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Agreement A-15-193-1 with Horticultural Therapeutic Community Centers.pdf
Agreement No. 15-193-1 1 AMENDMENT I TO AGREEMENT 2 THIS AMENDMENT, hereinafter referred to as "Amendment I", is made and entered into 3 this 24th day of March , 2020, by and between the COUNTY OF FRESNO , a Political Subdivision of 4 the State of California , hereinafter referred to as "COUNTY", and each CONTRACTOR listed in 5 Exhibit A "CONTRACTORS", and such additional CONTRACTOR(S) as may, from time to time 6 during the term of this Agreement , be added by COUNTY, with the Department of Behavioral Health 7 (DBH) Director or designee approval. Reference in this Agreement to "parties " shall be understood to 8 refer to COUNTY and each individual CONTRACTOR(S), unless otherwise specified . 9 WHEREAS , the parties entered into that certain Agreement, identified as COUNTY Agreement 10 No . 15-193, effective July 1, 2015 , whereby CONTRACTOR(S) agreed to provide Horticultural 11 Therapeutic Community Centers (HTCC) to help reduce stigma and discrimination against mental 12 illness and provide services related to mental well-being and mental health services ; and 13 WHEREAS , COUNTY, through DBH , is extending the current Agreement for One (1) year; and 14 WHEREAS , the parties desire to amend COUNTY Agreement No . 15-193, regarding changes 15 as stated below and restate the Agreement in its entirety. 16 NOW, THEREFORE , for good and valuable consideration , the receipt and adequacy of which 17 is hereby acknowledged , the parties agree to amend the Agreement as follows : 18 1. That the existing COUNTY Agreement No . 15-193 , Section Two (2) "TERM ", as set 19 shall be revised by adding the following at Page One (1 ), Line Twenty-Four (24) after the word "term ": 20 "This Agreement shall be extended for an additional twelve (12) month period beginning 21 July 1, 2020 through June 30 , 2021 ." 22 2. That the existing COUNTY Agreement No. 15-193 Section Four (4), Page Three (3), 23 beginning with Line Five (6), with the word 'The" and ending on Page Four (4), Line Seventeen (17) 24 with the letter "C " be deleted and the following inserted in its place : 25 "The maximum collective compensation amount under this Agreement for the period 26 July 1, 2015 through June 30, 2021 shall not exceed One Million Nine Hundred Fifty Thousand and 27 No/100 Dollars ($1 ,950,000.00) for all CONTRACTOR(S) and HTCC sites . 28 /// - 1 -COUNTY OF FRESNO Fres no, CA COUNTY OF FRESNO Fresno, CA -2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 The maximum collective compensation amount under this Agreement for each twelve- month term shall not exceed Three Hundred Twenty-Five Thousand and No/100 Dollars ($325,000.00) for all CONTRACTOR(S) and HTCC sites. A.The maximum amounts paid to each CONTRACTOR(S) identified in the Agreement are stated in Exhibit C “Budgets” and Exhibit C.1 “Budgets”, attached hereto and by this reference incorporated herein. B.COUNTY agrees to pay CONTRACTOR(S) and CONTRACTOR(S) agrees to receive compensation based upon actual expenditures incurred by CONTRACTOR(S) for monthly program costs, in accordance with the budgets identified in Exhibit C and Exhibit C.1.” 3.That the existing COUNTY Agreement No. 15-193 Section Seven (7), Page Six (6), beginning with Line Five (5), with the word “Any” and ending on Page Six (6), Line Nineteen (19) with the word “Analyst” be deleted and the following inserted in its place: “Any matters of this Agreement may be modified from time to time by the written consent of all the parties without, in any way affecting the remainder. Notwithstanding the above, changes to services, staffing, and responsibilities of the CONTRACTOR(S), as needed, to accommodate changes in the laws relating to mental health treatment, as set forth in Exhibit B, may be made with the signed written approval of COUNTY’s DBH Director, or his or her designee, and CONTRACTOR(S) through an amendment approved by COUNTY’s County Counsel and the COUNTY’s Auditor-Controller’s Office. In addition, changes to expense category (i.e., Salary & Benefits, Facilities/Equipment, Operating, Financial Services, Special Expenses, Fixed Assets, etc.) subtotals in the budgets, and changes to the volume of units of services/types of service units to be provided as set forth in Exhibit C, that do not exceed ten percent (10%) of the maximum compensation payable to the CONTRACTOR(S) may be made with the written approval of COUNTY’s DBH Director, or his or her designee. Changes to the expense categories in the budget that exceed ten percent (10%) of the maximum compensation payable to the CONTRACTOR(S), may be made with the signed written approval of COUNTY’s DBH Director, or his or her designee through an amendment approved by COUNTY’s Counsel and COUNTY’s Auditor-Controller’s Office. COUNTY OF FRESNO Fresno, CA -3 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Said modifications shall not result in any change to the annual maximum compensation amount payable to CONTRACTOR(S), as stated in this Agreement.” 4.That, effective July 1, 2020, all references in existing COUNTY Agreement No. 15-193 to “Exhibit A ‘Horticultural Therapeutic Community Centers Contractors and Sites’” shall be changed to read “Revised Exhibit A ‘Horticultural Therapeutic Community Centers Contractors and Sites’”, attached hereto and incorporated herein by reference. 5.COUNTY and CONTRACTOR(S) agree that this Amendment I is sufficient to amend the Agreement; and that upon execution of this Amendment I, the Agreement and Amendment I together shall be considered the Agreement. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants, conditions and promises contained in the Agreement, and not amended herein, shall remain in full force and effect. This Amendment I shall become effective upon execution by all parties. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// 1 IN WITNESS WHEREOF , the parties hereto have executed this Amendment I to COUNTY 2 Agreement No . 15-317 as of the day and year first hereinabove written . 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 CONTRACTOR($): PLEASE SEE SIGNATURE PAGES ATTACHED FOR ACCOUNTING PURPOSES ONLY : 19 Fund/Subclass : 0001/10000 Account/Program : 7295/0 20 Organization : 56304766 21 22 23 24 25 26 27 28 FY 2015-16 FY 2016-17 FY 2017-18 FY 2018-19 FY 2019-20 FY 2020-21 TOTAL: $325 ,000 $325 ,000 $325,000 $325 ,000 $325 ,000 $325,000 $1 ,950 ,000 COUNTY OF FRESNO Ernest Buddy Mendes , Chairman of the Board of Supervisors of the County of Fresno Date : -~ .... ~~-~9'._4_-_a,---=-0 ..... 'a ........ Q __ ATTEST: BERNICE E. SEIDEL Clerk of the Board of Supervisors County of Fresno , State of California By : _S-u.SA,d', bsha-'(2 Date : ,B -~ y -otoct,() -4 -COUNTY OF FRESNO Fres no, CA Revised Exhibit A HORTICULTURAL THERAPEUTIC COMMUNITY CENTERS CONTRACTORS AND SITES I. Fresno Interdenominational Refugee Ministries (FIRM) 1940 N. Fresno Street, Fresno CA 93703 Site 1: Central Fresno, FIRM 1940 N. Fresno Street, Fresno, CA 93703 Property Owner: FIRM No Lease Expense; ¼ Acre Target Population: Hmong/Southeast Asian Site 2: Clovis, Memorial United Methodist Church 1726 Pollasky Avenue, Clovis CA, 93612 Property Owner: Memorial United Methodist Church Lease: $3 per year; ¾ Acre; Operational Garden at Contract Signing Target Population: Hmong Site 3: Central Fresno, Mennonite Community Church 5015 E. Olive Avenue, Fresno, CA Property Owner: Mennonite Community Church Lease: $3 per year; ¾ Acre; Operational Garden at Contract Signing Target Population: Southeast Asian Site 4: East Fresno, 4005 E. Mono Avenue, Fresno, CA 93702 Property Owner: House of The Gospel Church Lease: No Cost; 500 sq ft Target Population: Slavic/Russian Immigrants Site 5: East Fresno, 4141 N. Fresno Street, Fresno CA 93702 Property Owner: 4141 Ministries, a local 501©3 Lease: No Cost; 4,000 sq ft Target Population: African Refugees II. The Fresno Center 48779 E. Kings Canyon Road, Fresno, CA 93727 Site: South-East Fresno, 11451 East Shields Avenue, Sanger, CA 93657 Property Owner: Mr. Pao Lee Lease: $2,000 per year; 5 Acres; existing farm land Target Population: Hmong Revised Exhibit A III.West Fresno Family Resource Center 1802 E. California Avenue, Fresno, CA 93706 Site: 1802 E. California Avenue, Fresno, CA 93706 Property Owner: City of Fresno Lease: $1 per year; ¾ Acre Target Population: African American, Hispanic, Veteran’s and Homeless IV.Fresno American Indian Health Project (FAIHP) 1551 E. Shaw Avenue, Suite 139, Fresno, CA 93710 Site: Discovery Center Community Garden 1944 N. Winery, Fresno, CA 93703 Property Owner: The Discovery Center Lease: $125/day to access space, $200/month for office space Target Population: American Indians and Alaska Natives Site: Big Sandy Rancheria Community Garden 35673 Jose Basin Road, Auberry, CA 93602 Property Owner: Big Sandy Rancheria Target Population: Bid Sandy Rancheria Community Members Employee Salaries Acct #Position FTE Admin Direct Total 1101 Therapeutic Centers Coordinator (5 gardens)0.35 -$ 12,558$ 12,558$ 1102 Project Director 0.60 - 21,840 21,840 1103 Project Director - African Refugee Garden 0.25 - 8,320 8,320 1104 Executive Director 0.07 4,340 - 4,340 1105 - - - 1106 - - - 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - Personnel Salaries Subtotal 1.27 4,340$ 42,718$ 47,058$ Employee Benefits Acct #Admin Direct Total 1101 -$ -$ -$ 1102 41 402 443 1103 294 5,334 5,628 1104 - - - 1105 - - - 1106 - - - 335$ 5,736$ 6,071$ 0.118553379 Payroll Taxes & Expenses: Acct #Admin Direct Total 1201 -$ -$ -$ 1202 332 3,268 3,600 1203 30 521 551 1204 - - - 1205 - - 1206 - - 362$ 3,789$ 4,151$ 4,702$ 46,507$ 57,280$ MHSA PEI Horticultural Therapeutic Community Centers FRESNO INTERDENOMINATIONAL REFUGEE SERVICES (FIRM) - PEI BUDGET FY 2017-18 Through FY 2020-21 Description Payroll Taxes & Expenses Subtotal: Other (Specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: PROGRAM EXPENSES 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance Other (Specify) Other (Specify) OASDI FICA/MEDICARE SUI Other (Specify) Other (Specify) Employee Benefits Subtotal: Employee Benefits %: Description Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 1 of 28 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 414 2004 - 2005 - 2006 - 2007 - 2008 - 2009 - 2010 - 2011 - 2012 - 2013 - 2014 - 2015 - 2016 - 414$ 3000: OPERATING EXPENSES Acct #Amount 3001 1,200$ 3002 240 3003 600 3004 1,200 3005 1,000 3006 1,500 3007 4,312 3008 1,500 3009 1,500 3010 2,500 3011 2,000 3012 1,000 18,552$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 1,060 4003 1,500 4004 - 4005 250 4006 1,800 4007 Irrigation Water 12,000 4008 Equipment purchase (@ $100/garden x 4)1,500 4009 Other (Specify)- 4010 Other (Specify)- 18,110$ Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (Specify) Other (Specify) Office Supplies & Equipment ($100 mo) Office Space Rent Building Maintenance Education Support Ground Materials - soil, fertilizers, pesticides, etc Program Supplies - Therapeutic (MH Training) FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Rent/Lease Vehicles Security Utilities ($360 yr/garden x 5) Rent/Lease Equipment (@ $300 ea/5 gardens) Shelter Maintenance ($200/ x 5 gardens) Irrigation Supplies Plant Materials - seeds, starter plants, etc Phone ($80/mo; incl 1/2 for cell/landline) Printing/Reproduction ($20/mo) Transport of Clients (.51/mile x 40 x 12 mos) Client Housing Support Child Care Other (Specify) Other (Specify) Clothing, Food, & Hygiene Other (Specify) Other (Specify) Legal Not/Advertising ($150 X 4 Hmng Rad/TV) Utility Vouchers Program Supplies - Medical Medication Supports Household Items for Clients Employment Support Grading, Leveling, Trenching, etc Staff Mileage (.51/mile x 150 x 50 wks) Equipment/Supplies - tools, stakes, etc Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 2 of 28 5000: SPECIAL EXPENSES Acct #Amount 5001 5,000$ 5002 6,840 5003 4,800 5004 - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 16,640$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 15,941$ 6002 600 6003 6,000 6004 1,000 6005 Insurance (Specify): 6006 Payroll Services - 6007 - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 23,541$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 669 7004 - 7005 - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- 669$ Line Item Description Liability Insurance Accounting/Bookkeeping 135,206$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) External Audit Line Item Description Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements Line Item Description Administrative Overhead Other Assets over $500 with Lifespan of 2 Years + Quarterly Events/Outreach Community Incentives Lead Gardener Stipends Translation Services Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 3 of 28 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 0 -$ 0% - 0%- -$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment -$ -$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports -$ 8302 PEI - Prevention & Early Intervention 135,206 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 135,206$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 Grants (Specify)- 8404 Other (Specify) - 8405 Other (Specify) - -$ 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:135,206$ -$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL 8200 - REALIGNMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 4 of 28 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 57,280 Employee Salaries 47,058 1101 Therapeutic Centers Coordinator (5 gardens)12,558 1102 Project Director 21,840 1103 Project Director - African Refugee Garden 8,320 1104 Executive Director 4,340 1105 0 - 1106 0 - 1107 0 - 1108 0 - 1109 0 - 1110 0 - 1111 0 - 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 6,071 1101 Retirement - 1102 Worker's Compensation 443 1103 Health Insurance 5,628 1104 Other (Specify)- 1105 Other (Specify)- 1106 Other (Specify)- Payroll Taxes & Expenses:4,151 1201 OASDI - 1202 FICA/MEDICARE 3,600 1203 SUI 551 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- 2000: CLIENT SUPPORT 414 2001 Child Care - 2002 Client Housing Support - 2003 Transport of Clients (.51/mile x 40 x 12 mos)414 2004 Clothing, Food, & Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for 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)- FRESNO INTERDENOMINATIONAL REFUGEE SERVICES (FIRM) - PEI BUDGET MHSA PEI Horticultural Therapeutic Community Centers FY 2017-18 Through FY 2020-21 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 5 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3000: OPERATING EXPENSES 18,552 3001 Phone ($80/mo; incl 1/2 for cell/landline)1,200 3002 Printing/Reproduction ($20/mo)240 3003 Legal Not/Advertising ($150 X 4 Hmng Rad/TV) 600 3004 Office Supplies & Equipment ($100 mo)1,200 3005 Program Supplies - Therapeutic (MH Training)1,000 3006 Grading, Leveling, Trenching, etc 1,500 3007 Staff Mileage (.51/mile x 150 x 50 wks)4,312 3008 Equipment/Supplies - tools, stakes, etc 1,500 3009 Ground Materials - soil, fertilizers, pesticides, etc 1,500 3010 Shelter Maintenance ($200/ x 5 gardens)2,500 3011 Irrigation Supplies 2,000 3012 Plant Materials - seeds, starter plants, etc 1,000 4000: FACILITIES & EQUIPMENT 18,110 4001 Building Maintenance - 4002 Office Space Rent 1,060 4003 Rent/Lease Equipment (@ $300 ea/5 gardens)1,500 4004 Rent/Lease Vehicles - 4005 Security 250 4006 Utilities ($360 yr/garden x 5)1,800 4007 Irrigation Water 12,000 4008 Equipment purchase (@ $100/garden x 4)1,500 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 16,640 5001 Community Incentives 5,000 5002 Quarterly Events/Outreach 6,840 5003 Lead Gardener Stipends 4,800 5004 Translation Services - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 23,541 6001 Administrative Overhead 15,941 6002 Liability Insurance 600 6003 Accounting/Bookkeeping 6,000 6004 External Audit 1,000 6005 Insurance (Specify): 6006 Payroll Services - 6007 Depreciation (Provider-Owned Equipment to be Used for Program Purposes) - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 7000: FIXED ASSETS 669 7001 Computer Equipment & Software - 7002 Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 6 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7003 Furniture & Fixtures 669 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over $500 with Lifespan of 2 Years + - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:135,206 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:135,206 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 7 of 28 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Site Coordinator Liason 0.15 -$ 8,034$ 8,034$ 1102 Program Support 0.50 - 14,560 14,560 1103 - - - 1104 - - - 1105 - - - 1106 - - - 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - Personnel Salaries Subtotal 0.65 -$ 22,594$ 22,594$ Employee Benefits Acct #Admin Direct Total 1101 -$ 678$ 678$ 1102 - 565 565 1103 - 6,000 6,000 1104 - - - 1105 - - - 1106 - - - -$ 7,243$ 7,243$ 0.280084952 Payroll Taxes & Expenses: Acct #Admin Direct Total 1201 -$ 1,401$ 1,401$ 1202 - 328 328 1203 - 1,536 1,536 1204 - - 1205 - - 1206 - - -$ 3,265$ 3,265$ -$ 25,859$ 33,102$ Horticultural Therapeutic Community Center (HTCC) - Community Gardens The Fresno Center Fiscal Year (FY 2020-21) Description Payroll Taxes & Expenses Subtotal: Other (Specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: PROGRAM EXPENSES 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance Other (Specify) Other (Specify) OASDI FICA/MEDICARE SUI Other (Specify) Other (Specify) Employee Benefits Subtotal: Employee Benefits %: Description Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 8 of 28 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 1,908 2004 - 2005 - 2006 - 2007 - 2008 - 2009 - 2010 - 2011 - 2012 - 2013 - 2014 - 2015 - 2016 - 1,908$ 3000: OPERATING EXPENSES Acct #Amount 3001 550$ 3002 - 3003 - 3004 - 3005 - 3006 1,200 3007 - 3008 800 3009 800 3010 500 3011 500 3012 - 4,350$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 1,000$ 4002 - 4003 864 4004 - 4005 - 4006 - 4007 Rent/Lease 2,500 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 4,364$ 5000: SPECIAL EXPENSES Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (Specify) Other (Specify) Advertising Rent/Lease Building Building Maintenance Education Support Equipment/Supplies Staff Development & Training FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Rent/Lease Vehicles Security Utilities Rent/Lease Equipment Ground Materials Grading/Level/Trenching Other (Specify) Telecommunications Printing/Postage Client Transportation & Support Client Housing Support Child Care Other (Specify) Other (Specify) Clothing, Food, & Hygiene Land Other (Specify) Other (Specify) Office, Household & Program Supplies Utility Vouchers Program Supplies - Medical Medication Supports Household Items for Clients Employment Support Staff Mileage Subscriptions & Memberships Vehicle Maintenance Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 9 of 28 Acct #Amount 5001 -$ 5002 - 5003 - 5004 - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- -$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 4,869$ 6002 - 6003 - 6004 - 6005 Insurance (Specify):- 6006 Payroll Services - 6007 - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 4,869$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- -$ Line Item Description Professional Liability Insurance Accounting/Bookkeeping 48,592$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) External Audit Line Item Description Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements Line Item Description Administrative Overhead Other Assets over $500 with Lifespan of 2 Years + HMIS (Health Management Information System) Consultant (Network & Data Management) Contractual/Consulting Services (Specify) Translation Services Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 10 of 28 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 0 -$ 0% - 0%- -$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment 48,592$ 48,592$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports -$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - -$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 Grants (Specify)- 8404 Other (Specify) - 8405 Other (Specify) - -$ 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:48,592$ -$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL 8200 - REALIGNMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 11 of 28 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 33,102 Employee Salaries 22,594 1101 Site Coordinator Liason 8,034 1 Program Site Coordinator Liason @ $4,463.33/mon. x 12 months x 0.15 =$8034. The Site Coordinator Liason will oversee the overall management of the community garden. 1102 Program Support 14,560 1 Program Program Support @ $2,426.67/mon. x 12 months x 0.15 =$14,560. The Program Support will help with management of the community garden and its clients that will participate with the program. 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 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 7,243 1101 Retirement 678 Retirement cost is estimated at 3% x total salary 1102 Worker's Compensation 565 Workers Compemsation cost is estimated at 2.5% x total salary 1103 Health Insurance 6,000 Health Insuance (medical, vision, life and dental) cost are estimated at $500 x 12 months 1104 Other (Specify)- 1105 Other (Specify)- 1106 Other (Specify)- Payroll Taxes & Expenses:3,265 1201 OASDI 1,401 OASDI cost is estimated at 6.2% x total salary 1202 FICA/MEDICARE 328 FICA/MEDICARE cost is estimated at 1.45% x total salary 1203 SUI 1,536 SUI cost is estimated at 1st $7,000 x 6.8% 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- 2000: CLIENT SUPPORT 1,908 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation & Support 1,908 To provide transportation to and from gardening site 2004 Clothing, Food, & Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for 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)- The Fresno Center Horticultural Therapeutic Community Center (HTCC) - Community Gardens Fiscal Year (FY 2020-21) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 12 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2016 Other (Specify)- 3000: OPERATING EXPENSES 4,350 3001 Telecommunications 550 Cell phone cost is estimated at $550 annually 3002 Printing/Postage - 3003 Office, Household & Program Supplies - 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,200 Local travel for staff to and from gardening site at 188.67 miles/month x 12 months 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance 800 Maintenance of vehicle, registration and insurance with cost esitmated at $800 annually 3009 Equipment/Supplies 800 Tools and supplies cost esitmated at $800 annually 3010 Ground Materials 500 Soil, fertilizers, pesticides, etc cost estimated at $500 annually 3011 Grading/Level/Trenching 500 Soil leveling and trenching cost estimated at $500 annually 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT 4,364 4001 Building Maintenance 1,000 Building Maintenance cost estimated at $1,000 annually 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 864 Portable restroom rental at $72/month x 12 months 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Rent/Lease 2,500 Land rental lease cost estimated at $2,500 annually 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: 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: ADMINISTRATIVE EXPENSES 4,869 6001 Administrative Overhead 4,869 Admin Cost is at 10% 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 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 7000: FIXED ASSETS - 7001 Computer Equipment & Software - 7002 Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 13 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7003 Furniture & Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over $500 with Lifespan of 2 Years + - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:48,592 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:48,592 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 14 of 28 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Garden Liaison 1.00 -$ 14,100$ 14,100$ 1102 - - - 1103 - - - 1104 - - - 1105 - - - 1106 - - - 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - Personnel Salaries Subtotal 1.00 -$ 14,100$ 14,100$ Employee Benefits Acct #Admin Direct Total 1101 -$ -$ -$ 1102 - 141 141 1103 - - - 1104 - - - 1105 - - - 1106 - - - -$ 141$ 141$ 0.008776298 Payroll Taxes & Expenses: Acct #Admin Direct Total 1201 -$ -$ -$ 1202 - 1,966 1,966 1203 - - - 1204 - - - 1205 - - 1206 - - -$ 1,966$ 1,966$ -$ 16,066$ 16,207$ Other (Specify) Employee Benefits Subtotal: Employee Benefits %: Description 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance Other (Specify) Other (Specify) OASDI FICA/MEDICARE SUI Other (Specify) PROGRAM EXPENSES Horticultural Therapeutic Community Center (HTCC) - Community Gardens West Fresno Family Resource Center Fiscal Year (FY 2020-21) Description Payroll Taxes & Expenses Subtotal: Other (Specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 15 of 28 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 - 2004 - 2005 - 2006 - 2007 - 2008 - 2009 - 2010 - 2011 - 2012 - 2013 - 2014 - 2015 - 2016 - -$ 3000: OPERATING EXPENSES Acct #Amount 3001 -$ 3002 500 3003 1,500 3004 - 3005 - 3006 - 3007 - 3008 - 3009 - 3010 - 3011 - 3012 - 2,000$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 - 4003 2,500 4004 - 4005 - 4006 - 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 2,500$ 5000: SPECIAL EXPENSES Other (Specify) Other (Specify) Clothing, Food, & Hygiene Other (Specify) Other (Specify) Office, Household & Program Supplies Utility Vouchers Program Supplies - Medical Medication Supports Household Items for Clients Employment Support Staff Mileage Subscriptions & Memberships Vehicle Maintenance Other (Specify) Other (Specify) Other (Specify) Telecommunications Printing/Postage Client Transportation & Support Client Housing Support Child Care Rent/Lease Vehicles Security Utilities Rent/Lease Equipment FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (Specify) Other (Specify) Advertising Rent/Lease Building Building Maintenance Education Support Other (Specify) Staff Development & Training Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 16 of 28 Acct #Amount 5001 -$ 5002 - 5003 - 5004 - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- -$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 2,887$ 6002 - 6003 - 6004 - 6005 Insurance (Specify):- 6006 Payroll Services - 6007 - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 2,887$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- -$ Contractual/Consulting Services (Specify) Translation Services Other Assets over $500 with Lifespan of 2 Years + HMIS (Health Management Information System) Consultant (Network & Data Management) Line Item Description Administrative Overhead External Audit Line Item Description Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements 23,594$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) Line Item Description Professional Liability Insurance Accounting/Bookkeeping Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 17 of 28 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 0 -$ 0% - 0%- -$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment 23,594$ 23,594$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports -$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - -$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 Grants (Specify)- 8404 Other (Specify) - 8405 Other (Specify) - -$ 8200 - REALIGNMENT Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:23,594$ -$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 18 of 28 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 16,207 Employee Salaries 14,100 1101 Garden Liaison 14,100 Complete Tasks requires for grant 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 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 141 1101 Retirement - 1102 Worker's Compensation 141 Employee Benefits Expense 1103 Health Insurance - 1104 Other (Specify)- 1105 Other (Specify)- 1106 Other (Specify)- Payroll Taxes & Expenses:1,966 1201 OASDI - 1202 FICA/MEDICARE 1,966 Payroll Tax Expense 1203 SUI - 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- 2000: CLIENT SUPPORT - 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation & Support - 2004 Clothing, Food, & Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for 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: OPERATING EXPENSES 2,000 3001 Telecommunications - 3002 Printing/Postage 500 workshops announcements, mailing West Fresno Family Resource Center Horticultural Therapeutic Community Center (HTCC) - Community Gardens Fiscal Year (FY 2020-21) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 19 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3003 Office, Household & Program Supplies 1,500 Office Supplies - Paper, Ink, Pen, Paperclips, etc. 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: FACILITIES & EQUIPMENT 2,500 4001 Building Maintenance - 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,500 Office Printer Lease 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: 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: ADMINISTRATIVE EXPENSES 2,887 6001 Administrative Overhead 2,887 Office equipment, cooking supplies, secretary wages, etc. 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 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 7000: FIXED ASSETS - 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 $5,000/unit (Specify)- 7007 Other (Specify)- Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 20 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:23,594 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:23,594 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 21 of 28 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Communiity Coordinator -$ 21,216$ 21,216$ 1102 - - - 1103 - - - 1104 - - - 1105 - - - 1106 - - - 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - Personnel Salaries Subtotal 0.00 -$ 21,216$ 21,216$ Employee Benefits Acct #Admin Direct Total 1101 -$ -$ 1102 - 265 265 1103 - - - 1104 - - - 1105 - - - 1106 - - - -$ 265$ 265$ 0.011395167 Payroll Taxes & Expenses: Acct #Admin Direct Total 1201 -$ -$ -$ 1202 - 1,623 1,623 1203 - 434 434 1204 - - - 1205 - - 1206 - - -$ 2,057$ 2,057$ -$ 23,273$ 23,538$ Other (Specify) Employee Benefits Subtotal: Employee Benefits %: Description 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance Other (Specify) Other (Specify) OASDI FICA/MEDICARE SUI Other (Specify) PROGRAM EXPENSES Horticultural Therapeutic Community Center (HTCC) - Community Gardens Fresno American Indian Health Project Fiscal Year (FY 2020-21) Description Payroll Taxes & Expenses Subtotal: Other (Specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 22 of 28 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 - 2004 - 2005 - 2006 - 2007 - 2008 - 2009 - 2010 - 2011 2,400 2012 - 2013 - 2014 - 2015 - 2016 - 2,400$ 3000: OPERATING EXPENSES Acct #Amount 3001 300$ 3002 300 3003 1,200 3004 - 3005 - 3006 1,200 3007 - 3008 - 3009 - 3010 - 3011 - 3012 - 3,000$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 300 4003 300 4004 - 4005 - 4006 - 4007 Plants & Mulch 1,361 4008 Gardening Tools & Supplies 1,500 4009 Other (Specify)- 4010 Other (Specify)- 3,461$ 5000: SPECIAL EXPENSES Other (Specify) Other (Specify) Clothing, Food, & Hygiene Other (Specify) Other (Specify) Office, Household & Program Supplies Utility Vouchers Program Supplies - Medical Medication Supports Household Items for Clients Employment Support Staff Mileage Subscriptions & Memberships Vehicle Maintenance Other (Specify) Other (Specify) Other (Specify) Telecommunications Printing/Postage Client Transportation & Support Client Housing Support Child Care Rent/Lease Vehicles Security Utilities Rent/Lease Equipment FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (Specify) Client Incentives Advertising Rent/Lease Building Building Maintenance Education Support Other (Specify) Staff Development & Training Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 23 of 28 Acct #Amount 5001 -$ 5002 - 5003 - 5004 - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- -$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 3,481$ 6002 600 6003 600 6004 300 6005 Insurance (Specify):- 6006 Payroll Services 120 6007 - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 5,101$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- -$ Contractual/Consulting Services (Specify) Translation Services Other Assets over $500 with Lifespan of 2 Years + HMIS (Health Management Information System) Consultant (Network & Data Management) Line Item Description Administrative Overhead External Audit Line Item Description Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements 37,500$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) Line Item Description Professional Liability Insurance Accounting/Bookkeeping Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 24 of 28 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 0 -$ 0% - 0%- -$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment 37,500$ 37,500$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports -$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - -$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 Grants (Specify)- 8404 Other (Specify) - 8405 Other (Specify) - -$ 8200 - REALIGNMENT Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:37,500$ -$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) Fresno County Department of Behavioral Health Contract Budget Template Revised 9/12/2019 EXHIBIT C-1 Page 25 of 28 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 23,538 Employee Salaries 21,216 1101 Communiity Coordinator 21,216 .6 FTE 24 hours per week 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 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 265 1101 Retirement - 1102 Worker's Compensation 265 1.25% of gross wages of $21,216 1103 Health Insurance - 1104 Other (Specify)- 1105 Other (Specify)- 1106 Other (Specify)- Payroll Taxes & Expenses:2,057 1201 OASDI - 1202 FICA/MEDICARE 1,623 7.65% of gross wages of $21,216 1203 SUI 434 6.2% of first $7,000 of salary. 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- 2000: CLIENT SUPPORT 2,400 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation & Support - 2004 Clothing, Food, & Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Client Incentives 2,400 Meeting and workshop supplies. Incentives to get garden workers 2012 Other (Specify)- 2013 Other (Specify)- 2014 Other (Specify)- 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 3,000 3001 Telecommunications 300 Share of telephone allocated to garden staff 3002 Printing/Postage 300 Share of printing/postage allocated to garden staff Fresno American Indian Health Project Horticultural Therapeutic Community Center (HTCC) - Community Gardens Fiscal Year (FY 2020-21) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 26 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3003 Office, Household & Program Supplies 1,200 Office and program supplies used by garden staff 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,200 Mileage paid to and from garden site. 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance - 3009 Other (Specify)- 3010 Other (Specify)- 3011 Other (Specify)- 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT 3,461 4001 Building Maintenance - 4002 Rent/Lease Building 300 Share of lease for garden staff 4003 Rent/Lease Equipment 300 Share of copier costs for garden staff 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Plants & Mulch 1,361 Plants and mulch for planter boxes at Discovery Center 4008 Gardening Tools & Supplies 1,500 Gardening tools and supplies to work in the planter boxes 4009 Other (Specify)- 4010 Other (Specify)- 5000: 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: ADMINISTRATIVE EXPENSES 5,101 6001 Administrative Overhead 3,481 Administrative expenses not included in the budget line items 6002 Professional Liability Insurance 600 Liability insurance required for staff who work in garden 6003 Accounting/Bookkeeping 600 Financial services to do monthly reporting 6004 External Audit 300 Portion of annual audit costs. 6005 Insurance (Specify):- 6006 Payroll Services 120 Payroll processing fees for garden staff 6007 Depreciation (Provider-Owned Equipment to be Used for Program Purposes) - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 7000: FIXED ASSETS - 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)- Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 27 of 28 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:37,500 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:37,500 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 9/12/2019 EXHIBIT C-1 Page 28 of 28