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HomeMy WebLinkAboutAgreement A-24-667 Amendment No. 5 to Master Agreement.pdf Agreement No. 24-667 1 AMENDMENT NO. 5 TO SERVICE AGREEMENT 2 This Amendment No. 5 to Service Agreement ("Amendment No. 5") is dated 3 December 17, 2024 and is by and between the County of Fresno, a political subdivision of 4 the State of California ("County"), and each Provider listed in Revised Exhibit A-4, "List of 5 Providers" (collectively referred to as "Provider"). Reference in this Agreement to "party" or 6 "parties" shall be understood to refer to County and each provider unless otherwise specified. 7 Recitals 8 A. On June 23, 2020, the County and Provider entered into Individual/Group Provider 9 Master Agreement, which is County Agreement No. 20-236, for specialty mental health services 10 to County's Medi-Cal beneficiaries; and 11 B. On June 30, 2023, the County and Provider amended the above service Agreement, 12 which is Agreement No. 23-271 to add additional Providers to the Agreement and incorporate a 13 new billing structure due to the implementation of the California Advancing and Innovating Medi- 14 Cal (CaIAIM) initiative by the Department of Health Care Services; and 15 C. On January 9, 2024 the County and Provider amended the above service Agreement, 16 which is Agreement No. 24-021 to add additional providers to the Agreement; and 17 D. On May 21, 2024 the County and Provider amended the above service Agreement, 18 which is Agreement No. 24-217 to add additional providers to the Agreement, remove providers 19 from the Agreement, and increase maximum compensation to the Agreement; and 20 E. On November 5, 2024 the County and Provider amended the above service Agreement 21 which is Agreement No. 24-574 to add additional providers to the Agreement; and 22 F. The County now desires to retroactively increase the maximum compensation for this 23 Agreement for fiscal years 2023-2024 and 2024-2025 due to an unexpected increase in 24 reimbursable services; and upon execution of this Amendment No. 5, update individual provider 25 Karina Cisneros to Karina Baca due to her legal name changing. 26 The parties therefore agree as follows: 27 1. Section 4 of the Agreement located at page 6 line 23 through page 7 line 3 is deleted 28 and replaced with the following: 1 1 "For the period effective from July 1, 2023 through June 30, 2024, the maximum 2 compensation amount under this Agreement shall not exceed Seven Million Five 3 Hundred Thousand and No/100 Dollars ($7,500,000.00) for all Providers 4 combined. 5 For the period effective from July 1, 2024 through June 30, 2025, the maximum 6 compensation amount under this Agreement shall not exceed Eight Million and 7 No/100 Dollars ($8,000,000.00) for all Providers combined. 8 For the entire term of this Agreement, the total maximum compensation amount 9 under this Agreement shall not exceed Twenty Eight Million Seven Hundred 10 Thirty Nine Thousand Eight Hundred Thirty Eight and No/100 Dollars 11 ($28,739,838.00) for all Providers combined." 12 2. This Amendment No. 5 is effective retroactive to July 1, 2023, unless otherwise indicated 13 in this Amendment No. 5. 14 3. When both parties have signed this Amendment No. 5, the Agreement, Amendment No. 15 1, Amendment No. 2, Amendment No. 3, Amendment No. 4, and this Amendment No. 5 16 together constitute the Agreement. 17 4. The Contractor represents and warrants to the County that: 18 a. The Contractor is duly authorized and empowered to sign and perform its obligations 19 under this Amendment. 20 b. The individual signing this Amendment on behalf of the Contractor is duly authorized 21 to do so and his or her signature on this Amendment legally binds the Contractor to 22 the terms of this Amendment. 23 5. The parties agree that this Amendment may be executed by electronic signature as 24 provided in this section. 25 a. An "electronic signature" means any symbol or process intended by an individual 26 signing this Amendment to represent their signature, including but not limited to (1) a 27 digital signature; (2) a faxed version of an original handwritten signature; or (3) an 28 2 1 electronically scanned and transmitted (for example by PDF document) version of an 2 original handwritten signature. 3 b. Each electronic signature affixed or attached to this Amendment (1) is deemed 4 equivalent to a valid original handwritten signature of the person signing this 5 Amendment for all purposes, including but not limited to evidentiary proof in any 6 administrative or judicial proceeding, and (2) has the same force and effect as the 7 valid original handwritten signature of that person. 8 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5, 9 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 10 2, Title 2.5, beginning with section 1633.1). 11 d. Each party using a digital signature represents that it has undertaken and satisfied 12 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) 13 through (5), and agrees that each other party may rely upon that representation. 14 e. This Amendment is not conditioned upon the parties conducting the transactions 15 under it by electronic means and either party may sign this Amendment with an 16 original handwritten signature. 17 6. This Amendment may be signed in counterparts, each of which is an original, and all of 18 which together constitute this Amendment. 19 7. The Agreement as previously amended and as amended by this Amendment No. 5 is 20 ratified and continued. All provisions of the Agreement as previously amended and not 21 amended by this Amendment No. 5 remain in full force and effect. 22 [SIGNATURE PAGE FOLLOWS] 23 24 25 26 27 28 3 1 The parties are signing this Amendment No. 5 on the date stated in the introductory 2 clause. 3 PROVIDERS COUNTY OF FRESNO 4 SEE ATTACHED SIGNATURE PAGES 5 6 Nathan Magsig, Chairman of the Board of Supervisors of the County of Fresno 7 Attest: 8 Bernice E. Seidel Clerk of the Board of Supervisors 9 County of Fresno, State of California 10 By: 11 Deputy 12 For accounting use only: 13 Org No.: 56302666 Account No.: 7223/0 14 Fund No.: 0001 Subclass No.: 10000 15 16 17 18 19 20 21 22 23 24 25 26 27 28 4 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date 2 stated in the introductory clause. 3 Provider(individual): Dolores Amato — 4 A 'M 5 By: EV 6 7 Print Name: 8 9 Title: (10 10 11 Date: 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 5 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Individual): Karina Baca 3 4 By: 5 6 Print Name: Karina Baca 7 8 Title: LCSW 9 10 Date: 11/18/2024 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 6 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Individual): Johanna V. Cooke 3 4 By: 5 6 Johanna Cooke, LCSW Print Name. 7 8 Title: Licensed Clinical Social Worker 9 10 Date: 11/19/2024 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 7 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause Provider (Individual): Juddh A. Dickey �J 4 By: J Print Name; g Title 1 6�Qa:e 11 12 13 14 15 16 1? 18 109 ?I,'I 21 22 23 24 25 26 27 28 8 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the data stated in the introductory clause. 2 Provider(individual): Donald Farris 3 By: 5 X 7"- 6 Print Name: Donald K Farris 7 8 Title: LCSW 9 10 Date: 11/20/2024 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 9 1 The partiesmreexeouUngUliaAmendnnantNo. 5toAoneemerdNo. 2O-230onthadateatetadin the introductory clause. Provider(individual): Kimberly M. Jones 4 By: 5 0 Print Name: __Dr. Kimberly Jones, Ed.D. LK8FT#4995 O Title: —Owner 10 OmN»: 11/2O/2O 11 12 13 14 15 10 17 10 18 20 21 22 23 24 25 26 27 28 10 j1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 3 Provide r(Indi idual): L Familia Thera Services Inc. 4 By: 5 6 Print Name: 1,11*116L-1 7 8 , Title: C, d- L �'1 F 7- 9 10 Il • �O �y Date: 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 11 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Individual): Nasim Nancy Lynch 3 4 By: 5 6 Print Name: d"'la G v 7 8 Title: 9 10 Date: 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 12 1 2 3 4 5 6 7 8 9 10 11 This page is intentionally left blank. 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 13 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (In u ): Eri McClinc . 3 4 By: 5 6 Print Name: Erica Mccl;ncy 7 8 Title: Licensed clinical Social Worker 9 10 Date: 11/2ni24 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 14 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in 2 the introductory clause. 3 Provider (Individual): Kannon E. Nalls 4 5 6 By: Gi 7 8 Print Name: m 4 p in 9 10 Title: 0,J 11 12 Date: 2 0 Z V v 4 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 15 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated i 2 the introductory clause. n 3 Provider (In vi ual): Isa intanilla 4 By: 5 6 Print Name- 7 8 Title: 9 10 Date: 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 16 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Individual): Juan Quintanilla 3 4 By: 5 Print Name: —: U� �111VIlTr�hPrL� 7 Title: 9 10 Z Date: �� / 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 17 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (individual): Michelle Randolph 3 4 � t1 5 6 Print Name: 7 � 8 Title: -C�`.' 9 10 Date: 11 12 13 14 15 16 17 18 19 20 2' 22 23 24 25 26 27 28 18 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Individual): Teresa Roltgen 3 4 By: 5 6 I Print Name: re—y-C, G, �"- 7 8 Title: �t I 9 10 Date: 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 19 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Individual): Jorge Romero 3 4 By: 5 Print Name: JO4�9 A Xon&----e-z 8 Title: 4771" 9 - 10 Date: 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 20 r 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Individual): Michael Tucibat 3 4 By: 5 6 Print Name: 7 8 Title: 9 10 Date: 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 21 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Individual): Ka Bao Vang 3 4 I r T 5 6 �an Print Name: XI 7 8 Title: ce.n � I �(� I"St 9 10 Date: � Ii 24A 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 22 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Individual): Zoua Xiong 3 4 By: 5 6 Zoua Xion Print Name. 9 7 8 LMFT Title: 9 10 Date: 11/19/2024 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 23 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (individual): Eugene Yamamoto 3 4 By: 5 6 Print Name: 7 8 Title: 9 10 `l Date: 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 24 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): A Hopeful Encounter 3 4 By: 5 6 Print Name: _Susan Xiong 7 8 Title: President & CEO 9 Chairman of the board, or President, or any Vice president 10 11 Date: 11/19/24 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 25 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Allay Psychological Services 3 e 4 By 5 6 Print Name: /2.�-Sh U L._W L47 LLAJ , 7 8 r Title: 9 Chairman of the board, or President, or any ice president 10 11 Date: 11b8z2 y,/ 12 13Aa�14 By /4-X 15 16 Print Name: tz 17 18 Title: Secretary�rporation), or any Assisfant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: j1/l f 7"=I 22 23 24 25 26 27 28 26 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Bio Behavioral Medical Clinics 3 gy �✓ 5 6 Print Name: Kenneth A. Steinbach, M.D. 7 8 Title: Vice President g Chairman of the board, or President, or any Vice president 10 11 Date: 12 13 14 B 15 16 Print Name: Monica Muro 17 18 Title: Administrator & CFO Secretary (of Corporation), or any Assistant Secretary. 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 11/18/2024 22 23 24 25 26 27 28 27 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): DN Associates 3 4 By: 5 6 Curtis Donovan Print Name: 7 8 Executive Director Title: 9 Chairman of the board, or President, or any Vice president 10 11/25/2024 11 Date: 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 28 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Erene Soliman Psychologist INC. 3 4 By: 5 6 Print Name: l 7 8 (�Title: J 9 Chairman of the board, or President, or any Vice president 10 2 11 Date: ✓ O 12 13 14 By: 15 16 Print Name: GU 17 .�18 Title: Secretary( Corpor tion), or y A! ant Secretary, 19 or Chief Fi ncial O cer, or a y Assistant Treasurer 20 f1 nn 21 Date: 22 23 24 25 26 27 28 29 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Esperanza Family Counseling 3 4 By: 5 6 Print Name: Sergio Pereyra, PhD, LMFT 7 8 Title: CEO, President 9 Chairman of the board, or President, or any Vice president 10 11 Date: 11/18/2024 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 30 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Fresno American Indian Health Project 3 By: 5 6 Print Name: L VVL 7 8 c Title: 9 Chairman of-the board, or President, or any Vice presid nt 10 I �( 11 Date: G1 l 2 1 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 31 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Fresno New Connections 3 _ 4 By: 5 .� 6 I/ Print Name. 7 Title: Ivy'64; � g Chairman of the board, or President, or any Vice president 10 11 Date: (l lg ZoZ 12 13 14 By. G C - 15 16 l Print Name: 17 18 Title: SOs.'(-dv Secretary tc,l ��,rp_;rati�r,�. ' any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 32 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Generational Changes, Inc. 3 4 By: 5 6 Print Name: Dr Linda Scott 7 8 Title: CEO g Chairman of the board, or President, or any Vice president 10 11 Date: 11/21/24 12 13 14 By: 15 16 Print Name: Anita Washington 17 18 Title: Office Manager Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 33 --7 1 PROVIDER (GROUP): 2101 3 By: l� 4 5 Print Name: J 67. , Title: L��i�Cu y� �/��l1�C�j/y 7 Chairman of the Board, or 8 President, or any Vice President 9 10 Date: 11 12 13 By: 14 15 Print Name: 16 Title: 17 Secretary (of Corporation), or any Assistant Secretary, or 18 Chief Financial Officer, or 19 any Assistant Treasurer 20 Date: 21 22 23 24 25 26 27 28 34 COUNTY OF FRESNO Fresno, CA 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): House Psychiatric Clinic, Inc. 3 4 By: 5 6 17R oJs e Print Name. 7 Title: g Chairman of the board, or President, or any Vice president 10 11 Date: 12 13 14 By: 15 16 Print Name: 17 18 Title.- Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 35 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): Impact Behavioral Health and Recovecy 3 4 By: 5 Print Name: 7 Tale: g Chairman of the board, or President,or any Vice president 10 11 Date: 12 13 14 By. 15 16 print Name: ICrGSA [�/Se 17 18 Title: �f"Dr T r L Go P Secretary(of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 36 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group)z- Inspire Psychological Services Inc. 3 � 4 - By: 5 Print Name: 7 Title: 9 Chairman of the board, or resident, or any Vice president 10 11 Date: 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 37 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Integral Community Solutions Institute 3 By: 5 Print Name: Tt < 13 0 /:2 C 7 8 Title: ` g Chairman of the-board, or President, or any Vice president 10 11 Date: 12 13 14 By: 15 16 Print Name: t !Y) 17 �- 18 Title: Secretary(of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 38 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): Joint Opportunities 3 �I , 4 By: 5 Print Name: I 7 Title: 9 Chairman of the board, or President, or any Vice president 10 11 Date: 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 39 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): Marjaree Mason Center 3 By: 5 s ff Print Name: 7 8 Title: g Chairman of the board, or President, or any Vice president 10 j 11 Date: ar) 12 13 14 By: 15 rn 16 I Print Name: 17 18 Title: Secretary(of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 l / 21 Date: 22 23 24 25 26 27 28 40 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Omid Counseling Center, Inc. 3 4 By: 5 e Print Name: Rbh"I/Q14 rq L 7 8 Title: l/l r amn g Chairman of the board, or President, or any Vice president 10 11 Date: q 12 13 14 By: M ao 15 16 Print Name: t4 A-V6 01� Orr e1Ala Id 17 18 Title: C o b Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 41 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): Poverello House Enrichment Center 3 4 By: 5 6 Print Name: 7 8 Title: C t✓ �t�" � �— g Chairman of the board, or President, or any Vice president 10 11 Date: 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 42 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Precision Psychiatric Services, Inc. 3 4 By: f (L R�� 5 Ldf 6 Mint Dillon Print Name: y 7 8 Title: CEO 9 Chairman of the board, or President, or any Vice president 10 11 Date: 11/22/24 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 43 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): _ Prodigy Healthcare I.nc. 3 4 By: r/ 5 6 Print Name: �ck-'k IRv rate 7 8 / Title: gesidle,? g Chairman of the board, or President, or any Vice president 10 11 Date: 1111f 2Y 12 13 14 By: 15 16 print Name: . 17 18 Title: C -J Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: _ it 1'0-ZZ 22 23 24 25 26 27 28 44 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): Promesa Behavioral Health 3 4 By: 5 Print Name: -C�- 7 8 Title: g Chairman of the board, or President, or any Vice president 10 11 Date: 12 13 14 By. 15 16 Print Name: Z Viy ►U A, 17 r 18 Title: C- r co Secretary(of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 45 I Docusign Envelope ID:9387A7BC-5890-4CC1-A8DC-BADE9C293520 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Quality Group Homes, Inc 3 DocuSgned-bY 4 R c l ey By: 5 6 .James Clark Print Name: 7 8 Title: President 9 Chairman of the board, or President, or any Vice president 10 11 Date: 11/20/2024 12 13 Signed by: 14 By: sign,d by: t, M.a{�.is CAZFEFS6C3�'33 15 Catherine Mathis 16 Print Name: 17 18 Title: secretary Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 11/22/2024 22 23 24 25 26 27 28 46 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): Resiliency Center of Fresno 3 4 � � By: - 5 Print Name: %i✓ / / / cZez-1//2e- 7 Title: 1U�"'� 9 Chairman of the board, or President, or any Vice president 10 'J 11 Date: 12 13 14 I - 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 47 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): Ron Steele and Associates Inc. 3 4 By: 5 6 Print Name: / 7 8 Title: t`U !` 9 Chairman of the board, or President, or any Vice president 10 11 Date: �1 1 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 48 1 2 3 4 5 6 7 8 9 10 11 This page is intentionally left blank. 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 49 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): SJET Clinical Services 3 4 By: 5 6 Print Name: �v �'1 r✓�� 7 8 Title: AA C LS A g Chairman oft the board, or President, or any Vice president 10 11 Date: 12 13 14 By. 15 16 Print Name: 17 18 Title: Secretary(of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 50 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): The Healing Circle: A Marriage & Family Therapy Professional 3 Corporation 4 5 By: 6 7 Print Name: / kz4r--tl�I� 8 c ' r 9 Title: Chairman of the board, or President, or any Vice president 10 11 Date: ( � 12 13 14 15 By. 16 Print Name: 17 18 Title: 19 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 51 I Docusign Envelope ID:79CFODA6-1BCC-49A8-897E-04DA59566541 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider (Group): Valley Children's Hospital 3 DocuSigned by: 4 By: _ fi �(ref` 5 873951 DOOF26420... 6 Print Name: Tina Mycroft 7 8 Title: SVP and CFO 9 Chairman of the board, or President, or any Vice president 10 11/20/2024 1 09:53:01 PST 11 Date: 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 52 1 The parties are executing this Amendment No. 5 to Agreement No. 20-236 on the date stated in the introductory clause. 2 Provider(Group): West Side Church of God 3 4 By: 5 6 Print Name: Arnesia Williams 7 8 Title: Vice-Chairman of the board 9 Chairman of the board, or President, or any Vice president 10 11 Date: 11/21/24 12 13 14 By: 15 16 Print Name: 17 18 Title: Secretary (of Corporation), or any Assistant Secretary, 19 or Chief Financial Officer, or any Assistant Treasurer 20 21 Date: 22 23 24 25 26 27 28 53 Page 1 of 3 Revised Exhibit A-4 Individual Providers Name Address Email Amato, Dolores 6777 N. Willow Ave Fresno, CA 93710 dgamato@gmail.com Baca, Karina 5070 N. Sixth Street Suite 105, Fresno, CA karicbm22@gmail.com 93710 Cooke,Johanna V. 5100 N. 6th St Fresno, CA 93710, Ste 151 jcooke.lcsw@gmail.com Dickey, Judith 501 E. Terrace Ave Fresno CA 93704 jstoryteller1 @icloud.com Farris, Donald 3740 Circle Dr. Fresno, CA 93704-4765 donfarris1871@gmail.com Jones, Kimberly M. 5665 S. Chestnut Ave Spc 61 Fresno, CA drkimjones02@gmail.com 93725 La Familia Therapy Services, Inc. 4229 E. Clinton, Fresno, CA 93703 lafamiliatherapyservices@gmail.com Lynch, Nasim Nancy 5151 N. Palm Ave#950, Fresno, CA 93704 nancylynch24@hotmail.com McClincy, Erica 1100 W. Shaw Ave Suite 120 Fresno, CA EricaMcClincy.LCSW@gmail.com 93711 Nalls, Kannon E. 739 Meadow Ct., Exeter, CA 93221 drkannonnalls@gmail.com 5588 N. Palm Ave, Fresno CA 93704 1445 Marion St Kingsburg, CA 93631 Quintanilla, Elsa 5588 N. Palm Ave Fresno, CA 93704 quintanillac12@gmail.com Quintanilla, Juan 5588 N. Palm Ave Fresno, CA 93704 archaicvegan@outlook.com Randolph, Michelle 438 E. Shaw Ave#140 Fresno, CA 93710 michelleneufer(cDgmail.com 5070 N. 6th Street Suite 105, Fresno, CA 93710 Roltgen, Teresa 2505 W. Shaw Ave Fresno, CA 93711 teriroltgen@gmail.com Romero, Jorge 373 E. Shaw Ave# 140, Fresno, CA 93710 ajorgeandrom@aol.com Tucibat, Michael 6777 N.Willow Ave, Suite# 142 Fresno, CA Mike.Tucibat.LMFT@infinitewebs.net 93710 5070 N. Sixth Street Suite 105, Fresno, CA Vang, Ka Bao 93710 kbadame02@gmail.com Xiong,Zoua 5588 N. Palm Ave Fresno, CA 93704 zouaxiongmft@gmail.com Yamamoto, Eugene 5151 N. Palm Ave Suite 500 Fresno, CA 93704 Yamfamily2@gmail.com Page 2 of 3 Revised Exhibit A-4 Group Providers Name Address Email A Hopeful Encounter 3253 E. Shields Ave Fresno, CA 93726 susanxionq(a�hopefulencounter.org Allay Psychological Services 2900 Fresno St.#108, Fresno, CA 93721 reshale@allaypsych.com Bio Behavioral Medical Clinics 1060 W.Sierra Ave, Suite 105, Fresno, CA mmuro@bbmc-inc.com 93711 DN Associates 4460 W. Shaw Ave#595, Fresno, CA 93722 cdonovan@coreconditions.org Erene Soliman Psychologist INC. 5151 N. Palm Ave#500, Fresno, CA 93704 esoliman@att.net 575 E. Locust Ave STE 101, Fresno, CA Esperanza Family Counseling 93720 sergiop.esperanzafc@gmail.com Fresno American Indian Health 1551 E. Shaw Ave.#139, Fresno, CA 93710 bramirez@faihp.org Project Fresno New Connections 4411 N. Cedar Ave, Fresno, CA 93726 rmartin@teamfnc.com Generational Changes, Inc. 2409 Merced St Ste 106 Fresno, CA 93721 gchanges.inc@gmail.com Healing Hope, Inc. 1913 N.Gateway Blvd#101, Fresno, CA morxpopper@healinghopeinc.org 93727 1322 E. Shaw Ave Suite 410, Fresno, CA House Psychiatric Clinic, Inc. 93710 staff@houseclinic.org Impact Behavioral Health and Recovery 1616 W. Shaw Ave BLD B2 Fresno CA, impactbhrc@gmail.com 93711 Inspire Psychological Services, 5807 E. Beck Ave, Fresno, CA 93727 chengvang2004@gmail.com Inc. Integral Community Solutions 1065 S St Building 1, Fresno, CA 93721 jcgarcia@icsi.solutions Institute Joint Opportunities 1424 W. California Ave, Fresno, CA 93706 mickievalentine@icloud.com Marjaree Mason Center 1600 M Street, Fresno, CA 93721 laurae@mmcenter.org 3451 W.Shaw Ave Ste 102, Fresno CA Omid Counseling Center, Inc. 93711 Omidhopecenter@gmail.com Poverello House Enrichment 412 F St Fresno, CA 93706 kmurphy@poverellohouse.org Center Precision Psychiatric 7850 White Lane, Suite E301, Bakersfield, CAO(a).precisionpsych.com Services, Inc. CA 93309 minty(a-)precision Psych.com bodoh(a-)precision psych.com Page 3 of 3 Revised Exhibit A-4 Prodigy Healthcare Inc. 311 E. Merced St., Fowler CA, 93625 harjas@prodigy-hc.com; d@prodigy- hc.com JRomero@promesabehavioral.org; Imcclain@promesabehavioral.org; Promesa Behavioral Health 7120 N. Marks Ave, Fresno, CA 93711 Iweigant@promesabehavioral.org;ezuniga@promesabehavioral.org valeriec@qualityfamilyservices.org; 4946 E.Yale Ave, Suite 103, Fresno, CA sarah@qualityfamilyservices.org; Quality Group Homes, Inc. 93727 lisac@qualityfamilyservices.org; duked@qualityfamilyservices.org referral@fresnorc.org; Resiliency Center of Fresno 3845 N. Clark St Ste 201 Fresno, CA 93726 parrot@fresnorc.org; riowrey@fresnorrc.org roncsteele1 @gmail.com Ron Steele and Associates Inc 5150 N. 6th St STE 169, Fresno, CA 93710 soymejica@verizon.net SJET Clinical Services 418 N. 6th Street, Fowler, CA 93625 Gmadriga180(@-gmail.com The Healing Circle:A Marriage& 1033 N. Fulton St, Fresno, CA 93728 Family Therapy Professional Corporation MDanovsky(@valleychildrens.org Valley Children's Hospital 9300 Valley Children's Place, Madera, CA 93636 mickievalentine@icloud.com West Side Church of God 1424 W. California Ave, Fresno, CA 93706