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HomeMy WebLinkAboutAgreement A-24-231 First Amendment to Agreement with CDPH.pdf State of California—Health and Human Services Agency—California Department of Public Health CDPH 1229A(Rev. 09/2022) Agreement No. 24-231 CALIFORNIA SEXUALLY TRANSMITTED DISEASES BRANCH STD PROGRAM MANAGEMENT Awarded By THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter "Department" TO County of Fresno, hereinafter "Grantee" Implementing the project, "DIS Workforce Development," hereinafter "Project" AMENDED GRANT AGREEMENT NUMBER 21-10553, Al The Department amends this Grant and the Grantee accepts and agrees to use the Grant funds as follows: AUTHORITY: The Department has authority to grant funds for the Project under Health and Safety Code, Section 131085(a). PURPOSE FOR AMENDMENT: The purpose of the Grant amendment is to: Change the grant term end date from 12/31/25 to 1/31/26. This amendment also removes the remaining unobligated funds for years 4 and 5 and will not impact years 1 through 3. Any unspent funds from years 1-3 will be available through 1/31/26 for the grantee to utilize for the continued performance of services as identified in Exhibit A (grant activities) and will be reimbursed accordingly. Amendments are shown as: Text additions are displayed in bold and underline. Text deletions are displayed as strike through text (i.e., mike). AMENDED GRANT AMOUNT: this amendment is to decrease the grant by $505,276 and is amended to read: The maximum amount payable under this Grant Agreement shall not exceed the amount of$525,745 $757,914 (Seven Hundred Fifty-Seven Thousand Nine Hundred Fourteen Dollars). AMENDED TERM OF GRANT: The term of this Grant shall be amended to read as July 1, 2021 and terminates on December 31 , 2-025 January 31, 2026. No funds may be requested or invoiced for work performed or costs incurred after DeGermber 31, 2025 January 31, 2026. 1 State of California—Health and Human Services Agency—California Department of Public Health CDPH 1229A(Rev. 09/2022) Exhibit A NOTIFICATION LETTER, FUNDING ALLOCATIONS/ALLOCATION PROCESS Note: Once the Grant Agreement Amendment has been fully executed, request for modifications/changes thereafter to the existing grant activities can be made by written notice by either party and must be approved by CDPH. This process does not require a formal amendment but must be agreed to by both parties in writing. Copies must be maintained by both parties. Such modifications/changes must be made 30 days prior to implementation. A written amendment is required when there is an increase or decrease in funding or a change in the term of the agreement. Exhibit B BUDGET DETAIL AND PAYMENT PROVISIONS Exhibit D ADDITIONAL PROVISIONS Exhibit F FEDERAL TERMS AND CONDITIONS PROJECT REPRESENTATIVES. The Project Representatives during the term of this Grant will be: California Department of Public Health Grantee: County of Fresno Name: Karin EStaGin Assistant Branch Chief Name: Hoary Merrissen Alexia McGonagle, Chief Division MaRag^r Business Operations Support Section Alimat Adebiyi STD Control Branch Division Manager Address: P.O. Box 997377, MS 7320Address: P.O. Box 11867 CH City, ZIP: Sacramento, CA 95899-7377 City, ZIP: Fresno, CA 93775 Phone: (916) 552 9820 (916) 445-9860 Phone: (559) 600-3006 E-mail: Karl., EstaGi0nndnh no Q0V E-mail: mmnrri nn�lfr^ nnr�ni in+�,r"+ ivn„ Alexia.McGonagle(c�cdph.ca.gov aadebiyi(a-)_fresnocountyca.gov Direct all inquiries to the following representatives: California Department of Public Health, Grantee: County of Fresno STD Control Branch Attention: Christine Johnson, Grant Manager Attention: Jena Adams Address: P.O. Box 997377, MS 7320Address: P.O. Box 11867 CH City, Zip: Sacramento, CA 95899-7377 City, Zip: Fresno, CA 93775 Phone: (916) 552 9796 (279) 667-0478 Phone: (559) 600-3042 E-mail: Christine.Johnson(a)_cdph.ca.gov E-mail: madams fresnocountyca.gov 2 State of California—Health and Human Services Agency—California Department of Public Health CDPH 1229A(Rev. 09/2022) All payments from CDPH to the Grantee; shall be sent to the following address: Remittance Address Grantee: County of Fresno Attention: "Cashier': Brun^ Chave-z Irene Parada Address: P.O. Box 11867 11800 City, Zip: Fresno, CA 93775 Phone: (559) 600-6415 E-mail: dphboapC,fresnocountyca.gov Either party may make changes to the Project Representatives, or remittance address, by giving a written notice to the other party, said changes shall not require an amendment to this agreement but must be maintained as supporting documentation. Note: Remittance address changes will require the Grantee to submit a completed CDPH 9083 Governmental Entity Taxpayer ID Form or STD 204 Payee Data Record Form and the STD 205 Payee Data Supplement which can be requested through the CDPH Project Representatives for processing. All other terms and conditions of this Grant shall remain the same. IN WITNESS THEREOF, the parties have executed this Grant on the dates set forth below. Executed By: Date: 5�i?�aDa`L ATTEST: Nathan Magsig BERNICE E.SEIDEL Chairman of the Board of Supervisors Clerk of the Board of Supervisors County of Fresno County of Fresno,State of California 2281 Tulare Street, Third Floor By Deputy Fresno, CA 93724 Date: 6/12/2024 For Javier Sandoval Javier Sandoval, Chief Contracts Management Unit California Department of Public Health 1616 Capitol Avenue, Suite 74.262, MS 1802 P.O. Box 997377 Sacramento, CA 95899-7377 3 State of California—Health and Human Services Agency yPt �F T�F 1 h �• � California Department of Public Health W am a CDPH C'QLIFORN`' TOMAS J.ARAGON,MD,DrPH GAVIN NEWSOM Director and State Public Health Officer Governor Exhibit A NOTIFICATION LETTER DATE: OCTOBER 6, 2023 TO: CALIFORNIA LOCAL HEALTH JURISDICTIONS SUBJECT: EXTENSION OF DIS WORKFORCE SUPPLEMENTAL GRANT FUNDING The California Department of Public Health (CDPH), Sexually Transmitted Diseases Control Branch (STDCB) is pleased to inform the recipients of the DIS Workforce supplemental grant funding that an extension has been announced by the Centers for Disease Control and Prevention (CDC). This extension changes the project end date from January 31, 2025, to January 31, 2026. No additional funding is available with this extension; however, any unspent funds from the first three years of funding will now be accessible through January 31, 2026. Due to the unexpected change in the project end date, the existing DIS Workforce supplemental grant agreements will need to be amended. The grants will be amended for the following: • Change the grant agreement term end date from the original end date of December 31 , 2025 to the new end date of January 31 , 2026. • Reduce the total grant budget by removing funding amounts for Years 4 and 5 as announced in the previous notification later issued on August 21, 2023. With this amendment, the grants will be effective from July 1 , 2021 through January 31, 2026. The attached updated funding chart shows the revised grant amounts for each grantee. Budget revisions for the periods of 01/01/24 — 01/31/25 and 02/01/25 — 01/31/26 will need to be submitted and should include the projected amount to be spent. CDC has approved expanded authority permitting the rollover of unspent funds from calendar year 2023 through the end of January 2026. Budget revision requests for this period can be submitted after December 31, 2023, but no later than April 1, 2024. CDPH has begun the amendment process and in an effort to expedite this grant amendment through the approval process, we request that the following item be CDPH STD Control Branch, MS 7320 • P.O. Box 997377 • Sacramento, CA 95899-7377 (916)445-9860 • Internet Address: www.cdph.ca.gov 'rti' ,Ai 1 us V" returned no later than Friday, October 20, 2023 via email at STDLHJContracts(a--)cdph.ca.gov with a cc to Christine.Johnson(a--)cdph.ca.gov. If you already submitted this item in response to the August 21, 2023 letter then you can disregard this request. • Updated LHJ Program Contact Information document When e-mailing your document to STDLHJContracts(a_cdph.ca.gov, please include your agency's name in the subject line when you send the email to help us to easily identify which local health jurisdiction you represent. Please note that no funds are secured until the grant is fully executed. If you have any questions about this amendment process, please contact Christine Johnson by e-mail at Christi ne.Johnson(a_cd ph.ca.gov for guidance. Sincerely, r _ Kathleen Jacobson, MD Branch Chief STD Control Branch Enclosures cc: Karlo Estacio, Assistant Branch Chief, STD Control Branch Alexia McGonagle, Chief, Business Operation Services Section, STD Control Branch Rachel Piper, Chief, Contracts and Purchasing Unit, STD Control Branch Jessica Frasure-Williams, Chief, Program Development Section, STD Control Branch Updated Funding Allocation List for DIS Workforce Supplement Year 1 Year 2 Year 3-5 Total County/City Allocation Allocation Allocation Allocation 7/1/21-12/31/21 1/1/22 - 12/31/22 1/1/23 - 1/31/26 Alameda County $302,953 $302,953 $302,953 $908,859 Amador County $105,149 $105,149 $105,149 $315,447 City of Berkeley $116,434 $116,434 $116,434 $349,302 Butte County $130,729 $130,729 $130,729 $392,187 Calaveras County $106,278 $106,278 $106,278 $318,834 Colusa County $102,475 $102,475 $102,475 $307,425 Contra Costa County $243,353 $243,353 $243,353 $730,059 Del Norte County $102,976 $102,976 $102,976 $308,928 El Dorado County $120,336 $120,336 $120,336 $361,008 Fresno County $252,638 $252,638 $252,638 $757,914 Glenn County $103,477 $103,477 $103,477 $310,431 Humboldt County $116,968 $116,968 $116,968 $350,904 Imperial County $130,516 $130,516 $130,516 $391,548 Kern County $225,296 $225,296 $225,296 $675,888 Kings County $120,080 $120,080 $120,080 $360,240 Lake County $108,490 $108,490 $108,490 $325,470 Lassen County $102,830 $102,830 $102,830 $308,490 City of Long Beach $169,168 $169,168 $169,168 $507,504 Madera County $121,451 $121,451 $121,451 $364,353 Marin County $129,905 $129,905 $129,905 $389,715 Mariposa County $102,384 $102,384 $102,384 $307,152 Mendocino County $113,136 $113,136 $113,136 $339,408 Merced County $136,814 $136,814 $136,814 $410,442 Modoc County $101,122 $101,122 $101,122 $303,366 Mono County $101,442 $101,442 $101,442 $304,326 Monterey County $161,408 $161,408 $161,408 $484,224 Napa County $120,548 $120,548 $120,548 $361,644 Nevada County $112,670 $112,670 $112,670 $338,010 Orange County $563,657 $563,657 $563,657 $1,690,971 City of Pasadena $124,429 $124,429 $124,429 $373,287 Placer County $145,278 $145,278 $145,278 $435,834 Plumas County $102,882 $102,882 $102,882 $308,646 Riverside County $420,089 $420,089 $420,089 $1,260,267 Sacramento County $314,315 $314,315 $314,315 $942,945 San Benito County $107,738 $107,738 $107,738 $323,214 San Bernardino County $378,476 $378,476 $378,476 $1,135,428 San Diego County $523,452 $523,452 $523,452 $1,570,356 San Joaquin County $210,741 $210,741 $210,741 $632,223 San Luis Obispo County $136,267 $136,267 $136,267 $408,801 Year 1 Year 2 Year 3-5 Total County/City Allocation Allocation Allocation Allocation 7/1/21-12/31/21 1/1/22 - 12/31/22 1/1/23 - 1/31/26 San Mateo County $197,256 $197,256 $197,256 $591,768 Santa Barbara County $163,058 $163,058 $163,058 $489,174 Santa Clara County $337,870 $337,870 $337,870 $1,013,610 Santa Cruz County $135,303 $135,303 $135,303 $405,909 Shasta County $120,826 $120,826 $120,826 $362,478 Sierra County $100,492 $100,492 $100,492 $301,476 Siski ou County $106,289 $106,289 $106,289 $318,867 Solano County $155,420 $155,420 $155,420 $466,260 Sonoma County $166,720 $166,720 $166,720 $500,160 Stanislaus County $178,035 $178,035 $178,035 $534,105 Sutter County $112,756 $112,756 $112,756 $338,268 Tehama County $107,799 $107,799 $107,799 $323,397 Trinity County $101,982 $101,982 $101,982 $305,946 Tulare County $168,801 $168,801 $168,801 $506,403 Tuolumne County $106,838 $106,838 $106,838 $320,514 Ventura County $216,276 $216,276 $216,276 $648,828 Yolo County $128,056 $128,056 $128,056 $384,168 Yuba Count $109,606 $109,606 $109,606 $328,818 CRIHB (non-profit) $250,000 $250,000 $250,000 $750,000 . . PS19-1901: Strengthening STD Prevention and Control for Health Departments Disease Intervention Specialist Workforce Development Amended Grant Activities 1. Service Overview The Grantee will use this funding to develop, expand, train, and sustain the disease intervention specialists (DIS) workforce. Funding is intended to hire personnel to address projected jurisdictional sexually transmitted disease (STD), HIV, COVID-19, and other infectious disease prevention and response needs over the performance period. Hiring priority should be given to front-line public health workforce (DIS and DIS supervisors) with secondary focus on roles that support the success of frontline DIS response and outbreak efforts. All Grantees must adhere to the grant activities, and any subsequent revisions, along with all instructions, policy memorandums, or directives issued by CDPH/STDCB. CDPH/STDCB will make any changes and/or additions to these guidelines in writing and, whenever possible, notification of such changes shall be made 30 days prior to implementation. Any updates to the grant activities or additional guidance can be found at: https:Hcdph.sharepoint.com/sites/DISWorkforceDevelopment Key strategic targets for STD, HIV, COVID-19, and other infectious diseases prevention and control are: to increase capacity to conduct disease investigation (case investigation and contact tracing), linkage to prevention and treatment, case management and oversight, and outbreak response for STD, HIV, COVID-19, and other infectious diseases. Following required online training for DIS, initial focus should be on training and mentoring staff to become proficient in STD and HIV disease investigation and partner notification. This is to ensure the DIS develop early comfort with the more challenging and intimate disease investigation that is required for STDs and HIV, and to clear the backlog of STD DIS work at the local level. Once proficient in STD/HIV disease investigation, DIS should be trained and mentored to support disease investigation of other infectious diseases. Any non-DIS staff hired to support frontline DIS workers should also focus on STD/HIV disease investigation first. Redirection of funded staff as necessary is expected to support the need for rapid emergency infectious disease outbreak response needs. 2. Service Location The services shall be performed at applicable facilities within the Grantee's jurisdiction. 3. Service Hours The services shall be primarily provided Monday through Friday, from 8:00 a.m. to 5:00 p.m. and include evenings, weekends, and holidays as needed. 4. Project Representatives The project representative for the DIS Workforce Development grants at CDPH/STDCB is Christine Johnson at Christine.Johnson(a cdph.ca.gov. 5. Services to be Performed See the attached grant activities as follows for a description of the services to be performed. Page 1 of 3 Grant Activities DIS Workforce Development Activities Performance Indicators Timeline A. Assess workforce capacity, language . Completion of workforce capacity 07/01/21 — competence, and strategic gaps to assessment by CDPH, including policy �'�5 identify hiring priorities. barriers for fair hiring and recruitment 01/31/26 B. Expand the workforce through hiring . Number of individual staff hired, by staff 07/01/21 — of disease investigation staff and type �"�5 supervisors, including those who . Number of full-time equivalents funded, 01/31/26 conduct case investigation, contact by staff type tracing, linkage to prevention and treatment, and outbreak response, or those who directly support disease investigation efforts. C. Incorporate a focus on diversity, . Description of hiring and recruitment 07/01/21 — health equity, and inclusion by practices '�'25 delineating goals for hiring and . Description of how LHJ will recruit DIS 01/31/26 training a diverse workforce across from impacted communities all levels who are representative of, . Description of training plan for new DIS and have language competence for, that maximizes opportunities for a the local communities they serve. diverse workforce across all levels D. Train new and existing staff in both . Report of annual list of trainings 07/01/21 — core public health competencies for completed by all disease investigation �'�5 STD, HIV, and COVID-19 disease and support staff regardless of funding 01/31/26 investigation and professional source, including but not limited to development to support retention. completion of training and mentorship Once competency is attained in for STD/HIV, hepatitis C, tuberculosis, STD/HIV disease investigation this COVID-19, and other infectious should be followed by training and diseases. mentoring in hepatitis C, tuberculosis, and other infectious diseases. E. Monitor data, clear backlogged . Percent of pregnant syphilis cases 07/01/21 — STD/HIV cases and respond to reported that were open >45 days �'�5 emerging infectious disease . Percent of non-pregnant syphilis cases, 01/31/26 outbreaks. Support timely and including males, that were open >30 effective outbreak response for STD, days HIV, COVID-19, and other incident . Percent of disseminated gonococcal infections and outbreaks. infections that were open >14 days • Description of outbreak detection and response activities F. Establish and update policies to • Updated policies provided 07/01/21 — support adaptable and agile outbreak �'%5 response efforts, including outbreak 01/31/26 detection. Page 2 of 3 Grant Activities DIS Workforce Development Activities Performance Indicators Timeline G. Collect and report information about . Participation in evaluation planning with 07/01/21 — the activities, characteristics, and CDPH in accordance with CDC 12 31/25 outcomes of program efforts to . Completed surveys and other requests 01/31/26 improve workforce hiring, training, from CDPH for workforce development, and outbreak response efforts, which may include DIS workload including DIS response and disease assessments and retention measures. investigation deployment and . DIS response activities entered into outcomes. CDPH identified program for DIS tracking and management. H. Input data into CaIREDIE, . Completion of required data elements 07/01/21 — CalConnect, or other surveillance or by disease of focus 12/31/25 case management database 01/31/26 approved by CDPH to monitor project outcomes, including for neurosyphilis, ocular syphilis, early syphilis, congenital syphilis, disseminated gonococcal infection, HIV, COVID- 19, and other infectious diseases. Summary of Required Reports and Data Frequency 'Timeframe 2Deadline Activities Report Recipient 1. Bi-annual. 07/01/2021 — To be determined CDPH will provide To be determined 2. Final report after 1`'�25 reporting the grant ends (to 01/31/2026 template/survey for be determined). Grantees to complete. Requested data will be related to Activities A-H. 1 Timeframe dates are subject to change and will not require an amendment to the grant agreement. Z Deadline dates are subject to change and will not require an amendment to the grant agreement. Page 3 of 3 County of Fresno Agreement # 21-10553 Al Exhibit B Budget Detail and Payment Provisions 1. Invoicing and Payment A. Upon completion of project activities as provided in Exhibit A, and upon receipt and approval of the invoices, the State agrees to reimburse the Grantee for activities performed and expenditures incurred in accordance with the total amount of this agreement. B. Invoices shall include the Grant Number and shall be submitted electronically not more frequently than quarterly in arrears to: STDLHJInvoices(a)_cdph.ca.gov. Christine lehnson rn�rrJcii-rc-vvrn-r.�vrr Galifernia Department of P bk Health STD Centre! BranGh nn�v P.Q. Box 997377_7377 SaGromente CA 95899_7377 Alternate submittal method is to e-mail invoices to the CDPH Grant manager identified in the CDPH 1229A Grant Agreement. C. Invoices shall: 1) Be prepared on Grantee letterhead If inyeiGes ore not on nred coed letterhead Be v�vc-c�rvcrcrccc�r �rrrcacr 0 nvoiGes must be SigRed by an authorized employee or agent GertifyiRg,, that e Exhibit A under this G Be prepared on the electronic invoice template provided by CDPH and must be signed by an authorized official, employee or agent certifying that the expenditures claimed represent activities performed and are in accordance with Exhibit A. If in„eoGes are net en prone inert letterhead ust be signed by an authorized OffiGial, employee or agent Gertifyin-g-, that the expenditures Glaimed represeRt aGtivities performed and are OR a Exhibit A. 2) Bear the Grantee's name as shown on the Grant.- and produced on Grantee letterhead if not prepared on the electronic invoice template provided by CDPH. Grantee provided invoices must be signed by an authorized official, employee or agent certifying that the expenditures claimed represent activities performed and are in accordance with Exhibit A under this Grant. 3) Identify the billing and/or performance period covered by the invoice. 4) Itemize costs for the billing period in the same or greater level of detail as indicated in this Grant. Subject to the terms of this Grant, reimbursement may only be sought for those costs and/or cost categories expressly identified as allowable and approved by CDPH. D. Amount awarded under this Grant is identified in the CDPH 1229A Grant Agreement. Page 1 of 2 County of Fresno Agreement# 21-10553 Al Exhibit B Budget Detail and Payment Provisions 2. Budget Contingency Clause A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the program, this Agreement shall be of no further force and effect. In this event, the State shall have no liability to pay any funds whatsoever to Grantee or to furnish any other considerations under this Agreement and Grantee shall not be obligated to fulfill any provisions of this Agreement. B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program, the State shall have the option to either cancel this Agreement with no liability occurring to the State or offer an agreement amendment to Grantee to reflect the reduced amount. 3. Prompt Payment Clause Payment will be made in accordance with, and within the time specified in, Government Code Chapter 4.5, commencing with Section 927. 4. Timely Submission of Final Invoice A. A final undisputed invoice shall be submitted for payment no more than forty-five (45) calendar days following the expiration or termination date of this Grant, unless a later or alternate deadline is agreed to in writing by the program grant manager. Said invoice should be clearly marked "Final Invoice", indicating that all payment obligations of the State under this Grant have ceased and that no further payments are due or outstanding. B. The State may, at its discretion, choose not to honor any delinquent final invoice if the Grantee fails to obtain prior written State approval of an alternate final invoice submission deadline. 5. Travel and Per Diem Reimbursement Any reimbursement for necessary travel and per diem shall, unless otherwise specified in this Agreement, be at the rates currently in effect, as established by the California Department of Human Resources (Cal HR). If the Cal HR rates change during the term of the Agreement, the new rates shall apply upon their effective date and no amendment to this Agreement shall be necessary. No travel outside the State of California shall be reimbursed without prior authorization from the CDPH. Verbal authorization should be confirmed in writing. Written authorization may be in a form including fax or email confirmation. Page 2 of 2 County of Fresno Agreement # 21-10553 Al Page 1 of 4 Exhibit D Additional Provisions 1. Cancellation / Termination A. This Grant may be cancelled by CDPH without cause upon thirty (30) calendar days advance written notice to the Grantee. B. CDPH reserves the right to cancel or terminate this Grant immediately for cause. The Grantee may submit a written request to terminate this Grant only if CDPH substantially fails to perform its responsibilities as provided herein. C. The term "for cause" shall mean that the Grantee fails to meet the terms, conditions, and/or responsibilities of this agreement. Causes for termination include, but are not limited to the following occurrences: 1) If the Grantee knowingly furnishes any statement, representation, warranty, or certification in connection with the agreement, which representation is materially false, deceptive, incorrect, or incomplete. 2) If the Grantee fails to perform any material requirement of this Grant or defaults in performance of this agreement. 3) If the Grantee files for bankruptcy, or if CDPH determines that the Grantee becomes financially incapable of completing this agreement. D. Grant termination or cancellation shall be effective as of the date indicated in CDPH's notification to the Grantee. The notice shall stipulate any final performance, invoicing or payment requirements. E. In the event of early termination or cancellation, the Grantee shall be entitled to compensation for services performed satisfactorily under this agreement and expenses incurred up to the date of cancellation and any non-cancelable obligations incurred in support of this Grant. F. In the event of termination, and at the request of CDPH, the Grantee shall furnish copies of all proposals, specifications, designs, procedures, layouts, copy, and other materials related to the services or deliverables provided under this Grant, whether finished or in progress on the termination date. G. The Grantee will not be entitled to reimbursement for any expenses incurred for services and deliverables pursuant to this agreement after the effective date of termination. H. Upon receipt of notification of termination of this Grant, and except as otherwise specified by CDPH, the Grantee shall: 1) Place no further order or subgrants for materials, services, or facilities. Page 1 of 4 County of Fresno Agreement # 21-10553 Al Page 2 of 4 Exhibit D Additional Provisions 2) Settle all outstanding liabilities and all claims arising out of such termination of orders and subgrants. 3) Upon the effective date of termination of the Grant and the payment by CDPH of all items properly changeable to CDPH hereunder, Grantee shall transfer, assign and make available to CDPH all property and materials belonging to CDPH, all rights and claims to any and all reservations, grants, and arrangements with owners of media/PR materials, or others, and shall make available to CDPH all written information regarding CDPH's media/PR materials, and no extra compensation is to be paid to Grantee for its services. 4) Take such action as may be necessary, or as CDPH may specify, to protect and preserve any property related to this agreement which is in the possession of the Grantee and in which CDPH has or may acquire an interest. I. CDPH may, at its discretion, require the Grantee to cease performance of certain components of the Scope of Work as designated by CDPH and complete performance of other components prior to the termination date of the Grant. 2. Avoidance of Conflicts of Interest by Grantee A. CDPH intends to avoid any real or apparent conflict of interest on the part of the Grantee, subgrants, or employees, officers and directors of the Grantee or subgrants. Thus, CDPH reserves the right to determine, at its sole discretion, whether any information, assertion or claim received from any source indicates the existence of a real or apparent conflict of interest; and, if a conflict is found to exist, to require the Grantee to submit additional information or a plan for resolving the conflict, subject to CDPH review and prior approval. B. Conflicts of interest include, but are not limited to: 1) An instance where the Grantee or any of its subgrants, or any employee, officer, or director of the Grantee or any subgrant or has an interest, financial or otherwise, whereby the use or disclosure of information obtained while performing services under the grant would allow for private or personal benefit or for any purpose that is contrary to the goals and objectives of the grant. 2) An instance where the Grantee's or any subgrant's employees, officers, or directors use their positions for purposes that are, or give the appearance of being, motivated by a desire for private gain for themselves or others, such as those with whom they have family, business or other ties. C. If CDPH is or becomes aware of a known or suspected conflict of interest, the Grantee will be given an opportunity to submit additional information or to resolve Page 2 of 4 County of Fresno Agreement # 21-10553 Al Page 3 of 4 Exhibit D Additional Provisions the conflict. A Grantee with a suspected conflict of interest will have five (5) working days from the date of notification of the conflict by CDPH to provide complete information regarding the suspected conflict. If a conflict of interest is determined to exist by CDPH and cannot be resolved to the satisfaction of CDPH, the conflict will be grounds for terminating the grant. CDPH may, at its discretion upon receipt of a written request from the Grantee, authorize an extension of the timeline indicated herein. 3. Dispute Resolution Process A. A Grantee grievance exists whenever there is a dispute arising from CDPH's action in the administration of an agreement. If there is a dispute or grievance between the Grantee and CDPH, the Grantee must seek resolution using the procedure outlined below. 1) The Grantee should first informally discuss the problem with the CDPH Program Grant Manager. If the problem cannot be resolved informally, the Grantee shall direct its grievance together with any evidence, in writing, to the program Branch Chief. The grievance shall state the issues in dispute, the legal authority or other basis for the Grantee's position and the remedy sought. The Branch Chief shall render a decision within ten (10) working days after receipt of the written grievance from the Grantee. The Branch Chief shall respond in writing to the Grantee indicating the decision and reasons therefore. If the Grantee disagrees with the Branch Chief's decision, the Grantee may appeal to the second level. 2) When appealing to the second level, the Grantee must prepare an appeal indicating the reasons for disagreement with Branch Chief's decision. The Grantee shall include with the appeal a copy of the Grantee's original statement of dispute along with any supporting evidence and a copy of the Branch Chief's decision. The appeal shall be addressed to the Deputy Director of the division in which the branch is organized within ten (10) working days from receipt of the Branch Chief's decision. The Deputy Director of the division in which the branch is organized or his/her designee shall meet with the Grantee to review the issues raised. A written decision signed by the Deputy Director of the division in which the branch is organized or his/her designee shall be directed to the Grantee within twenty (20) working days of receipt of the Grantee's second level appeal. B. If the Grantee wishes to appeal the decision of the Deputy Director of the division in which the branch is organized or his/her designee, the Grantee shall follow the procedures set forth in Division 25.1 (commencing with Section 38050) of the Health and Safety Code and the regulations adopted thereunder. (Title 1, Division 2, Chapter 2, Article 3 (commencing with Section 1140) of the California Code of Regulations). Page 3 of 4 County of Fresno Agreement# 21-10553 Al Page 4 of 4 Exhibit D Additional Provisions C. Disputes arising out of an audit, examination of an agreement or other action not covered by subdivision (a) of Section 20204, of Chapter 2.1, Title 22, of the California Code of Regulations, and for which no procedures for appeal are provided in statute, regulation or the Agreement, shall be handled in accordance with the procedures identified in Sections 51016 through 51047, Title 22, California Code of Regulations. D. Unless otherwise stipulated in writing by CDPH, all dispute, grievance and/or appeal correspondence shall be directed to the CDPH Grant Manager. E. There are organizational differences within CDPH's funding programs and the management levels identified in this dispute resolution provision may not apply in every contractual situation. When a grievance is received and organizational differences exist, the Grantee shall be notified in writing by the CDPH Grant Manager of the level, name, and/or title of the appropriate management official that is responsible for issuing a decision at a given level. 4. Executive Order N-6-22 - Economic Sanctions On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22 (the EO) regarding Economic Sanctions against Russia and Russian entities and individuals. "Economic Sanctions" refers to sanctions imposed by the U.S. government in response to Russia's actions in Ukraine, as well as any sanctions imposed under state law. The EO directs state agencies to terminate contracts with, and to refrain from entering any new contracts with, individuals or entities that are determined to be a target of Economic Sanctions. Accordingly, should the State determine Grantee is a target of Economic Sanctions or is conducting prohibited transactions with sanctioned individuals or entities, that shall be grounds for termination of this Agreement. The State shall provide Grantee advance written notice of such termination, allowing Grantee at least 30 calendar days to provide a written response. Termination shall be at the sole discretion of the State. Prior to awarding and executing grant, the State shall conduct its due diligence to determine if the proposed awardee is a named individual or entity on federal and any state Economic Sanctions lists. If the proposed awardee is listed, the State shall refrain from entering into the Grant. Resources for locating names of sanctioned individuals and entities are available on the DGS Office of Legal Services' webpage: Ukraine-Russia (ca.goy). If this Agreement is valued at $5 million or more, upon execution the State will send a separate notification outlining additional requirements specified under the EO. Compliance with this Economic Sanctions imposed in response to Russia's actions in Ukraine is required, including with respect to, but not limited to, the federal executive orders identified in the EO and the sanctions identified on the U.S. Department of the Treasury website (https:Hhome.treasury.gov/policy-issues/financial-sanctions/sanctionsprograms-and- country-information/ukraine-russia-related-sanctions). Failure to comply may result in the termination of this Agreement. Page 4 of 4 California Department of Public Health County of Fresno 21-10553 Al Exhibit F Federal Terms and Conditions (For Federally Funded Grant Agreements) This exhibit contains provisions that require strict adherence to various contracting laws and policies. Index of Special Terms and Conditions 1. Federal Funds 2. Federal Equal Employment Opportunity Requirements 3. Debarment and Suspension Certification 4. Covenant Against Contingent Fees 5. Lobbying Restrictions and Disclosure Certification 6. Additional Restrictions 7. Human Subjects Use Requirments 8. Audit and Record Retention 9. Federal Requirements CDPH (rev. 12-21) Page 1 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F 1. Federal Funds (Applicable only to that portion of an agreement funded in part or whole with federal funds.) a. It is mutually understood between the parties that this Agreement may have been written before ascertaining the availability of congressional appropriation of funds, for the mutual benefit of both parties, in order to avoid program and fiscal delays which would occur if the Agreement were executed after that determination was made. b. This Agreement is valid and enforceable only if sufficient funds are made available to the State by the United States Government for the fiscal years covered by the term of this Agreement. In addition, this Agreement is subject to any additional restrictions, limitations, or conditions enacted by the Congress or any statute enacted by the Congress which may affect the provisions, terms or funding of this Agreement in any manner. c. It is mutually agreed that if the Congress does not appropriate sufficient funds for the program, this Agreement shall be amended to reflect any reduction in funds. d. CDPH has the option to invalidate or cancel the Agreement with 30-days advance written notice or to amend the Agreement to reflect any reduction in funds. 2. Federal Equal Opportunity Requirements (Applicable to all federally funded grants entered into by the California Department of Public Health (CDPH) formerly known as California Department of Health Services (CDHS).) a. The Grantee will not discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, physical or mental handicap, disability, age or status as a disabled veteran or veteran of the Vietnam era. The Grantee will take affirmative action to ensure that qualified applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, national origin, physical or mental handicap, disability, age or status as a disabled veteran or veteran of the Vietnam era. Such action shall include, but not be limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and career development opportunities and selection for training, including apprenticeship. The Grantee agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Federal Government or CDPH, setting forth the provisions of the Equal Opportunity clause, Section 503 of the Rehabilitation Act of 1973 and the affirmative action clause required by the Vietnam Era Veterans' Readjustment Assistance Act of 1974 (38 U.S.C. 4212). Such notices shall state the Grantee's obligation under the law to take affirmative action to employ and advance in employment qualified applicants without discrimination based on their race, color, religion, sex, national origin physical or mental handicap, disability, age or status as a disabled veteran or veteran of the Vietnam era and the rights of applicants and employees. b. The Grantee will, in all solicitations or advancements for employees placed by or on behalf of the Grantee, state that all qualified applicants will receive consideration for employment CDPH (rev. 12-21) Page 2 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F without regard to race, color, religion, sex, national origin physical or mental handicap, disability, age or status as a disabled veteran or veteran of the Vietnam era. c. The Grantee will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding a notice, to be provided by the Federal Government or the State, advising the labor union or workers' representative of the Grantee's commitments under the provisions herein and shall post copies of the notice in conspicuous places available to employees and applicants for employment. d. The Grantee will comply with all provisions of and furnish all information and reports required by Section 503 of the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans' Readjustment Assistance Act of 1974 (38 U.S.C. 4212) and of the Federal Executive Order No. 11246 as amended, including by Executive Order 11375, 'Amending Executive Order 11246 Relating to Equal Employment Opportunity,' and as supplemented by regulation at 41 CFR part 60, "Office of the Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor," and of the rules, regulations, and relevant orders of the Secretary of Labor. e. The Grantee will furnish all information and reports required by Federal Executive Order No. 11246 as amended, including by Executive Order 11375, 'Amending Executive Order 11246 Relating to Equal Employment Opportunity,' and as supplemented by regulation at 41 CFR part 60, "Office of the Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor," and the Rehabilitation Act of 1973, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to its books, records, and accounts by the State and its designated representatives and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. f. In the event of the Grantee's noncompliance with the requirements of the provisions herein or with any federal rules, regulations, or orders which are referenced herein, this Agreement may be cancelled, terminated, or suspended in whole or in part and the Grantee may be declared ineligible for further federal and state contracts in accordance with procedures authorized in Federal Executive Order No. 11246 as amended and such other sanctions may be imposed and remedies invoked as provided in Federal Executive Order No. 11246 as amended, including by Executive Order 11375, 'Amending Executive Order 11246 Relating to Equal Employment Opportunity,' and as supplemented by regulation at 41 CFR part 60, "Office of the Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor," or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. g. The Grantee will include the provisions of Paragraphs a through g in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Federal Executive Order No. 11246 as amended, including by Executive Order 11375, 'Amending Executive Order 11246 Relating to Equal Employment Opportunity,' and as supplemented by regulation at 41 CFR part 60, "Office of the Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor," or Section 503 of the Rehabilitation Act of 1973 or(38 U.S.C. 4212) of the Vietnam Era Veteran's Readjustment Assistance Act, so that such provisions will be binding upon each subgrantee or vendor. The Grantee will take such action with CDPH (rev. 12-21) Page 3 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F respect to any subcontract or purchase order as the Director of the Office of Federal Contract Compliance Programs or CDPH may direct as a means of enforcing such provisions including sanctions for noncompliance provided, however, that in the event the Grantee becomes involved in, or is threatened with litigation by a subgrantee or vendor as a result of such direction by CDPH, the Grantee may request in writing to CDPH, who, in turn, may request the United States to enter into such litigation to protect the interests of the State and of the United States. 3. Debarment and Suspension Certification a. By signing this Grant, the Grantee agrees to comply with applicable federal suspension and debarment regulations including, but not limited to 7 CFR Part 3017, 45 CFR 76, 40 CFR 32 or 34 CFR 85. b. By signing this Grant, the Grantee certifies to the best of its knowledge and belief, that it and its principals: (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any federal department or agency; (2) Have not within a three-year period preceding this application/proposal/agreement been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in Paragraph b(2) herein; and (4) Have not within a three-year period preceding this application/proposal/agreement had one or more public transactions (Federal, State or local) terminated for cause or default. (5) Shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under federal regulations (i.e., 48 CFR part 9, subpart 9.4), debarred, suspended, declared ineligible, or voluntarily excluded from participation in such transaction, unless authorized by the State. (6) Will include a clause entitled, "Debarment and Suspension Certification" that essentially sets forth the provisions herein, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. c. If the Grantee is unable to certify to any of the statements in this certification, the Grantee shall submit an explanation to the CDPH Program Contract Manager. d. The terms and definitions herein have the meanings set out in the Definitions and Coverage sections of the rules implementing Federal Executive Order 12549. CDPH (rev. 12-21) Page 4 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F e. If the Grantee knowingly violates this certification, in addition to other remedies available to the Federal Government, the CDPH may terminate this Agreement for cause or default. 4. Covenant Against Contingent Fees The Grantee warrants that no person or selling agency has been employed or retained to solicit/secure this Grant upon an agreement of understanding for a commission, percentage, brokerage, or contingent fee, except bona fide employees or bona fide established commercial or selling agencies retained by the Grantee for the purpose of securing business. For breach or violation of this warranty, CDPH shall have the right to annul this Grant without liability or in its discretion to deduct from the Grant price or consideration, or otherwise recover, the full amount of such commission, percentage, and brokerage or contingent fee. 5. Lobbying Restrictions and Disclosure Certification (Applicable to federally funded grants in excess of $100,000 per Section 1352 of the 31, U.S.C.) a. Certification and Disclosure Requirements (1) Each person (or recipient)who requests or receives a grant, subgrant, which is subject to Section 1352 of the 31, U.S.C., and which exceeds $100,000 at any tier, shall file a certification (in the form set forth in Attachment 1, consisting of one page, entitled "Certification Regarding Lobbying")that the recipient has not made, and will not make, any payment prohibited by Paragraph b of this provision. (2) Each recipient shall file a disclosure (in the form set forth in Attachment 2, entitled "Standard Form-LLL `disclosure of Lobbying Activities"') if such recipient has made or has agreed to make any payment using nonappropriated funds (to include profits from any covered federal action) in connection with a grant or any extension or amendment of that grant, which would be prohibited under Paragraph b of this provision if paid for with appropriated funds. (3) Each recipient shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affect the accuracy of the information contained in any disclosure form previously filed by such person under Paragraph a(2) herein. An event that materially affects the accuracy of the information reported includes: (a) A cumulative increase of $25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered federal action; (b) A change in the person(s) or individuals(s) influencing or attempting to influence a covered federal action; or (c) A change in the officer(s), employee(s), or member(s) contacted for the purpose of influencing or attempting to influence a covered federal action. (4) Each person (or recipient) who requests or receives from a person referred to in CDPH (rev. 12-21) Page 5 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F Paragraph a(1) of this provision a grant or subgrant exceeding $100,000 at any tier under a grant shall file a certification, and a disclosure form, if required, to the next tier above. (5) All disclosure forms (but not certifications) shall be forwarded from tier to tier until received by the person referred to in Paragraph a(1) of this provision. That person shall forward all disclosure forms to CDPH Program Contract Manager. b. Prohibition Section 1352 of Title 31 , U.S.C., provides in part that no appropriated funds may be expended by the recipient of a federal contract or agreement, grant, loan, or cooperative agreement to pay any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any of the following covered federal actions: the awarding of any federal contract or agreement, the making of any federal grant, the making of any federal loan, entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract or agreement, grant, loan, or cooperative agreement. 6. Additional Restrictions Grantee shall comply with the restrictions under Division F, Title V, Section 503 of the Consolidated Appropriations Act, 2012 (H.R. 2055), which provides that: "SEC. 503.(a) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111-148 shall be used, other than for normal and recognized executive-legislative relationships, for publicity or propaganda purposes, for the preparation, distribution, or use of any kit, pamphlet, booklet, publication, electronic communication, radio, television, or video presentation designed to support or defeat the enactment of legislation before the Congress or any State or local legislature or legislative body, except in presentation to the Congress or any State or local legislature itself, or designed to support or defeat any proposed or pending regulation, administrative action, or order issued by the executive branch of any State or local government, except in presentation to the executive branch of any State or local government itself. (b) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111-148 shall be used to pay the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any State government, State legislature or local legislature or legislative body, other than for normal and recognized executive-legislative relationships or participation by an agency or officer of a State, local or tribal government in policymaking and administrative processes within the executive branch of that government. (c) The prohibitions in subsections (a) and (b) shall include any activity to advocate or promote any proposed, pending or future Federal, State or local tax increase, or any proposed, pending, or future requirement or restriction on any legal consumer product, including its sale or marketing, including but not limited to the advocacy or promotion of gun control." CDPH (rev. 12-21) Page 6 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F 7. Human Subjects Use Requirements (Applicable only to federally funded agreements in which performance, directly or through a subgrantee/subaward, includes any tests or examination of materials derived from the human body.) By signing this Agreement, Grantee agrees that if any performance under this Agreement or any subcontract or subagreement includes any tests or examination of materials derived from the human body for the purpose of providing information, diagnosis, prevention, treatment or assessment of disease, impairment, or health of a human being, all locations at which such examinations are performed shall meet the requirements of 42 U.S.C. Section 263a (CLIA) and the regulations thereunder. 8. Audit and Record Retention (Applicable to agreements in excess of$10,000.) a. The Grantee shall maintain books, records, documents, and other evidence, accounting procedures and practices, sufficient to properly reflect all direct and indirect costs of whatever nature claimed to have been incurred in the performance of this Agreement, including any matching costs and expenses. The foregoing constitutes "records" for the purpose of this provision. b. The Grantee's facility or office or such part thereof as may be engaged in the performance of this Agreement and his/her records shall be subject at all reasonable times to inspection, audit, and reproduction. c. Grantee agrees that CDPH, the Bureau of State Audits, or their designated representatives including the Comptroller General of the United States shall have the right to review and to copy any records and supporting documentation pertaining to the performance of this Agreement. Grantee agrees to allow the auditor(s) access to such records during normal business hours and to allow interviews of any employees who might reasonably have information related to such records. Further, the Grantee agrees to include a similar right of the State to audit records and interview staff in any subgrantee related to performance of this Agreement. (GC 8546.7, CCR Title 2, Section 1896). d. The Grantee shall preserve and make available his/her records (1) for a period of three years from the date of final payment under this Agreement, and (2)for such longer period, if any, as is required by applicable statute, by any other provision of this Agreement, or by subparagraphs (1) or (2) below. (1) If this Agreement is completely or partially terminated, the records relating to the work terminated shall be preserved and made available for a period of three years from the date of any resulting final settlement. (2) If any litigation, claim, negotiation, audit, or other action involving the records has been started before the expiration of the three-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular three-year period, whichever is later. CDPH (rev. 12-21) Page 7 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F f. The Grantee may, at its discretion, following receipt of final payment under this Agreement, reduce its accounts, books and records related to this Agreement to electoronic data storage device. Upon request by an authorized representative to inspect, audit or obtain copies of said records, the Grantee and/or Subgrantee must supply or make available applicable devices, hardware, and/or software necessary to view, copy and/or print said records. 9. Federal Requirements Grantee agrees to comply with and shall require all subgrantee's, if any, to comply with all applicable Federal requirements including but not limited to the United States Code, the Code of Federal Regulations, the Funding Opportunity Announcement, the Notice of Award, the funding agreement, and any memoranda or letter regarding the applicable Federal requirements. CDPH (rev. 12-21) Page 8 of 13 California Department of Public Health —Federal Terms and Conditions Exhibit F Attachment 1 STATE OF CALIFORNIA CALIFORNIA DEPARTMENT OF PUBLIC HEALTH CERTIFICATION REGARDING LOBBYING The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the making, awarding or entering into of this Federal contract, Federal grant, or cooperative agreement, and the extension, continuation, renewal, amendment, or modification of this Federal contract, grant, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency of the United States Government, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities" in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subGrantees, subgrants, and contracts under grants and cooperative agreements) of$100,000 or more, and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S.C., any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,State of California By_ Deputy County of Fresno Nathan Magsig Name of Grantee Printed Name of Person Signing for Grantee 1 21-10553, Al �� - T Contract/ Grant Number Signature of Person Signing for Grantee Chairman of the Board of Supervisors �`a da� Hof thelCounty of Fresno Date Title After execution by or on behalf of Grantee, please return to: i CDPH(rev. 12-21) Page 9 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F California Department of Public Health STD Control Branch P.O. Box 997377, MS 7320 Sacramento, CA 95899-7377 CDPH reserves the right to notifiy the Grantee in writing of an alternate submission address. CDPH (rev. 12-21) Page 10 of 13 California Department of Public Health — Federal Terms and Conditions Exhibit F Attachment 2 CERTIFICATION REGARDING LOBBYING Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 13520348-0046 (See reverse for public burden disclosure) 1 . Type of Federal Action: 2. Status of Federal Action: 3. Report Type: [ ] a. contract ]I a. bid/offer/application a. initial filing b. grant b. initial award b. material change c. cooperative c. post-award For Material Change Only: agreement d. loan Year quarter e. loan guarantee f. loan insurance date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: ❑ Prime ❑ Subawardee Tier , if known: 6. Federal Department/Agency 7. Federal Program Name/Description: 8. Federal Action Number, if known: 9. Award Amount, if known: 10.a. Name and Address of Lobbying b. Individuals Performing Services (including Registrant address if different from 10a. (If individual, last name, first name, MI): (Last name, First name, MI): 11.Information requested through this form is authorized by title 31 U.S.C. section Signature: 1352. This disclosure of lobbying activities is a material representation of Print Name: fact upon which reliance was placed by Title: the tier above when this transaction was Telephone No.: Date: made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be available for public inspection. required disclosure shall be subject to a not more than $100,000 for each such failure. Federal Use Only Authorized for Local Reproduction Standard Form-LLL (Rev. 7-97) CDPH (rev. 12-21) Page 11 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. CDPH (rev. 12-21) Page 12 of 13 California Department of Public Health—Federal Terms and Conditions Exhibit F 10.(a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (MI). 11.The certifying official shall sign and date the form, print his/her name, title, and telephone number. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number.The valid OMB control number for this information collection is OMB No.0348-0046.Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,DC 20503. CDPH (rev. 12-21) Page 13 of 13 STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT OFFICE OF LEGAL SERVICES DGS OLS 04(Rev.01117) Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or otherwise proposes to enter into or renew a contract with, a state agency with respect to any contract in the amount of$100,000 or above shall certify, under penalty perjury, at the time the bid or proposal is submitted or the contract is renewed, all of the following: 1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act(Section 12960 of the Government Code); and 2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act(Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code). CERTIFICATION r--------------------------------------------------------r---------------------- � I, the official named below, certify under penalty of perjury under i Federal ID Number the laws of the State of California that the foregoing is true and correct. Proposer/Bidder Finn Name (Printed) County of Fresno -------------------------------------------L---------------------- By(Aut,",or,'zed Signature) -------------------- ----------------------------------------------------------� Pnnted Name and Title of Person Signing Nathan Magsig, Chairman of the Board of Supervisors of the County of Fresno Date Executed i Executed in the County and State of -i Fresno California L-------------------------------------------------------------------------------� ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,state of California By_ Z� Deputy Amendment Al to Agreement Between the County of Fresno and California Department of Public Health Name: Sexually Transmitted Disease (STD) Program Management DIS Workforce Development Amendment Al to Agreement No. 21-10553 Fund/Subclass: 0001/10000 Organization #: 56201661 Revenue Account #: 4380