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HomeMy WebLinkAboutAgreement A-25-281 Amendment No. 3 to Agreement No. 24-293 with WestCare California.pdf Agreement No. 25-281 1 AMENDMENT NO. 3 TO SERVICE AGREEMENT 2 This Amendment No.3 to Service Agreement ("Amendment No. 3") is dated 3 June 24, 2025 and is between WestCare California, Inc, a California Non-Profit 4 Corporation ("Contractor"), and the County of Fresno, a political subdivision of the State of 5 California ("County"). 6 Recitals 7 A. On December 11, 2018, the County and the Contractor entered into Agreement No. 18- 8 686 ("Agreement"), as amended by County Agreement No. 23-302 (Amendment No. 1) effective 9 June 20, 2023, and County Agreement No. 24-293 (Amendment No. 2) effective June 18, 2024 10 for the Supervised Overnight Stay Agreement for supervised after hours/overnight stay services, 11 linkage, targeted case management, assessments, and other specialty mental health services, 12 for adults referred from local hospital emergency departments, crisis care continuum community 13 partners, or law enforcement. 14 B. On March 17, 2025, the County issued a Request for Proposals (RFP) 25-068 for 15 Supervised Overnight Stay Services which closed April 11, 2025. An addendum was published 16 on March 27, 2025. No bids were received for this procurement. The County would like to 17 continue these services as a majority of individuals are unhoused and Contractor is willing to 18 continue providing services for an additional year. 19 C. The County and the Contractor now desire to further amend the Agreement to extend th 20 term for an additional year increasing the contract maximum compensation by $956,426.50 21 The parties therefore agree as follows: 22 1. Term. This Amendment extends the term of the Agreement through June 30, 2026. 23 2. All references to "Exhibit Al" shall be deemed references to "Revised Exhibit Al", which 24 is attached and incorporated by this reference. 25 3. All references to "Exhibit 131" shall be deemed references to "Revised Exhibit 131", which 26 is attached and incorporated by this reference." 27 4. A portion of Section 5 of Amendment No. 2 (Agreement No. 24-293) beginning on Page 28 3, Lines 4 through 10 are deleted and replaced with the following: 1 1 "The maximum compensation payable to Contractor under this Agreement for 2 the period of July 1, 2024 through June 30, 2025 for Non-Medi-Cal Supports is 3 Six Hundred Eighty-Nine Thousand, Three Hundred Seventy-Five and 50/100 4 ($689,375.50). 5 The maximum compensation payable to Contractor under this Agreement for the 6 period of July 1, 2025 through June 30, 2026 for supervised overnight stay 7 services is Nine Hundred Fifty-Six Thousand, Four Hundred Twenty-Four and 8 No/100 ($956,424.00). 9 In no event shall the maximum contract amount for the full contract term from 10 January 1, 2019 through June 30, 2026, for all services provided by Contractor to 11 County under the terms and conditions of this agreement be in excess of Eight 12 Million, Five Hundred Fifty-Nine Thousand, Nine Hundred Ninety-Four and 13 50/100 ($8,559,994.50)." 14 5. When both parties have signed this Amendment No. 3, the Agreement, Amendment No. 15 1, Amendment No. 2, and this Amendment No. 3 together constitute the Agreement. 16 6. The Contractor represents and warrants to the County that: 17 a. The Contractor is duly authorized and empowered to sign and perform its obligations 18 under this Amendment. 19 b. The individual signing this Amendment on behalf of the Contractor is duly authorized 20 to do so and his or her signature on this Amendment legally binds the Contractor to 21 the terms of this Amendment. 22 7. The parties agree that this Amendment may be executed by electronic signature as 23 provided in this section. 24 a. An "electronic signature" means any symbol or process intended by an individual 25 signing this Amendment to represent their signature, including but not limited to (1) a 26 digital signature; (2) a faxed version of an original handwritten signature; or (3) an 27 electronically scanned and transmitted (for example by PDF document) version of an 28 original handwritten signature. 2 1 b. Each electronic signature affixed or attached to this Amendment (1) is deemed 2 equivalent to a valid original handwritten signature of the person signing this 3 Amendment for all purposes, including but not limited to evidentiary proof in any 4 administrative or judicial proceeding, and (2) has the same force and effect as the 5 valid original handwritten signature of that person. 6 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5, 7 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 8 2, Title 2.5, beginning with section 1633.1). 9 d. Each party using a digital signature represents that it has undertaken and satisfied 10 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) 11 through (5), and agrees that each other party may rely upon that representation. 12 e. This Amendment is not conditioned upon the parties conducting the transactions 13 under it by electronic means and either party may sign this Amendment with an 14 original handwritten signature. 15 8. This Amendment may be signed in counterparts, each of which is an original, and all of 16 which together constitute this Amendment. 17 9. The Agreement as previously amended and as amended by this Amendment No. 3 is 18 ratified and continued. All provisions of the Agreement as previously amended and not 19 amended by this Amendment No. 3 remain in full force and effect. 20 [SIGNATURE PAGE FOLLOWS] 21 22 23 24 25 26 27 28 3 1 The parties are signing this Amendment No. 3 on the date stated in the introductory 2 clause. 3 WestCare California, Inc. COUNTY OF FRESNO 4 6 Shawn A. Jenkins Ernest Buddy Men s, Chairman of the Resolution WCCA 20 -01 Board of Supervisors of the County of Fresno 7 1900 N Gateway Blvd Suite 101 Fresno, CA 93727 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.: 56304782 Account No.: 7295 14 Fund No.: 0001 Subclass No.: 10000 15 16 17 18 19 20 21 22 23 24 25 26 27 28 4 Revised Exhibit Al Page 1 of 4 Overnight Stay Facility Scope of Work ORGANIZATION: WestCare California, Inc. SITE ADDRESS: 2772 S. Martin Luther King Blvd, Fresno, CA 93706 (Overnight Stay Facility) SERVICES: Overnight stay services,clinical response services, peer support services, crisis intervention and assessments, discharge services,transportation and linkage to appropriate mental health programs- SCHEDULE OF SERVICES: Contractor's staff shall be available to provide Overnight Stay Facility services to individuals seven days a week, 24 hours a day. Contractor shall provide services on eleven (11) County observed holidays in each calendar year as follows: New Year's Day Martin Luther King, Jr. Holiday President's Day Cesar Chavez Day Memorial Day Independence Day Labor Day Veterans Day Thanksgiving Day Day after Thanksgiving Day Christmas Day TARGET POPULATION: Adults and older adults receiving services from emergency departments/5150 facilities who are in crisis but do not require a 5150 hold, released from an acute psychiatric hospital, and mobile crisis response. Referral agencies including but not limited to: Fresno Community Regional Medical Center(CRMC), St. Agnes, Clovis Community Regional Medical Center and Exodus Crisis Stabilization Center. Referral sources may be added upon DBH Director or designee discretion. PROJECT DESCRIPTION: The overnight stay program will provide individuals who present at the Emergency Department Revised Exhibit Al Page 2 of 4 (ED) in crisis, but do not require a 5150 hold the opportunity to be voluntarily discharged to the care of Supervised Overnight Stay (SOS) where they may spend the night, receive a meal, a shower, and a place to sleep. The program will coordinate with DBH to provide specialty mental health linkage the following day. The goal is to reduce ED recidivism and lengths of stay in the emergency department or crisis stabilization unit. Individuals may stay at the SOS facility for up to four nights consecutively when necessary to enhance the probability that a successful linkage will occur. Because at least 80% of individuals of the population to be served are homeless, this opportunity for a longer stay may enable housing to be secured as well as mental health service linkage.When individuals are housed first, the likelihood of initiating and staying with treatment services is enhanced, they are less likely to be lost to follow-up and the opportunity to build a helpful therapeutic alliance is strengthened. The SOS program is an established bridge and permanent supportive housing provider in Fresno County and has long-term and ongoing partnerships with housing providers including Fresno Housing Authority and Turning Point. CONTRACTOR'S RESPONSIBILITIES: Contractor shall: 1. Provide services to individuals discharged from local hospital Emergency Department's (ED)/designated 5150 facilities as requested by the County. The Contractor may expand to provide services to other agencies in the County of Fresno as needed or if requested to do so by County, Department of Behavioral Health (DBH). 2. Transport individuals referred by local facilities to the overnight stay facility. Response time to the ED is expected to be less than thirty(30) minutes from referral call from ED. Individuals are transported as necessary 24 hours per day, 7 days per week, including holidays. Individuals will additionally be transported by staff to DBH programs for linkage services.. 3. Maintain a census of current beds filled and track all referrals including a denial reason for all denied referrals to the program. 4. Provide overnight stay and linkage to appropriate levels of care the following business day. Services can be anywhere from 24 hours up to four nights if a person served arrives at the facility on a Friday of a holiday weekend and linkage cannot be provided until regular business hours are resumed. The overnight stay shall be between the hours of 8pm-8am; however, the hours of 8am to 8pm will be used for linkage, targeted case management, assessments and other mental health services as needed. 5. Engage individuals at the EDs where they have been admitted. 6. Be notified by ED staff or County of the pending discharge of a person served. 7. Encourage individual to accept the offer to stay overnight and be provided transportation and assistance to outpatient services the following day, or the following business day when applicable. Revised Exhibit Al Page 3 of 4 8. Provide supervision of individuals who are being discharged from the emergency department/designated 5150 facility. Provide for the basic care of individuals i.e.:food, bedding, shower/bath, medication supervision,etc. 9. Maintain adequate staffing for the program's needs. 10. Ensure that the safety of the community, person served, and staff are a priority. 11. Ensure service delivery is culturally sensitive and appropriate for individuals and their families 12. Provide family support services through Peer Support Specialists and Linkage Specialists to aid in the recovery of the individual as well as to educate and engage the whole family. COUNTY RESPONSIBILITIES: County shall: 1. Provide program and budget oversight through the County Department of Behavioral Health (DBH), Crisis Care Continuum Division to the Contractor's Overnight Stay Facility. In addition to contract monitoring of the program, oversight includes, but not limited to, coordination with the State Department of Mental Health, Mental Health Services Act in regard to program administration and outcomes. 2. Provide linkage to Specialty Mental Health Services to individuals receiving SOS services. 3. Participate in evaluating the progress of the overall program and the efficiency of collaboration with the Contractor staff and be available to the Contractor for ongoing consultation. 4. Receive and analyze statistical data outcome information from vendor throughout the term of contract on a monthly basis. DBH will notify the vendor when additional participation is required. The performance outcome measurement process will not be limited to survey instruments but may also include, as appropriate, person served and staff interviews, chart reviews, and other methods of obtaining required information. 5. Recognize that cultural competency is a goal toward which professionals, agencies, and systems should strive. Becoming culturally competent is a developmental process and incorporates at all levels the importance of culture, the assessment of cross-cultural relations, vigilance towards the dynamics that result from cultural differences, the expansion of cultural knowledge, and the adaptation of services to meet culturally-unique needs. Offering those services in a manner that fails to achieve its intended result due to cultural and linguistic barriers is not cost effective. To assist the vendor efforts towards cultural and linguistic competency, DBH shall provide the following at no cost to Contractor: Revised Exhibit Al Page 4 of 4 A. Technical assistance and mandatory cultural competency training including sexual orientation and sensitivity training for vendor personnel, at minimum once per year. County will provide mandatory training regarding the special needs of this diverse population. Sexual orientation and sensitivity to gender differences is a basic cultural competence principle and shall be included in the cultural competency training. Literature suggests that the mental health needs of lesbian, gay, bisexual, transgender (LGBT) individuals may be at increased risk for mental disorders and mental health problems due to exposure to societal stressors such as stigmatization,prejudice, and anti-gay violence. Social support may be critical for this population. Access to care may be limited due to concerns about providers' sensitivity to differences in sexual orientation. B. Technical assistance for vendor in translating behavioral health and substance abuse services information into DBH's threshold languages (Spanish, Laotian, Cambodian and Hmong). Translation services and costs associated will be the responsibility of the vendor. PROGRAM OUTCOMES Program outcomes and data tracking will align with funding source requirements including but not limited to number of referrals and by which agency, number of individuals who accepted SOS services, demographics, housing status, and number of individuals who report opioid use. Other data may be requested upon DBH Director or designee's discretion. Revised Exhibit Ell Page 1 of 11 WestCare Supervised Overnight Stay Fiscal Year(FY)2025-26 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 Program Supervisor 1.00 $ 80,000 $ 80,000 1117 Peer Support Specialist/Driver 5.00 228,800 228,800 1118 Personal Service Coordinator 4.00 208,000 208,000 1119 Data/Program Assistant PT 0.50 22,880 22,880 1120 Medical Director 0.17 36,351 36,351 1121 Temp Help/Overtime 1,650 1,650 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotall 10.67 1 $ 577,681 1 $ 577,681 Admin Program Total Direct Personnel Salaries Subtotal 10.67 $ - $ 577,681 $ 577,681 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 6,181 $ 6,181 1202 Worker's Compensation - 11,554 11,554 1203 Health Insurance - 22,991 22,991 1204 Other(specify) - - - 1205 Other(specify) - - - 1206 1 Other(specify) II - I - Direct Employee Benefits Subtotal: $ $ 40,726 $ 40,726 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ $ - $ - 1302 FICA/MEDICARE 44,193 44,193 1303 SUI 36,394 36,394 1304 Other(specify) - - 1305 Other(specify) 1306 1 Other(specify) I I - - Direct Payroll Taxes&Expenses Subtotal: $ - $ 80,587 $ 80,587 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ $ 698,994 $ 698,994 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 0%1 100% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit Bl Page 2 of 11 2000:DIRECT CLIENT SUPPORT Acct A Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 16,000 2005 Education Support - 2006 1 Employment Support - 2007 Household Items for Clients 5,000 2008 Medication Supports - 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 21,000 3000:DIRECT OPERATING EXPENSES Acct p Line Item Description Amount 3001 Telecommunications $ 5,800 3002 Printing/Postage 1,216 3003 Office,Household&Program Supplies 6,000 3004 Advertising - 3005 Staff Development&Training 5,500 3006 1 Staff Mileage 3,500 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 8,000 3009 Other(specify) - 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) I - DIRECT OPERATING EXPENSES TOTAL: $ 30,016 4000:DIRECT FACILITIES&EQUIPMENT Acct A Line Item Description Amount 4001 Building Maintenance $ 2,600 4002 Rent/Lease Building 4003 Rent/Lease Equipment 2,400 4004 Rent/Lease Vehicles 33,600 4005 Security - 4006 lUtilities 20,864 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:j$ 59,464 5000:DIRECT SPECIAL EXPENSES Acct p 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 1 Other(specify) 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit B3 Page 3 of 11 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ 146,950 Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify):Property/Liability/Umbrella/Vehicle 6006 Payroll Services - 6007 DepreciationlProorde.-Owned Equipment to be Usedfor Program Purposes/ - 6008 Personnel(indirect Salaries&Benefits) - 6009 Other(specify) 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) - 6013 Other(specify) INDIRECT EXPENSES TOTAL $ 146,950 INDIRECT COST RATE 18.15% 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 l Assets over$5,000/unit(Specify) - 7007 Other(specify) - 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 9567424 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Estimated Specialty Mental Health Services Billing Totals: $ Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% 8001 Medi-Cal Specialty Mental Health Services MEDI-CAL FFP TOTAL $ - 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 lRealignment $ 669,497 REALIGNMENT TOTAL $ 669,497 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance 8403 Grants(Specify) - 8404 Other(Opioid Settlement Funds) 286,927 8405 Other(Specify) - OTHER REVENUE TOTAL $ 286,927 TOTAL PROGRAM FUNDING SOURCES: $ 956,424 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit B1 Page 4 of 11 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit 131 WESTCARE Supervised Overnight Stay Fiscal Year (FY) 2025-26 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Medical Director Fresno County Overnight Stay 0.17 SAMHSA MAT 0.13 Fresno County DMC Outpatient 0.13 Fresno County DMC Residential 0.26 Kings County DMC 0.04 Madera County 0.09 Kern County 0.09 Contra Costa County 0.09 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit 131 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit 131 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit 131 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit B1 WestCare Supervised Overnight Stay Fiscal Year(FY)2025-26 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 698,994 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 577,681 1116 Program Supervisor 80,000 Responsible for providing the clinical and administrative programmatic leadership and oversight for the program.Responsible for the coordination of client care by collaborating with multidisciplinary professionals to provide and facilitate services. 1117 Peer Support Specialist/Driver 228,800 To provide needed family and peer support to consumers,supervision of the residential facility,and transportation services. 1118 Personal Service Coordinator 208,000 Provides support services to behavioral health clients or family member/caregivers of consumers,assist in development and coordination of activities,and assist consumers in developing self-advocacy,communication,and empowerment skils. 1119 Data/Program Assistant PT 22,880 For the data collection and clerical needs of the program and ensuring that the unit is prepared for the oncoming shift. 1120 Medical Director 36,351 To provide medical services associated with the program and oversight of the clinical services. 1121 Temp Help/Overtime 1,650 For the temporary help and/or overtime that may arise for the program. 1122 0 - 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 10 1130 0 1131 0 1132 0 1133 0 1134 0 - Direct Employee Benefits 1201 Retirement 6,181 match to employee contribution 1202 Worker's Compensation 11,554 Workers Compensation expense based on employee classification 1203 Health Insurance 22,991 Employer health,life,and dental care cost 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 80,587 1301 OASDI - 1302 FICA/MEDICARE 44,193 FICA/MEDICARE for employee salaries 1303 SUI 36,394 SUI for employee salaries 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit 61 PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2000:DIRECT CLIENT SUPPORT 21,000 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 16,000 Includes client food,basic client items including but not limited to clothing and hygiene products 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients 5,000 Household items to be used by the clients 2008 Medication Supports - 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) - 3000:DIRECT OPERATING EXPENSES 30,016 3001 Telecommunications 5,800 Cost of cellphones,landline,and internet 3002 Printing/Postage 1,216 Includes business cards and postage 3003 Office,Household&Program Supplies 6,000 Includes office supplies,cleaning supplies,program supplies,and staff PPE 3004 Advertising - 3005 Staff Development&Training 5,500 Includes Pro-ACT,Motivational Interviewing,and other trauma informed training 3006 Staff Mileage 3,500 Mileage reimbursement for staff using their personal vehicle for program needs. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 8,000 For the gasoline and maintenance of the program vehicles. 3009 Other(specify) - 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 59,464 4001 Building Maintenance 2,600 Minor repairs and maintenance to facility 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 Rent of equipment for program use 4004 Rent/Lease Vehicles 33,600 Vehicles to be leased for exclusive use by the program. 4005 Security - 4006 Utilities 20,864 Electricity,natural gas,and garbage service 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 1 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 146,950 6001 Administrative Overhead 146,950 Indirect costs are comprised of those administrative personnel and other costs 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify):Property/Liability/Umbrella/Vehicle 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 6009 Other(specify) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit 61 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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: 956,424 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 956,424 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020