HomeMy WebLinkAboutP-24-076 Amendment 2 CHC.pdf County of Fresno
INTERNAL SERVICES DEPARTMENT
185610 Facilities• Fleet• Graphics• Purchasing • Security•Technology
�R-f,S
AMENDMENT TWO (2)
Agreement Number: P-24-076
March 6, 2025
California Health Collaborative
1680 W Shaw Ave.
Fresno, CA 93711
Contract Number P-24-076 covering: Tobacco Prevention Program is amended as follows:
Delete Revised Attachments"A" and "B" dated 7/16/2024 and replaced with Revised Attachments"A" and
"B" dated 3/6/2025.
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-24-076 Page 2
California Health Collaborative
March 6, 2025
If you have any questions, please contact Amber Siner, Purchasing Analyst, at(559) 600-7110 or email
asiner(a.fresnocou ntyca.qov.
FOR THE COUNTY OF FRESNO
ly signed by Riley Blckburn
Riley Blackburn Datleal 025.03.1908:27:110a0700'
Riley Blackburn
Purchasing Manager
333 W. Pontiac Way
Clovis, CA 93612
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 3
California Health Collaborative
March 6, 2025
CONTRACTOR TO COMPLETE:
Company: California Health Collaborative
Type of Entity:
❑ Individual ❑ Limited Liability Company
❑ Sole Proprietorship ❑ Limited Liability Partnership
Corporation ❑ General Partnership
Signature
Stephen Ramirez, ief Executive Officer V 03/17/2025
Print Name and Title Date
Signature
Print Name and Title Date
PO BOX 25609 Fresno CA 93729
Address City State Zip
5592216315 5592216219 sramirez@healthcollaborative.org
TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS
ACCOUNTING USE ONLY
ORG No.: 56201552
Account No.: 7295
Requisition No.: 5622500729
(7/2024)
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 4
California Health Collaborative
March 6, 2025
Revised Attachment "A"
California Health Collaborative Tobacco Retail Licensing Scope of Work
ADMINISTRATION TIMELINE DELIVERABLES
1. Approved
Recruit, hire, train, and designate a Project Budget
Coordinator (1.0 FTE)with some health 04/2024- 04/2025 2. Email
education, community organizing, and Introduction
systems change experience. from New Staff
3. Staffing Report
Meet monthly or as deemed necessary with
Fresno County Department of Public Health 1. Meeting Agenda
(FCDPH) staff to enhance or support program 04/2024—04/2025
related activities through collaborative 2. Meeting Notes
efforts.
Attend bi-monthly virtual and/or in-person
1. Meeting
Tobacco-Free Coalition meetings to update 04/2024—04/2025
Minutes
the coalition on progress.
REPORTING TIMELINE DELIVERABLES
Submit monthly invoices with appropriate
back-up documentation and invoice summary
sheets for all expenditures to the FCDPH's 1. Monthly Invoice
point of contact via email by the fifteenth 04/2024—04/2025 2. Equipment Log
(15t") day of each month for the prior month's
expenditures.
Mid-Year Report
(February 1-June 31) 1. Biannual
Submit biannual progress reports that reflects Submit on 07/10/24 Progress Report
on the progress of scope of work activities as Narrative
well as success and challenges over the Year-End Report(July 2. Progress Report
progress report period.Submit relevant 1-December 31) Deliverables
program deliverables with your progress Submit on 12/16/24 1.
report. 2.
Mid-Year Report 3.
(January 1-April 30)
Submit on 04/18/25
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 5
California Health Collaborative
March 6, 2025
TRAINING TIMELINE 4. DELIVERABLES
Participate in a 1-hour training with FCDPH
on invoicing requirements and learn how
to complete the invoice template and 04/2024—04/2024 1. Training Log
invoice summary sheets.
Participate in a 1.5-hour virtual Culturally
Linguistically Appropriate Services (CLAS)
Standards training hosted by FCDPH staff
that is designed to equip public health
professionals with the essential knowledge
Post-
and tools for delivering culturally sensitive 1. Completed Post-
and linguistic services and messages 04/2024—04/2024 Training Survey
throughout the community. Program staff 2. Training Log
will use the CLAS Standards toolkit to
evaluate health education materials like
flyers, brochures, PowerPoint created in
the program.
Participate in a 1.5-hour virtual Health
Equity 101 training hosted FCDPH staff
that is designed to facilitate foundational
knowledge and skill development on topics 04/2024—08/2024 1. Training Log
related to health equity, health disparities,
and structural and social determinants of
health.
Participate in recorded webinars such as,
CA-license to sell: tobacco retail licensing
nuts, bolts and fees, Equitable
enforcement for tobacco retail license
ordinances, Pride and prejudice:the
tobacco industry's co-opting of the 04/2024—04/2025 1. Webinar Log
LGBTQ+community, Minimum floor price
laws webinar, Rules of the road:The
differences between lobbying and
educating, etc.As well as applicable live
webinars as they become available.
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 6
California Health Collaborative
March 6, 2025
Objective#1: Lead a minimum of seven (7) community forums or town halls in the City of Fresno (a
minimum of 4 of the events will be in person) for youth and adults, approximately 90-120 minutes in
length, with participation by 25-50 individuals at each event.
ACTIVITY TIMELINE DELIVERABLES
Identify a date and location for the seven (7) community 04/2024- 5. Calendar of
forums/town halls. 02/2025 Forums/Townhalls
Dates and Locations
Develop recruitment materials for the forums/town halls 04/2024- 1. Finalized Tailored
tailored for each neighborhood or school site in Fresno. 10/2024 Recruitment
Recruitment materials will include a registration page, flyers, Materials
and Facebook Event Pages. Include approved attribution
language and applicable DPH logos. Submit to FCDPH for
review and approval.
Disseminate recruitment materials and recruit a minimum of 05/2024— 1. Recruitment Plan
25-50 individuals per target area by participating in 03/2025
community events, school parent events, hosting booths at
churches, passing out flyers/posters at local businesses, or
using social media.
Identify and distribute incentive materials for raffle at 05/2024— 1. Log of Incentive
forums/town halls that will encourage participation by 04/2025 Materials
community residents. Incentive materials (e.g., merchandise
2. Distribution Log
cards and other incentive items) are provided to program
participants to motivate and/or reinforce positive behavior,
participation, and/or involvement in tobacco control activities
and require action on the part of the recipient to receive the
incentive.The cost of incentives may not exceed $50 in value,
per person, per year and shall not include merchandise cards
that can be used to purchase tobacco, alcohol, and/or
cannabis products. Gift cards can be purchased for a
maximum of 1 event at a time.The project must submit a gift
card distribution log to Fresno County, which should include
the required signatures from the recipients to confirm that
the purchased gift cards have been distributed. After the
distribution log is reviewed and verified, the project will
receive an email notification indicating that they are allowed
to purchase additional gift cards.The project is responsible
for the possession, security [e.g., will keep under lock and
key], and accountability of the merchandise cards.The
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 7
California Health Collaborative
March 6, 2025
project will prepare a log sheet that will track and identify
each of the merchandise cards, value, merchandise card
transfer date, and recipient. At the conclusion of the
agreement, surplus incentives must be returned to FCDPH.
Develop presentation and event materials in consultation 05/2024— 1. Event Materials
with FCDPH and implement seven (7) forums/town halls 03/2025 (e.g., flyers, agenda,
designed to be at minimum 90-120 minutes in length in each packet for
neighborhood. Recruit town hall panel speakers, such as law community
enforcement, school administrators, health professionals, members)
youth, and former vape/e-cigarette users. 2. Presentation
Materials (e.g.,
presentation slides
and roster of
participants)
3. Pictures of Event
Develop and disseminate post-event participation surveys to 05/2024— 1. Post-Event
identify an increase in knowledge, skills, and a change in 04/2025 Participation Survey
attitudes among participants. Submit to FCDPH for review
and approval.
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 8
California Health Collaborative
March 6, 2025
Obiective 2: Conduct 8-12 community presentations/meetings with school officials (e.g., principals,
vice principals, superintendent, etc.), in the City of Fresno on youth vaping, tobacco retail issues,
tobacco-related health disparities, and best practices in policy adoption. Obtain at least 8 letters of
support from schools, to demonstrate support for the policy campaign.
ACTIVITY TIMELINE DELIVERABLES
Gather local data through sources such as the California 04/2024- 1. Summary of Local
Healthy Kids Survey Data, California Student Tobacco 10/2024 Data
Survey, Monitoring the Future, Healthy Stores for Healthy
Communities, local school data, etc. in order to determine
the extent of e-cigarette/vape use among youth in the City
of Fresno.
Develop a 15-20-minute presentation or talking points to 04/2024- 1. Approved
present to school site administrators or school staff on 10/2024 Presentation or
youth vaping, tobacco retail issues, tobacco-related health Talking Points
disparities and best practices for supporting youth at
school and in community through policy adoption. Include
approved attribution language and applicable DPH logos.
Submit to FCDPH for review and approval.
Schedule meetings with 8-12 school officials either in- 04/2024- 1. Presentations Log
person or via zoom throughout the City of Fresno to 04/2025
2. Presentation
provide tobacco prevention presentations on tobacco-
Materials
related health disparities and best practices for supporting
youth at school and in community.
Create 1-2 letters of support templates to provide to 05/2024- 1. Letter of Support
school officials. Request a letter of support from each 04/2025 Templates
school site that receives a presentation to demonstrate
2. Letters of Support
support for the policy campaign.
Collected
Provide each school site with resources online and/or via 06/2024- 1. Log of Resources
print that allows them to better support their students 04/2025 Provided
with resources related to vaping cessation, vaping
educational materials and presentations, and mental
health and wellness.
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 9
California Health Collaborative
March 6, 2025
Objective 3: Facilitate the participation of 5-10 community members to present at a minimum of 2
Fresno City Council (City Council) meetings to educate them formally or informally about youth vaping,
tobacco retail issues, tobacco-related health disparities, and best practices in policy adoption. Develop
speaking points related to a comprehensive tobacco retail licensing policy that can be utilized by the
speakers.
ACTIVITY TIMELINE DELIVERABLES
Develop a spokesperson training that will prepare 04/2024- 1. Spokesperson
community members to speak at City Council and engages 11/2024 Training
them in telling their personal story. Include approved
attribution language and applicable DPH logos. Submit to
FCDPH for review and approval.
Identify 5-10 community members to speak at City Council, 05/2024- 1. Identified
during town halls or meetings with school administrators. 03/2025 Community
Provide them with spokesperson training either informally Members Log
through a one-on-one meeting or formally through a
2. Training Log
training for multiple community members.
Support the community members with developing their 06/2024- 1. Developed
own talking points for use during their presentation at City 04/2025 Speaking Points
Council, including local data, information about vaping or
tobacco use, and their own personal story.
Identify incentives for the community members to be 04/2024- 1. Incentive
provided following their participation in a spokesperson 04/2025 Distribution Log
training and/or a presentation at City Council. Incentive
2. Log of Incentive
materials (e.g., merchandise cards and other incentive
Materials
items) are provided to program participants to motivate
and/or reinforce positive behavior, participation, and/or
involvement in tobacco control activities and require action
on the part of the recipient to receive the incentive. The
cost of incentives may not exceed $50 in value, per person,
per year and shall not include merchandise cards that can
be used to purchase tobacco, alcohol, and/or cannabis
products. Gift cards can be purchased for a maximum of
one event at a time.The project must submit a gift card
distribution log to Fresno County, which should include the
required signatures from the recipients to confirm that the
purchased gift cards have been distributed. After the
distribution log is reviewed and verified, the project will
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 10
California Health Collaborative
March 6, 2025
receive an email notification indicating that they are
allowed to purchase additional gift cards.The project is
responsible for the possession, security [e.g., will keep
under lock and key], and accountability of the merchandise
cards.The project will prepare a log sheet that will track and
identify each of the merchandise cards, value, merchandise
card transfer date, and recipient. At the conclusion of the
agreement, surplus incentives must be returned to FCDPH.
Support the participation of 5-10 community members in 2 04/2024- 1. Meeting Log
City Council Meetings by attending the meeting and 04/2025
2. Presentation
ensuring each community member has reminders about the
Materials
meeting.
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 11
California Health Collaborative
March 6, 2025
Obiective 4: Conduct 3-4 community engagement activities such as hosting a youth art contest, spoken word
night, dance event, culturally relevant art project, bingo, paint night, poster contest, mural, mural tri-fold, plant
potting and decorating, etc. with the participation of 15-75 individuals at each engagement activity.
Participants will be residents of the City of Fresno. The participants will be recruited through social media,
existing relationships, attendance at an existing event.
ACTIVITY TIMELINE DELIVERABLES
Identify 3-4 locations/neighborhoods throughout the City 04/2024- 1. Calendar of Community
of Fresno and dates for the community engagement 07/2024 Engagement Events
events.
Host 1-2 meetings with school and/or community 04/2024- 1. Identified Art Consultant
partners to determine the direction of the art contest, 03/2025 Agreement
spoken word night or other art or community
2. Consultant Meeting Log
engagement event that will take place in the community.
Create outreach and recruitment materials for each 05/2024- 1. Outreach and Recruitment
community engagement event, which may include flyers, 03/2025 Materials
posters, social media posts, or other outreach methods.
Include approved attribution language and applicable DPH
logos. Submit to FCDPH for review and approval.
Host 3-4 community engagement events throughout the 06/2024- 1. Community Engagement
City of Fresno in diverse neighborhoods and locations for 04/2025 Event Log
a minimum of 15-75 individuals at each event. Provide
incentives for participation by the community. Incentive 2. Community Engagement
Event Incentive Distribution
materials (e.g., merchandise cards and other incentive
Log
items) are provided to program participants to motivate
and/or reinforce positive behavior, participation, and/or 3. Log of Incentive Materials
involvement in tobacco control activities and require
action on the part of the recipient to receive the
incentive. The cost of incentives may not exceed $50 in
value, per person, per year and shall not include
merchandise cards that can be used to purchase tobacco,
alcohol, and/or cannabis products. Gift cards can be
purchased for a maximum of one event at a time.The
project must submit a gift card distribution log to Fresno
County, which should include the required signatures
from the recipients to confirm that the purchased gift
cards have been distributed. After the distribution log is
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 12
California Health Collaborative
March 6, 2025
reviewed and verified, the project will receive an email
notification indicating that they are allowed to purchase
additional gift cards.The project is responsible for the
possession, security [e.g., will keep under lock and key],
and accountability of the merchandise cards. The project
will prepare a log sheet that will track and identify each of
the merchandise cards, value, merchandise card transfer
date, and recipient. At the conclusion of the agreement,
surplus incentives must be returned to FCDPH.
Develop and disseminate post-event participation surveys 06/2024- 1. Post Event Survey
to identify an increase in knowledge, skills, and a change 04/2025
in attitudes among participants, as well as a inquiring
about their interest to speak at City Council meetings.
Submit to FCDPH for review and approval.
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 13
California Health Collaborative
Obiective 5: Conduct observation surveys at 100 tobacco retailers in the City of Fresno. Use a standardized
data collection instrument and protocol from the California Tobacco Prevention Program (CTPP) using
mobile devices. Participate in online data collection trainings, complete required post-training surveys, and
complete field notes for store observations.
iiiiii Ei
Participate in a minimum of 1-2 trainings on how to use the 04/2024- 1. Log of Staff
standardized data collection instrument and protocol for the 06/2024 Trainings
California Tobacco Prevention Program (CTPP), using the mobile
devices, safety precautions, and how to complete field notes.
Recruit 2-3 volunteers from the City of Fresno to support staff in 04/2024- 1. Log of Volunteers
the collection of observation surveys. Provide training to the 06/2024 and Trainings
volunteers to ensure they can accurately and safely support the Provided
process.
Conduct observation surveys and complete field notes utilizing 04/2024- 1. County List of Sites
the standard data collection instrument and mobile device at a 06/2024 to be visited
minimum of 100 tobacco retailers in the City of Fresno.
2. Completed Field
Notes
Identify and provide incentives to the volunteers who 04/2024- 1. Incentive
supported in the data collection in the City of Fresno. Incentive 04/2025 Distribution Log
materials (e.g., merchandise cards and other incentive items)
2. Log of Incentive
are provided to program participants to motivate and/or
Materials
reinforce positive behavior, participation, and/or involvement in
tobacco control activities and require action on the part of the
recipient to receive the incentive. Gift cards can be purchased
for a maximum of one event at a time.The project must submit
a gift card distribution log to Fresno County, which should
include the required signatures from the recipients to confirm
that the purchased gift cards have been distributed. After the
distribution log is reviewed and verified, the project will receive
an email notification indicating that they are allowed to
purchase additional gift cards.The cost of incentives may not
exceed $50 in value, per person, per year and shall not include
merchandise cards that can be used to purchase tobacco,
alcohol, and/or cannabis products. The project is responsible
for the possession, security [e.g., will keep under lock and key],
and accountability of the merchandise cards. The project will
prepare a log sheet that will track and identify each of the
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 14
California Health Collaborative
March 6, 2025
merchandise cards,value, merchandise card transfer date, and
recipient. At the conclusion of the agreement, surplus
incentives must be returned to FCDPH.
P-24-076 Amendment 2
CONTRACT NO. P-24-076 Page 15
California Health Collaborative
March 6, 2025
Revised Attachment "B"
Cost Proposal Template and Narrative REVISED EXHIBIT B-2
Fresno County TRL Project
California Health Collaborative
FY February 2024-April 30,2025
Budget Categories-
PERSONNEL SALARIES: Annual Salary %FTE1 Benefit Benefit Cost
Rat02
0001 Project Coordinator $54,408 100% 29% $ 15,778
Sub-Total $54,408 1.0 $ 15,778
SALARIES TOTAL $70,186
OPERATING EXPENSES:
1050 Office Supplies $1,000.00
1060 Telephone and Computer Network $3,000.00
1062 Postage $0.00
1063 Printing/Copying $2,000.00
1072 Staff Transportation $2,000.00
1077 Food $4,000.00
1078 Engagement Supplies $400.00
1079 Incentives $3,000.00
OPERATING EXPENSES TOTAL $15,400.00
TOTAL DIRECT COSTS $85,686
INDIRECT COSTS 11°0
1090 Not to exceed 15%of royal direct costs. $9,414
TOTAL PROGRAM EXPENSES YEAR 1 $95,000
REVISED EXHIBIT B-2
P-24-076 Amendment 2
Cost Proposal Template and Narrative REVISED EXHIBIT B-2
Proposed TRL Project
California Health Collaborative
Budget Narrative:February 2024-April 2025
REVISED 01-13-2025
PROGRAM EXPENSES NARRATIVE
Personnel Salaries,Payroll Taxes&Employee Benefits-Line Items 0001-0042
The Project Coordinator(PC)provides is the day to day contact person for the program and leads the
0001 implementation of all scope of work (SOW)activities,including the coordinating of volunteers for data
collection,recruiting program participants for program activities,performing program assessments,
development of program materials,supporting program evaluation,and implementing SOW activities.
Salary:$2267 x 100%FTE x 24PP=$54408 $ 54,408
Fringe:$54,408 X 29%=$15778 $ 15,778
Total Salary&Fringe for PC $ 70,186
Total S&B Expenses $ 70,186
Operating Expenses-Line Items 1050-1079
Office Supplies:General office supplies to support program activities such as pens,pencils,paper,paperclips,
binders,notepads,easel pads,mailing labels,markers,highlighters,tape,glue,staples,file folders,paint,
1050 markers,laser and color printer cartridges,etc.
$ 1,000.00
Telephone and Computer Network:Communication expenses related to operating phones,internet to
1060 support SOW activities and computer software annual subscriptions and license fees. $ 3,000.00
1062 Postage: Includes postage stamps and mailing costs(Fed Ex,UPS,and USPS)for daily correspondence and $
mailing of other program materials.
Printing/Copying:Expenses for printing of educational materials developed in approved SOW activities,
1063 including informational packets,promotional flyers for program activities,program findings and educational $ 2,000.00
information.
Transportation:Local travel for staff and/or Community Advocates calculated at current rate,not to exceed
1072 $2,000 for travel to unincorporated Fresno County communities to conduct presentations,trainings,meetings $ 2,000.00
with local community leaders and meeting with Community Advocates.
REVISED Narrative
Cost Proposal Template and Narrative REVISED EXHIBIT B-2
Food:Food and refreshments for community engagement activities,townhall events,for volunteers who
support with retailer data collection,and other activities in support of the scope of work.Will provide
consumable incentives to program participants to motivate and/or reinforce positive behavior,participation,
1077 and/or involvement in tobacco control activities and requires action on the part of the recipient to receive the $ 4,000.00
incentive.The cost of consumable incentives will not exceed$50 worth/value per person per year.The
program will prepare a log sheet that will track and identify Consumable Incentive recipients to verify that
they will not receive more than$50 in Consumable Incentives/year.
Engagement Supplies: with a local art organization or artist to support with the development of a tri-fold
1078 moveable art mural with program participants in support of program activities. $ 400.00
Incentives:Incentives to foster participation in program activities,such as art engagement,townhalls,
1079 spokesperson trainings,speaking engagements,etc.$10 per participant x 300 participants(approx.35-40 per $ 3,000.00
event)_$3000
Total Operating Expenses $ 15,400
Indirect Cost Expense-Line Item 1090
Direct Costs Subtotal $ 85,586
Administrative expenses such as overhead accounting support and payroll services,
external audit,liability insurance,utilities,building and equipment maintenance,
1090 janitorial services,and dues and subscriptions.Calculated at 11%of direct costs for 12
months of project.Indirect costs comply with the the Indirect Cost Rate proposal
submitted to the California Department of Public Health.Total Direct Cost x 11%=
$9414. Indirect Cost Total $ 9,414
TOTAL PROGRAM EXPENSES: $ 95,000.82
REVISED Narrative