HomeMy WebLinkAboutA-25-229 Amendment III to Specialized Supplemental Board and Care Home Master Agreement.pdf Agreement No. 25-229
1 AMENDMENT NO. 3 TO SERVICE AGREEMENT
2 This Amendment No. 3 to Service Agreement ("Amendment No. 3") is dated
3 June 10, 2025 and is between each Contractor listed in Revised Exhibit A-2
4 "Specialized Supplemental Board and Care Home Contractor List" collectively hereinafter
5 referred to as ("Contractors"), and the County of Fresno, a political subdivision of the State of
6 California ("County").
7 Recitals
8 A. On June 7, 2022, the County and the Contractor entered into Specialized Supplemental
9 Board and Care Home Master Agreement, which is County agreement number No. 22-230
10 ("Agreement"), for licensed residential care facilities that provide Specialized Supplemental
11 Board and Care placement for Fresno County residents.
12 B. On June 20, 2023, the County and the Contractor entered into Amendment No. 1 to
13 Agreement to add additional providers to the agreement, remove a provider from the
14 agreement, and add additional service sites.
15 C. On July 9, 2024, the County and the Contractor entered into Amendment No. 2 to
16 Service Agreement to increase the supplemental services rates, revise the scope of work, and
17 change a provider reference in the agreement.
18 D. Contractor(s) has the facility, staff, and expertise, and is licensed by the State of
19 California, to provide Specialized Supplemental Board and Care Home services, for County
20 placed persons served with a mental health condition, for individuals referred by Fresno County
21 pursuant to the terms and conditions of this Agreement;
22 E. The County now desires to further amend the Agreement to contract with Ever Well
23 Health Systems, LLC.
24 The parties therefore agree as follows:
25 1. All references to Revised Exhibit A-1 shall be deemed references to Revised Exhibit A-2,
26 which is attached and incorporated by reference.
27 2. All references to Revised Exhibit D-1 shall be deemed references to Revised Exhibit D-
28 2, which is attached and incorporated by reference.
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1 3. The parties agree that upon execution of this Amendment No. 3 the Agreement is further
2 revised, updated, and amended to add Contractor Ever Well Health Systems, LLC. Its
3 "Services, Profiles and Pricing" is attached to this Amendment as Exhibit D-EW.
4 4. When both parties have signed this Amendment No. 3, the Agreement, Amendment No.
5 1, Amendment No. 2, and this Amendment No. 3 together constitute the Agreement.
6 5. The Contractor represents and warrants to the County that:
7 a. The Contractor is duly authorized and empowered to sign and perform its obligations
8 under this Amendment.
9 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
10 to do so and his or her signature on this Amendment legally binds the Contractor to
11 the terms of this Amendment.
12 6. The parties agree that this Amendment may be executed by electronic signature as
13 provided in this section.
14 a. An "electronic signature" means any symbol or process intended by an individual
15 signing this Amendment to represent their signature, including but not limited to (1) a
16 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
17 electronically scanned and transmitted (for example by PDF document) version of an
18 original handwritten signature.
19 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
20 equivalent to a valid original handwritten signature of the person signing this
21 Amendment for all purposes, including but not limited to evidentiary proof in any
22 administrative or judicial proceeding, and (2) has the same force and effect as the
23 valid original handwritten signature of that person.
24 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
25 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
26 2, Title 2.5, beginning with section 1633.1).
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1 d. Each party using a digital signature represents that it has undertaken and satisfied
2 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
3 through (5), and agrees that each other party may rely upon that representation.
4 e. This Amendment is not conditioned upon the parties conducting the transactions
5 under it by electronic means and either party may sign this Amendment with an
6 original handwritten signature.
7 7. This Amendment may be signed in counterparts, each of which is an original, and all of
8 which together constitute this Amendment.
9 8. The Agreement as previously amended and as amended by this Amendment No. 3 is
10 ratified and continued. All provisions of the Agreement as previously amended and not
11 amended by this Amendment No. 3 remain in full force and effect.
12 [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.
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CONTRACTOR COUNTY OFFRESNO
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5 See Following Signature Pages
6 Ernest Buddy Mend s, Chairman of the Board
of Supervisors of the County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
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By: _
11 Deputy
12 For accounting use only:
13 Org No.: 56302175
Account No.: 7295/0
14 Fund No.: 0001
Subclass No.: 10000
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Docusign Envelope ID:CE3FD339-DCDB-4BD6-88F8-C96D15FE6EB6
1 Provider: EVER WELL HEALTH SYSTEMS, LLC
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[DocuSigned by:
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5 Print Name: Dr. Christopher zubiate, DHA, Msw
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7 Title: President & CEO
Chairman of the Board, President, or Vice President
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9 Date: 4/30/2025
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11 by:
12 By I�iwu Ft f L6) A4,159
13 Print Name: Madison Fetyko, MBA
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15 Title: VP & coo
16 Secretary (of Corporation), Assistant Secretary,
Chief Financial Officer, or Assistant Treasurer
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18 Date: 4/30/2025
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Specialized Supplemental Board and Care Home Contractor List Revised Exhibit A-1
VENDOR FACILITY LOCATION CONTACT PERSON
AK's Home of Blessing and Joy,Inc. Akwant Malhi
Remit to: 6631 E Cetti Ave 559-708-3485
6631 E.Cetti Ave Fresno Ca,93727 Ichatha1983@hotmail.com
Fresno,Ca 93727
AK's Home of Care,LLC Akwant Malhi
Remit to: 122 W San Gabriel 559-708-3485
122 W San Gabriel Clovis,Ca 93612 jchatha1983@hotmail.com
Clovis,CA 93612
Anjaleoni Enterprise,Inc. Sundari Susan Kendakur
dba Leonie House 2931 Caesar Ave 559-347-9900 or 559-779-4071
Remit to: Clovis,Ca 93611 anialeoni@me.com
3086 Armstrong Ave
Clovis,Ca 93611
ASC Treatment Group Anne Sippi Clinic(Bakersfield) Nick Damian
Remit to: 18200 Hwy 178 (661)871-9697
18200 Hwy 178 Bakersfield,Ca 93311 ndamian@annesipgiclinic.com
Bakersfield,Ca 93306
Anne Sippi Clinic(Los Angeles)
2457 Endicott Street
Los Angeles,Ca 90032
Benevolent Residential Care Service,I.I.C. Estelle Dailey
dba Dailey's Haven 4479 N.Eddy Ave 559-456-9440 or 559-970-153E
Remit to: Fresno,Ca 93727 estelle.daileyl@comcast.net
5261 E McKenzie
Fresno,Ca 93727
BK House of Grace,LLC Rosemarie Riemer
Remit to: 1463 N Archie Ave 559-708-2877
813 S Douglas Ave. Fresno,Ca 93703 roseriemer@gmail.com
Fresno,Ca 93727
Bonavente Home for the Elderly II Rosemarie Riemer
Remit to: 6097 Harrison 559-708-2877
2788 W Fir Ave. Fresno,Ca 93711 roseriemer@gmail.com
Fresno,Ca 93711
The Chimes Home Amor Alegre
Remit to: 3041 E Clinton 559-244-0479 or 559-369-9945
2845 N Armstrong Ave Fresno,Ca 93703 amoralegre122@gmail.com
Fresno,Ca 93727
Ever Well Health Systems,LLC Madison Fetyko
Remit to: See Exhibit D-EW 805-242-0004
310 James Way,Suite 250 mfetvko@everwellhealth.org
Pismo Beach,Ca 93449
Garden Manor,Inc. Joan Black
Remit to: 4983 E Olive Ave 559-255-8650 x201
4983 E Olive Ave. Fresno,Ca 93727 gardenmanor49830)yahoo.com
Fresno,Ca 93727
Goldridge home,LLC Rosemarie Riemer
Remit to: 2145 Goldenridge St. 559 708-2877
2145 Goldridge St. Selma,CA 93662 roseriemer@gmail.com
Selma,CA 93662 godriegehome@&mail.com
Donald Haskins Donald Haskins
dba Haskins Residential Care 1037 S Chestnut Ave 559-453-6832 or 559-352-524C
Remit to: Fresno,Ca 93702 natalieh@haskinsrescare.com
1037 S Chestnut Ave
Fresno,Ca 93702
Jan-Roy Place of Fresno,Inc. Jan-Roy Place of Fresno Joycelyn Hopper
Remit to: 4766 E Illinois Ave 559-940-9708 or 559-890-083S
4766 E Illinois Ave Fresno,Ca 93702 lanroy8693@gmail.com
Fresno,Ca 93702
Jan-Roy Place of Fresno 2
4266 N 9th St.
Fresno,Ca 93726
Revised 6/5/24 Page 1 of 2
Specialized Supplemental Board and Care Home Contractor List Revised Exhibit A-1
VENDOR FACILITY LOCATION CONTACT PERSON
Marian Homes,Inc. Sierra Villa Rest Home Sundari Susan Kendakur
Remit to: 175 W Sierra Ave 559-347-9900 or 559-779-4071
3086 Armstrong Ave Clovis,Ca 93612 anialeoni@me.com
Clovis,Ca 93611
Marian Homes 3
3238 Jasmine Ave
Clovis,Ca 93611
Mark A Gisler Mark Gisler
dba Ruby's Valley Care Home 9919 S Elm Ave 209-329-1159
Remit to: Fresno,Ca 93706 marebot@aol.com
9919 S Elm Ave.
Fresno,Ca 93706
Modesto Residential Living Center Lena Baldwin
Remit to: 1932 Evergreen Ave 209-530-9300
1932 Evergreen Ave Modesto,Ca 95350 modestorlc@vahoo.com
Modesto,Ca 95350
Providian Residential Care Services,Inc. Inthone Milly
dba Fillmore Christian Gardens 4826 E Fillmore 559-307-4170
Remit to: Fresno,Ca 93727 Inthonemilly@providianres.com
4826 E Fillmore
Fresno,Ca 93727
Royal Board and Care Home for the Elderly Rudy Rigon
Remit to: 3407 N Fresno 559-903-6846
3407 N Fresno St Fresno,Ca 93726 rudyRrison@gmail.com
Fresno,Ca 93726
Sierra Meadows Senior Care,Inc. Donna Hurley
dba River Bluffs Memory Care
Remit to: 5425 W.Spruce 559 840-0422
5425 W.Spruce Ave. Fresno,Ca 93722 dhurley@riverbluffsmcc.com
Fresno,Ca 93722
Sunshine Board and Care II Aurora Rigon
Remit to: 1642 W Robinson Ave 559-903-2401
1642 W Robinson Ave Fresno,Ca 93705 auroraarigon@email.com
Fresno,Ca 93705
Valley Comfort Home,Inc. Priscilla Quinto
Remit to: 6579 E Fillmore Ave 559-495-8273 or 559-454-0704
6579 E Fillmore Ave. Fresno,Ca 93727 precvdouinto@vahoo.com
Fresno,Ca 93727
Revised 6/5/24 Page 2 of 2
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