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County of Fresno
INTERNAL SERVICES DEPARTMENT
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AMENDMENT NUMBER ONE (1)
Agreement Number: P-24-006
October 1, 2024
Downtown Association dba Downtown Fresno Partnership
2020 Tulare Street
Fresno, CA 93721
Contract Number P-24-006 covering Census Work Related to the Harm Reduction Program 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.
Services under this contract shall be performed in accordance with the attached REVISED Exhibits A, B,
and C.
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-24-006 Page 2
Downtown Association dba Downtown Fresno Partnership
October 1, 2024
If you have any questions, please contact Amber Nigam, Purchasing Analyst, at (559) 600-7110 or email
anigam(aUresnocountyca.gov.
FOR THE COUNTY OF FRESNO
Rile Digitally signed by Riley
Y Blackburn
Blackburn Date:2024.10.08
15:49:44-07'00'
Riley Blackburn
Purchasing Manager
333 W. Pontiac Way
Clovis, CA 93612
Amend 1
CONTRACT NO. P-24-006 Page 3
Downtown Association dba Downtown Fresno Partnership
October 1, 2024
CONTRACTOR TO COMPLETE:
Company: Downtown Association dba Downtown Fresno Partnership
Type of Entity:
❑ Individual ❑ Limited Liability Company
❑ Sole Proprietorship ❑ Limited Liability Partnership
❑■ Corporation ❑ General Partnership
Elliott Balch Digitally signed by Elliott Balch
Signature Date:2024.10.03 16:36:57-07'00'
Elliott Balch, President & CEO 10/3/24
Print Name and Title Date
Signature
Print Name and Title Date
Address City State Zip
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
ACCOUNTING USE ONLY
ORG No.: 56201500
Account No.: 7295
Requisition No.: 5622500316
(7/2024)
Amend 1
REVISED 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 is commonly used as 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 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
REVISED 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 11:00am Pacific Time and 12:00pm Pacific Time and every Saturday from 2:00pm Pacific
Time and 3:00pm Pacific Time. Contractor will begin the point-in-time homeless census on
January 1st, 2024 and will continue through June 301h, 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
REVISED 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 when possible. 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
memory issues. 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 distribute information and
provide a means of communication between the Department of Public Health and local area
businesses to generate regular discussions impacting the local businesses and social
determinants of health in the surrounding communities. The goal of this distribution of
information is to create an open dialogue and build trust between the Department of Public
Health and its neighbors in the Downtown Fresno area, and particularly the Fulton Street
Corridor.
Contractor will also work with local area businesses to encourage participation in County
programming regarding additional data collection with regards to their experiences with the Pilot
Whole-Person Harm Reduction Program, the Department of Public Health, the homeless and
any changes that may have occurred because of factors brought about by the Department of
Public Health
A-3
REVISED 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 maximum of$100.00 per hour for with a maximum weekly
hours of two hours per week. Contractor will begin billing on January 1 st, through June 30tn
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.
Census Rate
Description Cost per Hour
Census $100.00
The DPH Director or designee will notify Contractor prior to July 1 st of each subsequent
fiscal year of the funding amount available for the following fiscal year.
B-4
REVISED Exhibit C
Instructions for the
Collection of Downtown Unsheltered/Homeless Data
FCDPH EPI Program
Please read carefully before collecting data.
Census Assessment Catchment Area
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<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://redcap.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
REVISED 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
REVISED 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 additional 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
REVISED 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:
Level of Confidence
High
Medium 2
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