prevention program, analyze qualitative data to describe
program implementation, successes, challenges and barriers, and
accomplishments.
Analyze qualitative data on feedback from participants, and
reflections from stakeholders.
Program data summary
reports
6/30/17
Pull CalOMS data and collect quarterly reporting data from
prevention programs one month after quarter ends, beginning
after programs’ data collection plans are in place.
Completed reporting forms 1/31/17
4/30/17
Provide a summary of program process data to county and each
program one month after data collected.
Summary of program
process data
2/28/17
5/31/17
Collect and analyze baseline data and any secondary data (e.g.,
CHKS, CJSC, CHIS, and NSDUH data, etc.)
Data files 6/30/17
Begin drafting annual evaluation report for Year One (note: due to
funding cycle and reporting in CalOMS, programs have until July 31
to enter their CalOMS data. Therefore, LPC does not have access
to the data until August 1, so the report will be completed in year
two.
Annual evaluation report 6/30/17
(program and
county reports
completed by
9/15/17)
Revised Exhibit A
7
Training & Technical Assistance
We will provide opportunities to each of the DBH-SUD funded prevention programs, as well as DBH-SUD
staff, to build evaluation capacity through direct training, accessibility, and technical support. Capacity
begins with the development of the evaluation plan, involving project staff in the design and process, and
making tools useful not only to the evaluation but to the agency, as well. It is not our intention to blanket
the programs with a set of data collection tools, but to work with the programs and learn what they have
and need, and if possible, help streamline the data collection process. LPC will work with the programs
to develop data collection tools and protocols to assist with CalOMS reporting, and gather the information
needed for the evaluation quarterly reports, and then report back what we are collecting in an easy to
understand and useful format. Once each program has an individualized evaluation plan, we will meet
with the programs to review the plan and tools, and train their staff on collecting, reporting, and
interpreting the data.
LPC will respond quickly to email and telephone inquiries, and provide supporting materials or guidance
as needed. Since we will be checking in with programs monthly during the first year, we expect to develop
a rapport between the LPC team, DBH-SUD staff, and program staff. Feedback from programs will guide
the creation of meaningful reports, improve features of data collection, and troubleshoot to minimize
errors, incomplete or inconsistent entries, and inaccuracies in the data. And we may use opportunities
on-site to provide additional training or technical assistance, based on emerging needs. Additionally,
attending the monthly program meetings and will increase opportunities for check-ins and offering
technical assistance and training. LPC will be available to meet with DBH-SUD staff and prevention
program staff, as needed.
Years Two (FY 2017-18) and Three (FY 2018-19)
At the beginning of each contract year, LPC will review the prevention programs for implementation
modifications, including addenda to their scopes of work, and evaluation plan modification, based on
lessons learned and/or recommendations from the previous year. We will submit an updated evaluation
design to DBH-SUD if significant changes are made.
Data Analysis & Reporting
The data collection for the following years will continue as established in Year One, subject to an annual
review of the evaluation plan and revisions as needed. We will continue to review data entered into
CalOMS quarterly, collect quarterly implementation reports from programs, and report a summary of
findings back to the prevention program staff and DBH-SUD staff in a data-dashboard type report. These
reports will allow project staff and LPC to determine the extent to which the data is reflecting the actual
program reach and levels of participation, and provide recommendations to the programs and DBH-SUD
staff to improve outcomes and develop the program, as well as ensure that data collection and date entry
are occurring. This will also provide regular opportunities for technical support to introduce systems for
improving data collection, data accuracy, and data entry.
While the quarterly summary reports will identify challenges in the data collection based on simple
analyses, the most comprehensive analysis will occur during the development of the annual evaluation
reports. Continuing with the format previously established by LPC and DBH-SUD staff, annual evaluation
reports will include both program level reports, as well as a cross-program County-wide summary. We
will present frequency distributions for demographic and other characteristics of program participants;
analyze outcomes in terms of rates of change as well as proportion of participants in various levels of
Revised Exhibit A
8
change; and cross-tabulate specific participant outcomes with risk or other characteristics, and by
program. Data will be presented in graphic format to enhance communicating findings, using GIS mapping
and data visualization, and an annual presentation of findings will include a comprehensive status report
on evaluation activities and accomplishments to date, a summary of process and outcome findings based
on site visits, interviews and focus groups with program staff, stakeholders and program participants, and
baseline data for youth and young adult alcohol, marijuana, and prescription and over-the-the counter
drug misuse.
LPC will present the findings in the context of progress toward the goals and objectives outlined in the
SPP Logic Models. The year two and three evaluation reports will focus on data collected on individual
program participants and program implementation, and will include trends from secondary data over the
previous five years to be obtained primarily from CHKS, CHIS, CalOMS, and other community level data
that is readily accessible. During year three of the project (FY 2018/19), the survey used to collect student
alcohol and drugs use will be re-administered, providing comparison data to the baseline measure
collected in FY 2016/17. This survey will be administered in the same schools as the baseline survey.
LPC will provide an annotated report outline to DBH-SUD staff at least one month prior to drafting the
annual report. This report will include the status of each prevention programs' contract deliverables
and/or implementation status; qualitative feedback on each program; descriptions of program
participants; preliminary findings on outcomes or final outcomes in the context of progress toward the
goals and objectives in the Logic Model and SPP; and conclusions and recommendations. Annual
community indicator trends, as available, will be in each annual report.
Training & Technical Assistance
LPC will continue to provide training and technical assistance to the prevention programs and DBH-SUD
staff, based on need. At the beginning of each program year, LPC staff will meet with the key prevention
provider program staff to review scope of work amendments and revise evaluation plans, as needed, to
align with any changes. LPC will also review the evaluation plans and data collection tools, reflect on data
entry or other challenges from the previous year, and address these. LPC will also review the evaluation
plan and methodology with program staff to ensure that there is a thorough understanding of data
collection, expectations, and schedules. Year three will include additional training, coaching, and technical
assistance as LPC works with staff to ensure that the programs are collecting the data needed for Fresno
County’s goals and objectives via a customized survey, or the CHKS (yet to be determined).
LPC will continue to be available for telephone and/or web-based support, and LPC staff will be available
to provide support during monthly prevention and/or quarterly provider meetings. Figure 4 below
presents an overview of core tasks, milestones and deliverables, and the projected time line for the data
collection and analysis for each of Years Two (FY 2017/18) and Three (FY2018/19). Reports are shown as
deliverables.
Revised Exhibit A
9
Figure 4 - Years 2-3 (FY 2017/18 & FY 2018/19) Evaluation Work Plan: Ongoing Data Collection and
Analysis
Tasks and Activities Milestones and Deliverables Timeline
Review revisions and addendums to program scope(s) of work
and revise evaluation plans as needed
Revised evaluation plans First month of
fiscal year
Participate in monthly program meetings Provide meeting notes and
agendas
Monthly, as
determined
by DBH-SUD
Participate in quarterly provider meetings Prevention provider meeting
notes and agendas
Quarterly, as
determined
by DBH-SUD
Pull CalOMS and collect quarterly reporting data from
prevention programs one month after quarter ends.
Completed reporting forms Collected 30
days after
each quarter
Provide a summary of program process data to county and each
program one month after data collected.
Summary of program process
data
Reported back
30 days after
collected
Conduct semi-annual site visits to meet program staff, collect
qualitative data, observe program services where feasible
Qualitative data collection
(observation checklist,
interviews, focus group notes)
1/30/18
6/30/18
1/30/19
6/30/19
For each prevention program, analyze qualitative data to describe
program implementation, successes, challenges and barriers, and
accomplishments.
Analyze qualitative data on feedback from participants, and
reflections from stakeholders.
Program data summary
reports
6/30/18
6/30/19
Work with programs to collect community level AOD indicator
data, either through a universal survey administered by program
staff or the CHKS
Survey data 2018/19
Draft annual evaluation reports for years two and three (note:
due to funding cycle and reporting in CalOMS, programs have
until July 31 to enter their CalOMS data. Therefore, LPC does not
have access to the data until August 1, so the report will be
completed by September 15, 2018 and 2019.
Annual evaluation report Due to delays
getting CalOMS
data, reports
completed by
9/15/18 and
9/15/19.
Years Three (FY 2018/19) and Four (FY 2019/20)
At the beginning of November 2018, LPC will begin working on the Strategic Prevention Plan (SPP) for
Fresno County Department of Behavioral Health – Substance Use Disorder Services (DBH-SUD) Services
by serving in the following roles and capacities:
1. Facilitation of planning meetings with key partners and stakeholders;
2. Collection and analysis of quantitative and qualitative data to inform the needs assessment
component of the planning process; and
3. Development of a written Strategic Prevention Plan with identified priorities and
recommendations.
Revised Exhibit A
10
The proposed timeframe for completing the SPP is 12 months (November 1, 2018 through October 31,
2019). LPC will use the CPI’s Strategic Training and Education for Prevention Planning (STEPP) Project
throughout the entire twelve-month SPP development period to collect, compile, and analyze data.
Months 1-2: Planning | During the first two months of the contract award, LPC will meet with Fresno
County DBH-SUDS staff to create a detailed scope of work and plan for next steps. LPC’s key tasks in this
planning phase will be to:
1. Review CPI’s SPP Guide, SPP Workbook, and County Indicator Toolkits;
2. Attend CPI online trainings and webinars related to the SPF and SPP development process;
3. Draft a schedule and broad agendas for meetings with the SPP Planning Group;
4. Identify sources of needs assessment data; and
5. Draft an annotated outline for the final Strategic Prevention Plan.
Months 3-5: Preliminary Quantitative Data Collection and Analysis | LPC staff will collect and analyze
quantitative data to inform the Assessment and Evaluation chapters of the SPP. LPC will identify
community level indicators readily accessible and relevant to the planning process as directed by SPF
guidelines. Preliminary indicators will likely include measures of substance use (e.g., incidence and
prevalence), treatment admissions data, and data related to risk factors or consequences of substance
use
Months 4-10: Meetings with SPP Planning Group and Ongoing Data Collection | LPC staff will plan and
facilitate up to four meetings with the SPP Planning Group. LPC is entrusting Fresno County DBH-SUDS
staff to identify and invite local stakeholders and representatives from relevant sectors of the community
(including youth) to participate in this group prior to the first meeting, whereas LPC will take responsibility
for preparation and follow-up related to the meetings. The first meeting will introduce the LPC team,
inform the group about the planning process, share the SPP annotated outline, and solicit input for data
sources and resources (i.e., indicator data and focus group/interview candidates). After this first meeting,
LPC staff will collect and analyze additional data based on group input. The subsequent two planning
meetings will present preliminary quantitative and qualitative data to the group, and include a discussion
of group members’ interpretations of the data collected to date. It is the hope that these meetings will
help surface relevant substance use issues, unmet needs, community assets and resources, and SPP
priorities and recommendations. The final planning meeting will share draft components of the Strategic
Prevention Plan to gather group members’ input and feedback. It is important to note that the timeline
for and number of formal meetings may fluctuate based on emergent planning needs and desires of the
group.
Months 5-8: Qualitative Data Collection and Analysis | To supplement the community indicator data
trends and other quantitative data included in the needs assessment, LPC anticipates collecting qualitative
data through focus groups and/or interviews with targeted stakeholders (e.g., members of the SPP
Planning Group, local youth, treatment providers, etc.). The purpose of the qualitative data collection is
to address gaps in knowledge that cannot be addressed with quantitative data, or for which there is
inadequate understanding of the issues and needs. LPC will offer incentives to interview and focus group
participants, and may consider contracting with a local organization to facilitate qualitative data collection
as needed.
Months 9-12: Draft, Review, and Finalize Strategic Prevention Plan | LPC will draft a summary of the
strategic planning process, needs assessment findings, identification of priority issues and needs, and
Revised Exhibit A
11
proposed recommendations. Based on the final meeting with the SPP Planning Group, LPC will feature
recommendations with data to support the rationale for each. Attachments containing complete
datasets, graphs, and/or maps will be included with the full report. LPC will allow time for Fresno County
DBH-SUDS staff to review the document prior to the presentation of the SPP to the Fresno County
Behavioral Health Board and the California Department of Health Care Services (DHCS).
At the conclusion of the planning process, Fresno County DBH-SUDS will have a Strategic Prevention Plan
from which to inform resource allocation, guide providers toward shared goals, and address needs in the
local prevention continuum.
Figure 5 – Years 3-4 (FY 2018/19 and FY 2019/20) SPP Work Plan: Data Collection, Analysis and SPP
Model
Tasks and Activities Milestones and Deliverables Timeline1
Planning Provide meeting notes and
agendas
11/1/18
12/31/18
Preliminary Quantitative Data Collection and Analysis Qualitative data collection
(community level indicators,
compilation of preliminary
indicators)
1/1/19
3/31/19
Meetings with SPP Planning Group and Ongoing Data Collection Qualitative data collection
(sharing of ideas, input from
community meetings)
2/1/2019
8/30/19
Qualitative Data Collection and Analysis Qualitative data collection
(observation checklist,
interviews, focus group notes)
3/1/2019
6/30/19
Draft, Review, and Finalize Strategic Prevention Plan Final SPP submitted to County 7/1/2019
10/31/19
Years Four (FY 2019/20) and Five (First half of FY 2020/21 ending December 31, 2020)
At the beginning of the year four, LPC will review the program for final implementation modifications
based on lessons learned and/or recommendations from the previous years. The emphasis will be on
ensuring robust and accurate data collection as focus turns toward the final analysis and drafting of the
comprehensive evaluation reports in Year 5.
Final Analysis
During the final year of the prevention programming, data collection will continue as established during
the previous three years. We will continue to collect data quarterly, and collect qualitative data via focus
groups and interviews with program participants, stakeholders, and program staff at the conclusion of the
fourth year to gather comprehensive feedback for the four years of the Fresno County initiative. During
this final year, we will analyze community indicator findings to provide an analysis of trends over time.
This will yield an update for the baseline created in the 2015-2020 SPP to be used in the development of
1 The timeline assumes a start date of November 1, 2018. All dates proposed in this work plan will shift in accordance with the
contract award and actual start date.
Revised Exhibit A
12
the 2020-2025 SPP.
The final comprehensive evaluation report will include an annual update and comprehensive evaluation
report of the four years, and include summaries of activities during the SPP, progress toward the SPP goals
based on the selected measure of community-level data, as well as secondary community indicator data
that presents emerging and significant alcohol and drug issues in Fresno County. The report will measure
program effectiveness and changes over the four years. LPC will coordinate with DBH-SUD staff to develop
an annotated final report outline, integrating process and outcomes data with quantitative and qualitative
data analysis. We will examine trends over time, both within and across programs and among selected
community indicators. The analysis will compare baseline knowledge, attitudes and behavior among
program participants.
This final report will also include recommendations for future prevention programming. The final report
will include a graphic presentation of data and findings to facilitate communicating findings, using data
visualization and GIS mapping. The final report will be a product that represents the four-year
collaboration among the prevention programs and with DBH-SUD and LPC Consulting Associates, Inc. We
will use all data reporting for Years 1-4 to develop capacity for program evaluation, to foster an
environment of transparency and data driven decision-making, and to celebrate achievements and
identify areas that require development or modification.
In addition to a written report, LPC staff will prepare a presentation of the evaluation findings to share
with the Behavioral Health board, partners, and prevention program staff. Not only will the final
presentation provide an opportunity for discussion of implementation and outcomes, but key elements
of the presentation may be used by prevention program staff and DBH-SUD to share findings with other
constituencies and stakeholder audiences, and assist and inform implementation of the 2020-2025 Fresno
County Alcohol and Other Drug (AOD) Strategic Prevention Plan (SPP).
Figure 6 below presents an overview of core tasks, milestones and deliverables, and the projected timeline
for the data collection and analysis for the final year of the prevention work for this SPP (year four,
2019/20) and for the analysis and development of the final comprehensive report and presentation of
evaluation findings (year five, July-December 2020). Reports are shown as deliverables.
Figure 6 – Years 4-5 (FY 2019/20 and FY 2020/21) Evaluation Work Plan: Data Collection and Final
Analysis
Tasks and Activities Milestones and Deliverables Timeline2
Participate in monthly program meetings Provide meeting notes and
agendas
Monthly, as
determined
by DBH-SUD
Participate in quarterly provider meetings Prevention provider meeting
notes and agendas
Quarterly, as
determined
by DBH-SUD
Pull CalOMS data and collect quarterly reporting data from
prevention programs one month after quarter ends.
Completed reporting forms
Collected 30
days after
each quarter
Provide a summary of program process data to county and each Summary of program process Reported back
2 The timeline assumes a start date of November 1, 2018. All dates proposed in this work plan will shift in accordance with the
contract award and actual start date.
Revised Exhibit A
13
Tasks and Activities Milestones and Deliverables Timeline2
program one month after data collected. data 30 days after
collected
Conduct semi-annual site visits to meet programs, collect
qualitative data, observe program services where feasible
Qualitative data collection
(observation checklist,
interviews, focus group notes)
1/30/20
6/30/20
For each prevention program, analyze qualitative data to describe
program implementation, successes, challenges and barriers, and
accomplishments.
Analyze qualitative data on feedback from participants, and
reflections from stakeholders.
Program data summary
reports
6/30/20
Draft comprehensive evaluation report that includes an annual
summary for year four (note: due to funding cycle and reporting in
CalOMS, programs have until July 31 to enter their CalOMS data.
Therefore, LPC does not have access to the data until August 1, so
the final comprehensive report will be completed in by September
15, 2020.)
Annual evaluation report Due to delays
getting CalOMS
data, reports
completed by
9/15/20
Present final comprehensive report findings and recommendations
to the Fresno County Behavioral Health Board
Presentation By 12/31/20
Mailing Address:
Street Address:
0.01 Phone Number:
0.81 Fax Number:
E-mail Address:
% of FTE
Annual dedicated to
Salary this program Admin. Direct Admin. Direct
0101 156,000$ 1%100%1,560$ -$ 1,560$
0102 112,486$ 22%100%-$ 24,747$ 24,747$
0103 91,520$ 22%100%-$ 20,134$ 20,134$
0104 100,048$ 5%100%-$ 5,002$ 5,002$
0105 49,504$ 16%100%-$ 7,921$ 7,921$
0106 41,600$ 16%100%-$ 6,656$ 6,656$
0107 -$ -$ -$
0108 -$ -$ -$
SALARIES TOTAL 1,560$ 64,460$ 66,020$
Rate 2% 98% 100%
0151 F.I.C.A. Social Security and Medicare SS 6.2 % rate applied to $127.2k of gross earnings per employee 7.65%119$ 4,931$ 5,051$
0152 Federal Unemployment (FUTA)Rate applied to only first $7k of gross earnings per employee 0.40%6$ 258$ 264$
0153 State Employment Training Tax (ETT)Rate applied to only first $7k of gross earnings per employee 0.10%2$ 64$ 66$
0154 State Unemployment Insurance (UI)Rate applied to only first $7k of gross earnings per employee 2.90%45$ 1,869$ 1,915$
0155 5.00%78$ 3,223$ 3,301$
PAYROLL TAXES TOTAL 250$ 10,345$ 10,596$
EMPLOYEE BENEFITS Rate 2.36% 97.64% 100%
0201 Health Insurance 14.00%218$ 9,024$ 9,243$
0202 Life Insurance 1.00%16$ 645$ 660$
0203 Retirement 2.50%39$ 1,612$ 1,651$
0204 Benefits Other - Specify 0.10%2$ 64$ 66$
EMPLOYEE BENEFITS TOTAL 275$ 11,345$ 11,620$
TAXES & BENEFITS TOTAL 22,216$
TOTAL PERCENT OF BENEFITS TO SALARIES 33.65%
Services and Supplies
0252 -$
0253 -$
-$
0301 -$
0302 -$
-$
0351 -$
0352 -$
0353 -$
0354 -$
0355 -$
-$
0401 -$
0402 -$
0403 -$
-$
0451 6,602$
0452 -$
0453 -$
6,602$
0501 3,456$
0502 4,200$
0503 1,920$
0504 -$
9,576$
0551 -$
0552 -$
0553 -$
REVISED EXHIBIT B
SUBSTANCE ABUSE PREVENTION EVALUATOR
Substance Use Disorder (SUD)
Projected Budget - Fiscal Year 2018-19
Provider Name:LPC Consulting Associates, Inc.1451 River Park Drive, Suite 100
Program Name:2020 Strategic Prevention Plan Sacramento, CA 95815
Approved by:1451 River Park Drive, Suite 100
Sacramento, CA 95815
No. of Budgeted FTEs - Admin:916-448-8026
No. of Budgeted FTEs - Direct:916-448-1056
lynne@lpc-associates.com
michele@lpc-associates.com
Budget Categories % Time dedicated Proposed Program Budget
Line Item Description to services
(Must be Itemized)
PERSONNEL/SALARIES
Research Director
Senior Associate
Senior Associate
Data Systems Manager
Research Assistant
Research Assistant
PAYROLL TAXES
Workers' Compensation Insurance
INSURANCE
Liability Insurance
Insurance Other-Specify
INSURANCE TOTAL
COMMUNICATIONS
Telecommunications/data lines
Answering Service
COMMUNICATIONS TOTAL
OFFICE EXPENSE
Office Supplies
Soc Rec., Workbooks
Printing/Reproduction
Publications
Legal Notices/Advertising
OFFICE EXPENSE TOTAL
EQUIPMENT
Purchase of Equipment (Computers/Furniture)
Equipment Rent/Lease (Copy Machines)
Equipment Maintenance
EQUIPMENT TOTAL
FACILITIES
Program Supplies-Client Incentives
Program Supplies-Curriculum
Program Supplies-Food
Rent/Lease Building
Facilities Maintenance
Utilities
FACILITIES TOTAL
TRAVEL COSTS
Staff Mileage
Staff Travel (Out of County)
Staff Training/Registration
Transportation
Total Proposed
Budget
TRAVEL COSTS TOTAL
PROGRAM SUPPLIES
1
-$
0601 -$
0602 4,000$
4,000$
0651 -$
0652 -$
-$
0701 11,586$
0702 -$
0703 -$
0749 -$
11,586$
-$
120,000$
3120 -$
3130 -$
3140 -$
3150 -$
3160 -$
-$
120,000$
PROGRAM SUPPLIES TOTAL
CONSULTANCY
Consultant Services (Interpretive Services)
Contracted Services (Recruitment)
Insurance
REVENUE/MATCH TOTAL
NET PROGRAM BUDGET
Other Business Services
OTHER COSTS TOTAL
ONE TIME ADVANCE - Start Up Costs
TOTAL PROGRAM EXPENDITURES
REVENUE/MATCH
Drug Medi-Cal
State Grant
Private Donations
Client Fees
CONSULTANCY TOTAL
FISCAL AND AUDITS
Accounting/Bookkeeping (IT Support)
External Audit
FISCAL AND AUDITS TOTAL
OTHER COSTS
Indirect Costs
Licenses/Taxes
County Administration Fee
2
Provider Name:
Amount: FY 18-19
PERSONNEL/ SALARIES
Research Director 156,000$ 1.00%
Senior Associate 112,486.00 22.00%
Senior Associate 91,520.00 22.00%
Data Systems Manager 100,048.00 5.00%
Research Assistant 49,504.00 16.00%
Research Assistant 41,600.00 16.00%
PERSONNEL SALARIES TOTAL 66,020$
PAYROLL TAXES TOTAL 10,596$
EMPLOYEE BENEFITS TOTAL 11,620$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
6,602$
-$
-$
3,456$
4,200$
1,920$
-$
-$
-$
-$
-$
4,000$
-$
-$
REVISED EXHIBIT B
SUBSTANCE ABUSE PREVENTION EVALUATOR
Substance Use Disorder (SUD)
Projected Budget - Fiscal Year 2018-19
LPC Consulting Associates, Inc.
Annual Salary and FTE Equivalence as in Budget.
List the provider and expiration date for the following insurance categories, if applicable:
0252 - Liability Insurance:
0253 - Insurance Other:
Provide a brief description for each category, if applicable:
0301 - Telecommunications/data lines:
0302 - Answering Service:
Provide a brief description for each category, if applicable:
0351-Office Supplies:
0352 - Social/Rec, Workbooks:
0353-Printing/Reproduction:
0354 - Publications:
0355 - Legal Notices/Advertising:
Provide a brief description for each category, if applicable:
0401 - Purchase of Equipment:
0402 - Equipment Rent/Lease:
0403 - Equipment Maintenance:
Provide a brief description for each category, if applicable:
0451 - Rent/Lease Building:
0452 - Facilities Maintenance:
0453 - Utilities:
Provide a brief description for each category, if applicable:
0501 - Staff Mileage:
0502 - Staff Travel (Out of County):
0503 - Staff Training/Registration:
0504 - Transportation:
Provide a brief description for each category, if applicable:
0551 - Program Supplies - Client Incentives:
0552 - Program Supplies - Curriculum:
0553 - Program Supplies - Food:
PROGRAM SUPPLIES
CONSULTANCY
FISCAL AND AUDITS
0652 - External Audit:
Provide a brief description for each category, if applicable:
0601 - Consultant Services
0602 - Contracted Services:
Provide a brief description for each category, if applicable:
0651 - Accounting/Bookkeeping:
Budget Categories-Line Item Description Positions
Descriptions
Annual Salary for
this Program
% of FTE dedicated to this
program
INSURANCE
COMMUNICATIONS
OFFICE EXPENSE
EQUIPMENT
FACILITIES
TRAVEL
3
11,586$
-$
-$
-$
-$
-$
-$
-$
-$
REVENUE/MATCH
0703 - County Administration Fee:
0749-Other Costs:
Identify all anticipated funding sources and distinguish whether the revenue offsets
expenditures for the existing/proposed program:
3120 - Drug Medi-Cal:
Mental Health Medi-Cal:
OTHER COSTS Provide a brief description for each category, if applicable:
0701 - Indirect Costs:
0702 - Licenses/Taxes:
ONE TIME ADVANCE N/AUsed for startup costs and is available upon request with a detailed justification. The amount
cannot exceed 1/12th of the total cost proposal for this section.
3130 - State Grant:
3140 - Private Donations:
3150 - Client Fees:
4
Mailing Address:
Street Address:
0.01 Phone Number:
0.69 Fax Number:
E-mail Address:
% of FTE
Annual dedicated to
Salary this program Admin.Direct Admin.Direct
0101 162,240$ 1%100%1,622$ -$ 1,622$
0102 116,985$ 20%100%-$ 23,397$ 23,397$
0103 95,181$ 20%100%-$ 19,036$ 19,036$
0104 104,050$ 5%100%-$ 5,203$ 5,203$
0105 51,484$ 12%100%-$ 6,178$ 6,178$
0106 43,264$ 12%100%-$ 5,192$ 5,192$
0107 -$ -$ -$
0108 -$ -$ -$
0109 -$ -$ -$
0110 -$ -$ -$
0111 -$ -$ -$
0112 -$ -$ -$
SALARIES TOTAL 1,622$ 59,006$ 60,628$
Rate 3% 97% 100%
0151 F.I.C.A. Social Security and Medicare SS 6.2 % rate applied to $127.2k of gross earnings per employee 7.65%124 4,514 4,638
0152 Federal Unemployment (FUTA)Rate applied to only first $7k of gross earnings per employee 0.40%6 236 243
0153 State Employment Training Tax (ETT)Rate applied to only first $7k of gross earnings per employee 0.10%2 59 61
0154 State Unemployment Insurance (UI)Rate applied to only first $7k of gross earnings per employee 2.90%47 1,711 1,758
0155 5.00%81 2,950 3,031
PAYROLL TAXES TOTAL 260$ 9,470$ 9,731$
EMPLOYEE BENEFITS Rate 2.68% 97.32% 100%
0201 Health Insurance 14.00%227 8,261 8,488
0202 Life Insurance 1.00%16 590 606
0203 Retirement 2.50%41 1,475 1,516
0204 Benefits Other - Specify 0.10%2 59 61
EMPLOYEE BENEFITS TOTAL 286 10,385 10,671
TAXES & BENEFITS TOTAL 20,401$
TOTAL PERCENT OF BENEFITS TO SALARIES 33.65%
Services and Supplies
0252 -$
0253 -$
-$
0301 -$
0302 -$
-$
0351 -$
0352 -$
0353 -$
0354 -$
0355 -$
-$
0401 -$
0402 -$
0403 -$
-$
0451 6,063$
0452 -$
0453 -$
6,063$
0501 3,456$
0502 4,200$
0503 1,920$
REVISED EXHIBIT B
SUBSTANCE ABUSE PREVENTION EVALUATOR
Substance Use Disorder (SUD)
Projected Budget - Fiscal Year 2019-20
Provider Name:LPC Consulting Associates, Inc.1451 River Park Drive, Suite 100
Sacramento, CA 95815
No. of Budgeted FTEs - Admin:916-448-8026
No. of Budgeted FTEs - Direct:916-448-1056
Program Name:2020 Strategic Prevention Plan Sacramento, CA 95815
Approved by:1451 River Park Drive, Suite 100
PERSONNEL/SALARIES
Research Director
Senior Associate
Senior Associate
Data Systems Manager
Research Assistant
lynne@lpc-associates.com
michele@lpc-associates.com
Budget Categories % Time dedicated Proposed Program Budget
Line Item Description to services Total Proposed
Budget(Must be Itemized)
PAYROLL TAXES
Workers' Compensation Insurance
INSURANCE
Liability Insurance
Insurance Other-Specify
Research Assistant
Office Supplies
Soc Rec., Workbooks
Printing/Reproduction
Publications
Legal Notices/Advertising
OFFICE EXPENSE TOTAL
INSURANCE TOTAL
COMMUNICATIONS
Telecommunications/data lines
Answering Service
COMMUNICATIONS TOTAL
OFFICE EXPENSE
Rent/Lease Building
Facilities Maintenance
Utilities
FACILITIES TOTAL
TRAVEL COSTS
Staff Mileage
EQUIPMENT
Purchase of Equipment (Computers/Furniture)
Equipment Rent/Lease (Copy Machines)
Equipment Maintenance
EQUIPMENT TOTAL
FACILITIES
Staff Travel (Out of County)
Staff Training/Registration
5
0504
9,576$
0551 -$
0552 -$
0553 -$
-$
0601 -$
0602 -$
-$
0651 -$
0652 -$
-$
0701 8,332$
0702 -$
0703 -$
0749 -$
8,332$
-$
105,000$
3120 -$
3130 -$
3140 -$
3150 -$
3160 -$
-$
105,000$
Program Supplies-Curriculum
Program Supplies-Food
PROGRAM SUPPLIES TOTAL
CONSULTANCY
Consultant Services (Interpretive Services)
Contracted Services (Recruitment)
Transportation
TRAVEL COSTS TOTAL
PROGRAM SUPPLIES
Program Supplies-Client Incentives
Indirect Costs
Licenses/Taxes
County Administration Fee
Other Business Services
OTHER COSTS TOTAL
ONE TIME ADVANCE - Start Up Costs
CONSULTANCY TOTAL
FISCAL AND AUDITS
Accounting/Bookkeeping (IT Support)
External Audit
FISCAL AND AUDITS TOTAL
OTHER COSTS
Insurance
REVENUE/MATCH TOTAL
NET PROGRAM BUDGET
TOTAL PROGRAM EXPENDITURES
REVENUE/MATCH
Drug Medi-Cal
State Grant
Private Donations
Client Fees
6
Provider Name:
Amount: FY 19-20
PERSONNEL/ SALARIES
Research Director 162,240$ 1.00%
Senior Associate 116,985.44 20.00%
Senior Associate 95,180.80 20.00%
Data Systems Manager 104,049.92 5.00%
Research Assistant 51,484.16 12.00%
Research Assistant 43,264.00 12.00%
PERSONNEL SALARIES TOTAL 60,627.93$
PAYROLL TAXES TOTAL 9,730.79$
EMPLOYEE BENEFITS TOTAL 10,670.52$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
6,062.80$
-$
-$
3,456.00$
4,200.00$
1,920.00$
-$
-$
-$
-$
-$
-$
-$
-$
Budget Categories-Line Item Description Positions
Descriptions
Annual Salary for
this Program
% of FTE dedicated to this
program
Annual Salary and FTE Equivalence as in Budget.
REVISED EXHIBIT B
SUBSTANCE ABUSE PREVENTION EVALUATOR
Substance Use Disorder (SUD)
Projected Budget - Fiscal Year 2019-20
LPC Consulting Associates, Inc.
INSURANCE List the provider and expiration date for the following insurance categories, if applicable:
0252 - Liability Insurance:
0253 - Insurance Other:
COMMUNICATIONS Provide a brief description for each category, if applicable:
0301 - Telecommunications/data lines:
0302 - Answering Service:
OFFICE EXPENSE Provide a brief description for each category, if applicable:
0351-Office Supplies:
0352 - Social/Rec, Workbooks:
0353-Printing/Reproduction:
0354 - Publications:
0355 - Legal Notices/Advertising:
EQUIPMENT Provide a brief description for each category, if applicable:
0401 - Purchase of Equipment:
0402 - Equipment Rent/Lease:
0403 - Equipment Maintenance:
FACILITIES Provide a brief description for each category, if applicable:
0451 - Rent/Lease Building:
0452 - Facilities Maintenance:
0453 - Utilities:
0504 - Transportation:
PROGRAM SUPPLIES Provide a brief description for each category, if applicable:
0551 - Program Supplies - Client Incentives:
0552 - Program Supplies - Curriculum:
0553 - Program Supplies - Food:
TRAVEL Provide a brief description for each category, if applicable:
0501 - Staff Mileage:
0502 - Staff Travel (Out of County):
0503 - Staff Training/Registration:
CONSULTANCY Provide a brief description for each category, if applicable:
0601 - Consultant Services
0602 - Contracted Services:
FISCAL AND AUDITS Provide a brief description for each category, if applicable:
0651 - Accounting/Bookkeeping:
0652 - External Audit:
7
8,331.96$
-$
-$
-$
-$
-$
-$
-$
-$
OTHER COSTS Provide a brief description for each category, if applicable:
0701 - Indirect Costs:
0702 - Licenses/Taxes:
0703 - County Administration Fee:
0749-Other Costs:
ONE TIME ADVANCE Used for startup costs and is available upon request with a detailed justification. The amount
cannot exceed 1/12th of the total cost proposal for this section.N/A
REVENUE/MATCH Identify all anticipated funding sources and distinguish whether the revenue offsets
expenditures for the existing/proposed program:
3120 - Drug Medi-Cal:
Mental Health Medi-Cal:
3130 - State Grant:
3140 - Private Donations:
3150 - Client Fees:
8
Mailing Address:
Street Address:
0.01 Phone Number:
0.26 Fax Number:
E-mail Address:
% of FTE
Annual dedicated to
Salary this program Admin.Direct Admin.Direct
0101 168,730$ 1%100%1,687$ -$ 1,687$
0102 121,665$ 5%100%-$ 6,083$ 6,083$
0103 98,988$ 10%100%-$ 9,899$ 9,899$
0104 108,212$ 1%100%-$ 1,082$ 1,082$
0105 53,544$ 5%100%-$ 2,677$ 2,677$
0106 44,995$ 5%100%-$ 2,250$ 2,250$
0107 -$ -$ -$
0108 -$ -$ -$
0109 -$ -$ -$
0110 -$ -$ -$
0111 -$ -$ -$
0112 -$ -$ -$
SALARIES TOTAL 1,687$ 21,991$ 23,678$
Rate 7% 93% 100%
0151 F.I.C.A. Social Security and Medicare SS 6.2 % rate applied to $127.2k of gross earnings per employee 7.65%129$ 1,682$ 1,811$
0152 Federal Unemployment (FUTA)Rate applied to only first $7k of gross earnings per employee 0.40%7$ 88$ 95$
0153 State Employment Training Tax (ETT)Rate applied to only first $7k of gross earnings per employee 0.10%2$ 22$ 24$
0154 State Unemployment Insurance (UI)Rate applied to only first $7k of gross earnings per employee 2.90%49$ 638$ 687$
0155 5.00%84$ 1,100$ 1,184$
PAYROLL TAXES TOTAL 271$ 3,530$ 3,800$
EMPLOYEE BENEFITS Rate 7.13% 92.87% 100%
0201 Health Insurance 14.00%236$ 3,079$ 3,315$
0202 Life Insurance 1.00%17$ 220$ 237$
0203 Retirement 2.50%42$ 550$ 592$
0204 Benefits Other - Specify 0.10%2$ 22$ 24$
EMPLOYEE BENEFITS TOTAL 297$ 3,871$ 4,167$
TAXES & BENEFITS TOTAL 7,968$
TOTAL PERCENT OF BENEFITS TO SALARIES 33.65%
Services and Supplies
0252 -$
0253 -$
-$
0301 -$
0302 -$
-$
0351 -$
0352 -$
0353 -$
0354 -$
0355 -$
-$
0401 -$
0402 -$
0403 -$
-$
0451 2,421$
0452 -$
0453 -$
2,421$
0501 1,500$
0502 1,000$
0503
Staff Travel (Out of County)
Staff Training/Registration
Rent/Lease Building
Facilities Maintenance
Utilities
FACILITIES TOTAL
TRAVEL COSTS
Staff Mileage
EQUIPMENT
Purchase of Equipment (Computers/Furniture)
Equipment Rent/Lease (Copy Machines)
Equipment Maintenance
EQUIPMENT TOTAL
FACILITIES
Office Supplies
Soc Rec., Workbooks
Printing/Reproduction
Publications
Legal Notices/Advertising
OFFICE EXPENSE TOTAL
INSURANCE TOTAL
COMMUNICATIONS
Telecommunications/data lines
Answering Service
COMMUNICATIONS TOTAL
OFFICE EXPENSE
PAYROLL TAXES
Workers' Compensation Insurance
INSURANCE
Liability Insurance
Insurance Other-Specify
Research Assistant
PERSONNEL/SALARIES
Research Director
Senior Associate
Senior Associate
Data Systems Manager
Research Assistant
lynne@lpc-associates.com
michele@lpc-associates.com
Budget Categories % Time dedicated Proposed Program Budget
Line Item Description to services Total Proposed
Budget(Must be Itemized)
No. of Budgeted FTEs - Admin:916-448-8026
No. of Budgeted FTEs - Direct:916-448-1056
Program Name:2020 Strategic Prevention Plan Sacramento, CA 95815
Approved by:1451 River Park Drive, Suite 100
REVISED EXHIBIT B
SUBSTANCE ABUSE PREVENTION EVALUATOR
Substance Use Disorder (SUD)
Projected Budget - Fiscal Year 2020-21 (For the months of July - Dec. 2020 only)
Provider Name:LPC Consulting Associates, Inc.1451 River Park Drive, Suite 100
Sacramento, CA 95815
9
0504 -$
2,500$
0551 -$
0552 -$
0553 -$
-$
0601 -$
0602 -$
-$
0651 -$
0652 -$
-$
0701 3,432$
0702 -$
0703 -$
0749 -$
3,432$
-$
40,000$
3120 -$
3130 -$
3140 -$
3150 -$
3160 -$
-$
40,000$
Insurance
REVENUE/MATCH TOTAL
NET PROGRAM BUDGET
TOTAL PROGRAM EXPENDITURES
REVENUE/MATCH
Drug Medi-Cal
State Grant
Private Donations
Client Fees
Indirect Costs
Licenses/Taxes
County Administration Fee
Other Business Services
OTHER COSTS TOTAL
ONE TIME ADVANCE - Start Up Costs
CONSULTANCY TOTAL
FISCAL AND AUDITS
Accounting/Bookkeeping (IT Support)
External Audit
FISCAL AND AUDITS TOTAL
OTHER COSTS
Program Supplies-Curriculum
Program Supplies-Food
PROGRAM SUPPLIES TOTAL
CONSULTANCY
Consultant Services (Interpretive Services)
Contracted Services (Recruitment)
Transportation
TRAVEL COSTS TOTAL
PROGRAM SUPPLIES
Program Supplies-Client Incentives
10
Provider Name:
Amount: FY 20-21
PERSONNEL/ SALARIES
Research Director 168,730$ 1.00%
Senior Associate 121,665$ 5.00%
Senior Associate 98,988$ 10.00%
Data Systems Manager 108,212$ 1.00%
Research Assistant 53,544$ 5.00%
Research Assistant 44,995$ 5.00%
PERSONNEL SALARIES TOTAL 23,678$
PAYROLL TAXES TOTAL 3,800$
EMPLOYEE BENEFITS TOTAL 4,167$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
-$
2,421$
-$
-$
1,500$
1,000$
-$
-$
-$
-$
-$
-$
-$
-$
CONSULTANCY Provide a brief description for each category, if applicable:
0601 - Consultant Services
0602 - Contracted Services:
FISCAL AND AUDITS Provide a brief description for each category, if applicable:
0651 - Accounting/Bookkeeping:
0652 - External Audit:
0504 - Transportation:
PROGRAM SUPPLIES Provide a brief description for each category, if applicable:
0551 - Program Supplies - Client Incentives:
0552 - Program Supplies - Curriculum:
0553 - Program Supplies - Food:
TRAVEL Provide a brief description for each category, if applicable:
0501 - Staff Mileage:
0502 - Staff Travel (Out of County):
0503 - Staff Training/Registration:
FACILITIES Provide a brief description for each category, if applicable:
0451 - Rent/Lease Building:
0452 - Facilities Maintenance:
0453 - Utilities:
EQUIPMENT Provide a brief description for each category, if applicable:
0401 - Purchase of Equipment:
0402 - Equipment Rent/Lease:
0403 - Equipment Maintenance:
COMMUNICATIONS Provide a brief description for each category, if applicable:
0301 - Telecommunications/data lines:
0302 - Answering Service:
OFFICE EXPENSE Provide a brief description for each category, if applicable:
0351-Office Supplies:
0352 - Social/Rec, Workbooks:
0353-Printing/Reproduction:
0354 - Publications:
0355 - Legal Notices/Advertising:
INSURANCE List the provider and expiration date for the following insurance categories, if applicable:
0252 - Liability Insurance:
0253 - Insurance Other:
Annual Salary and FTE Equivalence as in Budget.
Budget Categories-Line Item Description Positions
Descriptions
Annual Salary for
this Program
% of FTE dedicated to this
program
REVISED EXHIBIT B
SUBSTANCE ABUSE PREVENTION EVALUATOR
Substance Use Disorder (SUD)
Projected Budget - Fiscal Year 2020-21 (For the months of July - Dec. 2020 only)
LPC Consulting Associates, Inc.
11
3,432$
-$
-$
-$
-$
-$
-$
-$
-$
ONE TIME ADVANCE Used for startup costs and is available upon request with a detailed justification. The amount
cannot exceed 1/12th of the total cost proposal for this section.N/A
REVENUE/MATCH Identify all anticipated funding sources and distinguish whether the revenue offsets
expenditures for the existing/proposed program:
3120 - Drug Medi-Cal:
Mental Health Medi-Cal:
3130 - State Grant:
3140 - Private Donations:
3150 - Client Fees:
OTHER COSTS Provide a brief description for each category, if applicable:
0701 - Indirect Costs:
0702 - Licenses/Taxes:
0703 - County Administration Fee:
0749-Other Costs:
12
Exhibit J
1
SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT)
PREVENTION SPECIFIC REQUIREMENTS
1. FEDERAL CERTIFICATIONS
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
AND VOLUNTARY EXCLUSION LOWER TIER COVERED TRANSACTIONS
A. DBH and CONTRACTOR recognize that Federal assistance funds will be
used under the terms of this Agreement. For purposes of this section, DBH will be referred to as
the "prospective recipient".
B. This certification is required by the regulations implementing Executive
Order 12549, Debarment and Suspension, 29 CFR Part 98, section 98.510, Participants'
responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register
(pages 19160-19211).
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 into 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 CONTRACTOR shall provide immediate written notice to DBH if
at any time CONTRACTOR learns that its certification in this clause 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 this clause 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 transactions.
6) The certification in this clause of this Agreement is a material
representation of fact upon which reliance was placed by COUNTY when this transaction was
entered into.
C. CONTRACTOR shall not employ or subcontract with any party listed in the
government wide exclusions in the System for Award Management (SAM) in accordance with the
OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp.
p. 189) and 12689 (3 CFR part 1989., p. 235), “Debarment and Suspension.” SAM exclusions
contain the names of parties debarred, suspended, or otherwise excluded by agencies, as well as
Exhibit J
2
parties declared ineligible under statutory or regulatory authority other than Executive Order
12549. If CONTRACTOR employs or subcontracts an excluded party, DHCS has the right to
withhold payments, disallow costs, or issue a CAP, as appropriate, pursuant to HSC Code
11817.8(h).
2. CULTURALLY COMPETENT SERVICES (INTERGOVERNMENTAL AGREEMENT
P.72 AND 76)
CONTRACTOR shall ensure equal access to quality care by diverse populations
by adopting the federal Office of Minority Health Culturally and Linguistically Appropriate
Service (CLAS) national standards and complying with 42 CFR 438.206(c)(2). CONTRACTOR
shall promote the delivery of services in a culturally competent manner to all beneficiaries,
including those with limited English proficiency and diverse cultural and ethnic backgrounds,
disabilities, and regardless of gender, sexual orientation or gender identity.
3. ADA CONSIDERATIONS (INTERGOVERNMENTAL AGREEMENT P.20)
CONTRACTOR shall ensure that physical access, reasonable accommodations,
and accessible equipment for Medicaid beneficiaries with physical or mental disabilities are
provided to all beneficiaries.
4. ADDITIONAL CONTRACT RESTRICTIONS (SAPT Agreement, Part II)
This Contract is subject to any additional restrictions, limitations, or conditions enacted
by the Congress, or any statute enacted by the Congress, as well as federal or state
governments which may affect the provisions, terms, or funding of this Contract in any manner.
5. HATCH ACT (INTERGOVERNMENTAL AGREEMENT P.69)
CONTRACTOR shall comply with the provisions of the Hatch Act (Title 5 USC,
Sections 1501-1508), which limit the political activities of employees whose principal
employment activities are funded in whole or in part with federal funds.
.
6. LIMITATION ON USE OF FUNDS FOR PROMOTION OF LEGALIZATION OF
CONTROLLED SUBSTANCES (INTERGOVERNMENTAL AGREEMENT P.69)
CONTRACTOR shall ensure that none of the funds made available through this
Agreement with COUNTY may be used for any activity that promotes the legalization of any
drug or other substance included in Schedule I of Section 202 of the Controlled Substances Act
(21 USC 812).
7. NONDISCRIMINATION AND INSTITUTIONAL SAFEGUARDS FOR RELIGIOUS
CONTRACTORS (SAPT agreement, Part II)
CONTRACTOR shall establish such processes and procedures as necessary to
comply with the provisions of Title 42, USC, Section 300x-65 and Title 42, CFR, Part 54 to
prohibit discrimination against nongovernmental organizations and certain individuals on the
basis of religion in the distribution of government funds to provide substance abuse services
and to allow the organizations to accept the funds to provide the services to the individuals
without impairing the religious character of the organizations or the religious freedom of the
individuals.
Exhibit J
3
8. BYRD ANTI-LOBBYING AMENDMENT (SAPT Agreement Part II)
CONTRACTOR certifies that it will not and has not used Federal appropriated
funds to pay any person or organization for influencing or attempting to influence an officer or
employee of any agency, a member of Congress, officer or employee of Congress, or an
employee of a member of Congress in connection with obtaining any Federal contract, grant or
any other award covered by 31 USC 1352. CONTRACTOR shall also disclose to DHCS any
lobbying with non-Federal funds that takes place in connection with obtaining any Federal
award.
9. NONDISCRIMINATION IN EMPLOYMENT AND SERVICES (INTERGOVERNMENTAL
AGREEMENT P.72)
CONTRACTOR certifies that under the laws of the United States and the State of
California, incorporated into the State-County Intergovernmental Agreement, CONTRACTOR
shall not unlawfully discriminate against any person.
10. FEDERAL LAW REQUIREMENTS (INTERGOVERNMENTAL AGREEMENT P.73)
CONTRACTORS shall comply with the following Federal law requirements:
A. Title VI of the Civil Rights Act of 1964, Section 2000d, as amended,
prohibiting discrimination based on race, color, or national origin in federally funded programs.
B. Title VIII of the Civil Rights Act of 1968 (42 USC 3601 et seq.) prohibiting
discrimination on the basis of race, color, religion, sex, handicap, familial status or national
origin in the sale or rental of housing.
C. Age Discrimination Act of 1975 (45 CFR Part 90), as amended (42 USC
Sections 6101 – 6107), which prohibits discrimination on the basis of age.
D. Age Discrimination in Employment Act (29 CFR Part 1625).
E. Title I of the Americans with Disabilities Act (29 CFR Part 1630)
prohibiting discrimination against the disabled in employment.
F. Americans with Disabilities Act (28 CFR Part 35) prohibiting
discrimination against the disabled by public entities.
G. Title III of the Americans with Disabilities Act (28 CFR Part 36) regarding
access.
H. Rehabilitation Act of 1973, as amended (29 USC Section 794), prohibiting
discrimination on the basis of individuals with disabilities.
I. Executive Order 11246 (42 USC 2000(e) et seq. and 41 CFR Part 60)
regarding nondiscrimination in employment under federal contracts and construction contracts
greater than $10,000 funded by federal financial assistance.
J. Executive Order 13166 (67 FR 41455) to improve access to federal
services for those with limited English proficiency.
K. The Drug Abuse Office and Treatment Act of 1972, as amended, relating
to nondiscrimination on the basis of drug abuse.
Exhibit J
4
L. The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism.
M. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
(HIPAA) OF 1996
If any of the work performed under this Agreement is subject to the
HIPAA, CONTRACTOR shall perform the work in compliance with all applicable provisions of
HIPAA. As identified in Exhibit F of the State County Intergovernmental Agreement, DHCS,
COUNTY and CONTRACTOR shall cooperate to assure mutual agreement as to those
transactions between them, to which this Provision applies. Refer to Exhibit F for additional
information.
1) Trading Partner Requirements
a. No Changes: CONTRACTOR hereby agrees that for the
personal health information (PHI), it shall not change any
definition, data condition or use of a data element or segment
as proscribed in the federal Health and Human Services
Transaction Standard Regulation [45 CFR Part 162915(a)].
b. No Additions: CONTRACTOR hereby agrees that for PHI, it
shall not add any data elements or segments to the maximum
data set as proscribed in the HHS Transaction Standard
Regulation [45CFR Part 162.915 (b)].
c. No Unauthorized Uses: CONTRACTOR hereby agrees that for
PHI, it shall not use any code or data elements that are
marked ‘not used” in the in the HHS Transactions
Implementation specification or are not in the HHS Transaction
Standard’s implementation specification [45CFR Part 162.915
(c)].
d. No Changes to Meaning or Intent: CONTRACTOR hereby
agrees that for PHI, it shall not change the meaning or intent of
the HHS Transaction Standard’s implementation specification
[45CFR Part 162.915 (d)].
2) Concurrence for Test Modifications to HHS Transaction Standards
CONTRACTOR agrees and understands that there exists the possibility
that DHCS or others may request an extension from the uses of a standard in the HHS
Transaction Standards. If this occurs, CONTRACTOR agrees that it shall participate in such test
modifications.
3) Adequate Testing
CONTRACTOR is responsible to adequately test all business rules
appropriate to their types and specialties. If the CONTRACTOR is acting as a clearinghouse for
enrolled providers, CONTRACTOR has obligations to adequately test all business rules
appropriate to each and every provider type and specialty for which they provide clearinghouse
services.
4) Deficiencies
Exhibit J
5
The CONTRACTOR agrees to cure transactions errors or deficiencies
identified by DHCS, and transactions errors or deficiencies identified by an enrolled
CONTRACTOR if the COUNTY is acting as a clearinghouse for that CONTRACTOR. If the
CONTRACTOR is a clearinghouse, the CONTRACTOR agrees to properly communicate
deficiencies and other pertinent information regarding electronic transactions to enrolled
CONTRACTORS for which they provide clearinghouse services.
5) Code Set Retention
Both Parties understand and agree to keep open code sets being
processed or used in this Agreement for a least the current billing period or any appeal period,
whichever is longer.
6) Data Transmission Log
Both Parties shall establish and maintain a Data Transmission Log, which
shall record any and all data transmissions taking place between the Parties during the term of
this Agreement. Each Party shall take necessary and reasonable steps to ensure that such
Data Transmission Logs constitute a current, accurate, complete and unaltered record of any
and all Data Transmissions between the Parties, and shall be retained by each Party for no less
than twenty-four (24) months following the date of the Data Transmission. The Data
Transmission Log may be maintained on computer media or other suitable means provided that,
if necessary to do so, the information contained in the Data Transmission Log may be retrieved
in a timely manner and presented in readable form.
11. STATE LAW REQUIREMENTS (INTERGOVERNMENTAL AGREEMENT P.73)
CONTRACTOR shall comply with the following State law requirements:
A. Fair Employment and Housing Act (Government Code Section 12900 et
seq.) and the applicable regulations promulgated thereunder (California
Administrative Code, Title 2, Section 7285.0 et seq.).
B. Title 2, Division 3, Article 9.5 of the Government Code, commencing with
Section 11135.
C. Title 9, Division 4, Chapter 8, commencing with Section 10800.
D. No state or Federal funds shall be used by COUNTY, or CONTRACTOR,
for sectarian worship, instruction, and/or proselytization. No state funds
shall be used by CONTRACTOR, or CONTRACTOR, to provide direct,
immediate, or substantial support to any religious activity.
E. Noncompliance with the requirements of nondiscrimination in services
shall constitute grounds for state to withhold payments under this
Agreement or terminate all, or any type, of funding provided hereunder.
12. INFORMATION ACCESS FOR INDIVIDUALS WITH LIMITED ENGLISH
PROFICIENCY (SAPT IA P.16)
CONTRACTOR shall comply with all applicable provisions of the Dymally-
Alatorre Bilingual Services Act (Government Code sections 7290-7299.8) regarding access to
Exhibit J
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materials that explain services available to the public as well as providing language
interpretation services.
CONTRACTOR shall comply with the applicable provisions of Section 1557 of
the Affordable Care Act (45 CFR Part 92), including, but not limited to, 45 CFR 92.201, when
providing access to:
A. Materials explaining services available to the public,
B. Language assistance,
C. Language interpreter and translation services, and
D. Video remote language interpreting services.
13. RISK ASSESSMENT
CONTRACTOR shall comply with the sub-recipient pre-award risk assessment
requirements contained in 2 CFR Part 200 Uniform Administrative Requirements, Cost
Principles and Audit Requirements for Federal Awards. COUNTY, as the SABG first-tier sub-
recipient, shall review the merit and risk associated with all potential grant second-tier sub-
recipients (CONTRACTOR) annually prior to making an award. COUNTY shall perform and
document annual subrecipient pre-award risk assessments for each CONTRACTOR and retain
documentation for audit purposes.
14. CONTROL REQUIREMENTS
Performance under this Agreement is subject to all applicable Federal and State
laws, regulations and standards. In accepting the State drug and alcohol combined program
allocation pursuant to California Health and Safety Code section 11757, CONTRACTOR shall
establish written accounting procedures consistent with applicable Federal and State laws,
regulations and standards, and shall be held accountable for audit exceptions taken by the
State or COUNTY for failure to comply with these requirements. These requirements include,
but may not be limited to, those set forth in this Agreement, and:
A. HSC, Division 10.5, Part 2 commencing with Section 11760.
B. Title 9, California Code of Regulations (CCR) (herein referred to as Title
9), Division 4, commencing with Section 9000.
C. Government Code, Title 2, Division 4, Part 2, Chapter 2, Article 1.7.
D. Government Code, Article 7, Federally Mandated Audits of Block Grant
Funds Allocated to Local Agencies, Chapter 1, Part 1, Division 2, Title 5,
commencing at Section 53130.
E. Title 42 United State Code (USC), Sections 300x-21 through 300x-31,
300x-34, 300x-53, 300x-57, and 330x-64 through 66.
F. Title 2, CFR 200 -The Uniform Administration Requirements, Cost
Principles and Audit Requirements for Federal Awards.
G. Title 45, Code of Federal Regulations (CFR), Sections 96.30 through
96.33 and Sections 96.120 through 96.137.
H. Title 42, CFR, Sections 8.1 through 8.6.
I. Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR Part
2, Subparts A - E).
J. Title 21, CFR, Sections 1301.01 through 1301.93, Department of Justice,
Controlled Substances.
Exhibit J
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K. State Administrative Manual (SAM), Chapter 7200 (General Outline of
Procedures).
DRUG FREE WORKPLACE
CONTRACTOR shall comply with the requirements of the Drug-Free Work Place Act of 1990 (California
Government Code section 8350).