HomeMy WebLinkAboutAgreement A-24-295 Amend. I to Agt. with Kings View Behavioral Health.pdf Agreement No. 24-295
1 AMENDMENT NO. 1 TO SERVICE AGREEMENT
2 This Amendment No. 1 to Service Agreement ("Amendment No. 21-352") is dated
3 June 18, 2024 and is between Kings View, a California non-profit corporation,
4 ("Contractor"), and the County of Fresno, a political subdivision of the State of California
5 ("County").
6 Recitals
7 A. On September 7, 2021, the County and the Contractor entered into an Agreement for
8 the Suicide Prevention Follow-Up Call Pilot Program, which is County agreement number 21-
9 352 ("Agreement"), for follow up call services which provides real-time insight to possible external
10 factors impacting persons with suicidal ideation and increase linkages to appropriate behavioral
11 health services for those who have called the lifeline in crisis and/or with suicidal ideation, or
12 persons who have recently been released from the emergency departments, crisis stabilization
13 center, or inpatient care for suicide ideation and/or attempt.
14 B. The County and Contractor seek to extend the term of Agreement no. 21-352 in order to
15 collect an additional year of data and further investigate the potential positive programmatic
16 impacts of this program for the Fresno County community.
17 C. Agreement no. 21-352 is funded under the Mental Health Services Act (MHSA) Innovation
18 (INN) component, and has special funding that must be used for Innovation activities described
19 within the approved Innovation plan to avoid possible reversion of funds to the State.
20 D. The County and the Contractor now desire to amend the Agreement to extend the term
21 of the Agreement and continue services using unspent funds from previous years with no
22 increase to the maximum compensation.
23 The parties therefore agree as follows:
24 1. All references in the Agreement to "Exhibit C" shall be deemed references to "Revised
25 Exhibit C", which is attached and incorporated by this reference.
26 2. The Agreement shall be extended for an additional Twelve (12) month period beginning
27 July 1, 2024, through and including June 30, 2025.
28 3. The maximum amount payable to CONTRACTOR for the period effective July 1, 2024
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1 through June 30, 2025 shall not exceed Two Hundred Fifty-Five Thousand and No/100 Dollars
2 ($255,000.00).
3 4. Section B, subsection 3, paragraph a on page 4 of Exhibit A is deleted and replaced with
4 the following:
5 "CONTRACTOR shall provide an annual data report. The annual data report will comply
6 with all State regulations regarding State Performance Outcomes measurement requirements,
7 including MHSA Innovations regulations, and participate in the outcomes measurement process
8 as required by DBH. Report should be provided to the Department no more than 30 days after
9 the contract term ends."
10 5. When both parties have signed this Amendment No. 1, the Agreement, and this
11 Amendment No. 1 together constitute the Agreement.
12 6. The Contractor represents and warrants to the County that:
13 a. The Contractor is duly authorized and empowered to sign and perform its obligations
14 under this Amendment.
15 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
16 to do so and his or her signature on this Amendment legally binds the Contractor to
17 the terms of this Amendment.
18 7. This Amendment may be signed in counterparts, each of which is an original, and all of
19 which together constitute this Amendment.
20 8. The Agreement as amended by this Amendment No. 1 is ratified and continued. All
21 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and
22 effect.
23 [SIGNATURE PAGE FOLLOWS]
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DocuSign Envelope ID:DDD241FD-F899-4602-AODF-BO3000982758
1 The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
3
KINGS VIEW COUNTY OF FRESNO
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DocuSigned by:
5 � o
6 Mi.chae osareff, CFO Nathan Magsig, Chairman of the Board of
Supervisors of the County of Fresno
7 1396 W. Herndon Ave. Ste 101
Fresno, CA 93711 Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
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11 Eleputy
12 For accounting use only:
13 Org No.:56304796
Account No.:7295/0
14 Fund No.:0001
Subclass No.:10000
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Revised Exhibit C 1 of 6
SUICIDE PREVENTION FOLLOW-UP CALL PROGRAM
Kings View
Fiscal Year(FY)2024-2025
PROGRAM EXPENSES
1000: DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 lExecutive Director 0.01 $ 2,080 $ 2,080
1102 lRegional Director 0.01 1,450 1,450
Direct Personnel Admin Salaries Subtotal 0.02 $ 3,530 $ 3,530
Acct# Program Position FTE Admin Program Total
1103 ICrisis Line Director 0.05 5,376 5,376
1104 ICall Responders 2.00 128,396 128,396
Direct Personnel Program Salaries Subtotal 2.05 $ 133,772 $ 133,772
Admin I Program Total
Direct Personnel Salaries Subtotal 2.07 $ 3,530 $ 133,772 $ 137,302
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 55 $ 2,073 $ 2,128
1202 Worker's Compensation 88 3,344 3,432
1203 Health Insurance 480 18,193 18,673
Direct Employee Benefits Subtotal: $ 623 $ 23,610 $ 24,233
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 270 10,234 10,504
1303 SUI 60 2,274 2,334
Direct Payroll Taxes&Expenses Subtotal: $ 330 $ 12,508 $ 12,838
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 4,483 $ 169,890 $ 174,373
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
3%1 97%
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 3,000
3002 Printing/Postage 800
3003 Office, Household&Program Supplies 2,500
3004 Advertising 2,000
3005 Staff Development&Training 1,877
3006 Staff Mileage 1,600
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(Staff Recruitment) 900
DIRECT OPERATING EXPENSES TOTAL: $ 12,677
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description ;;6,701
4001 Building Maintenance $
Revised Exhibit C 2 of 6
4002 Rent/Lease Building 12,930
4003 Rent/Lease Equipment 1,750
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 3,000
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 24,380
5000:DIRECT SPECIAL EXPENSES
Acct# I Line Item Description Amount
5001 lConsultant(Network&Data Management) $ 11,500
DIRECT SPECIAL EXPENSES TOTAL: $ 11,500
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Administrative Overhead $ 27,500
Administrative Overhead
6002 Professional Liability Insurance 850
6003 Accounting/Bookkeeping
6004 External Audit -
6005 Insurance(Other): 220
INDIRECT EXPENSES TOTAL $ 28,570
INDIRECT COST RATE 12.627/o
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 2,000
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 1,500
FIXED ASSETS EXPENSES TOTAL $ 3,500
TOTAL PROGRAM EXPENSES $ 255,000
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 Suicide Prevention Follow Up Call Program 255,000
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 255,000
TOTAL PROGRAM FUNDING SOURCES: $ 255,000
NET PROGRAM COST: $ -
Revised Exhibit C 3 of 6
SUICIDE PREVENTION Follow UpW-UP CALL PROGRAM
Kings View
Fiscal Year (FY) 2024-2025
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Executive Director Corp-Admin-Corp 22.66%
Fresno-Blue Sky-Fresno 4.78%
Fresno-CVSPH DiDi-Fresno 4.78%
Fresno-CVSPH-Fresno 2.21%
Fresno-Family Urgent Response S-Fresno 2.94%
Fresno-MAP Point-Fresno 1.84%
Fresno-Metro CIT-Fresno 1.47%
Fresno-National 988 Crisis Line-Fresno 2.57%
Fresno-PATH MOP-Fresno 2.57%
Fresno-PATH OEL-Fresno 1.47%
Fresno-PATH SMHS-Fresno 2.21%
Fresno-Rural Crisis Interventio-Fresno 1.84%
Fresno-Suicide Prevention Follow Up-Fresno 2.94%
Fresno-Tulare Access Line-Fresno 2.94%
Kings-Alloc OPS-Hanford 5.51%
S4S-WRAP-Madera 1.10%
SELPA-Assisted OP Trmt-Shasta 2.57%
SELPA-Shasta Wellness Center-Shasta Wag 2.21%
Tulare-LANE-Tulare 2.21%
Tulare-Mobile Unit-Tulare 5.15%
Tulare-One Stop-Porterville 2.22%
Tulare-P Wellness-Porterville 0.46%
Tulare-PATH (PWI)-Tulare 1.00%
Tulare-ROAD-Tulare 4.98%
Tulare-Tulare PATH-Tulare 1.78%
Tulare-V Wellness-Visalia 4.41%
Tulare-Warmline (PWI)-Tulare 2.21%
Tulare-Warmline K-Tulare 4.41%
Tulare-Warmline-Tulare 2.57%
Total 100.00%
Position Contract#/Name/Department/County FTE%
Regional Director Corp-Admin-Corp 8.15%
Fresno-Blue Sky-Fresno 11.99%
Fresno-CVSPH DiDi-Fresno 0.78%
Revised Exhibit C 4 of 6
Fresno-CVSPH-Fresno 3.91%
Fresno-Family Urgent Response S-Fresno 8.09%
Fresno-MAP Point-Fresno 9.34%
Fresno-Metro CIT-Fresno 11.10%
Fresno-National 988 Crisis Line-Fresno 8.77%
Fresno-PATH MOP-Fresno 3.31%
Fresno-PATH OEL-Fresno 3.60%
Fresno-PATH SMHS-Fresno 4.85%
Fresno-Rural Crisis Interventio-Fresno 16.76%
Fresno-Suicide Prevention Follow Up-Fresno 1.00%
Fresno-Tulare Access Line-Fresno 3.13%
S4S-WRAP-Madera 5.22%
Total 100.00%
Position Contract#/Name/Department/County FTE%
Crisis Line Director Fresno-CVSPH-Fresno 22.41%
Fresno-CVSPH DiDi-Fresno 4.48%
Fresno-National 988 Crisis Line-Fresno 5.00%
Fresno-Suicide Prevention Follow Up-Fresno 50.18%
Fresno-Tulare Access Line-Fresno 17.93%
Total 100.00%
Position Contract#/Name/Department/County FTE%
Call Responders Fresno-Suicide Prevention Follow Up-Fresno 200.00%
Total 200%
Revised Exhibit C 5 of 6
SUICIDE PREVENTION FOLLOW-UP CALL PROGRAM
Kings View
Fiscal Year(FY)2024-2025 Budget Narrative
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 174,373
Administrative Positions 3,530
1101 Executive Director 2,080 $17,333.33/month x 12 months x 0.01 FTE=$2,080 Provide program management and
direction.Ensures operations are running smoothly and in compliance with
contract requirements.
1102 Regional Director 1,450 $12,083.33/month x 12 months x 0.01 FTE=$1,433.25 Position will provide agency
specific staff oversight and represent and maintain the collaborative relationship
between
agencies.
Program Positions 133,772
1103 Crisis Line Director 5,376 $8,961.33/month x 12 months x 0.05 FTE=$5,376.8 Provides supervision of all staff
and direct oversight of program management.Program Managerto provide clinical
support to individuals served as needed.
1104 Call Responders 128,396 1 Follow-up Counselors-Lead at$6,019.65/mon.x 12 months x 100%FTE=$72,235.8
1 Follow-up Counselor Lead at$4,680/mon.x 12 months x 100%FTE=$56,160 This
position will contact referred clients via telephone to conduct follow up counseling
services to support client post suicidal crisis.Provide suicide telephone intervention
and counseling if they are in crisis.Conduct safety assessments during each
intervention and create or review existing safety plan.The intent is to prevent
recidivism,re-hospitalizations,or crisis stabilization via counseling and support.This
position will also conduct presentations and trainings to our stakeholder partners of
the counties we serve regarding the follow up innovation plan.
Direct Employee Benefits 24,233
1201 Retirement 2,128 Cost of 401K @$137,302 total salaries x 1.55(%)=$2,128
1202 Worker's Compensation 3,432 Workers Comp Insurance @$137,302 total salaries x 2.5(%)=$3,432
1203 Health Insurance 18,673 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance @$137,302,
total salaries x 13.6(%)=$18,673
Direct Payroll Taxes&Expenses: 12,838
1301 OASDI
1302 FICA/MEDICARE 10,504 FICA/MEDICARE @$137,302 total salaries x 7.65(%)=$10,504
1303 SUI 2,334 Cost of SUI @$137,302 total salaries x 1.70(%)=$2,334
3000:DIRECT OPERATING EXPENSES 12,677
3001 Telecommunications 3,000 Cost of landline telephone services,cell phones service,data connectivity.Estimate at
$250/month x 12 months$3,000
3002 Printing/Postage 800 Anticipating courier services and postage necessary for program.Business cards and
other special printing services.
3003 Office,Household&Program Supplies 2,500 Includes desk supplies&minor equipment used by staff in the course of providing
services.
3004 Advertising 2,000 Cost of outreach program to enhance awareness of the crisis and suicide prevention
programs and services.This will include outreach events,activities and training to both
public and stakeholder county.
3005 Staff Development&Training 1,877 Cost of continuation of staff development and training.
3006 Staff Mileage 1,600 Reimbursements to staff for personal vehicle use require to conduct presentations and
trainings to other agencies or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(Staff Recruitment) 900 Thorough background check and drug testing.
4000:DIRECT FACILITIES&EQUIPMENT 24,380
4001 Building Maintenance 6,700 Shared cost of copier maintenance,inspection services,pest control,alarm services,
janitorial services,facility supplies,and minor building repairs and maintenance.
4002 Rent/Lease Building 12,930 Shared cost of building space lease.
4003 Rent/Lease Equipment 1,750 Shared cost of copier leases and coffee machine.
4004 Rent/Lease Vehicles
4005 Security -
4006 1 Utilities 3,000 1 Shared cost of water,gas and electric.
5000:DIRECT SPECIAL EXPENSES 11,500
Revised Exhibit C 6 of 6
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5001 Consultant(Network&Data Management) 11,500 Kings View Information Technology Department(KVIT)will provide hardware and
software support for successful data collection.Information services and management
consisting of management of internet service provider,network and desktop
management,project management,technology procurement,telecommunication
management,strategic technology planning,system documentation,application/data
hosting,access to data,documents and applications 24/7. After hours support via
email and phone 24/7.
6000:INDIRECT EXPENSES 28,570
6001 Administrative Overhead 27,500 Expenses provides corporate management,fiscal services,payroll,human resources,
accounts payable and other administrative functions. Administrative Costs are below
15%of direct costs.
$28,570+$4,483=$33,053 Total indirect$33,053/($255,000-$33,053)=14.89%
6002 Professional Liability Insurance 850 Cost general and professional liability insurance.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): 220 Cost of personal property and accidental insurance.
7000:DIRECT FIXED ASSETS 3,500
7001 Computer Equipment&Software 2,000 Anticipating additional computer equipment needed for new staff and or replacement.
Duo factor licensing and other computer software necessary to provide services.
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 1,500 Anticipating additional furniture cost for new staff and or replacement or shared cost
for replacement needs.
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES 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
8008 Rehabilitation
8009 Other(Specify)
8010 1 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 255,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 255,000
BUDGETCHECK: -