HomeMy WebLinkAboutAgreement A-25-421 with CDPH.pdf Agreement No. 25-421
Health and Human Services Agency ,
%CDPH California Department of Public Health
Erica Pan, MD, MPH Gavin Newsom
Director and State Public Health Officer Governor
ACCEPTANCE OF AWARD
Tuberculosis Control Local Assistance Funds
County of Fresno, Department of Public Health
FUNDING SOURCE FEDERAL BASE STATE BASE
AWARD NUMBER: 2510BASE-F 2510BASE-S
AWARD AMOUNT: $138,196 $136,974
FUNDING PERIOD: 7/1/2025-6/30/2026
1 hereby accept this award. By accepting this award, I agree to the requirements as
described in the FY 2025 Tuberculosis Control Local Assistance Funds Standards and
Procedures Manual and any other conditions stipulated by the California Department of
Public Health, Tuberculosis Control Branch.
This award is contingent upon the availability of funds appropriated by the State of
California and the federal government. The CDPH TBCB reserves the right to reduce,
amend, or withdraw funding, in whole or in part, should funding from the state or federal
government be reduced, delayed, or otherwise adjusted.
Authorized Signature Date
Chairman of the Board of Supervisors of
Ernest Buddy Mendes the County of Fresno
Print Name Title
Federal funds fiscal information: Project Grants and Cooperative Agreements for
Tuberculosis Control Programs; CFDA number: 93.116; FAIN number: NU52PS910282
CDPH Tuberculosis Control Branch {pA�'a�
850 Marina Bay Parkway P2 • Richmond, CA 94804-6403 4-11PWAB
ATTEST: (510) 620-3000 • (510) 620-3034 FAX f
BERNICE E.SEIDEL
CDPH.ca.gov/tbcb
Clerk of the Board of Supervisors
County of Fresno,State of California
By_ Deputy
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
Tuberculosis Control Branch (TBCB)
Thank you for your interest in being a subawardee and working with us to provide services under the Project
Grants and Cooperative Agreements for Tuberculosis Control Programs administered by the Centers for
Disease Control and Prevention.Subrecipients will assist State, local health agencies, political subdivisions,
and other government entities to conduct tuberculosis (TB) preventive health service programs to assist in
carrying out TB control activities designed to prevent transmission of infection and disease.
As a condition of the grant,the Notice of Award (NOA) and the General Terms and Conditions are attached
for your records and reference.The Category of Federal Domestic Assistance(CFDA) number is 93.116-
Project Grants and Cooperative Agreements for Tuberculosis Control Programs. You can obtain general
information about the grant by searching the CFDA number on https:Hbeta.sam.gov/.The Notice of Award
Number for Federal Fiscal Year 2025 is 1 NU52PS910282-01-00.
Subrecipient'sName: County of Fresno
Digital signature of person
agreeing to NOA T&C:
Printed Name/Date
Signed: Ernest Buddy Mendes 8-/q aoas
Funding Source(s): Project Grants and Cooperative Agreements for Tuberculosis Control Programs
ATTEST:
BERNICE E.SEIDEL
Please answer the following questions below: Clerk of the Board of Supervisors
County of Fresno,State of California
1. Is your agency registered in the System for Award Management(SAM)?
BY Deputy
(Check one) ® Yes ❑ No
If so, please attach a SAM screenshot confirming your active status in SAM.
2. What is your agency's Unique Entity Identifier(UEI) number?
3. 1 have read the attached Notice of Award and the General Terms and Conditions. I agree to adhere to
the General Terms and Conditions.
(Check one) ®Yes ❑ No
4. 1 have attached my agency's most current Single Audit;or financial and performance evaluations
because my agency is exempt from the Single Audit Requirement.
(Check one) IN Yes ❑ No
The following Terms and Definitions are for use by the TBCB and Subrecipients.
Terms and Definitions:
1) Category of Federal Domestic Assistance(CFDA) number identifies the federal assistance program
and provides general information about the grant, such as the program objectives.This must be
shared with potential subrecipients prior to entering into contract negotiations (2 CFR § 200.331).
2) System for Award Management(SAM)and Unique Entity Identifier(UEI) Requirements(2 CFR
25.200(b)):
• The potential subrecipient that applies(1) must be registered in SAM prior to submitting an
application of plan.
• The subrecipient(2) must also maintain an active SAM registration with current information at all
times during which it has an active Federal award or an application or plan under consideration by
an agency.
• The subrecipient(3) must provide its UEI number in each application or plan.
SAM aka CCR= Central Contractor Registration
SAM is the Federal repository into which a subrecipient must provide information required for the
conduct of business as a subrecipient. Registration information is available at the SAM Website
https://www.sam.gov/.
Requirement for SAM
Unless exempted from this requirement under 2 CFR§ 25.110*,the subrecipient must maintain their
current information in the SAM.This requires that the subrecipient review and update their
information at least annually after the initial registration, and more frequently if required by changes
in their information or another award term. (*2 CFR§ 25.110 (b) and (c)exempts individuals and
Federal agencies. See statute for more information.)
UEI is the 12-digit alphanumeric number issued to business entities registered in SAM; https://
sam.gov/(works best with Internet Explorer).
California Department of Public Health Tuberculosis Control Branch
Certification of Established
Electronic Directly Observed Therapy (eDOT)
Policy and Procedures
Jurisdiction:
Local Assistance Subvention Award
The Local Health. Jurisdiction named above hereby certifies that a policy and
procedures document has been established for the use of electronic directly
observed therapy (eDOT) that includes the minimum requirements listed in the
California Department of Public Health-California Tuberculosis Controllers
Association joint guidelines, "Guidelines for Electronic Directly Observed Therapy
(eDOT) Program Protocols in California 2016."
Please sign and return this form with your funding request for equipment and
services for use with eDOT.
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
By_ Deputy
Authorized Signature Date
Ernest Buddy Mendes
Print Name
L 1
Title
Guidelines for eDOT Program Protocols in California 2016 can be found on the CTCA
website at: https:Hctca.org/wp-content/uploads/2018/11/CDPH_CTCA-eDOT-
Guidelines-Cleared-081116.pdf
Page 1 of 1 April 2025
California Department of Public Health
Name/No.: Tuberculosis Control Branch Base Award (No.2510BASE-F &
2510BASE-S)
Fund/Subclass: 0001/10000
Organization #: 56201658
Revenue Account #: 3530, 4380