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Home My WebLink AboutAgreement A-25-288 Amendment 2 to Agreement with Pacific Clinics.pdf Agreement No. 25-288 1 AMENDMENT NO. 2 TO SERVICE AGREEMENT 2 This Amendment No. 2 to Service Agreement ("Amendment No. 2") is dated 3 June 24, 2025 and is between Pacific Clinics, a California Non-Profit, 501 (c)(3) 4 Corporation ("Contractor"), and the County of Fresno, a political subdivision of the State of 5 California ("County"). 6 Recitals 7 A. On June 20, 2023, the County and the Contractor entered into Agreement No. 23-280 8 ("Agreement"), as amended by County Agreement No. 24-081, for Children/Youth Assertive 9 Community Treatment for the provision of integrated mental health and community support 10 services to youth ages 10-18 with serious emotional disturbance (SED) and at least one 11 diagnosis from the current Diagnostic and Statistical Manual of Mental Disorders (DSM). The 12 agreement combined and superseded Agreement Nos. 18-689 and 18-689-1. 13 B. The County and the Contractor now desire to further amend the Agreement to extend 14 the term for an additional three (3) month base and optional three (3) month renewal term and 15 increasing the maximum compensation by Two Million, One Hundred Fifty Thousand, Three 16 Hundred Thirty-Five and No/100 Dollars ($2,150,335.00). 17 The parties therefore agree as follows: 18 1. Term. This Amendment extends the term of the Agreement through September 30, 19 2025. The term of this Agreement may be extended for no more than one three-month period 20 only upon written approval of both parties at least thirty (30) days before the first day of the 21 three-month extension period. The County's DBH Director, or designee, is authorized to sign the 22 written approval on behalf of the County based on the Contractor's satisfactory performance. 23 The extension of this Agreement by the County is not a waiver or compromise of any default or 24 breach of this Agreement by the Contractor existing at the time of the extension whether or not 25 known to the County. 26 2. All references to Exhibit G shall be deemed references to "Revised Exhibit G." Revised 27 Exhibit G is attached and incorporated by this reference. 28 1 1 3. Section 4.2 of the Agreement, beginning on Page 8, Line 21, is amended to add the 2 following: 3 "The maximum compensation payable to the contractor under this Agreement for 4 the period of July 1, 2025, through September 30, 2025, for Specialty Mental 5 Health Services is One Million Seventy-Two Thousand One Hundred Sixty-Eight 6 and No/100 Dollars ($1,072,168.00), which is not a guaranteed sum but shall be 7 paid only for services rendered and received. The maximum compensation 8 payable to the contractor under this Agreement for the period of October 1, 2025, 9 through December 31, 2025, for Specialty Mental Health Services is One Million 10 Seventy-Two Thousand One Hundred Sixty-Seven and No/100 Dollars 11 ($1,072,167.00), which is not a guaranteed sum but shall be paid only for 12 services rendered and received." 13 4. Section 4.3 of the Agreement, beginning on Page 8, Line 27, is amended to add the 14 following: 15 "The maximum compensation payable to the Contractor under this Agreement for 16 the period of July 1, 2025, through September 30, 2025 for Non-Medi-Cal 17 supports is Three Thousand and No/100 Dollars ($3,000.00). The maximum 18 compensation payable to the Contractor under this Agreement for the period of 19 October 1, 2025, through December 31 ,2025, for Non-Medi-Cal supports is 20 Three Thousand and No/100 Dollars ($3,000.00)." 21 5. Section 4.5 of the Agreement, beginning on Page 9, Lines 9 through 22 is deleted in its 22 entirety and replaced with the following: 23 "Total Maximum Compensation. In no event shall the maximum contract 24 amount for all the services provided by the Contractor to County under the terms 25 and conditions of this Agreement be in excess of Eleven Million One Thousand 26 Six Hundred Seventy-Five and No/100 ($11,001,675.00) during the entire term of 27 this Agreement. The Contractor acknowledges that the County is a local 28 government entity and does so with notice that the County's powers are limited 2 1 by the California Constitution and by State law, and with notice that the 2 Contractor may receive compensation under this Agreement only for services 3 performed according to the terms of this Agreement and while this Agreement is 4 in effect, and subject to the maximum amount payable under this section. The 5 Contractor further acknowledges that County employees have no authority to pay 6 the Contractor except as expressly provided in this Agreement. The Contractor 7 will be compensated for performance of its services under this Agreement as 8 provided in this Article. The Contractor is not entitled to any compensation except 9 as expressly provided in this Agreement." 10 6. When both parties have signed this Amendment No. 2, the Agreement, Amendment No. 11 1 and this Amendment No. 2 together constitute the Agreement. 12 7. The Contractor represents and warrants to the County that: 13 a. The Contractor is duly authorized and empowered to sign and perform its 14 obligations under this Amendment. 15 b. The individual signing this Amendment on behalf of the Contractor is duly 16 authorized to do so and his or her signature on this Amendment legally binds 17 the Contractor to the terms of this Amendment. 18 8. The parties agree that this Amendment may be executed by electronic signature as 19 provided in this section. 20 a. An "electronic signature" means any symbol or process intended by an 21 individual signing this Amendment to represent their signature, including but 22 not limited to (1) a digital signature; (2) a faxed version of an original 23 handwritten signature; or (3) an electronically scanned and transmitted (for 24 example by PDF document) version of an original handwritten signature. 25 b. Each electronic signature affixed or attached to this Amendment (1) is 26 deemed equivalent to a valid original handwritten signature of the person 27 signing this Amendment for all purposes, including but not limited to 28 evidentiary proof in any administrative or judicial proceeding, and (2) has the 3 1 same force and effect as the valid original handwritten signature of that 2 person. 3 c. The provisions of this section satisfy the requirements of Civil Code section 4 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, 5 Division 3, Part 2, Title 2.5, beginning with section 1633.1). 6 d. Each party using a digital signature represents that it has undertaken and 7 satisfied the requirements of Government Code section 16.5, subdivision (a), 8 paragraphs (1) through (5), and agrees that each other party may rely upon 9 that representation. 10 e. This Amendment is not conditioned upon the parties conducting the 11 transactions under it by electronic means and either party may sign this 12 Amendment with an original handwritten signature. 13 9. This Amendment may be signed in counterparts, each of which is an original, and all of 14 which together constitute this Amendment. 15 10. The Agreement as previously amended and as amended by this Amendment No. 2 is 16 ratified and continued. All provisions of the Agreement as previously amended and not 17 amended by this Amendment No. 2 remain in full force and effect. 18 [SIGNATURE PAGE FOLLOWS] 19 20 21 22 23 24 25 26 27 28 4 ii Docusign Envelope ID:ABEDB52A-B960-4ACF-9C37-17CE2A73A7AD 1 The parties are signing this Amendment No. 2 on the date stated in the introductory 2 clause. 3 Pacific Clinics COUNTY OF FRESNO 4 Signed : 6 Kim e Is, Ie Legal Officer Ernest Buddy Mend ', Chairman of the Board of Supervisors of the County of Fresno 7 251 Llewellyn Ave Campbell, Ca. 95008 Attest: 8 Bernice E. Seidel Clerk of the Board of Supervisors 9 County of Fresno, State of California 10 By: _ 11 Deputy 12 For accounting use only: 13 Org No.: 56304323 Account No.: 7295 14 Fund No.: 0001 Subclass No.: 10000 15 16 17 18 19 20 21 22 23 24 25 26 27 28 5 ACT FSP Budget FY25-26 Ext 1 Revised Exhibit G Adolescent Community Treatment(ACT) PACIFIC CLINICS Fiscal Year(FY)2025-20261 July 1, 2025 to September 30,2025 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 $ 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.00 - Acct# Program Position FTE Admin Program Total 1116 $ 1117 - 1118 - 1119 - 1120 - 1121 - 1122 - 1123 - 1124 - 1125 - 1126 - 1127 - 1128 - 1129 - 1130 - 1131 - 1132 - 1133 - 1134 - Direct Personnel Program Salaries Subtotal 0.00 Admin Program Total Direct Personnel Salaries Subtotal 0.00 $ - $ Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1202 Worker's Compensation - - 1203 Health Insurance - - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Budget FY25-26 Ext 1 Revised Exhibit G 1204 Other(Benefits listed under ARPA Grant) - 1205 Other(specify) - 1206 Other(specify) - Direct Employee Benefits Subtotal: $ - $ - $ - Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI 1302 FICA/MEDICARE - 1303 SUI - 1304 Other(specify) - 1305 Other(specify) - 1306 Other(specify) - Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ - DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program #DIV/0! #DIV/0! 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care 2002 Client Housing Support 266 2003 Client Transportation&Support 929 2004 Clothing, Food,&Hygiene 751 2005 Education Support 66 2006 Employment Support 2007 Household Items for Clients 396 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Voucher 197 2011 Other 395 2012 Other 2013 Other 2014 Other 2015 Other 2016 Other - DIRECT CLIENT CARE TOTAL $ 3,000 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage 3003 Office, Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) - 3012 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Budget FY25-26 Ext 1 Revised Exhibit G DIRECT OPERATING EXPENSES TOTAL: $ - I 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 1 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other( pecify) 4010 1 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL: $ - 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) 6008 Personnel(Indirect Salaries&Benefits) 6009 Other(Indirect Cost under ARPA Grant) 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) - 6013 Other(specify) INDIRECT EXPENSES TOTAL $ - INDIRECT COST RATE 0.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Budget FY25-26 Ext 1 Revised Exhibit G 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ TOTAL PROGRAM EXPENSES $ 3,000 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 SABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 3,000 8302 PEI- Prevention &Early Intervention - 8303 INN- Innovations 8304 WET-Workforce Education &Training - 8305 jCFTN-Capital Facilities&Technology MHSA TOTAL $ 3,000 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees 8402 Client Insurance 8403 Grants(ARPA) 8404 Other(Specify) 8405 Other(Specify) OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: $ 3,000 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Narrative FY25-26 Ext 1 Revised Exhibit G Adolescent Community Treatment(ACT) PACIFIC CLINICS Fiscal Year(FY)2025-20261 July 1,2025 to September 30,2025 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS Administrative Positions 1101 0 1102 0 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 1116 0 1117 0 1118 0 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 1201 Retirement 1202 Worker's Compensation 1203 Health Insurance 1204 Other(Benefits listed under ARPA Grant) 1205 Other(specify) 1206 Other(specify) Direct Payroll Taxes&Expenses: 1301 OASDI 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 3,000 2001 Child Care - 2002 Client Housing Support 266 This includes,but is not limited to:housing subsidies for permanent,transitional and temporary housing,master leases,motel and other housing vouchers,rental security deposits,first and last month rental payments,and other fiscal housing supports resources. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Narrative FY25-26 Ext 1 Revised Exhibit G PROGRAM EXPENSE 11 ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2003 Client Transportation&Support 929 This includes bus vouchers and reimbursements for other travel expenses as lack of transportation is frequently a major barrier for families in accessing services.This also includes other non-traditional supports to meet the needs that families may have. 2004 Clothing,Food,&Hygiene 751 Supports for these basic needs aids in fully realizing the benefits provided through Full Service Partnerships.In addition to vouchers for these basic necessities,food/snacks for families are provided during treatment sessions. 2005 Education Support 66 This includes,but is not limited to assistance for youth with linkages to educational resources and supports,as well as support in addressing any barriers that impact educational success. 2006 Employment Support - 2007 Household Items for Clients 396 Supports the purchase of household items to assist in maintaining a safe,healthy,and secure home environment. 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Voucher 197 Supports emergency assistance with maintaining electricity,gas,water,trash pic-up, etc.to maintain a safe and healthy home environment. 2011 Other 395 This includes,but is not limited to building repair and maintenance,utilities,housing agency management fees,insurance,property taxes and assessments,credit reporting fees,and other operating costs incurred in providing child and family housing supports. 2012 Other - 2013 Other 2014 Other 2015 Other 2016 1 Other 3000:DIRECT OPERATING EXPENSES 3001 Telecommunications 3002 Printing/Postage 3003 Office,Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 4001 Building Maintenance 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Narrative FY25-26 Ext 1 Revised Exhibit G PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6000:INDIRECT EXPENSES 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 6009 Other(Indirect Cost under ARPA Grant) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 3,000 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 3,000 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Budget FY25-26 Ext2 Revised Exhibit G Adolescent Community Treatment(ACT) PACIFIC CLINICS Fiscal Year(FY)2025-2026 i October 1,2025 to December 31,2025 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 $ 1102 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.00 $ $ Acct# Program Position FTE Admin Program Total 1116 $ 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 0.00 $ $ Admin Program Total Direct Personnel Salaries Subtotal 0.00 $ $ $ Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1202 Worker's Compensation 1203 Health Insurance 1204 Other(Benefits listed under ARPA Grant) 1205 Other(specify) 1206 1 Other(specify) Direct Employee Benefits Subtotal: $ $ $ Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ $ $ 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ $ $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Budget FY25-26 Ext2 Revised Exhibit G DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ $ $ DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program #DIV/01 #DIV/01 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care 2002 Client Housing Support 267 2003 Client Transportation&Support 928 2004 Clothing,Food,&Hygiene 750 2005 Education Support 66 2006 Employment Support 2007 Household Items for Clients 396 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Voucher 198 2011 Client Housing and Operating Expenses 395 2012 Other 2013 Other 2014 Other 2015 Other 2016 10ther DIRECT CLIENT CARE TOTAL $ 3,000 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage 3003 Office,Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENTTOTAL: $ 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL: $ 6000:INDIRECT EXPENSES Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Budget FY25-26 Ext2 Revised Exhibit G Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) 6008 Personnel(indirect Salaries&Benefits) 6009 Other(Indirect Cost under ARPA Grant) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) INDIRECT EXPENSES TOTAL $ INDIRECT COST RATE 0.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ TOTAL PROGRAM EXPENSES $ 3,000 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 IRealignment 1 $ REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 3,000 8302 PEI-Prevention&Early Intervention 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 3,000 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees 8402 Client Insurance 8403 Grants(ARPA) 8404 Other(Specify) 8405 Other(Specify) OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: $ 3,000 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Narrative FY25-26 Ext2 Revised Exhibit G Adolescent Community Treatment(ACT) PACIFIC CLINICS Fiscal Year(FY)2025-2026 i October 1,2025 to December 31,2025 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS Administrative Positions 1101 0 1102 0 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 10 Program Positions 1116 0 1117 0 1118 0 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 1201 Retirement 1202 Worker's Compensation 1203 Health Insurance 1204 Other(Benefits listed under ARPA Grant) 1205 Other(specify) 1206 Other(specify) Direct Payroll Taxes&Expenses: 1301 OASDI 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 3,000 2001 Child Care - 2002 Client Housing Support 267 This includes,but is not limited to:housing subsidies for permanent,transitional and temporary housing,master leases,motel and other housing vouchers,rental security deposits,first and last month rental payments,and other fiscal housing supports resources. 2003 Client Transportation&Support 928 This includes bus vouchers and reimbursements for other travel expenses as lack of transportation is frequently a major barrier for families in accessing services.This also includes other non-traditional supports to meet the needs that families may have. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Narrative FY25-26 Ext2 Revised Exhibit G PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2004 Clothing,Food,&Hygiene 750 Supports for these basic needs aids in fully realizing the benefits provided through Full Service Partnerships.In addition to vouchers for these basic necessities,food/snacks for families are provided during treatment sessions. 2005 Education Support 66 This includes,but is not limited to assistance for youth with linkages to educational resources and supports,as well as support in addressing any barriers that impact educational success. 2006 Employment Support - 2007 Household Items for Clients 396 Supports the purchase of household items to assist in maintaining a safe,healthy,and secure home environment. 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Voucher 198 Supports emergency assistance with maintaining electricity,gas,water,trash pic-up, etc.to maintain a safe and healthy home environment. 2011 Client Housing and Operating Expenses 395 This includes,but is not limited to building repair and maintenance,utilities,housing agency management fees,insurance,property taxes and assessments,credit reporting fees,and other operating costs incurred in providing child and family housing supports. 2012 Other - 2013 Other 2014 Other 2015 Other 2016 Other 3000:DIRECT OPERATING EXPENSES 3001 Telecommunications 3002 Printing/Postage 3003 Office,Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 ISubscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Others ecif 4000:DIRECT FACILITIES&EQUIPMENT 4001 Building Maintenance 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025 ACT FSP Narrative FY25-26 Ext2 Revised Exhibit G PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 6009 Other(Indirect Cost under ARPA Grant) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Others ecif 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 Others ecif TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 3,000 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 3,000 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 5/15/2025