HomeMy WebLinkAboutAgreement-A-24-205 Amendment IV to Agreement with FCSS.pdf Agreement No. 24-205
1 AMENDMENT IV TO AGREEMENT NO. 23-360
2 THIS AMENDMENT, hereinafter referred to as "Amendment IV", is made and entered
3 into this 7th day of May , 2024, by and between the COUNTY OF FRESNO, a political
4 subdivision of the State of California, hereinafter referred to as "COUNTY", and FRESNO
5 COUNTY SUPERINTENDENT OF SCHOOLS, a political subdivision of the State of California,
6 hereinafter referred to as "FCSS".
7 WITNESSETH
8 WHEREAS, the Parties entered into that certain Agreement, identified as COUNTY
9 Agreement No. 21-111, effective September 1, 2020, Agreement No. 21-111-1 (Amendment 1)
10 effective August 24, 2021, Agreement No. 23-103 (Amendment 11), effective March 14, 2023,
11 Agreement No. 23-360 (Amendment III), effective March 1, 2023, hereinafter referred together
12 as "Agreement", wherein FCSS agreed to expand and provide school-based prevention and
13 early intervention services for youth aged 0-22, their families, and schools staff by developing
14 and implementing five Wellness Centers and hiring Peer/Family Partners who will provide
15 culturally appropriate outreach throughout Fresno County to youth as well as to parents,
16 teachers and school staff, primary care providers, and others to recognize the signs of mental
17 illness. In addition, in Agreement, COUNTY'S Department of Behavioral Health ("DBH") and
18 FCSS are collaborating in developing an onboarding toolkit for the Mental Health Services
19 Oversight and Accountability Commission ("MHSOAC") as part of the Mental Health Student
20 Services Act ("MHSSA") application proposal; and
21 WHEREAS, an amendment is necessary because COUNTY, through DBH, and FCSS
22 are increasing FY 2023-24 annual maximum compensation by $868,234.00 by reallocating
23 unspent funds from FY 2022-23 to cover additional costs for the toolkit project and the
24 commencement of an additional Wellness Center, with no change to the total maximum
25 compensation of the Agreement.
26 WHEREAS, the Parties desire to amend Agreement as stated below.
27 NOW, THEREFORE, the Parties agree to amend the Agreement as follows:
28
1
1 1. That a portion of Section 1 of Agreement No. 23-360 on Page Two (2), Line Eight(8)
2 through Page Three (3), Line Three (3) be deleted and the following inserted in its place:
3 "COUNTY agrees to pay FCSS and FCSS agrees to receive compensation in
4 accordance with the Budgets set forth in Revised Exhibit B-3 as approved by MHSOAC and
5 attached hereto and by this reference incorporated herein and made part of this Agreement.
6 A. Maximum Contract Amount
7 "The maximum amount for the period of September 1, 2020 through August 31,
8 2021 shall not exceed one million, five hundred twenty thousand, six hundred seventy-two and
9 no/100 Dollars ($1,520,672.00). The actual amount spent during this fiscal year was one million,
10 thirty-five thousand, eight hundred thirty-one and no/100 Dollars ($1,035,831.00). The unspent
11 grant funds from this year have been allocated to future years.
12 The maximum amount for the period of September 1, 2021 through August 31,
13 2022 shall not exceed two million, six hundred fifty-four thousand, five hundred eighty-four and
14 no/100 Dollars ($2,654,584.00). The actual amount spent during this fiscal year was two million,
15 seventy thousand, eight hundred eighty-four and no/100 Dollars ($2,070,884.00). The unspent
16 grant funds from this year have been allocated to future years.
17 The maximum amount for the period of September 1, 2022 through August 31,
18 2023 shall not exceed one million, eight hundred ninety-four thousand, four hundred fifty-eight
19 and no/100 Dollars ($1,894,458.00). The actual amount spent during this fiscal year was one
20 million, twenty-six thousand, two hundred twenty-four and no/100 Dollars ($1,026,224.00). The
21 unspent grant funds from this year have been allocated to future years.
22 The maximum amount for the period of September 1, 2023 through August 31,
23 2024 shall not exceed one million, nine hundred ninety-one thousand, four hundred five and
24 no/100 Dollars ($1,991,405.00).
25 The maximum amount for the period of September 1, 2024 through August 31,
26 2025 shall not exceed one million, fifty-six thousand, nine hundred and ninety-nine and no/100
27 Dollars ($1,056,999.00).
28
2
1 The maximum amount for the period of September 1, 2025 through August 31,
2 2026 shall not exceed four hundred thirty-eight thousand, sixty and no/100 Dollars
3 ($438,060.00)."
4 4. All references to the former annual contract maximum compensation totals in
5 Revised Exhibit A-1 are hereinafter deemed to refer to the annual contract maximum
6 compensation totals, including the actual amounts spent in prior years, in section 1 of this
7 Amendment.
8 5. All references in the existing Agreement to "Revised Exhibit B-2" shall be
9 deemed references to "Revised Exhibit B-3." Revised Exhibit B-3 is attached and incorporated
10 by this reference.
11 6. That Section Ten (10) of County Agreement No. 21-111, beginning on Page Ten
12 (10), Line Twenty(20)with the word "Each" and ending on Page Twelve (12), Line Twenty (20)
13 with the word "self-insurance" be replaced in its entirety as follows:
14 "The Contractor shall comply with all the insurance requirements in Exhibit J to
15 this Agreement. Exhibit J is attached and incorporated by this reference."
16 7. That Section Twenty (20) of County Agreement No. 21-111, beginning on Page
17 Twenty (20), Line Ten (10)with the word "For' and ending on Page Twenty-One (21), Line
18 Nineteen (19) with the word "externally" be replaced in its entirety as follows:
19 "Contractor shall comply with data security as contained in State and Federal
20 law, Contractor's Superintendent and Board Policies."
21 8. COUNTY and FCSS agree that this Amendment IV is sufficient to amend the
22 Agreement and that upon execution of this Amendment IV, the Agreement, Amendment I,
23 Amendment II, Amendment III, and Amendment IV together shall be considered the Agreement.
24 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
25 covenants, conditions, and promises contained in the Agreement that are not amended herein,
26 shall remain unchanged and in full force and effect. This Amendment IV shall become effective
27 retroactive to September 1, 2023, upon execution by all Parties.
28
3
1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment IV as of the
2 day and year hereinabove written.
3
FRESNO COUNTY SUPERINTENDENT OF COUNTY OF FRESNO
4 SCHOOLS
5 ...�- ..
6 �ell-Copher
Nathan Magsig,
Dr. Michele n Chairman of the Board of Supervisors of the
7 Fresno Count Superintendent of Schools County of Fresno
8 Attest:
Bernice E. Seidel
g Clerk of the Board of Supervisors
County of Fresno, State of California
10 11rr
11 By: k�A."
12
13 Mailing Address:
Fresno County Superintendent of Schools
14 1111 Van Ness Avenue
Fresno, CA, 93721
15 Contact/ Phone: 559-265-3000
16 Fund/Subclass: 0001/10000 Account/Program: 7295/0
Organization/Cost Centers: 56302258 ($7,619,403)
17 FY 2020-21 $1,520,672, FY 2021-22 $2,654,584, FY 2022-23 $1,894,458
FY 2023-24 $1,991,405, FY 2024-25 $1,056,999, FY 2025-26 $438,060
18 FY 2026-27 Unspent funds based on approval by MHSOAC
19
20
21
22
23
24
25
26
27
28
4
Revised Exhibit A-1
Page 1 of 15
Scope of Work
ORGANIZATION: Fresno County Superintendent of Schools ("FCSS")
ADDRESS: 1111 Van Ness Avenue, Fresno, CA, 93721
SERVICES. School and Community Based Prevention and Early Intervention ("PEI")
Services to Children/Youth (Ages 0-22), Families, and School Staff.
PROGRAM NAME All 4 Youth - Wellness Center
CONTRACT TERM: September 1, 2020- December 31, 2026
CONTRACT SITES: See Section VIII
CONTRACT AMOUNT:
Grant Year Contract Maximum Contract Actual
MHSSA Funds) Amount Spent*
2020-21 $1,520,672.00 $1,035,831
2021-22 $2,654,584.00 $2,070,884
2022-23 $1,894,458.00 $1,026,224
2023-24 $1,991,405.00
2024-25 $1,056,999.00
2025-26 $438,060.00
2026-27 Unspent funds if approved
by the MHSOAC
* This is an actual amount spent during the grant year. Unspent grant funds from
GY 1, GY 2, and GY 3 have been allocated to future years.
Maximum Total Compensation (MHSSA Funds) All Seven (7) Years:
$7,619,403.00
TELEPHONE (559) 265-3049
CONTACT PERSON: Trina Frazier, Assistant Superintendent, Student Services
Page 2 of 15
I. Abstract/Sumrnary:
The MHSSA Grant was awarded pursuant to the Mental Health Student Services Act of 2019
("MHSSA"). FCSS agrees to hire personnel or peer support to enhance the existing All 4 Youth
Partnership to expand access to mental health services for children and youth and to facilitate linkage
and access to ongoing and sustained services.
II. Target Population:
FCSS, in partnership with DBH shall address and further expand efforts to encourage comprehensive
self-care through promoting wellness to youth (ages 0-22), families, and school staff.
III. Detailed Scope of Work and Project Description:
The scope of work for this Agreement is contained in the RFA submitted by DBH in response to the
Mental Health Services Oversight and Accountability Commission's ("MHSOAC") Request for
Applications, MHSSA_001 Addendum 2. The MHSSA RFA is incorporated by reference and made part
of this Agreement as if attached hereto.
FCSS, in partnership with Fresno County Department of Behavioral Health ("DBH"), will allocate Mental
Health Student Services Act of 2019 ("MHSSA") funding to expand prevention and early intervention
services, and increase treatment space for youth aged 0- 22 throughout Fresno County. Historically,
California's public mental health system has focused solely on the population with "serious mental
illness." Engaging with youth early in their experience of mental health issues will decrease the likelihood
that mental illness becomes severe and disabling.
Furthermore, the state's public mental health system has had limited focus on prevention and early
intervention. FCSS and DBH began partnering in 2011 to fill this gap, intervene early and serve youth
before their mental illness developed into serious illness. In 2018, the existing partnership was
significantly expanded and transformed into the A//4 Youth Partnership.
FCSS and DBH will expand the current model of care provided through All 4 Youth to serve more youth
and their families through a strength-based, person-centered approach that focuses on prevention and
early intervention, and connects youth with needed therapeutic services through the existing All 4 Youth
program and the DBH network of care.
To serve individuals early in the pipeline, FCSS and DBH shall allocate MHSSA funds to establish four
new, school-adjacent Wellness Centers in areas of the county with high-need (e.g., no accessible mental
health services, low socio-economic status, lack of health care, and scarce resources) and where the All
4 Youth Partnership has been unable to acquire facility space for treatment services. FCSS and DBH will
aspire to address and further expand efforts to encourage comprehensive self-care through promoting
wellness at Centers where youth, families, and school staff can learn to connect, improve health and
well-being, find fulfillment, and access natural resources and supports.
Through the Wellness Centers, the FCSS will:
• Provide accessible information and host trainings to increase student, family, school staff, and
community knowledge about trauma and mental health;
• Provide mental health prevention, early intervention, and treatment services in accessible
locations including schools, the community, and at home;
• Promote mental health for all and reduce stigma around mental health to increase the
likelihood of accessing services;
• Provide strategies and training for comprehensive self-care for families, students, and school
staff; and
• Collaborate with schools and districts to extend the implementation of their Natural School
Page 3 of 15
Mental Health Curriculum: Guidance and Best Practices for States, Districts, and Schools to
families and communities.
The Wellness Centers will be outfitted with space for meetings, trainings, workshops, and confidential
treatment space. Any clinical treatment or specialty mental health services provided in the Wellness
Centers will conform to and be incompliance with all applicable Fresno County Mental Health Plan, Medi-
cal, State of California and Federal statutes and regulations relative to providing specialty mental
health services.
The Wellness Centers will be staffed with Family Partners who will provide culturally appropriate
outreach to youth as well as to parents, teachers and school staff, primary health care providers, and
others to recognize the early signs of mental illness. Overseen by the All 4 Youth Program Supervisors,
Family Partners will make referrals to the All 4 Youth program or other DBH network program, as
needed, for treatment to be provided in the Wellness Center or at the school, in the home, or a preferred
location within the community.
FCSS will recruit Family Partners from the local community with lived experience and one that reflects
the population being served to staff the Wellness Centers. As it relates to mental health, Lived
Experience is defined as the knowledge and understanding you get when you have lived through
something. These are individuals with mental illness, and family/friends supporting someone living with
mental illness. Family Partners will play a key role in reducing stigma associated with the diagnosis of a
mental illness or seeking mental health services. Each Family Partner will receive training and follow-up
support in evidence-based practices to provide outreach, prevention, early intervention, and service
referrals. Technical support and training will be provided from the contracted trainer (Crestwood
Behavioral Health, Inc. or as available). Existing All 4 Youth Program Supervisors will guide and monitor
the work of the Family Partners inclusive of triage and referrals of youth and their families. Additional
existing All 4 Youth staff will be provided at the Wellness Centers to appropriately support the Wellness
Center program and serve the youths, families, and community.
Family Partners will conduct outreach to parents and youth to engage, develop relationships, and
combat cultural distrust of medical and school professionals. They will also outreach to teachers and
school staff to provide information about prevention and early intervention; receive referrals from
parents, teachers, and other school staff; and refer youth to clinical mental health services at All 4 Youth
and other DBH programs. Following referral to the Wellness Center and assessment by an All 4 Youth
Clinician, the Family Partner will work under the direction of the FCSS Program Supervisor, and in
collaboration with the All 4 Youth Clinician and Specialists as appropriate, to develop an individual
service plan with the youth and caregiver that outlines goals and needed services. Family Partners will
refer youth to behavioral health and related services at the youth's school, other County agencies, and
community-based providers, which may include: assistance applying for Medi-Cal, obtaining resources
for food, clothing and shelter, after-school programs, social skills classes, substance use disorder
services for youth and adults, employment supports, and other community- based services. The All 4
Youth Partnership will leverage its relationships with County Human Services departments (e.g., DBH,
Public Health, Social Services, and Probation), community-based organizations and collaboratives (e.g.,
Community Hospital, Cradle to Career Fresno, National Alliance for Mental Health [NAMI] Fresno,
Suicide Prevention Collaborative, and Valley Children's Hospital) to link children and youth and their
families with needed services.
Family Partners will host community-based activities like Parent Cates, meetings, and classes to build
trust, destigmatize mental illness, share information, and foster an understanding of the signs of mental
illness. Training and conversation topics will include the following (with other trainings added to address
emerging local needs):
• Trauma-informed Behavioral Health Services: This training will provide an overview of the
services available in the community, including the purpose of, and services provided by, All 4
Youth.
• Trauma-informed Parenting Practices: This training will review research related to childhood
trauma, evidence-based interventions, and suggestions on how parents can work with children
that are affected by trauma.
Page 4 of 15
• Parent Training Programs: This training will provide an overview of the various parent training
programs available to help bolster the skills needed to manage children's behavior calmly and
improve the quality of family life, including Parent-Child Interaction Therapy (PCIT), Parent
Management Training (PMT), Defiant Teens, and Positive Parenting Program.
• Understanding Trauma in the School Environment: This training will increase parent
understanding of trauma and how trauma affects the brain, safety and behavior in children, and
how Fresno schools are developing a range of tools to increase safety, address unsafe
behaviors, and promote connection to the school staff and grounds.
• Human Trafficking: California is one of the primary hotspots of human trafficking in the United
States, and this training will cover the roots of human trafficking, how to identify red flags that
someone may be a victim of trafficking, and the services available to victims of human trafficking.
• Gang Involvement: This training will include an overview of the risk factors that significantly
affect a young person's chance for gang involvement, but will focus on the protective factors that
reduce the risk, including parental involvement and monitoring, family support, and
coping/interpersonal skills.
As trusted messengers with lived experience that mirrors those of the community they serve, Family
Partners will increase the likelihood of referrals by parents, timely follow-up with services, and increased
understanding and awareness of mental illness among the community.
With the approval of Senate Bill (SB) 803, Peer Support Specialist Certification Program Act of 2020,
peer professional staffs will be able to claim for specialty mental health services if they have and
maintain certain certifications. When Fresno County DBH's regulations and policies are developed and
implemented, Family Partners will work towards attaining and maintaining certifications relevant to their
discipline, including but not limited to; adherence to code of ethics, curriculum and training requirements,
and passing a certification examination approved by DBH.
To contribute to a system-wide shift in the provision of mental health services for youth, the All 4 Youth
Partnership Steering Committee will develop a toolkit, Bridging Education and Mental Health:A
Toolkit Integrating School-based Services in California (working title), for establishing a partnership
between California Counties and their local education agency or office of education.
The toolkit will comprise the following topics:
• Initial planning;
• Staffing requirements;
• Job description development;
• Partnership agreement development;
• Budgeting;
• Governance structure;
• Policies and procedures;
• Meetings and trainings;
• District onboarding;
• Referral process;
• Establishing Hubs and site certification;
• Data collection and outcomes;
Revised Exhibit A-1
Page 5 of 15
• Billing Medi-Cal;
• Telepsychiatry services and psychiatrist;
• How to address barriers;
• Marketing; and
• Consultation, site visits, and lessons learned.
The toolkit will also include editable forms and documents to aid counties' efforts to establish
partnerships. Developed during the first 12 to 18 months of the agreement, the completed Bridging
Education and Mental Health toolkit will leverage FCSS' and DBH's nearly decade-long relationship to
create an actionable guide for counties looking to develop a similar model. The toolkit will provide a
framework and tangible structure for other counties to begin their work in helping education and mental
health services coordinate to reduce stigma and increase timely access to services within their
respective counties. The finalized electronic toolkit will be disbursed through the MHSOAC website,
accessible to MHSSA-funded emerging partnership counties as well as interested counties throughout
the state. Through the development of Bridging Education and Mental Health: A Toolkit Integrating
School-based Services in California, the All 4 Youth Partnership aims to contribute to the statewide body
of knowledge and build a future in which youth access the mental health services they need earlier.
Through these multipronged efforts, the All 4 Youth Partnership via The Wellness Centers hopes to
correct the misperceptions about and reduce the stigma around mental illness, leading to downstream
reductions in discrimination against people with mental illness.
Mental Health Services Oversiaht and Accountability Commission WHSOACI - MHSSA
In addition to the responsibilities of the project description above, FCSS shall follow all requirements of the
Mental Health Services Oversight and Accountability Commission's Request for Application— Mental Health
Student Services Act 2019 ("RFA MHSSA-001 Addendum 2"), adhere to the proposed plan as outlined in the
submitted MHSSA Grant Application (as approved by the County of Fresno, Board of Supervisors on March
24, 2020), and County Agreement 20-283 with MHSOAC- MHSSA (as approved by the County of Fresno,
Board of Supervisors on August 4, 2020).
In addition, FCSS shall follow all requirements of the Mental Health Services Oversight and Accountability
Commission's Request for Application— Mental Health Student Services Act RFA MHSSA-003 Addendum 2,
adhere to the proposed plan as outlined in the submitted MHSSA Grant Application (as approved by the
County of Fresno, Board of Supervisors on February 28, 2023), and amendment to county Agreement 20-283-
2 with MHSOAC-MHSSA (as approved by County of Fresno, Board of Supervisors on February 28, 2023).
IV. Contacts:
Direct all inquiries regarding this Agreement to the representatives listed below. Representatives may
be changed by written notice to the other party. Such notice shall be given within 30 days of the change.
County of Fresno Fresno County Superintendent of Schools
Department of Behavioral Health Trina Frazier, Assistant Superintendent of
Susan Holt, Deputy Director Student Services
1925 E. Dakota Avenue 1100 Van Ness Avenue
Fresno, CA 93726 Fresno, CA 93721
Phone: 559-600-9058 Phone: 559-265-3049
Fax: 559-600-7673 Fax: 559-265-3049
Email: sholt(a)_fresnocountyca.gov Email: tfrazier(j�fcoe.org
V. Grant Cycle:
Revised Exhibit A-1
Page 6 of 15
This Agreement is for a seven-year grant cycle, with funds allocated to DBH by the State of California
and passed through to FCSS.
Funding is based on compliance with the MHSSA RFA requirements.
During the cycle of the grant, FCSS will participate with DBH in monthly check-in meetings with
MHSOAC staff either in-person, by phone, or some other agreed upon arrangement. The intent of these
meetings is for FCSS and DBH to provide a status of the programming, including, but not limited to
reporting requirements, hiring, spending, schedule, and any other relevant issues.
VI. Schedule of Services:
Services will be typically be provided during the normal business day of the campus where the Wellness
Center is located, Monday through Friday in accordance with the FCSS 8-hour work day and 12-month
employee work calendar. However, as appropriate, services will be provided by appointment during
non-traditional hours of operation, including holidays, evenings, and weekends. Any changes in regular
business hours for the Wellness Center will be posted on the door with a phone number that those
served under the Agreement can use to obtain assistance. Each of the Family Partners has a 199 day
work year and will rotate to fill the needed schedule of services, including non-traditional hours, within
that work year.
VII. Staffina:
FCSS's proposed staffing is identified in the MHSSA RFA and Exhibit B and will include:
Family Partners will be hired with lived experience for each of FCSS' sites. Service to be provided at
Wellness Centers, school sites, in the home, or other community setting.
• Four Family Partners will be hired in the first year; four more Family Partners will be hired by
June 30, 2021 (eight total); four more Family Partners will be hired by June 30, 2022 (12 total).
Leverage of the existing DBH contracted program in partnership with FCSS, the All 4 Youth Program will
be instrumental in successful implementation and coordination of Wellness Center services.
Existing contracted resources which will work in collaboration with the new Wellness Centers include:
• FCSS Program Supervisors (approximately 0.5 FTE total) will oversee the work of the Family
Partners inclusive of triage and referrals of youth and their families.
• All 4 Youth Clinicians (approximately 0.86 FTE total) will conduct mental health assessments and
related mental health services at the Wellness Centers, All 4 Youth Hubs, students' homes or
other locations in the community.
• All 4 Youth, Youth Care Specialists (approximately 0.24 FTE total) and All 4 Youth Intervention
Specialists will provide support through the Wellness Centers, providing case management and
collateral services following mental health assessment, and supporting individual service plan
development with the Family Partners and Clinicians. Specialists will also provide ongoing
psychoeducation and skills-building activities at All 4 Youth Hubs.
• All 4 Youth School Psychologist (approximately 0.20 FTE total) will provide evidence-based,
trauma-informed trainings to school staff.
• Bilingual All 4 Youth Office Assistants (approximately 0.80 FTE total) will provide clerical support
Page 7 of 15
including scheduling, printing, and materials distribution.
VIII. Service Locations
Each Wellness Center will be located on or adjacent to a school site to facilitate ease of accessing
services and will be placed strategically to reduce transportation barriers for youth and families from
across the 6,000 square mile county. During the first year of the four-year project period, the All 4 Youth
Partnership will adapt an existing FCSS location into a new Wellness Center and establish three new
modular buildings to be Wellness Centers in target locations throughout the County.
FY 2020-2021 —
Location: Fresno Pacific University
1717 Chestnut Ave, Portable A-2 Fresno, California 93702
FY 2021-2022 —
Location: In this fiscal year, the three other service sites will be developed strategically
within Fresno County. The process for selecting the Wellness Center locations are
dependent on the geographical regions of the County; locations where all the
families and districts can have increased ease of access to the Wellness Center;
willingness of a district to provide space on or adjacent to a school campus; and
high needs areas in terms of community and student stressors (i.e. poverty, high
suicide rates, homelessness, etc.)
Wellness Center sites and start dates may be adjusted during the term of this agreement by the written
approval of the Director DBH, or designee and FCSS.
IX. Service Start Dates:
The All 4 Youth Wellness Center Program will have a Ramp-Up period that will begin on September 1,
2020. The Ramp-Up period will consist of renovating the facility at Fresno Pacific University and
preparing it for the first Wellness Center. The Ramp-Up period will also consist of hiring and training the
Family Partners and may be extended as necessary to prepare for operations, with the approval of DBH.
Wellness Center services has been tentatively scheduled to begin operations in January 2021 following
the renovations of the first site.
Year 1: Calendar Year (CY) 2020-21 (September 1, 2020 to August 31, 2021)
1. Establish the first Wellness Center at Fresno Pacific University
2. Hire, train, and staff the Wellness Center with four (4) Family Partners
3. Initial Services are anticipated to start by January 1, 2021,
4. Develop the proposed toolkit, Bridging Education and Mental Health:A Toolkit Integrating
School-based Services in California (working title). In order to provide a professional product
to for redistribution and to appropriately brand the Wellness Center into the community, FCSS
and DBH will be sub-contracting with a professional marketing agency to assist with the
program's toolkit composition and media campaigns.
Year 2: CY 2021-22 through CY 2023-24 (September to August)
Revised Exhibit A-1
Page 8 of 15
1. Establish the remaining three (3) Wellness Centers across Fresno County.
2. Recruit and staff remaining Wellness Center; four(4) Family Partners for CY 2021-22, four (4)
Family Partners for CY 2022-23 and CY 2023-2024.
Family Partners and other mental health staff located at a specific site or hub may serve youths/students
in other sites/locations and other areas in the community as needed.
Youths/students located in a specific location may access services in other sites as needed. FCSS shall
work with DBH Director, or designee to ensure a smooth and efficient continuum of care for all
youths/students.
X. Cultural Competency:
A. FCSS shall provide the following as it relates to cultural competency services:
1. FCSS shall recruit and hire staff that have demonstrated experience working with the Latino,
African American, Southeast Asian, Native American, Punjabi, and other minority populations
and have knowledge about the culture of these targeted groups as well as other diverse
communities.
2. FCSS's staff shall attend annual trainings on cultural competency, awareness, and diversity
as provided by FCSS. FCSS's staff shall be appropriately trained in providing services in a
culturally sensitive manner.
3. FCSS's staff shall attend civil rights training as provided by FCSS.
4. FCSS shall hire bilingual staff. At a minimum, FCSS shall hire staff competent in Spanish and
Hmong as these are the identified threshold languages in Fresno County. If bilingual staff is
not available and/or competent for hiring, translators/interpreters may be used with English-
speaking staff.
5. FCSS shall secure the services of trained translators/interpreters as may be necessary.
Translators/interpreters may prove invaluable for languages such as Cambodian, Russian,
Arabic, Armenian, Punjabi, and others. Translators/interpreters shall be appropriately trained
in providing services in a culturally sensitive manner.
6. FCSS shall provide services by placing importance on traditional values, beliefs and family
histories. Cultural values and traditions offer special strengths in treating clients and this
should help guide health care messages and wellness and recovery plans.
7. FCSS shall provide services within the most relevant and meaningful cultural, gender-
sensitive, and age-appropriate context for the target population.
8. FCSS shall develop plans to continually engage targeted populations.
9. FCSS shall recruit and hire client/family members. Regarding the recruitment of client/family
members, the FCSS will be able to consult with the COUNTY DBH
10. FCSS shall distribute literature/informational brochures in appropriate languages and request
feedback as to how access to care could be improved for these culturally diverse
communities.
Revised Exhibit A-1
Page 9 of 15
11. FCSS shall conduct an annual cultural competency self-assessment and provide the results
of said self-assessment to the COUNTY. The annual cultural competency self- assessment
instruments shall be reviewed by the COUNTY and revised as necessary to meet the
approval of the COUNTY. FCSS can create their own cultural competency self- assessment
tools or utilize instruments to be provided by COUNTY.
12. FCSS shall provide services throughout Fresno County in the community and home as
needed, to increase the frequency of clients obtaining needed services as some
children/families are reluctant to seek services at school sites.
13. FCSS shall promote system of care accountability for performance outcomes which enable
children and their families to live independently, work, maintain community supports, stay in
good health, and avoid substance abuse and incarceration.
14. FCSS shall develop individual services and supports plans which are flexible and open to
meet the unique needs of the targeted populations.
15. FCSS shall provide family support and the creation of family partnerships utilizing peer
support for families and parenting support.
16. FCSS shall establish culturally specific multidisciplinary treatment teams responsible for
assuring and providing needed services
17. FCSS shall provide parenting groups that are conducted in the preferred language of the
participant client/families.
18. FCSS's staff will be trained to keep an open mind and maintain non-judgmental interaction
with clients/families.
19. FCSS, when developing program services and service delivery approaches, shall seek to hire
and train staff and community stakeholders (i.e., consumers, family members, etc.) that are
providing services to consumers and families on appropriate methods and approaches to
delivering gender and age specific services.
20. FCSS's hiring and contracting practices shall be based on local data and reflect the needs of
the population to be served.
21. FCSS shall attend the COUNTY's Cultural Humility Committee monthly meetings, maintain its
own cultural competence oversight committee, and develop a cultural competency plan to
address and evaluate cultural competency issues
22.COUNTY shall provide technical assistance and demographic data to FCSS in relation to
cultural competency planning.
23. FCSS shall train staff on best practice for utilizing interpreters to ensure effective
communication with monolingual consumers and families to assist in the delivery of
culturally/linguistically appropriate services.
XI. Care Coordination/Collaboration:
Through the Wellness Center site-based teams, local needs will be based on objective data.
When the data utilized by the Wellness Center teams indicates student and families may require
more intensive supports, the team will establish a coordinated seamless procedure for
Revised Exhibit A-1
Page 10 of 15
comprehensive service delivery through FCSS's specialty mental health treatment services as
well as other existing local resources. School staff is sometimes the first to identify barriers within
the students' families. All too often, the social and emotional barriers experienced by the family
may affect the student's ability to access education and quality mental health services. When the
data indicates the need for intensive mental health supports for the student and/or family, the
Wellness Center team will be able to integrate representatives from FCSS' specialty mental
health treatment services as well as outside agencies who are working closely with the
family/student to create a person-centered action plan.
XII. County Responsibilities:
A. COUNTY shall:
1. Provide oversight, through its DBH Director, or designee, and collaborate with FCSS and
other COUNTY Departments and community agencies to help achieve State program goals
and outcomes. In addition to contract monitoring of program(s), oversight includes, but not
limited to, coordination with the State Department of Health Care Services in regard to
program administration and outcomes.
2. Assist FCSS in making linkages with the total mental health system. This will be
accomplished through regularly scheduled meetings as well as formal and informal
consultation.
3. Participate in evaluating the progress of the overall program and the efficiency of
collaboration with FCSS's staff and will be available to the FCSS for ongoing consultation.
4. Gather outcome data from FCSS throughout each term of this Agreement. COUNTY DBH
staff shall notify the FCSS when its participation is required. The performance outcome
measurement process will not be limited to survey instruments but will also include, as
appropriate, client and staff interviews, chart reviews, and other methods of obtaining
required information.
5. Assist FCSS's efforts towards cultural and linguistic competency by providing the following to
FCSS:
a. Technical assistance and training regarding cultural competency requirements.
b. Mandatory cultural competency training for FCSS personnel, at minimum once per year.
c. Technical assistance for translating information into COUNTY's threshold languages
(Spanish and Hmong). Translation services and costs associated will be the responsibility
of the FCSS.
XIII. Performance Outcome Measures
FCSS, in collaboration with DBH, will complete and submit performance outcome reports as outlined in
the MHSSA RFA.
FCSS shall employ staff through the grant for MHSSA data gathering, submission of program
implementation and summary program evaluations to the MHSOAC. FCSS shall evaluate its MHSSA
Grant-funded program.
Evaluation activities are intended to provide FCSS, DBH, and the MHSOAC with data-related to program
Revised Exhibit A-1
Page 11 of 15
impact and individual experience, and to demonstrate program effectiveness throughout the grant cycle.
It is intended that the results from the local evaluations will yield best practices for school-based mental
health partnerships, number of students serviced, demographics, data on linkage to ongoing mental
health services, and comparison data on negative outcomes of untreated mental health conditions (e.g.,
suicide, school failure, and out of home placement.)
FCSS, in partnership with DBH, shall collect relevant person identified-level data. If requested, FCSS, in
partnership with DBH, shall provide MHSOAC with access to all relevant person-identified level data
collected and maintained by FCSS and/or DBH.
FCSS shall also submit measurable outcomes on an annual basis, as identified in DBH's Policy and
Procedure Guide ("PPG") 1.2.7 Performance Outcomes Measures, attached hereto as Exhibit A-1.
Performance outcomes measures must be approved by the Department and satisfy all State and local
mandates. The Department will provide technical assistance and support in defining measurable
outcomes. All performance indicators will reflect the four domains identified by the Commission
Accreditation of Rehabilitation Facilities (CARF). The domains are Effectiveness, Efficiency, Access, and
Satisfaction. These are defined and listed below.
DBH collects data about the characteristics of the persons served and measures service delivery
performance indicators in each of the following CARF Domains: At minimum, one key performance
indicator will be identified for each of the four CARF domains listed below.
1. Effectiveness: A performance dimension that assesses the degree to which an intervention or
services have achieved the desired outcome/result/quality of care through measuring change over
time. The results achieved and outcomes observed are for persons served.
Examples of indicators include: Persons receives or maintains ajob with or without benefits, or receive
supports needed to live in the community, increased function, activities, or participation, and
improvement of health, employment/earnings, or plan of care goal attainment.
Reduction in disciplinary interactions. Indicators - referrals, suspensions. Achievement of
treatment goals. Data sources: attendance, disciplinary data, GPA, PSC-35.
2. Efficiency: Relationship between results and resources used, such as time, money, and staff. The
demonstration of the relationship between results and the resources used to achievethem. A
performance dimension addressing the relationship between the outputs/results and the resources
used to deliver the service.
Examples of indicators include: Direct staff cost per person served, amount of time it takes to
achieve an outcome, gain in scores per days of service, service hours per person achieving
some positive outcome, total budget (actual cost) per person served, length of stay and direct
service hours of clinical and medical staff. Training modalities Penetration rates.
3 Access: Organizations' capacity to provide services of those who desire or need services.
Barriers or lack thereof for persons obtaining services. The ability of clients to receive the right
service at the right time. A performance dimension addressing the degree to which a person
needing services is able to access those services.
Revised Exhibit A-1
Page 12 of 15
Examples of indicators include: Timeliness of program entry (From point of referral toP' request for
service), ongoing wait times/wait lists, minimizing barriers to getting services, and no-
show/cancellation rates.
4. Satisfaction: Satisfaction Measures are usually orientated towards consumers, family, staff, and
stakeholders. The degree to which clients, the County and other stakeholders are satisfied with
services. A performance dimension that describes reports or ratings from persons served about
services received from an organization.
Examples of indicators include: Opinion of persons served or other key stakeholders in regards to
access, process, or outcome of services received, Consumer and/or Treatment Perception
Survey. Providers can develop their respective satisfaction survey for distribution which will require
County approval.
XIV. Data Collection
FCSS's data collection and evaluation methods may include, but are not limited to, staff, participant, and
family interviews and/or case file reviews.
FCSS shall also conduct consumer satisfaction surveys to see if there is a strong correlation of the
efficacy of the evidence-based program with specific ethnicities and languages as well as to identify
gaps in meeting cultural needs of clients/families, if any.
FCSS shall ensure all program clients/families participate in the semi-annual State Consumer Perception
Survey ("CPS"). CPSs will be distributed to all clients/families to fill out and return to FCSS.
FCSS shall collect data regarding the ethnicity and language of each client/family receiving services as
well as following-up with culturally diverse clients/families for suggestions on how to improve the
programs and how to help make the programs more culturally relevant.
XV. Performance Goals
FCSS's performance shall be evaluated jointly by DBH and FCSS utilizing the following performance
outcomes below:
Effectivenes
Goal/Ob'ective 1 Create a healthy environment in which youth in Fresno County
can live and learn through increased awareness, reduced
stigma, and increased supports for mental illness.
Outcome 1 Prevention and early intervention efforts reduce the risk of
mental illness being ignored and/or untreated until it becomes
severe and disabling, sparks suicide or attempted suicide,
results in school failure or dropout, and/or leads to incarceration
Revised Exhibit A-1
Page 13 of 15
Measure 1 Pre-Post assessment following training on awareness, stigma
reduction, knowledge and identification of early warning signs and
supports for mental illness.
Goal/Obiective 2 Create a toolkit to guide emerging partnerships on how to create
successful collaborations so that school based and mental
health services can be integrated and replicated across the state
of California.
Outcome 2 Design a toolkit by collecting and synthesizing components used
to establish partnership between DBH and FCSS.
Measure 2 Create "Bridging Education and Mental Health: A Toolkit
Integrating School Based Services in California" and promote to
counties using appropriate communication channels including
A114Youth Website and MHSOAC Website.
Goal/Ob4ective Reduce stigma around mental illness by increasing awareness
in the following populations: youth, families, community
members, school teachers and staff, primary care health care
providers, employers helping them understand early warning
signs of mental illness, how to refer children and youth to
Wellness Centers for services, and available resources and
supports.
Outcome: Youth, families, community members, school teachers and staff,
primary care health care providers, employers, and others
receive training on early warning signs of mental illness, how to
refer children and youth for services and available resources
and supports.
Measure: Number of Trainings provided at Wellness Centers and
demographics of those trained (youth, families, community
members, school teachers and staff, primary care health care
providers, employers).
Acces
Goal/Ob'ective Expand accessible mental health services for youth and families
by establishing four Wellness Centers in targeted high- risk
locations throughout Fresno County.
Revised Exhibit A-1
Page 14 of 15
Outcome Identify high-need Wellness Center locations. One new
Wellness Center is adapted in year one and three new Wellness
Centers are constructed during the second year of the grant
period. Wellness Centers are located on or adjacent to school
campuses.
Measure: One Wellness Center developed and operational in year one.
Three new Wellness Centers are constructed during the second
year of grant period.
Satisfactwo
Goal/Obiective School, community and families will have an overall satisfaction
with Wellness Center experience.
Outcome: School staff, community members and families will report
satisfaction with Wellness Center accessibility, finding the
Family Partners culturally and linguistically responsive, and
information shared helpful.
Measure: Wellness Center Satisfaction Survey
XVI. ReAorting
FCSS, in partnership with DBH, shall provide information to MHSOAC on a quarterly basis and within 30
days after the end of each reporting period. FCSS understands that MHSOAC may modify the reporting
date to better fit in with FCSS's and/or DBH's normal month-end financial cycle. FCSS, in partnership
with DBH, shall submit the following reports to MHSOAC:
1. Hiring Report, which shall include the following:
a. List each type of personnel hired by FCSS and/or hired as a contractor related to
the MHSSA RFA. Identify which staff are FCSS staff and which are contractors.
b. List personnel at service locations/points of access. Access point location and
addresses must be identified: If an address is not possible, clearly identify the area
in which access point(s) will be.
2. Evaluation Data
FCSS, in partnership with DBH, shall provide MHSOAC with data based on specifications
and timelines defined by the MHSOAC.
3. Expenditure Information
FCSS, in partnership with DBH, shall provide MHSOAC all expenditure information in the
Annual Fiscal Report within 30 days of the end of the grant year.
Additional reports/outcomes may also be requested and provided as agreed upon by DBH and FCSS
and may at the request of the MHSOAC, based on among other things, identification of client/family
specific needs as well as State required/outcomes as needed.
Revised Exhibit A-1
Page 15 of 15
XVII. Proaram Communication
FCSS shall increase awareness of and access and linkage to mental health services for youth and their
families and provide related information on the All 4 Youth Partnership website(s).
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2020-21
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
(Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Family Partner 4.64 $ 163,849 $ 163,849
1102 -
1103 - -
1104 -
1105 -
1106 -
1107
1108
1109
1110 -
1111 - -
1112 -
1113
1114
1115 -
1116
1117 -
1118
1119
1120 -
Personnel Salaries Subtotall 4.64 $ - $ 163,849 $ 163,849
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ $ 57,364 $ 57,364
1202 Worker's Compensation - 5,624 5,624
1203 Health Insurance - 49,490 49,490
1204 Other(specify) - - -
1205 Other(specify) -
1206 Other(specify) -
Employee Benefits Subtotal: $ - 1 $ 112,478 1 $ 112,478
Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI $ $ - $
1302 FICA/MEDICARE 12,977 12,977
1303 SUI 131 131
1304 Other(specify) -
1305 10ther(specify) - -
1306 1 Other(specify) -
Payroll Taxes&Expenses Subtotal: $ - $ 13,108 $ 13,108
EMPLOYEE SALARIES&BENEFITS TOTAL: $ $ 289,435 $ 289,435
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing, Food,&Hygiene _
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ -
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $
3002 Printing/Postage
3003 Office, Household& Program Supplies 19,82
3004 Advertising 13,152
3005 Staff Development&Training 6,200
3006 Staff Mileage 18,000
3007 Subscriptions& Memberships
3008 Vehicle Maintenance
3009 Professional Services 11,000
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
OPERATING EXPENSES TOTAL:1 $ 68,174
4000:FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007
4008
4009 Other(specify)
4010 Other(specify)
FACILITIES/EQUIPMENT TOTAL: $
S000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 217/2020
Revised Exhibit B-3
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) 126,584
5004 Translation Services -
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify) -
SPECIAL EXPENSES TOTAL: $ 126,584
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 43,907
6002 Professional Liability Insurance 176
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Other(specify)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
ADMINISTRATIVE EXPENSES TOTAL]—$ 44,083
7000:FIXED ASSETS
Acct# I Line Item Description Amount
7001 lComputer Equipment&Software $ 8,000
7002 lCopiers, Cell Phones,Tablets, Devices to Contain HIPAA Data -
7003 Furniture& Fixtures 30,000
7004 Leasehold/Tenant/Building Improvements 14,385
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Building Architect Fees(Phase 1 Construction) 168,396
7008 Building Construction(Phase 2 Construction) 771,615
FIXED ASSETS EXPENSES TOTAL $ 992,396
TOTAL PROGRAM EXPENSES $ 1,520,672
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 IMental Health Services 0 $ -
8002 Icase Management 0
8003 Crisis Services 0 -
8004 Medication Support 0 -
8005 Collateral 0 - -
8006 Plan Development 0 -
8007 lAssessment 0 -
8008 1 Rehabilitation 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation (FFP)% 1 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 Reali nment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention &Early Intervention
8303 INN-Innovations -
8304 IWET-Workforce Education &Training -
8305 CFTN-Capital Facilities&Technology
M HSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify) -
8404 HSSA Contract 1,520,672
8405 Other(Specify)
OTHER REVENUE TOTALI $ 1,520,672
TOTAL PROGRAM FUNDING SOURCES: $ 1,520,672
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2020-21 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 289,435
Employee Salaries 163,849
1101 Family Partner 140,442 These amounts refelect staff that are needed to perform the duties of specialty mental
health services and related activities.The All 4 Youth Partnership will hire twelve Full-
Time equivalent(FTE)for each Family Partners over the course of the grant cycle.These
positions will be gradually incorporated based on growing client and community needs
A total of four full-time equivalent(FTE)will be hired in year one of the the grant cycle.
1102 Family Partner 23,407
1103 10
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
1116 0
1117 10
1118 0
1119 0
1120 0
Employee,Benefits 112,478
1201 Retirement 57,364 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 5,624
1203 Health Insurance 49,490
1204 Other(specify)
1205 Other(specify)
1206 Other(specify)
(Payroll Taxes&Expenses: 13,108
1301 OASDI
1302 FICA/MEDICARE 12,977 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 131
1304 Other(specify) -
1305 Other(specify)
1306 Other s ed
2000:CLIENT SUPPORT
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothin Food,&Hygiene
2005 iEducation Support
2006 'Employment Support
2007 Household Items for Clients
2008 Medication Supports _
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other s ecifv)
3000:OPERATING EXPENSES 68,174
3001 Telecommunications
3002 Printin Posta e
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3003 Office,Household&Program Supplies 19,822 iReflects cast for office supplies,programming materials and other items essential for
job functions,such as paper,scissors,tape,hole-punch,pens,wastebaskets,envelopes,
paper clips,gloves,first aid supplies,kleenex etc.
3004 Advertising 13,152 Includes expenses for creating,planning,and handling advertising and other forms of
promotion and marketing for the program.
3005 Staff Development&Training 6,200 Reflect cost for Training and Development cohorts provided by Crestwood Behavioral
Health.
3006 1 Staff Mileage 18,000 Cost of staff mileage reimbursement per year for traveling to schools,Hubs,parent
homes or in the community in order to provide services.
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Professional Services 11,000 This includes intangible technology costs for employees such as copier use,internet,
and cell phone reibursement.
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
4000:FACILITIES&EQUIPMENT
4001 Building Maintenance _
4002 Rent/Lease Building _
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 0
4008 0
4009 Other(specify)
4010 iOther(soecifv)
000:SPECIAL EXPENSES 126,584
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information
System)
5003 Contractual/Consulting Services (Specify) 126,584 Cost for contracting a marketing/design firm to package the toolkit in eflectronic
format,and printing copies of toolkit for distribution.
5004 Translation Services
5005 Others eci )
5006 Other(specify) _
5007 Other(specify)
5008 Others eci
5000:ADMINISTRATIVE EXPENSES 44,083
6001 Administrative Overhead 43,907 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS.The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 176 Expense will be paid in the manner as other employees of FCSS,line is recorded by FCSS
as an operating expense.
6003 lAccounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to
be Used for Program Purposes)
6008 Other(sped )
6009 Other(specify)
6010 Oer(specify)
601 th
1 Other(specify)
6012 1 Other(specify)
7000:FIXED ASSETS 992,396
7001 Computer Equipment&Software 8,000 Reflect cost of Laptops for each new Family Partner
7002 Copiers,Cell Phones,Tablets,Devices to -
Contain HIPAA Data
7003 Furniture&Fixtures 30,000 This reflect the cost of purchasing desks,couches,both stationary and portable tables,
chairs,bookcases,file cabinets and other usual and customary office equipment
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7004 1 Leasehold/Tenant/Building Improvements 14,385 This reflect the cost of renovations of existing building owned by FCSS to serve as one of
the four Wellness Centers.The cost will be used for both hard and soft construction
cost.
7005 Other Assets over$500 with Lifespan of 2 -
Years+
7006 jAssets over$5,000/unit(Specify)
7007 Building Architect Fees(Phase 1 Construction) 168,396 This reflect the cost of phase 1 of construction during first year for the 3 modular
Wellness Centers.Cast will include Architect services,State and Local Agency(DSA,CA
Geo SuryeV,CDE,etc)fess and all cost associated with bidding for project.
7008 iBuilding Construction(Phase 2 Construction) 771,615 This reflect the cost of phase 2 of construction during 1st year for 1 of the 3 modular
Wellness Centers.Cost will include remaining Architect services,State and Local
Agency(DSA,CA Geo Survey,CDE,etc)Tess and all cost over course of construction;
purchase of Modulars and Contractors cost.
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY IES USED IN DETERMINING MEDI-CAL SERVICE RATES
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 'Collateral —
8006 Plan Development
8007 Assessment
9008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE 1,520,672
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1.520.672
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintindent of Schools
2021-22
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Family Partner 8.00 $ 280,960 $ 280,960
1102 Family Partner 0.64 23,407 23,407
1103
1104
1105 "
1106
1107 -
1108 - -
1109 "
1110
1111 - -
1112 "
1113 - -
1114 -
1115
1116 -
1117
1118 "
1119 -
1120 "
Personnel Salaries Subtotall 8.64 $ - $ 304,367 $ 304,367
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ $ 106,025 $ 106,025
1202 Worker's Compensation 10,348 10,348
1203 Health Insurance 91,067 91,067
1204 Other(Specify) -
1205 Other(Specify)
1206 Other(Specify) - -
Employee Benefits Subtotal:1 $ - $ 207,440 $ 207,440
Payroll Taxes&Expenses:
Acct# I Description Admin Direct Total
1301 JOASDI $ $ - $
1302 FICA/MEDICARE 24,106 24,106
1303 SUI - 243 243
1304 Other(Specify) - -
1305 Other(Specify)
1306 Other(Specify) - -
Payroll Taxes&Expenses Subtotal: $ $ 24,349 $ 24,349
EMPLOYEE SALARIES&BENEFITS TOTAL: $ - $ 536,156 $ 536,156
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 lChild Care $ -
2002 IClient Housing Support -
2003 Client Transportation &Support -
2004 Clothing, Food,&Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify) -
2012 Other(Specify) -
2013 Other(Specify) -
2014 Other(Specify)
2015 Other(Specify) -
2016 Other(Specify) -
DIRECT CLIENT CARE TOTAL $
3000:OPERATING EXPENSES
Acct# I Line Item Description Amount
3001 ITelecommunications $
3002 1 Printing/Postage -
3003 Office, Household& Program Supplies 19,619
3004 Advertising 10,378
3005 Staff Development&Training 6,200
3006 Staff Mileage 36,000
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Professional Services 17,000
3010 Other(Specify) -
3011 Other(Specify) -
3012 Other(Specify) -
OPERATING EXPENSES TOTAL: $ 89,197
4000:FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ -
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 ISecurity
4006 jUtilities
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
FACILITIES/EQUIPMENTTOTAL: $
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 jgther(Specify)
SPECIAL EXPENSES TOTAL: $
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 54,296
6002 Professional Liability Insurance 381
6003 Accounting/Bookkeeping
I
External Audit
Insurance(Specify):
Payroll Services
Depreciation(Provider-owned Equipment to be Used for Program Purposes)
Other(Specify)
Other(Specify)
Other(Specify)
Other(Specify)
Other(Specify)
ADMINISTRATIVE EXPENSES TOTAL $ 54,677
7000:FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 8,000
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures 30,000
7004 Leasehold/Tenant/Building Improvements _
7005 Other Assets over$500 with Lifespan of 2 Years+ _
7006 Assets over$5,000/unit(Specify)
7007 Building Construction_New Construction 1,936,554
7008 Other(Specify)
FIXED ASSETS EXPENSES TOTAL $ 1,974,554
TOTAL PROGRAM EXPENSES $ 2,654,584
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 IMental Health Services 0 $
8002 Case Management 0
8003 Crisis Services 0
8004 Medication Support 0 '
8005 Collateral 0 '
8006 Plan Development 0 -
8007 lAssessment 0 -
8008 1 Rehabilitation 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 1 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG S
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment S 2,654,584
REALIGNMENT TOTAL $ 2,654,584
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify)
8404 MHSSA CONTRACT
8405 Other(Specify)
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 2,654,24
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintindent of Schools
2021-22 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 536,156
Employee Salaries 304,367
1101 Family Partner 280,960 These amounts reflect staff that are needed to perform the duties of specialty mental
health services and related activities.The All 4 Youth Partnership will hire twelve Full-
Time equivalent(FTE)for each Family Partners over the course of the grant cycle.TThese
positions will be gradually incorporated based on growing client and community needs.A
total of four additional full-time equivalent(FTE)will be hired in year two of the the
grant cycle.
1102 Family Partner 23,407
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
1116 0
1117 0
1118 0 — ——
1119 10
1120 10
Empb ee Benefits 207,440
1201 Retirement 106,025 Employee Benefits will be id in alike manner as other employees of FOSS
1202 Worker's Compensation 10,348
1203 Health Insurance 91,067
1204 Other(Specify)
1205 Other(Specify)
1206 Other(Specify)
(Payroll Taxes&Expenses: 24,349
1301 JOASDI
1302 FICA MEDICARE 24,106 IPavroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 243
1304 Other(Specify) _
1305 Other(Specify) _
1306 Other(Specify)
2000:CLIENT SUPPORT
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothi Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify) _
2013 Other(Specify}
2014 Other(Specify)
2015 1 Other(Specify) _
2016 Other(Specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 202020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT T DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3000:OPERATING EXPENSES 89,197
3001 Telecommunications - _
3002 Pnntin /Postage -
3003 Office,Household&Program Supplies 19,619 Reflects cost for office supplies,programming materials and other items essential forjob
functions,such as paper,scissors,tape,hole-punch,pens,wastebaskets,envelopes,
paper clips,gloves,first aid supplies,kleenex etc.
3004 Advertising 10,378 Includes expenses for creating,planning,and handling advertising and other forms of
promotion and marketing for the program.
3005 Staff Development&Training 6,200 Reflect cost for Training and Development cohorts provided by Crestwood Behavioral
Health.
3006 Staff Mileage 36,000 Cost of staff mileage reimbursement per year for traveling to schools,Hubs,parent
homes or in the community in order to provide services.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Professional Services 17,000 This includes intangible technology costs for employees such as copier use,internet,and
cell phone reibursement.
3010 Other(Specify) -
3011 Other(Specify)
3012 Other(Specify)
4000:FACILITIES&EQUIPMENT
4001 IBuilding Maintenance -
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Secu rity -
4006 Utilities
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
5000:SPECIAL EXPENSES -
5001 1 Consultant(Network&Data Management) -
5002 �HMIS(Health Management Information
System)
5003 Contractual/Consulting Services (Specify)
5004 'Translation Services
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify)
6000:ADMINISTRATIVE EXPENSES 54,677
6001 Administrative Overhead 54,296 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS.The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 381 Expense will be paid in the manner as other employees of FCSS,line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping
6004 External Audit -
6005 Insurance(Specify)_:
6006 Payroll Services
6007 1 Depreciation(Provider-Owned Equipment to
be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify)
6012 Other(Specify) -
7000:FIXED ASSETS 1,974,554
1 7001 1 Computer Equipment&Software ( 8,000 Reflect cost of Laptops for each new Family Partner
•Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2l7/2020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7002 Copiers,Cell Phones,Tablets,Devices to
Contain HIPAA Data
7003 Furniture&Fixtures 30,000 This reflect the cost of purchasing desks,couches,both stationary and portable tables,
chairs,bookcases,file cabinets and other usual and customary office equipment
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2
Years+
7006 Assets over$5,000/unit(Specify)
7007 Building Construction_New Construction 1,936,554 This reflect the cost of phase 2 of construction during 2nd year for the 2 modular
Wellness Centers.Cost will include remaining Architect services,State and Local
Agency(DSA,CA Geo Survey,CDE,etc)fess and all cost over course of construction;
purchase of Modulars and Contractors cost.
7008 Other(Specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE RATES
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BYTHE RFP.
8001 Mental Health Services
8002 Case management
8003 1 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 2,654,584
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 2,6S4,584
BUDGETCHECK:
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2M2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2022-23
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Family Partner 6.00 $ $ 219,084 $ 219,084
1102 Bilingual Family Partner 6.00 219,084 219,084
1103 -
1104 -
1105
1106
1107
1108
1109 "
1110 -
1111 -
1112 -
1113
1114
1115
1116 - -
1117
1118 - -
1119 -
1120 -
Personnel Salaries Subtotall 12.00 $ $ 438,168 $ 438,168
Employee Benefits
Acct# I Description Admin Direct Total
1201 Retirement $ - $ 149,252 $ 149,252
1202 Worker's Compensation - 10,366 10,366
1203 Health Insurance - 180,000 180,000
1204 Other(Specify) - - -
1205 Other(Specify) - -
1206 Other(Specify) - - -
Employee Benefits Subtotal: $ - $ 339,618 $ 339,618
Payroll Taxes&Expenses:
Acct# I Description Admin Direct Total
1301 JOASDI $ $ - $ -
1302 FICA/MEDICARE 39,065 39,065
1303 ISUI - 256 256
1304 Other(Specify) - -
1305 Other(Specify) -
1306 Other(Specify)
Payroll Taxes&Expenses Subtotal: $ $ 39,321 $ 39,321
EMPLOYEE SALARIES&BENEFITS TOTAL: $ - $ 817,107 $ 817,107
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing, Food,&Hygiene -
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify)
2015 Other(Specify)
2016 Other(Specify)
DIRECT CLIENT CARE TOTAL $ -
3000:OPERATING EXPENSES
Acct# I Line Item Description Amount
3001 ITelecommunications $
3002 Printing/Postage
3003 Office, Household&Program Supplies 16,000
3004 lAdvertising -
3005 Staff Development&Training
3006 Staff Mileage 34,000
3007 Subscriptions&Memberships
3008 Vehicle Maintenance -
3009 Professional Services 13,000
3010 Other(Specify) -
3011 Other(Specify)
3012 Other(Specify)
OPERATING EXPENSES TOTAL:1 $ 63,000
4000:FACILITIES&EQUIPMENT
Acct# I Line Item Description Amount
4001 Building Maintenance $ 57,000
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 jUtilities -
4007 1 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
FACILITIES/EQUIPMENT TOTAL: $ ESJ7,000
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Acct# Line Item Description Amount
5001 Consultant(Network& Data Management) $
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Tool Kit& Marketing) 30,000
5004 Translation Services -
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify) -
SPECIAL EXPENSES TOTAL: $ 30,000
6000:ADMINISTRATIVE EXPENSES
Acct# I Line Item Description Amount
6001 lAdministrative Overhead $ 91,723
6002 1 Professional Liability Insurance 438
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify)
6012 Other(Specify) '
ADMINISTRATIVE EXPENSES TOTAL $ 92,161
7000:FIXED ASSETS
Acct# I Line Item Description Amount
7001 lComputer Equipment&Software
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 10ther Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Building Construction-New Construction 835,190
7008 Other(Specify)
FIXED ASSETS EXPENSES TOTAL 1 $ 835,190
TOTAL PROGRAM EXPENSES $ 1,894,E8
Fresno County Department of Behavioral Health Contract Budget Template Revised 217/2020
Revised Exhibit B-3
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 $
8002 Icase Management 0
8003 ICrisis Services 0
8004 1 Medication Support 0
8005 lCollateral 0
8006 Plan Development 0
8007 Assessment 0
8008 Rehabilitation 0
Estimated Specialty Mental Health Services Billing Totals: 1 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation (FFP)% 0%
MEDI-CAL FFP TOTAL $ Lj-
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 IRealignment $ 851,626
REALIGNMENT TOTAL $ 851,626
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training -
8305 JCFTN-Capital Facilities&Technology
MHSATOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(Specify)
8404 MHSSA Contract 1,042,832
8405 Other(Specify)
OTHER REVENUE TOTAL $ 1,042,832
TOTAL PROGRAM FUNDING SOURCES: $ 1,894,458
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2022-23 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 817,107
Employee Salaries 438,168
1101 Family Partner 219,084 The amount reflects 6 full time equivalent(FTE)positions that the All 4 Youth Partnership
will hire over the course of the grant cycle.The positions are needed to perform the
duties of specialty menatl health services and related activities in the Wellness Centers.
1102 Bilingual Family Partner 219,084 The amount reflects 6 full time equivalent(FTE)bilingual positions that the All 4 Youth
Partnership will hire over the course of the grant cycle.The positions are needed to
perform the duties of specialty menatl health services and related activities in the Wellne
1103 10
1104 10 -
1105 10
1106 10
1107 10
1108 10
1109 10
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0 _
1116 0
1117 0 -
1118 0
1119 0
1120 10
Employee Benefits 339,618
1201 1 Retirement 149,252 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 10,366
1203 Health Insurance 180,000
1204 Other(Specify) -
1205 Other(Specify)
1206 Other(Specify) I -
Payroll Taxes&Expenses: 39,321
1301 OASDI -
1302 FICA/MEDICARE 39,065 Payroll Taxes will be paid in a like manner as other em I of FCSS
1303 SUI 256
1304 Other(Specify)
1305 other(Specify)
1306 Other(Specify)
2000:CLIENT SUPPORT
2001 JChild Care
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify) _
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify)
2015 Other(Specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2016 Other(Specify)
3000:OPERATING EXPENSES 63,000
3001 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies 16,000 Reflects cost for office supplies,programming materials and other items essential for job
functions,such as paper,scissors,tape,hole-punch,pens,wastebaskets,envelopes,
paper clips,gloves,first aid supplies,kleenex etc.
3004 Advertising
3005 Staff Development&Training Reflect cost for Training and Development cohorts provided by Crestwood Behavioral
Health.
3006 Staff Mileage 34,000 Cost of staff mileage reimbursement per year for traveling to schools,Hubs,parent
homes or in the communky in order to provide services.
3007 Subscriptions&Memberships
3008 Vehicle Maintenance -
3009 Professional Services 13,000 This includes intangible technology costs for employees such as copier use,internet,and
cell phone reibursement.
3010 10ther(Specify)
3011 1 Other(Specify)
3012 10ther(Specify)
FACILITIES&EQUIPMENT 57.000
4001 1 Building Maintenance 57,000 This includes hard and soft construction cost for renovation and building repairs for
existing Wellness Centers.
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 'Security
4006 Utilities
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 1 Other(Specify)
SOOO:SPECIAL EXPENSES 30,000
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information -
System)
5003 Contractual/Consulting Services (Tool Kit& 30,000 Final cost for contracting a marketing/design firm to package the toolkit in eflectronic
Marketing) format,and printing copies of toolkit for distribution.
5004 Translation Services
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify)
6000:ADMINISTRATIVE EXPENSES 9Z161
6001 Administrative Overhead 91,723 Cost of general management that consist Of expenditures for adminstrative activities
necessary for the general operation of FCSS.The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 438 Expense will be paid in the manner as other employees of FCSS,line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to
be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(S eci )
6012 Other(Specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
Revised Exhibit B-3
PROGRAM EXPENSE
JACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7000:FIXED ASSETS 835,190
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to
Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2
Years+
7006 Assets over$5,000/unit(Specify)
7007 Building Construction-New Construction 835,190 This reflect the cost of construction 5th modular Wellness Centers.Cost will include
Architect services,State and Local Agency(DSA,CA Geo Survey,CDE,etc)fess and all cost
over course of cortstrualon;purchase of Modulars and Contractors cost
-
7008 Other(Specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL IFEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE RATES
ACCT#F LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 J Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 f Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,894,458
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,894,458
BUDGETCHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/712020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2023-24
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Family Partner 6.00 $ $ 219,084 $ 219,084
1102 Bilingual Family Partner 6.00 219,084 219,084
1103 -
1104 -
1105 '
1106
1107 -
1108 '
1109 -
1110
1111 '
1112 '
1113 -
1114 - -
1115 -
1116 - -
1117 '
1118 -
1119 '
1120
Personnel Salaries Subtotall 12.00 1 $ - $ 438,168 $ 438,168
Employee Benefits
Acct# I Description Admin Direct Total
1201 lRetirement $ $ 146,687 $ 146,687
1202 Worker's Compensation - 9,011 9,011
1203 jHealth Insurance 191,292 191,292
1204 Other(Specify) - -
1205 Other(Specify)
1206 Other(Specify) - -
Employee Benefits Subtotal:1 $ - $ 346,990 T$ 346,990
Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE - 41,527 41,527
1303 SUI 271 271
1304 Other(Specify) - -
1305 Other(Specify) -
1306 1 Other(Specify) - -
Payroll Taxes&Expenses Subtotal: $ - $ 41,798 $ 41,798
EMPLOYEE SALARIES&BENEFITS TOTAL: $ - $ 826,956 $ 826,956
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing, Food, &Hygiene _
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify)
2015 Other(Specify)
2016 Other(Specify)
DIRECT CLIENT CARE TOTAL $
3000:OPERATING EXPENSES
Acct# line Item Description Amount
3001 Telecommunications 5
3002 Printing/Postage
3003 Office, Household&Program Supplies 25,000
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage 30,000
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Professional Services 9,457
3010 Other(Specify)
3011 Other(Specify)
3012 Other(Specify)
OPERATING EXPENSES TOTAL:1$ 64,457
4000:FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 12,500
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
FACILITIES/EQUIPMENT TOTAL: $ 12,500
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Acct# Line Item Description Amount
5001 Consultant(Network& Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) 15,000
5004 Translation Services
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify)
SPECIAL EXPENSES TOTAL: $ 15,000
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead
$ 82,590
6002 Professional Liability Insurance 543
6003 Accounting/Bookkeeping I
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify)
6012 Other(Specify)
ADMINISTRATIVE EXPENSES TOTAL $ 83,133
r7OO7
IXED ASSETS
Line Item Description Amount
Computer Equipment&Software
$ 10,000
Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data
Furniture&Fixtures 10,000
Leasehold/Tenant/Building Improvements
Other Assets over$500 with Lifespan of 2 Years+
Assets over$5,000/unit(Specify)
Other(Specify) 969,359
Other(Specify)
FIXED ASSETS EXPENSES TOTAL $ 989,359
TOTAL PROGRAM EXPENSES r$ 1,991,j s
Fresno County Department of Behavioral Health Contract Budget Template Revised Y12020
Revised Exhibit B-3
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 $
8002 Case Management 0
8003 Crisis Services 0
8004 Medication Support 0 -
8005 Collateral 0
8006 Plan Development 0
8007 Assessment 0
8008 Rehabilitation 0 -
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)% 1 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 52,860
REALIGNMENT TOTAL $ 52,860
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention& Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education &Training
8305 CFTN-Capital Facilities&Technology
M HSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify)
8404 MHSSA Contract 1,938,545
8405 Other(Specify)
OTHER REVENUE TOTALI $ 1,938,545
TOTAL PROGRAM FUNDING SOURCES: $ 1,991,4 S
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2023-24 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 826,956
Employee Salaries 438,168
1101 Family Partner 219,084 The amount reflect 6 full-time equivalent(FTE)positions that the All 4 Youth partnership
will hire over the course of the grant cycle.The positions are needed to perform the
duties of specialty mental health services and related activites in the Wellness Center.
1102 Bilingual Family Partner 219,084 The amount reflect 6 full-time equivalent(FTE)bilingual positions that the All 4 Youth
partnership will hire over the course of the grant cycle.The positions are needed to
perform the duties of specialty mental health services and related activites in the
Wellness Center.
1103 0
1104 0
1105 10
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 10
1113 10
1114 10
1115 10
1116 0
1117 0
1118 0
1119 0
1120 0
(Employee Benefits 346,990
1201 lRetirement 146,687 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 9,011
1203 Health Insurance 191,292
1204 Other(Specify) -
1205 Other(Specify)
1206 Other(Specify) -
Payroll Taxes&Expenses: 42,798
1301 JOASDI -
1302 FICA/MEDICARE 42,527 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 271
1304 Other(Specify) -
1305 Other(Specify)
1306 Other KnPrifiJI
2000:CLIENT SUPPORT
2001 Child Care
2002 Client HousingSupport
2003 Client Transportation&Su ort
2004 Clothin Food,&Hygiene
2005 Education Support
2006 Employment Su ort
2007 1 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Speci )
2013 Other(Speci )
2014 Other(Specify)
2015 Other(Specify)
2016 1 Other(Specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3000:OPERATING EXPENSES 64,457
3001 ITelecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies 25,000 Reflects cast for office supplies,programming materials and other items essential for job
functions,such as paper,scissors,tape,hole-punch,pens,wastebaskets,envelopes,
paper clips,gloves,first aid supplies,kleenex etc.
3004 Advertising
3005 IStaff Development&Training
3006 Staff Mileage 30,000 Cost of staff mileage reimbursement per year for traveling to schools,Hubs,parent
homes or in the community in order to provide services.
3007 ISubscriptions&Memberships
3008 JVehicle Maintenance
3009 Professional Services 9,457 This includes intangible technology casts for employees such as copier use,internet,and
cell phonereibursement
3010 Other S eci )
3011 Other(Specify)
3012 Other(Specifv) -
000:FACILITIES&EQUIPMENT 12,00
4001 1 Building Maintenance 12,500 This includes hard and soft construction cost for renovation and building repairs for
existing Wellness Centers.
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
5000:SPECIAL EXPENSES 15,000
5001 lConsultant(Network&Data Management)
5002 HMIS(Health Management Information -
System)
5003 Contractual/Consulting Services (Specify) 15,000 Cost for the marketing firm to design and produce banners for the Wellness Centers.
5004 Translation Services
5005 1 Other(Specify)
5006 10ther(Specify)
5007 10ther(Specify)
5008 1 Other(Specify)
6000:ADMINISTRATIVE EXPENSES 83,133
6001 Administrative Overhead 82,590 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS.The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 543 Expense will be paid in the manner as other employees of FCSS,line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipmentto
be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify)
6012 Other(Specify)
7000.FIXED ASSETS 980,359
7001 lComputer Equipment&Software 1 10,000 17is reflect cost of computer equipment for the modular buildings.
7002 Copiers,Cell Phones,Tablets,Devices to
Contain HIPAA Data
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT# LINE ITEM All I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7003 Furniture&Fixtures 10,000 This reflect the cost of purchasing desks,couches,both stationary and portable tables,
chairs,bookcases,file cabinets and other usual and customary office equipment
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2
Years+
7006 Assets over$5,000/unit(Specify) -
7007 Other(Specify) 969,359 This reflect the cost of construction 5th modular Wellness Centers.Cost will include
Architect services,State and Local Agency(DSA,CA Geo Survey,CDE,etc)fess and all cost
over course of construction;purchase of Modulars and Contractors cost
7008 Other(Specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE RATES
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 IMental Health Services I
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment T
8008 lRehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,991.405
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,991,405
BUDGET CHECK:
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract- 19MHSOAC052
Fresno County Superintendent of Schools
2024-25
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Family Partner 6.00 $ - $ 219,084 $ 219,084
1102 Bilingual Family Partner 6.00 219,084 219,084
1103 - -
1104 -
1105 -
1106
1107
1108 -
1109 -
1110 -
1111 '
1112 -
1113 "
1114
1115
1116 -
1117 "
1118
1119
1120 -
Personnel Salaries Subtotall 12.00 1 $ - $ 438,168 $ 438,168
Employee Benefits
Acct# I Description Admin Direct Total
1201 1 Retirement $ $ 146,687 $ 146,687
1202 Worker's Compensation - 9,011 9,011
1203 1 Health Insurance - 191,292 191,292
1204 Other(Specify) - -
1205 Other(Specify)
1206 Other(Specify) -
Employee Benefits Subtotal:1 $ - $ 346,990 1 $ 346,990
Payroll Taxes&Expenses:
Acct# I Description Admin Direct Total
1301 JOASDI $ $ - $
1302 FICA/MEDICARE 41,527 41,527
1303 ISUI - 271 271
1304 Other(Specify) -
1305 Other(Specify)
1306 Other(Specify)
Payroll Taxes&Expenses Subtotal: $ - $ 41,798 $ 41,798
EMPLOYEE SALARIES&BENEFITS TOTAL: $ $ 826,956 $ 826,956
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation &Support
2004 Clothing, Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify)
2015 Other(Specify)
2016 Other(Specify)
DIRECT CLIENT CARE TOTAL $
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $
3002 Printing/Postage
3003 Office, Household&Program Supplies 25,000
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage 30,000
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Professional Services J64,457
3010 Other(Specify)
3011 Other(Specify)
3012 Other(Specify)
OPERATING EXPENSES TOTAL: $
4000:FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 12,500
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
FACILITIES/EQUIPMENT TOTAL: $ 12,500
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Acct# Line Item Description Amount
5001 Consultant(Network& Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(Specify) -
5006 Other(Specify) -
5007 Other(Specify)
5008 Other(Specify)
SPECIAL EXPENSES T0TAL:1 $ -
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6c Administrative Overhead $ 152,543
6002 1 Professional Liability Insurance 543
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify) -
6012 Other(Specify) -
ADMINISTRATIVE EXPENSES TOTAL $ 153,086
7000:FIXED ASSETS
Acct# I Line Item Description Amount
7001 lComputer Equipment&Software $ -
7002 lCopiers, Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 10ther Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Other(Specify)
7008 Other(Specify)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES $ 1,056,999
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 $
8002 Case Management 0
8003 Crisis Services 0
8004 Medication Support 0
8005 Collateral 0
8006 Plan Development 0 _
8007 Assessment 0 _
8008 Rehabilitation 0
Estimated Specialty Mental Health Services Billing Totals: p $ _
Estimated%of Clients who are Medi-Cal Beneficiaries 00
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)% 1 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment S 17,558
REALIGNMENT TOTAL $ 17,558
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention _
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 ICFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify)
8404 MHSSA Funding 1,039,441
8405 Other(Specify)
OTHER REVENUE TOTAL $ 1,039,441
TOTAL PROGRAM FUNDING SOURCES: $ 1,056,999
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2024-25 Budget Narrative
PROGRAM EXPENSE
ACCT h LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 826,956
Employee Salaries 438,168
1101 Family Partner 219,084 The amount reflect 6 full-time equivalent(FTE)positons thatthe All 4 Youth Partnership
will hire over the course of the grant cycle,The positions are needed to perform the
duties of specialty mental health services and related activities in the Wellness Centers.
1102 Bilingual Family Partner 219,084 The amount reflect 6 full-time equivalent(FTE)bilingual positons that the All 4 Youth
Partnership will hire over the course of the grant cycle.The positions are needed to
perform the duties of specialty mental health services and related activities in the
Wellness Centers.
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 10
1110 0 —
1111 0
1112 0 —
1113 0 —
1114 0 —
1115 0
1116 0
1117 0 —
1118 0 —
1119 0
1120 0
Employee Benefits 346,990
1201 Retirement 146,697 Employee Benefits will be paid in a like manner as other employees of FCSS.
1202 Worker's Compensation 9,011
1203 Health Insurance 191,292 —
1204 Other(Specify) -
1205 Other(Specify)
1206 Other(Specify)
payroll Taxes&Expenses: 41,798
1301 OASDI
1302 !FICA/MEDICARE 41,527 Payroll Taxes will be paid in alike manner as other employees of FCSS.
1303 SUI 271
1304 Other(Specify)
1305 Other(Specify)
1306 JOther(Specify)
2000:CLIENT SUPPORT
2001 lChild Care —
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Speci )
2013 Other(Specify)
2014 Other(Specify)
2015 other(Specify)
2016 Other(Specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2l7/2020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3000:OPERATING EXPENSES 64,457
3001 1 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies 25,000 Reflects cost for office supplies,programming materials and other items essential for job
functions,such as paper,scissors,tape,hole-punch,pens,wastebaskets,envelopes,
paper clips, loves,first aid supplies,kleenex etc.
3004 JAdvertising
3005 1 Staff Development&Training -
3006 Staff Mileage 30,000 Cost of staff mileage reimbursement per year for traveling to schools,Hubs,parent
homes or in the community in order to provide services.
3007 ISubscriptions&Memberships
3008 Vehicle Maintenance -
3009 Professional Services 9,457 This includes intangible technology costs for employees such as copier use,internet,and
cell honereibursement.
3010 Other(Specify)
3011 Other(Specify)
3012 Other(S eci )
4000:FACILITIES&EQUIPMENT 12,500
4001 Building Maintenance 12,500 Includes hard and soft construction cost for renovation and building repairs for existing
Wellness Centers.
4002 Rent/Lease Building -
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 ISecurity
4006 Utilities
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other 5 eci
5000:SPECIAL EXPENSES
5001 lConsultant(Network&Data Management)
5002 HMIS(Health Management Information
System)
5003 Contra ctual/Consultin Services (Specify)
5004 Translation Services
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 (Other(Specify)
6000:ADMINISTRATIVE EXPENSES 153,086
6001 Administrative Overhead 152,543 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS.The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 543 Expense will be paid in the manner as other employees of FCSS,line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to
be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify)
6012 Other(Specify)
000:FIXED ASSETS -
7001 1 Computer Equipment&Software -
7002 Copiers,Cell Phones,Tablets,Devices to -
Contain HIPAA Data
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B-3
PROGRAM EXPENSE
Accr#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7003 1 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2
Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(Specify)
7008 Other(Specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE RATES
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 j Mental Health Services
8002 Icase Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,056,999
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,056,999
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2025-26
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Family Partner 6.00 $ 109,542 $ 109,542
1102 Bilingual Family Partner 6.00 109,542 109,542
1103
1104
1105
1106
1107 '
1108 '
1109
1110 "
1111
1112 "
1113 -
1114 '
1115 '
1116 "
1117 '
1118 "
1119 "
1120
Personnel Salaries Subtotal 12.00 $ - $ 219,084 $ 219,084
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ - $ 73,344 $ 73,344
1202 Worker's Compensation - 4,506 4,506
1203 Health Insurance 95,646 95,646
1204 1 Other(specify) -
1205 Other(specify)
1206 Other(specify) -
Employee Benefits Subtotal:l $ - $ 173,496 $ 173,496
Payroll Taxes&Expenses:
Acct# I Description Admin Direct Total
1301 OASDI $ $ -
1302 FICA/MEDICARE 20,764 20,764
1303 SUI 134 134
1304 Other(specify) -
1305 Other(specify)
1306 1 Other(specify) -
Payroll Taxes&Expenses Subtotal: $ - $ 20,898 $ 20,898
EMPLOYEE SALARIES&BENEFITS TOTAL: $ 1 $ 413,478 1 $ 413,478
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation &Support
2004 Clothing, Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 lHousehold Items for Clients
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 jUtility Vouchers -
2011 10ther(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $
3000:OPERATING EXPENSES
Acct# I Line Item Description Amount
3001 ITelecommunications
3002 Printing/Postage
3003 lOffice, Household&Program Supplies
3004 lAdvertising
3005 IStaff Development&Training
3006 IStaff Mileage
3007 ISubscriptions&Memberships
3008 IVehicle Maintenance
3009 1 Professional Services
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
OPERATING EXPENSES TOTAL: $ -
'4000: FACILITIES&EQUIPMENT
Acct# I Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 1 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007
4008
4009 Other(specify)
4010 Other(specify)
FACILITIES/EQUIPMENTTOTAL: $
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Acct# Line Item Description Amount
5001 Consultant(Network& Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
SPECIAL EXPENSES TOTAL: $ -
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead
$ 24,582
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreci at ion(Provider-Owned Equipment to be Used for Program Purposes) _
6008 Other(specify)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
ADMINISTRATIVE EXPENSES TOTAL $ 24,Sg2
7000:FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Building Architect Fees(Phase 1 Construction)
7008 Building Construction (Phase 2 Construction)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES $ 438,060
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 IMental Health Services 0 $
8002 Icase Management 0 -
8003 1 Crisis Services 0 -
8004 1 Medication Support 0 -
8005 lCollateral 0 -
8006 Plan Development 0 -
8007 Assessment 0 -
8008 Rehabilitation 0
Estimated Specialty Mental Health Services Billing Totals: 1 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 0%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 1 0%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (53,809)
REALIGNMENT TOTAL $ (S3,809)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify)
8404 MHSSA Contract 491,869
8405 Other(Specify)
OTHER REVENUE TOTAL $ 491,869
TOTAL PROGRAM FUNDING SOURCES: $ 438,060
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B-3
Behavioral Health MHSSA Contract-19MHSOAC052
Fresno County Superintendent of Schools
2025-26 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 413,478
Employee Salaries 219,084
1101 Family Partner 109,542 The amount reflect 6 full-time equivalent(FTE)positions that the All 4 Youth
partnership will hire over the course of the grant cycle.The positions are needed to
performt he duties of specialty mental health services and related activities in the
Wellness Center.
1102 Bilingual Family Partner 109,542 The amount reflect 6 full-time equivalent(FTE)bilingual positions that the All 4 Youth
partnership will hire over the course of the grant cycle.The positions are needed to
performt he duties of specialty mental health services and related activities in the
Wellness Centers.
1103 10
1104 10
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 10
1114 10
1115 10 —
1116 0
1117 0
1118 0
1119 0
1120 0
Employee Benefits 173,496
1201 Retir2ment 73,344 lEmployee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 4,506
1203 Health Insurance 9S,646
1204 Other(specify)
1205 Others
1206 Other(specify)
Pa roll Taxes&Expenses: 20,898
1301 OASDI
1302 FICA/MEDICARE 20,764 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 134
1304 Other(specify)
1305 Other(specify)
1306 Others d
2000:CLIENT SUPPORT
2001 lChild Care I
2002 IClient Housing Support I
2003 1 Client Transportation&Support
2004 Clothin Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other eci
3000:OPERATING EXPENSES
3001 1Telecommunications -
3002 Printin Posta e
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3003 1 Office,Household&Program Supplies
3004 jAdvertising
3005 Staff Development&Training
3006 Staff Milea e
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Professional Services
3010 Other(specify)
3011 Other(specify)
3012 Others eci
4000:FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 ISecurity
4006 Utilities
4007 0
4008 0
4009 Other(specify)
4010 Other(specify)
50 00.SPECIAL EXPENSES
5001 jConsultant(Network&Data Management)
5002 IHMIS(Health Management Information
System)
5003 Contractual/Consultin Services (Specify)
5004 ITranslation Services
5005 Other(specify)
5006 Other(specify)
5007 1 Others eci )
SM Other(specify)
6000;ADMINISTRATIVE EXPENSES 24,S82
6001 Administrative Overhead 24,582 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS.The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
t0046Professional Liability Insurance
Accountin BookkeepinExternal Audit
6005 Insurance(Specify):
6006 Pa roll Services
6007 Depreciation(Provider-Owned Equipment to
be Used for Program Purposes)
6008 Other(specify)
6009 Other(specify)
6010 Other(specify)
6011 Other(s eci )
6012 10thers eci
7000:FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to
Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2
Years+
7006 Assets over$5,000/unit(Specify)
7007 Building Architect Fees(Phase 1 Construction)
7008 Building Construction(Phase 2 Construction)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B-3
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE RATES
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 Mental Health Services
8002 Icase Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment I —
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 438,060
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 438.060
BUDGET CHECK:
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
Exhibit J
Insurance Requirements
1. Required Policies
Each Party, at its sole expense, shall maintain in full force and effect insurance or self-insurance
coverage that complies, at a minimum, with the following requirements, and shall provide written
proof of such insurance to the other Party upon the other Party's request as follows:
(A) Commercial General Liability. Commercial general liability insurance with limits of not
less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of
Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis.
(B) Automobile Liability. Automobile liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages.
Coverage must include any auto used in connection with this Agreement.
(C) Workers Compensation. Workers compensation insurance as required by the laws of
the State of California with statutory limits.
(D) Professional Liability. Professional liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million
Dollars ($3,000,000). The retroactive date of a claims made policy, if Contractor has
such a policy, must be prior to the commencement of the Agreement. This obligation
shall survive the termination of this Agreement by not less than five years.
(E) Sexual Abuse and Molestation Liability. Sexual abuse/ molestation liability insurance
with limits of not less than Two Million Dollars ($2,000,000) per occurrence, with an
annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a
per occurrence basis. This obligation shall survive the termination of the Agreement by
three (3) years.
(F) Cyber Liability (also termed Information Security and Privacy Insurance). Cyber
liability insurance with limits of not less than Two Million Dollars ($2,000,000) per
occurrence. Coverage must include claims involving Cyber Risks. The cyber liability
policy must be endorsed to cover the full replacement value of damage to, alteration of,
loss of, or destruction of intangible property (including but not limited to information or
data) that is in the care, custody, or control of the Contractor.
Definition of Cyber Risks. "Cyber Risks" include but are not limited to (i) Security
Breach, which may include Disclosure of Personal Information to an Unauthorized Third
Party; (ii) data breach; (iii) breach of any of the Contractor's obligations under Article 20
of this Agreement; (iv) system failure; (v) data recovery; (vi)failure to timely disclose
data breach or Security Breach; (vii) failure to comply with privacy policy; (viii) payment
card liabilities and costs; (ix) infringement of intellectual property, including but not
limited to infringement of copyright, trademark, and trade dress; (x) invasion of privacy,
including release of private information; (xi) information theft; (xii) damage to or
destruction or alteration of electronic information; (xiii) cyber extortion; (xiv) extortion
related to the Contractor's obligations under this Agreement regarding electronic
information, including personal information; (xv) fraudulent instruction; (xvi) funds
transfer fraud; (xvii) telephone fraud; (xviii) network security; (xix) data breach response
costs, including Security Breach response costs; (xx) regulatory fines and penalties
J-1
Exhibit J
related to the Contractor's obligations under this Agreement regarding electronic
information, including Personal Information; and (xxi) credit monitoring expenses.
If the Contractor is a governmental entity, it may satisfy the policy requirements above through a
program of self-insurance, including an insurance pooling arrangement or joint exercise of
powers agreement.
2. Additional Requirements
Endorsements to the Commercial General Liability insurance naming the other Party, its
boards, officers, agents, and employees, individually and collectively, as additional insured, but
only insofar as the operations under this Agreement are concerned. Such coverage for
additional insured shall apply as primary insurance and any other insurance, or self-insurance,
maintained by the other Party, its boards, officers, agents, and employees shall be excess only
and not contributing with insurance provided under the policies herein. This insurance shall not
be cancelled or changed without a minimum of thirty (30) days advance written notice given to
the other Party.
(A) Acceptability of Insurers. All insurance policies required under this Agreement must be
issued by admitted insurers licensed to do business in the State of California and
possessing at all times during the term of this Agreement an A.M. Best, Inc. rating of no
less than A: VI I or the equivalent self-insurance.
(B) Subcontractors. The Contractor shall require and verify that all subcontractors used by
the Contractor to provide SMHS or PEI services under this Agreement maintain
insurance meeting all insurance requirements provided in this Agreement. This
paragraph does not authorize the Contractor to provide services under this Agreement
using subcontractors.
J-2