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HomeMy WebLinkAbout322151. Service Overview Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Pursuant to California Health and Safety Code Sections 131050-131135 and 104100-1 04140 respectively, Contractor will provide services to local communities with populations at high risk for diabetes and cardiovascular disease (CVD) who are 18 years and older. The services provided will result in increasing knowledge, skills and opportunities to improve diet, physical activity, and other life habits to prevent, delay or control diabetes, CVD and other chronic diseases Centers for Disease Control and Prevention (CDC) funding awarded to the California Department of Public Health (CDPH) for Contractor Local Assistance is for Lifetime of Wellness: Communities in Action interventions and include required strategies as described in the Scope of Work. 2. CDPH Responsibilities CDPH will be responsible for overall programmatic oversight for implementation of the activities designed to address the risk of diabetes and CVD. 3. Service Location The services shall be performed in the County of Solano as prescribed in the Scope of Work. 4. Service Hours The services shall be provided during normal Contractor working days and hours, excluding national and state holidays. 5. Project Representatives A. The ro·ect re resentatives durin the term of this a reement will be: California Department of Public Health County of Fresno Majel Arnold, Chief, Sara Bosse, Program Manager Programs and Policy Section Office of Policy, Planning and Communication Chronic Disease Control Branch Department of Public Health Telephone: {559) 600-6449 Fax: {559) 600-7687 Email: sbosse@co.fresno.ca.us Page 1 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 B. Direct all in uiries to: California Department of Public Health Chronic Disease Control Branch Attention: Lisa Pulido 1616 Capitol Avenue P.O. Box 997377, MS 7208 Sacramento, CA 95899-7377 County of Fresno Sara Bosse, Program Manager Office of Policy, Planning and Communication Department of Public Health Telephone: (559) 600-6449 Fax: (559) 600-7687 Email: sbosse co.fresno.ca.us C. Either party may make changes to the information above by giving written notice to the other party. Said changes shall not require an amendment to this agreement. 6. Reporting A. The Contractor shall submit one original Performance Report semi-annually to CDPH in the format prescribed by the State. The Performance Reports shall describe advancement made in completing agreement deliverables. B. Per the Consolidated Appropriations Act of 2014, Prevention and Public Health Fund (PPHF) summary reporting is required semiannually. The Contractor shall submit one original PPHF Summary Report semi-annually to CDPH in the format prescribed by the State. The PPHF Summary Reports shall provide a brief summary of reporting period activities, including subsections for all subcontractor activities. and an estimated percentage of total goals reached. C. Contractor shall submit one original Comprehensive Final report within 30 days after the end of the contract. The final report shall include, at a minimum: 1) lessons learned on implementing action items; 2) main challenges and how the challenges were addressed; 3) key partners and their roles; 4) if activities related to the implementation of deliverables will continue and if so, what activities are planned. D. Report periods and due dates: Report Report Period Due Date Year 1: Performance Report 03/01/15-07/31/15 07/06/15 PPHF Summary 03/01/15-06/30/15 07/06115 Year2: Performance Report I 08/01/15-01/31116 01/15/16 PPHF Summary I 07/01/15-12/31/15 11/15/15 Performance Report II 02/01/16-07/31/16 07/15116 PPHF Summary II 01/01/16-06/30/16 05/15/16 Page 2 of 55 Report Year 3: Performance Report I PPHF Summary I Performance Report II PPHF Summary II Year4: Performance Report I PPHF Summary I Performance Report II PPHF Summary II Comprehensive Final County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Report Period Due Date 08/01/16-01/31/17 01115/17 07/01116-12131/16 11/15/16 02101/17-07/31/17 07/15117 01/01/17-06/30/17 05/15/17 08/01/17-01/31/18 01115/18 07/01/17-12/31/17 11/15/17 02101118-07/31/18 07/15118 01/01/18-06/30/18 05/15/18 09/30/14-09/30/18 10/30/18 E. Copies of items specified in the scope of work as a Deliverable must be submitted to CDPH concurrently with the semiannual Performance Reports. F. If the State does not receive complete and accurate reports by the required dates, further payments to the Contractor may be suspended until complete and accurate reports are received. Contractor's last monthly and/or final invoice will not be processed until an acceptable Comprehensive Final Report has been received and approved by the State. G. Upon the evaluation of the contractor's performance, the State may at its discretion terminate this Agreement or decrease the funding allocation to Contractor if insufficient screening volume and/or delivery of program services are not met as outlined in the Exhibit A, Scope of Work. 7. Subcontractor Requirements Contractor will implement a competitive bid process for subcontracts $2,500 and over. All subcontracting must comply with the requirements of the State Contracting Manual, Sections 3.06.0 and 3.17.2.0, as applicable. 8. Services to be Performed The Contractor will provide specific services, deliverables, and tasks specified in the Scope of Work to address strategies required by CDC funding. Any subsequent formal amendments will be approved in writing as required pursuant to this agreement. The Contractor will collaborate with the University of California, Davis (UCD) to collect data from publically available sources to track and monitor progress in meeting required performance measures. The required performance measures include: A Increased community and large city environments that promote and reinforce healthful behaviors and practices related to obesity, diabetes prevention, cardiovascular health, including key settings that su.pport physical activity and healthful foods and beverages B. Increased use and reach of strategies to build support of lifestyle change C. Improved quality, effective delivery and use of clinical and other preventive services Page 3 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 D. Increased management of hypertension (HTN) and prevention of type 2 diabetes. E. Increased community clinical linkages to support self-management and control of hypertension and prevention of type 2 diabetes F. Increased consumption of nutritious food and beverages and increased physical activity G. Increased engagement in lifestyle change H. Improved medication adherence for adults with high blood pressure (HBP} I. Increased self-monitoring of HBP tied to clinical support J. Increased referrals to and enrollments in lifestyle change programs (LCPs) K. Reduced death and disability due to diabetes, heart disease and stroke by 3% in the implementation area L. Reduced prevalence of obesity by 3% in the implementation area. Page4 of 55 ,< • -~,, -' ~ r ~~ Exhibit A Scope of Work .:Y~1.i;'~-County of Fresno Department of Public Health 14-10712 Component 1a: Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors Strategy 1.1: Implement nutrition and beverage standards Including sodium standards in pu.blic institutions, worksites and other kay locations such as hospitals # Activity Timaline Responsible Deliverable& 1 Contractor will work with UCD to conduct an environmental scan to: I March 1-Health Submit to CDPH: • Identify food/beverages sold in the cafeterias, snack shops/bars, September Educator (HE) • a copy of the scan tool obtained and/or vending machines of the four largest hospitals and large :30,2015 and Health from UCD, county buildings (potential reach of over 10,000 employees I Education • a copy of the developed plan for I combined) to determine baseline and target numbers. i Specialists conducting the scan using the scan • Review existing food procurement guidelines for the target venues. ! (HES1, HES2) tool, • Review model food procurement guidelines from other counties. : • a list of agencies who participated ! in the environmental scan, and i • a copy of the scan results. . -2 Contractor will develop educational materials on the need for I March 1 -HE, HES1, Submit to CDPH: food/beverage guidelines. · September HES2 , • a copy of developed educational Include public data on blood pressure, diabetes, and obesity in the l3o, 2015 I materials, and local jurisdiction. Distribute to government j • a screen shot of posted web facilitieslworksiteslhospitals, stakeholders, policymakers; and post ' materials. on the County Health Department website. I 3 Contractor will identify and participate in national and state meetings, . ' March 1 -Principle Submit to CDPH: webinars and conferences as appropriate to increase local knowledge September Investigator • a copy of the agenda from each and capacity. 30,2015 (PI), HE, event attended Suggestions include American Heart Association (AHA), HES1, HES2 Association of State and Territorial Health Officials (ASTHO), National Salt Reduction Initiative (NSRI), CDC Healthy Food I Service Guidelines, COPH Sodium Awareness Leadership Team I L______ __ (SALT), and the Million Hearts Initiative (MHI) I -Page 5 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.1: Implement nutrition and beverage standards Including sodium standards in public institutions, worksites and other key locations such as hospitals # Activity Time line Responsible Deliverable& 4 Using environmental scans, contractor will identify target worksites March 1-HE, HES1, Submit to CDPH: I and assess the trainings needs and provide customized technical September HES2 • a copy of training materials, and assistance* (TA) and training to local government officials and key 30,2015 • meeting agendas/minutes. stakeholders on the need for food procurement guidelines that include sodium reduction. *TA conveys information for the express purpose of achieving increased capacity for project implementation and meeting required performance measures. 5 Contractor will work with identified target worksites to develop, adopt, March 1-PI, HE, HES1 I Submit to CDPH: and implement food procurement guidelines that include sodium September HES2 • a copy of the training materials, reduction to increase availability of healthy foods and beverages. 30,2015 • the meeting agendas/minutes, • the target worksite procurement j guidelines, and I • resulting implementation plan(s). 6 Contractor will conduct an assessment of the Contractor's internal March 1-PI, HE, HES1, Submit to CDPH: wellness policy. September HES2 • a copy of the assessment results, Identify areas for strengthening and update the policy. 30,2015 • the training materials, and Distribute the policy and provide training to Contractor • the meeting agendas/minutes. supervisors regarding successful implementation. I Continue to monitor progress. 7 Contractor will work with UCD to identify and collect public data for I March 1-HE, HES1, Submit to CDPH: required performance measures within strategy 1.1. Attend required 1 September HES2 • a compilation of public data webinars and trainings on public data collection and performance 130,2015 collected, and measures sponsored by CDPH. • a copy of event agendas. --~-·-------~-----Page 6 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved pricing, placement, and promotion # Activity Timeline Responsible Deliverables 1 Contractor will participate in quarterly 1-2 hour meetings of the Fresno ! March 1 -HE, HES1, Submit to CDPH: County Healthy Stores for a Healthy Community Workgroup ! September HES2 • a copy of meeting (FCHSHC) to add capacity and implement additional interventions that j 30, 2015 agendas/minutes. encourage healthy retail environments with the goal to promote i healthier food access. ~ 2 Contractor will use FCHSHC assessment public data and store public ! March 1 -HE, HES1, Submit to CDPH: data from CDPH Environmental Health Division to identify stores for i September HES2 • a copy of FCHSHC assessment intervention. Work with FCHSHC and CDPH Nutrition, Education, and \30, 2015 results and Obesity Prevention Branch (NEOP) to identify specific activities ! • retail promotion activities plan. needed to promote healthier food access in retail stores. j . 3 As part of FCHSHC, Contractor will provide input to the "Healthy l March 1-HE, HES1, Submit to CDPH: Stores for a Healthy Community Campaign" to reinforce campaign i September HES2 • a copy of meeting messages at the local level. i30.2015 agendas/minutes, and If possible, utilize the CDPH Chronic Disease Prevention i • campaign messages. I Messaging Toolkit to develop culturally and linguistically i appropriate campaign messages. I Utilize Public Relations Services (PRS) to promote selected campaign messages. I March 1-4 Contractor will participate in a Statewide Nutrition-Specific Retail HE, HES1, Submit to CDPH: Workgroup facilitated by CDPH to support the FCHSHC campaign. I September HES2 • a copy of workgroup meeting The workgroup will define and prioritize strategies for local level 30,2015 agenda/minutes. environmental and system change interventions as related to healthier food access. 5 Contractor will work with UCD to identify and collect public data for March 1-HE, HES1, Submit to CDPH: required performance measures within strategy 1.2. Attend required September I HES2 • a compilation of public data webinars and trainings on public data collection and performance 30.2015 collected, and measures sponsored by CDPH. I • a copy of event agendas . .. Page 7 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.3: Strengthen community promotion of physical activity through slgnage, worksite policies, social support, and joint use agreements In communities and jurisdictions # Activity Timellne Responsible Deliverable& 1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle March 1-PI, HE, HES1, Submit to CDPH: I Partnership (HLP) meetings (county coalition facilitated by NEOP) to September HES2 • a copy of meeting plan and implement community initiatives that promote physical 30,2015 agendas/minutes. activity. 2 Contractor will use the local Physical Activity (PA) directory to March 1-HE, HES1, Submit to CDPH: determine low and no cost PA opportunities in the county. Work with September HES2 • a copy of meeting the HLP and Partner in Community Health (PICH) to assess 30,2015 agendas/minutes, and community readiness, resources (including funding and local ! • assessment. individual/agency champions), target audience, potential reach, barriers, and sustainability of potential PA initiatives including joint use and structured adult physical activity programs at schools, worksites, and other community sites. Utilize this assessment to select 1-2 physical activity initiatives that do not duplicate efforts of other programs. l 3 Contractor will collect or develop materials to educate stakeholders I March 1-HE, HES1, Submit to CDPH: and key opinion leaders on the selected physical activity initiatives and I September HES2 • a copy of the training materials. engage them in the promotion of the initiatives. 130,2015 4 Contractor will work with HLP and PICH to assess the effectiveness of March 1-PI, HE, HES1, Submit to CDPH: potential promotional/marketing approaches for the PA initiatives and September HES2 • a copy of communications/ target audiences selected. 30,2015 promotion items. Develop culturally and linguistically appropriate campaign messages for activities within strategy 1.3. Implement selected communication strategies to support physical activity initiatives I including PRS to promote selected campaign messages. 5 Contractor will work with UCD to identify and collect public data for March 1-l HE, HES1, Submit to CDPH: required performance measure 1.3. Contractor will attend required September HES2 • a compilation of public data webinars and trainings on public data collection and performance 30,2015 collected as well as a copy of event measures sponsored by CDPH. agendas. -------'---Page 8 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.4: Develop and or Implement transportation and community plans that promote walking # I Activity I Timellne I Responsible Deliverable& 1 I As part of the Fresno County Transportation Needs Assessment I March 1 -I PI, HE, HES1, already underway, Contractor will work with the Fresno Council of 1 September HES2 Submit to CDPH: • a copy of the scan results and 2 3 Governments (Fresno COG) and the Transportation Community : 30, 2015 Coalition (TCC) and participate in conducting an environmental 1 community scan for the county to identify gaps in transportation i infrastructure to support safe and active communities, existing I city/county transportation plans that promote walking and readiness j to implement walking/biking plans, as well as city/county planning departments that are open to enhancing plans to promote more I walking/biking. • Based on assessment results collaborate with Fresno COG and TCC, I March 1 -I PI and HE Contractor will identify 1-2 target communities (city or unincorporated September community) and provide input to city or county general, transportation j30, 2015 bicycle master plans and community transportation plans to increase ' number of communities that promote walking and active ' transportation, and use of public transportation. i • a walking promotion plan. Submit to CDPH: • a copy of meeting agendas/minutes and • copies of target communities' plan(s). Contractor will work with UCD to identify and collect public data for 'March 1 -1 HE, HES1, Submit to CDPH: required performance measure 1.4. Attend required webinars and September I HES2 • compilation of public data collected, trainings on public data collection and performance measures 30, 2015 and sponsored by CDPH. • event agendas. Page 9 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Component 1 b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes and heart disease and stroke prevention efforts Program Strategy 1.5: Plan and execute strategic public data-driven actions through a network of partners and local organizations to build support for lifestyle change # Activity !Timeline Responsible Deliverables 1 Contractor will identify a Health Clinic Subcontractor and assist them ! March 1 -PI, HE, and Submit to CDPH: to develop partnerships with organizations (employer groups, j September Health Clinic • a copy of meeting agendas/minutes, insurers, health systems, community-based organizations (CBOs), 30, 2015 l Subcontractor and diabetes health educators, coalitions, etc.) to promote the goals of the I (TBD) • list of identified partners. National Diabetes Prevention Program (NDPP) and Take off Pounds i ! Sensibly (TOPS). I .. I PI, HE, Health 2 Contractor will conduct NDPP capacity/readiness assessment March 1 -Submit to CDPH: utilizing an evaluation tool created by UCD with network partners to September I Clinic • a copy of the assessment results. determine if resources are available within community to deliver the 30,2015 Subcontractor program. (TBD), ·--3 Based on results of assessment, Contractor will identify readiness of March 1-PI, HE, Health Submit to CDPH: Health Clinic System to implement and sustain an NDPP. Contractor September Clinic • a copy of NDPP strategic plan. will then develop a strategic plan to build capacity and implement a 30,2015 I Subcontractor NDPP program in conjunction with Health Clinic Subcontractor. , (TBD) 4 Contractor will work with Health Clinic Subcontractor to conduct a March 1-!HE, HES1, Submit to CDPH: scan to identify any existing TOPS chapters as well as CBOs within September I HES2, • a copy of scan results. the service area which may be interested in starting chapters. 30, 2015 . Health Clinic I Subcontractor j (TBD) 5 Contractor will work with Health Clinic Subcontractor to implement March 1 -i HE, HES1, Submit to CDPH: capacity building efforts to expand TOPS to include Spanish-September j HES2, • a copy of meeting agendas/minutes, language materials and resources. 30,2015 i Health Clinic and Subcontractor • a copy of developed Spanish (TBD), language materials . .. 6 Contractor will work with UCD to identify and collect public data for March 1-HE, HES1, Submit to CDPH: required performance measure 1.5. Attend required webinars and September HES2, • a compilation of public data trainings on public data collection and performance measures 30,2015 collected, and sponsored by CDPH. • a copy of event agendas. ·-Page 10 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change # I Activity I Timeline I Responsible I Deliverable& 1 I Contractor will work with Health Clinic Subcontractor to conduct a March 1 -HE, HES1, Submit to CDPH: Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis September HES2, • SWOT analysis, and regarding lifestyle change with identified priority population(s) in the 30, 2015 Epidemiologist, • SWOT analysis results. clinic system (i.e., high burden populations, whose with pre-diabetes Health Clinic or uncontrolled HBP who experience raciaVethnic or socioeconomic Subcontractor health disparities including inadequate access to care, poor quality of (TBD) care, or low income), and/or organizations that serve identified priority population(s). In year 2, implement community engagement principles . within identified communities. [ 2 Based on the SWOT analysis, Contractor will develop a marketing ! March 1 -HE, HES 1, j Submit to CDPH: . plan using the CDC template. l September HES2 • a copy of Contractor marketmg !30.2015 ~p_la_n_. _________________ ~ Contractor will work with UCD to identify and collect public data.for I March 1 -HE, HES 1, Submit to CDPH: 3 required performance measure 1.6. Attend required webinars and i September HES2 • a compilation of public data trainings on public data collection and performance measures r 30, 2015 collected, and sponsored by CDPH. • a copy of event agendas. ·-------------------------------, Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners # I Activity nmeline Responsible Deliverable& 1 Contractor will work with network partners to conduct an assessment March 1 -1 HE, HES1, Submit to CDPH: utilizing an evaluation tool created by UCD to identify what health 1 September I HES2 • a copy of the assessment results. insurance plans are offered to employees and essential benefits 30, 2015 ! included for prediabetes and prevention of type 2 diabetes. , Contractor will identify challenges and barriers to coverage for LCPs. -------~ -------~--------------~ Page 11 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners # Activity Timeline Responsible Deliverables 2 Contractor will adapt CDC communication and marketing materials March 1-HE, HES1, Submit to CDPH: designed for various audiences to educate about prediabetes and September HES2 • a copy of CDC adapted marketing promote LCPs as a means to prevent or delay the onset of type 2 30,2015 materials. diabetes in high risk populations. Leverage other resources as applicable, such as the recommendation to cover LCPs that accompanied the report released by the University of California at Los Angeles Center of Health Policy Research and California Center for Public Health Advocacy. 3 Contractor will work with UCD to identify and collect public data for March 1 -I HE, HES1, Submit to CDPH: required performance measure 1.7. Attend required webinars and September HES2 • compilation of public data trainings on public data collection and performance measures 30,2015 1 collected, and sponsored by CDPH. j • a copy of event agendas. ------Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension and Prediabetes Disparities Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to Improve performance (pursuant to federal and state guidelines) # Activity Timeline I Responsible Deliverable& I . 1 Contractor will conduct an environmental scan utilizing an evaluation March 1-!HE, Submit to CDPH: tool created by UCD to assess EHR/Meaningful Use of select September I Epidemiologist, • a copy of the scan results. providers/health systems regarding implementation, related policies 30,2015 and Health and procedures, and capacity of Health Clinic Subcontractor, focusing Clinic on achievement of blood pressure control initiatives to identify gaps Subcontractor and opportunities for collaboration. Engage with Health Clinic (TBD) Subcontractor to maximize understanding of EHR policy and practice landscape within the local area. 2 Contractor will work with UCD to identify and collect public data. March 1-HE, HES1, Submit to CDPH: Attend required webinars and trainings on public data collection and September HES2 • a compilation of public data performance measures sponsored by CDPH. 30,2015 collected, and 1 • a copy of event agendas. ---· Page 12 of 55 County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work -Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level # Activity Time line Responsible Deliverable& 1 Contractor will work with Health Clinic Subcontractor to identify and March 1-HE, HES1, Submit to CDPH: provide web links for T A and training to Health Center Controlled September HES2, and • a copy of the training materials. networks in the area (or similar health systems) in order to develop 30,2015 Health Clinic and implement toolsets (e.g., clinical quality dashboards) to provide 1 Subcontractor clinicians with public performance data. I (TBD) 2 Contractor will work with UCD to identify and collect public data for i March 1-HE, HES1, Submit to CDPH: required performance measure 2.1. Attend required webinars and !September HES2 • a compilation of public data trainings on public data collection and performance measures f30,2015 collected, and sponsored by CDPH. i • a copy of event agendas. ----~------Program Strategy 2.3: Increase engagement of non-physician team members In hypertension management in community health care systems 1 1 # 1 Activity ~ Timeline Responsible Deliverables . . Contractor will work with Health Clinic Subcontractor to conduct i March 1 -HE, HES1, Subcontractor (TBD) will submit to environmental scan of providers and hospital/clinic systems and health i September I HES2, and Contractor: insurance plans, utilizing an evaluation tool created by UCD, to :30, 2015 J Health Clinic • a list of proposed and interviewed determine which clinic systems are currently engaging in hypertension ! i Subcontractor clinic systems. management. Results will be used to determine baseline in county. I 1 (TBD) . 1 I j' Contractor will submit to CDPH: • a copy of the scan results. l2 I Based on scan results, Health Clinic Subcontracto~will promote March 1 -HE, HES1, . Subcontractor (TBD) will submit to adoption by clinic systems of procedures/protocols that support the September HES2, Health j Contractor: implementation of comprehensive health care teams. 30, 2015 Clinic 1 • a list of clinic systems that adopted Contractor will monitor and track providers that adopt procedures/protocols. Page 13 of 55 Subcontractor \ the recommended (TBD), i procedures/protocols. I I Contractor will submit to CDPH: ~~ • a copy of adopted procedures/protocols. Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care systems # Activity Time line Responsible Deliverables --3 Contractor will work with UCD to identify and collect public data for March 1-HE, HES1, Submit to CDPH: required performance measure 2.3. Attend required webinars and September HES2 • a compilation of public data trainings on public data collection and performance measures 30,2015 collected, and sponsored by CDPH. • a copy of event agendas. Program Strategy 2.4: Increase use of self-measured blood pres sure monitoring tied with clinical support # !Activity 1 I Conduct asset mapping/environmental scans, utilizing an evalua tool created by UCD, to determine the CBOs or health systems are currently providing blood pressure and or diabetes screening/monitoring and who they serve (demographics) for ba and target. Identify blood pressure/diabetes champions from wit community. 1Timeline Responsible tion i March 1-HE, HES1, hat i September HES2, and !30,2015 Health Clinic r , Subcontractor ~e 1ne ! 1in the I (TBD) ~March 1 -HE, HES1, September HES2 30,2015 I _ I 2 I Contractor will work with UCD to identify and collect public data required performance measure 2.4. Attend required webinars a trainings on public data collection and performance measures sponsored by CDPH. Deliverables Submit to CDPH: • a copy of the scan results. Submit to CDPH: • a compilation of public data collected, and • a copy of event agendas. Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with prediabetes # Activity Timeline Responsible 1 Deliverables -1 Contractor will work with Health Clinic Subcontractor to conduct asset March 1-HE, HES1, Submit to CDPH: mapping/environmental scans that determine the CBOs in Health September HES2, and • a written summary of the scan, and Clinic Subcontractor service areas which are currently providing blood 30,2015 Health Clinic • Jist of community Champions. pressure and or diabetes screening/monitoring and who they serve Subcontractor (demographics) for baseline and target. Identify blood (TBD) pressure/diabetes champions from within the community. . Page 14 of t'5 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with prediabetes # Activity !Timeline Responsible Deliverables 2 Contractor will work with UCD to identify and collect public data for I March 1-HE, HES1, Submit to COPH: required performance measure 2.5. Attend required webinars and !September HES2 • a compilation of public data trainings on public data collection and performance measures !30,2015 collected, and sponsored by CDPH. ! • a copy of event agendas. Component 2b: Community Clinical Unkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults with high blood pressure and adults with prediabetes or at high risk for type 2 diabetes # Activity ITimeline Responsible Deliverable& 1 Contractor will work with Health Clinic Subcontractor to conduct an j March 1-HE, HES1, Submit to CDPH: environmental scan utilizing an evaluation tool created by UCD, to !September HES2, and • a copy of the scan results. assess existing programs that target adults with HBP and adults with 30,2015 Health Clinic prediabetes or at high risk for type 2 diabetes. Begin with Fresno Subcontractor Metro Ministry's Community Resource Directory. (TBD) 2 Contractor will work with UCD to identify and collect public data for March 1-HE, HES1, Submit to CDPH: required performance measure 2.6. Attend required webinars and September HES2 • a compilation of public data trainings on public data collection and performance measures 30,2015 collected, and sponsored by CDPH. I • a copy of event agendas. i .. Program Strategy 2. 7: Increase engagement of community phannacists in the provision of medication-/self-management for adults with high blood pressure # Activity Time line Responsible Deliverable& 1 Contractor will conduct environmental scan/assessment utilizing an March 1-HE, HES1, Submit to CDPH: evaluation tool created by UCD to determine which providers, health September HES2 • a copy of the scan results. insurance plans etc. are using pharmacists as part of the team for 30,2015 medication/self-management. I Based on the results of the community scan, Contractor will build I relationships with health systems to promote inclusion of community I l pharmacists as part of the health care team. I I i ·----Page 15 of 55 I County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work -Program Strategy 2. 7: Increase engagement of community pharmacists In the provision of medication-/self-management for adults with high blood pressure # Activity Jrlmellne Responsible Deliverables 2 Contractor will work with UCD to identify and collect public data for I March 1-HE, HES1, Submit to CDPH: required performance measure 2. 7. Attend required webinars and iSeptember HES2 • a compilation of public data trainings on public data collection and performance measures 130,2015 collected, and sponsored by CDPH. I • a copy of event agendas. I ~ ~------·--Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources and health systems, including lifestyle change programs # Activity ! Timeline Responsible Deliverables ------t--~ Submit to CDPH: 1 Contractor will conduct environmental scan utilizing an evaluation tool i March 1 -HE, HES1, created by UCD of existing 211 services within Fresno County. Identify September HES2 • a copy of the scan results. current and potential 211 service availability and/or identify other 30,2015 entities that could serve as a source for community referrals to LCPs. 2 Contractor will work with Health Clinic Subcontractor to conduct March 1-HE, HES1, Contractor will submit to CDPH: assessment of Subcontractor referral practices for patients with a September HES2, and • a copy of assessment results. diagnosis of HBP and prediabetes, and viability of utilizing 211 for !30,2015 Health Clinic referral to LCPs. Subcontractor I {TBD) ---· ' 3 Contractor will work with UCD to identify and collect public data for March 1-I HE, HES1, Submit to CDPH: required performance measure 2.8. Attend required webinars and September HES2 • a compilation of public data trainings on public data collection and performance measures 30,2015 1 collected, and sponsored by CDPH. i • a copy of event agendas. -Page 16 of 55 Cross-cutting (applies to all components) Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners. # Activity Tlmellne Responsible Dellverables 1 Contractor will attend training sessions, conferences, and webinars on March 1-PI, HE, HES1, Submit to CDPH: specific content areas to augment the internal team's skills and 1 September HES2, Staff • copies of training agendas. program effectiveness (topics could include, public data mining health j30, 2015 Analyst (SA) I, records, increasing community-clinical linkages, etc.). . j and Epidemiologist ! 2 Contractor will send at least 2 staff to attend CDPH required annual i March 1 -PI, HE, HES1, Submit to CDPH: meeting (1) and trainings (1-2 per year) in Sacramento. Meetings may! September HES2 • copies of confirmed travel include: "Program Kick Off', SALT, and NDPP. ! 30, 2015 arrangements. 3 Contractor will provide a description of best practice, noting whether it ! March 1 -HE Submit to CDPH: refers to innovative educational materials/presentations, policies, ; September • a copy of best practices summary success stories, or other. ! 30, 2015 report. 4 Contractor will participate in focus groups and planning workgroups. March 1-HE j Submit to CDPH: Focus groups may include TA, educational materials, and/or review of September 1 • copies of meeting evaluation tools. Workgroups may include sodium taskforce and 30,2015 agendas/minutes. NDPP. . 5 Contractor will provide internal support including logistics and March 1-Office Submit to CDPH: paperwork for orders, mailing, travel, meetings, technical support, September Assistant • timesheets, and training, etc. 30,2015 . (OA) Ill • documentation of logistical ----------· --! I processes. Page 17 of 55 I I I I Exhibit A Scope of Work :~ .. ·~ ·~ ··~~~~~;;:~t~·,.·i County of Fresno Department of Public Health 14-10712 Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors Strategy 1.1: Implement nutrition and beverage standards including sodium standards In public institutions, worksites and other key locations such as hospitals # Activity Tlmeline Responsible Deliverable& 1 Contractor will develop educational materials on the need for l October 1 HE, HES1, Submit to CDPH: food/beverage guidelines. 12015-HES2, • a copy of developed educational Include public data on blood pressure, diabetes, and obesity in I September materials and a screen shot of the local jurisdiction. Distribute to government ! 30, 2016 posted materials. facilities/worksiteslhospitals, stakeholders, policymakers. Post j on the Fresno County Health Department website. , ' -2 Contractor will identify and participate in national and state meetings, I October 1 PI, HE, HES1 I Submit to CDPH: webinars and conferences as appropriate to increase local knowledge 2015-HES2 • a copy of event agendas. and capacity. September Su~ge~tions include AHA, ASTHO, NSRI, CDC Healthy Food Service j 30, 2016 Gu1dehnes, SALT, and MHI. i -· 3 Contractor will use existing environmental scans identify target iOctober 1 !HE, HES1, Submit to CDPH: work~ites, assess their training needs and provide customized :2015-.HES2, • a copy of training materials, and training/T A to local government officials and key stakeholders on the 1 September ! • meeting agendas/minutes. need for food procurement guidelines that include sodium reduction. 30.2016 4 Contractor will work with identified target worksites to develop, adopt, October 1 PI, HE, HES1, Submit to CDPH: and implement food procurement guidelines that include sodium 2015-HES2 • a copy of training materials, reduction to increase availability of healthy foods and beverages. September • meeting agendas/minutes, 30,2016 • target worksite procurement guidelines, and • implementation plan(s). 5 Contractor will conduct an assessment of the internal well ness policy I October 1 PI, HE, HES1, Submit to CDPH: for the Fresno County Department of Public Health (FCDPH). Identify 2015-HES2 • a copy of the assessment results, areas for strengthening and update the policy. Distribute the policy and\ September • training materials, and provide training/TA to FCDPH supervisors regarding successful !30, 2016 • meeting agendas/minutes. implementation. Monitor progress. 1 --' ---------Page 18 of 55 I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.1: Implement nutrition and beverage standards including sodium standards in public Institutions, worksites and other key locations such as hospitals # Activity Timeline Responsible Deliverables 6 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measures within strategy 1. 1. Attend required 2015-HES2 • a compilation of public data webinars and trainings on public data collection and performance September collected, and measures sponsored by CDPH. 30,2016 • a copy of event agendas. ~-----------------------Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved pricing, placement, and promotion # Activity Timeline Responsible Deliverables 1 Contractor will participate in quarterly 1-2 hour meetings of the October 1 HE, HES1, Submit to CDPH: FCHSHC to add capacity and implement additional interventions that 2015-HES2 • a copy of meeting encourage healthy retail environments with the goal to promote ;September agendas/minutes. healthier food access. i30.2016 2 Contractor will use FCHSHC assessment public data and store public October 1 HE, HES1, Submit to CDPH: data from CDPH Environmental Health Division to identify stores for 2015-HES2 • a copy of FCHSHC assessment intervention. Work with FCHSHC and NEOP to identify specific September results and activities needed to promote healthier food access in retail stores. 30,2016 • retail promotion activities plan. 3 As part of FCHSHC, Contractor will provide input to the a Healthy October 1 HE, HES1, Submit to CDPH: Stores for a Healthy Community Campaign" to reinforce campaign ! 2015-HES2, • a copy of meeting messages at the local level. If possible, utilize the CDPH Chronic !September agendas/minutes, and Disease Prevention Messaging Toolkit to develop culturally and ;30,2016 • campaign messages. linguistically appropriate campaign messages. Utilize PRS to promote I selected campaign messages. I 4 In collaboration with the FCHSHC subcommittee, Contractor will I October 1 HE, HES1, Submit to CDPH: participate in the California Tobacco Control Program (CTCP) retail 12015 -I HES2 • a copy of meeting public data collection training to prepare for public data collection. September agendas/minutes. ----30,2016 1 -----------Page 19 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, Improved pricing, placement, and promotion # Activity Tlmeline Responsible Deliverable& 5 Contractor will recruit, determine specific training/resources needs, October 1 HE, HES1, Submit to CDPH: and provide TA to at least 1-2 new owner/operator representatives of 2015-HES2 • a copy of meeting agenda/minutes, gro~ry/specialty food retailers including farmers' market operators to l September • training materials, and participate in the FCHSHC campaign to improve healthy options in '30, 2016 • photos of the campaign materials their stores. in the retailer venue. 6 In collaboration with the FCHSHC, Contractor will participate in the October 1 HE, HES1, Submit to CDPH CTCP retail public data collection nutrition specific module. 2015-HES2 • a list of retail venues where public September data was collected. 30,2016 7 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measures within strategy 1.2. Attend required 2015-HES2 • a compilation of public data webinars and trainings on public data collection and performance September collected, and measures sponsored by CDPH. ,30,2016 • a copy of event agendas. --Strategy 1.3: Strengthen community promotion of physical activity through signage, workslte policies, social support, and joint use agreements in communities and jurisdictions # Activity I Timeline Responsible Deliverables . -----t--1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle i October 1 PI, HE, HES1, Submit to CDPH: Partnership (HLP) meetings (county coalition facilitated by NEOP) to ~ 2015-HES2 • a copy of meeting plan and implement community initiatives that promote physical ; September agendas/minutes. activity. (30, 2016 2 Contractor will use the local PA directory to determine low and no cost l October 1 HE, HES1, Submit to CDPH: PA opportunities in the county, work with the HLP and Partner in '2015-HES2 • a copy of meeting Community Health (PICH) to assess community readiness, resources September agendas/minutes, and (including funding and local individual/agency champions), target 30,2016 • copy of assessment. audience, potential reach, barriers, and sustainability of potential PA initiatives including joint use and structured adult physical activity programs at schools, worksites, and other community sites. Contractor will utilize this assessment to select 1-2 physical activity initiatives that do not duplicate efforts of other programs. ·--· Page 20 of 55 I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use agreements In communities and jurisdictions # Activity Timellne Responsible Deliverables 3 Contractor will collect or develop materials to educate stakeholders October 1 HE, HES1, Submit to CDPH: and key opinion leaders on the selected physical activity initiatives and 2015-HES2 • a copy of training materials. engage them in the promotion of the initiatives. September 30,2016 4 Contractor will provide training and TA to facilitate the development October 1 HE, HES1, Submit to CDPH: and implementation of the selected physical activity initiatives. 2015-HES2, • a copy of meeting agenda/minutes September and photos. 30,2016 • Additional specific deliverables will be identified after the initiatives are selected. 5 Contractor will work with HLP and PICH to assess the effectiveness of I October 1 PI, HE, HES1, Submit to CDPH: potential promotional/marketing approaches for the PA initiatives and 2015-HES2, • a copy of target audiences selected. September communications/promotion items. Develop culturally and linguistically appropriate campaign 30,2016 messages for activities within strategy 1.3. Implement selected communication strategies to support physical activity initiatives including PRS to promote selected campaign messages. 6 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 1.3. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 130,2016 _____l__ __ ...___ • a copy of event agendas. Page 21 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.4: Develop and or Implement transportation and community plans that promote walking # Activity Time line Responsible De live rabies 1 As part of the Fresno County Transportation Needs Assessment October 1 PI, HE, HES1, Submit to CDPH: already underway, Contractor will work with the Fresno Council of 2015-HES2 • a copy of scan results and Governments (Fresno COG) and the Transportation Community September • walking promotion plan. Coalition (TCC) and participate in conducting an environmental 30,2016 community scan for the county to identify gaps in transportation infrastructure to support safe and active communities, existing city/county transportation plans that promote walking and readiness to implement walking/biking plans, as well as city/county planning I departments that are open to enhancing plans to promote more l walking/biking. I 2 Based on assessment results, Contractor will collaborate with Fresno October 1 I PI, HE Submit to CDPH: COG and TCC, identify 1-2 target communities (city or unincorporated 2015-• a copy of meeting community) and provide input to city or county general, transportation September j agendas/minutes and bicycle master plans, and community transportation plans to increase 30,2016 ' • copies of target communities' number of communities that promote walking and active I plan(s). f transportation, and use of public transportation. i 3 Contractor will educate community leaders from 1-2 target October 1 I HE, HES1, Submit to CDPH: communities on conducting walkability assessment to determine scope 2015-.HES2 • a copy of meeting of problem and highlight changes needed to create safe environments September I agendas/minutes, and for active transportation 30,2016 J • training materials. 1 4 Contractor will coordinate with TCC, target city/county officials October 1 i HE, HES1, Submit to CDPH: including law enforcement, and community members to conduct 1-2 2015-! HES2 • a copy of the walkability walkability assessments in target communities to determine scope of September I assessment(s). problem and highlight changes needed to create safe environments for 30, 2016 i active transportation. ! ! 5 Contractor will work with UCD to identify and collect public data for October 1 tHE, HES1, Submit to CDPH: required performance measure 1.4. Attend required webinars and 2015-HES2, • a compilation of public data trainings on public data collection and performance measures September collected. and sponsored by CDPH. 30,2016 • a copy of event agendas. ------Page 22 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Component 1 b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes and heart disease and stroke prevention efforts Program Strategy 1.5: Plan and execute strategic public data-driven actions through a network of partners and local organizations to build support for lifestyle change ·----# Activity Time line Responsible Deliverables 1 Contractor will work with Health Clinic Subcontractor to provide NDPP ! October 1 HE, HES1, Submit to CDPH: training and certification to four identified Health Clinic System staff. 12015-HES2, and • a copy of certifications, and !September Health Clinic • training materials. 30,2016 Subcontractor i (TBD) 2 Contractor will work with Health Clinic Subcontractor to provide TOPS I October 1 HE, HES1, Submit to CDPH: training to Health Clinic System staff on how to initiate and lead TOPS 2015 -HES2, and • a copy of promotional and training chapters. Offer and promote the training to other interested CBOs i September Health Clinic materials. serving Health Clinic System target population. !30,2016 Subcontractor (TBD) 3 Contractor will participate in planning for a statewide NDPP summit led October 1 HE, HES1, Submit to CDPH: by CDPH staff. 2015-HES2 • a copy of planning meeting Planning will include participation in planning meetings, developing September agendas/minutes. summit materials, identifying appropriate key partners/stakeholders to 130, 2016 identify the strategic direction and priorities for increasing referrals, I utilization, and reimbursement of NDPP. 4 Contractor will work with Health Clinic Subcontractor to refer patients October 1 HE, HES1, Submit to CDPH: and interested community members to scheduled NDPP classes at 2015-HES2, and • a listing of classes scheduled, Health Clinic System health centers. September j Health Clinic • referral and attendance logs 30, 2016 Subcontractor (summary numbers only). , (TBD) 5 Contractor will work with Health Clinic Subcontractor to refer patients October 1 jHE, HES1, Submit to CDPH: and interested community members to chapters of TOPS at Health 2015-\HES2, and • a listing of classes scheduled, Clinic System health centers and nearby CBOs with weekly meetings September ! Health Clinic • referral and attendance logs for members. 30, 2016 1 Subcontractor (summary numbers only). ------L_ _____ _JTBD) . ___ . Page23 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 1.5: Plan and execute strategic public data-driven actions through a network of partners and local organizations to build support for lifestyle change # Activity Time line Responsible De live rabies 6 Contractor will work with UCD to identify and collect public data for October1 HE, HES1, Submit to CDPH: required performance measure 1.5. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures , September collected, and sponsored by CDPH. [30,2016 • a copy of eve_n_tagendas. _ -~------~--~ --------· ·--· ----·· ----Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change # Activity ITimeline Responsible Deliverables ----~ 1 Contractor will work with Health Clinic Subcontractor to conduct a I October 1 HE, HES1, Submit to CDPH: strengths, weaknesses, opportunities, and threats (SWon analysis 12015-HES2, • a copy of SWOT analysis results. regarding lifestyle change with identified priority population(s), and/or September Epidemiologist, organizations that serve them. In year 2, implement community !30,2016 and Health ' engagement principles within identified communities. I Clinic I Subcontractor ! (TBD) 2 Utilizing the Chronic Disease Prevention Messaging Toolkit, October 1 HE, HES1, Submit to CDPH: Contractor will work with Health Clinic Subcontractor to develop a plan 2015-HES2, Health • a copy of planning meeting for how partners (CBOs, Fresno County Department of Public Health, September Clinic agendas/minutes, and Health Clinic Systems, community champions) will work together to 30,2016 Subcontractor • the outreach plan. conduct outreach, build support for and increase referrals to NDPP (TBD), and TOPS. Review and update annually. --3 In collaboration with CDPH, Contractor will adapt CDC NDPP October 1 HE, HES1, Submit to CDPH: communications and marketing materials and work with Health Clinic 2015-HES2, Health • a copy of promotional materials Subcontractor to mobilize champions to disseminate in target September Clinic developed, communities as a means to increase reach to and engagement of 30,2016 Subcontractor • distribution and reach log. priority populations. Assess reach and outcomes of lifestyle change (TBD), strategies and marketing efforts and refine as necessary. 4 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 1.6. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30,2016 • a copy of event agendas. ---Page 24 of 55 I I I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners # Activity Time line Responsible Deliverables 1 Contractor will work with network partners to conduct an assessment October 1 HE, HES1, Submit to CDPH: utilizing an evaluation tool created by UCD to identify what health 2015-HES2 • a copy of the assessment results. insurance plans are offered to employees and essential benefits 1September included for prediabetes and prevention of type 2 diabetes. Identify 30,2016 challenge and barriers to coverage for LCPs. 2 Based on assessment results, Contractor will develop and implement October 1 PI, HE, HES1, Submit to CDPH: an action plan to establish or increase insurance coverage of LCPs 12015-HES2 • action plan timeline. within county. !September j30,2016 3 Contractor will work with UCD to identify and collect public data for l October 1 HE, HES1, Submit to CDPH: required performance measure 1. 7. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures jseptember collected, and sponsored by CDPH. !30,2016 • a copy of event agendas. ~,,_.,.. Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension and Pre-diabetes Disparities Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health Information technology (HIT) to improve performance (pursuant to federal and state guidelines) # Activity jTimeline Responsible Deliverables 1 Contractor will work with Health Clinic Subcontractor to conduct a iOctober 1 HE, HES1, Submit to CDPH: community scan within Health Clinic System of blood pressure control 2015-HES2, and • a copy of scan. initiatives to identify gaps and opportunities for collaboration and September Health Clinic improve performance. 30,2016 Subcontractor (TBD) 2 Contractor will recruit providers/health systems to participate in Central I October 1 PI, HE, and Submit to CDPH: Valley Health Information Exchange (CVHIE) to promote reporting on 2015-Epidemiologist • a copy of meeting National Quality Forum (NQF) 18 and 59 and standardized clinical 1 September agendas/minutes. quality measures for management and treatment of patients with HBF~_.-! 30, 2016 Page 25 of 55 I i i i ' County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve performance (pursuant to federal and state guidelines) # Activity Time line Responsible De live rabies 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.1. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. ,30,2016 • a copy of event agendas. --------------------~-----------------------------I . --· -· Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level # Activity l Timeline Responsible Deliverable& 1 Contractor will work with Health Clinic Subcontractor to assess ·-! October 1 HE, HES1, Submit to CDPH: capacity for providers and/or health systems, utilizing an evaluation 12015 -HES2, and • an assessment report of the tool created by UCD, to electronically track, monitor and report , September Health Clinic environmental scan. ' aggregated/standardized quality measures to the Centers for Medicare j 30, 2016 Subcontractor and Medicaid Services, CDPH, and others. ·-+i -----+-'(T_B_D.:...) ---+---------------J Contractor will work with Health Clinic Subcontractor to convene j October 1 HE, HES1, 2 3 4 representatives from county Federally Qualified Health Centers ; 2015 -HES2, and (FQHCs) and CVHIE to develop protocols and processes for l September Health Clinic monitoring and sharing standardized quality measures at the provider 1· 30, 2016 I Subcontractor level. , (TBD) Contractor will work with Health Clinic Subcontractor to expand health October 1 HE, HES1, system EHR analytics or participation in clinical quality dashboards for 2015 -HES2, and Health Clinic System patients with hypertension, prediabetes, and September Health Clinic diabetes. Promote quality improvement through the implementation of 30, 2016 Subcontractor systems that provide relevant and timely patient public data to (TBD) providers and health systems. Submit to CDPH: • a copy of meeting agendas/ minutes. Submit to CDPH: • a summary of systems in use. Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.1. Attend required webinars and 2015 -HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30, 2016 • a copy of event agendas. Page 26 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care I i systems # Activity Timeline Respon~ible Deliverables 1 Contractor will work with Health Clinic Subcontractor to conduct \October 1 HE, HES1, Submit to CDPH: environmental scan of providers and hospital/clinic systems and health \2015 -HES2, and· • a copy of the scan results. insurance plans, utilizing an evaluation tool created by UCD, to I September Health Clinic determine which team members are currently engaging in hypertension 30, 2016 Subcontractor management. Results will be used to determine baseline in county. . (TBD) 2 Based on scan results, Contractor will work with Health Clinic ~October 1 HE, HES1, Submit to CDPH: Subcontractor to promote adoption by Health Clinic System providers j2015-HES2, and • a copy of adopted procedures/ of procedures/protocols that support the implementation of 1September Health Clinic protocols. comprehensive health care teams. Monitor and track providers that 130,2016 Subcontractor adopt procedures/protocols. I (TBD) 3 Contractor will work with Health Clinic Subcontractor to utilize scan October 1 HE, HES1, Submit to CDPH: results to identify evidence and practice tools to share with the provider 2015-HES2, Health • a copy of training materials, and community that support the implementation of evidence-based I September Clinic • meeting agendas/minutes. guidelines for HBP, such as the MHI hypertension protocols i.e., 30,2016 Subcontractor through local medical society. Identify training and T A needs to (TBD), facilitate adoption/implementation of tools by Health Clinic Subcontractor. 4 Contractor will work with Health Clinic Subcontractor to develop a October 1 HE, HES1, Submit to CDPH: workgroup and project workplan to fill 1-2 of the evidence gaps i 2015-HES2, and • a summary of the evidence specified in The Community Guide at !September Health Clinic gathered and gap(s) identified. httQ://www. thecommunitvg uide. org/cvd/RGteamba§edcare. html . 130,2016 Subcontractor (TBD) 5 Contractor will work with UCD to identify and collect public data for I October 1 HE, HES1, Submit to CDPH: required performance measure 2.3. Attend required webinars and 12015-HES2 • a compilation of public data trainings on public data collection and performance mea~ures September collected, and sponsored by CDPH. !30,2016 • a copy of event agendas. -------------------·-·· --Page 27 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support # Activity Timeline Responsible Deliverable& 1 Contractor will work with Health Clinic Subcontractor to provide October 1 HE, HES1, Submit to CDPH: assessment or analysis results to augment and enhance Health Clinic , 2015-HES2, and • a copy of analysis report. System provider's capacity and reach. Analysis should include I September Health Clinic feasibility and compatibility of self-management programs for HBP 30,2016 Subcontractor (e.g., Check. Change. Control) with existing community health care (TBD) programs. --2 Contractor will work with Health Clinic Subcontractor to research October 1 HE, HES1, Submit to CDPH: model practices, outcomes, and benefits to promote the adoption and 2015-HES2, and • a copy of sample adopted EHR EHR use with Health Clinic Systems that indude integrated HBP September Health Clinic systems. algorithms and supports for provider prompts/feedback, patient 30,2016 Subcontractor communication, and public data tracking, monitoring, and reporting. (TBD) 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.4. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures . September collected, and sponsored by CDPH. 130,2016 • a copy of event agendas. -·-Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with pre-diabetes # Activity Time line Responsible Deliverables 1 Contractor will work with Health Clinic Subcontractor to complete an October 1 HE, HES1, Submit to CDPH: assessment of Health Clinic System to identify patients with 2015-HES2, and • a copy of the assessment. undiagnosed hypertension and/or pre-diabetes, provide referral for 1 September Health Clinic education and provider feedback about home blood pressure/blood 130, 2016 Subcontractor sugar monitoring, and provider prompts and patient contact system for 1 (TBD) managing patients with HBP/blood sugar. i 2 Contractor will work with Health Clinic Subcontractor to Develop and j October 1 HE, HES1, Submit to CDPH: implement a plan for improving the system for identifying and J§ -HES2, and • a copy of the plan. monitoring patients with HBP in Health Clinic System. September Health Clinic 30,2016 Subcontractor (TBD) -------------Page 28 of 55 County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with pre-diabetes # Activity Timeline Responsible Deliverables 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.5. Attend required webinars and 12015 -HES2 • a compilation of public data trainings on public data collection and performance measures ~eptember collected, and sponsored by CDPH. 30,2016 • a copy of event agendas. ------------· -----------------------~ --------·· ------~-Component 2b: Community Clinical Linkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts Program Strategy 2.6: lncre~ engagement of CHWs to promote linkages between health systems and community resources for adults with high blood pressure and adults with pre..<Jiabetes or at high risk for type 2 diabetes # Activi_ty Timeline Responsible Deliverables 1 Contractor will assess where CDPH, PHI and other partners currently October 1 HE, HES1, Submit to CDPH: are with fiscal reimbursement strategies for Community Health 2015-HES2, and • a copy of the scan results. Workers (CHWs) within health plans. Contractor will work with Health September Health Clinic Clinic Subcontractor to conduct an environmental scan, utilizing an 30,2016 Subcontractor evaluation tool created by UCD of existing clinics, the California Health (TBD) Workforce Alliance report, and and local health care systems to identify which have CHWs or similar staff. 2 As a result of the health system scan, Contractor will work with Health October 1 HE, HES1, Submit to CDPH: Clinic Subcontractor to develop a plan to promote systematic change 2015 -I HES2, Health • a copy of the plan and to involve Health Clinic System CHWs to promote linkages between September j Clinic • a summary of changes made. health systems and communitY resources to improve outcomes for 30, 2016 . Subcontractor heart disease and diabetes. Coordinate with others working on CHW I (TBD), initiatives for awareness, input, and support. Work with CHWs for their input and guidance on promotional strategies between health systems and community resources. Monitor change. 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.6. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures September I collected, and sponsored by CDPH. -------30,2016 • a copy of event agendas. Page 29 of 55 i I i I I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.7: Increase engagement of community pharmacists in the provision of medication-/self-management for adults with high blood pressure # Activity Timeline Responsible Deliverables 1 Contractor will conduct environmental scan/assessment utilizing an October 1 HE, HES1, Submit to CDPH: evaluation tool created by UCD to determine which providers, health 2015-HES2 • a copy of the scan results. insurance plans etc. are using pharmacists as part of the team for September medication/self-management. Based on the results of the community 30,2016 scan build relationships with health systems to promote inclusion of community pharmacists as part of the health care team. 2 Contractor will identify and convene appropriate partners to identify October 1 HE, HES1, Submit to CDPH: and share best practices, including training of pharmacists and 2015-HES2 • a copy of meeting mechanism of payment; promoting inclusion of pharmacists in the team September agendas/minutes. for community-based medication reconciliation/reporting to providers 30,2016 and hypertension self-management. 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.7. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures , September collected, and sponsored by CDPH. !30,2016 • a copy of event agendas. ' Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources and health systems, Including lifestyle change programs # Activity Timeline Responsible Deliverables 1 Contractor will institute 211 service LCPs for HBP and pre-diabetes, October 1 HE, HES1, Submit to CDPH: and/or identify other entities that could serve as a source for 2015-HES2 • a copy of meeting community referrals to LCPs. Develop tracking/monitoring system for September agendas/minutes, referrals. 30,2016 • 211/referral system service promotion materials, and I • a summary of the tracking/monitoring system. I I I I 2 Contractor will develop and implement a communications plan to assist October 1 HE, HES1, j Submit to CDPH: 1 with communication, awareness, and outreach strategy to maximize 2015-HES2 • a copy of 211 communication plan. reach and impact of 211. I September 30,2016 --Page 30 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources and health systems, Including lifestyle change programs # Activity Time line Responsible Deliverable& 3 Contractor will work with Health Clinic Subcontractor to educate Health October 1 HE, HES1, Submit to CDPH: Clinic System providers about community resources available for 2015-HES2, Health • a copy of training materials, and patients with HBP and pre-diabetes, and the benefits of using a September Clinic • 211/referral system service community referral system, such as 211, within their organization (e.g. 30,2016 Subcontractor promotion materials. utilizing EHR to refer patients to community resources). Determine (TBD), what resources/systems are needed to ensure bi-directional referrals are made. 4 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.8. Attend required webinars and 2015-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30,2016 • a copy of event agendas. --------~------~-__ I--------------L__ --------Cross-cutting (applies to all components) Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners. # Activity --)Timeline Responsible Deliverables 1 Contractor will attend training sessions, conferences, and webinars on i October 1 PI, HE, HES1, Submit to CDPH: specific content areas to augment the internal team's skills and i 2015-HES2, SAl, • copies of training agendas. program effectiveness (topics could include, public data mining health I September and records, increasing community-clinical linkages, etc.). l3o, 2016 Epidemiologist 2 Contractor will send at least 2 staff to attend CDPH required annual jMarch 1-PI, HE, HES1, Submit to CDPH: meeting (1) and trainings (1-2 per year) in Sacramento. Meetings !September HES2 • copies of confirmed travel may include: "Program Kick Off', SALT, and NDPP. 30,2015 arrangements. 3 Contractor will provide a description of best practice, noting whether it I October 1 Health Submit to CDPH: refers to innovative educational materials/presentations, policies, j2015-Educator • a best practices summary report. success stories, or other. j September 30,2016 Page 31 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners. # Activity Tlmeline Responsible Deliverables 4 Contractor will participate in focus groups and planning workgroups. October 1 Health Submit to CDPH: Focus groups may include TA, educational materials, and/or review of , 2015 -Educator • copies of meeting evaluation tools. Workgroups may include sodium taskforce, and l September agendas/minutes. NDPP. 30,2016 5 Contractor will provide internal support including logistics and March 1-OA Ill Submit to CDPH: paperwork for orders, mailing, travel, meetings, technical support, September • timesheets, and training, etc. 30,2015 • documentation of logistical processes. ----·--Page 32 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Component 1a: Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors Strategy 1.1: Implement nutrition and beverage standards Including sodium standards in public institutions, worksites and other key locations such as hospitals # Activity Time line Responsible Deliverables .. 1 Contractor will identify and participate in national and state meetings, October 1 PI, HE, HES1, Submit to CDPH: webinars and conferences as appropriate to increase local knowledge 2016-HES2 • a copy of event agendas. and capacity. 1 September Suggestions include AHA, ASTHO, NSRI, CDC Healthy Food Service ! 30,2017 Guidelines, SALT, and MHI. 1 2 Contractor will work with identified target worksites to develop, adopt, ! October 1 PI, HE, HES1, Submit to CDPH: and implement food procurement guidelines that include sodium 2016-HES2 • a copy of training materials, reduction to increase availability of healthy foods and beverages. September • meeting agendas/minutes, 30,2017 • target worksite procurement guidelines, and • implementation plan(s). 3 Contractor will conduct an assessment of the internal well ness policy October 1 PI, HE, HES1, I Submit to CDPH: for the Fresno County Department of Public Health (FCDPH). Identify 2016 -HES2 • a copy of the assessment results, areas for strengthening and update the policy. Distribute the policy and I September • training materials, and provide training to FCDPH supervisors regarding successful 30,2017 ' • meeting agendas/minutes. implementation. Monitor progress. I ! 4 Contractor will meet with directors of other county departments and October 1 I PI, HE, HES1, Submit to CDPH: share the FCDPH wellness policy. Through discussion, assess the 2016-HES2 • a copy of meeting viability of implementing a similar or modified version of the FCDPH September agendas/minutes. wellness policy in the other departments. 30,2017 5 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measures within strategy 1. 1. Attend required 2016-HES2 • a compilation of public data webinars and trainings on public data collection and performance September collected, and measures sponsored by CDPH. 30, 201~_1 • a copy of event agendas. ---~---~ ---~----~-··---·-----.~~--------~-~--·-~--~~ Page 33 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.2: Strengthen healthier food access and sales In retail venues and community venues through increased availability, improved pricing, placement, and promotion. -# Activity Tlmellne Responsible Deliverables 1 Contractor will participate in quarterly 1-2 hour meetings of the October 1 HE, HES1, Submit to CDPH: FCHSHC to add capacity and implement additional interventions that 2016-HES2 • a copy of meeting encourage healthy retail environments with the goal to promote September agendas/minutes. healthier food access. 30,2017 2 Contractor will use FCHSHC assessment public data and store public October 1 HE, HES1, Submit to CDPH: data from CDPH Environmental Health Division to identify stores for 2016-HES2 • a copy of FCHSHC assessment intervention. Work with FCHSHC and NEOP to identify specific September results and activities needed to promote healthier food access in retail stores. j30,2017 • retail promotion activities plan. 3 As part FCHSHC, Contractor will provide input to the "Healthy Stores j October 1 HE, HES1, Submit to CDPH: for a Healthy Community Campaign" to reinforce campaign messages 2016 -HES2, • a·copy of meeting at the local level. If possible, utilize the CDPH Chronic Disease September agendas/minutes, and Prevention Messaging Toolkit to develop culturally and linguistically 30,2017 • campaign messages. appropriate campaign messages. i 4 Contractor will recruit, determine specific training/resources needs, and ! October 1 HE, HES1, Submit to CDPH: provide TA to at least 1-2 new owner/operator representatives' ! 2016-HES2 • a copy of meeting agenda/minutes, grocery/specialty food retailers including farmers' market operators to 'September • training materials, and participate in the FCHSHC campaign to improve healthy options in 130,2017 I • photos of the campaign materials their stores. in the retailer venue. -5 In collaboration with the FCHSHC, Contractor will participate in the October 1 HE, HES1, Submit to CDPH: CTCP retail public data collection nutrition specific module. 2016-HES2 • a list of retail venues where public September data was collected. 30.2017 6 In collaboration with the FCHSHC subcommittee, Contractor will October 1 HE, HES1, Submit to CDPH: participate in the CTCP spokesperson training to prepare for a 2016-HES2 • a copy of the spokesperson FCHSHC press event. September training agenda. 30,2017 .__ _, 7 In collaboration with the FCHSHC subcommittee and CDPH. October 1 HE, HES1, Submit to CDPH: Contractor will plan and participate in the CTCP retail public data 2016-HES2, • a copy of the press event packet. collection press event. September 30,2017 --·-·------·,. -Page 34 of 55 I I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, Improved pricing, placement, and promotion. # Activity Timeline Responsible Deliverables --8 In collaboration with the FCHSHC subcommittee, Contractor will assist October 1 HE, HES1, Submit to CDPH: with the dissemination of Fresno County retail public data collection 2016-HES2, • a copy of the adapted factsheet. results. Results will be provided by CTCP in the form of a factsheet September that will be adapted to meet the needs of Solano County. 30,2017 9 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measures within strategy 1.2. Attend required 2016-HES2 • a compilation of public data webinars and trainings on public data collection and performance September collected, and measures sponsored by CDPH. :30,2017 • a copy of event agendas. --------------------___ j ---------Strategy 1.3: Strengthen community promotion of physical activity through slgnage, workslte policies, social support, and joint use agreements in communities and jurisdictions -# Activity Timeline Responsible Dellverables 1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle October 1 PI, HE, HES1, /Submit to CDPH: Partnership (HLP} meetings (county coalition facilitated by NEOP} to 2016-HES2 I • a copy of meeting plan and implement community initiatives that promote physical September agendas/minutes. activity. 30, 2017 --2 Contractor will provide training and TA to facilitate the development October 1 HE, HES1, Submit to CDPH: and implementation of the selected physical activity initiatives. 2016-HES2 • a copy of meeting agenda/minutes September and photos. 30,2017 • Additional specific deliverables will be identified after the initiatives are selected. 3 Contractor will work with HLP and PICH to assess the effectiveness of October 1 PI, HE, HES1, Submit to CDPH: potential promotional/marketing approaches for the PA initiatives and 2016-HES2, • a copy of communications/ target audiences selected. Develop culturally and linguistically September promotion items. appropriate campaign messages. Implement selected communication 30,2017 I strategies to support physical activity initiatives including PRS to promote selected campaign messages. ---------------- ----J ----------------------~-------------Page 35 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use agreements in communities and jurisdictions # Activity ITimeline Responsible Deliverables 4 Contractor will work with UCD to identify and collect public data for I October 1 HE, HES1, Submit to CDPH: required performance measure 1.3. Attend required webinars and 2016-HES2, • a compilation of public data trainings on public data collection and performance measures !September collected, and sponsored by COPH. J30,2017 • a copy of event agendas. -Strategy 1.4: Develop and or implement transportation and community plans that promote walking # Activity Timeline Responsible Deliverables 1 Based on assessment results, Contractor will collaborate with Fresno I October 1 PI, HE, Submit to CDPH: COG and TCC, identify 1-2 target communities (city or unincorporated 2016-• a copy of meeting community) and provide input to city or county general, transportation j September agendas/minutes and bicycle master plans and community transportation plans to increase 1 30, 2017 • copies of target communities' number of communities that promote walking and active transportation, : plan(s). and use of public transportation. i 2 Contractor will coordinate with TCC, target city/county officials I October 1 HE, HES1, Submit to CDPH: including law enforcement, and community members to conduct 1-2 12016 -HES2, • a copy of the walkability walkability assessments in target communities to determine scope of j September assessment(s). problem and highlight changes needed to create safe environments for i 30, 2017 active transportation. 3 Contractor will coordinate with TCC, target city/county officials October 1 PI, HE, Submit to CDPH: including law enforcement, and community members to utilize the 2016 -• a copy of meeting completed walkability assessment(s) to identify potential local active September agendas/minutes and transportation project(s) for funding from CaiTrans and other funding 30, 2017 • list of the potential projects sources. identified. 4 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 1.4. Attend required webinars and 2016 -HES2, • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30, 2017 • a copy of event agendas. ------------------Page 36 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Component 1 b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes, heart disease and stroke prevention efforts Program Strategy 1.5: Plan and execute strategic data-driven actions through a network of partners and local organizations to build support for lifestyle change # Activity !Timeline Responsible Deliverable& 1 Contractor will work with Health Clinic Subcontractor to refer patients I October 1 HE, HES1, Submit to CDPH: and interested community members to scheduled NDPP classes at 12016-HES2, Health • a copy of classes scheduled, health centers. 1september Clinic • referral and attendance logs 130,2017 Subcontractor (summary numbers only). j (TBD) I ' 2 Contractor will work with Health Clinic Subcontractor to refer patients ! October 1 HE, HES1, Submit to CDPH: and interested community members to chapters of TOPS at health j2016-HES2, Health • a copy of classes scheduled, centers and nearby CBOs with weekly meetings for members. iSeptember Clinic • referral and attendance logs 130.2017 Subcontractor (summary numbers only). I (TBD) I 3 Contractor will work with UCD to identify and collect public data for foctober 1 HE, HES1, Submit to CDPH: required performance measure 1.5. Attend required webinars and ; 2016-HES2 . • a compilation of public data ! trainings on public data collection and performance measures \September I collected, and sponsored by CDPH. 130.2017 I • a copy of event agendas. -~ -----Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change # Activity Timeline Responsible Deliverables ----1 Utilizing the Chronic Disease Prevention Messaging Toolkit, Contractor October 1 HE, HES1, Submit to CDPH: will work with Health Clinic Subcontractor to develop a plan for how 2016-HES2, Health • a copy of planning meeting partners (CBOs, Fresno County Department of Public Health, Health September Clinic agendas/minutes, and Clinic Subcontractor, community champions) will work together to 30.2017 Subcontractor • the outreach/marketing plan. conduct outreach/marketing, build support for and increase referrals to (TBD), NDPP and TOPS. Review and update annually. -----------~--~ Page37 of 55 ! Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change # Activity nmeline Responsible Deliverables 2 In collaboration with CDPH, Contractor will adapt CDC NDPP October 1 HE, HES1, Submit to CDPH: communications and marketing materials and mobilize champions to 2016-HES2, Health • a copy of promotional materials disseminate in target communities as a means to increase reach to September Clinic developed, and and engagement of priority populations. Assess reach and outcomes of 30,2017 Subcontractor • distribution and reach log. lifestyle change strategies and marketing efforts and refine as (TBD), necessary. 3 Contractor will work with UCD to identify and collect public data for ; October 1 HE, HES1, Submit to CDPH: required performance measure 1.6. Attend required webinars and i 2016-HES2 • a compilation of public data trainings on public data collection and performance measures \September collected, and sponsored by CDPH. 130,2017 • a copy of event agendas. Program Strategy 1.7: Increase coverage for evidence-based supports for lifestyle change by working with network partners # Activity I Timeline Responsible Deliverables 1 Based on assessment results, Contractor will develop and implement l October 1 PI, HE, HES1 I Submit to CDPH: an action plan to establish or increase insurance coverage of LCPs i 2016-HES2 • action plan timeline. within county. I September 30,2017 2 Contractor will work with UCD to identify and collect public data for 1 October 1 · HE, HES1, Submit to CDPH: required performance measure 1. 7. Attend required webinars and 12016-HES2 j • a compilation of public data trainings on public data collection and performance measures September I collected, and -· sponsored by CDPH. --· 30,2017 , • a copy of event agendas. Page 38 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension and Pre-diabetes Disparities Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve performance (pursuant to federal and state guidelines) # Activity !nmeline Responsible Deliverables 1 Contractor will recruit providers/health systems to participate in CVHIE I October 1 PI, HE, Submit to CDPH: to promote reporting on NQF 18 and 59 and standardized clinical j 2016-Epidemiologist • a copy of meeting quality measures for management and treatment of patients with HBP. 1 September agendas/minutes. j 30,2017 2 Contractor will work with Health Clinic Subcontractor to create and/or I October 1 HE, HES1, Submit to CDPH: adapt existing Patient-centered Medical Home (PCMH) certification 2016 -HES2, Health • a copy of promotional materials, materials for use with partners of the California Primary Care ! September Clinic • materials distribution log, and Association or the County Medical Society. !.30. 2017 Subcontractor • meeting agendas/minutes. ! (TBD), i 3 Contractor will work with UCD to identify and collect public data for j October 1 HE, HES1, Submit to CDPH: required performance measure 2.1. Attend required webinars and 2016-HES2 • a compilation of public data trainings on public data collection and performance measures I September collected, and sponsored by CDPH. • a copy of event agendas. 30, 2017 ----------~--Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level # Activity Time line Responsible Deliverables 1 Contractor will work with Health Clinic Subcontractor to convene October 1 HE, HES1, Submit to CDPH: representatives from FQHCs and CVHIE in the county to develop 2016-HES2, Health • a copy of meeting agendas/ protocols and processes for monitoring and sharing standardized September Clinic minutes. quality measures at the provider level. 30,2017 Subcontractor ' (TBD) 2 Contractor will work with Health Clinic Subcontractor to expand health ' October 1 HE, HES1, Submit to CDPH: system EHR analytics or participation in clinical quality dashboards for 2016-HES2, Health • a summary of systems in use. Health Clinic System patients with hypertension, pre-diabetes, and September Clinic diabetes. Promote quality improvement through the implementation of 30,2017 Subcontractor systems that provide relevant and timely patient public data to (TBD) providers and health systems. -Page 39 of 55 i I I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level # Activity Time line Responsible Deliverable& 3 Contractor will work with UCD to identify and collect public data for I October 1 HE, HES1, Submit to CDPH: required performance measure 2.1. Attend required webinars and 2016-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30,2017 • a copy of event agendas . ... _-. Program Strategy 2.3: Increase engagement of non-physician team members in hypertension management in community health care systems # Activity jTimeline Responsible Deliverable& 1 Based on scan results, Contractor will work with Health Clinic I October 1 HE, HES1, Submit to CDPH: I Subcontractor to promote adoption by Health Clinic System providers 12016-HES2, Health • a copy of adopted procedures/ of procedures/protocols that support the implementation of !September Clinic protocols. comprehensive health care teams. Contractor will monitor and track i30.2017 Subcontractor procedures/protocols adopted by providers. ! (TBD) 2 Contractor will work with Health Clinic Subcontractor to Utin~~ October 1 HE, HES1, Submit to CDPH: results to identify evidence and practice tools to share with the proviaer ; 2016 -HES2, Health • a copy of training materials, and community that support the implementation of evidence-based I September Clinic • meeting agendas/minutes. guidelines for HBP, such as the MHI hypertension protocols i.e., 130,2017 Subcontractor through local medical society. Identify training and TA needs to I (TBD), i facilitate adoption/implementation of tools with Health Clinic Systems. i 3 Contractor will work with Health Clinic Subcontractor to develop a ! October 1 HE, HES1, Submit to CDPH: workgroup and project work plan to fill 1-2 of the evidence gaps ;2016-HES2, Health • a summary of the evidence specified in The Community Guide at !September Clinic gathered and htt12://www. thecommunit~uide. org/cvd/RGteambasedcare. htm I !30, 2017 Subcontractor • a summary of gap(s) identified. I (TBD) 1 --4 Contractor will work with UCD to identify and collect public data for ; October 1 HE, HES1, Submit to CDPH: required performance measure 2.3. Attend required webinars and ; 2016-HES2 • a compilation of public data trainings on public data collection and performance measures l September collected, and sponsored by CDPH. 130,2017 • a copy of event agendas. ______ l_ _____ -------------·-·~--------Page 40 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.4: Increase use of self-measured blood pressure monitoring tied with clinical support # Activity Timellne Responsible Deliverables 1 Contractor will work with Health Clinic Subcontractor to research model October 1 HE, HES1, Submit to CDPH: practices, outcomes, and benefits to promote the adoption and EHR 2016-HES2, Health • a copy of sample adopted EHR use by Health Clinic System that include integrated HBP algorithms September Clinic systems. and supports for provider prompts/feedback, patient communication, 30,2017 Subcontractor and public data tracking, monitoring, and reporting. (TBD) 2 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.4. Attend required webinars and 2016-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30,2017 • a copy of event agendas. Program Strategy 2.5: Implement systems to facilitate Identification of patients with undiagnosed hypertension and people with prediabetes # Activity Timellne I Responsible Deliverables --1 Contractor will work with Health Clinic Subcontractor to develop and October 1 HE, HES1, Submit to CDPH: implement a plan for improving the system for identifying and 2016-HES2, Health • a copy of the implementation plan. monitoring patients with HBP in Health Clinic System. September Clinic 30,2017 Subcontractor 1 (TBD) -October 1 i HE, HES1, 2 Contractor will work with UCD to identify and collect public data for Submit to CDPH: required performance measure 2.5. Attend required webinars and 2016-I HES2 • a compilation of public data trainings on public data collection and performance measures September i collected, and sponsored by CDPH. 30,2017 [ • a copy of event agendas. ---------! Page 41 of 55 County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Component 2b: Community Clinical Linkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults with high blood pressure and adults with pre-diabetes or at high risk for type 2 diabetes # Activity Time line Responsible Deliverables 1 As a result of the health system scan, Contractor will develop a plan to October 1 HE, HES1, Submit to CDPH: promote systematic change to involve Health Clinic System CHWs to 2016-HES2, Health • a copy of the plan and promote linkages between health systems and community resources to September Clinic • a summary of changes made. improve outcomes for heart disease and diabetes. Contractor will work 30,2017 Subcontractor with Health Clinic Subcontractor to coordinate with others working on (TBD) CHW initiatives for awareness, input, and support. Contractor will work I with CHWs for their input and guidance on promotional strategies between health systems and community resources and monitor change. 2 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.6. Attend required webinars and 2016-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30,2017 • a copy of event agendas. ·-Program Strategy 2.7: Increase engagement of community pharmacists in the provision of medication-/self-management for adults with high blood pressure # Activity Timeline Responsible Deliverables 1 Contractor will identify and convene appropriate partners to identify October 1 I HE, HES1, Submit to CDPH: and share best practices, including training of pharmacists and 2016-HES2 • a copy of meeting agendas/ mechanism of payment; promoting inclusion of pharmacists in the team September 1 minutes. for community-based medication reconciliation/reporting to providers 30,2017 and hypertension self-management. 2 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.7. Attend required webinars and 2016-HES2 • a compilation of public data trainings on public data collection and performance measures September . collected, and sponsored by CDPH. 30,2017 I • a copy of event agendas. l Page 42 of 55 i I I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.8: Implement systems and Increase partnerships to facilitate bi-directional referral between community resources and health systems, Including lifestyle change programs # Activity Timellne Responsible Deliverables 1 Contractor will institute 211 service LCPs for HBP and prediabetes, October 1 HE, HES1, Submit to CDPH: and/or identify other entities that could serve as a source for 2016-HES2 • a copy of meeting agendas/ community referrals to LCPs. Develop tracking/monitoring system for September minutes, referrals. 30,2017 • 211/referral system service promotion materials, and l • summary of the tracking/monitoring I system. 2 Contractor will work with Health Clinic Subcontractor to educate Health I October 1 HE, HES1, Submit to CDPH: Clinic Systems about community resources available for patients with 2016-HES2, Health • a copy of training materials, and HBP and pre-diabetes, and the benefrts of using a community referral September Clinic • 211/referral system service system, such as 211, within their organization (e.g. utilizing EHR to 30.2017 Subcontractor promotion materials. refer patients to community resources). Determine what (TBD), resources/systems are needed to ensure bi-directional referrals are made. 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: i required performance measure 2.8. Attend required webinars and 2016-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 30,2017 • a copy of event agendas. Page43 of 55 Cross-cutting (applies to all components) Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Cross-Cut·Strategy: Build local capacity and document lessons learned of implementing local health departments and partners. # Activity Timeline Responsible Deliverable& 1 Contractor will attend training sessions, conferences, and webinars on October 1 PI, HE, HES1, Submit to CDPH: specific content areas to augment the internal team's skills and 2016-HES2, SA I, • copies of training agendas. program effectiveness (topics could include, public data mining health September Epidemiologist records, increasing community-clinical linkages, etc.). 30,2017 2 Contractor Will send at least 2 staff to attend CDPH required annual March 1-PI, HE, HES1, Submit to CDPH: meeting (1) and trainings (1-2 per year) in Sacramento. Meetings September HES2 • copies of confirmed travel may include: "Program Kick Off", SALT, and NDPP. j30,2015 arrangements. 3 Contractor will provide a description of best practice, noting whether it l October 1 HE Submit to CDPH: refers to innovative educational materials/presentations, policies, i 2016-• a copy of best practices summary success stories, or other. \September report. l30.2017 ' 4 Contractor will participate in focus groups and planning workgroups. I October 1 HE Submit to CDPH: Fo~s groups may include TA, educational materials, and/or review of 12016-• copies of meeting evaluation tools. Workgroups may include sodium taskforce, and September ! agendas/minutes. NDPP. :30, 2017 I ! 5 Contractor will provide internal support including logistics and ! March 1-OA Ill Submit to CDPH: paperwork for orders, mailing, travel, meetings, technical support, !September • timesheets, and training, etc. 130,2015 • documentation of logistical I processes. ---L__ ___ ----------·-· --·· --------! __ -----------Page44 of 55 ! County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work ,;;z~~~t~!(~(-component 1a: Environmental Strategies to Promote Health and Support and Reinforce Healthful Behaviors Strategy 1.1: Implement nutrition and beverage standards including sodium standards In public institutions, worksites and other key locations such as hospitals # Activity Timeline Responsible Deliverables 1 Contractor will identify and participate in national and state meetings, October 1 PI, HE, HES1, Submit to CDPH: webinars and conferences as appropriate to increase local knowledge 2017-HES2 • a copy of event agendas. and capacity. September Suggestions include AHA, ASTHO, NSRI, CDC Healthy Food Service 29,2018 Guidelines, SALT, and MHI. .... 2 Contractor will work with identified target worksites to develop, adopt, October 1 PI, HE, HES1, Submit to CDPH: and implement food procurement guidelines that include sodium 2017-HES2 • a copy of training materials, reduction to increase availability of healthy foods and beverages. September • meeting agendas/minutes, 29,2018 • target worksite procurement guidelines, and • implementation plan(s). 3 Contractor will meet with directors of other county departments and October 1 i PI, HE, HES1, Submit to CDPH: share the FCDPH wellness policy. Through discussion, assess the 2017-HES2 • a copy of meeting viability of implementing a similar or modified version of the FCDPH September 1 agendas/minutes. wellness policy in the other departments. 29, 2018 ! 4 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measures within strategy 1.1. Attend required 2017-HES2, • a compilation of public data webinars and trainings on public data collection and performance September collected, and measures sponsored by CDPH. 29,2018 • a copy of event agendas. --~---·--Strategy 1.2: Strengthen healthier food access and sales in retail venues and community venues through increased availability, improved pricing, placement, and promotion # Activity Timeline Responsible Deliverables 1 Contractor will participate in quarterly 1-2 hour meetings of the October 1 HE, HES1, Submit to CDPH: FCHSHC to add capacity and implement additional interventions that 2017-HES2 • a copy of meeting encourage healthy retail environments with the goal to promote September agendas/minutes. healthier food access. -------29,2018 I Page 45 of 55 I i Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.2: Strengthen healthier food access and sales In retail venues and community venues through increased availability, improved pricing, placement, and promotion # Activity Timellne Responsible Deliverables 2 Contractor will use FCHSHC assessment public data and store public October 1 HE, HES1, Submit to CDPH: data from CDPH Environmental Health Division to identify stores for 2017-HES2 • a copy of FCHSHC assessment intervention. Work with FCHSHC and NEOP to identify specific !september results and activities needed to promote healthier food access in retail stores. 129,2018 l • retail promotion activities plan. 3 As part FCHSHC, Contractor will provide input to the "Healthy Stores l October 1 HE, HES1, Submit to CDPH: for a Healthy Community Campaign" to reinforce campaign messages ; 2017 -HES2 • a copy of meeting at the local level. If possible, utilize the CDPH Chronic Disease !September agendas/minutes, and Prevention Messaging Toolkit to develop culturally and linguistically 129,2018 • campaign messages. appropriate campaign messages. l ! 4 Contractor will recruit, determine specific training/resources needs, and i October 1 HE, HES1, Submit to CDPH: provide TA to at least 1-2 new owner/operator representatives' ; 2017-HES2 • a copy of meeting agenda/minutes, grocery/specialty food retailers including farmers' market operators to 1 September • training materials, and participate in the FCHSHC campaign to improve healthy options in . I 29, 2018 • photos of the campaign materials their stores. in the retailer venue. 5 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measures within strategy 1.2. Attend required 2017-HES2 • a compilation of public data webinars and trainings on public data collection and performance September collected, and measures sponsored by CDPH. 29,2018 • a copy of event agendas. Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use agreements In communities and jurisdictions # Activity Timeline Responsible Deliverable& 1 Contractor will participate in quarterly 1-2 hour Healthy Lifestyle October 1 PI, HE, HES1, Submit to CDPH: Partnership (HLP) meetings (county coalition facilitated by NEOP) to 2017-HES2 • a copy of meeting plan and implement community initiatives that promote physical September agendas/minutes. activity. 29,2018 -----· .. Page 46 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Strategy 1.3: Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint use agreements in communities and jurisdictions # Activity Timeline Responsible Deliverables 2 Contractor will provide training and TA to facilitate the development October 1 HE, HES1, Submit to CDPH: and implementation of the selected physical activity initiatives. 2017-HES2 • a copy of meeting agenda/minutes September and photos. 29,2018 • Additional specific deliverables will be identified after the initiatives are selected. 3 Contractor will work with HLP and PICH to assess the effectiveness of October 1 PI, HE, HES1, Submit to CDPH: potential promotional/marketing approaches for the PA initiatives and 2017-HES2 • a copy of communications/ target audiences selected. September promotion items. Develop culturally and linguistically appropriate campaign 29,2018 messages for activities within strategy 1.3. Implement selected communication strategies to support physical activity initiatives ! including PRS to promote selected campaign messages. I 4 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 1.3. Attend required webinars and i2017-HES2 • a compilation of public data trainings on public data collection and performance measures I September collected, and sponsored by CDPH. • a copy of event agendas. 29,2018 ~~-----Strategy 1.4: Develop and or implement transportation and community plans that promote walking # Activity Timeline i Responsible Dellverables 1 Based on assessment results, Contractor will collaborate with Fresno October 1 PI, HE, Submit to CDPH: COG and TCC, identify 1-2 target communities (city or unincorporated 2017-• a copy of meeting community) and provide input to city or county general, transportation September agendas/minutes and bicycle master plans and community transportation plans to increase 29,2018 • copies of target communities' number of communities that promote walking and active transportation, plan(s). and use of public transportation. Page 47 of 55 County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Strategy 1.4: Develop and or implement transportation and community plans that promote walking # Activity nmeline Responsible 2 Contractor will coordinate with TCC, target city/county officials October 1 PI, HE, including law enforcement, and community members to utilize the 2017-completed walkability assessment(s) to identify potential local active September transportation project(s) for funding from CaiTrans and other funding 29,2018 sources. 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, required performance measure 1.4. Attend required webinars and 2017-1HES2 trainings on public data collection and performance measures September 1 sponsored by CDPH. 29,2018 ---------~~--~----~------------~-~-~-------------Deliverables Submit to CDPH: • a copy of meeting agendas/minutes and • list of the potential projects identified. Submit to CDPH: • a compilation of public data collected, and • a copy of event agendas. -------------Component 1 b: Strategies to build support for healthy lifestyles, particularity for those at high risk, to support diabetes and heart disease and stroke prevention efforts Program Strategy 1.5: Plan and execute strategic data-driven actions through a network of partners and local organizations to build support for lifestyle change # Activity Timeline Responsible Dellverables 1 Contractor will work with Health Clinic Subcontractor to refer patients October 1 I HE, HES1, Submit to CDPH: and interested community members to scheduled NDPP classes at 2017-HES2, Health • a copy of classes scheduled, Health Clinic System health centers. September Clinic • referral and attendance logs 29,2018 Subcontractor (summary numbers only). (TBD) 2 Contractor will work with Health Clinic Subcontractor to refer patients October 1 l HE, HES1, Submit to CDPH: and interested community mem~rs to chapters of TOPS at Health 2017 -HES2, Health • a copy of classes scheduled, Clinic System health centers and nearby CBOs with weekly meetings September 1 Clinic • referral and attendance logs for members. 29, 2018 I Subcontractor (summary numbers only). j (TBD) 3 Contractor will work with UCD to identify and collect public data for October 1 !HE, HES1, Submit to CDPH: required performance measure 1.5. Attend required webinars and 2017-IHES2 • a compilation of public data trainings on public data collection and performance measures September I collected, and sponsored by CDPH. 29, 2018 l • a copy of event agendas. ~-~ --------------------t --------~-------------Page48 of 55 Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 1.6: Implement evidence-based engagement strategies to build support for lifestyle change # Activity Timeline Responsible Deliverable& 1 Utilizing the Chronic Disease Prevention Messaging Toolkit, Contractor October 1 HE, HES1, Submit to CDPH: will work with Health Clinic Subcontractor to develop a plan for how 2017-HES2, Health • a copy of planning meeting partners (CBOs, Fresno County Department of Public Health, Health September Clinic agendas/minutes, Clinic System, community champions) will work together to conduct 29,2018 Subcontractor • the outreach/marketing plan. outreach/marketing, build support for and increase referrals to NDPP (TBD), and TOPS. Review and update annually. 2 In collaboration with CDPH and Health Clinic Subcontractor, Contractor October 1 HE, HES1, Submit to CDPH: will adapt CDC NDPP communications and marketing materials and ,2017-HES2, Health • a copy of promotional materials mobilize champions to disseminate in target communities as a means September Clinic developed, to increase reach to and engagement of priority populations. Assess 29,2018 Subcontractor • distribution and reach log. reach and outcomes of lifestyle change strategies and marketing (TBD), efforts and refine as necessary. 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 1.6. Attend required webinars and 2017-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 29,2018 • a copy of event agendas. ~ ----------------Program Strategy 1. 7: Increase coverage for evidence-based supports for lifestyle change by working with network partners # Activity Time line Responsible Deliverables 1 Based on assessment results, Contractor will develop and implement October 1 PI, HE, HES1, Submit to CDPH: an action plan to establish or increase insurance coverage of LCPs 2017-HES2 • action plan timeline. within county. September 29, 2018 i 2 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: ' required performance measure 1.7. Attend required webinars and 2017-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 29.2018 • a copy of event agendas. ------~------L____ _____ ---~ Page 49 of 55 County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Component 2a: Health System Interventions to Improve the Quality of Health Care Delivery to Populations with the Highest Hypertension and Prediabetes Disparities Program Strategy 2.1: Increase electronic health records (EHR) adoption and the use of health information technology (HIT) to improve performance {pursuant to federal and state guidelines) -------# Activity iTimeline Responsible Deliverables ... 1 Contractor will recruit providers/health systems to participate in CVHIE ·October 1 PI, HE, Submit to CDPH: to promote reporting on NQF 18 and 59 and standardized clinical 2017-Epidemiologist • a copy of meeting quality measures for management and treatment of patients with HBP. September agendas/minutes. 29,2018 2 Contractor will work with UCD to identify and collect public data for !October 1 HE, HES1, Submit to CDPH: required performance measure 2.1. Attend required webinars and 2017-HES2 • a compilation of public data trainings on public data collection and performance measures I September collected, and sponsored by CDPH. • a copy of event agendas. 29,2018 -~---------------~ ~---~------------------Program Strategy 2.2: Increase the institutionalization and monitoring of aggregated/standardized quality measures at the provider level # Activity Tlmeline Responsible ! Deliverables 1 Contractor will work with Health Clinic Subcontractor to convene October 1 HE, HES1, I Submit to CDPH: representatives from FQHCs and CVHIE in the county to develop 2017-HES2, Health • a copy of meeting protocols and processes for monitoring and sharing standardized 'September Clinic agendas/minutes. quality measures at the provider level. 29,2018 Subcontractor (TBD) ··-~ 2 Contractor will work with Health Clinic Subcontractor to expand health October 1 HE, HES1, Submit to CDPH: system EHR analytics or participation in clinical quality dashboards for 2017-HES2, Health • a summary of systems in use. Health Clinic System patierts with hypertension, pre-diabetes, and September Clinic diabetes. Promote quality improvement through the implementation of 29,2018 Subcontractor systems that provide relevant and timely patient public data to (TBD), providers and health systems. 3 Contractor will work with UCD to identify and collect public data for October 1 1HE, HES1, Submit to CDPH: required performance measure 2.1. Attend required webinars and 2017-!HES2 • a compilation of public data trainings on public data collection and performance measures September I collected, and sponsored by CDPH. 29,2018 • a copy of event agendas. -~~ ~--Page 50 of 55 l County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Program Strategy 2.3: Increase engagement of non-physician team members In hypertension management In community health care systems # Activity nmeline Responsible Deliverables -1 Based on scan results, Contractor will work with Health Clinic joctober 1· HE, HES1, Submit to CDPH: Subcontractor to promote adoption by Health Clinic System providers i2017-HES2, Health • a copy of adopted of procedures/protocols that support the implementation of ~September Clinic procedures/protocols. comprehensive health care teams. Monitor and track providers who 29, 2018 Subcontractor adopt procedures/protocols. ; (TBD) I 2 Contractor will work with Health Clinic Subcontractor to utilize scan i October 1 HE, HES1, Submit to CDPH: results to identify evidence and practice tools to share with the provider 2017 -HES2, Health • a copy of training materials, and community that support the implementation of evidence-based September Clinic • meeting agendas/minutes. guidelines for HBP, such as the MHI hypertension protocols i.e., 29,2018 Subcontractor through local medical society. Identify training and TA needs to (TBD), facilitate adoption/implementation of tools with Health Clinic Subcontractor. 3 Contractor will work with Health Clinic Subcontractor to develop a I October 1 HE, HES1, Submit to CDPH: workgroup and project work plan to fill 1-2 of the evidence gaps 2017-HES2, Health • a summary of the evidence specified in The Community Guide at September Clinic gathered and httQ://www. thecommunity:guide. oratcvd/RGteambaset:Acare. htrn! 29,2018 Subcontractor • gap(s) identified. i (TBD) 4 Contractor will work with UCD to identify and collect public data for October 1 I HE, HES1, Submit to CDPH: required performance measure 2.3. Attend required webinars and 2017-HES2 • a compilation of public data trainings on public data collection and performance measures !September collected, and sponsored by CDPH. 29,2018 • a copy of event agendas. ---~----------Program Strategy 2.4: Increase use of self-measured blood pressure monit~ring tied with clinical support # Activity Timellne l Responsible Deliverables 1 Contractor will work with Health Clinic Subcontractor to research model October 1 HE, HES1, Submit to CDPH: practices, outcomes, and benefits to promote the adoption and EHR 2017-HES2, Health • a copy of sample adopted EHR use with Health Clinic System health centers that include integrated September Clinic systems. HBP algorithms and supports for provider prompts/feedback, patient 29,2018 Subcontractor communication, and public data tracking, monitoring, and reporting. (TBD) -'---~~~-Page 51 of 55 i I County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Program Strategy 2.4: Increase use of self-measured bl ood pressure monitoring tied with clinical support ------ublic data for ebinars and easures # !Activity 2 Contractor will work with UCD to identify and collect p required performance measure 2.4. Attend required w trainings on public data collection and performance m sponsored by CDPH. !rimeline -......---October 1 2017-September 29,2018 Responsible Deliverables HE, HES1, Submit to CDPH: HES2 • a compilation of public data collected, and • a copy of event agendas. Program Strategy 2.5: Implement systems to facilitate identification of patients with undiagnosed hypertension and people with prediabetes # Activity !Timeline Responsible Deliverable& -1 Contractor will work with Health Clinic Subcontractor to develop and j October 1 HE, HES1, Submit to CDPH: implement a plan for improving the system for identifying and ,2017-HES2, Health • a copy of the plan. I monitoring patients with HBP in Health Clinic System. )September Clinic ;29,2018 Subcontractor ~·J_. {TBD) 2 Contractor will work with UCD to identify and collect public data for j October 1 HE, HES1, Submit to CDPH: required performance measure 2.5. Attend required webinars and ;2017-HES2 • a compilation of public data trainings on public data collection and performance measures ~September collected, and sponsored by CDPH. .J. 29, 2018 • a copy of event agendas. Component 2b: Community Clinical Linkage Strategies to Support Heart Disease and Stroke and Diabetes Prevention Efforts -Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults with high blood pressure and adults with pre-diabetes or at high risk for type 2 diabetes # Activity !Timeline Responsible Deliverables 1 As a result of the health system scan, Contractor will work with Health I October 1 HE, HES1, Submit to CDPH: Clinic Subcontractor to develop a plan to promote systematic change . 2017 -HES2, Health • a copy of the plan and to involve Health Clinic System CHWs to promote linkages between jSeptember Clinic • a summary of coanges made. health systems and community resources to improve outcomes for 29, 2018 Subcontractor heart disease and diabetes. Coordinate with others working on CHW {TBD) I initiatives for awareness, input, and support. Work with CHWs for their input and guidance on promotional strategies between health systems I and community resources. Monitor change. -----·-· -------Page 52 of 55 i I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Program Strategy 2.6: Increase engagement of CHWs to promote linkages between health systems and community resources for adults with high blood pressure and adults with pre-diabetes or at high risk for type 2 diabetes # Activity Timeline Responsible Deliverables 2 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.6. Attend required webinars and 2017-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 29,2018 • a copy of event agendas. Program Strategy 2.7: Increase engagement of community phannacists in the provision of medication-/self-management for adults with high blood pressure # Activity JTimellne Responsible Deliverables 1 Identify and convene appropriate partners to identify and share best ! October 1 HE, HES1, Submit to CDPH: practices, including training of pharmacists and mechanism of i 2017-HES2 • a copy of meeting agendas/ payment; promoting inclusion of pharmacists in the team for I September minutes. communii¥-based medication reconciliation/reporting to providers and ! 29, 2018 hypertension self-management. j 2 Contractor will work with UCD to identify and collect public data for l October 1 HE, HES1, I Submit to CDPH: required performance measure 2.7. Attend required webinars and 2017-HES2 • a compilation of public data trainings on public data collection and p~rformance measures !September collected, and sponsored by CDPH. 29,2018 -~ a copy of event agendas. ~---------~ ----------Program Strategy 2.8: Implement systems and increase partnerships to facilitate bi-directional referral between community resources and health systems, including lifestyle change programs # Activity Timeline Responsible Deliverables . 1 Contractor will institute 211 services LCPs for HBP and pre-diabetes, October 1 HE, HES1, Submit to CDPH: and/or identify other entities that could serve as a source for 2017-HES2 • a copy of meeting community referrals to LCPs. Develop tracking/monitoring system for September agendas/minutes, referrals. 29,2018 • 211/referral system service promotion materials, and j • a summary of the --j __ ._ -------------tracking/monitoring system. Page 53 of 55 County of Fresno Department of Public Health 14-10712 Exhibit A Scope of Work Program Strategy 2.8: Implement systems and Increase partnerships to facilitate bi-directional referral between community resources and health systems, including lifestyle change programs # Activity Timeline Responsible Deliverables 2 Contractor will work with Health Clinic Subcontractor to educate Health ; October 1 HE, HES1, Submit to CDPH: Clinic System providers about community resources available for 12017-HES2, Health • a copy of training materials, and patients with HBP and pre-diabetes, and the benefits of using a September Clinic • 211/referral system service community referral system, such as 211, within their organization (e.g. 29,2018 Subcontractor promotion materials. utilizing EHR to refer patients to community resources). Determine (TBD), what resources/systems are needed to ensure bi-directional referrals are made. 3 Contractor will work with UCD to identify and collect public data for October 1 HE, HES1, Submit to CDPH: required performance measure 2.8. Attend required webinars and 2017-HES2 • a compilation of public data trainings on public data collection and performance measures September collected, and sponsored by CDPH. 29,2018 • a copy of event agendas. -Cross-cutting (applies to all components) Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners. # Activity jTimeline Responsible Deliverables 1 Contractor will attend training sessions, conferences, and webinars on j October 1 PI, HE, HES1, Submit to CDPH: specific content areas to augment the internal team's skills and 2017 -HES2, SA I, • copies of training agendas. program effectiveness (topics could include, public data mining health i September Epidemiolqgist records, increasing community-clinical linkages, etc.). j29, 2018 2 Contractor will send at least 2 staff to attend CDPH required annual ! March 1-PI, HE, HES1, Submit to CDPH: meeting (1) and trainings (1-2 per year) in Sacramento. Meetings may September · HES2 • copies of confirmed travel include: "Program Kick Off', SALT, and NDPP. 30,2015 arrangements. 3 Contractor will provide a description of best practice, noting whether it October 1 HE Submit to CDPH: refers to innovative educational materials/presentations, policies, 2017-• a copy of best practices summary success stories, or other. September report. 29,2018 -----~L...--··--Page 54 of 55 I Exhibit A Scope of Work County of Fresno Department of Public Health 14-10712 Cross-Cut Strategy: Build local capacity and document lessons learned of implementing local health departments and partners. # Activity Timeline Responsible Deliverable& 4 Contractor will participate in focus groups and planning workgroups. October 1 HE Submit to CDPH: Focus groups may include TA, educational materials, and/or review of 2017-• copies of meeting evaluation tools. Workgroups may include sodium taskforce, and September agendas/minutes. NDPP. 29,2018 5 Contractor will provide internal support including logistics and March 1-OA Ill Submit to CDPH: paperwork for orders, mailing, travel, meetings, technical support, September • timesheets, and training, etc. 30,2015 • documentation of logistical processes. -----Page 55 of 55 ---··-.~ -·. ·--··---..--·-···-··--·. -·-··-. ·--·-·· 14-10712 Exhibit 8 Budget Detail and Payment Provisions 1. Invoicing and Payment A In no event shall the County request reimbursement from the State for obligations entered into or for costs incurred prior to the commencement date or after the expiration of this Agreement. B. For services satisfactorily rendered and upon receipt and approval of the invoices, California Department of Public Health (CDPH) agrees to compensate the County for actual expenditures incurred in accordance with the rates specified herein or attached hereto. C. The County shall submit, in arrears, not more frequently than once a month, and no less than quarterly, an invoice to CDPH for costs incurred pursuant to this agreement. In Addition, each invoice shall contain the following: 14-10712 Lisa Pulido California Department of Public Health Chronic Disease Control Branch MS 7208 P.O. Box 997377 Sacramento, CA 95899-7377 D. Invoices shall: 1) Be prepared on County letterhead and bear the County name as shown on the agreement. If invoices are not on produced letterhead invoices must be signed by an authorized official, employee or agents certifying that the expenditures claimed represent actual expenses for the service performed under this contract. 2) Invoices must be submitted to CDPH electronically only. Hard copies are not required. 3) Identify the billing and/or performance period covered by the invoice. 4) Itemize costs for the billing period in the same or greater level of detail as indicated in this agreement. Subject to the terms of this agreement, reimbursement may only be sought for those costs and lor cost categories expressly identified as allowable in this agreement may be reimbursed. E. Timely Submission of Final Invoice 1) A final undisputed invoice shall be submitted for payment no more than sixty (60) calendar days following the expiration or termination date of this agreement, unless a later or alternate deadline is agreed to in writing by the program project representative, as shown in Exhibit A, provision SA Said invoice should be clearly marked "Final Invoice", indicating that all payment obligations of CDPH under this agreement have ceased and that no further payments are due or outstanding. CDPH may, at its discretion, choose not to honor any delinquent final invoice if the County fails to obtain prior written CDPH approval of an alternate final invoice submission deadline. 2) The Contractor is hereby advised of its obligation to submit to the state, with the final invoice, a completed copy of the "Contractor's Release (Exhibit F)". Page 1 of 4 14-10712 Exhibit 8 Budget Detail and Payment Provisions 2. Budget Contingency Clause A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the program, this Agreement shall be of no further force and effect. In this event, the State shall have no liability to pay any funds whatsoever to Contractor or to furnish any other considerations under this Agreement and Contractor shall not be obligated to perform any provisions of this Agreement. B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program, the State shall have the option to either cancel this Agreement with no liability occurring to the State, or offer an agreement amendment to Contractor to reflect the reduced amount. 3. Payment A. Costs for this Agreement shall be computed in accordance with State Administrative Manual Sections 8752 and 8752.1. B. Nothing herein contained shall preclude advance payments pursuant to Article 1, Chapter 3, Part 1, Division 3, Title 2 of the Government Code of the State of California. 4. Advance Payments No advance payment is allowed under this agreement 5. Amounts Payable A. The amounts payable under this agreement shall not exceed: 1) $638,429 for the budget period of 03/01/2015 through 09/30/2015. 2) $638,429 for the budget period of 10/01/2015 through 09/30/2016. 3) $638,429 for the budget period of 10/01/2016 through 09/30/2017. 4) $638,429 for the budget period of 10/01/2017 through 09/29/2018. B. Reimbursement shall be made for allowable expenses up to the amount annually encumbered commensurate with the state fiscal year in which services are performed and/or goods are received. 6. Expense Allowability I Fiscal Documentations A. Invoices, received from the County and accepted for payment by CDPH, shall not be deemed evidence of allowable agreement costs. B. The County shall maintain for review and audit and supply to CDPH upon request, adequate documentation of all expenses claimed pursuant to this agreement to permit a determination of expense allowability. Page 2 of 4 -------., --.--------·-------------·----·---·--·-·· 14-10712 Exhibit B Budget Detail and Payment Provisions C. If the allowability of an expense cannot be determined by CDPH because invoice detail, fiscal records, or backup documentation is nonexistent or inadequate according to generally accepted accounting principles or practices, all questionable costs may be disallowed and payment may be withheld by CDPH. Upon receipt of adequate documentation supporting a disallowed or questionable expense, reimbursement may resume for the amount substantiated and deemed allowable. D. If travel is a reimbursable expense, receipts must be maintained to support the claimed expenditures. 7. Travel and Per Diem Reimbursement Travel and per diem reimbursement shall be in accordance with State travel regulations and rates. Reimbursement for out-of-state travel requires prior written authorization by the CDPH program Contract Manager who may either approve said travel in a budget exhibit or issue a letter of approval if such travel was not previously specified in an approved budget. A copy of the Contractor's approved travel rates shall be provided to CDPH upon request. 8. Federal Contract Funds A It is mutually understood between the parties that this contract may have been written for the mutual benefit of both parties before ascertaining the availability of congressional appropriation of funds to avoid program and fiscal delays that would occur if the contract were executed after that determination was made. B. This contract is valid and enforceable only if sufficient funds are made available to·the State by the United States Government for the fiscal year(s) 2014-2018 for the purpose of this program. In addition, this contract is subject to any additional restrictions, limitations, or conditions enacted by the Congress or to any statute enacted by the Congress that may affect the provisions, terms or funding of this agreement in any manner. C. The parties mutually agree that if the Congress does not appropriate sufficient funds for the program, this agreement shall be amended to reflect any reduction in funds. D. The department has the option to invalidate the contract under the 30-day cancellation clause or to amend the contract to reflect any reduction in funds. 9. Recovery of Overpayments A Contractor agrees that claims based upon the terms of this agreement or an audit finding, and/or an audit finding that is appealed and upheld, will be recovered by the State by one of the following options: 1) Contractor's remittance to the State of the full amount of the audit exception within 30 days following the State's request for repayment; 2) A repayment schedule which is agreeable to both the State and the Contractor. B. The State reserves the right to select which option as indicated above in paragraph A will be employed and the Contractor will be notified by the State in writing of the claim procedure to be utilized. Page 3 of4 14-10712 Exhibit 8 Budget Detail and Payment Provisions C. Interest on the unpaid balance of the audit finding or debt wilr accrue at a rate equal to the monthly average of the rate received on investments in the Pooled Money Investment Fund commencing on the date that an audit or examination finding is mailed to the Contractor, beginning 30 days after Contractor's receipt of the State's demand for repayment. D. If the Contractor has filed a valid appeal regarding the report of audit findings, recovery of the overpayments will be deferred until a final administrative decision on the appeal has been reached. If the Contractor loses the final administrative appeal, Contractor shall repay, to the State, the over-claimed or disallowed expenses, plus accrued interest. Interest accrues from the Contractor's first receipt of State's notice requesting reimbursement of questioned audit costs or disallowed expenses. Page 4 of 4 Budget Year 1 (03/01/2015 through 09/30/2015) Component 1 Task 1a Task 1b A# l 14-10712 ... .. ·· · Componenf2 Task 2a Task 2b Total Heart 30% Diabetes 70% Diabetes 30% Heart 70% .f!t.. PERSONNEL . ·· ... .... Position Title Base Salary Months Benefit% Cost Cost Cost Cost Total% Total Costs . I'TE Princioallnvestigator 77,792.00 7 64,74% •s 681 $ 1,588 $ 681 s 1.58R . ior. $ 4,538 Health Educator 45,058.00 3 70.76% ~$ 1 .• .183 s 2.760 s 1,1~ $ ·· ... Z-760 ?0% $ 7885 Health Education Specialist 38,740.00 3 '73.23% $ 1,307 s 3,051: s 1,307 $ 3~~1 90~ s 8,717 liealth Education Specialist ..... 38,740.00 3 73.23% :s 872 $ ... 2.034 $. an $ 2,034' 60% $ 5,811 Staff Analyst I 42,354.00 4 85:01% $ 424 $ 988 $ 424 $ . 988 . 20% $ 2.824 Office. Assistant II I 32,812.00 7 90.02% $ 718 $ ].,675 $ 718 s 1;,675 25% s 4,785 Epidemiologist 61,672.00 3 80.25% s 231 $ 54.0 .$ •••v 231 s .·.· 54o. 10% $ 1,542 Total Salaries $ 337,169 76.89% $ 5,415 $ 12,635 $ .. 5,415. $ 12,6.35 ·$ 36,101 B. FRINGE BENEFITS Ali~rage 76.119% of Personnel** IS 4,1641 $ 9,716l$ 4,164 I'$ 9. 7i61 $ 27,759 ..-Fresno County employees receive benefits based upon their date of hire, retirement tier level, and job classification. Benefit rates vary based upon the length of time in a position and changes yearly with merit adjustments, ..... . !Total Personnel Costs 1$ 9,5791$ 22,3511 $ 63;~0] .. . B. OPERATING EXP~$~ .. General Office Supplies $ 1,125 $ 2,625 $ 1,125 ~ .. 2.625 $ 7,500 Printing +cl,all Strategies; tCi, all Strategies $ 1,500 $ 3,500 $ 1,500. s 3,500 $ --"---w,ooo Meeting rooin rentals +Ci;all Strategies; +C2, all Strategies s 1so $ .. 350 s 150 $ •. 350 's 1,000 Communications s 375 f 875 s 375 $ 875 $ 2,500 ... $ Tech Support $ 75() s l,zso $ 750 J ),750 5,000 Total Operatin~: •$. 3,900 $ 9,100 $ 3,900 $ .... 9 •. ~go .s .. •' 26,000 --c:TRAVEL ..... :·· ... Local travel to complete SOW deliverables (1200 miles at $.575/mile) ~ $ 104 $ 242 $ 104 s 242 $ 690 tc1,all Strategi~; +C2, aU Strategies Conferences/Trainings (liotel, per diem, parking, and mileage) $ 405 s 945 $ 405 :s 945 $ 2,700 +Cl,all Strategies; tC2, all Strategies .... Total Travel $ 599 $ 1,18.7 $ .5.()9 $ 1,187 $ .. 3,390 D. SUBCONTRACTS. Health Clinic Subcontracto~ (TBD) +C1b,S1.5,A1-AS; S1.6,A1; +C2a,S2.1,A1; S2.2,A1; S2.3,A1-A2; S2.4,A1; 52.5,Al; $ $ 125,934 s 251,869 $ 125,934 .$ 503,737 +C2b,S2.6,A1; S2.8,A2 ---$ • $ 12S,934 $ . 251,869 $ ii5,934 $ 503,737 Total Subcontracts· E. OTHEI(C:Q$TS Public Relations Services (Media, Press release, Campaign) $ 2,550 $ 5,950 $ ,. .$ -$ 8,500 :+C1a,S1.2,A3; S1.3,A4 +Clb,S1.6,A2; S1.7,A2 Technical Assistance (Provider Support-TBD. Based on available funding) $ 1,125 $ 2,625 $ 1,125 s 2,625 $ 7,500 +C1a,Sl.l,A4; +C2a,S2.2,Al; •Cross-:CutA4 . ······ ··········• Meeting supplies, interpretation, and child care for all sessions and kick-off meetings. +Cl,all $ 375 :S 875 $ 375 $ 875 $ 2,500 Strategies; +C2, all Strategies Education/Training Matedills {Including related translation of materials) $ 1,750 $ 750 $ .;..: $ -$ 2,500 .+Cla,S1.1,A2,A4-A6; S1.3,A3-M;.+C1b,S1 .. 5,A5 :Total Other Costs .. $ 5,800 $ 10,200 $ 1,500 $ 3,SOO $ 21,000 ... TOTAL DIRECT COSTS Is 19,787 $ 168,7721$ 267,~5~1 $ 162,072($ ... 617,9871 Total Allowable Direct Casts J$ 19,787 $ s1,1n 1 s 23,821 [$ 44,47i Is 139,zso 1 f. INDIRECT COSTS Calculated at 14.68% of Total Allowable• Direct Costs Is 2,90SI $ 7,5121$ 3,497 rs 6,5281 $ 2D;442 •only the first $Z:s,ooo of each sl,.bcontract may be used in the calculation +Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A) -.............. ~,' .. '" ........ ·····-··· .. Budget Year 2 (10/01/2015 through 09/30/2016) 14-1071~ Component! Component 2 Task 1a Task lb Task 2a Task 2b Total Heart.30% Diabetes 70% Diabetes 30% Heart 70% A. PERSONNEL Position Title ' Months Benefit% Total% Base Salary Cost Cost Cost Cost Total Costs m Principal Investigator 7"1,792.00 12 64.74% $ 1,167 $ 2,723 $ 1167 rs 2,723 10% $~ 7 779 Health Educator ' 47,918.00 12 69.85% $ 5,031 s 11,740 $ 5,031 $ 11;,740 70% s 33,543 Health Education Specialist 41,210.00 12 72 . .18% $ 5,563 s 12,981 $ 5,563 $. 12~981. 90% Is 37,089 Health Education Specialist 41,210.00 12 72.18% $ 3 709 s 8.654 '$ 3 709 $ 8,654 60% $ 24;726 Staff Analyst I 45,032~00 12 82.20% $ 1,351 $ 3,152 s 1,351 ls 3152 20~ Ls 9,006 Office Assistant IIi . 34,892.00 12 85.97% s 1308 s 3,.053 s 1308 s 3,053 25% s 8,723 Epidemiologist 63,596.00 12 11.12r. ·s . 954. $ 2 .• 226 s 954 $ 2 2.26 . 10~ s 6,360 Total Salaries $ 351,651 74.89% $ 19,084 $ 44,529 $ 19,084 $ 44,529 $ 127,226 B. FRINGE BENEFITS Average 74.89% of Personnel•* IS 14,292 f S 33,3481$ 14,2921$ 33~3481 $ 95,281 **Fresno County employees receive benefits based upon their date of hire, retlrementtler level, and job classification. Benefit rates vary based upon the length oftime in a position and changes yearlv with merit adjustments. !Total Personnel Costs . . l$ 33,3161$ 77,877J$ B •. OPERATING EXPENSES .. General Office Supplies $ 450 $ 1,050 $ 450 $ 1,050 $ 3,000 +C1,all Strategies; +(::2, alf Strategies -2,13i $ 4;973 s ... 14,209 Printing $ 2;131 $ 4,973 $ Meeting room rentals +C1,aU$trategles; +C2, an Strategies .. .. $ 1SO s 350 $ lsi>' '$ ~so s 1,000 Communications $ 150 s 350 $ 150 $ 350 $ ·."""':'_... ~.000 ,.. Tech Support $ 143 $ 333 $ i43 $ 333 $ 9SO Total Operating $ 3,024 $ 7,055 $ 3,024 $ 7,oss F 20,i59 ' ..... : '~ ' C. TRAVEL ~-~ Local traveito complete SOWdellverables (i2oo miles at $.575/mile) s 104. $ 242 s 104 $ 242 $ 690 +Cl,all Strategies; +C2, all Stratl!gi,l!,s .. Conferences/Trainings (hotel, per diem, parking, and mileage) s 405 $ 945 $ 405 $ 945 s 2,700 +Cl,all Strategies; +C2, all Strategies -...~;:...; Totai.Travel ~-so9 $ 1,187 $ 5o9 $ 1,187 $ 3,390 ·-· .. ., ~--~~------~--·--~--~~~----~~~~~,.-~.·~------------~--~----~----~~----. il. SUBCONTRACTS Health Clinic Subcontractor (TBD) +Clb,S1.5,A1-A2,A4-A5; S1.6,Al-A3; +C2a,S2.1,Al; S2.2,A1-A3; S2.3,A1·A4; S2.4,Al·A2; S2.5,Al·A2; $ -$ 72,574 $ 145,147 $ 72.574 $ 290.294 c+~C~2b~,S~2~.6~,A~1~~~2;~S~2·~~~A~3--~--------------~--~------------------~~----~--~~~~~~~f7~~~~---~-- Total subcontracts · $ •. $ 72,5]4 $ 145,147 · $ 7~,574 $ 290,294 E. OTHER COSTS . Public Relations Services (Media, Press release, Campaign) $ 15,000 $ 35,000 +C1a,l.3,AS +C1b,51.6,A3; S1.7,A2 $ . ,$ . s 50,000 Technical Assistance (Provider Support· TBD. Based on available funding~ +C1a,Sl.1,A3,A5; s 225 $ 525 $ 225 $ 525 .$ 1,500 S1.2,A5; +C1b,S1.3,A4; +C2a,S2.3,A3; +Cross-CutA4 . Meeting supplies, interpretation, and child care for aU sessions and kick-off meetings. +Cl,all··. I ,$ 197 $ 460 $ 197 $ 460 $ 1,315 Strategies; +C2, aUStrategies '·· ........ Education/Training Materials (including related translation of materials) s 225 $ 525 $ 225 $ 525 $ 1,500 +C1a,SL1,Al,A3-A4; S1.4,A3; +C1b,S1.5,A1-A2; +C2a,S2.3,A3; +C2b,S2.7,A2 Total Other Costs $ 15,647 $ 36,510 $ 647 $ 1,510 •s 54,315 TOTAL DIRECTCOSTS 590,664 Total Allowable Direct Costs 325,370 · .. F. INDIRECT COSTS Calculated at 14.68% of Total Allowable* Direct Costs 10$ 7,715 LS 19,225 r s 6,7361$ 14,0117[$ 47,764 •only the first $25,000 of each subcontract lllay be used in the calculation + Key: SOW Component (C), SOW Program Strategy (5), SOW Activity (A) ---··~~ "'"I ""-""IIV Budget Year 3 (10/01/2016 through 09/30/2017) 14-10712 Component! Component 2 Task 1a Task 1b Task Za task 2b Total Heart 30% Diabetes 70% Diabetes 30% Heart 70% A. PERSONNEL ... ... • ...... . '· .. Position Title Base Salary Months Benefit% Cost Cost Cost Cost Total% Total Costs ·. ' .. . ... .... . ... FTE .. PrinCipal Jiwestigator 77,792.00 12 64.74% $ 1,167 $ .. 2,723 $ 1167 $ 2.723 10% s 7 779 Health Edu<ator 49,426.00 12 69.41% $ 5,190 1S 12,10.9 $ 51.90 $ 12 109 70% $ 34,598 Health Education Speci;llist 42,510.00 12 71.67% $ 5,739 $. 13,39i '$. .. 5 73.9, :s .. 1~.391 90% s 38259 Health Educ;~tion SPecialist 42,510.00 12 · .. 71.67% IS .3 826 is ... ·· 8,947 $ .. 3 826 '$ ' 8.927 60% s 25,506 Staff Analyst! 46,436,00 12 80,79% s 1,393 $ 3,251 ''$ }393 •$ . 3 251 20% $ 9,287 Office Assistant Ill 35,984.00 12 84.44% $ 1,349 :s.. ' ' 3,149 kS l.349. s 3,M9 25% $ 8,996 Epidemiologist 65,572.00 12 , .. 75.85% ,$ 98.4 •S 2,295 'S .9.84 $ . 2 295 10% $ 6 557 Total Salaries $ 360,231 74.08% '$ 19,647 $ 4S,844 $ 19,647 $ 4S,844 $ 130,983 .. · ·• B. FRINGE BENEFITS Average 74.08% of Personnel** TS 14,555 I $ 33,962 l•S 14 5s5tS 33~96.ff$ **Fresno Couniy employees receive benefits based upon their date of hire, retirement tier level, and job classification, Benefit rates vary based upon the length of time in a position and changes yearly with merit adjustments, jTotal Personnel Costs If L14.20tl.$ 79.~$11 34,202l$ }9,806($ 228,016 B. OPERATING EXPENSES, , ·. .(3eneral ()ffice Supplies $ 450 $ 1,050 $ 450 $ i,o5o $ 3,000 Printing +Cl,all Strategies; +C2, all Strategies $ J.,5oo $ . l;Sdq '$. .l~SOO $ '3,500 $ 10,0:00 $ .l~() .$ .... . ~!;0 $ .... '·, 150 $ ... 35Q s 1,000 Meeting room rentals +Cl,all Strategies; +C2, all Strategies Communlcatiqos. .. . , $ ''150 :$ 350 $ 150 $ 350 $ 1,000 ;rei:h Support $ 143 $ 333 ; $ 143 '$ 333 s 950 To~al Operating. $ 2,393 $ ·:s;sa3 $ 2,39l $ ' s;sll3 $ 15,9SO C. TRAVEL Local travel to cOmplete SOWdeliverilbles (1200 miles at $,575/mile) . .... fs $ 104 $ 242 s 104 242 $ 690 +C1,all Strategies; +C2, all Strategies ' Conferences/l'ralriings (hotel, per diem, parking, and mileage) s 405 $ 945 $ 405 $ 945 s 2,700 tCl,all Strategies; tC2, all Strategies i ' .. ,. '', '' .· ·'· .. Total Tr~v~l ·· .. $ S09 $ . .. ).,187 } ~09 s .1,18'7 $ 3,390 o, SUBCONTRActS .. ---~ Health Clinic Subcontractor (TBD) +C1b,S1.5,A1-A2; S1.6,A1-A2; +C2a,52.1,A2; 52.2,A1-A2; 52.3,A1-A3; S2.4,A1; S2.5,A1; +C2b,S2.6,A1; $ -s 79,368 $ 158,736 $ 79,368 s 3:7,471. S2.8,A2 Total Subcontracts $ .. $ 79,368 $ 1S8,736 $ 79,368 $ 317,472 E. OTHER COSTS , .. Public Relations Services (Media, Press release, Campaign) ··. '$ s 7,500 $ 17,500 $ ~· -$ 25,000 +Cla,1.3,A3 +C1b,S1.6,A1,A2 T~chnlcal Assistance (Provider Support-TBD. Based on available funding) $ 225 $ 525 +C1a,S1.2,A4; +Clb,S1.3,A2; +C2a,S2.3,A2; +Cross-CutA4 $ 225 $ 525 $ 1,500 Meeting supplies, interpretatiOn, and child care for all sessions and kick-off meetings. +C1,all $ 197 $ 460 s 197 $ 460 $ 1,315 Strategies; +C2, all Strategies .. Education/Training Materials (including related translation of materials) $ 225 $ 525 $ 225 $ 525 '$ 1,500 +C1a,S1.1,A3; S1.2,A4,A6; S1.3A2; +C1b,S1.5A1-A2; +C2a,S2.3,A2; +C2b,S2.6A2; S2.7,A1; S2.8,A2 totalotlier Costs $ 8,147 .. s 19,010 $ 647 $ 1,510 $ 29,31S jTOTAL DIRECT COSTS ($ 45,2511~ 184,9S3IS 196,4871 $ 167,4S3, $ S94,1431 I Toto/Allowable Direct Costs I$ 45,251 Is 113,9181$ 46,084 j.$ 96A1B $ 301,671 1 .. F. INDIRECT COSTS .Calculated at i4.G8% of Total Allowable* Direct Costs IS 6,6431$ 16,7231$ 6,'7651 $ 14,1541$ 44,28S •only the first $,2S,Qoo of each su~Qntract may be ,used in the calculation + Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A) I Budget Year 4 (10/01/2017 through 09/29/2018) --~~~ .. ,-·I I""'""IIV 14-10712 Component 1 Component2 Task la Task lb Task 2a Task 2b Total Heart 30% Diabetes 70% Diabetes 30% .· Heart 70% .. A •. PERSONNEl Position Title Base Salary Months Benefit% Cost Cost Cost Cost Total% Total Costs FTE Principal investig~tor 77,792.00 12 64.74% $ 1,167 $ 2,723 $ .... 1,167 $ 2 723 10% .$ .· 7 779 Health Educator 50,960.00 12 69.00% $ 5,351 $ 12,485 1$ 5,351. s .12A85 70% $ 35,672 Health Education Specialist 43,836~00 .. 12 .. 71.18% $ 5,918 $ 13 80.8 .$ .5,918 $ 13,80.8 .. 9 39,452 Health Education Specialist 43;836.00 12 71.18% $ 3.945 $ 9,206 .. $ 3~945 s 9.206 6 26.302 Staff Analyst l 47,892.00. 12 71.16% s 1,437 $ 3,352 :?-.·.·· l,:ll37 $ 3,352-.. 2 9,578 Office Assistant Ill 37,102.00 12 74.70% $ 1 .. 391 s 3,.246 $ 1391. $ 3,246 2 9,2'76 Epidemiologist 67,626.00 12 . 66.38% $ 1,014 $ 2,367 $ 1,014 $ 2,367 10% $ 6,763 Total Salaries s .. 369.045. 69.76".4 s 20,223 s 47,188 $ . ... .20,223 s 47,188 $ 134,822 . B. FRINGE BENEFITS Average 69.76% of Personnel** .. Is ... 14,108 1 s 32,9191$ .14,J08f s 32,919 ts 94,055 **Fresno County employees receive benefits based upon th¢1t date of hire, retirement tier level, and job classification. Benefit rates vary based upon the length of dmP. iri a position and changes' yearfyi.vith merit adjustments. · (Total Personnel Costs so,1o1J$ .. · · 34,332Jl. _·-.a~,lotU 228;8'771 B. OPERA liNG EXPENSES ---General Office Supplies .... . ... $ 450 s .. 1,050. $ .4.SQ s 1,050 s . 3,000 Printing tC1,all Strategies; .C2, all Strategies s 750 $ 1,7.50 s 750 s 1,750 s 5,000 Meeting room rentals +C1,all Strategies; +C2, aiiStr~tegies s 150 s . 350 $ 150 .s .. 35.9 $ .1,()00 Communications s 150 $ .·. 3,50. $ 150 $ 350 'S 1,000 $ 143 $ 333 ·s 143 $ 333 $ . ' 950 Tech Support .. ....... .... ... ~·:-:~ 1,64'3 -3;833 1,643 $ 3,s.u 's 10,9.50 Total Operating $ $ $ · .. w-....:.- t. TRAVEL .... . .... Local travel to complete SOW deliverables (1200 nilles at $.575/mile) $ 104 $ 242 s 104 $ 242 .;$ 690 .+Cl,all Strategies; +C2, all Strategies -~ P-· Conferences/Trainings (hotel, per diem, parking, and mileage) s 405 $ 945 s 405 s 945 ·s 2,700 +C1,all Strategies; tp, aiiStra.tegles c:: Total Travel .. $ 509 $ 1,l87 $ 509 s 1,187 $ 3,390 ~~ ......._ D. SUBCONTRACTS. -. ...... Health Clinic Subcontractor (tllor tC1b,S1.5,A1-A2; S1.6,A1-A2; +C2a, S2.2,A1-A2; S2.3,Al·A3; S2.4,A1; S2.5,Al; $ $ 85,204 s 170,408 $ 85,204 s 340,815 +C2b,S2.6,Al; S2.8,A2 ,....___...._. .......:...--.. Total Subcontracts $ -$ 85,204 $ 17D,4~8 $ . 85,7,04 J 340,815 .. E. OTHER COSTS. Public Relations Services {Media, Press release, Campaign) .s 3,000 $ 7,000 $ •' $ . .$ 10,000 +Cla,1.3,A3 .Clb,S1.6,Al,A2 Technical Assistance (Provider Support-TBD. Based on available funding) $ 225 $ 525 $ 225 $ 52.5 ·s 1,500 +Cla,S1.2,A4; +Clb,S1.3,A2; +C2a,S2.3,A2; +Cross-CutA4 . ... Meeting supplies, interpretation, and child care for all sessions and kick-off meetings. +C1,all s 135 $ 315 $ 135 $ 315 $ 900 Strategies; +C2, all Strategies . Education/TralningMaterials (including related translation of materials) .. $ 105 $ 245 ·s 105 $ 245 $ 700 +Cla,Sl.3,A2; +C2a,S2.3,A2; +Clb,S1.5A1; +C2b,S2.6A2; S2.7,A1; S2.8,A2 Total Other Costs $ 3,465 s 8,085 s 465 $ 1,085 s 13,100 TOTAL DIRECT COSTS 597,132 Toto/ Allowable Direct Costs 281.,31.7 f .. _INDIRECT COSTS Calculated at 14.68% of Total Allowable* Direct Costs IS 5,8641 $ 14,9011$ 6,6471$ 13,8791$ 41,297 *Only the forst $25,000 of each subcontract may be used in the calculation +Key: SOW Component (C), SOW Program Strategy (S), SOW Activity (A) GTC 610 EXHIBITC GENERAL TERMS AND CONDITIONS 1. APPROVAL: This Agreement is of no force or effect until signed by both parties and approved by the Department of General Services, if required. Contractor may not commence performance until such approval has been obtained. 2. AMENDMENT: No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by the parties and approved as required. No oral understanding or Agreement not incorporated in the Agreement is binding on any of the parties. 3. ASSIGNMENT: This Agreement is not assignable by the Contractor, either in whole or in part, without the consent of the State in the form of a formal written amendment. 4. AUDIT: Contractor agrees that the awarding department, the Department of General Services, the Bureau of State Audits, or their designated representative shall have the right to review and to copy any records and supporting documentation pertaining to the performance of this Agreement. Contractor agrees to maintain such records for possible audit for a minimum of three (3) years after final payment, unless a longer period of records retention is stipulated. Contractor agrees to allow the auditor(s) access to such records during normal business hours and to allow interviews of any employees who might reasonably have information related to such records. Further, Contractor agrees to include a similar right of the State to audit records and interview staff in any subcontract related to performance of this Agreement. (Gov. Code §8546.7, Pub. Contract Code §10115 et seq., CCR Title 2, Section 1896). 5. INDEMNIFICATION: Contractor agrees to indemnify, defend and save harmless the State, its officers, agents and employees from any and all claims and losses accruing or resulting to any and all contractors, subcontractors, suppliers, laborers, and any other person, firm or corporation furnishing or supplying work services, materials, or supplies in connection with the performance of this Agreement, and from any and all claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by Contractor in the performance of this Agreement. 6. DISPUTES: Contractor shall continue with the responsibilities under this Agreement during any dispute. 7. TERMINATION FOR CAUSE: The State may terminate this Agreement and be relieved of any payments should the Contractor fail to perform the requirements of this Agreement at the time and in the manner herein provided. In the event of such termination the State may proceed with the work in any manner deemed proper by the State. All costs to the State shall be deducted from any sum due the Contractor under this Agreement and the balance, if any, shall be paid to the Contractor upon demand. 8. INDEPENDENT CONTRACTOR: Contractor, and the agents and employees of Contractor, in the performance of this Agreement, shall act in an independent capacity and not as officers or employees or agents of the State. 9. RECYCLING CERTIFICATION: The Contractor shall certify in writing under penalty of perjury, the minimum, if not exact, percentage of post consumer material as defined in the Public Contract Code Section 12200, in products, materials, goods, or supplies offered or sold to the State regardless of whether the product meets the requirements of Public Contract Code Section 12209. With respect to printer or duplication cartridges that comply with the requirements of Section 12156(e), the certification required by this subdivision shall specify that the cartridges so comply (Pub. Contract Code §12205). 10. NON-DISCRIMINATION CLAUSE: During the performance of this Agreement, Contractor and its subcontractors shall not unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability (including HIV and AIDS), mental disability, medical condition (e.g., cancer), age (over 40), marital status, and denial of family care leave. Contractor and subcontractors shall insure that the evaluation and treatment of their employees and applicants for employment are free from such discrimination and harassment. Contractor and subcontractors shall comply with the provisions of the Fair Employment and Housing Act (Gov. Code §12990 (a-f) et seq.) and the applicable regulations promulgated thereunder (California Code of Regulations, Title 2, Section 7285 et seq.). The applicable regulations of the Fair Employment and Housing Commission implementing Government Code Section 12990 (a':" f), set forth in Chapter 5 of Division 4 of Title 2 of the California Code of Regulations, are incorporated into this Agreement by reference and made a part hereof as if set forth in full. Contractor and its subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other Agreement. Contractor shall include the nondiscrimination and compliance provisions of this clause in all subcontracts to perform work under the Agreement. 11. CERTIFICATION CLAUSES: The CONTRACTOR CERTIFICATION CLAUSES contained in the document CCC 307 are hereby incorporated by reference and made a part of this Agreement by this reference as if attached hereto. 12. TIMELINESS: Time is of the essence in this Agreement. 13. COMPENSATION: The consideration to be paid Contractor, as provided herein, shall be in compensation for all of Contractor's expenses incurred in the performance hereof, including travel, per diem, and taxes, unless otherwise expressly so provided. 14. GOVERNING LAW: This contract is governed by and shall be interpreted in accordance with the laws of the State of California. 15. ANTITRUST CLAIMS: The Contractor by signing this agreement hereby certifies that if these services or goods are obtained by means of a competitive bid, the Contractor shall comply with the requirements of the Government Codes Sections set out below. a. The Government Code Chapter on Antitrust claims contains the foiiowing definitions: 1) "Public purchase" means a purchase by means of competitive bids of goods, services, or materials by the State or any of its political subdivisions or public agencies on whose behalf the Attorney General may bring an action pursuant to subdivision (c) of Section 16750 of the Business and Professions Code. 2) "Public purchasing body" means the State or the subdivision or agency making a public purchase. Government Code Section 4550. b. In submitting a bid to a public purchasing body, the bidder offers and agrees that if the bid is accepted, it will assign to the purchasing body ali rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S. C. Sec. 15) or under the Cartwright Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 ofthe Business and Professions Code), arising from purchases of goods, materials, or services by the bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to the bidder. Government Code Section 4552. c. If an awarding body or public purchasing body receives, either through judgment or settlement, a monetary recovery for a cause of action assigned under this chapter, the assignor shall be entitled to receive reimbursement for actual legal costs incurred and may, upon demand, recover from the public body any portion of the recovery, including treble damages, attributable to overcharges that were paid by the assignor but were not paid by the public body as part of the bid price, less the expenses incurred in obtaining that portion of the recovery. Government Code Section 4553. d. Upon demand in writing by the assignor, the assignee shall, within one year from such demand, reassign the cause of action assigned under this part if the assignor has been or may have been injured by the violation of law for which the cause of action arose and (a) the assignee has not been injured thereby, or (b) the assignee declines to file a court action for the cause of action. See Government Code Section 4554. 16. CHILD SUPPORT COMPLIANCE ACT: For any Agreement in excess of$100,000, the contractor acknowledges in accordance with Public Contract Code 7110, that: a. The contractor recognizes the importance of child and family support obligations and shall fully comply with all applicable state and federal laws relating to child and family support enforcement, including, but not limited to, disclosure of information and compliance with earnings assignment orders, as provided in Chapter 8 (commencing with section 5200) of Part 5 of Division 9 of the Family Code; and b. The contractor, to the best of its knowledge is fuily complying with the earnings assignment orders of all employees and is providing the names of all new employees to the New Hire Registry maintained by the California Employment Development Department. 17. UNENFORCEABLE PROVISION: In the event that any provision ofthis Agreement is unenforceable or held to be unenforceable, then the parties agree that all other provisions of this Agreement have force and effect and shall not be affected thereby. 18. PRIORITY HIRING CONSIDERATIONS: If this Contract includes services in excess of $200,000, the Contractor shall give priority consideration in filling vacancies in positions funded by the Contract to qualified recipients of aid under Welfare and Institutions Code Section I 1200 in accordance with Pub. Contract Code §10353. 19. SMALL BUSINESS PARTICIPATION AND DVBE PARTICIPATION REPORTING REQUIREMENTS: a. If for this Contract Contractor made a commitment to achieve small business participation, then Contractor must within 60 days of receiving final payment under this Contract (or within such other time period as may be specified elsewhere in this Contract) report to the awarding department the actual percentage of small business participation that was achieved. (Govt. Code § 14841.) b. If for this Contract Contractor made a commitment to achieve disabled veteran business enterprise (DVBE) participation, then Contractor must within 60 days of receiving final payment under this Contract (or within such other time period as may be specified elsewhere in this Contract) certify in a report to the awarding department: (1) the total amount the prime Contractor received under the Contract; (2) the name and address of the DVBE(s) that participated in the performance of the Contract; (3) the amount each DVBE received from the prime Contractor; (4) that all payments under the Contract have been made to the DVBE; and (5) the actual percentage ofDVBE participation that was achieved. A person or entity that knowingly provides false information shall be subject to a civil penalty for each violation. (Mil. & Vets. Code§ 999.5(d); Govt. Code§ 14841.) 20. LOSS LEADER: If this contract involves the furnishing of equipment, materials, or supplies then the following statement is incorporated: It is unlawful for any person engaged in business within this state to sell or use any article or product as a "loss leader" as defined in Section 17030 of the Business and Professions Code. (PCC 10344(e).) C:\Users\kschamhorst\AppData\Locai\Microsoft\ Windows\ Temporal)' Internet Files\Content. Outlook\N 17Vl LFF\GTC-61 O.doc CCC-307 CERTIFICATION I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below. This certification is made under the laws of the State of California. Contractor/Bidder Firm Name (Printed) County of Fresno By Deborah A. Poochigian, Chairman, ATIEST: Board of Supervisors I Executed in the County of Fresno NTRACTOR CERTIFICATION CLAUSES Federal ID Number 4-6000-512 I. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the nondiscrimination program requirements. (Gov. Code§ 12990 (a-f) and CCR, Title 2, Section 81 03) (Not applicable to public entities.) 2. DRUG-FREE WORKPLACE REQUIREMENTS: Contractor will comply with the requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free workplace by taking the following actions: a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program to inform employees about: 1) the dangers of drug abuse in the workplace; 2) the person's or organization's policy of maintaining a drug-free workplace; 3) any available counseling, rehabilitation and employee assistance programs; and, 4) penalties that may be imposed upon employees for drug abuse violations. c. Every employee who works on the proposed Agreement will: 1) receive a copy of the company's drug-free workplace policy statement; and, 2) agree to abide by the terms of the company's statement as a condition of employment on the Agreement. Failure to comply with these requirements may result in suspension of payments under the Agreement or termination of the Agreement or both and Contractor may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: the Contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et seq.) 3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that no more than one (1) final unappealable finding of contempt of court by a Federal court has been issued against Contractor within the immediately preceding two-year period because of Contractor's failure to comply with an order of a Federal court, which orders Contractor to comply with an order ofthe National Labor Relations Board. (Pub. Contract Code § 1 0296) (Not applicable to public entities.) 4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE-PRO BONO REQUIREMENT: Contractor hereby certifies that contractor will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, 2003. Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of30 multiplied by the number of full time attorneys in the firm's offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State. Failure to make a good faith effort may be cause for non-renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services. 5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the State of California. 6. SWEATFREE CODE OF CONDUCT: a. All Contractors contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. The contractor further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on the California Department of Industrial Relations website located at www.dir.ca.gov, and Public Contract Code Section 6108. b. The contractor agrees to cooperate fully in providing reasonable access to the contractor's records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department oflndustrial Relations, or the Department of Justice to detennine the contractor's compliance with the requirements under paragraph (a). 7. DOMESTIC PARTNERS: For contracts over $100,000 executed or amended after January 1, 2007, the contractor certifies that contractor is in compliance with Public Contract Code section 10295.3. DOING BUSINESS WITH THE STATE OF CALIFORNIA The following laws apply to persons or entities doing business with the State of California. I. CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions regarding current or fonner state employees. If Contractor has any questions on the status of any person rendering services or involved with the Agreement, the awarding agency must be contacted immediately for clarification. Current State Employees (Pub. Contract Code § 1041 0): 1). No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment. 2). No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services. Former State Employees (Pub. Contract Code § 10411 ): 1). For the two-year period from the date he or she left state employment, no fonner state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision-making process relevant to the contract while employed in any capacity by any state agency. 2). For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as the proposed contract within the 12-month period prior to his or her leaving state service. If Contractor violates any provisions of above paragraphs, such action by Contractor shall render this Agreement void. (Pub. Contract Code § 1 0420) Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (Pub. Contract Code §10430 (e)) 2. LABOR CODE/WORKERS' COMPENSATION: Contractor needs to be aware ofthe provisions which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions, and Contractor affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code Section 3700) 3. AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.) 4. CONTRACTOR NAME CHANGE: An amendment is required to change the Contractor's name as listed on this Agreement. Upon receipt oflegal documentation of the name change the State will process the amendment. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment. 5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA: a. When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the contractor is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled. b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate contractor performing within the state not be subject to the franchise tax. c. Both domestic and foreign corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State. 6. RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an agreement, authorizing execution of the agreement. 7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall not be: ( 1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district; (2) subject to cease and desist order not subject to review issued pursuant to Section 13301 ofthe Water Code for violation of waste discharge requirements or discharge prohibitions; or (3) finally determined to be in violation of provisions of federal law relating to air or water pollution. 8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. State of California-Health and Human Services Agency California Department of Pub6c Healtr Contracts and Purchasing Services Section Darfur Contracting Act Pursuant to Public Contract Code (PCC) sections 10475-10481, the Darfur Contracting Act's intent is to preclude State agencies from contracting with scrutinized companies that do business in the African nation of Sudan. A scrutinized company is a company doing specified types of business in Sudan as defined in PCC section 10476. Scrutinized companies are ineligible to, and cannot, contract with a State agency for goods or services (PCC section 10477(a)) unless obtaining permission from the Department of General Services according to the criteria set forth in PCC section 10477(b). Therefore, to be eligible to contract with the California Department of Public Health, please initial one of the following three paragraphs and complete the certification below: 1. 2. 3. DAP Initials Initials Initials CERTIFICATION We do not currently have, or we have not had within the previous three years, business activities or other operations outside of the United States. OR We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services (DGS) to submit a bid or proposal pursuant to Public Contract Code section 1 04 77 (b) or submit a contract/purchase order. A copy of the written permission from DGS is included with our bid, proposal or contract/purchase order. OR We currently have, or we have had within the previous three years, business activities or other operations outside of the United States, but we certify below that we are not a scrutinized company as defined in Public Contract Code section 10476. 1 the official named below CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind this ~ompany to the clause Jist~d above. This certification is made under the Jaws of the State of California. Company Name (Printed) • Deborah A. Poochi ian, Chairman, Board of Su ervisors Federa/10 Number 94-6000-512 ATIEST: BERNICE E. SEIDEL, Clerk Board of Supei'Visors a~~ I ~puty Date Executed Executed in the County and State of Fresno, CA CDPH 9067 (4/09) 14-1011~ Exhibit D Special Terms and Conditions (For Subvention/Local Assistance Agreements) The provisions herein apply to this Agreement unless the provisions are removed by reference, the provisions are superseded by an alternate provision appearing elsewhere in this Agreement, or the applicable conditions do not exist. meade 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Index of Special Terms and Conditions Procurement Rules Equipment Ownership I Inventory I Disposition Subcontract Requirements Income Restrictions Site Inspection Intellectual Property Rights Prior Approval of Training Seminars, Workshops or Conferences Confidentiality of Information Documents, Publications, and Written Reports Dispute Resolution Process 11. Officials Not to Benefit 12. Prohibited Use of State Funds for Software 13. Contract Uniformity (Fringe Benefit Allowability) 14. Cancellation . .... .. .. . ..... . Page 1 of 16 Exhibit D Special Terms and Conditions 1. Procurement Rules (Applicable to all agreements in which equipment, property, commodities and/or supplies are furnished by CDPH or expenses for said items are reimbursed with state or federal funds.) a. Equipment definitions Wherever the term equipment /property is used, the following definitions shall apply: (1) Major equipmenUproperty: A tangible or intangible item having a base unit cost of $5,000 or more with a life expectancy of one (1) year or more and is either furnished by CDPH or the cost is reimbursed through this Agreement. Software and videos are examples of intangible items that meet this definition. (2) Minor equipmenUproperty: A tangible item having a base unit cost of less than $5,000 with a life expectancy of one (1) year or more and is either furnished by CDPH or the cost is reimbursed through this Agreement. b. Government and public entities (including state colleges/universities and auxiliary organizations), whether acting as a contractor, .may secure all commodities, supplies, equipment and services related to such purchases that are required in performance of this Agreement. Said procurements are subject to Paragraphs d through g of this provision. Paragraph c of this provision shall also apply, if equipment purchases are delegated to subcontractors that are nonprofit organizations or commercial businesses. c. Nonprofit organizations and commercial businesses, whether acting as a contractor and/or subcontractor, may secure commodities, supplies, equipment and services related to such purchases for performance under this Agreement. (1) Equipment purchases shall not exceed $50,000 annually. To secure equipment above the annual maximum limit of $50,000, the Contractor shall make arrangements through the appropriate CDPH Program Contract Manager, to have all remaining equipment purchased through CDPH's Purchasing Unit. The cost of equipment purchased by or through CDPH shall be deducted from the funds available in this Agreement. Contractor shall submit to the CDPH Program Contract Manager a list of equipment specifications for those items that the State must procure. The State may pay the vendor directly for such arranged equipment purchases and title to the equipment will remain with CDPH. The equipment will be delivered to the Contractor's address, as stated on the face of the Agreement, unless the Contractor notifies the CDPH Program Contract Manager, in writing, of an alternate delivery address. (2) All equipment purchases are subject to paragraphs d through g of this provision. Paragraph b of this provision shall also apply, if equipment purchases are delegated to subcontractors that are either a government or public entity. (3) Nonprofit organizations and commercial businesses, shall use a procurement system that meets the following standards: (a) Maintain a code or standard of conduct that shall govern the performance of its officers, employees, or agents engaged in awarding procurement contracts. No employee, Page 2 of 16 Exhibit D Special Terms and Conditions officer, or agent shall participate in the selection, award, or administration of a procurement, or bid contract in which, to his or her knowledge, he or she has a financial interest. (b) Procurements shall be conducted in a manner that provides, to the maximum extent practical, open, and free competition. (c) Procurements shall be conducted in a manner that provides for all of the following: {1] Avoid purchasing unnecessary or duplicate items. [2] Equipment solicitations shall be based upon a clear and accurate description of the technical requirements of the goods to be procured. [3] Take positive steps to utilize small and veteran owned businesses. d. Unless waived or otherwise stipulated in writing by CDPH, prior written authorization from the appropriate CDPH Program Contract Manager will be required before the Contractor will be reimbursed for any purchase exceeding $2,500 or more for commodities, supplies, equipment, and services related to such purchases. The Contractor must provide in its request for authorization all particulars necessary, as specified by CDPH, for evaluating the necessity or desirability of incurring such costs. The term "purchase" excludes the purchase of services from a subcontractor and public utility services at rates established for uniform applicability to the general public. e. In special circumstances, determined by CDPH (e.g., when CDPH has a need to monitor certain purchases, etc.), CDPH may require prior written authorization and/or the submission of paid vendor receipts for any purchase, regardless of dollar amount. CDPH reserves the right to either deny claims for reimbursement or to request repayment for any Contractor purchase that CDPH determines to be unnecessary in carrying out performance under this Agreement. f. The Contractor must maintain a copy or narrative description of the procurement system, guidelines, rules, or regulations that will be used to make purchases under this Agreement. The State reserves the right to request a copy of these documents and to inspect the purchasing practices of the Contractor at any time. g. For all purchases, the Contractor must maintain copies of all paid vendor invoices, documents, bids and other information used in vendor selection, for inspection or audit. Justifications supporting the absence of bidding (i.e., sole source purchases) shall also be maintained on file by the Contractor for inspection or audit. 2. Equipment Ownership /Inventory I Disposition (Applicable to agreements in which equipment and/or property is furnished by CDPH and/or when said items are purchased or reimbursed with state) a. Wherever the terms equipment and/or property are used in this provision, the definitions in provision 1, paragraph a., shall apply. Unless otherwise stipulated in this Agreement, all equipment and/or property that are purchased/reimbursed with agreement funds or furnished by CDPH under the terms of this Agreement shall be considered state equipment and the property of CDPH. ·Page 3 of 16 Exhibit D Special Terms and Conditions (1) CDPH requires the reporting, tagging and annual inventorying of all equipment and/or property that is furnished by CDPH or purchased/reimbursed with funds provided through this Agreement. Upon receipt of equipment and/or property, the Contractor shall report the receipt to the CDPH Program Contract Manager. To report the receipt of said items and to receive property tags, Contractor shall use a form or format designated by CDPH's Asset Management Unit. If the appropriate form (i.e., Contractor Equipment Purchased with CDPH Funds) does not accompany this Agreement, Contractor shall request a copy from the CDPH Program Contract Manager. (2) If the Contractor enters into an agreement with a term of more than twelve months, the Contractor shall submit an annual inventory of state equipment and/or property to the CDPH Program Contract Manager using a form or format designated by CDPH's Asset Management Unit. If an inventory report form (i.e., Inventory/Disposition of CDPH-Funded Equipment) does not accompany this Agreement, Contractor shall request a copy from the CDPH Program Contract Manager. Contractor shall: (a) Include in the inventory report, equipment and/or property in the Contractor's possession and/or in the possession of a subcontractor (including independent consultants). (b) Submit the inventory report to CDPH according to the instructions appearing on the inventory form or issued by the CDPH Program Contract Manager. (c) Contact the CDPH Program Contract Manager to learn how to remove, trade-in, sell, transfer or survey off, from the inventory report, expired equipment and/or property that is no longer wanted, usable or has passed its life expectancy. Instructions will be supplied by CDPH's Asset Management Unit. b. Title to state equipment and/or property shall not be affected by its incorporation or attachment to any property not owned by the State. c. Unless otherwise stipulated, CDPH shall be under no obligation to pay the cost of restoration, or rehabilitation of the Contractor's and/or Subcontractor's facility which may be affected by the removal of any state equipment and/or property. d. The Contractor shall maintain and administer a sound business program for ensuring the proper use, maintenance, repair, protection, insurance and preservation of state equipment and/or property. (1) In administering this provision, CDPH may require the Contractor to repair or rep/ace, to CDPH's satisfaction, any damaged, lost or stolen state equipment and/or property. Contractor shall immediately file a theft report with the appropriate police agency or the California Highway Patrol and Contractor shall promptly submit one copy of the theft report to the CDPH Program Contract Manager. e. Unless otherwise stipulated by the program funding this Agreement, equipment and/or property purchased/reimbursed with agreement funds or furnished by CDPH under the terms of this Agreement, shall only be used for performance of this Agreement or another CDPH agreement. f. Within sixty (60) calendar days prior to the termination or end of this Agreement, the Contractor Page 4 of 16 Exhibit D Special Terms and Conditions shall provide a final inventory report of equipment and/or property to the CDPH Program Contract Manager and shall, at that time, query CDPH as to the requirements, including the manner and method, of returning state equipment and/or property to CDPH. Final disposition of equipment and/or property shall be at CDPH expense and according to CDPH instructions. Equipment and/or property disposition instructions shall be issued by CDPH immediately after receipt of the final inventory report. At the termination or conclusion of this Agreement, CDPH may at its discretion, authorize the continued use of state equipment and/or property for performance of work under a different CDPH agreement. g. Motor Vehicles (Applicable only if motor vehicles are purchased/reimbursed with agreement funds or furnished by CDPH under this Agreement.) (1) If motor vehicles are purchased/reimbursed or furnished by CDPH under the terms of this Agreement, within thirty (30) calendar days prior to the termination or end of this Agreement, the Contractor shall return such vehicles to CDPH and shall deliver all necessary documents of title or registration to enable the proper transfer of a marketable title to CDPH. (2) If motor vehicles are purchased/reimbursed or furnished by CDPH under the terms of this Agreement, the State ofCaliforflia shall be the./ettal:ownett:ifsait:l/motor vehicJes.,and the Contractor shall be the registered owner. . .. Theq Contractor .. shall only . use . said vehicles for the performance under the terms of this Agreement. (3) The Contractor agree that all operators of motor vehicles, purchased/reimbursed or furnished by CDPH under the terms of this Agreement, shall hold a valid State of California driver's license. In the event that ten or more passengers are to be transported in any one vehicle, the operator shall also hold a State of California Class B driver's license. (4) If any motor vehicle is purchased/reimbursed or furnished by CDPH under the terms of this Agreement, the Contractor, as applicable, shall provide, maintain, and certify that, at a minimum, the following type and amount of automobile liability insurance is in effect during the term of this Agreement or any extension period during which any vehicle remains in the Contractor's possession: Automobile Liability Insurance (a) The Contractor, by signing this Agreement, hereby certifies that it possesses or will obtain automobile liability insurance in the amount of $1,000,000 per occurrence for bodily injury and property damage combined. Said insurance must be obtained and made effective upon the delivery date of any motor vehicle, purchased/reimbursed with agreement funds or furnished by CDPH under the terms of this Agreement, to the Contractor. (b) The Contractor shall, as soon as practical, furnish a copy of the certificate of insurance to the CDPH Program Contract Manager. The certificate of insurance shall identify the CDPH contract or agreement number for which the insurance applies. (c) The Contractor agree that bodily injury and property damage liability insurance, as required herein, shall remain in effect at all times during the term of this Agreement or until such time as the motor vehicle is returned to CDPH. Page 5 of 16 Exhibit D Special Terms and Conditions (d) The Contractor agree to provide, at least thirty (30) days prior to the expiration date of said insurance coverage, a copy of a new certificate of insurance evidencing continued coverage, as indicated herein, for not less than the remainder of the term of this Agreement, the term of any extension or continuation thereof, or for a period of not less than one (1) year. (e) The Contractor, if not a self-insured government and/or public entity, must provide evidence, that any required certificates of insurance contain the following provisions: [1 J The insurer will not cancel the insured's coverage without giving thirty (30) calendar days prior written notice to the State. [21 The State of California, its officers, agents, employees, and servants are included as additional insureds, but only with respect to work performed for the State under this Agreement and any extension or continuation of this Agreement. [3J The insurance carrier shall notify CDPH, in writing, of the Contractor's failure to pay premiyms; its cancellation of such policies; or any other substantial change, including, but not limited to, the status, coverage, or scope of the required insurance. Such notices shall contain a reference to each agreement number for which the insurance was obtained. (f) The Contractor is hereby advised that copies of certificates of insurance may be subject to review and approval by the Department of General Services (DGS), Office of Risk and Insurance Management. The Contractor shall be notified by CDPH, in writing, if this provision is applicable to this Agreement. If DGS approval of the certificate of insurance is required, the Contractor agrees that no work or services shall be performed prior to obtaining said approval. (g) In the event the Contractor fails to keep insurance coverage, as required herein, in effect at all times during vehicle possession, CDPH may, in addition to any other remedies it may have, terminate this Agreement upon the occurrence of such event. 3. Subcontract Requirements (Applicable to agreements under which services are to be performed by subcontractors including independent consultants.) a. Prior written authorization will be required before the Contractor enters into or is reimbursed for any subcontract for services exceeding $2,500 for any artices, supplies, equipment, or services. The Contractor shall obtain at least three competive quatations which should be submitted or adequate justification provided for the absence of bidding. b. CDPH reserves the right to approve or disapprove the selection of subcontractors and with advance written notice, require the substitution of subcontractors and require the Contractor to terminate subcontracts entered into in support of this Agreement. (1) Upon receipt of a written notice from CDPH requiring the substitution and/or termination of a subcontract, the Contractor shall take steps to ensure the completion of any work in progress and select a replacement, if applicable, within 30 calendar days, unless a longer period is agreed to by CDPH. Page 6 of 16 Exhibit D Special Terms and Conditions c. Actual subcontracts (i.e., written agreement between the Contractor and a subcontractor) exceeding $2,500 are subject to the prior review and written approval of CDPH. d. Contractor shall maintain a copy of each subcontract entered into in support of this Agreement and shall, upon request by CDPH, make copies available for approval, inspection, or audit. e. CDPH a~sumes no responsibility for the payment of subcontractors used in the performance of this Agreement. Contractor accepts sole responsibility for the payment of subcontractors used in the performance of this Agreement. f. The Contractor is responsible for all performance requirements under this Agreement even though performance may be carried out through a subcontract. g. The Contractor shall ensure that all subcontracts for services include provision(s) requiring compliance with applicable terms and conditions specified in this Agreement and shall be the subcontractor's sole point of contact for all matters related to the performance and payment during the term of this Agreement. h. The Contractor agrees to include the following clause, relevant to record retention, in all subcontracts for services: "(Subcontractor Name) agrees to maintain and preserve, until three years after termination of (Agreement Numbe0 and final payment from CDPH to the Contractor, to permit CDPH or any duly authorized representative, to have access to, examine or audit any pertinent books, documents, papers and records related to this subcontract and to allow interviews of any employees who might reasonably have information related to such records." 4. Income Restrictions Unless otherwise stipulated in this Agreement, the Contractor agrees that any refunds, rebates, credits, or other amounts (including any interest thereon) accruing to or received by the Contractor under this Agreement shall be paid by the Contractor to CDPH, to the extenf that they are properly allocable to costs for which the Contractor has been reimbursed by CDPH under this Agreement. 5. Site Inspection The State, through any authorized representatives, has the right at all reasonable times to inspect or otherwise evaluate the work performed or being performed hereunder including subcontract supported activities and the premises in which it is being performed. If any inspection or evaluation is made of the premises of the Contractor or Subcontractor, the Contractor shall provide and shall require Subcontractors to provide all reasonable facilities and assistance for the safety and convenience of the authorized representatives in the performance of their duties._ All inspections and evaluations shall be performed in such a manner as will not unduly delay the services performed. 6. Intellectual Property Rights a. Ownership Page 7 of 16 Exhibit D Special Terms and Conditions (1) Except where CDPH has agreed in a signed writing to accept a license, CDPH shall be and remain, without additional compensation, the sole owner of any and all rights, title and interest in all Intellectual Property, from the moment of creation, whether or not jointly conceived, that are made, conceived, derived from, or reduced to practice by Contractor or CDPH and which result directly or indirectly from this Agreement. (2) For the purposes of this Agreement, Intellectual Property means recognized protectable rights and interest such as: patents, (whether or not issued) copyrights, trademarks, service marks, applications for any of the foregoing, inventions, trade secrets, trade dress, logos, insignia, color combinations, slogans, moral rights, right of publicity, author's rights, contract and licensing rights, works, mask works, industrial design rights, rights of priority, know how, design flows, methodologies, devices, business processes, developments, innovations, good will and all other legal rights protecting intangible proprietary information as may exist now and/or here after come into existence, and all renewals and extensions, regardless of whether those rights arise under the laws of the United States, or any other state, country or jurisdiction. (a) For the purposes of the definition of Intellectual Property, "works" means all literary works, writings and printed matter including the medium by which they are recorded or reproduced, photographs, art work, pictorial and graphic representations and works of a similar nature, film, motion pictures, digital images, animation cells, and other audiovisual works including positives and negatives thereof, sound recordings, tapes, educational materials, interactive videos and any other materials or products created, produced, conceptualized and fixed in a tangible medium of expression. It includes preliminary and final products and any materials and information developed for the purposes of producing those final products. Works does not include articles submitted to peer review or reference journals or independent research projects. (3) In the performance of this Agreement, Contractor will exercise and utilize certain of its Intellectual Property in existence prior to the effective date of this Agreement. In addition, under this Agreement, Contractor may access and utilize certain of CDPH's Intellectual Property in existence prior to the effective date of this Agreement. Except as otherwise set forth herein, Contractor shall not use any of CDPH's Intellectual Property now existing or hereafter existing for any purposes without the prior written permission of CDPH. Except as otherwise set forth herein, neither the Contractor nor CDPH shall give any ownership interest in or rights to its Intellectual Property to the other Party. If during the term of this Agreement, Contractor accesses any third-party Intellectual Property that is licensed to CDPH, Contractor agrees to abide by all license and confidentiality restrictions applicable to CDPH in the third-party's license agreement. (4) Contractor agrees to cooperate with CDPH in establishing or maintaining CDPH's exclusive rights in the Intellectual Property, and in assuring CDPH's sole rights against third parties with respect to the Intellectual Property. If the Contractor enters into any agreements or subcontracts with other parties in order to perform this Agreement, Contractor shall require the terms of the Agreement(s) to include all Intellectual Property provisions. Such terms must include, but are not limited to, the subcontractor assigning and agreeing to assign to CDPH all rights, title and interest in Intellectual Property made, conceived, derived from, or reduced to practice by the subcontractor, Contractor or CDPH and which result directly or indirectly from this Agreement or any subcontract. (5) Contractor further agrees to assist and cooperate with CDPH in all reasonable respects, and execute all documents and, subject to reasonable availability, give testimony and take Page 8 of 16 Exhibit 0 Special Terms and Conditions all further acts reasonably necessary to acquire, transfer, maintain, and enforce CDPH's Intellectual Property rights and interests. b. Retained Rights I License Rights (1) Except for Intellectual Property made, conceived, derived from, or reduced to practice by Contractor or CDPH and which result directly or indirectly from this Agreement, Contractor shall retain title to all of its Intellectual Property to the extent such Intellectual Property is in existence prior to the effective date of this Agreement. Contractor hereby grants to CDPH, without additional compensation, a permanent, non-exclusive, royalty free, paid-up, worldwide, irrevocable, perpetual, non-terminable license to use, reproduce, manufacture, sell, offer to sell, import, export, modify, publicly and privately display/perform, distribute, and dispose Contractor's Intellectual Property with the right to sublicense through multiple layers, for any purpose whatsoever, to the extent it is incorporated in the Intellectual Property resulting from this Agreement, unless Contractor assigns all rights, title and interest in the Intellectual Property as set forth herein. (2) Nothing in this provision shall restrict, limit, or otherwise prevent Contractor from using any ideas, concepts, know-how, methodology or techniques related to its performance under this Agreement, provided that Contractor's use does not infringe the patent, copyright, trademark rights, license or other Intellectual Property rights of CDPH or third party, o·r result in a breach or default of any provisions of this Exhibit or result in a breach of any provisions of law relating to confidentiality. c. Copyright (1) Contractor agrees that for purposes of copyright law, all works [as defined in Paragraph a, subparagraph (2)(a) of this provision] of authorship made by or on behalf of Contractor in connection with Contractor's performance of this Agreement shall be deemed "works made for hire". Contractor further agrees that the work of each person utilized by Contractor in connection with the performance of this Agreement will be a "work made for hire," whether that person is an employee of Contractor or that person has entered into an agreement with Contractor to perform the work. Contractor shall enter into a written agreement with any such person that: (i) all work performed for Contractor shall be deemed a "work made for hire" under the Copyright Act and (ii) that person shall assign all right, title, and interest to CDPH to any work product made, conceived, derived from, or reduced to practice by Contractor or CDPH and which result directly or indirectly from this Agreement. (2) All materials, including, but not limited to, visual works or text, reproduced or distributed pursuant to this Agreement that include Intellectual Property made, conceived, derived from, or reduced to practice by Contractor or CDPH ana which result directly or indirectly from this Agreement, shall include CDPH's notice of copyright, which shall read in 3mm or larger typeface: "©[Enter Current Year e.g., 2014, etc.], Department of Public Health. This material may not be reproduced or disseminated without prior written permission from the Department of Public Health." This notice should be placed prominently on the materials and set apart from other matter on the page where it appears. Audio productions shall contain a similar audio notice of copyright. d. Patent Rights With respect to inventions made by Contractor in the performance of this Agreement, which did not result from research and development specifically included in the Agreement's scope of Page 9 of 16 Exhibit D Special Terms and Conditions work, Contractor hereby grants to CDPH a license as described under Section b of this provision for devices or material incorporating, or made through the use of such inventions. If such inventions result from research and development work specifically included within the Agreement's scope of work, then Contractor agrees to assign to CDPH, without additional compensation, all its right, title and interest in and to such inventions and to assist CDPH in securing United States and foreign patents with respect thereto. e. Third-Party Intellectual Property Except as provided herein, Contractor agrees that its performance of this Agreement shall not be dependent upon or include any Intellectual Property of Contractor or third party without first: (i) obtaining CDPH's prior written approval; and (ii) granting to or obtaining for CDPH, without additional compensation, a license, as described in Section b of this provision, for any of Contractor's or third-party's Intellectual Property in existence prior to the effective date of this Agreement. If such a license upon the these terms is unattainable, and CDPH determines that the Intellectual Property should be included in or is required for Contractor's performance of this Agreement, Contractor shall obtain a license under terms acceptable to CDPH. f. Warranties (1) Contractor represents and warrants that (a) It is free to enter into and fully perform this Agreement (b) It has secured and will secure all rights and licenses necessary for its performance of this Agreement. (c) Neither Contractor's performance of this Agreement, nor the exercise by either Party of the rights granted in this Agreement, nor any use, reproduction, manufacture, sale, offer to sell, import, export, modification, public and private display/performance, distribution, and disposition of the Intellectual Property made, conceived, derived from, or reduced to practice by Contractor or CDPH and which result directly or indirectly from this Agreement will infringe upon or violate any Intellectual Property right, non-disclosure obligation, or other proprietary right or interest of any third-party or entity now existing under the laws of, or hereafter existing or issued by, any state, the United States, or any foreign country. There is currently no actual or threatened claim by any such third party based on an alleged violation of any such right by Contractor. (d) Neither Contractor's performance nor any part of its performance will violate the right of privacy of, or constitute a libel or slander against any person or entity. (e) It has secured and will secure all rights and licenses necessary for Intellectual Property including, but not limited to, consents, waivers or releases from all authors of music or performances used, and talent (radio, television and motion picture talent), owners of any interest in and to real estate, sites, locations, property or props that may be used or shown. (f) It has not granted and shall not grant to any person or entity any right that would or might derogate, encumber, or interfere· with any of the rights granted to CDPH in this Agreement. Page 10 of 16 Exhibit D Special Terms and Conditions (g) It has appropriate systems and controls in place to ensure that state funds will not be used in the performance of this Agreement for the acquisition, operation or maintenance of computer software in violation of copyright laws. (h) It has no knowledge of any outstanding claims, licenses or other charges, liens, or encumbrances of any kind or nature whatsoever that could affect in any way Contractor's performance of this Agreement. (2) CDPH MAKES NO WARRANTY THAT THE INTELLECTUAL PROPERTY RESULTING FROM THIS AGREEMENT DOES NOT INFRINGE UPON ANY PATENT, TRADEMARK, COPYRIGHT OR THE LIKE, NOW EXISTING OR SUBSEQUENTLY ISSUED. g. Intellectual Property Indemnity (1) Contractor shall indemnify, defend and hold harmless CDPH and its licensees and assignees, and its officers, directors, employees, agents, representatives, successors, and users of its products, ("lndemnitees") from and against all claims, actions, damages, losses, liabilities (or actions or proceedings with respect to any thereof}, whether or not rightful, arising from any and all actions or claims by any third party or expenses related thereto (including, but not limited to, all legal expenses, court costs, and attorney's fees incurred in investigating, preparing, serving as a witness in, or defending against, any such . claim, action, or proceeding, commenced or threatened) to which any of the lndemnitees may be subject, whether or not Contractor is a party to any pending or threatened litigation, which arise out of or are related to (i) the incorrectness or breach of any of the representations, warranties, covenants or agreements of Contractor pertaining to Intellectual Property; or (ii) any Intellectual Property infringement, or any other type of actual or alleged infringement claim, arising out of CDPH's use, reproduction, manufacture, sale, offer to sell, distribution, import, export, modification, public and private performance/display, license, and disposition of the Intellectual Property made, conceived, derived from, or reduced to practice by Contractor or CDPH and which result directly or indirectly from this Agreement. This indemnity obligation shall apply irrespective of whether the infringement claim is based on a patent, trademark or copyright registration that issued after the effective date of this Agreement. CDPH reserves the right to participate in and/or control, at Contractor's expense, any such infringement action brought against CDPH. (2) Should any Intellectual Property licensed by the Contractor to CDPH under this Agreement become the subject of an Intellectual Property infringement claim, Contractor will exercise its authority reasonably and in good faith to preserve CDPH's right to use the licensed Intellectual Property in accordance with this Agreement at no expense to CDPH. CDPH shall have the right to monitor and appear through its own counsel (at Contractor's expense) in any such claim or action. In the defense or settlement of the claim, Contractor may obtain the right for CDPH to continue using the licensed Intellectual Property; or, replace or modify the licensed Intellectual Property so that the replaced or modified Intellectual Property becomes non-infringing provided that such replacement or modification is functionally equivalent to the original licensed Intellectual Property. If such remedies are not reasonably available, CDPH shall be entitled to a refund of all monies paid under this Agreement, without restriction or limitation of any other rights and remedies available at law or in equity. (3) Contractor agrees that damages alone would be inadequate to compensate CDPH for breach of any term of this Intellectual Property Exhibit by Contractor. Contractor acknowledges CDPH would suffer irreparable harm in the event of such breach and agrees Page 11 of 16 Exhibit D Special Terms and Conditions CDPH shall be entitled to obtain equitable relief, including without limitation an injunction, from a court of competent jurisdiction, without restriction or limitation of any other rights and remedies available at law or in equity. h. Survival The provisions set forth herein shall survive any termination or expiration of this Agreement or any project schedule. 7. Prior Approval of Training Seminars, Workshops or Conferences Contractor shall obtain prior CDPH approval of the location, costs, dates, agenda, instructors, instructional materials, and attendees at any reimbursable training seminar, workshop, or conference conducted pursuant to this Agreement and of any reimbursable publicity or educational materials to be made available for distribution. The Contractor shall acknowledge the support of the State whenever publicizing the work under this Agreement in any media. This provision does not apply to necessary staff meetings or training sessions held for the staff of the Contractor in order to conduct routine business matters. 8. Confidentiality of Information The Contractor and its employees, agents, or subcontractors shall: a. Protect from unauthorized disclosure names and other identifying information concerning persons either receiving services pursuant to this Agreement or persons whose names or identifying information become available or are disclosed to the Contractor, its employees, agents, or subcontractors as a result of services performed under this Agreement, except for statistical information not identifying any such person. b. Not use such identifying information for any purpose other than carrying out the Contractor's obligations under this Agreement. c. Promptly transmit to the CDPH Contract Manager all requests for disclosure of such ide!ltifying information not emanating from the client or person. d. Not disclose, except as otherwise specifically permitted by this Agreement or authorized by the client, any such identifying information to anyone other than CDPH without prior written authorization from the CDPH Contract Manager, except if disclosure is required by State or Federal law. e. For purposes of this provision, identity shall include, but not be limited to name, identifying number, symbol, or other identifying particular assigned to the individual, such as finger or voice print or a photograph. f. As deemed applicable by CDPH, this provision may be supplemented by additional terms and conditions covering personal health information (PHI) or personal, sensitive, and/or confidential information {PSCI). Said terms and conditions will be outlined in one or more exhibits that will either be attached to this Agreement or incorporated into this Agreement by reference. Page 12 of 16 Exhibit D Special Terms and Conditions 9. Documents, Publications and Written Reports (Applicable to agreements over $5,000 under which publications, written reports and documents are developed or produced. Government Code Section 7550.) Any document, publication or written report (excluding progress reports, financial reports and normal ·contractual communications) prepared as a requirement of this Agreement shall contain, in a separate section preceding the main body of the document, the number and dollar amounts of all contracts or agreements and subcontracts relating to the preparation of such document or report, if the total cost for work by nonemployees of the State exceeds $5,000. 10. Dispute Resolution Process a. A Contractor grievance exists whenever there is a dispute arising from CDPH's action in the administration of an agreement. If there is a dispute or grievance between the Contractor and CDPH, the Contractor must seek resolution using the procedure outlined below. (1) The Contractor should first informally discuss the problem with the CDPH Program Contract Manager. If the problem cannot be resolved informally, the Contractor shall direct its grievance together with any evidence, in writing, to the program Branch Chief. The grievance shall state the issues in dispute, the legal authority or other basis for the Contractor's position and the remedy sought. The Branch Chief shall render a decision within ten (10) working days after receipt of the written grievance from the Contractor. The Branch Chief shall respond in writing to the Contractor indicating the decision and reasons therefore. If the Contractor disagrees with the Branch Chief's decision, the Contractor may appeal to the second level. (2) When appealing to the second level, the Contractor must prepare an appeal indicating the reasons for disagreement with Branch Chief's decision. The Contractor shall include with the appeal a copy of the Contractor's original statement of dispute along with any supporting evidence and a copy of the Branch Chief's decision. The appeal shall be addressed to the Deputy Director of the division in which the branch is organized within ten (10) working days from receipt of the Branch Chief's decision. The Deputy Director of the division in which the branch is organized or his/her designee shall meet with the Contractor to review the .issues raised. A written decision signed by the Deputy Director of the division in which the branch is organized or his/her designee shall be directed to the Contractor within twenty (20) working days of receipt of the Contractor's second level appeal. b. If the Contractor wishes to appeal the decision of the Deputy Director of the division in which the branch is organized or his/her designee, the Contractor shall follow the procedures set forth in Division 25.1 (commencing with Section 38050) of the Health and Safety Code and the regulations adopted thereunder. (Title 1, Division 2, Chapter 2, Article 3 (commencing with Section 1140) of the California Code of Regulations). c. Disputes arising out of an audit, examination of an agreement or other action not covered by subdivision (a) of Section 20204, of Chapter 2.1, Title 22, of the California Code of Regulations, and for which no procedures for appeal are provided in statute, regulation or the Agreement, shall be handled in accordance with the procedures identified in Sections 51016 through 51047, Title 22, California Code of Regulations. d. Unless otherwise stipulated in writing by CDPH, all dispute, grievance and/or appeal correspondence shall be directed to the CDPH Contract Manager. Page 13 of 16 Exhibit D Special Terms and Conditions e. There are organizational differences within CDPH's funding programs and the management levels identified in this dispute resolution provision may not apply in every contractual situation. When a grievance is received and organizational differences exist, the Contractor shall be notified in writing by the CDPH Contract Manager of the level, name, and/or title of the appropriate management official that is responsible for issuing a decision at a given level. 11. Officials Not to Benefit No members of or delegate of Congress or the State Legislature shall be admitted to any share or part of this Agreement, or to any benefit that may arise therefrom. This provision shall not be construed to extend to this Agreement if made with a corporation for its general benefits. 12. Prohibited Use of State Funds for Software Contractor certifies that it has appropriate systems and controls in place to ensure that state funds will not be used in the performance of this Agreement for the acquisition, operation or maintenance of computer software in violation of copyright laws. 13. Contract Uniformity (Fringe Benefit Allowability} (Applicable only to nonprofit organizations.) Pursuant to the provisions of Article 7 (commencing with Section 100525) of Chapter 3 of Part 1 of Division 101 of the Health and Safety Code, CDPH sets forth the following policies, procedures, and guidelines regarding the reimbursement of fringe benefits. a. As used herein fringe benefits shall mean an employment benefit given by one's employer to an employee in addition to one's regular or normal wages or salary. b. As used herein, fringe benefits do not include: (1) Compensation for personal services paid currently or accrued by the Contractor for services of employees rendered during the term of this Agreement, which is identified as regular or normal salaries and wages, annual leave, vacation, sick leave, holidays, jury duty and/or military leave/training. (2) Director's and executive committee member's fees. (3) Incentive awards and/or bonus incentive pay. (4) Allowances for off-site pay. (5) Location allowances. (6) Hardship pay. (7) Cost-of-living differentials c. Specific allowable fringe benefits include: (1) Fringe .benefits in the form of employer contributions for the employer's portion of payroll taxes (i.e., FICA, SUI, SDI), employee health plans (i.e., health, dental and vision), unemployment insurance, worker's compensation insurance, and the employer's share of pension/retirement plans, provided they are granted in accordance with established written organization policies and meet all legal and Internal Revenue Service requirements. Page 14 of 16 Exhibit D Special Terms and Conditions d. To be an allowable fringe benefit, the cost must meet the following criteria: ( 1) Be necessary and reasonable for the performance of the Agreement. (2) Be determined in accordance with generally accepted accounting principles. (3) Be consistent with policies that apply uniformly to all activities of the Contractor. e. Contractor agrees that all fringe benefits shall be at actual cost. f. Earned/Accrued Compensation (1) Compensation for vacation, sick leave and holidays is limited to that amount earned/accrued within the agreement term. Unused vacation, sick leave and holidays earned from periods prior: to the agreement term cannot be claimed as allowable costs. See section f (3)(a) below for an example. (2) For multiple year agreements, vacation and sick leave compensation, which is earned/accrued but not paid, due to employee(s) not taking time off may be carried over and claimed within the overall term of the multiple years of the Agreement. Holidays cannot be carried over from one agreement year to the next. See Provision f (3)(b) for an example. (3) For single year agreements, vacation, sick leave and holiday compensation that is earned/accrued but not paid, due to employee(s) not taking time off within the term of the Agreement, cannot be claimed as an allowable cost. See Provision f (3)(c) for an example. (a) Example No. 1: If an employee, John Doe, earns/accrues three weeks of vacation and twelve days of sick leave each year, then that is the maximum amount that may be claimed during a one year agreement. If John Doe has five weeks of vacation and eighteen days of sick leave at the beginning of an agreement, the Contractor during a one-year budget period may only claim up to three weeks of vacation and twelve days of sick leave as actually used by the employee. Amounts earned/accrued in periods prior to the beginning of the Agreement are not an allowable cost. (b) Example No. 2: If during a three-year (multiple year) agreement, John Doe does not use his three weeks of vacation in year one, or his three weeks in year two, but he does actually use nine weeks in year three; the Contractor would be allowed to claim all nine weeks paid for in year three. The total compensation over the three-year period cannot exceed 156 weeks (3 x 52 weeks). (c) Example No. 3: If during a single year agreement, John Doe works fifty weeks and used one week of vacation and one week of sick leave and all fifty-two weeks have been billed to CDPH, the remaining unused two weeks of vacation and seven days of sick leave may not be claimed as an allowable cost. 14. Cancellation A This agreement may be cancelled by CDPH without cause upon 30 calendar days advance written notice to the Contractor. Page 15 of 16 Exhibit 0 Special Terms and Conditions B. CDPH reserves the right to cancel or terminate this agreement immediately for cause. The Contractor may submit a written request to terminate this agreement only if CDPH substantially fails to perform its responsibilities as provided herein. C. The term "for cause" shall mean that the Contractor fails to meet the terms, conditions, and/or responsibilities of this agreement. D. Agreement termination or cancellation shall be effective as of the date indicated in CDPH's notification to the Contractor. The notice shall stipulate any final performance, invoicing or payment requirements. E. Upon receipt of a notice of termination or cancellation, the Contractor shall take immediate steps to stop performance and to cancel or reduce subsequent agreement costs. F. In the event of early termination or cancellation, the Contractor shall be entitled to compensation for services performed satisfactorily under this agreement and expenses incurred up to the date of cancellation and any non-cancelable obligations incurred in support of this agreement. Page 16 of 16 Exhibit E Additional Provisions 1. Avoidance of Conflicts of Interest by Contractor 14-10712 A. CDPH intends to avoid any real or apparent conflict of interest on the part of the Contractor, subcontractors, or employees, officers and directors of the Contractor or subcontractors. Thus, CDPH reserves the right to determine, at its ·sole discretion, whether any information, assertion or claim received from any source indicates the existence of a real or apparent conflict of interest; and, if a conflict is found to exist, to require the Contractor to submit additional information or a plan for resolving the conflict, subject to CDPH review and prior approval. B. Conflicts of interest include, but are not limited to: 1) An instance where the Contractor or any of its subcontractors, or any employee, officer, or director of the Contractor or any subcontractor has an interest, financial or otherwise, whereby the use or disclosure of information obtained while performing services under the Contract would allow for private or personal benefit or for any purpose that is contrary to the goals and objectives of the Contract. 2) An instance where the Contractor's or any subcontractor's employees, officers, or directors use their positions for purposes that are, or give the appearance of being, motivated by a desire for private gain for themselves or others, such as those with whom they have family, business or other ties. C. If CDPH is or becomes aware of a known or suspected conflict of interest, the Contractor will be given an opportunity to submit additional information or to resolve the conflict. A Contractor with a suspected conflict of interest will have five (5) working days from the date of notification of the conflict by CDPH to provide complete information regarding the suspected conflict. If a conflict of interest is determined to exist by CDPH and cannot be resolved to the satisfaction of CDPH, the conflict will be grounds for terminating the Contract. CDPH may, at its discretion upon receipt of a written request from the Contractor, authorize an extension of the timeline indicated herein. Page 1 of 1 Exhibit F Contractor's Release Instructions to Contractor: With f~nal inv~ice(s) submit one (1) origi~~l and one (1) copy. The original must bear the original signature of a person authonzed to brnd the Contractor. The add1t1onal copy may bear photocopied signatures. Submission of Final Invoice Pursuant to contract number entered into between the State of California Department of Public Health (CDPH) and the Contractor (identified below), the Contractor does acknowledge that final payment has been requested via invoice number(s) , in the amount(s) of$ . . ..... · ... ·· .. ·· .. and dated . .. If necessary, enter "See Attached" in the appropriate blocks and attach a list of invoice n~mbers, dollar amounts and invoice dates:- Release of all Obligations By signing this form, and upon receipt of the amount specified in the invoice number(s) referenced above, the Contractor does hereby release and discharge the State, its officers, agents and employees of and from any and all liabilities, obligations, claims, and demands whatsoever arising from the above referenced contract. Repayments Due to Audit Exceptions I Record Retention By signing this form, Contractor acknowledges that expenses authorized for reimbursement does not guarantee final allowability of said expenses. Contractor agrees that the amount of any sustained audit exceptions resulting from any subsequent audit made after final payment will be refunded to the State. All expense and accounting records related to the above referenced contract must be maintained for audit purposes for no less than three years beyond the date of final payment, unless a longer term is stated in said contract. · Recycled Product Use Certification By signing this form, Contractor certifies under penalty of perjury that a minimum of 0% unless otherwise specified in writing of post consumer material, as defined in the Public Contract Code Section 12200, in products, materials, goods, or supplies offered or sold to the State regardless of whether it meets the requirements of Public Contract Code Section 12209. Contractor specifies that printer or duplication cartridges offered or sold to the State comply with the requirements of Section 12156(e). Reminder to Return State Equipment/Property (If Applicable) (Applies only if equipment was provided by COPH or purchased with or reimbursed by contract funds) Unless CDPH has approved the continued use and possession of State equipment (as defined in the above referenced contract) for use in connection with another CDPH agreement, Contractor agrees to promptly initiate arrangements to account for and return said equipment to CDPH, at CDPH's expense, if said equipment has not passed its useful life expectancy as defined in the above referenced contract. Patents I Other Issues By signing this form, Contractor further agrees, in connection with patent matters and with any claims that are not specifically released as set forth above, that it will comply with all of the provisions contained in the above referenced contract, including, but not limited to, those provisions relating to notification to the State and related to the defense or prosecution of litigation. ONLY SIGN AND DATE THIS DOCUMENT WHEN ATTACHING TO THE FINAL INVOICE Contractor's Legal Name (as on contract): Signature of Contractor or Official Designee: Date: --------~~--------------~~--- Printed Name/Title of Person Signing: CDPH Distribution: Accounting (Original) Program CDPH 2352 (7/07) Travel Reimbursement Information (Mileage Reimbursement Effective 12131/13) £xh.ibi+ ~ 1. The following rate policy is to be applied for reimbursing the travel expenses of persons under contract. The terms "contract" and/or "subcontract" have the same meaning as "grantee" and/or "subgrantee" where applicable. a. Reimbursement for travel and/or per diem shall be at the rates established for nonrepresented/excluded state employees. Exceptions to California Department of Human Resources (CaiHR) lodging rates may be approved by the California Department of Public Health (CDPH) upon the receipt of a statement on/with an invoice indicating that such rates are not available. · b. Short Term Travel is defined as a 24-hour period, and less than 31 consecutive days, and is at least 50 miles from the main office, headquarters or primary residence. Starting time is whenever a contract or subcontract employee leaves his or her home or headquarters. "Headquarters" is defined as the place where the contracted personnel spends the largest portion of their working time and returns to upon the completion of assignments. Headquarters may be individually established for each traveler and approved verbally or in writing by the program funding the agreement. Verbal approval shall be followed up in writing or email. c. Contractors on travel status for more than one 24-hour period and less than 31 consecutive days may claim a fractional part of a period of more than 24 hours. Consult the chart appearing on Page 2 of this exhibit to determine the reimbursement allowance. All lodging reimbursement claims must be supported by a receipt*. If a contractor does not or cannot present receipts, lodging expenses will not be reimbursed. (1) Lodging (with receipts*); Travel Locatio,21 Area ~-.. -.--. ---·-·-·--.-·-·-~---,-·~~~:=~4·--· ,..~~,~~., .·-R"eini'b~..Sem&ntR'~·f;··-1 Statewide (excluding thecountiesidentified be~~~'t-··--·"'·' :$ 90~00 pJustax .... ·~·· Counties of Napa, Riverside andSacramento 1: $ 95.00 plus te3x .. ·. Counties of Los. Angeles~-Orange and Venter counties, and Edwards AFB, F $120.06 plus tcix ·-· excluding the Ci~y ofSant(3 ty1onica ... 1 ~·· ;:~~::: ::~:;:!~;c~::t=~~~;;~ ~:~: San Mateo, and San OJ Clara --e, :~ :~-~:~;;: . I l,.... .... ....... ----"f-..-...,--~ ..... ..;..·,.,............... t--."*-' .. ~-. ;.;..;. :......,-.t Reimbursement for actual lodging expenses that exceed the above amounts may be allowed with the advance approval of the Deputy Director of the California Department of Public Health (CDPH) or his or her designee. Receipts are required. *Receipts from Internet lodging reservation services such as Priceline.com which require prepayment for that service, ARE NOT ACCEPTABLE LODGING RECEIPTS and are not reimbursable without a valid lodging receipt from a lodging establishment (2) Meal/Supplemental Expenses (with or without receipts): With receipts, the contractor will be reimbursed actual amounts spent up to the maximum for each full 24-hour period of travel. Meal/ Expense Breakfast Lunch Dinner Incidental expenses Reimbursement Rate $ 7.00 $ 11.00 $ 23.00 $ 5.00 d. Out-of-state travel m'ay only be reimbursed if such travel is necessitated by the scope or statement of work and has been approved in advance by the program with which the contract is held. For out-of-state travel, contractors may be reimbursed actual lodging expenses, supported by a receipt, and may be reimbursed for meals and supplemental expenses for each 24-hour period computed at the rates listed in c. (2) above. For all out-of-state travel, contractors/subcontractors must have prior CDPH written or verbal approval. Verbal approval shafl be confirmed in writing (email or memo). e. In computing allowances for continuous periods of travel of less than 24 hours, consult the chart appearing on Page 2 of this exhibit. CDPH CMU 01 (03/14) Page 1 of2 f. No meal or lodging expenses will be reimbursed for any period of travel that occurs within normal working hours, unless expenses are incurred at least 50 miles from headquarters. 2. If any ofthe reimbursement rates stated herein is changed by CaiHR, no formal contract amendment will be required to incorporate the new rates. However, CDPH shall inform the contractor, in writing, of the revised travel reimbursement rates and the applicable effective date of any rate change. At CDPH's discretion, changes or revisions made by CDPH to this exhibit, excluding travel reimbursement policies established by CaiHR may be applied retroactively to any agreement to which a Travel Reimbursement Information exhibit is attached, incorporated by reference, or applied by CDPH program policy. Changes to the travel reimbursement rates stated herein may not be applied earlier than the date a rate change is approved by Cal HR. 3. For transportation expenses, the contractor must retain receipts for parking; taxi, airline, bus, or rail tickets; car rental; or any other travel receipts pertaining to each trip for attachment to an invoice as substantiation for reimbursement. Reimbursement may be requested for commercial carrier fares; private car mileage; parking fees; bridge tolls; taxi, bus, or streetcar fares; and auto rental fees when substantiated by a receipt. 4. Note on use of autos: If a contractor uses his/her or a company car for transportation, the rate of reimbursement will be 56.0 cents maximum per mile. If a contractor uses his/her or a company car "in lieu of' airfare, the air coach fare will be the maximum paid by the State. The contractor must provide a cost comparison upon request by the State. Gasoline and routine automobile repair expenses are not reimbursable. 5. The contractor is required to furnish details surrounding each period of travel. Travel expense reimbursement detail may include, but not be limited to: purpose of travel, departure and return times, destination points, miles driven, mode of transportation, etc. Reimbursement for travel expenses may be withheld pending receipt of adequate travel documentation. 6. Contractors are to consult with the program with which the contract is held to obtain specific invoicing procedures, Per Diem Reimbursement Guide 24 hours Trip begins at or before 6 a.m. Breakfast may be claimed, 24 hours Trip begins at or before 11 a.m. Lunch may be claimed. 24 hours Trip begins at or before 5 p.m. Dinner may be claimed. More than 24 hours Trip ends at or after 8 a.m. Breakfast may be claimed. More than 24 hours Trip ends at or after 2 p.m. Lunch may be claimed. More than 24 hours Trip ends at or after 7 p.m. Dinner may be claimed. CDPH CMU 01 (03/14) Page 2 of 2 ;::,tate or t,;.aurornla-Heann ana Human :services Agency Califomoa Department of Public Exhibit H CONTRACTOR EQUIPMENT PURCHASED WITH CDPH FUNDS --...,.____,._ Current Contract Number: 14-1 0712 ~~~~-----~~~~----~------~~~--Previous Contract Number (if applicable): ________ ....._ ______ ___.. Contractor's Name: County of Fresno Department of Public Health Contractor's Complete Address: PO .Box 11867 ~~~~~-----~--------~~~~-Fresno, CA 93775 Contractor's Contact Person: Sara Bosse ~~~~-----~---------------Contact's Telephone Number: (559)600-:6449 Date Current Contract Expires: _S~e._pt_e_m_b_e_r.;.;.2.:...,9,'-'2;:..0:....1;...;8~------~----­CDPH Program Name: Chronic Disease Control Branch CDPH Program Contract Manager: _L...;is""'a...;P....;u.;;.:..l;;.;;id;.;:o____..;;.;,;.;.; _ ____..;. ________ __,-'-~ CDPH Program Address: 1616 Capitol A venue, MS 7208 Bacramento, CA 95899-7377 CDPH Program Contract Manager's Telephone Number: (916)-552-9948 Date of this Report: -------..,.------------------~~-"""-'-.;._.,. (THIS IS NOT A BUDGET FORM) STATE~/CDPH ITEM DESCRIPTION I ! I 1. Include manufacturer's name, model number, type, size, and/or capacity. I OPTIONAL PROPERlY TAG UNIT COST CDPH PURCHASE I MAJOR/MINOR EQUIPMENT (If motor vehicle, list 2. lfmotorvehide, list year, make, model number, type of vehicle (van, sedan, pick-up, etc.) PER ITEM ORDER (STD 65) . DATE SERIAL NUMBER PROGRAMU license number,) QUANTITY 3. If van, include passenger capacity. (Before Tax) NUMBER • PURCHASED (If motor vehicle, list VIN number.) ONLY I' $ $ $ I $ I .. I i .... $ i $ I . I · ...... $ '····· ..... $ .. l $ . I $ . $ $ · .. ..... ··' ............ $ .. ·· . ! -.-.. . . . $ $ ($ COPH 1203 (OB/07) INSTRUCTIONS FOR CDPH 1203 (Please-read carefully.) The information on this fo:r:n will be used by .the. California Dep~rtment of Public He~lth (COPH) Asset Management (AM) to tag contract equipr and/or property (see definrt1ons A, and B) wh1ch 1s pu~chased w1th CDPH f~nds and 1s used to conduct state business under this contract. Atte1 Standard Agreement has been approved and each t1me state/CDPH equ1pment and/or property has been received, the CDPH Program Con Manager is responsible for obtaining the information from the Contractor and submitting this form to CDPH AM. The CDPH Program Contract Man is responsible for ensuring the information is complete and accurate. (See Health Administrative Manual (HAM), Section 2-1060 and Section 9-2310: Upon receipt of this form from the CDPH Program Contract Manager, AM will fill in the first column with the assigned state/ CDPH property ta applicable, for each item (See definitions A and B). AM will return the original form to the CDPH Program Contract Manager, along with the appropr property.tag~. The <?DPH Program Contract Manager will then forward the J?rope~y t~gs and the original form to.the Contractor and retain one copy 1 the termmat1on of th1s contract. The Contractor should place property tags 1n plam Sight and, to the extent possible, on the item's front left-hand cor The manufacturer's brand name and model number are not to be covered by the property tags. 1. If the item was shipped via the CDPH warehouse and was issued a state/CDPH property tag by warehouse staff, fill in the assigned property tag the item was shipped directly to the Contractor, leave the first column blank. 2. Provide the quantity, description, purchase date, base unit cost, and serial number (if applicable) for each item of: A. Major Equipment: • Tangible item having a base unit cost of $5,000 or more and a life expectancy of one (1) year or more. • Intangible item having a base unit cost of $5,000 or more and a life expectancy of one (1) year or more (e.g., software, video). These items are issued green numbered state/ CDPH property tags. B. Minor Equipment/Property: Specific tangible items with a life expectancy of one (1) year or more that have a base unit cost less than $5,0( These items are issued green unnumbered "BLANK" state/ CDPH property tags with the exception of the following, which are issued number tags: Personal Oigitai·Assistant (PDA), PDA/cell phone combination (Blackberries), laptops, desktop personal computers, LAN servers, routers a switches. NOTE: It is CDPH policy not to tag modular furniture. (See your Federal rules, if applicable.) ' 3. Provide the CDPH Purchase Order (STD 65) number if the items were purchased by CDPH. (See HAM, Section 2-1050.1.) 4. If a vehicle is being reported, provide the Vehicle Identification Number (VIN) and the vehicle license number to CDPH Vehicle Services. (See HA Section 2-10050.) 5. If all items being reported do not fit on one form, make copie~ and write the number of pag~s. being senti~ th~ upper right-hand corner (e.g., "PagE of 3.") The CDPH Program Contract Manager should retam one copy and send the ongmal to: Cahforma Department of Public Health, As~ Management, MS 1801, P.O. Box 997377, 1501 Capitol Avenue, Sacramento, CA 95899-7377. 6. Property tags that have been lost or destroyed must be replaced. Replacement property tags can be obtained by contacting AM at (916) 341-6168 7. Use the version on the CDPH Intranet forms site. The CDPH 1203 consists of one page for completion and one page with information a instructions. CDPH 1203 (08/07) :;,tate or ~.,;amomta--Healtn ana Human ~erv1ces Agency California Department of Publi Exhibit I ----INVENTORY/DISPOSITION OF CDPH~FUNDED EQUIPMENT Current Contract Number: ;;;.1...:..4-....:1...::;0...:..7.:..:12:::.... ~-.......,..,,.:....,-....,.--~--_,...,..--......,_..,....,....,..........,...,..._ Date Current Contract Expires: 9/29/18 -------,..........------------------------~ Previous Contract Number (if applicable):;-----'---'------'----'-----'--~-.;.;.,;; CDPH Program Name: Chronic Disease Control Branch Contractor's Name: _C_o_u_nty..._o_f_F_re ___ sn_o_.,...,....,.,.--~.......,.....,_-----------CDPH Program Contract Manager: Lisa Pulido ~~~~~~~~----~--~ CDPH Program Address~ Chronic Disease Control Branch MS 7208 Contractor's Complete Address: ;::..P...::;O;....:B=ox:.:. .. .;.:.1...:..1.;;.86.;..7:.,__......;.;;.;,___-'--'----"---"---.;_;_;_--fresno, CA 93775 1616 Capitol Aven~~a~r?mento, CA 95814 CDPH Program Contract Manager's Telephone Number: 916,..552-9948 Contractor's Contact Person: Sara Bosse ~-'----~---~----------------------------Date of this Report: ----------------------~"'""'"'-'----..:.-'-Contact's Telephone Number. ~C5:..:5:...;.9J.;.}...;;;.6.,;,..00;.;..· ~..;:;;64...:..4..;.;:;9_...;,_ ____ ..,....,..........,_..,.._.."----..,..._ (THIS IS NOT A BUDGET FORM) ITEM DESCRIPTION . . • ··~· .. I STATE/ COPH 1. Include manufacturer's name, model number, type, size, and/or capacity. "DPHAS~ETMGMT; PROPERTY TAG 2. If motor vehicle, list year, make, model number, type of vehicle (van, sedan, UNIT COST : . · .' ,,USE ONLY ·.·.. ORIGINAL MAJOR/MINOR EQUIPMENT , OPTIONAL (If motor vehicle, list pick-up, etc;) PER ITEM 1> ¢0/"'H Document .· · PURCHASE SERIAL NUMBER ! PROGRAM L license number.) QUANTITY 3, If van, include passenger capacity. (Before Tax) (DISPO~AL) f{Umber DATE .! (If motor vehicle, list VIN number.) I ONLy 1 ~ I $ I· .. ·.·· .. , I t ! 1 $ I :. .•. ···· . ... I 1 ,.,.·~. T 1 $ ~'•·· I ····· .. . . $ .. · .. · .; > : ... ,:c:c ~-~.· 07-, :' $ 1::' <··•·-••· ·c<· .. .. ··· ... ; .. ~······' ....• ··.. ·... ·· ... ;$ ···<· ·· .. ::: ,·;,,;:.,.:•• •I:; •. ;:·,·.:·:·····.·· ..••... l •$ li'> ;.:•:j'.:'·i ·;..:;;,:· . ··.·... .•. .I' ;~G'Yr ~ "> . · .... . .. $ . . >t.·:··.:.· · I $ ' • • •.• :. • • • •. :;· .$ :::.:··:":: .•·T;/~i: J ····· ' . . .... $ .··:.:... 1~{-~.. T'T. .. . ···~·>\~~c;········• . ·.·.·. '$ ·:::·:.::;:;:)!. •·••• .. ·······•··•·· .·· .. ··~·~t; .. ~;;<;-<;'. . .•.••.•••.•. ·• I ·$ ,::• .. · • $ ,If::.,.;;::.,\~·;'··::·:· ... ::. .. p···>/ ... . . ::;. .... $ . <:f.. > • ... l I'· .· .. · I $ L • I 1 CDPH 1204 (6/11) INSTRUCTIONS FOR CDPH 1204 (Please read carefully.) The information on this form will be used by the California Department of Public Health (CDPH) Asset Management (AM) to; (a) conduct an inventor CDPH equipment and/or property (see definitions A, and B) in the possession of the Contractor and/or Subcontractors, and (b) dispose of these s< items. Report all items, regardless of the items' ages, per number 1 below, purchased with CDPH funds and used to conduct state business under contract. (See Health Administrative Manual (HAM), Section 2-1060 and Section 9-2310.) The CDPH Program Contract Manager is responsible for obtaining information from the Contractor for this form. The CDPH Program Contract Mana is responsible for the accuracy and completeness of the information and for submitting it to AM. Inventory: List all CDPH tagged equipment and/or property on this form and submit it within 30 days prior to the three-year anniversary of the contra effective date, if applicable. The inventory should be based on previously submitted CDPH 1203s, "Contractor Equipment Purchased with CD Funds." AM will contact the CDPH Program Contract Manager if there are any discrepancies. (See HAM, Section 2-1040.1.) Disposal: (Definition: Trade in, sell, junk, salvage, donate, or transfer; also, items lost, stolen, or destroyed (as by fire).) The CDPH 1204 should completed, along with a "Property Survey Report" (STD. 152) or a "Property Transfer Report" (STD. 158), whenever items need to be disposed (a) during the term of this contract and (b) 30 calendar days before the termination of this contract. After receipt of this form, the AM will contact 1 CDPH Program Contract Manager to arrange for the appropriate disposal/transfer of the items. (See HAM, Section 2-1 050.3.) 1. List the state/ CDPH property tag, quantity, description, purchase date, base unit cost, and serial number (if applicable) for each item of; A Major Equipment: (These items were issued green numbered state/ CDPH property tags.) • Tangible item having a base unit cost of $5,000 or more and a life expectancy of one (1) year or more. • Intangible item having a base unit cost of $5,000 or more and a life expectancy of one (1) year or more (e.g., software, video.) B. Minor Equipment/Property: (These items were issued green state/ CDPH property tags.) Specific tangible items with a life expectancy of one (1) year or more that have a base unit cost less than $5,000. The minor equipment and property items were issued green unnumbered "BLANK" state/ CDPH property tags with the exception of the following, which are issu numbered tags: Personal Digital Assistant (PDA), PDA/cell phone combination (Blackberries), laptops, desktop personal computers, U servers, routers and switches. 2. If a vehicle is being reported, provide the Vehicle Identification Number (VIN) and the vehicle license number to CDPH Vehicle Services. (See HA Section 2-10050.) 3. If all items being reported do not fit on one page, make copies and write the number of pages being sent in the upper right-hand corner (e.g. "PagE of 3.") 4. The CDPH Program Contract Manager should retain one copy and send the original to: California Department of Public Health, Asset Manageme MS1801, P.O. Box 997377, 1501 Capitol Avenue, Sacramento, CA 95899-7377. 5. Use the version on the CDPH Intranet forms site. The CDPH 1204 consists of one page for completion and one page with information a instructions. For more information on completing this form, call AM at (916) 341-6168. rnP~ 1 ?nA 1~111' AGREEMENT BETWEEN THE COUNTY OF FRESNO AND THE STATE OF CALIFORNIA No.: CA Department of Public Health Lifetime Wellness Community Activities Agmt. No. 14-10712 APPROVED AS TO LEGAL FORM: DANIEL C. CEDERBORG, COUNTY COUNSEL APPROVED AS TO ACCOUNTING FORM: Term: March 1, 2015-September 29,2015 VICKI CROW, C.P.A., AUDITOR-CONTROLLER/ TREASURER-TAX COLLECTOR By ()0& i£<11= REVIEWED AND David Pomaville Director Department of Public Health Fund/Subclass: Organization#: Revenue: ks 0001/10000 56201551 4380