HomeMy WebLinkAboutCentro Binacional para el Desarrollo Indigena Oaxaqueno-Health Disparities Intervention Activities_A-25-343.pdf COtj County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
601 Board of Supervisors 93721-2198
O� 1$56 0 Telephone: (559)600-3529
FRV,t' Minute Order Toll Free: 1-800-742-1011
www.fresnocountyca.gov
July 8, 2025
Present: 5- Vice Chairman Garry Bredefeld, Supervisor Luis Chavez, Supervisor Nathan Magsig,
Chairman Buddy Mendes, and Supervisor Brian Pacheco
Agenda No. 47. Public Health File ID: 25-0583
Re: Approve and authorize the Chairman to execute Amendment No. 3 to Agreement with Centro
Binacional para el Desarrollo Indigena Oaxaqueno to continue providing health intervention activities for
Fresno County's Community Health Worker Network, effective upon execution, extending the term by
seven months from June 1, 2026, through December 31, 2026,which includes two optional one-year
extensions, and increasing the maximum compensation by$430,737 to a total of$1,180,737
APPROVED AS RECOMMENDED
Ayes: 5- Bredefeld, Chavez, Magsig, Mendes, and Pacheco
Agreement No. 25-343
County of Fresno Page 50
COZj���C
Board Agenda Item 47
O 1856 O
FRE`'�
DATE: July 8, 2025
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Third Amendment to Agreement with Centro Binacional para el Desarrollo Indigena
Oaxaqueno to Implement Department of Public Health's Community Health Worker
Network Intervention Activities
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute Amendment No. 3 to Agreement with Centro
Binacional para el Desarrollo Indigena Oaxaqueno to continue providing health intervention
activities for Fresno County's Community Health Worker Network, effective upon execution,
extending the term by seven months from June 1, 2026,through December 31, 2026, which includes
two optional one-year extensions, and increasing the maximum compensation by$430,737 to a total
of$1,180,737.
There is no additional Net County Cost associated with the recommended action, which will allow Centro
Binacional para el Desarrollo Indigena Oaxaqueho (CBDIO)to continue providing essential services to
residents of Fresno County experiencing health disparities through community health worker(CHW)
interventions by increasing the term of the Agreement by seven months to align with new funding timelines
and increasing CBDIO's budget by$430,737 to sustain program activities through the increased term. This
item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, this Agreement will be terminated early, as there
will be no funding available to support program activities. Critical services that primarily serve rural
indigenous communities with specific language needs in Fresno County will end.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The maximum
compensation of the Agreement with CBDIO will increase by$430,737 to $1,180,737 for the proposed
increased term. The agreement will be fully funded with Population Health Management grant funds and
supplemented with other Public Health funds as they become available. Sufficient appropriations and
estimated revenues are included in the Department of Public Health's Org 5620 FY 2025-26 Recommended
Budget and will be included in subsequent budget requests.
DISCUSSION:
On March 28, 2023, the Board approved Agreement A-23-132 which allowed the County to partner with
CBDIO to promote community health support and to provide health intervention activities for implementation
of Fresno County's Health Disparities Program. Agreement A-23-132 was issued in accordance with a
County of Fresno page I File Number.25-0583
File Number:25-0583
Request for Proposal that was issued on July 13, 2022.
On March 19, 2024, the Board approved First Amendment A-24-129 which allowed CBDIO to carryover
unspent fiscal year one funds to fiscal year two and corrected language in Article 7.1 of the Agreement in
accordance with federal funding. On December 17, 2024, the Board approved a second amendment to the
Agreement (A-24-689), which allowed the Agreement term to be extended in alignment with a no cost
extension provided by federal funding that was planned to fully fund the Agreement.
On May 6, 2025, your Board approved Agreements A-25-174, A-25-175, and A-25-176 which allowed the
County to accept Population Health Management(PHM)grant funding through December 31, 2026.
Acceptance of PHM grant funding allowed the Department to solidify funding to support this Agreement
through December 31, 2026. This Agreement was previously funded by federal funds, if approved, the
recommended action would allow for services of the Agreement to continue through PHM funding. The
recommended action would also allow the Agreement to be extended through December 31, 2026, in
alignment with the PHM grant timeline, and increase the maximum compensation of the Agreement to
support services through this extended period. The PHM grant ends on December 31, 2026, the Department
plans to only exercise the option to extend the Agreement with CBDIO if the PHM grant is extended or
additional grant funding becomes available. The recommended action is in alignment with the Department's
plan of securing supplemental funding to support these critical services. CBDIO is a key partner in
supporting Rural Mobile Health Services.
REFERENCE MATERIAL:
BAI #35.1, May 6, 2025
BAI #62, December 17, 2024
BAI #45, March 19, 2024
BAI #48, March 28, 2023
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Amendment No. 3 to Agreement with CBDIO
CAO ANALYST:
Ron Alexander
County of Fresno Page 2 File Number.25-0583
Agreement No. 25-343
1 AMENDMENT NO. 3 TO SERVICE AGREEMENT
2 This Amendment No. 3 to Service Agreement ("Amendment No. 3") is dated
3 July 8, 2025 and is between Centro Binacional para el Desarrollo Indigena
4 Oaxaqueno, a California 501 C3 Non-Profit corporation ("Contractor"), and the County of
5 Fresno, a political subdivision of the State of California ("County").
6 Recitals
7 A. On March 28, 2023, the County and the Contractor entered into a service agreement,
8 which is County agreement number A-23-132, to provide community health support and
9 promote health intervention activities for implementation of Fresno County's Initiative to Address
10 COVID-19 Related Health Disparities.
11 B. On March 19, 2024, the County and the Contractor entered into a First Amendment,
12 which is County agreement number A-24-129 to correct the Catalog of Federal Domestic
13 Assistance Number and revise the budget.
14 C. On December 17, 2024, the County and the Contractor entered into a Second
15 Amendment, which is County agreement number A-24-689 (Agreement number A-23-132 , First
16 Amendment number A-24-129, and Second Amendment number A-24-689 collectively, shall be
17 referred to herein as "the Agreement"), to extend the term of the Agreement and revise the
18 budget.
19 D. The County and the Contractor now desire to further amend the Agreement to (1) extend
20 the term of the agreement and; (2) increase the maximum compensation of the Agreement and;
21 (3) replace Exhibit B with Revised Exhibit B-4 to adjust annual budget amounts to reflect
22 actuals, carryover unspent funds from the current fiscal year three to fiscal year four, and
23 reallocate carryover funds in fiscal year four to adjust for costs of the extended term.
24 The parties therefore agree as follows:
25 1. Section 3.2 titled Maximum Compensation of the Agreement located at page Two (2)
26 beginning at line Nineteen (19) with the number"3.2" and ending at line Twenty-Eight (28) with
27 the word "Agreement" is deleted in its entirety and replaced with the following:
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1 "3.2 Maximum Compensation. The maximum compensation payable to the
2 Contractor under this Agreement is One Million One Hundred Eighty Thousand
3 Seven Hundred Thirty-Six Dollars and 20/100 ($1,180,736.20), commencing as
4 of the effective date, for the entire term of the agreement including any
5 extensions set forth by section 4.2 of this Agreement. The Contractor
6 acknowledges that the County is a local government entity, and does so with
7 notice that the County's powers are limited by the California Constitution and by
8 State law, and with notice that the Contractor may receive compensation under
9 this Agreement only for services performed according to the terms of this
10 Agreement and while this Agreement is in effect, and subject to the maximum
11 amount payable under this section. The Contractor further acknowledges that
12 County employees have no authority to pay the Contractor except as expressly
13 provided in this Agreement."
14 2. Section 4.1 titled Term of the Agreement located at page Three (3) beginning at line
15 Twenty (20) with the number"4.1" and ending at line Twenty-Two (22) with the word "below" is
16 deleted in its entirety and replaced with the following:
17 "4.1 Term. This Agreement is effective on March 28, 2023 and terminates on
18 December 31, 2026, except as provided in section 4.2, "Extension," or Article 6,
19 "Termination and Suspension," below."
20 3. That all references in Agreement to "Exhibit B", "Revised Exhibit B", "Revised Exhibit B-
21 1", "Revised Exhibit B-2", and "Revised Exhibit B-3" shall be changed to read "Revised Exhibit
22 134". Revised Exhibit B-4 is attached hereto and incorporated herein by this reference.
23 4. When both parties have signed this Amendment No. 3, the Agreement, Amendment No.
24 1, Amendment No. 2, and this Amendment No. 3 together constitute the Agreement.
25 5. The Contractor represents and warrants to the County that:
26 a. The Contractor is duly authorized and empowered to sign and perform its obligations
27 under this Amendment.
28
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1 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
2 to do so and his or her signature on this Amendment legally binds the Contractor to
3 the terms of this Amendment.
4 6. The parties agree that this Amendment may be executed by electronic signature as
5 provided in this section.
6 a. An "electronic signature" means any symbol or process intended by an individual
7 signing this Amendment to represent their signature, including but not limited to (1) a
8 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
9 electronically scanned and transmitted (for example by PDF document) version of an
10 original handwritten signature.
11 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
12 equivalent to a valid original handwritten signature of the person signing this
13 Amendment for all purposes, including but not limited to evidentiary proof in any
14 administrative or judicial proceeding, and (2) has the same force and effect as the
15 valid original handwritten signature of that person.
16 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
17 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
18 2, Title 2.5, beginning with section 1633.1).
19 d. Each party using a digital signature represents that it has undertaken and satisfied
20 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
21 through (5), and agrees that each other party may rely upon that representation.
22 e. This Amendment is not conditioned upon the parties conducting the transactions
23 under it by electronic means and either party may sign this Amendment with an
24 original handwritten signature.
25 7. This Amendment may be signed in counterparts, each of which is an original, and all of
26 which together constitute this Amendment.
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1 8. The Agreement as previously amended and amended by this Amendment No. 3 is
2 ratified and continued. All provisions of the Agreement as previously amended and not
3 amended by this Amendment No. 3 remain in full force and effect.
4 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 3 on the date stated in the introductory
2 clause.
3
Centro Binacional para el Desarrollo Indigena COUNTY OF FRESNO
4 Oaxaqueno
6 Sarait Martinez, Executive Director Ernest Buddy Mend , Chairman of the
Board of Supervisors of the County of Fresno
7 2911 Tulare Street
Fresno, CA 93721 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.: 56201558, 56201019, 56201022, 56201557, 56201621
Account No.: 7295
14 Fund No. : 0001
Subclass No.: 10000
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Revised Exhibit B-4
AgreemeM Number: A-24.689
Agreem.M Term: Mardi 28,2023-December 31,2026
Orga,b kiiO Name: Centro Nnacionial p1111 esarrollo 1141911,0111q 51(0010)
Personnel Salaries YI Aduals Approved Y2 Budget Approved 13 Budget Proposed Y3 Budget Proposed Y4 Budget Y4 Change Proposed YS Budget YS Change Approved Total Budget New Total Budget
3/28/23-]/31/23 B/1/23J/31/24 8/1/24-7/31/n Ili B/1/25J/31/26 8
/1/26-12/31/26
(12 Months) (12 Months) (12 Months) (S months) <hanges/lustificabons
Commumry Heald,Worker bi CW Sl full-bme(1,—9E)respons,blefor program delmery antl communiry
$ 8,070.00 $ 39,696.00 $ 50,343.00 $50,343W $ 53,418.00 $ 53,418.00 $ 13,—.00 $ 13,572W $ 98,10900 $ 165,099.00 engagement
Commumry Heald,Workerd2 CW P full-tiro¢IIO—EI responsible for program delivery and wmmun,ry
$ 10,296.00 $ 43,096.00 $ 49,33200 $49,33200 $ 45,066W $ 45,066.00 $ 11,484A0 $ $ 102,724. $ 159,27400 engagement
Commumry Heald,Workerd3 C—till-bme(1,-9E)respons,blefor program delivery and communiry
$ 2,979.00 $ 28,825.88 $ 41,432.00 $41,43200 $ 30,802.00 $ 38,80200 $ 9,918.00 $ 9,91800 $ 73,236W $ 121,956.88 engagement
Coordmrtor- Pmgram Coord,natorfull-time(S00%FfE)responsible far overseeing
$ 9,715.20 $ 45,329.52 $ 58,900.00 $58,90000 $ 55,5... $ 55,50600 $ 14,0N.00 $ 14,094.00 $ 113,—.2 $ 183,544.82 program operations and wi,di.bon
Heal[M1 Manager Pmgram Manager part-bme(2MUE)oversight and it.te gwdance for
$ 1,729.66 $ 5,955.04 $ 8,809.50 $8,809.50 $ 12,228.72 $ 12,22872 $ 3,283.38 $ 3,28338 $ 17,-21D $ 33,006.30 the program.
C—M—W Heal[hworker p4 $ $ 17,112.00 $ $000 $ $ $ $ 1),—W $ 1J,112.00
tota Subl $ 32,)g9.% $ 181A14.M $ 2NA16.W S 208.816.50 $ 205.020.72 $ 205,020.72 $ 52}51.% $ 52.351.38 $ 422,620.90 1$ bJ9,993A0
Berlefds/Taxes/Workers Corppe,b,don
Pnnge Benefits This category m<lutlez e.dual monthlyfnnge benefit expenses
$ 4,226.40 $ 19,149.13 $ 34,100.00 $ 34,100.00 $ 33,)66.91 $ 33,J6691 $ 8,6222J $ 8,6222] $ 5J,4)553 $ 99,864.71,1 u rred kr pen noel d d-al,rettly,nvolved,ntheproiett.
Payroll Taxes This tine item reflects onlythe.—I monthly payrolltax expenses,—rrecI for
$ 2,J51.03 $ 15,816.23 $ 15,200.88 $ 15,200.88 $ 19,3)4.46 $ 19,3J4A6 $ 4,947.21 $ 4,94721 $ 33,J68.14 $ 58,089.80 p"t"personnel
Workers Compensa[,on This lmedemmdudez only the.du.l monthly workers compensation
$ 391.2J $ 21.65 $ 2,148.22 $ 2,14822 $ ,21422 $ 5)9.1$ 5J9.19 $ i $ 3,66114 $ 6,454.56,n ated wrth proiett personnel.
Subemal $ ),36g.)0 $ 36A 01 $ SIM9.10 S $1A49.1O $ 55.355.59 $ 55,355.59 $ 14,148.67 $ IC148.67 $ 9k...8. $ 161A09Ag
Toad Personnel S 40,1-6 5 21],101.55 5 —a65.fi0 5 260.265.60 5 260.376.31 S 260}]6.31 S M..OS 5 66.500.05 5 51].525.]1 S 844A02.08
EqulpmeM
Computer $ 4,718.31 $ 491.56 $ $ $ $ $ $ $ 5,2098) $ 5,209.8J
Pnhter $ 530.91 $ $ $ $ $ $ $ $ 53091 $ 530.91
Tool Equipment S S24— 5 491.% 5 5 5 5 $ 5 5 5.]40.]8 S S.]40.]8
Supplies - - -
General Office and Program Supplies I,dud.,essential nemz like paper,mk,and program materials TM1e[oGl
$ 1,583.13 $ 4,016.66 $ 5,262.00 $ 5.215200 $ 3,36000 $ $ 1,400.00 $ 1,40000 $ 10,861ri $ 15,621.79 adurtment of$4710.00.,for years 4 and Swgh bii_,atedm ii co
Covers pnnb gotflyers,reports,outreach,and Other program-related
Printing Material doaments The total.dryrtment of$2,J54 OO p,for Vears4 antl 5,with an
$ 396.54 $ 1,440.00 $ 2,220.00 $ 2,221)M $ 1.9.m $ 1,944.00 $ 810.00 $ 810.00 $ 4,05654 $ 5,810.54 es mated monMl cort of$162.00 dun this¢nod
Total Supplies S 1.9T1.67 5 SA%.% S 7A82.% 5 7AS2.00 5 5.304.00 S S}%.% S a..% 5 2.210.00 5 10.918.33 $ 22A32}3
Tavel
Coventravel costsfor staffmndurnng pros related .Thetotal
Mileage Pe,mburzemen[ adryrtmen[of$13,940 OO,z far Years 4 antl 5,5,with an b.-estimated mon[M1ly cos[
$ 1,856.29 $ 8,039.50 $ 5,405.10 $ 5,405.10 $ 9040.00 $ 9,840.00 $ 4,100.00 $ 4,100.00 $ 16,300.9 $ 30,240.89 of$820.W dunng this period.
Total Travel $ 1A%.29 $ 8A39.50 $ 6A .10 $ 6.405.10 $ 1.840.00 $ 9A4O.% $ 4,IW.W $ 4.100.00 $ 16.300.g9 $ %,240.g9
Other
Monthly phone reimbursements for staff involved in program a---The
Ph— otaladlurtm nt of$3,40000,sfor Vears4 and 5,wnhanert,matid monthly
$ 4J5.01 $ 2,375.18 $ 2,400.00 $ 2,4M.00 $ 2,400.00 $ 2,40000 $ 1,000.00 $ 1,000.00 $ 5,25018 $ 8,650.18 cost a$20000 dunng this period.
Covers the co t of office facilities useb by staff for program operations The
Bent otal ad,. tof515,300.Op is for Vears4 antl 5,wrth an emmated
$ 2,700.00 $ 10,80000 $ 11,70000 $ 11,7OO oO $ 10,... $ 10,80000 $ 4,50000 $ 4,So000 $ M,2.1) $ 40,50000 monthly cost of S9000Od.ringth,spenad
Uhl,bes oper.b—The total atllurtment of$7,089 001s for Years 4 and 5,wrth an
S 1,441.00 $ 5,040.00 $ 5,09.32 $ 5A.32 $ 5,004.00 $ 5,004.00 $ 2,085.00 $ 2,095.00 $ 12,98032 $ 20,069.32 es mated moodily cort bf$41100 during this period
Commumahon and everts The total adju,t—t bf$2,159 Oo m for Years 4 and 5,wnh an
S 3J3.20 $ 2,431.61 $ 1,526.01 $ 1,526.01 $ 1,5... S 1,5-Oi) $ 535.00 $ 53500 $ 4,3M82 $ 6,489.82 es mated monthly cost of$1-00 dunng this period
Used—ncen esfor--.ty members who p fit,p.—program
G,h Cards s.Th t"I adlortment of$15}00.00is for Years 4 and 5,wrth an
$ 1,00000 $ 16,16185 $ 20,70000 $ 20,)OO oO $ 10,So0W $ 10,80000 $ 4,50000 $ 4,So000 $ 37,86195 $ 53,16185 esmatedmonthly cost of$90000 tluring this period
Promotional Material
S 5,832.34 $ 14,376.96 $ $ $ $ $ $ $ 20,209.30 $ 20,209.30
Medm Promobon
$ $ 16,000W $ 5,00000 $ 5,OW 00 $ $ $ $ $ 21,00000 $ 21,00000
StaffTra,n,ng
$ LMT.-
50000 $ $ $ $ $ $ $ 500.00 $ 500.00
Total Other $ 11,821.54 $ 4)A25.33 $ 4J.825.33 $ 30.53g.00 $ 30,528.% $ 12,720W $ 12.720.00 $ 127.332.47 $ 1)0,5%A)
Total Oired Posts S 61,065.26 n4A] 5 321,9]15 321.978.03 5 30fi,%8.321 5 3%A48.31 $ 85330.05 5 85.530.05 5 fi81.838.18 5Intlired Posts® 10% $ 6,1%.53 ]]49 $ 3;19].80 $ 32,19].80 $ 30,fi%.83 $ %,fi%.83 $ 8$53.01 $ 8,553.01 $ fi8,381. $ 10],339.65Grand-1 $ 67,272.91 02.% $ 354,1)SA3 $ 3M,175.83 $ 336,653.15 $ 3%,653.15 $ 91Ag3.% $ 94,083.06 $ 750,000.00 $ 1,1%,7—