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M-11-757 DPH Misc. Docs.pdf
ti CO U� CONTRACT STATUS FORN-tECEIVED I� 0 O� O DATE: December 01, 2022 MAR U 7 2023 F E 556 DEPARTMENT OF PUBLIC H A DIVISION(S): Public Health Nursing CONTRACTS SECTION (Lead Division listed first) CONTRACTOR: Fresno County Economic Opportunities Commission (EO SERVICES: MOU: Coordination of CHDP & Head Start Program CONTRACT TERM: 7/1/17 to 6/30/23 E ADDITIONAL INFO: Evergreen Agreement-Please Review ORGANIZATION #(s): 56201611 CONTRACT AMOUNT: $0.00 Contract#: M-11-757 StateNendor M N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:March 1, 2023 ❑ Extend contract through: , 20— With no changes in terms or conditions. ❑ With the following change(s): Evergreen: Continue contract through: 3a , 20 — Cancel contract effective: , 20 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by. r —>---�—� � Program Supervisor/St Analyst: Date: 2-i Z s i z Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090 CO CONTRACT STATUS FORM o� o DATE: December 01, 2021 pRES1' DIVISION(S): Public Health Nursing (Lead Division listed first) CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) SERVICES: MOU: Coordination of CHDP & Head Start Program CONTRACT TERM: 7/1/17 to 6/30/22 E RECEIV ADDITIONAL INFO: Evergreen Agreement-Please Review AUG 2420 ORGANIZATION #(s): 56201611 DEPARTMENT OF Pilo in Try CONTRACT AMOUNT: $0.00 CONTRACTS SECTION Contract#: M-11-757 State/Vendor#: N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:March 1, 2022 ❑ Extend contract through: , 20 ❑ With no changes in terms or conditions. With the following change(s): Evergreen: Continue contract through: ��ne 30 , 20 7-b Cancel contract effective: , 20 ❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by: Program Supervisor/ ff Analyst: Date: 1 Z Division Manager: Date: 0!1�12L, Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 • COUP CONTRACT STATUS FQ IVED O� s6 0 DATE: December 01, 2020 SEP 2 4 2021 FREst' DIVISION(S): Public Health Nursing DEPARTMENT OF PUBLIC HEA (Lead Division listed first) CONTRACTS SECTION CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) SERVICES: MOU: Coordination of CHDP & Head Start Program CONTRACT TERM: 7/1/17 to 6/30/21 E ADDITIONAL INFO: Evergreen Agreement-Please Review ORGANIZATION #(s): 56201611 CONTRACT AMOUNT: $0.00 Contract#: M-11-757 StateNendor#: N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:March 1. 2021 Extend ontract through: 6/30 , 20 22 With no changes in terms or conditions. With the following change(s): Evergreen: Continue contract through: 20 Cancel contract effective: , 20 1-1 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by: Program Supervisor/Staff Analyst: Date: 9-tY-2 I Dp 11y M7R1,,R ahn DN Row .ry -US. Division Manager: Rose Ma ryRahn fl=•hn@h—mty�g° Dab2021 09 24 14 38 23-07W Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090 w COUP OwNTRACT STATUS FOAM 0 DATE: December 02, 2019 RECEIVED�� DIVISION(S): Public Health Nursing JUN 2 3 2020 (Lead Division listed first) DEPARTMENT OF PUBLIC HEALTH CONTRACTOR: Fresno County Economic Opportunities ComMWWA*0C) SERVICES: MOU: Coordination of CHDP & Head Start Program CURRENT PERIOD: 7/1/17 to 6/30/20 E Auto-renewal: e through: (If not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2011 to Evergreen at the end of the current period.) ORGANIZATION #(s): 56201611 CONTRACT AMOUNT: $0.00 ADDITIONAL INFO: Evergreen Agreement-Please Review -151 Contract#: N/A State/Vendor#: N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:March 1, 2020 Renew contract through: 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 datetterm, contract extension, etc.): Approved by. ^ Program Supervisor/Sta alyst Date: Division Manager: Date: �p Z'2 ?v Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090 COUP C&TRACT STATUS FORMI fp O� s6 O DATE: November 29, 2018 FitES� DIVISION(S): Public Health Nursing RECEIVED (Lead Division listed first) MAR 2 8 2019 CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) DEPARTMENT OF PUBLIC HEALT otkl CONTRACTS SECTION SERVICES: MOU: Coordination of CHDP & Head Start Program CURRENT PERIOD: 7/1/17 to 6/30/2018 E Auto-renewal: © through: (if not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2011 to Evergreen at the end of the current period.) ORGANIZATION #(s): 56201611 CONTRACT AMOUNT: $0.00 ADDITIONAL INFO: Contract#: N/A State/Vendor#: N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:March 1, 2019 Ren c ntract th ugh: , 20 Wi changes in t s or conditions. ❑ With the following change(s): vergreen: Continue contract through: 3D 20 ❑ Cancel contract effective: , 20 ❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by: Program Supervis .r/ aff Ana t: Date: Z l Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 co CONTRACT STATUS FORM DATE: November 28, 2016 RECEIVED F�tES� MAR 0 6 201� DIVISION(S): Public Health Nursing (Lead Division listed first) MPMNENT OF PUBLIC Ty CONTRACTS SECTI CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) SERVICES: MOU: Coordination of CHDP & Head Start Program CURRENT PERIOD: 7/1/16 to 6/30/17 E Auto-renewal: V-1 through: (if not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2011 to Evergreen at the end of the current period.) ORGANIZATION #(s): 56201611 CONTRACT AMOUNT $0.00 ADDITIONAL INFO: Contract#: N/A State/Vendor#: N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:March 1, 2017 Renew contract through: , 20 With no changes in terms or conditions. With the following change(s): Evergreen: Continue contract through: 6�J'0, 20 Cancel contract effective: _, 20 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): A rov by: 2 yc. =- P 7 /7 �S &;odram Supervisor/St a alyst: Date: 3 —3—/ Division Manager: Date: �Q ��-- Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 CO U� CUNTRACT STATUS FONM RECEIVED or".g6 0 DATE: November 20, 2015 MAR 0 2 W6 DIVISION(S): Public Health Nursing DEPARTMENT OF PUBLIC HEALTH (Lead Division listed first) CONTRACTS SECTION CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) SERVICES: MOU: Coordination of CHDP & Head Start Program CURRENT PERIOD: 7/1/15 to 6/30/16 E Auto-renewal: W through: (If not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2011 to Evergreen at the end of the current period.) ORGANIZATION #(s): 56201611 CONTRACT AMOUNT $0.00 ADDITIONAL INFO: Contract#: N/A State/Vendor#: N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by:March 1, 2016 Renew contract through: 120 With no changes in terms or conditions. With the following change(s): [J/Evergreen: Continue contract through: 20 Cancel contract effective: , 20 Additional Information (e.g., anticipated effective date/term, contract extension, etc.): AWroved by: all Program Supervisor/ ff Analy � w14� Date-, ^v` Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 _ co CONTRACT STATUS FORM O� 56 O DATE: December 09, 2014 DIVISION(S): A Ail- (Lead Division listed first) CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) SERVICES: MOU: Coordination of CHDP & Head Start Program CURRENT PERIOD: 7/1/14 to 6/30/15 E Auto-renewal: W through: (If not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2011 to Evergreen at the end of the current period.) ORGANIZATION #(s): 56201611 RECEIVED CONTRACT AMOUNT: $0.00 JAN 0 6 2015 ADDITIONAL INFO: DEPARTMENT OF P�BLIC HEALTH Contract#: N/A State/Vendor#: N/A CONTRACTS ECTION Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by: March 1, 2015 enew contract through: )Ll &- 220 , 20 6 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: �rogram Superviso taff Anal st: Date: Z-' Z q /C( Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 co CeMTRACT STATUS FORM RECEIVED DATE: December (, 2013 FUE JAN 13 2014 DIVISION(S): Children's Medical Services (Lead Division listed first) DEPARTMENT PUBLIC HEALTH CONTRACTS SECTION CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) SERVICES: MOU: Coordination of CHDP & Head Start Program CURRENT PERIOD: 7/1/13 to 6/30/14 E Auto-renewal: ❑ through: (if not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2011 to Evergreen at the end of the current period.) ORGANIZATION #(s): 56201611 CONTRACT AMOUNT: $0.00 ADDITIONAL INFO: Contract#: N/A State/Vendor#: N/A Lead Dept: DPH Other Dept(s): 7 Complete the information below and return to DPH Contracts by: March'Y 2014''. Renew contract through: ;2 J , 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.): � L� -r PION It Approved by: - Program Supervisor/St Analyst:, `� Date: Division Manager: Date: Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090 CaNTRACT STATUS FORM ti cove O� s6 O DATE: December 03, 2012ES�' DIVISION(S): Children's Medical Services (Lead Division listed first) CONTRACTOR: Fresno County Economic Opportunities Commission (EOC) SERVICES: MOU: Coordination of CHDP & Head Start Program CURRENT PERIOD: 7/1/11 to 6/30/13 E Auto-renewal: ❑ through: (If not checkmarked above,contract will terminate ENTIRE TERM: 7/1/2011 to 4130120+3- at the end of the current period.) ORGANIZATION #(s): 56201611 CONTRACT AMOUNT: $0.00 ADDITIONAL INFO: Contract#: N/A State/Vendor#: N/A Lead Dept: DPH Other Dept(s): Complete the information below and return to DPH Contracts by: March 1, 2013 ❑ Renew contract through: , 20 ❑ With no changes in terms or conditions. ❑ With the following change(s): Evergreen: Continue contract through: 3� , 20 /-7' Cancel contract effective: , 20 ❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.): Approved by. Program Superviso tall An_alb G'� � - � Date: �a Division Manager: Date: 'N Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090