HomeMy WebLinkAboutAgreement A-24-131 First Amendment to Agreement with Cultiva La Salud.pdf Agreement No. 24-131
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 Cultiva La Salud, a California 501 C3 Non-Profit
4 corporation ("Contractor"), and the County of Fresno, a political subdivision of the State of
5 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-23-131 ("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 Supplies and Other Costs categories to account for previously
16 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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I The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
3 Culti
COUNTY OF FRESNO
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5 Genoveva Islas, Ex a Director .�.�
6 2409 Merced Street, Suite 103 Nathan Magsig, Chairman of the Board
Fresno, CA 93721 of Supervisors of the County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
g County of Fresno, State of California
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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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Revised Exhibit B
Health Disparities Budget
Agreement Number:23-131
Agreement Term:3/28/23-22/31/24
Organization Name:Cultiva La Salud
Personnel Salaries Approved Yl Budget Modified Yl Budget Approved Y2 Budget Modified Y2 Budget Approved Y3 Budget Modified Y3 Budget Approved Total Budget New Total Budget
3/28/23-7/31/23 3/28/23-7/31/23 8/1/23-7/31/24 8/1/23-7/31/24 8/1/24-12/31/24 8/1/24-12/31/24 Chan a lustlfkatlons
Provides administrative and financial oversight.Including staff hiring.[Carry over of$5,926.40
Executive Director $ 12,038.00 S 6,111.60 $ 30,336.00 S 46,080.00 $ 12,640.00 $ 12,640.00 $ 55,014.00 $ 64,831,60 from Year l to Year 2 and increase by$9,817.60 to increase FTE from.25 to.30 due to
additional efforts needed in program oversight[
Provides clerical support to program.Will file program rer.rds such as health education class
Ad ministnuive Assistant $ 5,356.00 $ 2,293.24 $ 13,504.00 $ 20,000.00 $ 5,626.00 $ 5,626.00 $ 24,486.00 $ 27,919.24 sign-in sheets,printorcopymaterials,order scaffsupplax as well asfile receiptsforprogram
expenses.[Carryover of$3,062.76 from Year 1 to Year 2 and increase by$3,422.24 to increase
FTE from.25 to.30 due to additional efforts needed in program administration.]
Providessupportindevelopmentofcommunicationsandmediaengagements.Willcreate
Communication Manager $ 13,948.00 $ - $ 35,149.00 $ 32,500.00 $ 14,645.00 $ 14,645.00 $ 63,742.00 $ 47,145.00 Flyers for community resident recruitment,social media posts and videos of program
activities.[Decrease by$2,649 in Year 2 due to decrease of FTE from.10 to.30.Total of
$16,191($13,948 year)car o r+52,649 decrease)reallocated to Executive Din,tor,
Provides day to day supervision and implementation of program including planning,
implementation and evaluation.Project Coordinator will be responsible for monthly,
Project Coordinator $ 25,000.00 $ 7,883.26 $ 63,000.00 $ 66,000.00 $ 26,250.00 $ 26,250.00 $ 114,250.00 $ 100,133.26 quarterly and annual reporting.In conjunction with Executive Director will develop the
outreach plan,health equity plan and conduct health equity assessments.[Carryover of
$17,116.74 from Year 1 to Year 2 and increase by$3,000 to increase FTE from.80 to 1.00.
Total$14,1171$17,116.74 year 1 carryover-$3,000 max FTE)Reallocated to
Promotor/Promo a's line items.]
Promotor/a 41 $ 16,667.00 $ 11,742.15 $ 42,000.00 $ %000.00 $ 17,500.00 $ 17,500.00 $ 76,167.00 $ 79,242.15 Responsible for community engagement including health education,outreach,referrals,and
tracking.[Carryover of$4,924.85 from Year l to Year 2 and increase by$3,075 to increase
FTE from.80 to 1.0 due to additional efforts needed in program implementation]
Promotor/a N2 $ 16,667.00 $ 6,442.55 $ 42,000.00 $ 50,000.00 $ 17,500.00 $ 17,500.00 $ 76,167.00 $ 73,942.55 Responsible for community engagement including health education,outreach,referrals,and
tracking.[Carryover of$10,224.45 from Year 1 to Year 2 and increase by$8,000 to increase
FTE from.80 to 1,00.Total$2,224$10,224.45 year l carryover-$8,000 max FTE.]
Promotor/a N3 $ 16,667.00 $ 5,966.01 $ 42,000.00 $ 55,000.00 $ 17,500.00 $ 17,500.00 $ 76,167.00 $ 78,466.01 Responsible for community engagement including health education,outreach,referrals,and
tracking.[Carryover of$10,700.99 from Year 1 to Year 2 and increase by$2,299 to increase
FTE from.80 to 1.0 due to additional efforts needed in program execution.[
Promotor/a p4 $ 16,667.00 $ 3,065.60 $ 42,000.00 $ 50,000.00 $ 17,500.00 $ 17,500.00 $ 76,167.00 $ 70,565.60 Responsible for community engagement including health education,outreach,referrals,and
[racking.[Carryover of$13,601 from Year 1 to Year 2 and increase by$3,000 to increase FTE
from.Soto 1.00,Total$2,299(513,601.40 year 1 carryover-$8,000 max FTE).[
S $ S $ S S $
Subtotal $ 123,010.00 $ 43,504.41 $ 309,989.00 $ 369,580.00 $ 129,161.00 $ 129,161.00 $ 562,160.00 $ 542,245.41
Benefits/Taxes/Workers Compensation
Fringe benefits include vacation,sick and holiday leave,health plan coverage,life insurance,
Fringe Benefits $ 24,602.00 $ 13,682.09 $ 61,998.00 $ 71,653.17 $ �25. .00 $ 25,833.00 $ 112,433.00 $ 111,168.26 and retirement.[Carryover of$10,919.91 from Year l to Year 2 and increase by$9,655.17 to
reflect FTE changes.Total$1,264.74[530,919.91 year 1 carryover-$9,655.17 increase)
reallocated to other benefits lines&Promotores Lines]
Taxes paid on the wages and salaries for Social Security,Medicare,and unemployment
Payroll Taxes $ 22,341.00 $ 3,770,95 $ 69,853.00 $ 65,700.00 $ 19,463.00 $ 19,463.00 $ 111,657.00 $ 88,933.95 insurance.[Carry gverof$18,570.05 from Year l to Year 2 and decrease by$4,153 to reflect
FTE changes.Total$22,723.05($18,570.05 year 1 carryover+$4,153 Decrease)reallocated to
.her benefits lines&Promotores Lines[
Workeri compensation insurance policy under Employers covers the costs of medical
treatment such as physician visits,prescription medications or surgeries if necessitated due to
Workers Co.pensation $ 2,063.00 $ 523.87 $ 5,198.00 $ 6,118.00 $ 2,166.00 $ 2,166.00 $ 9,427.00 $ 8,807.87 employeeinjurydur[ngwork.lnaddition,workers'compensationinsuranceprovideslostome
or'
indemnity benefits.[Carryover of$1,539.13 from Year 1 to Year 2 and increase by$920 to
reflect FTE changes.Total$619.13(51,539.13 year l carryover-S920 increase)reallocated to
other benefits lines&Promotores Lines[
$ $ $ $ $ S $ $
Subtotal $ 49,006.00 $ 17,976.91 $ 137,049.00 $ 143,.L. $ 41,.!. $ 47,462.00 $ 233,517.00 $ 208,930.08
TotalPersonmell 1$ 172,016.00 $ 61,481.32 $ 447,038.00 $ 513,051.17 $ 176,623.00 $ 176,623.00 $ 795,677.00 $ 751,155.49
Equipment
Laptop,Docking Station,&Printer $ 2,508.00 $ 2,508.00 $ $ $ $ $ 2,508.00 $ 2,508.00
Total Equipment $ 2,508.00 $ 1,508.00 $ $ $ $ $ 2,508.00 $ 2,508.00
Supplies
Office supplies include general items such as paper,ink,pens,etc.These items will be used
Supplies $ 1,250.00 $ 1,231.89 $ 3,D00.00 $ 8,000.00 $ 1,250.00 $ 1,250.00 $ 5,500.00 $ 10,481.89 for the day to day staff activities.$111.12 x 72 person months"=$8,000.M.[C...yover
$18.11 from Year 1 to Year 2 plus additional$4,981.89 reallocated from other lines due to
need of additional supplies for support program.[
B-1
Revised Exhibit B
Office expenses include costs for Internet service,utilities,payroll software,finance software,
Office Expenses $ 1,750.00 $ 1,750.00 $ 4,200.00 $ 12,700.00 $ 1,750.00 $ 1,750.00 $ 7,700.00 $ 16,200.00 e c..$176.39 x 72 person months'=$12,700.[Increased$8,500 reallocated from other
arryover from Year 1 to Vear 2 due to need for additional office expenses to support
program implementation.)
Communications include items such as office telephone service,staff Gmail accounts,staff cel
Phone
stipends,hotspot monthly se ce feesand Google voice.1119.1 x 66 personmonth,-
Communications $ 2,000.00 $ 1,132.00 $ 4,800.00 $ 10,500.00 $ 2,000.00 $ 2,000.00 $ 81800.00 $ 13,932.00 =$10,500 Expenses only calculated for Communications Manager,Project Coordinator and
Promotores.(Carryover$568 from Vear 1 to Year 2 plus additional$5,132 reallocated from
other lines due to need of additional communications related needed to support program
implementation.]
Printing and copying of materials for staff programmatic needs as well as for community
engagement activities including flyer,health education materials and community meeting
Printing&Copying $ 1,500.00 $ 975.15 $ 3,600.00 $ 8,600.00 $ 1,SOOAO $ 1,500.00 $ 6,600.00 $ 11,075.15 agendas.$130.31x 66 person months'=$8,600. Expenses only calculated for
Communications Manager,Project Coordinator and Promotores.[Carryover$524.85 from
Year 1 to Vear 2 plus additional$4,475.15 reallocated from other lines due to need of
additional printing and co su pplies needed to,pp,q r implementation.]
Promotores will organize health education sessions and community meetings in each target
m nity of Parlier and Reedley on a re-ocurring monthly basis.This line item will be used
Conference,Meeting,&Events $ 3,468.00 $ - $ 8,9U4.00 $ 15,000.00 $ 3,710.00 $ 3,710.00 $ 16,082.00 $ 18,710,00 to suppor[meeting expenses ln[ermz of facilify(ees,incentives forparticipantengagement,
acks and refreshments used to reinforce nutrition lessons.[Carryover$3,467 from year 1 to
Year 2 plus add itional$2,096 reallocated from other lines due to need of additional supports
for program implementation.]
$ $ $ $ $ $ $ $
Total Su 8.00 Iles $ 9,96 $S 5,389.04 $ 04.00 2A,5 $ 54,800.00 $ 10,210.00 $ 10,210.00 $ 44,682.00 $ 70,399.04
Travel
The Project Coordinator and Promotores will be traveling for outreach,health education and
other community engagement activities to South Central and Southeast Fresno as well as the
Mileage $ 3,233.00 $ 448.22 $ 7,272.00 $ 10,000.00 $ 6,787.00 $ 6,787.00 $ 17,292.00 $ 17,235.22 rucal communities Of Parlier,Reedley and Orange Cove.Thiswillrequiremultiple trips per
month pers[aff.To calculate mileage we estimated 4 trips per month x l2 months x5-ffx
63.62 miles x.655 cents per mile=$10,000.[Carryover$2,784.78 from year Ito Vear 2 due to
need of additional supplies needed to support program.Total$56.78($2784.78 year 1
arryover-$2,728 increase year 2)reallocated to Other lines.]
$ $ $ $ $ $ $ $
Total Travel $ 3,233.00 $ 448.22 $ 7,272.00 $ 10,000.00 $ 6,787.00 $ 6,787.00 $ 17,292.00 $ 17,235.22
Other
A prorated amoun will be charged for office rent,facilities management and storage each
Rent&Facilities&Storage $ 8,862.00 $ 5,146.25 $ 21,269.00 $ 3%ODO.00 $ 8,862.00 $ 8,862.00 $ 38,993.DO $ 44,00..25 month.72 person months'.173.63 ft per staff x$2.40 per sq.ft.=$30,000.[Carryover
$3,715.75 from Year 1 to Year 2 plus$5,015.25 reallocated from other program expense lines
due to need of additional support for program in Year 2.]
An estimated amount or$5,000 will be charged for IT support.IT expertise will be used ro set
ITSupport $ 1,250.00 $ - $ 3,000.00 $ 5,000.00 $ 1,250.00 $ 1,250.00 $ 5,500.00 $ 6,250.DO up new computer and to resolve any technical issues over the first year of the grant.
[Carryover$1,250 from Year 1 to Vear 2 plus$750 reallocated from other program expense
lines d ue to need of additional sup'.
0 ort for ro in Vear 2.[
Incentives such as healthy recaipe cookbooks,fruit and vegetable seeds,reusable water
bottles,tennis shoes,jump ropes,skates,skateboards and bikes will be purchased to draw
Incentives for Health Education Sessions $ 2,500.00 $ - $ 6,367.00 $ 8,367.00 $ 30,000W $ 10,000.00 $ 18,867.00 $ 18,367.00 cm,on un ity residents to health education sessions and Comm unity meetings.These
entive,will be used to promote healthy behaviors.A total budget of$6,367 will be
dedicated for these items in year 2.[Carryover of$2,500 from Year 1 to Year 2 and increase
by$2,000 to support program needs in year 2.Total$500($2,500 year 1 carryover-$2,000
ase)reallocated to Other program expense lines.]
This line item will be utilized by the Communications Manager to purchase media spots on
radio,N,IOcaI newspapers as well as social media such as Pandora or Facebook Ads to
Media $ 10,0WOO $ - $ 10,000.00 $ 30,000,00 $ 28,891.00 $ 28,991.00 $ 48,891.00 $ 58,891.00 promote activities being organized in each community.Media messages in English and
Spanish will be deployed.A total estimated budget of$10,000 will be utilized for Year 2.
[Carryover$10,000 from Year It,Vear 2 plus$10,000 reallocated from other program
expe se lines duetoneed Ofadditionalsupportfor r In Year2.)
The Central Valley Health Policy Institute will be utilized to provide professional development
and training to program staff such as basic training on COVID,prevention,vaccines,testing
Subcontractors TBD $ 30,000.00 $ - $ 15,000.00 $ 25,000.00 $ 20,000.00 $ 20,000.00 $ 45,000.00 $ 45,000.00 and community resources.In addition scoff will be trai ear on Social Determinants of Health,
chronic disease management and prevention support,communicable disease prevention
support,Oral Health Prevention,and support as well as wrap around services.A total
subcontract of$15,000 will be utilized in Year 2.Carryover$10,000 from Year 1 to Year 2 due
support needed in Year 2.
Six part-time Student Promotores will be utilized to support the project objectives.Only
students age 18 or older will be utilized for this opportunity.They will be conducting various
Stipends for Student Promotores $ 5,000.00 $ - $ 15,000.00 $ 18,909,00 $ 20,000.00 $ 20,000.00 $ 40,000.00 $ 38,809.00 activities from supporting health education program,referrals to community resources,
nications projects and evaluation efforts.Six Student Promotores x 3 monthtx
$833.34 per month=$15,000.[Carryover of$5,000 from Year 1 to Year 2 and increase by
$3,809 to support program needs in year 2.Total$1,191($5,000 year 1 carryover-$3,809
ncr ase)reallocated to other program expense lines.]
$ $ $ $
Total Other $ 37,612.00 $ 5,146.25 $ 70,636.00 $ 227,176.00 $ 89,003.00 $ 89,003.00 nIO
1.00 $ 211,325.25
Total Direct Costs $ 225,337.00 $ 54,972.83 $ 549,450.00 $ 695,027.17 $ 282,624.00 $ 282,624.00 1.00 $ 1,052,624.00
Indirect Costs@ 10% $ 22,533.70 $ 7,497.28 $ 51,318DO $ 69,502.72 $ 25,376.00 $ 25,376.00 7.70 $ 302,376.00
Grand Total $ 2A7870.70 8247011 600]68.00 $ 764529.89 30600000 $ 308000008.70 $ 1155000.00
B-2