HomeMy WebLinkAboutAgreement A-24-386 Second Amendment to Agreement with FMM.pdf Agreement No. 24-386
1 AMENDMENT II TO AGREEMENT
2 THIS SECOND AMENDMENT TO AGREEMENT (hereinafter "Amendment") is made and
3 entered into this 911 day of July , 2024, by and between COUNTY OF FRESNO, a
4 Political Subdivision of the State of California, Fresno, California (hereinafter"COUNTY'), and Fresno
5 Metropolitan Ministry, a California Non-Profit Corporation, whose address is 3845 N. Clark St. Suite
6 101, Fresno, California 93726, hereinafter referred to as "CONTRACTOR".
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-21-539, dated
9 the 14th of December 2021; and
10 WHEREAS, COUNTY and CONTRACTOR entered into a First Amendment number A-23-047,
11 dated the 24th of January 2023 (Agreement number A-21-539 and First Amendment number A-23-047,
12 collectively, shall be referred to herein as "the Agreement"); and
13 WHEREAS, COUNTY and CONTRACTOR modified the budget, referenced as Revised Exhibit
14 B-2, on the 6th of March 2024 through formal letter and written consent of both parties pursuant to
15 Section 7 (Modification) of the Agreement; and
16 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
17 extend the term of the Agreement; and
18 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
19 increase the total compensation of the Agreement; and
20 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
21 update the Scope of Work of the Agreement; and
22 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
23 include a Compliance with Federal Requirements section and
24 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
25 attach the Federal Terms and Conditions to the Agreement.
26 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of
27 which is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
28 1. That Section Three (3) —TERM, of the Agreement, on Page Three (3), beginning on Line Six
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1 (6) and ending on Page Three (3), Line Eleven (11) with the word "Performance" shall be deleted in its
2 entirety and replaced with the following:
3 "3. TERM
4 The term of this Agreement shall commence upon execution and be for a period
5 through and including May 31, 2026."
6 2. That all references in Agreement to "Revised Exhibit B-1" and "Revised Exhibit B-2" shall be
7 changed to read "Revised Exhibit B-3". Revised Exhibit B-3 is attached hereto and incorporated
8 herein by this reference.
9 3. That Section Five (5)— COMPENSATION/INVOICING, of the Agreement, on Page Four (4),
10 beginning with Part B on Line Eighteen (18) and ending on Page Four (4), Line Twenty-One (21) with
11 the word "Contractor" shall be deleted in its entirety and replaced with the following:
12 "B. In no event shall services performed under this Agreement by CONTRACTOR be in excess
13 of Twelve Million Four Hundred and Ninety-Six Thousand Eight Hundred and Sixty-Eight and 80/100
14 Dollars ($12,496,868.80) during the term of this Agreement. It is understood that all expenses
15 incidental to CONTRACTOR'S performance of services under this Agreement shall be borne by
16 CONTRACTOR."
17 4. That all references in Agreement to "Exhibit A' and "Revised Exhibit A" shall be changed to
18 read "Revised Exhibit A-1". Revised Exhibit A-1 is attached hereto and incorporated herein by this
19 reference.
20 5. That Paragraph Thirty (30) — COMPLIANCE WITH FEDERAL REQUIREMENTS shall be
21 included in the Agreement on Page Twenty-Six (26) beginning on Line Nine (9) with the word
22 "Compliance" and ending on Line Thirteen (13) with the word "Herein" and include the following:
23 "30. COMPLIANCE WITH FEDERAL REQUIREMENTS: CONTRACTOR recognizes that
24 COUNTY operates its Advancing Health Literacy grant program with the use of Federal funds, and
25 that the use of these funds imposes certain requirements on the COUNTY and its subcontractors.
26 CONTRACTOR shall adhere to all Federal requirements, including those identified in Exhibit D,
27 attached hereto and by this reference incorporated herein."
28 6. That Exhibit D is attached hereto and incorporated herein by this reference.
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1 COUNTY and CONTRACTOR agree that this Second Amendment is sufficient to amend the
2 Agreement, and that upon execution of this Second Amendment, the Agreement, the First
3 Amendment, and this Second Amendment together shall be considered the Agreement.
4 The parties agree that this Second Amendment may be executed by electronic signature as
5 provided in this section. An "electronic signature" means any symbol or process intended by an
6 individual signing this Amendment to represent their signature, including but not limited to (1) a digital
7 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
8 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
9 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten
10 signature of the person signing this Amendment for all purposes, including but not limited to
11 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as
12 the valid original handwritten signature of that person. The provisions of this section satisfy the
13 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act
14 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital
15 signature represents that it has undertaken and satisfied the requirements of Government Code
16 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely
17 upon that representation. This Amendment is not conditioned upon the parties conducting the
18 transactions under it by electronic means and either party may sign this Amendment with an original
19 handwritten signature.
20 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
21 covenants, conditions, and promises contained in the Agreement and not amended herein shall
22 remain in full force and effect. This Amendment shall become effective upon execution.
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DocuSign Envelope ID:FBFA30F6-F3E2-4EB7-B1AA-F6A804848150
1 IN WITNESS WHEREOF,the parties hereto have executed this Amendment I as of the day and
2 year first hereinabove written.
3
4 CONTRACTOR COUNTY OF FRESNO
Fresno Metropolitan.Ministry
DocuSigned by:
Vow
r---------------
(A onze ignature) Nathan Magsig, Chairman of the Board
7 of Supervisors of the County of Fresno
Emogene Nelson
8
Emogene Nelson, Executive Director
9 6/24/2024 1 3:48 PM PDT
10 Date
11
12 Mailing Address: ATTEST:
3845 N_ Clark Street#101 Bernice E. Seidel
13 Fresno, CA 93726 Clerk of the Board of Supervisors
County of Fresno,State of California
14
15 BY-
Deputy
16 FOR ACCOUNTING USE ONLY:
17 Fund/Subclass: 0001110000
IS Organization: 56201558,56201018,
56201019
19 Account: 7295
20
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24
25
26
27
28
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Revised Exhibit A-1
Fresno County Department of Public Health — Fresno County Community Health Worker Network
Vendor Scope of Work
Summary: COVID-19 has brought many unforeseen challenges to families in our community, including lasting impacts in our most vulnerable and
underserved families. Through the CHW Network created through local CBOs during the COVID-19 response, wrap around services to address
health and social disparities have expanded the response to the most vulnerable populations. Through the FCHIP Pathways Community HUB
(PCH), CBOs responding to these needs through the CHW Network will be able to enhance capacity and continue the work through a standardized
approach that will align with CalAIM and Fresno County requirements in a sustainable payment model approach.
Category 1: RECRUITMENT, PARTNERSHIPS & TRAINING
Activity Activity Name Description Responsible Outcome/Deliverable
Party
1.1 Recruitment & Hiring Partner will secure staff as needed for FCHIP PCH. FCHIP . Hire staffing for
Recruited staff will be responsible for implementation project
and administration of PCH activities, oversight of CBO . Include FCDPH
contracts, and all aspects of the FCDPH contracted lead staff in
agreement. hiring process
• Submit staffing
report to
FCDPH on a
quarterly basis
1.2 FCHIP PCH Location Partner will secure a physical work location & FCHIP . Provide
workstation for all FCHIP PCH staff. update(s) on
established
work location
and/or changes,
if applicable
1.3 Invoicing &financial reports Partner will submit invoices, supporting documentation, FCHIP Monthly invoice
and other financial reports monthly on or before an submission
agreed upon date following an established protocol.
These reports and supporting documentation will reflect
program and contractual activities.
A-1
Revised Exhibit A-1
1.4 CBO Contracts Partner will contract with CBOs and will make contract FCHIP • Execute
amendments to include Federal Terms and Conditions FCDPH contracts with
as needed, to continue COVID-19 equity work CBOs
(outreach and education regarding testing, vaccination, • Provide copy of
quarantine and isolation) and provide capacity building executed
through the Pathways sustainable payment model contracts or
approach. This includes: contract
amendments to
• Working with FCDPH on CBO SOW FCDPH
development and performance measure Performance
monitoring. measures
• Coordinate & establish CBO partnerships and
structure agreements. e.g., Coalitions,
individual.
• Monitor CBO contracted activities, expenditures,
and implement quality improvement measures
to address gaps in services and outcomes.
1.5 Data System(s) Partner will work with FCDPH on managing the FCHIP Provide data
administration of CCS and will provide IT support to FCDPH system support
contracted CBO partners. This support includes: to CBO
• CBO add-on user requests will be submitted to contracted
FCDPH through an established protocol. partners.
• Identify and establish additional benchmarks
needing to be captured through the data
system(s). e.g., crisis counseling, other wrap
around services.
• Providing IT support & troubleshoot needed
support for contact tracing efforts, as needed, in
the respective data system platforms. e.g.,
CalConnect
• Establish guidelines and provide TA support on
quality improvement measures to assure data
entry and system usage efficiency.
• Managing CBO IT support requests in a timely
manner through a developed/agreed upon
process & workflow.
• Managing CBO partner support regarding
operations, reporting, and invoicing within the
data system.
A-2
Revised Exhibit A-1
• Administration of all Business Associate
Agreement (BAAs) with CBOs
1.6 Trainings Partner will develop a training plan, and update it as FCHIP • Submit training
needed, to include training requirements for PCH staff FCDPH plan to FCDPH.
and CBO contracts partners, other CHW Network CBO Contracted • Submit training
partners, and non-contracted partners, as applicable. Partners plan progress
The training plan will include culturally appropriate Non-contracted on a quarterly
trainings to be facilitated by contracted partners and partners basis.
PCH staff, in accordance with approved budget
allocation and as applicable as FCDPH will pay up to
the contracted amount.
Training topics at large include, but are not limited to:
• HIPAA & confidentiality
• ACES awareness
• Mandated reporter training
• Cultural sensitivity & responsiveness
• COVID-19 identified trainings
• Social determinants of health
• Health Equity
• Resources & programs in Fresno County
• Resource access to 211 services
• Other trainings as identified
Training topics specific to contracted partners under the
PCHI model include:
• Data system user training
• Pathways/PCHI required trainings
• Motivational interviewing & reflective practice
• Other trainings as identified
Training topics to be provided by FCDPH, for
contracted partners include:
• Health Equity
• National CLAS Standards
A-3
Revised Exhibit A-1
Category 2: IMPLEMENTATION & SUPPORT
Activity Activity Name Description Responsible Outcome/Deliverable
Party
2.1 CBO COVID-19 continued Partner will monitor and establish mechanisms aligned FCHIP Submit quarterly
support with the PCH Model to assure CBO contracted partners CBO reports to FCDPH
continue to provide COVID-19 response activities Contracted to capture
during the contracted period, including RMH events, as Partners established
applicable. These activities include: metrics from each
CBO contracted
• COVID-19 Outreach & education in hard-to- partner through
reach priority communities within Fresno CCS.
County, including RMH events, as applicable
and capacity allows.
• COVID-19 vaccination and testing coordination
in priority populations within Fresno County.
• Vaccination event support.
• Contact tracing & medical investigation, as
needed.
• Implementation & distribution of
isolation/quarantine support (IQS) based on
established and/or FCDPH modified processes
& protocols, as needed.
• Reduction of identified barriers by opening
Pathways and providing referrals & supports to
complete Pathways. E.g., transportation, food
security, social service-financial supports,
housing.
Other established services as needed, in a culturally
and linguistically appropriate manner.
Partner will provide support and resources needed from
CBO contracted partners in COVID-19 response
efforts.
A-4
Revised Exhibit A-1
2.2 Payment for outcome phase Partner will establish payment for outcome model FCHIP Submit a quarterly
transition processes and provide support to CBO contracted report to FCDPH
partners in the implementation of these processes. on phase transition
This will include: progress &
payment
• Training & support needed by CBO contracted outcomes.
partners during the transition.
• Timeline, guidelines, and criteria needed for
payment reimbursement through the
established phases following the pathways
criteria.
• Work with FCDPH to establish billing criteria for
non-Pathway COVID-19 billing support services,
and updating them as needed. E.g., Contact
tracing, vaccination event support, etc.
• PCH to bill managed care plans & other funding
partners if applicable for the successful
completion of Pathways.
• PCH to distribute payment to CBOs for
completion of established Pathways within their
respective CHW support & other non-Pathway
COVID-19 services.
Partner will provide support and TA to CBO contracted
partners.
A-5
Revised Exhibit A-1
2.3 CBO Pathway model Partner will establish and execute processes for CBO FCHIP Submit a quarterly
activities contracted partner Pathway model activities, to include report to FCDPH
care coordination approaches & data system usage: on CBO
contracted partner
• Identify priority population and/or outcome area Pathway model
within Fresno County and make adjustments as activity progress,
needed. to include
• Provide support in establishing referral challenges &
processes for CBO CHW Network. successes.
• Implement strategies to engage identified
service population.
• Implement strategies to address service gaps in
the priority population/outcome area.
• Establish community resource referral process
for CHW Network care coordination efforts.
• Implement social determinants of health needs
assessment and provide resources, intervention
strategies, and best practice support.
• Provide the necessary tools to support with
CHW Network Care coordination efforts leading
to a standardized Pathway.
2.4 Educational resources Partner will identify, assess, and provide additional FCHIP Maintain an
educational support needed for CBO contracted FCDPH educational
activities. These will include: resource
repository.
• Tailored educational resources, to be in a
culturally and linguistically appropriate manner.
• Resource sharing, to include updates on
COVID-19 updated mandates, Pathway model
resources, and other identified resource needs.
• Health Equity trainings for partners.
• Provide CBO talking points for tailored
messaging to community members as needed.
Partner will identify CBO TA needs based on
educational resource requests and supports needed.
A-6
Revised Exhibit A-1
2.5 Media Activities Partner will work with FCDPH media contractor to FCHIP Submit a log of
identify media opportunity needs with CBO partners FCDPH media activities
and targeted community. This will include: Media conducted &
Contractor resource
• Identifying need for targeted messaging & development on a
marketing opportunities. quarterly basis to
• Participate in media training, as applicable and FCDPH.
available.
• Participate and/or coordinate CBO participation
in local media opportunities, to include FCDPH
media briefs when needed.
• Promote program and activities in
ethnic/linguistic communities using culturally
competent practices.
• Track marketing efforts by each CBO partner
through an agreed upon process & protocol.
2.6 Community Collaboration Partner will establish and coordinate a community FCHIP Provide sign-in
advisory council, when appropriate, that will include FCDPH sheets, meeting
engagement and participation of CBO contracted and CBO minutes, and
non-contracted partners, community members Contracted agendas to
receiving services, CHW network partners, other Partners FCDPH on
FCDPH programs, network of care community quarterly basis.
agencies, and other identified partners. This
collaboration will include:
• Quarterly meetings
• Standing meeting agenda items
• Serve as a bi-directional collaboration platform
for resources sharing, referral processes,
referral partnerships with the community, other
FCDPH programs, and local 211, best-practice
support, quality improvement, and other
identified needs.
• Serve as a group that provides oversight &
feedback on PCH model & other implementation
practices.
A-7
Revised Exhibit A-1
Category 3: Quality Assurance & Reporting Measures
Activity Activity Name Description Responsible Outcome/Deliverable
Part
3.1 Pathways PCH model Partner will align with Pathways PCH model fidelity to FCHIP Submit quarterly
achieve certification. These requirements will include: report to FCDPH
on Pathways
• Community engagement and planning model certification
• Fulfill prerequisites for PCH certification status.
eligibility through organizational standards. • Once certified,
• Fulfill requirements through the evidence-based submit certification
set standards. notice to FCDPH.
• Meet standards and obtain certification. Maintain ongoing
• Maintain certification status and align with standards to keep
model fidelity. certification
standards current.
3.2 CBO COVID-19 Metrics Partner will monitor and establish mechanisms to FCHIP Submit quarterly
assure CBO contracted partners adherence with reports to FCDPH
COVID-19 activity metrics. to capture
established
• Track outcomes and review data on an on-going metrics from each
basis to assure proper intervention and CBO contracted
responses are taking place. partner.
• Track adherence &timeliness of data
submission by CBO contracted partners.
• Identify additional tracking resources needed in
the data system and/or other tracking
mechanisms.
A-8
Revised Exhibit A-1
3.3 CBO PCH model Partner will implement & maintain quality assurance FCHIP • Submit quality
measures to assure CBO contracted partners are improvement plans
adhering to contracted activities and PCH model to FCDPH once
processes: established.
• Submit the
• Review data on an on-going basis to ensure sustainability plan
client care coordination outcomes. once completed.
• Review issues of quality, timeliness of service,
documentation completion, and other identified
areas.
• Analyze timeliness of each Pathway based risk
mitigation.
• Analyze data to identify additional support
needed and/or training for CBO-CHW Network
partners.
• Analyze data to identify specific community
infrastructure needs and enhancements. This
can be done in part by analyzing "finished
incomplete Pathways".
• Develop a sustainability plan, to include
identifying and/or establishing additional payors
to assure identified gaps, services, and
community supports continue.
Partner will implement quality improvement measures
and work with each contracted CBO partner to
establish a plan of improvement measures based on
performance and need.
A-9
Revised Exhibit A-1
3.4 CBO partner site visits Partner will perform site visits with contracted CBO FCHIP Submit site visit
partners to ensure PCH model, COVID-19 activities & results with
contractual compliance. Partner will: FCDPH in
quarterly report.
• Establish frequency of site visits.
• Provide feedback of site visit results with
individual sites & FCDPH.
• Strategize with individual sites on best practice
implementations to improve client care
coordination outcomes.
3.5 Community Advisory Council Partner will work with community advisory council FCHIP Provide sign-in
QI measures members, when appropriate, to share information sheets, meeting
regarding service delivery feedback and other quality minutes, and
improvement measures, this will include: agendas to
FCDPH on
• Sharing best practice program implementation quarterly basis.
measures in areas needing improvement.
• Identifying gaps in community resources &
collaboration needs for bi-directional referrals
where gaps are identified.
• Leveraging other identified needed supports
and implementation improvement practices.
A-10
Revised Exhibit A-1
3.6 Meetings Partner will participate in FCDPH identified FCHIP Attend all agreed
meeting/calls to be attended by established staff on an FCDPH Staff upon
agreed upon frequency. meeting/calls.
• Monthly program call with FCDPH lead staff.
• Meeting/calls with media contractor as needed.
• Meeting/calls with contracted evaluator as
needed.
• Community Advisory Council quarterly
meetings.
• Other identified meetings as needed.
Partner will identify meetings/calls that would need to
be attended by FCDPH as it pertains to program
implementation and outcomes.
A-11
Revised Exhibit A-1
3.7 Program reports Partner will submit appropriate reports on an agreed FCHIP Submission of
upon timeframe and will identify/communicate appropriate reports
additional reporting needs and/or challenges with on agreed upon
FCDPH. timeline.
Monthly Reports:
• CBO Contracted COVID-19 activities & metrics
• Financial report, to include invoicing & other
supportive documentation.
Quarterly
• Overall program report
• Staffing report
• Media activity log
• Training log
• Community advisory council documentation
Once completed/obtained:
• Training plan
• PCH model certification
• Quality improvement plans
• Sustainability plan
Submission of other identified reports & metrics once
transition to PCH payment model is in effect and/or
identified by program evaluator.
A-12
Revised Exhibit A-1
Category 4: Evaluation
Activity Activity Name Description Responsible Outcome/Deliverable
Party
4.1 Evaluator Program will work with evaluator to implement FCHIP Collaborate with
evaluation metrics, benchmarks, and practices to FCDPH FCDPH evaluator
evaluate the effectiveness and impacts of the program. Evaluator on evaluation plan.
These activities will include:
• Identify & implement evaluation needs in data
system to track and measure program impacts.
• Implement improvement recommendations of
identified areas to improve program outcomes.
• Contribute to the effectiveness of the program
evaluation through collaboration and feedback
of program progress.
• Support and contribute with evaluation methods
in various program aspects such as
implementation, certification fidelity, community
input, health equity, and other identified areas.
• Identify future opportunities of braided funding
and leveraging of resources based on program
outcomes and opportunities, to be included in
the sustainability plan.
• Other evaluation needs.
A-13
Revised Exhibit A-1
Glossary:
• CaIAIM: California Advancing and Innovating Medi-Cal
• CCS: Care Coordination System
• CHW: Community Health Workers
• CBO: Community-Based Organizations
• CLAS: Culturally and Linguistically Appropriate Services
• FCHIP: Fresno County Health Improvement Partnership
• FCDPH: Fresno County Department of Public Health
• IQS: Isolation Quarantine Support
• PCH: Pathways Community HUB
• PCHI: Pathways Community HUB Institute
• SOW: Scope of Work
• RMH: Rural Mobile Health
• TA: Technical Assistance
A-14
Revised Exhibit B-3
Fresno Metro Ministry/FCHIP HOPE HUB
Agreement A-23-047
Term:December 15,2021-May 31,2026
Approved Amended
Personnel Budget Budget Changes/Justifications
Responsible for the direction of HUB,oversight and management of all assigned programs including a diversity,equity,and inclusion lens for all contract compliance,performance outcomes,administrative supervision,
budget Co.pliance,blended funding,and community outreach as well as overseeing contracts with Community-Based Organizations(CBOs)and funders to pay for care coordination services for at-risk populations
within HPI(2.0)quartile 1,supervision of 7 staff,facilitation of meetings,and responsible for meeting requirements for national PCHI certification and CalAIM certification.
HUB Program Director-1 FTE(17 mo/12 mo/29 mo) 203,337 376,399 Salary Position,Annual$100,000 @ 1 FTE
Carryover$16,796
YR 1 Aug'24 to July'25=$100,000-$16,796 carryover-$83,204
YR 2 Aug'25 to May'26(30 mo)=$8,334 mo x 10 mo=$83,334
Responsible for overseeing the HUB in contract management,fiscal invoices,payments associated with subcontracts,vendors,legal fees,and consultants,monitoring the HUB budget including subawardees,evaluation
of fisca performance for subawardees,making fiscal and contractual recommendations,and informing the Community Advisory Council and FCHIP Executive Committee of any discrepancies.Supervises the
Administrator to ensures compliance with blended funded.Assesses any fiscal and/or contractual risks and provides recommendations to the FCHIP team.
Salary Position,Annual$75,000 @ 1 FTE
Fiscal and Contracts Management-1 FTE(15 mo/12 mo/27 mo) 142,144 279,644 YR 1 Aug'24 to July'25=$75,000
YR 2 Aug'25 to May'26(10 mo)=$6,250 mo x 10 mo=$62,500
Total Increase:$75,000+$62,500=$137,500
Total$142,144+$137,500=$279,644
FCHIP Program Director-.3 FTE(19 months/12 months at.1 FTE/31 mo) 44,317 44,317
FCHIP Manager-.20 FTE(1 mo) 2,166 2,166
FCHIP Marketing Coordinator-.10 FTE(1 mo) 796 796
FCHIP Communications Coordinator-FY 22-23@.20 FTE FY 23-24 @.10 FTE(19 The FCHIP Coordinator funds were not needed as originally budgeted.The carryoveris moved tothe HUB Program Director line.
mo/12 mo/31 mo) 14,905 8,381
Responsible for serving as a backbone support staff for all administrative duties related to programmatic and fiscal activities including processing HUB expenses,coordinating meetings,invoicing for blended funding,
notetaking,preparing agendas and meeting materials,and tracking subawardee deliverables.The position is key to the performance of the HUB infrastructure.
Hourly Position,Annual$47,890 @ 1 FTE
HUB Admin-1 FTE(18 mo) 93,816 183,436 YR 1 Aug'24-Jul'25=$47,880
YR 2 Aug'25 to May'26(10 mo)=$4,074 mo x 30 mo=$40,740
Total Increase:$47,880+$40,740=$89,620
Total$93,816+$89,620=$183,436
Responsible for overseeing and managing the day-to-day operations of the Care Coordination Agencies and Community Health Workers and ensuring the HUBS subcontracts are meeting their scope of work while
complying with Pathways Community HUB Institute guidelines.Also,serves as a liaison to all CH Ws for workforce development,training for the database and model.Also responsible for auditing all billable forms
within the pathways model,planning and coordinating various operational activities,analyze processes and identify areas for improvement,implementing strategies to enhance productivity,reduce costs,and optimize
efficiency.also involved in setting and monitoring key performance indicators(KPIs),evaluating operational performance,and making data-driven decisions to drive continuous improvement.
Salary Position,Annual$68,640 @ 1 FTE
Care Coordination HUB Manager-Special Projects-1 FTE(17 mo/12 mo/29 mo) 122,926 248,766
YR 1 Aug'24 to Jul'25=$68,640
YR 2 Aug'25 to May'26(30 mo)=$5,720 mo x 10 mo=$57,200
Total Increase:$68,640+$57,200=$125,840
Total$122,926+$125,840=$248,766
Responsible for developing and implementing a quality improvement plan,develops strategies for CCAs and conducts QI audits.Assists in monitoring all data entry and reviews and develops weekly reports to monitor
outcomes.
Hourly Position,Annual$56,160 @ 1 FTE
One year only
Care Coordination Partner Liaison for 4 CBOs and Quality Assurance/Audit Manager-1 118,553 120,177
FTE(17 mo) YR 1Aug'24 to Jul'25=$56,160-54,536 carryover=$1,624
YR 2 Aug'25 to May'26(10 mo)=Do not have sufficient funds to cover this staff.HOPE will find other funding sources.
Total Increase:$1,624
Total$118,553+$1,624=$120,177
B-1
Revised Exhibit B-3
Responsible for identifying trainings and providing trainings.This includes the national CH W certification,Pathways Community HUB Institute Training,Safety in the Home,HIPPA,Cultural and Linguistic Appropriate
Services,Medical Billable case notes,and others as assigned.Also serves as a liaison to 3 CBOs to provide supervisor meetings,site visits,and all partner meetings where train ings and inservices are provided for
workforce development.Oversees and manages the monthly newsletter,RMH event coordination,and any other partnerships as assigned.
Care Coordination Partner Liaison for 4 CBOs(HUB's Train the Trainer)Training Lead- 84241 138,581 Hourly Position,Annual$59,280 @.5 FTE
1 FTE(17 mo)
YR 1 Aug'24 to Jul'25=$59,280 x.5 fte=$29,640
YR 2 Aug'25 to May'26(10 mo)_$4,940 mo x 10 mo X.5 He=$24,700
Total Increase: 29640+ 24700=$S4,340
Responsible for intaking all referrals within the database system and assigning to a CH W,creating partnerships with local agencies to ensure the 21 Standard pathways are closed,creating MOUs with Primary Care
Providers and Mental Health Providers to streamline access to care for HUB clients,identifying and analyzing gaps in resources based on Pathways Community HUB Model data and identifying avenues for advocacy
and education on the work of CHWs.Also serves as a liaison to 3 CBOs to provide supervisor meetings,site visits,and all partner meetings.Supports in Outcome based unit reports and coordinates with Medical
Consultant for medical billable items.
Hourly Position,Annual$57,200 @.5 FTE&1 FTE
Care Coordination Partner Liaison for 4 CBOs and Referral Lead(17 mo) 110,520 186,790
YR 1 Aug'24 to Jul'25=$57,200 x.5 fte=$28,600
YR 2 Aug'25 to May'26(10 mo)=1 fte,$4,767 mo x 10 mo=$47,670
Total Increase:$28,600+$47,670=$76,270
Total$110,520+$76,270=$186,790
Responsible for providing leadership,direction,and clear vision that aligns with the mission and goals established by the partnership with Fresno County Depanmentt of Public Health.Oversee day to day operations to
sure effective and efficient functioning of the H UB and manage staff resources.
Salary$138,000 Annual @.10 FTE
HUB Executive Director 25,300 YR 1 Aug'24 to Jul'25=$13,800
YR 2 Aug'25 to May'26(10 mo)_$11,500 mo x.30 FTE=$11,500
Total:$13,800+$11,500=$25,300
Personnel Sub-Total 937,721 1,614,753
Fringe @ 32% 300,070 516,722
Total Personnel 1,237,791 2,131,475
Operating Costs
Fiscal Sponsor of HOPE for accounting,bookkeeping,financial reports,invoicing,IQS payment processing,tax filings,nonprofit status filings,audit,and Human Resources support for the PCH.
$12,000 mo
YR 1 Aug'24 to Jul'25=$144,000-$32,623 carryover=$111,377
Fiscal Sponsor-Fresno Metropolitan Ministry 360,200 591,577 YR 2Aug'25 to May'26=$12,000 mo x 10 mo=$120,000
Total Increase:$111,377+$120,000=$231,377
Total$360,200+$231,377=$591,577
General office supplies include Adobe subscriptions,grammarly,Printing HUB flyers,banners,and other marketing materials for the HUB,Office Supplies such as pens,paper,filing cabinet,binders,calculators,ink,and
paper,chargers,staff development and uniforms such as jackets and t-shirts with the HOPE logo as previously budgeted.
H U B Staff General Expense(staff development,program and office supplies,Adobe YR 1 Aug'24 to Jul'25=$600 mo x 12 mo=$7,200+$600 adobe annual+400 annual grammarly=$8,200
subscription,copy,print,et[.) 22,280 37,480 YR2Aug'25 to May'26=$600 mox 10 mo=$6,000+$600 adobe annual+$400 annual grammarly=$7,000
Total Increase:$8,200+$7,000=$15,200
Total$22,280+$15,200=$37,480
Rent for shared office space,utilities,board room,fax,and phone line to be in compliance with the Pathways Community HUB Institute model requirements.The current office is two rooms shared between 7 hybrid
employees.
YR 1 Aug'24 to Jul'25=$3,081 mo x 12 mo=$37,020(rent+derrels qtr fees)
HUB Staff Facilities,Security,utilities,maintenance 48,860 116,900 YR 2 Aug'25 to May'26=$3,102 mo x 10 mo=$31,020(rent+derrels qtr fees)
Total Increase:$37,020+31,020=$68,040
Total$48,860+$68,040=$116,900
HUB Staff Workspace Furniture($1k x 6.5 FTEs-one time expense) 9,500 9,500
HUB Staff Equipment and Software(Laptops and MS Word Suite($2.21K x 6.5-one time 14,300 14,300
expense)
B-2
Revised Exhibit B-3
Cellphone stipends are provided for employees who utilize personal cell phones while telecommuting.Mai chimp,Survey Monkey,and Do<u5ign are utilized to create marketing,assessments,and communication
among partners to increase referrals to the PCH,and other communication costs.
YR 1 Aug'24 to Jul'25=$380 mo x 12 mo=$4,560
HUB Staff Communications-Cell Phone Stipends,Internet,Mailchimp,Survey Monkey 18,026 26,386 YR 2 Aug'25 to May'26=$380 mox 10 mo=$3,800
Total Increase:$4,560 x$3,800=$8,360
Total$18,026 1$8,360=$26,386
Expenses will include monthly and annual zoom fees,meeting materials,meeting refreshments,and community resident stipends for evaluation,and other meeting costs which are essential to PCH operations.
Additional zoom licenses are needed for HUB liaisons to schedule virtual meetings.
Meetings-Zoom subscription,Equipment-Conference Camera for hybrid meetings, YR 1 Aug-$10 mo x 12 mo+$1,000 annual zoom=$1,120
8,000 10,220 YR2Aug'25 to Mai=$10 mox 10 mo+$1,000 annual zoom=$1,100
materials,training materials,printing,training venues.
Total Increase:$1,120+$1,100=$2,220
$8,000+$2,220=$10,220
Travel funds are requested for staff to attend various meetings,on-site quality improvement visits with CBOs,vaccine sites,parking expenses,and education events with community partners utilizing the current IRS
mileage rates.HUB staff who visit CBOs,trainings,clinic support,and delivery of flyers and other marketing materials.
HUB Staff Travel*(mileage reimbursement for local travel @.625/mile @$333.33/mo YR 1 Aug'24 to Jul'25=$401 mo x 12 mo=$4,800
x 15 mo/12 mo/27 mo)
15,039 23,839 YR 2 Aug'25 to May'26=$400 mo x 10 mo=$4,000
Total Increase:$4,800+$4,000=$8,800
Total$15,039+$8,800=$23,839
IT/Reflective Practice Support for 25 CHWs and HUB Staff 10,715 10,715
Total Operating 506,920 940,917
Direct Costs 1,744,711 2,972,392
Indirect Costs @ 0% 0 0
Total Direct and Indirect 1,744,711 2,972,392
Other Costs(not included in indirect)
Subcontractors are monitored monthly for compliance with the agency's approved budget and the scope of work.Technical assistance is available to all CBO staff and Executive Directors for programmatic and fiscal
support.Monthly meetings are hosted with Executive Directors,and any changes are communicated through meetings,emails,and documented in the HOPE Billing Guidance.The HOPE team completes a benchmark
evaluation for each CBO's year-to-date spending and programmatic activities.Each CBO leadership team will have a 1:1 meeting with the HOPE Fiscal and Contract Manager,Care Coordination Manager,assigned
Liaison,and Program Directorto discuss challenges,successes,and lessons learned and strategize together to maximize productivity.A detailed action plan will be required by all CBOs on how they plan to use
carryover funds.HOPE will offer best practice guidance as applicable.
Depending on progress,HOPE will continue establishing community relationships and award the funds allocations to qualifying community partners.There is potential to create new contracts with existing CBOs and/or
award new contracts through the RFP process.All contract amendments or new contracts will be sent to FMM,FCHIP Executive Committee,and DPH for approval.
There are challenges to projecting the committed subcontracts.Efforts are in place to transition all CBOs into 100%OBU beginning August'24.The OBU monthly amounts are not always consistent which results in
challenges to projections.Ongoing monthly monitoring activities will be conducted to ensure CBO progress.
YR 1+YR 2 Projected Carryover=$1,286,010
Total Projected YR 1+YR 2=$1,598,713
Grant total$7,108,267 1$1,598,713=$8,706,980
Subcontracts 7,108,267 8,711,980
Total Projected Per CBO Feb'22 to May'26:
EOC @ 4.5%=$398,969
FIRM @ 8.7%=$763,630
BWPC @ 3.9%=$340,000
Cultiva La Salud @ 22%=$1,940,031
Centro La Familia @15.3%=$1,333,102
The Fresno Center @ 21.5%=$1,882,439
EPU @ 13.7%_$1,195,128
Valley Center for the Blind @ 5.3%=$464,659
Jan contracts+consultants=$389,022
Total:$9,711,980
Consultants needed for legal counsel for Business Associate Agreements and CBO correspondence around PHI,supplemental training for CBOs to fulfill activity 1.6,PCHI fees,Marketing and communication support,
specialized data reports,Train-the-trainer fees,and other consultant needs.
Consultants(Legal Counsel,Supplemental Training,Bilingual Trainer,Community YR 1 Aug'24 to Jul $2,396 mo x 12 mo=$28,749
71,280 164,739 YR 2 Aug'25 to May'26=$2,875 mo x 10 mo=$28,750
Resident Stipends,and other consultant as needed)
Total Increase:$28,749+$281$57,499+carryover from other consultant lines$35,960=$93,459
Total$71,280+$93,459=$164,739
B-3
Revised Exhibit B-3
Isolation Quarantine Support(IQS) 547,123 546,163 The IC5 total was not needed as originally budgeted.The cost savings/carryover were moved to the consultant(legal counsel,supplemental training,ect.)
Consultant-HUB Technical Assistance Contractor-Pathways Community HUB Institute The consultant lines Marketing and HUB Tech Assistance are being consolidated with the Consultants(legal counsel,supplemental training line).This line is being decreased and the carryover moved to the line,
50,000 40,000 Consultants(legal counsel,supplemental training,ect.)
and Certification Fees
The consultant lines Marketing and HUB Tech Assistance are being consolidated with the Consultants(legal counsel,supplemental training line).This line is being decreased and the carryover moved to the line,
Marketing and Outreach Services-build a website,logo,and branding for Fresno 52,550 27,550 Consultants(legal counsel,supplemental training,ect.)
HOPE PCH.Outreach and marketing support to increase brand awareness
Consultant-data tracking and reporting 1 26,6681 26,668
Consultant-translation services 12,377 7377 Translation services are needed for subawards.Carryover is allocated to the subcontracts line.
Other Costs Subtotall 1 7,868,2651 9,524,477
Grand Total 1 1 9,612,9761 12,496,868.80
B-4
Exhibit D
:a J U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service
' Centers for Disease Control
and Prevention(CDC)
Atlanta GA 30333
General Terms and Conditions for Non-Research
Grant and Cooperative Agreements
Incorporation: The Department of Health and Human Services (HHS) grant recipients must
comply with all terms and conditions outlined in the Notice of Funding Opportunity (NOFO), their
Notice of Award (NOA), grants policy contained in applicable HHS Grants Policy Statements, 45
CFR Part 75, requirements imposed by program statutes and regulations, Executive Orders, and
HHS grant administration regulations, as applicable; as well as any requirements or limitations in
any applicable appropriations acts. The term grant is used throughout these general terms and
conditions of award and includes cooperative agreements.
Note: In the event that any requirement in the NOA, the NOFO, the HHS Grants Policy Statement,
45 CFR Part 75, or applicable statutes/appropriations acts conflict, then statutes and regulations
take precedence.
FEDERAL REGULATIONS AND POLICIES
45 CFR Part 75— Uniform Administrative Requirements, Cost Principles, and Audit Requirements
for HHS Awards.
https://www.ecfr.gov/cgi-bin/text- idx?node=pt45.1.75&rgn=div5
HHS Grants Policy and Regulations
https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html
HHS Grants Policy Statement
https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgpsl 07.pdf
Federal Funding Accountability and Transparency Act (FFATA)
https://www.fsrs.gov/
Trafficking In Persons: Consistent with 2 CFR 175, awards are subject to the requirements of
the Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. Part 7104(g)).
https://www.law.cornell.edu/cfr/text/2/part-1 75
CDC Additional Requirements (AR) may apply. The NOFO will detail which specific ARs apply
to resulting awards. Links to full texts can be found at:
https://www.cdc.gov/grants/additional-requirements/index.html.
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
D-1
Exhibit D
FUNDING RESTRICTIONS AND LIMITATIONS
Cost Limitations as stated in Appropriations Acts. Recipients must follow applicable fiscal
year appropriations law in effect at the time of award. See AR-32 Appropriations Act, General
Requirements: https://www.cdc.gov/qrants/additional-requirements/ar-32.html.
Though Recipients are required to comply with all applicable appropriations restrictions,
please find below specific ones of note. CDC notes that the cited section for each below
provision may change annually.
A. Cap on Salaries (Division H, Title II, General Provisions, Sec. 202): None of the funds
appropriated in this title shall be used to pay the salary of an individual, through a grant or
other extramural mechanism, at a rate in excess of Executive Level II.
Note: The salary rate limitation does not restrict the salary that an organization may pay an
individual working under an HHS contract or order; it merely limits the portion of that salary that
may be paid with federal funds.
B. Gun Control Prohibition (Div. H,Title II, Sec. 210): None of the funds made available in this title
may be used, in whole or in part, to advocate or promote gun control.
C. Lobbying Restrictions (Div. H, Title V, Sec. 503):
• 503(a): No part of any appropriation contained in this Act or transferred pursuant to section
4002 of Public Law 111-148 shall be used, other than for normal and recognized executive-
legislative relationships, for publicity or propaganda purposes, for the preparation, distribution,
or use of any kit, pamphlet, booklet, publication, electronic communication, radio, television, or
video presentation designed to support or defeat the enactment of legislation before the
Congress or any State or local legislature or legislative body, except in presentation to the
Congress or any State or local legislature itself, or designed to support or defeat any proposed
or pending regulation, administrative action, or order issued by the executive branch of any
State or local government itself.
• 503(b): No part of any appropriation contained in this Act or transferred pursuant to section
4002 of Public Law 111-148 shall be used to pay the salary or expenses of any grant or
contract recipient, or agent acting for such recipient, related to any activity designed to
influence the enactment of legislation, appropriations, regulation, administrative action, or
Executive order proposed or pending before the Congress or any State government, State
legislature or local legislature or legislative body, other than for normal and recognized
executive-legislative relationships or participation by an agency or officer of a State, local or
tribal government in policymaking and administrative processes within the executive branch of
that government.
• 503(c): The prohibitions in subsections (a) and (b) shall include any activity to advocate or
promote any proposed, pending or future federal, state or local tax increase, or any
proposed, pending, or future requirement or restriction on any legal consumer product,
including its sale of marketing, including but not limited to the advocacy or promotion of gun
control.
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
D-2
Exhibit D
For additional information, see Additional Requirement 12 at
https://www.cdc.gov/grants/additional-requirements/ar-12.html.
D. Needle Exchange (Div. H, Title V, Sec. 520): Notwithstanding any other provision of this Act,
no funds appropriated in this Act shall be used to carry out any program of distributing sterile
needles or syringes for the hypodermic injection of any illegal drug.
E. Blocking access to pornography (Div. H, Title V, Sec. 521): (a) None of the funds made
available in this Act may be used to maintain or establish a computer network unless such
network blocks the viewing, downloading, and exchanging of pornography; (b) Nothing in
subsection (a) shall limit the use of funds necessary for any federal, state, tribal, or local law
enforcement agency or any other entity carrying out criminal investigations, prosecution, or
adjudication activities.
Prohibition on certain telecommunications and video surveillance services or equipment (Pub.
L. 115-232, section 889): For all new, non-competing continuation, renewal or supplemental awards
issued on or after August 13, 2020, recipients and subrecipients are prohibited from obligating or
expending grant funds (to include direct and indirect expenditures as well as cost share and program
funds) to:
1. Procure or obtain,
2. Extend or renew a contract to procure or obtain; or
3. Enter into contract (or extend or renew contract) to procure or obtain equipment, services, or
systems that use covered telecommunications equipment or services as a substantial or
essential component of any system, or as critical technology as part of any system. As
described in Pub. L. 115-232, section 889, covered telecommunications equipment is
telecommunications equipment produced by Huawei Technologies Company or ZTE
Corporation (or any subsidiary or affiliate of such entities).
i. For the purpose of public safety, security of government facilities, physical security
surveillance of critical infrastructure, and other national security purposes, video
surveillance and telecommunications equipment produced by Hytera
Communications Corporation, Hangzhou Hikvision Digital Technology Company, or
Dahua Technology Company (or any subsidiary or affiliate of such entities).
ii. Telecommunications or video surveillance services provided by such entities or
using such equipment.
iii. Telecommunications or video surveillance equipment or services produced or
provided by an entity that the Secretary of Defense, in consultation with the Director
of the National Intelligence or the Director of the Federal Bureau of Investigation,
reasonably believes to be an entity owned or controlled by, or otherwise, connected
to the government of a covered foreign country.
President's Emergency Plan for AIDS Relief(PEPFAR) funding is exempt from the prohibition under
Pub. L. 115-232, section 889 until September 30, 2022. During the exemption period, PEPFAR
recipients are expected to work toward implementation of the requirements.
Cancel Year: 31 U.S.C. Part 1552(a) Procedure for Appropriation Accounts Available for Definite
Periods states the following: On September 30th of the 51h fiscal year after the period of availability
for obligation of a fixed appropriation account ends, the account shall be closed and any remaining
balances (whether obligated or unobligated) in the account shall be canceled and thereafter shall
not be available for obligation or expenditure for any purpose.
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
D-3
Exhibit D
REPORTING REQUIREMENTS
Annual Federal Financial Report (FFR, SF-425): The Annual Federal Financial Report (FFR)
SF-425 is required and must be submitted no later than 90 days after the end of the budget
period in the Payment Management System.
Additional guidance on submission of Federal Financial Reports can be found at
https://www.cdc.gov/qrants/documents/change-in-federal-reporting-fv-2021-recipients.pdf.
If more frequent reporting is required, the Notice of Award terms and conditions will explicitly state
the reporting requirement.
Annual Performance Progress and Monitoring Reporting: The Annual Performance Progress
and Monitoring Report (PPMR) is due no later than 120 days prior to the end of the budget period
and serves as the continuation application for the follow-on budget period. Submission instructions,
due date, and format will be included in the guidance from the assigned GMO/GMS via
www.grantsolutions.gov.
Any change to the existing information collection noted in the award terms and conditions will be
subject to review and approval by the Office of Management and Budget (OMB) under the
Paperwork Reduction Act.
Data Management Plan: CDC requires recipients for projects that involve the collection or
generation of data with federal funds to develop, submit and comply with a Data Management
Plan (DMP) for each collection or generation of public health data undertaken as part of the
award and, to the extent consistent with law and appropriate, provide access to and
archiving/long-term preservation of collected or generated data. Additional information on the
Data Management and Access requirements can be found at
https://www.cdc.gov/qrants/additional-requirements/ar-25.html.
Audit Requirement Domestic Organizations (including US-based organizations implementing
projects with foreign components): An organization that expends $750,000 or more in a fiscal year
in federal awards shall have a single or program-specific audit conducted for that year in
accordance with the provisions of 45 CFR Part 75. The audit period is an organization's fiscal year.
The audit must be completed along with a data collection form (SF-SAC), and the reporting
package shall be submitted within the earlier of 30 days after receipt of the auditor's report(s), or
nine (9) months after the end of the audit period. The audit report must be sent to:
Federal Audit Clearing House Internet Data Entry System Electronic Submission:
https://harvester.census.gov/facides/(S(Ovkw1 zaelyzlibnahocga5i0))/account/login.aspx
AND
Office of Financial Resources, Risk Management and Internal Control Unit's Audit Resolution
Team (ART), RMICU.Audit.Resolution(d�cdc.gov.
Audit Requirement Foreign Organizations: An organization that expends $300,000 or more in a
fiscal year on its federal awards must have a single or program-specific audit conducted for that
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
D-4
Exhibit D
year. The audit period is an organization's fiscal year. The auditor shall be a U.S.-based Certified
Public Accountant firm, the foreign government's Supreme Audit Institution or equivalent, or an
audit firm endorsed by the U.S. Agency for International Development's Office of Inspector General.
The audit must be completed in English and in US dollars, and submitted within the earlier of 30
days after receipt of the auditor's report(s), or nine (9) months after the end of the audit period. The
audit report must be sent to the Office of Financial Resources, Risk Management and Internal
Control Unit's Audit Resolution Team (ART) at RMICU.Audit.Resolution(abcdc.gov. After receipt of
the audit report, CDC will resolve findings by issuing Final Management Determination Letters.
Domestic and Foreign organizations: Audit requirements for Subrecipients to whom 45 CFR 75
Subpart F applies: The recipient must ensure that the subrecipients receiving CDC funds also meet
these requirements. The recipient must also ensure to take appropriate corrective action within six
months after receipt of the subrecipient audit report in instances of non-compliance with applicable
federal law and regulations (45 CFR 75 Subpart F and HHS Grants Policy Statement). The
recipient may consider whether subrecipient audits necessitate adjustment of the recipient's own
accounting records. If a subrecipient is not required to have a program-specific audit, the recipient
is still required to perform adequate monitoring of subrecipient activities. The recipient shall require
each subrecipient to permit the independent auditor access to the subrecipient's records and
financial statements. The recipient must include this requirement in all subrecipient contracts.
Required Disclosures for Federal Awardee Performance and Integrity Information System
(FAPIIS): Consistent with 45 CFR 75.113, applicants and recipients must disclose in a timely
manner, in writing to the CDC, with a copy to the HHS Office of Inspector General (OIG), all
information related to violations of federal criminal law involving fraud, bribery, or gratuity violations
potentially affecting the federal award. Subrecipients must disclose, in a timely manner in writing to
the prime recipient (pass through entity) and the HHS OIG, all information related to violations of
federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the federal
award. Disclosures must be sent in writing to the assigned GMS/GMO identified in the NOA, and to
the HHS OIG at the following address:
U.S. Department of Health and Human Services
Office of the Inspector General
ATTN: Mandatory Grant Disclosures, Intake Coordinator
330 Independence Avenue, SW
Cohen Building, Room 5527
Washington, DC 20201
Fax: (202)-205-0604 (Include "Mandatory Grant Disclosures" in subject line) or Email:
MandatoryGranteeDisclosures(a)oig.hhs.gov
Recipients must include this mandatory disclosure requirement in all subawards and contracts
under this award.
Failure to make required disclosures can result in any of the remedies described in 45 CFR
75.371. Remedies for noncompliance, including suspension or debarment (See 2 CFR parts 180
and 376, and 31 U.S.C. 3321).
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
D-5
Exhibit D
CDC is required to report any termination of a federal award prior to the end of the period of
performance due to material failure to comply with the terms and conditions of this award in the
OMB-designated integrity and performance system accessible through SAM (currently FAPIIS)
(45 CFR 75.372(b)). CDC must also notify the recipient if the federal award is terminated for
failure to comply with the federal statutes, regulations, or terms and conditions of the federal
award (45 CFR 75.373(b)).
1. General Reporting Requirement
If the total value of currently active grants, cooperative agreements, and procurement contracts
from all federal awarding agencies exceeds $10,000,000 for any period of time during the period
of performance of this federal award, the recipient must maintain the currency of information
reported to the System for Award Management (SAM) and made available in the designated
integrity and performance system (currently the Federal Awardee Performance and Integrity
Information System (FAPIIS)) about civil, criminal, or administrative proceedings described in
section 2 of this award term and condition. This is a statutory requirement under section 872 of
Public Law 110-417, as amended (41 U.S.C. 2313). As required by section 3010 of Public Law
111-212, all information posted in the designated integrity and performance system on or after
April 15, 2011, except past performance reviews required for federal procurement contracts, will
be publicly available.
2. Proceedings About Which You Must Report
Submit the information required about each proceeding that:
a. Is in connection with the award or performance of a grant, cooperative agreement,
or procurement contract from the federal government;
b. Reached its final disposition during the most recent five-year period; and
c. If one of the following:
(1) A criminal proceeding that resulted in a conviction, as defined in paragraph 5 of
this award term and condition;
(2) A civil proceeding that resulted in a finding of fault and liability and payment of a
monetary fine, penalty, reimbursement, restitution, or damages of$5,000 or
more;
(3) An administrative proceeding, as defined in paragraph 5 of this award termand
condition, that resulted in a finding of fault and liability and your payment of
either a monetary fine or penalty of$5,000 or more or reimbursement,
restitution, or damages in excess of$100,000; or
(4) Any other criminal, civil, or administrative proceeding if:
(i) It could have led to an outcome described in paragraph 2.c.(1), (2),or
(3) of this award term and condition;
(ii) It had a different disposition arrived at by consent or compromise with an
acknowledgement of fault on your part; and
(iii) The requirement in this award term and condition to disclose information
about the proceeding does not conflict with applicable laws and
regulations.
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
D-6
Exhibit D
3. Reporting Procedures
Enter in the SAM Entity Management area the information that SAM requires about each
proceeding described in section 2 of this award term and condition. You do not need to submit
the information a second time under assistance awards that you received if you already provided
the information through SAM because you were required to do so under federal procurement
contracts that you were awarded.
4. Reporting Frequency
During any period of time when you are subject to this requirement in section 1 of this award
term and condition, you must report proceedings information through SAM for the most recent
five year period, either to report new information about any proceeding(s) that you have not
reported previously or affirm that there is no new information to report. Recipients that have
federal contract, grant, and cooperative agreement awards with a cumulative total value greater
than $10,000,000 must disclose semiannually any information about the criminal, civil, and
administrative proceedings.
5. Definitions
For purposes of this award term and condition:
a. Administrative proceeding means a non-judicial process that is adjudicatory in nature in order
to make a determination of fault or liability (e.g., Securities and Exchange Commission
Administrative proceedings, Civilian Board of Contract Appeals proceedings, and Armed
Services Board of Contract Appeals proceedings). This includes proceedings at the federal
and state level but only in connection with performance of a federal contract or grant. It does
not include audits, site visits, corrective plans, or inspection of deliverables.
b. Conviction, for purposes of this award term and condition, means a judgment or conviction
of a criminal offense by any court of competent jurisdiction, whether entered upon a verdict
or a plea, and includes a conviction entered upon a plea of nolocontendere.
c. Total value of currently active grants, cooperative agreements, and procurement
contracts includes—
(1) Only the federal share of the funding under any federal award with a recipient cost
share or match;
(2) The value of all expected funding increments under a federal award and options,
even if not yet exercised.
GENERAL REQUIREMENTS
You must administer your project in compliance with federal civil rights laws that prohibit discrimination
on the basis of race, color, national origin, disability, age and, in some circumstances, religion,
conscience, and sex (including gender identity, sexual orientation, and pregnancy). This includes taking
reasonable steps to provide meaningful access to persons with limited English proficiency and
providing programs that are accessible to and usable by persons with disabilities. The HHS Office for
Civil Rights provides guidance on complying with civil rights laws enforced by HHS. See
https://www.hhs.gov/civil-rights/for-providers/provider-obligations/index.html and
https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html.
• You must take reasonable steps to ensure that your project provides meaningful access to
persons with limited English proficiency. For guidance on meeting your legal obligation to take
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
D-7
Exhibit D
reasonable steps to ensure meaningful access to your programs or activities by limited English
proficient individuals, see https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-
english-proficiency/fact-sheet-guidance/index.html and https://www.lep.gov/.
• For information on your specific legal obligations for serving qualified individuals with
disabilities, including providing program access, reasonable modifications, and taking
appropriate steps to provide effective communication, see
http://www.hhs.gov/ocr/civiIrights/understanding/disability/index.html.
• HHS funded health and education programs must be administered in an environment free of
sexual harassment, see https://www.hhs.gov/civil-rights/for-individuals/sex-
discrimination/index.html.
• For guidance on administering your project in compliance with applicable federal religious
nondiscrimination laws and applicable federal conscience protection and associated anti-
discrimination laws, see https://www.hhs.gov/conscience/conscience-protections/index.html and
https://www.hhs.gov/conscience/religious-freedom/index.html.
Termination (45 CFR Part 75.372) applies to this award and states, in part, the following:
(a) This award may be terminated in whole or in part:
(1) By the HHS awarding agency or pass-through entity, if a non-Federal entity fails to comply with
the terms and conditions of a Federal award;
(2) By the HHS awarding agency or pass-through entity for cause;
(3) By the HHS awarding agency or pass-through entity with the consent of the non-Federal entity,
in which case the two parties must agree upon the termination conditions, including the effective
date and, in the case of partial termination, the portion to be terminated;
(4) By the non-Federal entity upon sending to the HHS awarding agency or pass-through entity
written notification setting forth the reasons for such termination, the effective date, and, in the
case of partial termination, the portion to be terminated. However, if the Federal awarding agency
or pass-through entity determines in the case of partial termination that the reduced or modified
portion of the Federal award or subaward will not accomplish the purposes for which the Federal
award was made, the HHS awarding agency or pass-through entity may terminate the Federal
award in its entirety.
Travel Cost: In accordance with HHS Grants Policy Statement, travel costs are allowable when
the travel will provide a direct benefit to the project or program. To prevent disallowance of cost,
the recipient is responsible for ensuring travel costs are clearly stated in their budget narrative
and are applied in accordance with their organization's established travel policies and procedures.
The recipient's established travel policies and procedures must also meet the requirements of 45
CFR Part 75.474.
Food and Meals: Costs associated with food or meals are allowable when consistent with
applicable federal regulations and HHS policies. See
https://www.hhs.gov/grants/contracts/contract-policies-regulations/spend ing-on-food/index.html.
In addition, costs must be clearly stated in the budget narrative and be consistent with
organization approved policies. Recipients must make a determination of reasonableness and
organization approved policies must meet the requirements of 45 CFR Part 75.432.
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
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Exhibit D
Prior Approval: All requests which require prior approval, must bear the signature (or electronic
authorization) of the authorized organization representative. The recipient must submit these
requests no later than 120 days prior to the budget period's end date. Additionally, any requests
involving funding issues must include an itemized budget and a narrative justification of the
request.
The following types of requests are examples of actions that require prior approval, unless an
expanded authority, or conversely a high risk condition, is explicitly indicated in the NOA.
• Use of unobligated funds from prior budget period(Carryover)
• Lift funding restriction
• Significant redirection of funds (i.e., cumulative changes of 25% of total award)
• Change in scope
• Implement a new activity or enter into a sub-award that is not specified in the approved
budget
• Apply for supplemental funds
• Extensions to period of performance
Templates for prior approval requests can be found at:
https://www.cdc.gov/qrants/already-have-qrant/PriorApprovalReguests.htm1.
Additional information on the electronic grants administration system CDC non-research awards
utilize, Grants Solutions, can be found at: https://www.cdc.gov/grants/grantsolutions/index.html.
Key Personnel: In accordance with 45 CFR Part 75.308, CDC recipients must obtain prior approval
from CDC for (1) change in the project director/principal investigator, authorized organizational
representative, business official, financial director, or other key persons specified in the NOFO,
application or award document; and (2) the disengagement from the project for more than three
months, or a 25 percent reduction in time devoted to the project, by the approved project director or
principal investigator.
Inventions: Acceptance of grant funds obligates recipients to comply with the standard patent
rights clause in 37 CFR Part 401.14.
Acknowledgment of Federal Funding: When issuing statements, press releases, publications,
requests for proposal, bid solicitations and other documents --such as tool-kits, resource guides,
websites, and presentations (hereafter"statements")--describing the projects or programs funded in
whole or in part with U.S. Department of Health and Human Services (HHS) federal funds, the
recipient must clearly state:
1. the percentage and dollar amount of the total costs of the program or project funded
with federal money; and,
2. the percentage and dollar amount of the total costs of the project or program funded
by non-governmental sources.
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
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Exhibit D
When issuing statements resulting from activities supported by HHS financial assistance, the
recipient entity must include an acknowledgement of federal assistance using one of the following
or a similar statement.
If the HHS Grant or Cooperative Agreement is NOT funded with other non-governmental sources:
This [project/publication/program/website, etc.] [is/was] supported by the Centers for
Disease Control and Prevention of the U.S. Department of Health and Human Services
(HHS) as part of a financial assistance award totaling $XX with 100 percent funded by
CDC/HHS. The contents are those of the author(s) and do not necessarily represent the
official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.
If the HHS Grant or Cooperative Agreement IS partially funded with other non-governmental
sources:
This [project/publication/program/website, etc.] [is/was] supported by the Centers for
Disease Control and Prevention of the U.S. Department of Health and Human Services
(HHS) as part of a financial assistance award totaling $XX with XX percentage funded by
CDC/HHS and $XX amount and XX percentage funded by non- government source(s). The
contents are those of the author(s) and do not necessarily represent the official views of,
nor an endorsement, by CDC/HHS, or the U.S. Government.
The federal award total must reflect total costs (direct and indirect)for all authorized funds
(including supplements and carryover) for the total competitive segment up to the time of the
public statement.
Any amendments by the recipient to the acknowledgement statement must be coordinated with
the HHS Awarding Agency.
If the recipient plans to issue a press release concerning the outcome of activities supported by
HHS financial assistance, it should notify the HHS Awarding Agency in advance to allow for
coordination.
Copyright Interests Provision: This provision is intended to ensure that the public has access to
the results and accomplishments of public health activities funded by CDC. Pursuant to applicable
grant regulations and CDC's Public Access Policy, Recipient agrees to submit into the National
Institutes of Health (NIH) Manuscript Submission (NIHMS) system an electronic version of the final,
peer-reviewed manuscript of any such work developed under this award upon acceptance for
publication, to be made publicly available no later than 12 months after the official date of
publication. Also, at the time of submission, Recipient and/or the Recipient's submitting author
must specify the date the final manuscript will be publicly accessible through PubMed Central
(PMC). Recipient and/or Recipient's submitting author must also post the manuscript through PMC
within twelve (12) months of the publisher's official date of final publication; however, the author is
strongly encouraged to make the subject manuscript available as soon as possible. The recipient
must obtain prior approval from the CDC for any exception to this provision.
The author's final, peer-reviewed manuscript is defined as the final version accepted for journal
publication and includes all modifications from the publishing peer review process, and all graphics
and supplemental material associated with the article. Recipient and its submitting authors working
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
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Exhibit D
under this award are responsible for ensuring that any publishing or copyright agreements
concerning submitted article reserve adequate right to fully comply with this provision and the
license reserved by CDC. The manuscript will be hosted in both PMC and the CDC Stacks
institutional repository system. In progress reports for this award, recipient must identify publications
subject to the CDC Public Access Policy by using the applicable NIHMS identification number for up
to three (3) months after the publication date and the PubMed Central identification number
(PMCID) thereafter.
Disclaimer for Conference/Meeting/Seminar Materials: If a conference/meeting/seminar is
funded by a grant, cooperative agreement, sub-grant and/or a contract, the recipient must include
the following statement on conference materials, including promotional materials, agenda, and
internet sites:
Funding for this conference was made possible (in part) by the Centers for Disease
Control and Prevention. The views expressed in written conference materials or
publications and by speakers and moderators do not necessarily reflect the official
policies of the Department of Health and Human Services, nor does the mention of trade
names, commercial practices, or organizations imply endorsement by the U.S.
Government.
Logo Use for Conference and Other Materials: Neither the Department of Health and Human
Services (HHS) nor the CDC logo may be displayed if such display would cause confusion as to the
funding source or give false appearance of Government endorsement. Use of the HHS name or
logo is governed by U.S.C. Part 1320b-10, which prohibits misuse of the HHS name and emblem in
written communication. A non-federal entity is not authorized to use the HHS name or logo
governed by U.S.C. Part 1320b-10. The appropriate use of the HHS logo is subject to review and
approval of the HHS Office of the Assistant Secretary for Public Affairs (OASPA). Moreover, the
HHS Office of the Inspector General has authority to impose civil monetary penalties for violations
(42 CFR Part 1003).
Additionally, the CDC logo cannot be used by the recipient without the express, written consent of
CDC. The Program Official/Project Officer identified in the NOA can assist with facilitating such a
request. It is the responsibility of the recipient to request consent for use of the logo in sufficient
detail to ensure a complete depiction and disclosure of all uses of the Government logos. In all
cases for utilization of Government logos, the recipient must ensure written consent is received.
Further, the HHS and CDC logo cannot be used by the recipient without a license agreement
setting forth the terms and conditions of use.
Equipment and Products: To the greatest extent practical, all equipment and products purchased
with CDC funds should be American-made. CDC defines equipment as tangible non- expendable
personal property (including exempt property) charged directly to an award having a useful life of
more than one year AND an acquisition cost of$5,000 or more per unit. However, consistent with
recipient policy, a lower threshold may be established. Please provide the information to the
Grants Management Officer to establish a lower equipment threshold to reflect your organization's
policy.
The recipient may use its own property management standards and procedures, provided it
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
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Exhibit D
observes provisions in applicable grant regulations found at 45 CFR Part 75.
Federal Information Security Management Act (FISMA): All information systems, electronic or
hard copy, that contain federal data must be protected from unauthorized access. This standard
also applies to information associated with CDC grants. Congress and the OMB have instituted
laws, policies and directives that govern the creation and implementation of federal information
security practices that pertain specifically to grants and contracts. The current regulations are
pursuant to the Federal Information Security Management Act (FISMA), Title III of the E-
Government Act of 2002, PL 107-347.
FISMA applies to CDC recipients only when recipients collect, store, process, transmit or use
information on behalf of HHS or any of its component organizations. In all other cases, FISMA is
not applicable to recipients of grants, including cooperative agreements. Under FISMA, the
recipient retains the original data and intellectual property, and is responsible for the security of
these data, subject to all applicable laws protecting security, privacy, and research. If/When
information collected by a recipient is provided to HHS, responsibility for the protection of the HHS
copy of the information is transferred to HHS and it becomes the agency's responsibility to protect
that information and any derivative copies as required by FISMA. For the full text of the
requirements under Federal Information Security Management Act (FISMA), Title III of the E-
Government Act of 2002 Pub. L. No. 107-347, please review the following website:
https://www.govinfo.gov/content/pkq/PLAW-107publ347/pdf/PLAW-107publ347.pdf.
Whistleblower Protections: As a recipient of this award you must comply with the National Defense
Authorization Act (NDAA) for Fiscal Year (FY) 2013 (Pub. L. 112-239, 41 U.S.C. § 4712)
"Enhancement of contractor protection from reprisal for disclosure of certain information," and 48 CFR
part 3 subpart 3.9, "Whistleblower Protections for Contractor Employees." For more information see:
https://oig.hhs.gov/fraud/whistleblower/.
PAYMENT INFORMATION
Fraud Waste or Abuse: The HHS Office of the Inspector General (OIG) maintains a toll-free
number (1-800-HHS-TIPS [1-800-447-8477])for receiving information concerning fraud, waste, or
abuse under grants and cooperative agreements. Information also may be submitted online at
https://tips.oig.hhs.gov/ or by mail to U.S. Department of Health and Human Services, Office of the
Inspector General, Attn: OIG HOTLINE OPERATIONS, P.O. Box 23489 Washington DC 20026.
Such reports are treated as sensitive material and submitters may decline to give their names if
they choose to remain anonymous. For additional information, see: https://oig.hhs.gov/fraud/report-
fraud/.
Automatic Drawdown (Direct/Advance Payments): Payments under CDC awards will be made
available through the Department of Health and Human Services (HHS) Payment Management
System (PMS), under automatic drawdown, unless specified otherwise in the NOA. Recipients must
comply with requirements imposed by the PMS on-line system. Questions concerning award
payments or audit inquiries should be directed to the payment management services office.
PMS Website: https://pms.psc.gov/ PMS
Phone Support: +1(877)614-5533
PMS Email Support: PMSSupport(a_psc.gov
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
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Exhibit D
Payment Management System Subaccount: Funds awarded in support of approved activities
will be obligated in an established subaccount in the PMS. Funds must be used in support of
approved activities in the NOFO and the approved application. All award funds must be tracked
and reported separately.
Exchange Rate: All requests for funds contained in the budget, shall be stated in U.S. dollars.
Once an award is made, CDC will generally not compensate foreign recipients for currency
exchange fluctuations through the issuance of supplemental awards.
Acceptance of the Terms of an Award: By drawing or otherwise obtaining funds from PMS, the
recipient acknowledges acceptance of the terms and conditions of the award and is obligated to
perform in accordance with the requirements of the award. If the recipient cannot accept the terms,
the recipient should notify the Grants Management Officer within thirty (30) days of receipt of the
N OA.
Certification Statement: By drawing down funds, the recipient certifies that proper financial
management controls and accounting systems, to include personnel policies and procedures,
have been established to adequately administer federal awards and funds drawn down.
Recipients must comply with all terms and conditions in the NOFO, outlined in their NOA,
grant policy terms and conditions contained in applicable HHS Grant Policy Statements, and
requirements imposed by program statutes and regulations and HHS grants administration
regulations, as applicable; as well as any regulations or limitations in any applicable
appropriations acts.
CLOSEOUT REQUIREMENTS
Recipients must submit all closeout reports identified in this section within 90 days of the period of
performance end date. The reporting timeframe is the full period of performance. If the recipient does
not submit all reports in accordance with this section and the terms and conditions of the Federal
Award, CDC may proceed to close out with the information available within one year of the period of
performance end date unless otherwise directed by authorizing statutes. 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 and is submitted upon solicitation from the GMS/GMO via
www.grantsolutions.gov. 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;and
• 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 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 expended during the timeframe covered by the report. The Final FFR, SF-425 is
required and must be submitted no later than 90 days after the period of performance end date
through recipient online accounts in the Payment Management System. The final FFR will
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
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Exhibit D
consolidate data reporting responsibilities to one entry point within PMS which will assist with the
reconciliation of expenditures and disbursements to support the timely close-out of grants.
The final FFR must indicate the exact balance of unobligated funds and may not reflect any
unliquidated obligations. Remaining unobligated funds will be de-obligated and returned
to the U.S. Treasury.
Every recipient should already have a PMS account to allow access to complete the SF-425.
Additional guidance on submission of Federal Financial Reports can be found at
https://www.cdc.gov/grants/documents/change-in-federal-reporting-fv-2021-recipients.pdf.
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#sortby=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.
CDC STAFF RESPONSIBILITIES
Roles and Responsibilities: Grants Management Specialists/Officers (GMO/GMS) and
Program Officials (PO) work together to award and manage CDC grants and cooperative
agreements. From the pre-planning stage to closeout of an award, grants management and
program staff have specific roles and responsibilities for each phase of the grant cycle. Award
specific terms and conditions will include contact information for the PO/GMO/GMS.
Program Official: The PO is the federal official responsible for monitoring the programmatic,
scientific, and/or technical aspects of grants and cooperative agreements including:
• The development of programs and NOFOs to meet the CDC's mission;
• Providing technical assistance to applicants in developing their applications, e.g.,
explanation of programmatic requirements, regulations, evaluation criteria, and guidance
to applicants on possible linkages with other resources;
• Providing technical assistance to recipients in the performance of their project;and
• Post-award monitoring of recipient performance such as review of progress reports,
review of prior approval requests, conducting site visits, and other activities
complementary to those of the GMO/GMS.
For Cooperative Agreements, substantial involvement is required from CDC. The PO is the federal
CDC General Terms and Conditions for Non-research Awards, Revised:September 2022
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Exhibit D
official responsible for the collaboration or participation in carrying out the effort under the award.
Substantial involvement will be detailed in the NOFO and award specific terms and conditions and
may include, but is not limited to:
• Review and approval of one stage of work before work can begin on a subsequent stage;
• Review and approval of substantive programmatic provisions of proposed subawards
or contracts(beyond existing federal review of procurement or sole source policies);
• Involvement in the selection of key relevant personnel;
• CDC and recipient collaboration or joint participation; and
• Implementing highly prescriptive requirements prior to award limiting recipient discretion
with respect to scope of services, organizational structure, staffing, mode of operation,
and other management processes.
Grants Management Officer: The GMO is the only official authorized to obligate federal funds
and is responsible for signing the NOA, including revisions to the NOA that change the terms and
conditions. The GMO serves as the counterpart to the business officer of the recipient
organization. The GMO is the federal official responsible for the business and other non-
programmatic aspects of grant awards including:
• Determining the appropriate award instrument, i.e., grant or cooperative agreement;
• Determining if an application meets the requirements of the NOFO;
• Ensuring objective reviews are conducted in an above-the-board manner and according to
guidelines set forth in grants policy;
• Ensuring recipient compliance with applicable laws, regulations, and policies;
• Negotiating awards, including budgets;
• Responding to recipient inquiries regarding the business and administrative aspects of an
award;
• Providing recipients with guidance on the closeout process and administering the closeout
of grants;
• Receiving and processing reports and prior approval requests such as changes in funding,
budget redirection, or changes to the terms and conditions of an award; and
• Maintaining the official grant file and program book.
Grants Management Specialist: The GMS is the federal staff member responsible for the day-
to-day management of grants and cooperative agreements. The GMS is the primary contact of
recipients for business and administrative matters pertinent to grant awards. Many of the
functions described in the GMO section are performed by the GMS, on behalf of the GMO.
CDC General Terms and Conditions for Non-research Awards,Revised:September 2022
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