HomeMy WebLinkAboutDepartment of Health Human Services-Centers for Disease Control Prevention-Health Promotion for Capacity Building to Fight COVID-19 Existing Health Disparities_A-24-233.pdf COtj County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
!` Board of Supervisors 93721-2198
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� Telephone:(559)600-3529
Minute Order Toll Free: 1-800-742-1011
www.fresnoco u ntyca.g ov
May 21, 2024
Present: 5- Supervisor Steve Brandau,Chairman Nathan Magsig,Vice Chairman Buddy Mendes,
Supervisor Brian Pacheco,and Supervisor Sal Quintero
Agenda No. 47. Public Health File ID:24-0442
Re: Approve and authorize the Chairman to execute retroactive Third Amendment to the Notice of Award
and Agreement No.23-137 with the Department of Health and Human Services,Centers for Disease
Control and Prevention,effective February 8,2024 to extend the Agreement term by twenty-four(24)
months from June 1,2024 to May 31,2026 and amend the budget with no change to the total
maximum compensation of$7,897,935
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero
Agreement No.24-233
County of Fresno Page 50
co
Board Agenda Item 47
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FRE`�
DATE: May 21, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Retroactive Third Amendment to Revenue Agreement with the Department of Health
and Human Services
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute retroactive Third Amendment to the Notice of
Award and Agreement No. 23-137 with the Department of Health and Human Services, Centers for
Disease Control and Prevention,effective February 8, 2024 to extend the Agreement term by
twenty-four(24) months from June 1, 2024 to May 31, 2026 and amend the budget with no change to
the total maximum compensation of$7,897,935.
There is no additional Net County Cost associated with the recommended action. The recommended action
will allow the County to extend the term of the agreement by 24 months and amend the budget to carryover
unspent funds into Federal Fiscal Years 2024-25 and 2025-26, while also redirecting Budget Category
line-item amounts to fulfill scope of work activities through May 31, 2026. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, Federal funding would end on May 31, 2024 and
the awarded amount of$7,897,935 would not be fully expended.Additionally, agreements under the
Department's Health Disparities program would end on December 31, 2024 which would shorten their
implementation period and not allow maximum utilization of their full contract amounts.
RETROACTIVE AGREEMENT:
The recommend action is retroactive to February 8, 2024, which is the date that the Department received
the Notice of Award for the no cost extension. The action is being brought to your Board in accordance with
the agenda item processing timeline.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended
amendment does not result in a change to the maximum amount of the agreement of$7,897,935 and will be
fully offset with federal grant funds. Sufficient appropriations and estimated revenues are included in the
Department's Org 5620 FY 2023-24 Adopted Budget and will be included in subsequent budget requests.
DISCUSSION:
On July 13, 2021, your Board approved Agreement No. 21-265 which allowed the County to accept the grant
award for a non-competitive National Initiative to Address COVID-19 Health Disparities Among Populations
County of Fresno Page 1 File Number:24-0442
File Number:24-0442
at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities
grant(CDC-RFA-OT21-2103)through the Centers For Disease Control and Prevention (CDC). The grant
awarded was in the amount of$7,897,935 for the period from June 1, 2021 through May 31, 2023.
On March 28, 2023, your Board approved Agreement No. 23-136 and Agreement No. 23-137 amending the
agreement to extend the term for an additional 12-month period and adjusted the budget to account for an
additional 12 months of activities.
On January 30, 2024, the Department applied for an additional 24-month No Cost Extension of grant funding
to extend the term of the agreement through May 31, 2026.
On February 8, 2024, the Department received a Notice of Award (NoA)for the Department's submission of
the No Cost Extension.
On March 1, 2024 the Department applied for a Budget Redirection in order to modify the previously
submitted grant budget to account for an additional 24-months of extended activities. The terms and
conditions of the Agreement allow for modifications without formal approval from the grantor and do not
consider budget transfers under 25 percent of the total approved budget to be significant enough to elicit a
new NoA. The total amount modified in the Budget Redirection was $651,965, eight percent of the total
budget, and well below the 25 percent threshold. Attachment A includes the changes to the budget, excerpts
from the Department of Health and Human Services Grants Policy Statement and emails from the grantor
acknowledging that no formal approval is needed for changes below 25 percent.
Subcontracts executed with local nonprofit organizations under this funding only allowed for 21 months of
activities due to the short length of the original grant term of 24 months, from June 1, 2021 through May 31,
2023. Approval of the recommended action will allow for the Department and contracted agencies to
continue to provide critical resources and care coordination services to residents experiencing barriers to
health throughout Fresno County. The recommended action will also provide additional time for the
continued collection of robust person level data and allow for the maximum amount of grant funds to be
utilized to benefit the residents of Fresno County.
The recommended Amendment does not include the County's standard insurance language and limits.
However, the grantor's full terms and conditions were previously reviewed by Risk and Counsel and
accepted when the Agreement was approved on July 13, 2021, as the Department is the recipient of grant
funding from a federal agency.
REFERENCE MATERIAL:
BAI #49, March 28, 2023
BAI #43, July 13, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Third Amendment to Agreement with DHHS CDC
Attachment A
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number.24-0442
Agreement No. 24-233
DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
--� Award# 6 NH750T000007-01-04
Centers for Disease Control and Prevention
FAIN# NI-1750T000007
Federal Award Date: 02/08/2024
Recipient Information Federal Award Information
1. Recipient Name 11.Award Number
COUNTY OF FRESNO 6 N11750T000007-01-04
1221 Puhun Nloll 12.Unique Federal Award Identification Number(FAIN)
N11750T000007
Fresno,CA 93721-1915 13.Statutory Authority
317(K)(2)OF 1'1ISA 42USC 247B(K)(2)
14.Federal Award Project Title
2. Congressional District of Recipient Fresno County's Initiative to Address COVID-19 Related Health Disparities
16
3. Payment System Identifier(ID)
15.Assistance Listing Number
4. Employer Identification Number(EIN) 93.391
16.Assistance Listing Program Title
5. Data Universal Numbering System(DUNS) Activities to Support State,Tribal,Local and'renitorial(SfLT)Health Department Response to Public
556197655 1lealth or Healthcare Criscs
6. Recipient's Unique Entity Identifier(UEI) 17.Award Action Type
GL115PZL%VS7_la No Cost Extension
7. Project Director or Principal Investigator 18.Is the Award R&D?
No
Nis.Claudia Sandoval
Public Ilealth Division Manage. Summary Federal Award Financial Information
clsandoval(r!I'resnocountyca.gov
19. Budget Period Start Date 06/01/2021 -End Date 05/3I/2026
559-600-6546
8. Authorized Official 20. Total Amount of Federal Funds Obligated by this Action So.00
20a.Direct Cost Amount $0.00
41r.David Luchini
20b.Indirect Cost Amount S0.00
Assitant Director
dl tic 1)ini t)I esoocountvca.gov 21. Authorized Carryover S0,00
559-600-6402 22. Offset $0.00
23. Total Amount of Federal Funds Obligated this budget period S7,897,935.00
Federal Agency Information
24. Total Approved Cost Sharing or Matching,where applicable So.00
CDC Office of Financial Resources
25. Total Federal and Non-Federal Approved this Budget Period S7,897,935.00
9. Awarding Agency Contact Information 26. Period of Perfomance Start Date 06/01/2021 -End Date 05/31/2026
Jo-Anne Saunders
Grants Management Specialist 27. Total Amount of the Federal Award including Approved
srq 1�Fualc.gov Cost Sharing or Matching this Period of Performance S7,897,935.00
4044985235
28.Authorized Treatment of Program Income
10.Program Official Contact Information ADDITIONAL COSTS
Henry Anay'a 29.Grants Management Officer-Signature
Progrmn Officer
Ms.Ester Edward
syz4(tLcdc.gov
Grants Mmraaeeuent Officer
404-498-042I
30. Remarks
Page 1
DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
Centers for Disease Control and Prevention Award# 6 NH750T000007-01-04
FAIN# NI-17501'000007
Federal Award Date: 02/08/2024
Recipient Information 33. Approved Budget
(Excludes Direct Assistance)
Recipient Name I. Financial Assistance from the Federal Awarding Agency Only
COUNTY OF FRESNO 11. Total project costs including grant funds and all other financial participation
1221 Fulton Mall a. Salaries and Wages g s488,851.64
Fresno,CA 93721-1915
b. Fringe Benefits S361,862.38
c. Total Personnel Costs SS50,714.02
Congressional District of Recipient d. Equipment S50,000.00
16 e. Supplies S45,895.82
Payment Account Number and Type f. Travel .
S7,_2 53 I)
Employer Identification Number(EIN)Data g• Construction S0,00
h. Other S483,050.04
Universal Numbering System(DUNS) i. Contractual
S6,289,830.64
556197655
Recipient's Unique Entity Identifier (UEQ j. TOTAL DIRECT COSTS S7,726,743.71
GLP5PZLWSZEI
It. INDIRECT COSTS $171,191.29
31.Assistance Type 1. TOTAL APPROVED BUDGET $7,897,935.00
Project Grant
in. Federal Share $7,897,935.00
32.Type of Award
Other n. Non-Federal Share $0.00
34.Accounting Classification Codes
FY-ACCOUNT NO. DOCUMENT NO. ADMINISTRATIVE CODE OBJECT CLASS CFDA NO. AMT ACTION FINANCIAL ASSISTANCE APPROPRIATION
1-93901106 21NH7501-000007C5 01' 41.51 93.391 50.00 75-2122-0140
Page 2
/ DEPARTMENT OF HEALTH AND HUMAN SERVICES Notice of Award
-✓ Award# 6 NH750T000007-01-04
Centers for Disease Control and Prevention 11 FAIN# NH750T000007
Federal Award Date: 02/0S/2024
Direct Assistance
BUDGET CATEGORIES PREVIOUS AMOUNT(A) AMOUNT THIS ACTION(B) TOTAL(A+B)
Personnel $0.001 $0.001 $0.00
Fringe Bencrits so.00 so.00 $0.00
Travcl so.001 $0.001 $0.00
Equipment $0.00 $0.00 $0.00
Supplies $0.001 $0.00 $0.00
Contraclual $0.00 $0.00 $0.00
Construclion $0.00 $0.00 —$0.00
Other $0.00 $0.00 $0.00
Total $0.0-01 $0.00
$0.00
Page 3
AWARD ATTACHMENTS
COUNTY OF FRESNO 6 NH75OT000007-01-04
1.Terms and Conditions
ADDITIONAL TERMS AND CONDITIONS OF AWARD
The General Terms and Conditions for non-research grants and cooperative agreements have
been updated, effective January 23, 2024, to reflect current regulations and requirements for
federal financial assistance.
No Cost Extension: The purpose of this amendment is to approve a Twenty-four(24) month
No Cost Extension per the request submitted by your organization dated January 30, 2024. The
budget and project period end dates have been extended from May 31, 2024 to May 31, 2026.
Annual Federal Financial Report(FFR SF-425): Annual financial reporting is required every
twelve-month period. Due to the approved extension period, the final budget period has been
extended and an additional annual financial report will be required. A completed FFR SF-425
covering the budget period of June 1, 2023 to May 31, 2024 must be submitted by August
30.2024.
Recipients must submit all closeout reports identified in this section within 120 days of the
period of performance end date. The reporting timeframe is the full period of performance.
Failure to submit timely and accurate final reports may affect future funding to the organization
or awards under the direction of the same Project Director/Principal Investigator(PD/PI).
Final Performance Progress and Evaluation Report (PPER): This report should include the
information specified in the NOFO. At a minimum, the report will include the following:
• Statement of progress made toward the achievement of originally stated aims.
• Description of results (positive or negative) considered significant.
• List of publications resulting from the project, with plans, if any, for further
publication.
All manuscripts published as a result of the work supported in part or whole by the cooperative
grant must be submitted with the performance progress reports.
Final Federal Financial Report (FFR, SF-425): The FFR should only include those funds
authorized and actually expended during the timeframe covered by the report. The Final FFR,
SF-425 is required and must be submitted no later than 120 days after the period of
performance end date.
The final report must indicate the exact balance of unobligated funds and may not reflect any
unliquidated obligations. Should the amount not match with the final expenditures reported to
the Department of Health and Human Services' PMS, you will be required to update your
reports to PMS accordingly. Remaining unobligated funds will be de-obligated and returned to
the U.S. Treasury.
Electronic versions of the FFR SF-425 can be downloaded at:
https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html#sortbv=1
Equipment and Supplies -Tangible Personal Property Report (SF-428): A completed
Tangible Personal Property Report SF-428 and Final Report SF-428B addendum must be
submitted, along with any Supplemental Sheet SF-428S detailing all major equipment acquired
or furnished under this project with a unit acquisition cost of$5,000 or more. Electronic
versions of the forms can be downloaded by visiting:
https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html#sortbv=1
If no equipment was acquired under an award, a negative report is required.
The recipient must identify each item of equipment that it wishes to retain for continued use in
accordance with 45 CFR Part 75. The awarding agency may exercise its rights to require the
transfer of equipment purchased under the assistance award. CDC will notify the recipient if
transfer to title will be required and provide disposition instruction on all major equipment.
Equipment with a unit acquisition cost of less than $5,000 that is no longer to be used in
projects or programs currently or previously sponsored by the Federal Government may be
retained, sold, or otherwise disposed of, with no further obligation to the Federal Government.
United States Department of Health and Human Services (US DHHS) Centers
for Disease Control and Prevention (CDC) Notice of Award Amendment
Budget Revision to the Notice of Award Agreement with the County of Fresno
Name: US DHHS CDC Fresno County's Initiative to Address COVID-19 Related Health
Disparities Amendment Budget Revision Notice of Award No. 6 NH750T000007-01-04
COUNTY OF FRESNO
Nathan Magsig, Chairman of the Board
of Supervisors of the County of Fresno
Attest:
Bernice E. Seidel
Clerk of the Board of Supervisors
County of Fresno, State of California
By:
Deputy
Fund/Subclass: 0001/10000
Organization #: 56201558
Revenue Account#: 4380