HomeMy WebLinkAboutCentro Binacional para el Desarrollo Indigena Oaxaqueno-Health Disparities Intervention Activities_A-24-129 A-23-132.pdf CO(J� County of Fresno Hall of Records,Room 301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� i85 0 Telephone:(559)600-3529
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www.co.fresno.ca.us
March 19, 2024
Present: 5- Supervisor Steve Brandau, Chairman Nathan Magsig,Vice Chairman Buddy Mendes,
Supervisor Brian Pacheco, and Supervisor Sal Quintero
Agenda No. 45. Public Health File ID: 23-1328
Re: Approve and authorize the Chairman to execute Amendment No. 1 to Agreements with the following
vendors to allow unspent fiscal year one funds to be carried over to fiscal year two,allow fiscal year
two funds to be redirected to other line items,and amend Article 7.1 of each agreement,with no
changes to the maximum compensation,or to the term of March 28, 2023 through December 31,
2024,with two optional one-year extension periods: 1) Reading and Beyond with a total not to exceed
amount of$1,260,000,2)Centro La Familia Advocacy Services with a total not to exceed amount of
$1,335,000, 3)Centro Binacional para el Desarrollo Indigena Oaxaqueno with a total not to exceed
amount of$750,000,4)West Fresno Health Care Coalition with a total not to exceed amount of
$996,818, and 5)Cultiva La Salud with a total not to exceed amount of$1,155,000
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No.24-127,Agreement No. 24-128,Agreement No.24-129,Agreement No.24-130,
Agreement No.24-131
County of Fresno Page 45
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Board Agenda Item 45
O 1856 O
DATE: March 19, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: First Amendments to Agreements with Community Based Organizations to
Implement Department of Public Health's Health Disparities Program
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute Amendment No. 1 to Agreements with the following
vendors to allow unspent fiscal year one funds to be carried over to fiscal year two, allow fiscal
year two funds to be redirected to other line items, and amend Article 7.1 of each agreement,with
no changes to the maximum compensation, or to the term of March 28, 2023 through December 31,
2024,with two optional one-year extension periods:
1) Reading and Beyond with a total not to exceed amount of$1,260,000,
2) Centro La Familia Advocacy Services with a total not to exceed amount of$1,335,000,
3) Centro Binacional para el Desarrollo Indigena Oaxaqueno with a total not to exceed amount
of$750,000,
4) West Fresno Health Care Coalition with a total not to exceed amount of$996,818, and
5) Cultiva La Salud with a total not to exceed amount of$1,155,000.
There is no additional Net County Cost associated with the recommended actions, which will move unspent
funds from year one to year two in each Agreement's budget and reallocates funds to adjust for previously
unanticipated costs. The recommended actions will also allow for each Agreement to be updated to
acknowledge the Center for Disease Control and Prevention's (CDC) grant as one of the funding sources
for these agreements by including the grant's Catalog of Federal Domestic Assistance number. This item
is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, these organizations will be limited in their ability
to effectively serve the needs of community members through health disparities interventions.
Furthermore, the full amount of funds initially agreed upon at the time of contract execution may not be
maximized, causing the organizations and the County to have unspent funds at the end of the grant term.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The agreements will
County of Fresno Page 1 File Number.23-1328
File Number. 23-1328
continue to be fully funded with federal grants. The total costs for each recommended action are outlined
below:
Reading and Beyond
• Year One (3/28/2023-7/31/2023): $76,000
• Year Two (8/1/2023 -7/31/2024): $848,000
• Year Three (8/1/2024- 12/31/2024): $336,000
• Term Maximum: $ 1,260,000
Centro La Familia
• Year One (3/28/2023-7/31/2023): $66,712
• Year Two (8/1/2023 -7/31/2024): $912,288
• Year Three (8/1/2024- 12/31/2024): $356,000
• Term Maximum: $ 1,335,000
Centro Binacional para el Desarrollo Indigena Oaxaqueno
• Year One (3/28/2023 -7/31/2023): $67,172
• Year Two (8/1/2023 -7/31/2024): $482,828
• Year Three (8/1/2024- 12/31/2024): $200,000
• Term Maximum: $ 750,000
West Fresno Health Care Coalition
• Year One (3/28/2023 -7/31/2023): $62,173
• Year Two (8/1/2023 -7/31/2024): $668,827
• Year Three (8/1/2024- 12/31/2024): $265,818
• Term Maximum: $ 996,818
Cultiva La Salud
• Year One (3/28/2023 -7/31/2023): $82,470
• Year Two (8/1/2023-7/31/2024): $764,530
• Year Three (8/1/2024- 12/31/2024): $308,000
• Term Maximum: $ 1,155,000
Sufficient appropriations and estimated revenues are included in the Department of Public Health's Org
5620 FY 2023-24 Adopted Budget and will be included in subsequent budget requests.
DISCUSSION:
On March 28, 2023, your Board approved Agreements A-23-129, A-23-130, A-23-131, A-23-132, and
A-23-133 which allowed the County to partner with multiple organizations to promote community health
support and to provide health intervention activities for implementation of Fresno County's Initiative to
Address COVID-19 Related Health Disparities. Contracted agencies collaborate with The Department of
Public Health's Rural Mobile Health Program and offer clients an opportunity to enroll into the community
health worker(CHW) network through an initial social determinants of health screener used to assess the
client's unique needs and develop an individualized approach to address barriers to health while providing
wrap around services to enrolled clients. In less than a year of implementation, contracted agencies have
hosted and participated in 703 events, provided outreach to over 26,000 community members, and have
completed 2,200 social service and medical referrals, which include connecting patients to a primary health
care provider. Other mitigation efforts include addressing emerging health trends within Fresno County,
guided by disease surveillance indicators, and dissemination of linguistically and culturally appropriate
health education materials within targeted communities.
County of Fresno Page 2 File Number.23-1328
File Number. 23-1328
The Agreements were initially delayed in finalization and execution causing funds that were originally
budgeted for the first fiscal year of the program to remain unspent. A carryover of unused funds would
allow each organization to fully utilize the resources provided in the original Agreements and maximize the
impacts of the program in the community. If approved, the recommended actions would allow changes to
each organization's budget to reflect actuals in year one and increase the year two budget with carryover
amounts from unspent year one funds. The recommended actions would also allow for a correction in the
wording of Article 7.1 in each Agreement to include the correct Catalog of Federal Domestic Assistance
Number to acknowledge the CDC as one of the Federal funding sources of these Agreements. No
changes were made to the term or maximum total compensation.
REFERENCE MATERIAL:
BAI #48, March 28, 2023
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- First Amendment to Agreement with Reading and Beyond
On file with Clerk- First Amendment to Agreement with Centro La Familia
On file with Clerk- First Amendment to Agreement with Centro Binacional para el Desarrollo Indigena
Oaxaqueno
On file with Clerk- First Amendment to Agreement with West Fresno Health Care Coalition
On file with Clerk-First Amendment to Agreement with Cultiva La Salud
CAO ANALYST:
Ron Alexander
County of Fresno Page 3 File Number:23-1328
Agreement No. 24-129
1 AMENDMENT NO. 1 TO SERVICE AGREEMENT
2 This Amendment No. 1 to Service Agreement ("Amendment No. 1") is dated
3 March 19, 2024 and is between Centro Binacional para el Desarrollo Indigena
4 Oaxaqueno, a California 501 C3 Non-Profit corporation ("Contractor"), and the County of
5 Fresno, a political subdivision of the State of California ("County").
6 Recitals
7 A. On March 28, 2023, the County and the Contractor entered into a service agreement,
8 which is County agreement number A-23-132 ("Agreement"), to provide community health
9 support and promote health intervention activities for implementation of Fresno County's
10 Initiative to Address COVID-19 Related Health Disparities.
11 B. The County and the Contractor now desire to amend the Agreement to (1) include the
12 correct Catalog of Federal Domestic Assistance Number as the federal funding source and; (2)
13 amend the Agreement to replace Exhibit B with Revised Exhibit B to adjust annual budget
14 amounts to reflect year one actuals, carryover unspent funds from year one to year two, and
15 reallocate carryover funds in the Personnel, Benefits, and Other Costs categories to account for
16 previously unanticipated expenses.
17 The parties therefore agree as follows:
18 1. Section number 7.1 of the Agreement located on page Six (6) beginning at line Fourteen
19 (14)with the word "Services" and ending at line Seventeen (17)with the number"93.323" is
20 deleted in its entirety and replaced with the following:
21 7.1 Services Funding Source. Funding for these services is provided by the US
22 Department of Health and Human Services (HHS), Centers for Disease Control
23 and Prevention (CDC)—Activities to Support State, Tribal, Local and Territorial
24 (STLT) Health Department Response to Public Health or Healthcare Crises
25 (Catalog of Federal Domestic Assistance Number 93.391), Department of the
26 Treasury, Coronavirus State and Local Fiscal Recovery Funds (SLFRF)
27 (Assistance Listing Number, formerly known as CFDA Number, 21.027), HHS,
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1 CDC - Epidemiology and Laboratory Capacity for Infectious Diseases (ELC)
2 (Catalog of Federal Domestic Assistance Number 93.323)."
3 2. That all references in Agreement to "Exhibit B" shall be changed to read "Revised Exhibit
4 B". Revised Exhibit B is attached hereto and incorporated herein by this reference.
5 3. When both parties have signed this Amendment No. 1, the Agreement, and this
6 Amendment No. 1 together constitute the Agreement.
7 4. The Contractor represents and warrants to the County that:
8 a. The Contractor is duly authorized and empowered to sign and perform its obligations
9 under this Amendment.
10 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
11 to do so and his or her signature on this Amendment legally binds the Contractor to
12 the terms of this Amendment.
13 5. The parties agree that this Amendment may be executed by electronic signature as
14 provided in this section.
15 a. An "electronic signature" means any symbol or process intended by an individual
16 signing this Amendment to represent their signature, including but not limited to (1) a
17 digital signature; (2) a faxed version of an original handwritten signature; or(3) an
18 electronically scanned and transmitted (for example by PDF document) version of an
19 original handwritten signature.
20 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
21 equivalent to a valid original handwritten signature of the person signing this
22 Amendment for all purposes, including but not limited to evidentiary proof in any
23 administrative or judicial proceeding, and (2) has the same force and effect as the
24 valid original handwritten signature of that person.
25 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
26 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
27 2, Title 2.5, beginning with section 1633.1).
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1 d. Each party using a digital signature represents that it has undertaken and satisfied
2 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
3 through (5), and agrees that each other party may rely upon that representation.
4 e. This Amendment is not conditioned upon the parties conducting the transactions
5 under it by electronic means and either party may sign this Amendment with an
6 original handwritten signature.
7 6. This Amendment may be signed in counterparts, each of which is an original, and all of
8 which together constitute this Amendment.
9 7. The Agreement as amended by this Amendment No. 1 is ratified and continued. All
10 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and
11 effect.
12 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
3
Centro Binacional pars el Desarrollo Indigena COUNTY OF FRESNO
4 Oaxaqueno
5
6 Sarait Martinez, Executive Director Nathan Magsig, Chairman of the Board
of Supervisors of the County of Fresno
7 2911 Tulare Street
Fresno, CA 93721 Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
10
By: _
11 Deputy
12 For accounting use only:
13 Org No.: 56201558, 56201019, 56201022
Account No.: 7295
14 Fund No. : 0001
Subclass No.: 10000
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