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AMENDMENT NUMBER ONE (1)
Agreement Number: P-22-364
February 14, 2024
Natasha Kowalski
316 Alta Vista Dr
Santa Cruz, CA 95060
Contract Number P-22-364 covering Comprehensive Evaluation Services for The Tobacco Prevention
Program (TPP) is amended as follows:
Maximum: The County of Fresno desires to increase this Agreement in the amount of Thirteen Thousand
Nine Hundred and Eighty-Nine Dollars and Zero Cents ($13,989.00). In no event shall services performed
and/or fees paid under this Agreement be in excess of One Hundred and One Thousand Three Hundred
and Seventy-Five Dollars and Zero Cents ($101,375.00)
Exhibits: Replace Exhibit A and Exhibit B with the attached Revised Exhibit A and Revised Exhibit B.
Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as
provided in this section.
A. An "electronic signature" means any symbol or process intended by an individual signing this
Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed
version of an original handwritten signature; or(3) an electronically scanned and transmitted (for
example by PDF document) of a handwritten signature.
B. Each electronic signature affixed or attached to this Agreement (1) is deemed equivalent to a valid
original handwritten signature of the person signing this Agreement for all purposes, including but not
limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force
and effect as the valid original handwritten signature of that person.
C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in
the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section
1633.1).
D. Each party using a digital signature represents that it has undertaken and satisfied the requirements
of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each
other party may rely upon that representation.
This Agreement is not conditioned upon the parties conducting the transactions under it by electronic
means and either party may sign this Agreement with an original handwritten signature.
Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS.
If you have any questions, please contact Amber Nigam, Purchasing Analyst, at(559) 600-7110 or email
anigam .fresnocountyca.pov.
333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110
The County of Fresno is an Equal Employment Opportunity Employer
CONTRACT NO. P-22-364 Page 2
Natasha Kowalski
February 14, 2024
FOR THE COUNTY OF FRESNO
Digitally signed by Manuel
Manuel M.
M.Vilanova
Vilanova Date:2024.02.20
07:42:37-08'00'
Manuel Vilanova
Deputy Director— Internal Services Department
333 W. Pontiac Way
Clovis, CA 93612
GEC:AN
Amend 1 P-22-364.docx
CONTRACT NO. P-22-364 Page 3
Natasha Kowalski
February 14, 2024
CONTRACTOR TO COMPLETE:
Company: Natasha Kowalski
Type of Entity:
❑ Individual ❑ Limited Liability Company
❑■ Sole Proprietorship ❑ Limited Liability Partnership
❑ Corporation ❑ General Partnership
Signatures `
Natasha Kow Iski, Evaluator Feb. 16, 2024
Print Name and Title Date
Signature
Natasha Ko alski, Evaluator Feb. 16, 2024
Print Name and Title Date
316 Alta Vista Drive Santa Cruz CA 95060
Address City State Zip
831 8244323 n/a natasha@nmkresearch.com
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
ACCOUNTING USE ONLY
ORG No.: 56201552
Account No.: 7295
Requisition No.: 5622400790
(8/2022)
Amend 1 P-22-364.docx
REVISED EXHIBIT A
Natasha Kowalski Scope of Work
Evaluation Description Timeline Responsible Party Deliverables
Activity#from
State Work Plan
1-E-1 Coalition Based on materials used during the previous workplan and/or 01/22-06/22 to Evaluator Training Survey
Training any existing instruments from other programs and Tobacco 01/25-06/25 Instrument
Assessment Control Evaluation Center(TCEC),develop a total of 4-6 post-
training assessments for the coalition/and or collaborative Training Survey
ALL YEARS partner trainings.Key questions will assess whether Summary
participants'knowledge and/or skills increased,whether they Report
plan to use what they learned,and the quality of the
presenter(s).Data will be analyzed using descriptive statistics
and content analysis.Write a total of 4-6 reports summarizing
the ost-trainin assessments of the coalition trainin s.
1-E-2 Key Conduct a qualitative analysis of the Endgame Commercial 07/22-12/22 Evaluator Endgame KII
Informant Tobacco Commercial Campaign key informant interview(KII) Summary
Interview Report results collected by TPP to determine effective Report
approaches/tactics,identify points of view,and anticipate
YEAR 2 facilitators and barriers to adopting or implementing a
comprehensive retail policy and summarize the interview
findin sin one re ort.
1-E-5 Write a total of two reports to summarize each wave of the 07/22-01/25 Evaluator End
Observation Endgame Commercial Tobacco Commercial Campaign Commercial
Report observation survey data at tobacco retailers in Fresno City. Tobacco
Descriptive statistics will be used to analyze and summarize the Campaign
YEARS 2,3&4 data.Results will be used to document the number of stores Observation
selling flavored tobacco,using price promotions,and the Summary
minimum price/pack size in the targeted community before and Report
after interventions,and a comparison of the two waves will
inform the final evaluation report(FER).
1-E-6 Consumer The consumer testing instrument that was used during the 07/22-12/22 to Evaluator Consumer
Testing previous contract will be adapted to create a total of 6-8 public 07/24-12/24 Testing
intercept surveys to consumer test factsheets,flyers,and/or Instruments
All YEARS endorsement forms for community members and/or elected
officials about retail issues,survey results,and/or the newly
adopted ordinance developed by TPP staff.Participant End
responses will be summarized and analyzed for common Commercial
themes in a total of 6-8 reports to help with revising and Tobacco
improving the materials. Campaign
Observation
Summary
Report
Updated December,2023 Page 1 of 5
REVISED EXHIBIT A
Natasha Kowalski Scope of Work
1-E-7 Tobacco To document the projects organizational history,learn from past 01/24-6/25 Evaluator Tobacco Retail
Retail Licensing efforts,and share strategies with other projects,complete one Licensing Final
Final Evaluation final evaluation report.Tell Your Story reporting guidelines from Evaluation
Report the Tobacco Control Evaluation Center(TCEC)will be used to Report
write a report that documents what the project was trying to
YEARS 3&4 achieve,how the project went about it,what happened as a
result,and lessons learned.The highlights of the report will be
described in the report's abstract.
1-E-8 Public Adapt the California Tobacco Control Program's(CTCP) 07/22-12/23 Evaluator POS Instrument
Opinion Survey Endgame public opinion survey(POS)to make it appropriate for and Protocol
City of Fresno residents.Data will be analyzed using descriptive
YEAR 1 statistics to document tobacco endgame knowledge, POS Summary
awareness,beliefs,and demographic information provided by Report
survey participants.Write one report summarizing the Endgame
public opinion survey of Fresno City residents.
1-E-9 Interactive Develop a total of 4-6 interactive assessments(e.g.,Kahoot 07/22--12/23 Evaluator Summary of
Assessments quizzes)for the series of the photovoice workshops Key Findings
implemented by TPP for the YA Coalition members.Develop
YEARS 1 &2 two participant surveys to be administered by TPP at the Survey
beginning and the end of the photovoice project to measure and Instrument
compare the YA Coalition's skill sets,value derived from taking
part,and feedback for improvement of the photovoice project.
Write a report summarizing the results of the participant
surveys.
2-E-1 Coalition Utilize data collected from the online annual coalition 01/23-06/23; Evaluator
Assessment satisfaction survey to draft a total of 3 summary reports.Data 01/24-06/24; Coalition Survey
will be analyzed using descriptive statistics and content 01/25-06/25 Summary
YEARS 1,2&3 analysis,and TPP will use the results to improve meetings, Report
functioning,training needs,and diversity.Key results from all
reports will be compared to identify any changes in the Coalition
over time.
2-E-3 Consumer Analyze the consumer testing results of 4 recruitment materials 07/22-12/24 Evaluator Consumer
Testing Report developed by TPP for the young adult(YA)coalition Testing
members/student workers for common themes.Summarize the Summary
YEARS 2,3&4 analysis in a total of 4 reports to help with revising and Report
im roving the materials.
2-E-4 Utilize the online survey instrument developed during the 07/22-12/22; Evaluator Training
Participants previous workplan for the Community Action Model(CAM)and 07/23-12/23; Summary
Survey adapt it to develop a total of one participant survey to assess 07/24-12/24 Report
whether the YAs'knowledge and abilities increased after
ALL YEARS participating in the trainings.Minor revisions will be made to the Training Survey
survey instrument for the second wave.This survey will be Instrument
Updated December,2023 Page 2 of 5
REVISED EXHIBIT A
Natasha Kowalski Scope of Work
administered by TPP staff to YA Coalition members three times
in the work plan.
Write a total of 3 reports,one for each wave of surveys(wave 1
in fall of 2022,wave 2 in fall of 2023,wave 3 in fall of 2024),
summarizing the participant surveys of YAs.Data will be
analyzed using descriptive statistics and content analysis,and
the results will be compared to assess changes in knowledge
and skills.TPP will share the results with trainers and/or staff
and will use to improve future trainings,to determine whether
an additional training or technical assistance is needed.
2-E-5 Member Based on existing instruments from other tobacco control 07/22-12/22 Evaluator Young Adult
Participation programs,develop one engagement tracking tool,referred to as Coalition
Record the Member Participation Record and tracking instructions that Participation
will be used by TPP to track the YA coalition members' Tracking Form
YEAR 1 participation in tobacco control activities,trainings,and
meetings. Young Adult
Coalition
Participation
Tracking
Instructions
2-E-6 Brief Final To document the projects organizational history,learn from past 01/24-6/25 Evaluator Brief Final
Evaluation efforts,and share strategies with other projects,complete one Evaluation
Report brief evaluation report.Tell Your Story reporting guidelines from Report
YEARS 3&4 the TCEC will be used to write a report that documents what the
project was trying to achieve,how the project went about it,
what happened as a result,and lessons learned.The highlights
of the report will be described in the report's abstract.
2-E-7 Key 1. Develop one KII instrument to assess the strengths, 07/24-06/25 Evaluator KII Instrument
Informant weaknesses,and impact of the YA Coalition. and Protocol
Interviews 2. Create a KII interview protocol and review the protocol
with TPP staff. Summary of
YEAR 3 3. Conduct a qualitative analysis of the KII results and Key Findings
summarize the interview findings in one report.
3-E-1 Post- Based on materials used during the previous workplan and/or 01/23-06/23 to Evaluator Training Survey
Training any existing instruments from other programs and TCEC, 01/25-06/25 Instrument
Assessments develop a total of 2-3 post-training assessments for the Fowler
Workgroup and/or coalition member trainings.Key questions Training Survey
YEARS 2,3&4 will assess whether participants'knowledge and/or skills Summary
increased,whether they plan to use what they learned,and the Report
quality of the presenter(s).Data will be analyzed using
descriptive statistics and content analysis.Write a total of 2—3
reports summarizing the post-training assessments of the
trainings.
Updated December,2023 Page 3 of 5
REVISED EXHIBIT A
Natasha Kowalski Scope of Work
3-E-2 Key Develop one KII instrument to understand policy implementation O1/24-06/25 Evaluator Summary
Informant and assess compliance levels of the smokefree multi-unit Report of Key
Interviews housing(MUH)policy in Fowler after the policy is passed for Findings
YEARS 2&3 elected officials,city staff,compliance support staff(city
attorneys,fire departments,building and code inspectors, KII Instrument
and/or law enforcement),multi-unit housing(MUH)managers, and Protocol
management companies,and/or owners.Conduct qualitative
analysis of the interview results to summarize interview findings
in one report.TPP staff will conduct interviews.
3-E-3 Provide the recommended sample size of MUH complexes to 07/22-06/23; Evaluator Summary of
Observation be surveyed in Fowler and adapt a previously created 01/25-06/25 Key Findings
Surveys observation survey instrument for TPP staff to conduct 2 waves
of observations surveys(1 pre-policy adoption and 1 post-policy Survey
YEARS 1 &3 adoption).Write two reports,one for each wave(wave 1 in Instrument
spring of 2023 and wave 2 in spring of 2025),summarizing the
observations of MUH complexes.
3-E-6 Smokefree To document the projects organizational history,learn from past 01/24-6/25 Evaluator Smokefree
MUH Brief Final efforts,and share strategies with other projects,complete one MUH Brief Final
Evaluation final evaluation report.Tell Your Story reporting guidelines from Evaluation
Report the Tobacco Control Evaluation Center(TCEC)will be used to Report
write a report that documents what the project was trying to
YEARS 3&4 achieve,how the project went about it,what happened as a
result,and lessons learned.The highlights of the report will be
described in the report's abstract.
3-E-9 Opinion To improve the understanding of community knowledge, 01/23-06/23 to Evaluator Public Intercept
Survey in attitudes,and perceptions regarding smokefree housing, 01/24-06/24 Survey Instrument
Fowler smokefree outdoor locations,and the retail environment,a &Public Intercept
public intercept survey will be conducted with 191 -258 Survey Summary
YEARS 2&3 residents living in Fowler.The Evaluator will work with TPP to
develop the survey instrument based on existing surveys(e.g.,
Tobacco Control Evaluation Center's End Commercial Tobacco
Campaign survey).County staff,interns,members of the young
adult coalition,and/or community volunteers will collect the
data.The Evaluator will analyze the opinion survey data and will
summarize into 1 report.
Updated December,2023 Page 4 of 5
REVISED EXHIBIT A
Natasha Kowalski Scope of Work
Administrative Activities
Description Timeline Responsible Deliverables
Party
A. Participate in teleconferences with Project Director to discuss upcoming evaluation (Ongoing) Evaluator Log
activities and provide technical assistance regarding evaluation topics
(approximately 8-10 hours per year).This includes a call every six months to
review the timeline for progress report period.
B. Attend training sessions,conferences,conference calls,and webinars on specific (Ongoing) Evaluator Copies of
content areas as needed such as,evaluation data analysis,writing evaluation training agendas
reports,how to adapt evaluation instruments developed by CTCP,smokefree
MUH,tobacco retail licensing,etc.
C. Work collaboratively with TPP and the California Tobacco Prevention Program January 2022 Evaluator Evaluation Plan
(CTPP)to revise the 2022-2025 evaluation plan twice,once in January 2022 and &Fall 2023 and Plan
once in the fall of 2023(up to 12 hours per year). Updates
D. Update the timeline for the 22-25 workplan as needed and share with TPP staff. Ongoing Evaluator Timeline
E. Assist in the development of the comprehensive evaluation plan for the next work 07/24-12/24 to Evaluator Developed
plan and make revisions if necessary.This includes the following activities: 01/25-06/25 Evaluation
• Review the CTPP)guidelines and participate in relevant webinars. Workplan
• Provide an evaluation plan for each objective that includes process and
outcome measures,sample sizes,description of the survey instruments,
who to interview,tracking measures,responsible parties,and dates to be
completed.
• Provide input on the objectives and intervention plan.
• Make revisions based on CTCP's feedback.
F. Submit monthly invoices to DPH within 30 days of the end of the previous month. Ongoing Evaluator Monthly Invoices
Updated December,2023 Page 5 of 5
REVISED EXHIBIT B 12-29-2023
Page 1 of 3
Tobacco Prevention Program Evaluator Budget
Year 1 (7/1/22 - 6/30/23)
Personnel Hours Rate Total Cost
Evaluator 279 $103 $28,737
Benefits (i.e. health, dental, and vision costs;
FICA—Social Security and Medicare ) Provided in-kind
Subtotal $28,737
Materials/Supplies Unit Unit Cost Total Cost
Office supplies (i.e. general office supplies, Provided in-kind
computer-related supplies such as laser
printer/copier cartridges, etc.)
Subtotal $0
Travel Unit Unit Cost Total Cost
Mileage, conference registration, hotels, etc.
Subtotal $0
Other Costs Unit Unit Cost Total Cost
Communications (i.e. internet& phone provider) Provided in-kind
Equipment(i.e. computer, printer, etc.) Provided in-kind
Commercial general liability insurance Provided in-kind
Subtotal $0
Indirect Total Cost
5%of Personnel costs (includes: administrative $1,437
expenses such as overhead, accounting, utilities,
building and equipment maintenance, etc.)
Subtotal $1,401
Year 1 Total $30,174
REVISED 12-29-2023.
REVISED EXHIBIT B 12-29-2023
Page 2 of 3
Tobacco Prevention Program Evaluator Budget
Year 2 (7/1/23 -06/30/24)
Personnel Hours Rate Total Cost
Evaluator 225 3—$113 $23,175
Benefits (i.e. health, dental, and vision costs;
FICA—Social Security and Medicare )
Provided in-kind
Subtotal $23,175
Materials/Supplies Unit Unit Cost Total Cost
Office supplies (i.e. general office supplies, Provided in-kind
computer-related supplies such as laser
printer/copier cartridges, etc.)
Subtotal $0
Travel Unit Unit Cost Total Cost
Mileage, conference registration, hotels, etc. $0
Subtotal $0
Other Costs Unit Unit Cost Total Cost
Communications (i.e. internet& phone provider) Provided in-kind
Equipment(i.e. computer, printer, etc.) Provided in-kind
Commercial general liability insurance Provided in-kind
Subtotal $0
Indirect Total Cost
5%of Personnel costs (includes: administrative $1,159
expenses such as overhead, accounting, utilities,
building and equipment maintenance, etc.)
Subtotal $1,159
Year 2 Total $24,334
REVISED 12-29-2023.
REVISED EXHIBIT B 12-29-2023
Page 3 of 3
Tobacco Prevention Program Evaluator Budget
Year 3 (7/1/24- 6/30/25)
Personnel Hours Rate Total Cost
Evaluator 304 395 $4$3-$113 $44,635
Benefits (i.e. health, dental, and vision costs;
FICA—Social Security and Medicare ) Provided in-kind
Subtotal $44,635
Materials/Supplies Unit Unit Cost Total Cost
Office supplies (i.e. general office supplies, Provided in-kind
computer-related supplies such as laser
printer/copier cartridges, etc.)
Subtotal $0
Travel Unit Unit Cost Total Cost
Mileage, conference registration, hotels, etc.
Subtotal $0
Other Costs Unit Unit Cost Total Cost
Communications (i.e. Internet& phone provider) Provided in-kind
Equipment (i.e. computer, printer, etc.) Provided in-kind
Commercial general liability insurance Provided in-kind
Subtotal $0
Indirect Total Cost
5%of Personnel costs (includes: administrative $3,560$2232
expenses such as overhead, accounting, utilities,
building and equipment maintenance, etc.)
Subtotal $2,232
Year 3 Total $46,867
$30,174+$24,334+ $46,867 = $101,375
REVISED 12-29-2023.