HomeMy WebLinkAboutP-24-194 DPH Misc. Docs.pdf CONTRACT STATUS FORM ��ti co�,�
RECEIVED o ggs
DATE: October 01, 2024 OCT Q 9 2024 ESQ
DIVISION(S): Health Policy and Wellness DEPARTMENT Of PUBLI ALTH
(Lead Division listed first) CONTRACTS SECT N
CONTRACTOR: Conduent Healthy Communities Corporation
SERVICES: Consulting Services (Community Health Needs Assessment)
CONTRACT TERM: 4/24/24 to 4/23/25
ADDITIONAL INFO:
ORGANIZATION #(s): 56201019
CONTRACT AMOUNT: $78,175.00
Contract#: P-24-194 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:January 1, 2025
❑ 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 C%S
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by: / /.
Program Supervisor/Staff Analyst: Date: 01171
Division Manager: Date: o is
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
co U� �• •
n f Fresno
0 _ Cou ty o o
DEPARTMENT OF PUBLIC HEALTH
FxEs� David Luchini, Director
Dr. Rais Vohra, Interim Health Officer
April 24, 2024
Jeff Monahan
Conduent Healthy Communities Corporation
100 Campus Drive, Suite 200
Florham Park, NJ 07932
Agreement: P-24-194
Dear Contractor,
The County of Fresno, Department of Public Health has not received current verification
of your insurance requirements in accordance with the "Insurance" Section of the
Agreement between the County of Fresno and your agency. For your reference the
insurance requirements are listed in Exhibit C of the enclosed Agreement.
Please send us an original insurance certificate(s) verifying that your insurance is in
compliance for the current period of the Agreement at your earliest possible
convenience but no later than thirty (30) days from the date of this letter. Please
forward a copy of the certificate(s) to dphcontracts D-fresnocountyca.gov or mail the
original to:
County of Fresno, Department of Public Health
P.O. Box 11867
Fresno, CA 93775
ATTN: Contracts Section — 6th Floor
If you have any questions, please contact me at (559) 600-7090.
Sincerely
berta Byn m
S .nior Staff Ana y
RB: Iw
Promotion,preservation and protection of the community's health
1221 Fulton Street/P. 0. Box 11867, Fresno,CA 93775
(559)600-3200 0 FAX(559)600-7687
The County of Fresno is an Equal Employment Opportunity Employer
www.co.fresno.ca.us 0 www.fcdph.org