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HomeMy WebLinkAboutA-12-085 DPH Misc. Docs.pdf CONTRACT STATUS FORMti coU� O� 96 O DATE: September 03, 2024 RECEIVED- Esc' DIVISION(S): Emergency Services NOV IS 2024 (Lead Division listed first) CONTRACTOR: STATE: DPH DEPARTMENT OF PUBLIC WEAL CONTRACTS SECTION SERVICES: Public Health Emergency Preparedness (PHEP) - Medical Surge Assets - MOU CONTRACT TERM: 318/12 to 3/7/25 E ADDITIONAL INFO: Evergreen Agreement-Please Review ORGANIZATION #(s): CONTRACT AMOUNT: $0.00 Contract#: A-12-085 State/Vendor#: Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:December 1. 2024 Extend contract through: , 20 ❑ With no changes in terms or conditions. With the following change(s): Evergreen: Continue contract through: ^ 7 , 20 2E ❑ Cancel contract effective: , 20 1-1 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by: Program Supervisor/Staff nal s Date: 2 L Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone#: 600-7090 c0�,�, CONTRACT STATUS FORM DATE: September 01, 2023 RECEIVE' o� FRESt'� DIVISION(S): Emergency Services pE SEP 2 6 2DZ (Lead Division listed first) PARCONTRq OF EBL1C N CONTRACTOR: STATE: DPH eTj N SERVICES: Public Health Emergency Preparedness (PREP) - Medical Surge Assets - MOU CONTRACT TERM: 3/8/12 to 3/7/24 E ADDITIONAL INFO: Evergreen Agreement-Please Review ORGANIZATION #(s): CONTRACT AMOUNT: $0.00 Contract#: A-12-085 StateNendor#: Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:December 1, 2023 Extend contract through: , 20 ❑ With no changes in terms or conditions. ❑ With the following change(s): Evergreen: Continue contract through: , 20 , ❑ Cancel contract effective: , 20 ❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.): A G� Approved by: Program Supervisor/St Ana Date: st: ' q�zl Z 3 Division Manager: ' Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090 CO CONTRACT STATUS FORM O 856 O DATE: September 01, 2022ES� DIVISION(S): Emergency Medical Services (Lead Division listed first) CONTRACTOR: STATE: DPH SERVICES: Public Health Emergency Preparedness (PREP) - Medical Surge Assets - MOU CONTRACT TERM: 3/8/12 to 3/7/23 E RECEIVED ADDITIONAL INFO: Evergreen Agreement-Please Review OCT 13 2022 ORGANIZATION #(s): DEPARTMENT OF PUBLIC H CONTRACT AMOUNT: $0.00 CONTRACTS SECTION Contract#: A-12-085 StateNendor#: Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:December 1, 2022 Extend contract through: , 20 With no changes in terms or conditions. With the following change(s): Evergreen: Continue contract through: �� , 20 , Cancel contract effective: , 20 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by. Program Supervisor/Staff Analyst: Date: Division Manager: e'. Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090 _ co CONTRACT STATUS FORM RECEIVED o s6 0 DATE: September 01, 2021ES SEP 16 F." DIVISION(S): Emergency Medical Services DEPARTMENT 0F r;'F:'C Hr_ ' (Lead Division listed first) PURCHAS%",S' CONTRACTOR: STATE: DPH SERVICES: Public Health Emergency Preparedness (PHEP) - Medical Surge Assets - MOU CONTRACT TERM: 3/8/12 to 317/22 E ADDITIONAL INFO: Evergreen Agreement-Please Review ORGANIZATION #(s): CONTRACT AMOUNT: $0.00 Contract#: A-12-085 State/Vendor#: Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:December 1, 2021 Extend contract through: , 20 ❑ With no changes in terms or conditions. ❑ With the following change(s): ,F] Evergreen: Continue contract through: '3/7 , 20 �. C Cancel contract effective: , 20 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by: Program Supervisor/ aff Analyst: Date: Division Manager: Date: t3 Zoe` Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 co • CONTRACT STATUS FORM DATE: September 01, 2020 RECEIVED �� EC5 DIVISION(S): Emergency Medical Services SEP 0 9 2020 (Lead Division listed first) DEPARTMENT OF PUBLIC HEAL CONTRACTOR: STATE: DPH CONTRACTS SECTION SERVICES: Public Health Emergency Preparedness (PREP) - Medical Surge Assets - MOU CURRENT PERIOD: 3/8/12 to 3/7/21 E Auto-renewal: O through: (If not checkmarked above,contract will terminate ENTIRE TERM: 03/08/12 to Evergreen at the end of the current period.) ORGANIZATION #(s): CONTRACT AMOUNT: $0.00 ADDITIONAL INFO: Evergreen Agreement-Please Review Contract#: A-12-085 State/Vendor M Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:December 1, 2020 ❑ Renew contract through: 120 With no changes in terms or conditions. ❑ With the following change(s): Evergreen: Continue contract through: 20 2� ❑ Cancel contract effective: , 20 ❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by: Program Supervisor/Sta Ana Date: Division Manager: Af Date: Z©Z� Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 Wilson, Les From: Schmidt, Darrel S. Sent: Tuesday, September 10, 2019 03:15 PM To: eContracts; DPH Contracts Subject: RE: eContract Notification:A-12-085 -TRANSFER OF MEDICAL SURGE ASSETS FROM STATE Follow Up Flag: Follow up Flag Status: Completed I have reviewed Agreement A-12-085.This contract should continue as an evergreen agreement with no changes. Please let me know if any additional comments are needed to keep this agreement in effect. Darrel.S4t-vwialf- PHEP Coordinator/HPP Coordinator Fresno County Department of Public Health Public Health Emergency Preparedness(PREP) 1221 Fulton Street Fresno,CA 93721 Main Line: (559)600-3473 Desk Line: (559)600-3149 Email:dschmidt@fresnocountyca.gov From: econtracts@co.fresno.ca.us<econtracts@co.fresno.ca.us> Sent: Monday, September 09,2019 6:15 AM To:Schmidt, Darrel S.<DSchmidt@fresnocountyca.gov>; DPH Contracts<dphcontracts@fresnocountyca.gov> Subject:eContract Notification: A-12-085-TRANSFER OF MEDICAL SURGE ASSETS FROM STATE Importance: High Contract • Notes: Evergreen Agreement-Please Review To Access eContracts- Click Here To Edit or View this Contract - Click Here i ti co U� CONTRACT STATUS FORM 9 O� ja56 O DATE: September 01, 2015ESt' DIVISION(S): Community Health (Lead Division listed first) CONTRACTOR: STATE: DPH SERVICES: Public Health Emergency Preparedness (PREP) - Medical Surge Assets - MOU CURRENT PERIOD: 3/8/15 to 3/7/16 E Auto-renewal: ❑ through: (If not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2012 to Evergreen at the end of the current period.) ORGANIZATION #(s): CONTRACT AMOUNT $0.00 ADDITIONAL INFO: Contract#: A-12-085 State/Vendor#: Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:December 1, 2015 Renew contract through: 120 RECEIVED With no changes in terms or conditions. SEP 10 DEPARTMENT With the following change(s): CONTRACTS E"ii(N Evergreen: Continue contract through: , 20 Cancel contract effective: , 20 ❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by. +-Pro ram Supervisor/Staff Analyst: Date: CI ion Manager: Date: r Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 CO U� C0MRACT STATUS FORK , ,'t DATE: September 03, 2013 ESQ DIVISION(S): Community Health (Lead Division listed first) CONTRACTOR: STATE: DPH SERVICES: Public Health Emergency Preparedness (PHEP) - Medical Surge Assets - MOU CURRENT PERIOD: 3/8/13 to 3/7/14 E Auto-renewal: ❑ through: (If not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2012 to Evergreen at the end of the current period.) ORGANIZATION #(s): CONTRACT AMOUNT: $0.00 ADDITIONAL INFO: Contract#: A-12-085 State/Vendor M )+ Lead Dept: DPH Other Dept(s): Complete-the-informatio to e u cts by:- December 1;372013 Renew contract through: , 20 ❑ With no changes in terms or conditions. With the following change(s): [ Evergreen: Continue contract through: 3 7 , 20 41- Cancel contract effective: , 20 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by.- Program Supervis tall Analys Date: 9 3 /,3 Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090 co UYNTRACT STATUS FOOd DATE: August 30, 2012 DIVISION(S): Community Health (Lead Division listed first) CONTRACTOR: STATE: DPH SERVICES: Public Health Emergency Preparedness (PHEP) - Medical Surge Assets - MOU CURRENT PERIOD: 3/8/12 to 3/7/13 E Auto-renewal: ❑ through: (If not checkmarked above,contract will terminate ENTIRE TERM: 3/8/2012 to Evergreen at the end of the current period.) ORGANIZATION #(s): CONTRACT AMOUNT: $0.00 ADDITIONAL INFO: Contract#: A-12-085 State/Vendor M Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by: December 1, 2012 Renew contract through: , 20 With no changes in terms or conditions. With the following change(s): Evergreen: Continue contract through: �3� , 20 ❑ Cancel contract effective: , 20 ❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by: Program Superviso tall Analys . Date: �,�.3 Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 co ti County of Fresno O� 56 O DEPARTMENT OF PUBLIC HEALTH ESQ EDWARD L. MORENO, M.D., M.P.H. DIRECTOR-HEALTH OFFICER February 29, 2012 of Public ye Anne M. Bybee, Emergency Planning Analyst RECEIVED California Department of Public Health Emergency Preparedness Office MAR 01 2012 Emergency Pharmaceuticals Services Unit 1615 Capitol Avenue P.O. Box 997377, MS 7002 %4t�' 5f Sacramento, CA 95899 Nweoo Dear Ms. Bybee: Enclosed are two (2) signed copies of the Memorandum of Understanding (MOU) between the County of Fresno and the California Department of Public Health for the transfer of medical surge assets to Fresno County. After final processing, please return a fully executed original MOU to: Kristin Lynch, Staff Analyst County of Fresno, Department of Public Health Public Health Emergency Preparedness 1221 Fulton Mall Fresno, CA 93721 Please contact me at (559) 600-3473 if you have any questions. Sincerely, G� v� Kristin Lynch Staff Analyst Enclosures cc: Rose Mary Garrone, Public Health Emergency Preparedness Coordinator Dedicated to Public Health 1221 Fulton Mall/ P.O. Box 11867, Fresno,California 93775/(559)600-3200/ FAX(559)445-2772 Equal Employment Opportunity - Affirmative Action - Disabled Employer www.fcdph.org %W �w DEPARTMENT OF PUBLIC HEALTH - DISTRIBUTION FORM Send Board Agenda Item / Agreement to: From: DPH Contracts Contract/BAI: MOU with State DPH for Transfer of Medical Surge Assets Effective Date: March 8, 2012 Date: 3/28/2012 NAME: TITLE DEPARTMENT: STOP #: ❑ Kirby, Pat Division Manager, Children's Medical Services 2"d Floor ❑ Pomaville, David Division Manager, Environmental Health 3'd Floor ❑ Drusen, Cathy Division Manager, Public Health Nursing 4th Floor ❑ Nara an, Pratap Interim Division Manager, Correctional Health 112 ❑ Luchini, David Division Manager, Community Health 5th Floor ❑ Lynch, Daniel Division Manager, Emergency Medical Services 5`h Floor Soriano, Claudia ❑ Stasikonis, Susan Public Health Laboratory Basement ❑ Taylor, Donna Director, Department of Behavioral Health 97 ❑ Himes, Howard Director, Department of Social Services 144—Sd Floor ❑ A karian, Ar i Deputy Director, General Services 23—le Floor ❑ ❑ Clerk to the Board of Supervisors 11 ❑ Purchasing 25 ❑ Auditor-Controller/Treasurer-Tax Collector 5 ❑ Grassi, Kathleen Assistant Director, Department of Public Health 6th Floor updated 2/8/2010