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County of Fresno
INTERNAL SERVICES DEPARTMENT
185610 Facilities• Fleet•Graphics• Purchasing •Security•Technology
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AMENDMENT NUMBER ONE (1)
Agreement Number: P-24-175
October 2, 2024
Poverello House
412 F Street
Fresno, CA 93706
Contract Number P-24-175 to provide Data Sharing, Data User Census Work and Consultation Services
is amended as follows:
The contract with your company expires December 31, 2024. The County of Fresno desires to extend
this contract for an additional six-month period effective January 1, 2025 through June 30, 2025. Prices
will be firm for the contract period. Amendment provisions shall remain in full force and effect with any
contract renewals.
Contractor shall perform the services as described in Revised Exhibits "A& C" attached, at the rates set
forth in Revised Exhibit"B" attached.
Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as
provided in this section.
A. An "electronic signature" means any symbol or process intended by an individual signing this
Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed
version of an original handwritten signature; or(3) an electronically scanned and transmitted (for
example by PDF document) of a handwritten signature.
B. Each electronic signature affixed or attached to this Agreement (1) is deemed equivalent to a valid
original handwritten signature of the person signing this Agreement for all purposes, including but not
limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force
and effect as the valid original handwritten signature of that person.
C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in
the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section
1633.1).
D. Each party using a digital signature represents that it has undertaken and satisfied the requirements
of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each
other party may rely upon that representation.
This Agreement is not conditioned upon the parties conducting the transactions under it by electronic
means and either party may sign this Agreement with an original handwritten signature.
Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS.
333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110
The County of Fresno is an Equal Employment Opportunity Employer
CONTRACT NO. P-24-175 Page 2
Poverello House
October 2, 2024
If you have any questions, please contact Susan Walker, Purchasing Technician, at (559) 600-7110 or
email suwalker(aVresnocountyca.gov.
FOR THE COUNTY OF FRESNO
Digitckbur
Riley Blackburn Datea1ly 024.1004signedy15:43:3RileyB0a0700n
Riley Blackburn
Purchasing Manager
333 W. Pontiac Way
Clovis, CA 93612
RB:slw
P-24-175 Poverello House Amendment One.docx
CONTRACT NO. P-24-175 Page 3
Poverello House
October 2, 2024
CONTRACTOR TO COMPLETE:
Company: Poverello House
Type of Entity:
❑ Individual ❑ Limited Liability Company
❑ Sole Proprietorship ❑l Limited Liability Partnership
■❑ Corporation ❑l General Partnership
Zachary Darrah Digitally signed by Zachary Darrah
Signature Date:2024.10.03 17:13:27-07'00'
Zachary Darrah, Chief Executive Officer 10/3/2024
Print Name and Title Date
Signature
Print Name and Title Date
412 F Street Fresno CA 93706
Address City State Zip
5594986988 5594856548 zdarrah@poverellohouse.org
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
ACCOUNTING USE ONLY
ORG No.: 56201500
Account No.: 7295
Requisition No.: 5622500315
(7/2024)
P-24-175 Poverello House Amendment One.docx
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"A"
Poverello House Page 1 of 3
10/02/2024
Exhibit A
Scope of Services
The Department of Public Health (FCDPH) is seeking data sharing and regional data
user census and consultation services that include census records, system programming,
sharing of data, survey work, analyzing impacts, and mitigation options and solutions. This
limited scope of work will collect, analyze, and distribute data regarding the baseline of
homeless concentration pre and post implementation of the County's Pilot Whole Person Harm
Reduction Program. This data will cover the Fulton Corridor and within a 600' radius of APNs
46621104T, 46621103T, and 46621119T, commonly known as the Department of Public Health
Brix-Mercer Complex. Potential data collection includes a point in time census of the
unsheltered and/or unhoused population.
Definitions
Brix-Mercer Complex—The tandem of buildings and trio of parcels that house the Fresno
County Department of Public Health. The Mercer Building is located at 1211 Fulton Street. The
Brix Building is located at 1221 Fulton Street. The address commonly used to refer the Brix-
Mercer Complex is 1221 Fulton Street.
Department of Public Health —The County of Fresno's local health jurisdiction that
encompasses the 15 incorporated cities and the unincorporated areas that constitute the whole
of the County of Fresno.
Harm Reduction —The public health approach of minimizing or reducing negative health,
social, and economic consequences of risky behaviors.
Homeless —A condition of lacking stable, safe, and functional housing. This may include, but
not be limited to living on the streets, living in temporary shelters, emergency accommodations,
or may live outside of traditional living quarters.
Needle Exchange —A location identified for the process of exchanging used hypodermic
needles for sterile hypodermic needles.
Pilot Whole-Person Harm Reduction Program —The County of Fresno's initial program to
offer robust options and solutions for individuals that would benefit from utilization of traditional
A-1
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"A"
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10/02/2024
Exhibit A
Harm Reduction Programming. These will include food stability, housing vouchers, bus tokens,
medical, mental, and substance abuse treatment systems.
Point in Time Census —A count of individuals at a given time to determine the exact number of
individuals for a comparative analysis.
REDCap —Web based data collection program to upload and collect data that will be utilized by
Contractor to provide data to the County.
Unhoused - see Homeless
Unsheltered — see Homeless
Point in Time Census
A point-in-time street count will occur for an approximately 600-foot radius catchment
area around the FCDPH Brix-Mercer Complex. This area will be divided into nine smaller
quadrants. Contractor will provide a team consisting of two (2) trained persons who will be
surveying the number of people identified as possibly unhoused in the catchment area.
In addition to noting their unhoused status, Contractor will record if they witness any
active drug use, excluding tobacco or marijuana, while conducting their survey of the area. Data
collected will be determined on the level of confidence the Contractor has in their determination
of the actions of the person being counted. Contractor will only count an individual once a day,
even if they change quadrants during the area survey, when it is known to Contractor that it is
the same person. However, it is unavoidable that double counting may occur given the
collection of minimal data.
Contractor will collect their point-in-time census data every Wednesday during the hours
of 6:00am Pacific Time and 8:00am Pacific Time and every Saturday from 7:00pm Pacific Time
and 9:00pm Pacific Time. Contractor will begin the point-in-time homeless census on April 15,
2024 and will continue through June 30th, 2025. Contractor will be made aware of the start date
of the Pilot Whole-Person Harm Reduction Program in advance.
Data will be collected using an electronic form hosted in REDCap. Contractor will collect
data immediately on their phones or tablets in the electronic data collection form. Contractor will
be provided access to this electronic form for the input of data. If data is not entered directly into
A-2
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"A"
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10/02/2024
Exhibit A
the electronic form, Contractor will collect data on a paper form that mimics the electronic form
and then enter the collected data into the official electronic database within a specific timeframe,
as agreed upon by the County and Contractor. Point in Time census counts, and associated
data will always be recorded at the time the census is conducted using the electronic form or
paper form to prevent inaccurate data associated with delayed recording of data collected by
the Contractor. To reduce bias, recent Point in Time census counts collected by other
Contracted parties or DPH will not be shared with the Contractor prior to their collection of data.
Contractor will follow Point in Time census counts as instructed in Exhibit C.
Contractor will work with Department of Public Health to provide information to the
Department of Public Health regarding the services utilized and needs required of the unhoused
in the realm of public health. The goal of this is to create an unmet needs assessment for the
unhoused community in regard to public health needs which are often overlooked in light of
higher needs such as stable housing, adequate food supply, and/or mental health/substance
abuse treatment.
A-3
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"B"
Poverello House Page 1 of 1
10/02/2024
Exhibit B
Compensation
The Contractor will be compensated for performance of its services under this
Agreement as provided in this Exhibit B. The Contractor is not entitled to any compensation
except as expressly provided in this Exhibit B.
Contractor shall be paid at the rate of$100,00 per hour, with a maximum of two (2)
allowable service hours per week. Contractor will begin service on April 15, 2024, and continue
through June 30, 2025. A review will be completed by both parties, and a written notice will be
submitted by the Contractor if a labor increase not to exceed three percent annually is
warranted due to current economic conditions and minimum wage requirements by the state
and or federal government. Any planned price increases must be sent to the County within 30
days before the increase goes into effect, not to exceed three percent annually.
Census Rate
Description Hourly
Census $100.00
The DPH Director or designee will notify Contractor prior to July 1 sc of the funding
amount available for the current fiscal year.
B-4
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"C"
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10/02/2024
Exhibit C
Instructions for the
Collection of Downtown Unsheltered/Homeless Data
FCDPH EPI Program
Please read carefully before collecting data.
Census Assessment Catchment Area
40
<Please provide me with a map outlining the different quadrants and
survey areas>
Your team consisting of at least 2 people will be surveying the catchment area from Tuolumne
St to Mariposa St and H street to Van Ness Ave to conduct a census of unsheltered/homeless.
One person from each team will enter the data on a cell phone or tablet while you conduct your
area assessment. Data will be collected in a REDCap form located at:
https:Hredcap.link/unshelteredl . The team should always record the data immediately while
conducting the assessment. If unforeseen circumstances prevent the immediate entry of data
into the REDCap form, collect data on provider paper form while conducting the assessment
and then enter it into the official database as soon as possible.
C-5
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"C"
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10/02/2024
Exhibit C
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Unsheltered/Homeless Identification
For this census count, only those who are experiencing homelessness and are unsheltered in a public
place will be counted. HUD's definition of an unsheltered homeless person is one who resides in "a
place not meant for human habitation,such as cars, parks,sidewalks, abandoned buildings (on the
street)".
Although the definition is straightforward, identifying those experiencing homelessness is difficult,
especially when basing counts by observation alone. Homeless people are a diverse and varied group
in terms of age,gender,ethnicity,circumstances, and dress. Due to this it is important for teams to
record the level of confidence they have in their determination of if the person meets the
qualifications. It is also important that teams conducting the census do not assume people are
homeless based on preconceived notions and bias.
This census will include direct"street"counts of unsheltered/homeless persons by 1)Simple counts
done in non-shelter locations within the catchment areas or 2)Counts with an interview component
(Kingview).
Who to include in your counts
When an interview component is used:
a) High level of confidence- individuals that self-identify as experiencing homelessness
Typically the following will fall under the high or medium level of confidence:
b) All adults, children, and unaccompanied youth sleeping in places not meant for human
habitation,which include:Streets, parks, alleys, parking lots, bus stops, outdoor stairwells or
doorways, and other similar places
c) Those living in a tent or hand-built structures
Although not all who fit within the below descriptions may be homeless for the sake of this census
count the following items will be proxies for potential homelessness:
d) Individuals panhandling
e) Persons holding large amounts of belongings or pushing a cart or stroller with their
belongings
If other reasons are made to make the determination that the person is homeless,they will fall
under low level of confidence.
C-6
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"C"
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10/02/2024
Exhibit C
Surveyors will only count those who are readily visible from their survey location on the
street (car)or sidewalk(walking). If unsheltered are in a readily visible location inside an
empty lot,stairways, alleyway,etc.they will be counted. Surveyors will not go or look inside
any empty or abandoned buildings, go into areas not easy to see (e.g., under thick bushes),
climb stairways, move any items, or go into an area deemed unsafe. People going into or out
of businesses, residences, or places of work will not be counted.Surveyors will report the
actual number of people counted during the point-in-time survey with no adjustments.
Drug Use
While conducting your area assessment, if your team witnesses active drug use,excluding tobacco or
marijuana use, please record this in the data form form separately from the unsheltered/homeless
counts.
For the unsheltered/homeless and drug use counts,try to only count an individual once a day, even
if they change quadrants/areas during the assessment. If you are unsure if it is the same person,
then count them in the new quadrant/area.
Data Collection Form
I. Data and Time:The date and start time should represent the date and time the team physically
started the area census assessment.These will automatically be filled out when you open the form.
Do not change them unless you collected the data in the paper form and are entering it into the
electronic record after the survey.
II. Recorder:The name of the person or team collecting and recording the data. For every form you
submit you need to enter something that can be linked back to you or your team, it can be a full
name,short code, number letter combination (e.g., D1),or initials. If none full names are used,the
identification code/letter/initials must be unique and approved by FCDPH prior to use.
III. Location:Specific areas within the data collection catchment area you are recording data for. Each
specific area requires a new form.
IV. Description: Unsheltered/homeless or Drug Use. Unsheltered/Homeless is already selected by
default,only need to modify if entering data for drug use. Drug use and unsheltered/homeless
require separate forms to be submitted.
V. Level of confidence in description: How confident do you feel with your determination that these
people meet the qualifications to be counted as unsheltered/homeless or actively using drug use?
VI. Number of People:Select the number of people in that area that meet that description by your
confidence level in the description determination.
VII. Determination based on: Brief statement of what were the qualifications or factors that lead you to
the determination that the persons were homeless-sleeping unsheltered, near a tent, panhandling,
etc.
Vill. Tents: Number of tents or similar homeless sleeping structures in area.
IX. Notes/Comments:Add additiona► information you feel is important to provide about the data
entered in the form or things you witnessed while conducting the survey. Include the reason for the
determination of homeless,e.g., sleeping in public space, pushing cart full of items.
C-7
PROCUREMENT AGREEMENT NUMBER: P-24-175 REVISED EXHIBIT"C"
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10/02/2024
Exhibit C
After entering the data, always press submit or data entry will not be saved.
You will likely will multiple records during your assessment.
Submit the same form when
• Persons meeting qualifications are in same quadrant
• They are all doing the same behavior: unsheltered/homeless or drug use
Submit a different form for
• Each different quadrant location
• Unsheltered/Homeless vs drug use
Example: If there are 3 people in the same general area and you have low confidence one
person is homeless and medium confidence for the other 2:
Pr
Level of Confidence
High
Medium 2
i
Low 1
Things to do:
• Take time to observe the area
• Look at both sides of a street (unless one side is outside the catchment area)
• If walking,stay on sidewalk unless crossing the street, always use crosswalks
• For parking lots, observe from sidewalk or outside perimeter
• Stay alert
Things not to do:
• Go into an area that feels unsafe
• Go as a single individual to collect data
• Try to record data after conducting the survey based on memory, collect the data as you go
C-8