HomeMy WebLinkAboutAgreementA-20-290withCDPHforSTDCollaboration.pdfState of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229 (09/2019)
Page 1 of 4
CALIFORNIA SEXUALLY TRANSMITTED DISEASES PROGRAM
STD Program Management
Awarded By
THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, hereinafter “Department”
TO
County of Fresno, hereinafter “Grantee”
Implementing the “STD Program Management and Collaboration Project,” hereinafter
“Project”
GRANT AGREEMENT NUMBER 19-10960
The Department awards this Grant and the Grantee accepts and agrees to use the Grant funds
as follows:
AUTHORITY: The Department has authority to grant funds for the Project under Health and
Safety Code Section 131085(a).
PURPOSE: The Department shall provide a grant to and for the benefit of the Grantee. The
purpose of the grant is to implement public health activities to monitor, investigate, and prevent
sexually transmitted diseases (STD) in collaboration with community-based organizations
(CBOs) within the local health jurisdiction (LHJ). Funds allocated to the LHJs shall be used for
innovative and impactful STD prevention and control activities including, but not limited to, the
following: voluntary screening for STDs among inmates and wards of county adult and juvenile
correctional facilities; technology, telehealth, and digital platforms and applications to enhance
immediate access to screening, testing, and treatment; state-of-the-art testing modalities that
ensure swift and accurate screening for and diagnosis of STDs; and community-based testing
and disease investigation. Key strategic targets for STD prevention and control are:
enhancement of surveillance and case follow up for syphilis cases; testing, treatment, partner
services, and referrals to services for vulnerable and underserved clients at high risk for STDs;
and implementation of community-based services through partnerships between LHJs and
CBOs.
GRANT AMOUNT: The maximum amount payable under this Grant shall not exceed Nine
Hundred Seventy-Two Thousand, Seven Hundred Fifty-Five Dollars ($972,755).
TERM OF GRANT AGREEMENT: The term of the Grant shall begin on July 1, 2019 and
terminates on June 30, 2024. No funds may be requested or invoiced for services performed or
costs incurred after June 30, 2024.
Agreement No. 20-290
State of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229 (09/2019)
Page 2 of 4
PROJECT REPRESENTATIVES: The Project Representatives during the term of this Grant
will be:
California Department of Public Health
Grantee: County of Fresno
Name: Karlo Estacio
Chief, Business Operations
Support Section
Name: Jena Adams
Supervising CDC Specialist
Address: P.O. Box 997377, MS 7320 Address: 1221 Fulton Street
City, Zip: Sacramento, CA 95899-7377 City, Zip: Fresno, CA 93775
Phone: (916) 552-9820 Phone: (559) 600-3042
Fax: (916) 440-5106 Fax: N/A
Email: Karlo.Estacio@cdph.ca.gov
Email: jadams@fresnocountyca.gov
Direct all inquiries to:
California Department of Public Health
STD Control Branch
Grantee: County of Fresno
Attention: Christine Johnson
Grant Manager
Attention: Jena Adams
Supervising CDC Specialist
Address: P.O. Box 997377, MS 7320 Address: 1221 Fulton Street
City, Zip: Sacramento, CA 95899-7377 City, Zip: Fresno, CA 93775
Phone: (916) 552-9796 Phone: (559) 600-3042
Fax: (916) 636-6454 Fax: N/A
Email: Christine.Johnson@cdph.ca.gov
Email: jadams@fresnocountyca.gov
State of California – Health and Human Services Agency – California Department of Public Health
CDPH 1229 (09/2019)
Page 3 of 4
All payments from CDPH to the Grantee shall be sent to the following address:
Remittance Address
Grantee: County of Fresno
Attention “Cashier:” Bruna Chavez
Address: PO Box 11800
City, Zip: Fresno, CA 93775
Phone: (559) 600-6415
Fax: N/A
Email: dphboap@fresnocountyca.gov
Either party may make changes to the Project Representatives, or remittance address, by giving
a written notice to the other party. Said changes shall not require an amendment to the
agreement. Note: Remittance address changes will require the Grantee to submit a completed
CDPH 9083 Governmental Entity Taxpayer ID Form or STD 204 Payee Data Record Form
which can be requested through the CDPH Project Representatives for processing.
STANDARD PROVISIONS. The following exhibits are attached and made a part of this Grant
by this reference:
Exhibit A SCOPE OF WORK
Exhibit B BUDGET DETAIL AND PAYMENT PROVISIONS
Exhibit C STANDARD GRANT CONDITIONS
Exhibit D ADDITIONAL PROVISIONS
Exhibit E STD LOCAL ASSISTANCE FUNDS – STANDARDS AND GENERAL
TERMS AND CONDITIONS
Exhibit F INFORMATION PRIVACY AND SECURITY REQUIREMENTS
County of Fresno
Grant 19-10960
Page 1 of 14
Exhibit A
Scope of Work
1. Service Overview
The Grantee will implement public health activities to monitor, investigate, and prevent Sexually
Transmitted Diseases (STD) in collaboration with community-based organizations (CBOs)1 within
the local health jurisdiction. California Health and Safety Code (H&SC) Section 120551 requires
that the department allocate funds to local health jurisdictions for innovative and impactful STD
prevention and control activities, including, but not limited to the following: voluntary screening for
STDs among inmates and wards of county adult and juvenile correctional facilities; technology,
telehealth, and digital platforms and applications to enhance immediate access to screening,
testing and treatment; state-of-the-art testing modalities that ensure swift and accurate screening
for and diagnosis of STDs; and community-based testing and disease investigation. Local health
jurisdictions should use these funds to enhance activities already provided for STD prevention
and control, and should not replace existing activities.
H&SC Section 120511 also requires that no less than 50 percent of the funds allocated to the
LHJs shall be provided to one or more CBOs for purposes consistent with this section, provided
that there are CBOs in the jurisdiction that provide these activities and demonstrate the ability to
identify priority target populations, satisfactorily describe outreach protocols and include/describe
community resources for prevention and control activities. If the Contractor determines that no
CBOs existing within the local health jurisdiction meet the criteria specified in H&SC Section
120511, then the Contractor shall submit written documentation demonstrating this fact to CDPH,
which CDPH will review on a case-by-case basis.
California Department of Public Health (CDPH) STD surveillance data indicate that over the past
five years, there were continued increases in infectious syphilis, congenital syphilis, gonorrhea,
and chlamydia trachomatis infection across the state. The increases in syphilis among women,
including pregnant women, and the devastating impact of congenital syphilis is of particular
concern.
Key strategic targets for STD prevention and control are: enhancement of surveillance and case
follow up for syphilis cases; testing, treatment, partner services, and referrals to services for
vulnerable and underserved clients at high risk for STD; and implementation of community-based
services through partnerships between public health and CBOs.
2. Service Location
The services shall be performed at applicable facilities in the County of Fresno.
3. Service Hours
The services shall be primarily provided Monday through Friday, from 8:00 a.m. to 5:00 p.m. and
include evenings, weekends, and holidays as needed.
1 A CBO is defined as a private entity that is a nonprofit corporation [Int. Rev Code Section 501(c)] operating at the local level
with extensive experience serving persons living with or at risk for STDs. CBOs may include community health centers, syringe
service programs, and non-profit drug treatment programs.
County of Fresno
Grant 19-10960
Page 2 of 14
Exhibit A
Scope of Work
4. Services to be Performed: Collaboration with CBOs to implement core STD prevention
and control
Part I: Supplement to Core STD Public Health Services – Surveillance and Disease
Intervention
LHJs are required to participate in all required activities (A through D), as well as at least one of the
optional activities listed (E or F). Place a checkmark in the box for the optional activity you plan to
participate in and complete the SOW Narrative section. All program activities, including innovative
projects, should support the outcome measures of increased screening, treatment and linkage to care.
Please complete the SOW Narrative section indicating whether the LHJ or a subcontracted CBO will
complete activities E or F in this section.
Activities Performance Indicators/Deliverables Timeline
A. Assure completeness and accuracy
of key data variables through review
of laboratory and provider reports,
local surveillance system
documentation (e.g., CalREDIE), and
public health follow-up of early
syphilis cases.
• Percent of female syphilis cases (all
stages) with complete data for the
following:
o Pregnancy status (females ages
12-44)
o Estimated Date of Delivery (EDD),
if pregnant
o Treatment date, stage-appropriate
medication and dosage
o HIV status
• Percent of neonates exposed to
syphilis with documented birth
outcome and appropriate classification
on the Congenital Syphilis Case
Report Form.
• Percent of male primary and
secondary syphilis cases with
complete data for the following:
treatment date, stage-appropriate
medication/dosage, HIV status and
gender of sex partners.
7/1/2019 –
6/30/2024
B. Ensure all staff with access to STD
data complete the CDPH required
confidentiality and data security
training and maintain on file the
associated confidentiality
agreements.
• Confidentiality and data security training
agreements are maintained in the LHJ.
7/1/2019 –
6/30/2024
County of Fresno
Grant 19-10960
Page 3 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
C. Establish a local protocol for
conducting case follow up on newly
reported cases of syphilis, including
reports on neonates, women of
childbearing age, and early syphilis
among men.
• Syphilis case follow-up protocol
submitted to CDPH within 90 days of
award.
7/1/2019 –
6/30/2020
D. Ensure timely investigation of all
reported reactive serologic tests for
syphilis according to local protocol
and CDPH recommendations.
• Percent of neonates exposed to
syphilis with appropriate infant medical
evaluation and treatment per CDC
recommendations.
• Percent of early syphilis cases among
prioritized population (pregnant
women, men who have sex with
women, MSM) with at least one partner
treated within 30 days before or after
index client specimen collection.
7/1/2019 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
E. Use technology, telehealth, and
digital platforms and applications
to enhance immediate access to
partner notification and treatment.
• Number of syphilis cases for which
digital platforms are used for partner
notification.
• Number and percent of partners notified
of exposure to STD.
7/1/2020 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
F. Additional innovative and
impactful activity you plan to
undertake. Complete the SOW
Narrative section, ensuring all
program activities, including
innovative projects, support the
outcome measures of increased
screening, treatment and linkage
to care. (Please describe below.)
Please propose indicators, deliverables
and outcomes of success.
7/1/2019 –
6/30/2024
County of Fresno
Grant 19-10960
Page 4 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
Optional:
G. Place a checkmark in the box if Grantee plans to subcontract any activities from Part I.
SOW Narrative: Specify whether the LHJ or a subcontracted CBO will complete the activities and
deliverables listed above under Part I Activities E or F by placing a checkmark in the appropriate box
under each activity. Describe the approach that will be used to complete the activities selected for this
objective, including the approximate beginning and ending month and year for each major activity.
Provide the name of the subcontractor if known; otherwise indicate “TBD” for the name of the
subcontractor.
E – Use technology, telehealth, and
digital platforms and applications.
(OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Determine and implement a digital platform
to increase access to telehealth treatment
and partner notification.
Name of subcontractor, if applicable:
7/1/2020 –
6/30/2024
F – Additional innovative and impactful
activity (OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Name of subcontractor, if applicable:
Part II: STD testing, treatment, and referral to other services among vulnerable and
underserved clients at high risk for STD
LHJs are required to participate in all required activities (I through K), as well as at least one of the
optional activities listed (A through H). Place a checkmark in the box for the optional activity you plan to
participate in and complete the SOW Narrative section. All program activities, including innovative
projects, should support the outcome measures of increased screening, treatment and linkage to care.
Please complete the SOW Narrative section indicating whether the LHJ or a subcontracted CBO will
complete the activities in this section.
County of Fresno
Grant 19-10960
Page 5 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity
A. Conduct or ensure the provision
of routine, universal testing for
gonorrhea and chlamydia among
people who are incarcerated in
county juvenile correctional
facilities, as close to booking as
possible.
Per juvenile correctional facility:
• Number of people booked.
• Number who were tested for STDs.
• Number and percent of people who
tested that were diagnosed with
chlamydia, gonorrhea, or syphilis, by
STD (Target: at least 2% for any STD).
• Number and percent of people who
tested positive that received CDC
recommended treatment, by STD
(Target: at least 90%).
• Number of EPT doses dispensed.
7/1/2019 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity
B. Conduct or ensure the provision
of routine, universal testing for
syphilis among people who are
incarcerated in county jails with
a positivity of 2% or more, as
close to booking as possible.
Per county jail facility:
• Number of people booked.
• Number and percent of people who
received STD testing (Target: 80%).
• Number and percent of people who
tested that were diagnosed with
chlamydia, gonorrhea, or syphilis, by
STD (Target: at least 2% for any STD).
• Number and percent of people who
tested positive that received CDC
recommended treatment, by STD
(Target: at least 90%).
• Number of EPT doses dispensed.
7/1/2019 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
C. Use technology, telehealth, and
digital platforms and applications
to enhance immediate access to
screening, testing, and
treatment.
Description of digital platforms submitted
to CDPH.
• Number of people receiving STD tests
via platform.
• Number and percent of people
diagnosed with chlamydia, gonorrhea,
or syphilis, by STD (Target: at least 2%
for any STD).
• Number and percent of people with
positive tests that received CDC-
7/1/2019 –
6/30/2024
County of Fresno
Grant 19-10960
Page 6 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
recommended treatment, by STD.
(Target: at least 90%).
• Number of EPT doses dispensed
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
D. Use state-of-the-art testing
modalities that ensure swift and
accurate screening for, and
diagnosis of, STDs.
Description of testing modalities used
submitted to CDPH.
• Number of people receiving STD
testing via modality
• Number and percent of people
diagnosed with chlamydia, gonorrhea,
or syphilis, by STD (Target: at least 2%
for any STD).
• Number and percent of people with
positive tests that received CDC-
recommended treatment, by STD.
(Target: at least 90%).
• Number of EPT doses dispensed.
7/1/2019 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
E. Conduct community-based,
data-driven testing among
populations at risk for chlamydia,
gonorrhea, and/or syphilis.
Priority populations include
people who are African
American/Black; lesbian, gay,
bisexual, or transgender (LGBT);
and people who can become
pregnant who are at risk of
syphilis.
Description of community-based testing
submitted to CDPH, including populations
prioritized for screening, STD tests offered,
and anatomic sites being tested.
• Number of people receiving
community-based testing for STDs.
• Number and percent of people
diagnosed with chlamydia, gonorrhea,
or syphilis, by STD (Target: at least 2%
for any STD).
• Number and percent of people with
positive tests that received CDC-
recommended treatment, by STD
(Target: at least 90%).
• Number of EPT doses dispensed.
7/1/2019 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
F. Conduct STD screening among
people who are homeless or
unstably housed, including
referrals/linkage to family
planning, preconception, or
prenatal care for pregnant
people experiencing
homelessness.
Description of outreach and testing
submitted to CDPH.
• Number of people receiving STD
testing.
• Number and percent of people
diagnosed with chlamydia, gonorrhea,
or syphilis, by STD (Target: at least
2%).
• Number and percent of people
diagnosed with STDs that received
7/1/2019 –
6/30/2024
County of Fresno
Grant 19-10960
Page 7 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
treatment, by STD. (Target: at least
90%).
• Number of EPT doses dispensed.
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
G. Provide comprehensive case
management for pregnant
people diagnosed with syphilis,
including referrals to prenatal
care, housing, drug treatment,
syringe exchange programs,
transportation, and/or social
services.
• Description of case management
submitted to CDPH. Number of
pregnant people diagnosed with
syphilis provided referrals.
7/1/2019 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
H. Additional innovative and
impactful activity you plan to
undertake, and complete the
SOW Narrative section. All
program activities, including
innovative projects, should
support the outcome measures
of increased screening,
treatment and linkage to care.
(Please describe below in SOW
narrative.)
Please propose indicators, deliverables
and outcomes of success.
7/1/2019 –
6/30/2024
I. Assess HIV status of people tested
for STDs and link to HIV testing, HIV
PrEP or HIV care, as appropriate.
Description of process for integrating HIV
prevention into STD testing and outreach
activities submitted to CDPH.
7/1/2019 –
6/30/2024
County of Fresno
Grant 19-10960
Page 8 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
J. Facilitate HIV prevention among
STD cases.
Indicators measured via CalREDIE:
• Number and percent of early syphilis
cases newly diagnosed with HIV,
among those not HIV-positive.
• Number and percent of early syphilis
cases/partners with new HIV diagnosis
that were linked to HIV care within 30
days of HIV test.
• Number and percent of HIV-negative
early syphilis cases/partners, referred
to PrEP.
7/1/2019 –
6/30/2024
Optional:
K. Place a checkmark in the box if Grantee plans to subcontract any activities from Part II.
SOW Narrative: Specify whether the LHJ or a subcontracted CBO will complete the activities and
deliverables listed above under Part II by placing a checkmark in the appropriate box under each
activity. Describe the approach that will be used to complete the activities selected for this objective,
including the approximate beginning and ending month and year for each major activity.
Provide the name of the subcontractor if known; otherwise indicate “TBD” for the name of the
subcontractor.
A – Provision of routine, universal
testing for gonorrhea and
chlamydia for incarcerated youth
(OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Name of subcontractor, if applicable:
B – Provision of routine, universal
testing for syphilis for incarcerated
people (OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Name of subcontractor, if applicable:
County of Fresno
Grant 19-10960
Page 9 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
C – Use technology, telehealth, and
digital platforms and applications
(OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Name of subcontractor, if applicable:
D – Use state-of-the-art testing
modalities (OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Name of subcontractor, if applicable:
E – Community-based, data-driven
testing among populations at risk
for chlamydia, gonorrhea, and/or
syphilis (OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity: Partner with
CBO to increase STD screenings among
vulnerable populations via mobile units or
increased clinic operations.
Name of subcontractor, if applicable:
TBD through RFP in Summer 2020
7/1/2020 –
6/30/2024
F – STD screening among homeless
or unstably housed people
(OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Name of subcontractor, if applicable:
G – Comprehensive case
management for pregnant people
diagnosed with syphilis
(OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Name of subcontractor, if applicable:
County of Fresno
Grant 19-10960
Page 10 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
H – Additional innovative and impactful
activity (OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Name of subcontractor, if applicable:
I - HIV status of people tested for
STDs and linkage to HIV testing,
HIV PrEP or HIV care
(REQUIRED)
LHJ will conduct this activity
CBO will conduct this activity
Name of subcontractor, if applicable: 7/1/2019 –
6/30/2024
J – Facilitate HIV prevention among
STD cases (REQUIRED)
LHJ will conduct this activity
CBO will conduct this activity
Name of subcontractor, if applicable: 7/1/2019 –
6/30/2024
Part III: Partnerships: Increase community-level capacity to deliver STD screening, testing,
treatment and linkages to services for vulnerable and underserved clients at high risk for STD
LHJs are required to participate in all required activities (A and B). Place a checkmark in the box for the
optional activity (C) to propose an innovative evidence-based practice. All program activities, including
innovative projects, should support the outcome measures of increased screening, treatment and linkage
to care. Please complete the SOW Narrative section indicating whether the LHJ or a subcontracted CBO
will complete the activities in this section.
Activities Performance Indicators/Deliverables Timeline
A. Develop and maintain local (and,
where relevant, regional)
partnerships with stakeholders such
as public and private health plans,
federally qualified health centers,
rural health clinics, Indian health
organizations, hospitals, labor and
Summary of barriers identified and
strategies developed and implemented
through new and existing partnerships,
coalitions, task forces, and/or work groups
and outcome of those partnerships in
improving STD prevention, screening,
7/1/2019 –
6/30/2024
County of Fresno
Grant 19-10960
Page 11 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
delivery, prenatal, and family
planning settings, laboratories,
pharmacies, substance use and
behavioral health treatment
programs, syringe exchange
programs, housing services
programs, HIV/HCV programs,
people from populations at risk of
STD, correctional partners, and other
partners to assess barriers and
develop and implement strategies for
improving the accessibility of STD
prevention, screening, diagnosis,
navigation, linkages to care, and
treatment for vulnerable and
underserved individuals.
diagnosis, linkages to care, and treatment
for vulnerable and underserved individuals.
B. Collaborate with programs providing
services to people who are pregnant
(e.g., Maternal/Child Health
Programs, prenatal and labor and
delivery providers, outreach
programs) to increase access to and
engagement with prenatal care for
pregnant people at risk for syphilis
(e.g., those experiencing
homelessness, using drugs, or who
are incarcerated).
Summary of barriers identified and
strategies developed and implemented to
increase engagement with prenatal care for
pregnant people at risk for syphilis.
7/1/2019 –
6/30/2024
OPTIONAL ACTIVITY: Place a
checkmark in the box only if Grantee
plans to participate in this activity.
C. Additional innovative and
impactful activity you plan to
undertake, and complete the
SOW Narrative section. All
program activities, including
innovative projects, should
support the outcome measures of
increased screening, treatment
and linkage to care. (Please
describe below.)
Please propose indicators, deliverables and
outcomes of success.
7/1/2019 –
6/30/2024
County of Fresno
Grant 19-10960
Page 12 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
Optional:
D Place a checkmark in the box if Grantee plans to subcontract for any activities in Part III.
SOW Narrative: Specify whether the LHJ or a subcontracted CBO will complete the activities and
deliverables listed above under Part II by placing a checkmark in the appropriate box for each activity.
Describe the approach that will be used to complete the activities selected for this objective, including
the approximate beginning and ending month and year for each major activity.
Provide the name of the subcontractor if known; otherwise indicate “TBD” for the name of the
subcontractor.
A – Local/regional partnerships with
stakeholders (REQUIRED)
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
7/1/2019 –
6/30/2024
B – Collaborate with programs
providing services to people who
are pregnant (REQUIRED)
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
7/1/2019 –
6/30/2024
C – Additional innovative and impactful
activity (OPTIONAL)
Activity will not be conducted
LHJ will conduct this activity
CBO will conduct this activity
Brief description of activity:
Name of subcontractor, if applicable:
Part IV: Fund Community-Based Organizations for STD prevention activities
LHJs are required to subcontract out no less than 50 percent of the funds to one or more CBOs, provided
that there are CBOs in the jurisdiction that provide these activities and demonstrate the ability to identify
priority target populations, satisfactorily describe outreach protocols and include/describe community
resources for prevention and control activities. If the Grantee determines that no CBOs existing within the
local health jurisdiction meet the criteria specified in H&SC Section 120511, then the Grantee shall
submit written documentation demonstrating this fact to CDPH, which CDPH will review on a case-by-
case basis.
County of Fresno
Grant 19-10960
Page 13 of 14
Exhibit A
Scope of Work
Activities Performance Indicators/Deliverables Timeline
A. Develop a mechanism for selecting
and funding CBO(s) with capacity to
reach priority target populations,
satisfactorily describe outreach
protocols, and include community
resources for prevention and control
activities.
• Selection method submitted to CDPH in
writing.
7/1/2019 –
6/30/2020
B. Develop and implement a program
evaluation plan to monitor CBO
performance. Collect data on
required metrics, monitor
performance, and provide quality
assurance and quality improvement
assistance where needed.
• Program evaluation plan developed and
submitted to CDPH. LHJs must
demonstrate that the CBO has (1)
identified and reached priority target
populations, (2) satisfactorily described
its outreach protocols, and (3) included
community resources for prevention and
control activities.
7/1/2019 –
6/30/2020
County of Fresno
Grant 19-10960
Page 14 of 14
Exhibit A
Scope of Work
5. Summary of Required Reports and Data
Frequency Timeframe Deadline Activities Report Recipient
Semi-Annual
(Narrative
summary
reports)
Fiscal Year 1
07/01/19 – 12/31/19
01/01/20 – 06/30/20
Fiscal Year 2
07/01/20 – 12/31/20
01/01/21 – 06/30/21
Fiscal Year 3
07/01/21 – 12/31/21
01/01/22 – 06/30/22
Fiscal Year 4
07/01/22 – 12/31/22
01/01/23 – 06/30/23
Fiscal Year 5
07/01/23 – 12/31/23
01/01/24 – 06/30/24
Fiscal Year 1
07/31/20
Fiscal Year 2
01/31/21
07/31/21
Fiscal Year 3
12/31/21
07/31/22
Fiscal Year 4
12/31/22
07/31/23
Fiscal Year 5
12/31/23
6/30/24
Part I - IV STDLHJContracts@
cdph.ca.gov
Quarterly
(Aggregate client
services data
reports)
Year 1
03/01/20 – 06/30/20
Year 2
07/01/20 – 09/30/20
10/01/20 – 12/31/20
01/01/21 – 03/31/21
04/01/21 – 06/30/21
Year 3
07/01/21 – 09/30/21
10/01/21 – 12/31/21
01/01/22 – 03/31/22
04/01/22 – 06/30/22
Year 4
07/01/22 – 09/30/22
10/01/22 – 12/31/22
01/01/23 – 03/31/23
04/01/23 – 06/30/23
Year 5
07/01/23 – 09/30/23
10/01/23 – 12/31/23
01/01/24 – 03/31/24
04/01/24 – 06/30/24
Year 1
07/31/20
Year 2
10/31/20
01/31/21
04/30/21
07/31/21
Year 3
10/31/21
12/31/21
04/15/22
07/31/22
Year 4
10/31/22
12/31/22
04/15/23
07/31/23
Year 5
10/31/23
12/31/23
04/15/24
06/30/24
Part II Secure file transfer
protocol; CalREDIE
County of Fresno
Grant 19-10960
Page 1 of 4
Exhibit B
Budget Detail and Payment Provisions
1. Invoicing and Payment
A. Upon completion of project activies as provided in Exhibit A, Scope of Work, and
upon receipt and approval of the invoices, the State agrees to reimburse the Grantee
for activities performed and expenditures incurred in accordance with the costs
specified herein.
B. Invoices shall include the Grant Number and shall be submitted in duplicate not more
frequently than quarterly in arrears to:
Christine Johnson
California Department of Public Health
STD Control Branch
MS 7320
P.O. Box 997377
Sacramento, CA 95899-7377
C. Invoices shall:
1) Be prepared on Grantee letterhead. If invoices are not on produced letterhead
invoices must be signed by an authorized official, employee or agent certifying
that the expenditures claimed represent activities performed and are in
accordance with Exhibit A, Scope of Work, under this Grant.
2) Bear the Grantee’s name as shown on the Grant.
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 Grant. Subject to the terms of this Grant, reimbursement may
only be sought for those costs and/or cost categories expressly identified as
allowable and approved by CDPH.
D. Invoices must be submitted no more than forty-five (45) calendar days after the end
of each quarter unless a later or alternate deadline is agreed to in writing by the
program Grant Manager.
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 Grantee or to furnish any
other considerations under this Agreement and Grantee shall not be obligated to
fulfill 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 Grantee to reflect
the reduced amount.
County of Fresno
Grant 19-10960
Page 2 of 4
Exhibit B
Budget Detail and Payment Provisions
3. Prompt Payment Clause
Payment will be made in accordance with, and within the time specified in, Government
Code Chapter 4.5, commencing with Section 927.
4. Amounts Payable
A. The amount payable under this Grant shall not exceed $972,755.
B. Payment allocations shall be made for allowable expenses up to the amount
annually encumbered commensurate with the state fiscal year in which services are
fulfilled and/or goods are received.
5. Timely Submission of Final Invoice
A. A final undisputed invoice shall be submitted for payment no more than forty-five (45)
calendar days following the expiration or termination date of this Grant, unless a later
or alternate deadline is agreed to in writing by the program grant manager. Said
invoice should be clearly marked “Final Invoice”, indicating that all payment
obligations of the State under this Grant have ceased and that no further payments
are due or outstanding.
B. The State may, at its discretion, choose not to honor any delinquent final invoice if
the Grantee fails to obtain prior written State approval of an alternate final invoice
submission deadline.
6. Travel and Per Diem Reimbursement
A. Any reimbursement for necessary travel and per diem shall be at the rates currently
in effect as established by the California Department of Human Resources (CalHR).
B. Grant funds may be used for reimbursement of travel expenses to attend meetings,
conferences, and training. The Grantee is recommended to include travel funds for
staff to attend the following:
1. California STD/HIV Controllers Association annual meeting
2. Other statewide conferences and meetings for congenital syphilis, surveillance,
and disease intervention
3. Disease Intervention Specialist training (e.g. Passport to Partner Services
training for new DIS staff or other training for existing DIS staff)
C. In accordance with California Assembly Bill 1887 (Chapter 687, Statutes of 2016),
and Government Code Section 11139.8, travel is prohibited to states that, enact the
following after June 26, 2015:
County of Fresno
Grant 19-10960
Page 3 of 4
Exhibit B
Budget Detail and Payment Provisions
1. A law that voids or repeals, or has the effect of voiding or repealing, existing state
or local protections against discrimination on the basis of sexual orientation,
gender identify, or gender expression.
2. A law that authorizes or requires discrimination against same-sex couples or their
families or on the basis of sexual orientation, gender identify, or gender
expression.
3. A law that creates an exemption to antidiscrimination laws in order to permit
discrimination against same-sex couples or their families or on the basis of
sexual orientation, gender identify, or gender expression.
The California Attorney General’s webpage lists the states to where travel is
prohibited.
D. The total budget amount for out-of-state travel shall not exceed five (5) percent of the
total annual budget of this grant agreement.
7. Use of Funds / Supplanting
These funds shall be used to supplement and enhance existing local STD program
activities and services and shall not replace existing services and activities, prevent the
addition of new services and activities, and does not duplicate reimbursement of costs
and services received from local funds or other sources. Supplanting of funds is defined
(for the purposes of this agreement) as using local assistance award monies to “replace”
or “take the place of” existing local funding. For example, reductions in local funds
cannot be offset by the use of any dollars for the same purpose.
8. Proper Use of Funds
A. The funds for this grant agreement may be used for:
1. Local health jurisdiction staff to support STD prevention and control activities.
2. Out-of-state travel to conferences and meetings, except to prohibited states as
provided in 6.C. above. Travel costs may include travel and per diem for local
leadership and other relevant staff (listed in the budget as in-kind support) to
attend the Annual California STD HIV Controllers Association Membership
Meeting, Annual STDCB Statewide Meeting (e.g., Congenital Syphilis Prevention
Forum), National STD Prevention Conference, or other national forums as
relevant. Prior written approval for out-of-state travel approval must be obtained
from STDCB and shall not exceed five (5) percent of the total annual budget of
this grant agreement.
3. In-state travel to support local capacity building, except to prohibited states as
provided in 6.C. above. This includes training course fees, travel, and per diem
to support enhancement of knowledge, skills, and abilities of Disease
Intervention Workforce (e.g., Passport to Partner Services, Phlebotomy, Cultural
Humility), or other staff essential to STD prevention and control.
4. STD test kits and other testing supplies.
5. STD treatment (i.e., Suprax, Azithromycin, Bicillin, Ceftriaxone, Doxycycline)
6. Condoms.
County of Fresno
Grant 19-10960
Page 4 of 4
Exhibit B
Budget Detail and Payment Provisions
7. Provider education materials.
8. Client education materials.
B. The funds for this grant agreement may be used for the following items, with
supportive justification, tracking, and reporting of outcomes:
1. Incentives such as low value gift cards (e.g., WalMart, Safeway, transportation
vouchers), hygiene kits, and/or other STD-related incentives.
a. Client incentives, such as low value gift cards, may be approved as
Behavioral Modification Materials (BMM). The value of the incentive is limited
to $50.00 of merchandise per person per intervention (e.g. client attendance
for syphilis treatment at $25.00 for each Bicillin injection).
b. Current CDPH approvals require the BMM to be justified with scientific proof
of behavior change, and be accompanied by a targeted distribution plan,
incentive tracking log, and reporting of incentive distribution and client
outcomes.
c. Incentives cannot be used for the purchase of alcohol, tobacco, or drug
products.
d. The use of incentives must comply with the provisions in Exhibit E, STD Local
Assistance Funds – Standards and General Terms and Conditions.
2. BMMs are provided to program participants to motivate and/or reinforce positive
behavior and/or involvement in STD control and prevention activities. Receipt of
a BMM requires action on the part of the recipient. The Grantee is responsible
for the possession, security (e.g., will keep the BMMs in a secure location), and
accountability of the BMMs. The Grantee will prepare a log sheet that will track
and identify each of the BMMs, value, transfer date, and recipient.
C. The funds for this grant agreement cannot be used for:
1. Stuff We All Get (SWAG) - The purchase of free promotional items for health
promotion events such as pens, mugs, t-shirts, posters, key chains, or bumper
stickers. This provision is in accordance with the California State Constitution,
Article 16, section 6, which prohibits any gifting of public funds.
2. Individual prizes or high value incentives (e.g., iPads, iPhones) for health
promotion competitions.
3. Cash incentives paid to an individual.
4. Scholarships paid to an individual or a school on behalf of an individual.
5. Food (e.g., sponsored lunch or dinner at provider education sessions, brown bag
lunches, buffets at screening events).
6. The purchase, lease, or other support of county vehicles or mobile testing units.
7. Construction, renovation, improvement, or repair of property.
8. The purchase of alcohol, tobacco, or cannabis.
County of Fresno
Grant 19-10960
Page 1 of 4
Exhibit C
Standard Grant Conditions
1. APPROVAL: This grant is of no force or effect until signed by both parties and
approved by the Department of General Services, if required. The Grantee may not
commence performance until such approval has been obtained.
2. AMENDMENT: No amendment or variation of the terms of this grant shall be valid
unless made in writing, signed by the parties, and approved as required. No oral
understanding or agreement not incorporated in the grant is binding on any of the
parties. In no case shall the Department materially alter the scope of the project set
forth in Exhibit A.
3. ASSIGNMENT: This grant is not assignable by the Grantee, either in whole or in part,
without the written consent of the Grant Manager in the form of a written amendment to
the grant.
4. AUDIT: Grantee agrees that the Department, 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 this grant. Grantee agrees to maintain such
records for a possible audit for a minimum of three (3) years after final payment or
completion of the project funded with this grant, unless a longer period of records
retention is stipulated. Grantee 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, Grantee agrees to include
a similar right of the State to audit records and interview staff in any subcontract related
to the project.
5. CONFLICT OF INTEREST: Grantee certifies that it is in compliance with all applicable
state and/or federal conflict of interest laws.
6. INDEMNIFICATION: Grantee 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 project, and from any and all claims and losses accruing or
resulting to any person, firm, or corporation who may be injured or damaged by Grantee
in the performance of any activities related to the project.
7. FISCAL MANAGEMENT SYSTEMS AND ACCOUNTING STANDARDS: Grantee
agrees that, at a minimum, its fiscal control and accounting procedures will be sufficient
to permit tracing of all grant funds to a level of expenditure adequate to establish that
such funds have not been used in violation of any applicable state or federal law, or the
provisions of this grant. Grantee further agrees that it will maintain separate project
accounts in accordance with generally accepted accounting principles.
8. GOVERNING LAW: This grant is governed by and shall be interpreted in accordance
with the laws of the State of California.
County of Fresno
Grant 19-10960
Page 2 of 4
Exhibit C
Standard Grant Conditions
9. INCOME RESTRICTIONS: Grantee agrees that any refunds, rebates, credits, or other
amounts (including any interest thereon) accruing to or received by the Grantee under
this grant shall be paid by the Grantee to the Department, to the extent that they are
properly allocable to costs for which the Grantee has been reimbursed by the
Department under this grant.
10. INDEPENDENT GRANTEE: Grantee, and its agents and employees of Grantee, in the
performance of the project, shall act in an independent capacity and not as officers,
employees, or agents of the Department.
11. MEDIA EVENTS: Grantee shall notify the Department’s Grant Manager in writing at
least twenty (20) working days before any public or media event publicizing the
accomplishments and/or results of the project and provide the opportunity for attendance
and participation by Department’s representatives.
12. NO THIRD-PARTY RIGHTS: The Department and Grantee do not intend to create any
rights or remedies for any third-party as a beneficiary of this grant or the project.
13. NOTICE: Grantee shall promptly notify the Department’s Grant Manager in writing of
any events, developments, or changes that could affect the completion of the project or
the budget approved for this grant.
14. PROFESSIONALS: Grantee agrees that only licensed professionals will be used to
perform services under this grant where such services are called for.
15. RECORDS: Grantee certifies that it will maintain project accounts in accordance with
generally accepted accounting principles. Grantee further certifies that it will comply with
the following conditions for a grant award as set forth in the Grant.
A. Establish an official file for the project which shall adequately document all
significant actions relative to the project;
B. Establish separate accounts which will adequately and accurately depict all
amounts received and expended on this project, including all grant funds
received under this grant;
C. Establish separate accounts which will adequately depict all income received
which is attributable to the project, especially including any income attributable to
grant funds disbursed under this grant;
D. Establish an accounting system which will adequately depict final total costs of
the project, including both direct and indirect costs; and
E. Establish such accounts and maintain such records as may be necessary for the
state to fulfill federal reporting requirements, including any and all reporting
requirements under federal tax statutes or regulations.
County of Fresno
Grant 19-10960
Page 3 of 4
Exhibit C
Standard Grant Conditions
16. RELATED LITIGATION: Under no circumstances may Grantee use funds from any
disbursement under this grant to pay for costs associated with any litigation between the
Grantee and the Department.
17. RIGHTS IN DATA: Grantee and the Department agree that all data, plans, drawings,
specifications, reports, computer programs, operating manuals, notes, and other written
or graphic work submitted under Exhibit A in the performance of the project funded by
this grant shall be in the public domain. Grantee may disclose, disseminate, and use, in
whole or in part, any final form, data, and information received, collected, and developed
under this project, subject to appropriate acknowledgment of credit to the Department for
financial support. Grantee shall not utilize the materials submitted to the Department
(except data) for any profit-making venture or sell or grant rights to a third-party who
intends to do so. The Department has the right to use submitted data for all
governmental purposes.
18. VENUE: The Department and Grantee agree that any action arising out of this grant
shall be filed and maintained in the Superior Court, California. Grantee waives any
existing sovereign immunity for the purposes of this grant, if applicable.
19. STATE-FUNDED RESEARCH GRANTS
A. Grantee shall provide for free public access to any publication of a department-
funded invention or department-funded technology. Grantee further agrees to all
terms and conditions required by the California Taxpayer Access to Publicly
Funded Research Act (Chapter 2.5 (commencing with Section 13989) of Part 4.5
of Division 3 of Title 2 of the Government Code).
B. As a condition of receiving the research grant, Grantee agrees to the following
terms and conditions which are set forth in Government Code Section 13989.6
(“Section 13989.6”):
1) Grantee is responsible for ensuring that any publishing or copyright
agreements concerning submitted manuscripts fully comply with Section
13989.6.
2) Grantees shall report to the Department the final disposition of the
research grant, including, but not limited to, if it was published, when it
was published, where it was published, when the 12-month time period
expires, and where the manuscript will be available for open access.
3) For a manuscript that is accepted for publication in a peer-reviewed
journal, the Grantee shall ensure that an electronic version of the peer-
reviewed manuscript is available to the department an on an appropriate
publicly accessible database approved by the Department, including, but
not limited to, the University of California’s eScholoarship Repository at
the California Digital Library, to be made publicly available not later than
County of Fresno
Grant 19-10960
Page 4 of 4
Exhibit C
Standard Grant Conditions
12 months after the official date of publication. Manuscripts submitted to
the California Digital Open Source Library shall be exempt from the
requirements in subdivision (b) of Section 66408 of the Education Code.
Grantee shall make reasonable efforts to comply with this requirement by
ensuring that their manuscript is accessible on an approved publicly
accessible database, and notifying the Department that the manuscript is
available on a department-approved database. If Grantee is unable to
ensure that their manuscript is accessible on an approved publicly
accessible database, Grantee may comply by providing the manuscript to
the Department not later than 12 months after the official date of
publication.
4) For publications other than those described in paragraph B.3 above,
including meeting abstracts, Grantee shall comply by providing the
manuscript to the Department not later than 12 months after the official
date of publication.
5) Grantee is authorized to use grant money for publication costs, including
fees charged by a publisher for color and page charges, or fees for digital
distribution.
County of Fresno
Grant 19-10960
Page 1 of 4
Exhibit D
Additional Provisions
1. Cancellation / Termination
A. This Grant may be cancelled by CDPH without cause upon thirty (30) calendar days
advance written notice to the Grantee.
B. CDPH reserves the right to cancel or terminate this Grant immediately for cause. The
Grantee may submit a written request to terminate this Grant only if CDPH substantially
fails to perform its responsibilities as provided herein.
C. The term “for cause” shall mean that the Grantee fails to meet the terms, conditions,
and/or responsibilities of this agreement. Causes for termination include, but are not
limited to the following occurrences:
1) If the Grantee knowingly furnishes any statement, representation, warranty, or
certification in connection with the agreement, which representation is materially
false, deceptive, incorrect, or incomplete.
2) If the Grantee fails to perform any material requirement of this Grant or defaults
in performance of this agreement.
3) If the Grantee files for bankruptcy, or if CDPH determines that the Grantee
becomes financially incapable of completing this agreement.
D. Grant termination or cancellation shall be effective as of the date indicated in CDPH’s
notification to the Grantee. The notice shall stipulate any final performance, invoicing or
payment requirements.
E. In the event of early termination or cancellation, the Grantee 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 Grant.
F. In the event of termination, and at the request of CDPH, the Grantee shall furnish copies
of all proposals, specifications, designs, procedures, layouts, copy, and other materials
related to the services or deliverables provided under this Grant, whether finished or in
progress on the termination date.
G. The Grantee will not be entitled to reimbursement for any expenses incurred for services
and deliverables pursuant to this agreement after the effective date of termination.
H. Upon receipt of notification of termination of this Grant, and except as otherwise
specified by CDPH, the Grantee shall:
1) Place no further order or subgrants for materials, services, or facilities.
2) Settle all outstanding liabilities and all claims arising out of such termination of
orders and subgrants.
County of Fresno
Grant 19-10960
Page 2 of 4
Exhibit D
Additional Provisions
3) Upon the effective date of termination of the Grant and the payment by CDPH of
all items properly changeable to CDPH hereunder, Grantee shall transfer, assign
and make available to CDPH all property and materials belonging to CDPH, all
rights and claims to any and all reservations, grants, and arrangements with
owners of media/PR materials, or others, and shall make available to CDPH all
written information regarding CDPH’s media/PR materials, and no extra
compensation is to be paid to Grantee for its services.
4) Take such action as may be necessary, or as CDPH may specify, to protect and
preserve any property related to this agreement which is in the possession of the
Grantee and in which CDPH has or may acquire an interest.
I. CDPH may, at its discretion, require the Grantee to cease performance of certain
components of the Scope of Work as designated by CDPH and complete performance
of other components prior to the termination date of the Grant.
2. Avoidance of Conflicts of Interest by Grantee
A. CDPH intends to avoid any real or apparent conflict of interest on the part of the
Grantee, subgrants, or employees, officers and directors of the Grantee or subgrants.
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 Grantee
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 Grantee or any of its subgrants, or any employee, officer,
or director of the Grantee or any subgrant or has an interest, financial or
otherwise, whereby the use or disclosure of information obtained while
performing services under the grant would allow for private or personal benefit or
for any purpose that is contrary to the goals and objectives of the grant.
2) An instance where the Grantee’s or any subgrant’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 Grantee
will be given an opportunity to submit additional information or to resolve the conflict. A
Grantee 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
grant. CDPH may, at its discretion upon receipt of a written request from the Grantee,
authorize an extension of the timeline indicated herein.
County of Fresno
Grant 19-10960
Page 3 of 4
Exhibit D
Additional Provisions
3. Dispute Resolution Process
A. A Grantee 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
Grantee and CDPH, the Grantee must seek resolution using the procedure outlined
below.
1) The Grantee should first informally discuss the problem with the CDPH Program
Grant Manager. If the problem cannot be resolved informally, the Grantee 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 Grantee'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 Grantee. The Branch Chief shall respond in writing to the
Grantee indicating the decision and reasons therefore. If the Grantee disagrees
with the Branch Chief’s decision, the Grantee may appeal to the second level.
2) When appealing to the second level, the Grantee must prepare an appeal
indicating the reasons for disagreement with Branch Chief’s decision. The
Grantee shall include with the appeal a copy of the Grantee'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 Grantee 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 Grantee
within twenty (20) working days of receipt of the Grantee's second level appeal.
B. If the Grantee wishes to appeal the decision of the Deputy Director of the division in
which the branch is organized or his/her designee, the Grantee 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 Grant Manager.
County of Fresno
Grant 19-10960
Page 4 of 4
Exhibit D
Additional Provisions
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 Grantee shall be notified in writing by the CDPH Grant Manager of the level, name,
and/or title of the appropriate management official that is responsible for issuing a
decision at a given level.
County of Fresno
Grant 19-10960
Page 1 of 5
Exhibit E
STD Local Assistance Funds – Standards and General Terms and Conditions
1. Overview
The California Department of Public Health (CDPH) STD Control Branch (STDCB) sets
forth the following standards and procedures. These standards and procedures specify
the conditions for receipt of CDPH STDCB local assistance funds.
The local health department has the authority for STD prevention and control as outlined
in the Summary of Regulations Related to STD Prevention and Control Efforts in
California. https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STD-
ForLocalHealthJurisdictions.aspx
2. Grantee’s Responsibilities
The Grantee agrees to:
A. Direct activities toward achieving the program objectives set forth by the CDPH
STDCB.
B. Use these funds in accordance with any additional guidance set forth by the
CDPH STDCB regarding the granting, use and reimbursement of the STDCB
local assistance funds. Additional consideration should be given to other
guidance from the CDPH and Centers for Disease Control and Prevention (CDC)
intended to highlight successful STD, HIV and/or HCV prevention strategies or
outline California specific initiatives, policies and procedures. Please find relevant
programmatic guidance documents on the CDPH STDCB website:
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STD.aspx
C. Use these funds to augment existing funds and not supplant funds that have
been locally appropriated for the same purposes. Local assistance funds are
intended to provide local entities with increased capabilities to address STD
control needs. Supplanting of funds is defined (for the purposes of this
agreement) as using local assistance award monies to “replace” or “take the
place of” existing local funding. For example, reductions in local funds cannot be
offset by the use of CDPH STDCB dollars for the same purpose.
D. Abide by the most recent standards of care for STD screening, treatment, control
and prevention as promulgated by:
1. California Department of Public Health
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STDs-
ClinicalGuidelines.aspx
2. Centers for Disease Control and Prevention
https://www.cdc.gov/std/tg2015/default.htm
E. Share health advisories, health education materials, outreach, testing and
linkage to care and care coordination protocols, and other products created to
enhance STD awareness, prevention, testing, linkage to care, and care
coordination funded with these dollars with CDPH and other LHJs and
community-based organizations (CBOs) in California. The intent of this is to
allow duplication (where possible) and cross-jurisdictional reach of successful
STD interventions and activities aimed at the priority populations, clinical
providers, and community partners. Source documents should be submitted to
County of Fresno
Grant 19-10960
Page 2 of 5
Exhibit E
STD Local Assistance Funds – Standards and General Terms and Conditions
CDPH STDCB upon completion and with the annual progress report, and upon
request from CDPH, as relevant.
F. Submit information and reports as requested by the CDPH STDCB.
G. Ensure the use of a competitive bid process in the selection of all subcontracts.
If the subcontract is one where the LHJ has a current agreement with, indicate
the date the agreement was effective. If the CBO is a non-profit agency as
defined by Internal Revenue Code 501(c), ensure the LHJ has a current letter on
file from the Internal Revenue Service for the CBO.
3. Reporting Requirements
A. Case Report, Laboratory, and Interview Record
All Grantees shall comply with morbidity reporting requirements for reportable
STDs identified in Title 17, California Code of Regulations (CCR) §2500, §2593,
§2641.5-2643.20, and §2800 – 20182 Reportable Diseases and Conditions.
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/
ReportableDiseases.pdf
All Grantees, excluding Los Angeles and San Francisco, must enter STD case
reports, laboratory results, and interview data for their jurisdiction directly into the
California Reportable Disease Information Exchange (CalREDIE) system, the
CDPH web-based reporting software for notifiable diseases. Data must be
entered into the appropriate tabs and forms in CalREDIE. Submission of hard
copy forms for data entry into CalREDIE by CDPH or scanning of case reports,
laboratory results, or interview records into the electronic filing cabinet (EFC),
sans data entry, will not be accepted. CDPH STD Control Branch will provide
essential variables for data entry and STD case report forms. Specific case
investigation and report requirements are as follows:
1. Syphilis laboratory tests and confidential morbidity reports should be
processed and assigned for investigation according to the California
Syphilis Reactor Alert System (SRAS). Some health jurisdictions may
have a more nuanced local system for prioritizing reported reactive
syphilis tests.
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20
Library/SyphilisReactorSRASChartAlgorithm.pdf
2. Syphilis cases and congenital syphilis case investigations are to be
reported according to updated CDPH STDCB protocols on the
appropriate case report forms (Syphilis Interview Record or California
Congenital Syphilis-CS Case Investigation and Report) found in
CalREDIE; samples of these forms can be viewed at
https://www.cdph.ca.gov/Programs/PSB/Pages/CommunicableDiseaseCo
ntrol.aspx. Grantees will complete and close investigations in CalREDIE
within 45 days of initial report to local health department.
County of Fresno
Grant 19-10960
Page 3 of 5
Exhibit E
STD Local Assistance Funds – Standards and General Terms and Conditions
3. Chlamydia and gonorrhea reports are automatically initiated through
CalREDIE with electronic laboratory report information, data entry of
laboratory, or provider report.
4. Cases of gonorrhea with suspected treatment failure or with high
minimum inhibitory concentrations (MIC) to CDC-recommended treatment
should be reported to CDPH STDCB within 24 hours of initial report to
local health department. Reports should be conveyed by calling the
CDPH STDCB Office at (510) 620-3400.
5. Suspected or confirmed cases of lymphogranuloma venereum, and
chancroid should be reported to CDPH STDCB within 24 hours of initial
report to local health department. Reports should be conveyed by calling
the CDPH STDCB Office at (510) 620-3400.
6. Grantees will participate in STD-specific CalREDIE trainings and conduct
quality control procedures, including review of cases to ensure
appropriate surveillance case definition and reconciliation of case counts.
For additional STD-related CalREDIE help, please email
STDCalREDIE@cdph.ca.gov.
For STD case definitions, please visit
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STDCaseDefinitions.aspx
For frequently asked questions, manuals/guidelines, and forms/instructions.
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/STD-CalREDIE-
Resources.aspx
Los Angeles and San Francisco grantees must report the data outlined above to
CDPH STD Control Branch via a secure file transfer protocol (FTP) on a weekly
basis. Data will be transmitted using the following formats:
• Case report data to be submitted using the National Electronic
Telecommunications System for Surveillance (NETSS) or Message Mapping
Guides (MMG) standards.
• Interview record data to be submitted in a format that conforms to the
corresponding CalREDIE data elements.
B. Performance Measurement and Program Evaluation
Grantees will submit performance indicators specified in the scope of work,
including for activities subcontracted to one or more community-based
organizations. Project specific data reporting requirements and performance
indicators will be determined in collaboration with CDPH within the first three
months of the project period.
County of Fresno
Grant 19-10960
Page 4 of 5
Exhibit E
STD Local Assistance Funds – Standards and General Terms and Conditions
C. Data Security and Confidentiality
Grantees shall comply with recommendations set forth in CDC’s “Data Security
and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted
Disease, and Tuberculosis Programs.”
http://www.cdc.gov/nchhstp/programintegration/docs/PCSIDataSecurityGuideline
s.pdf. Grantees shall have staff complete CDPH required confidentiality and data
security training, and maintain on file associated confidentiality agreements for
each staff person with access to STD data.
D. Outbreak Reporting
The California Code of Regulations (Title 17, Section 2502[c]) directs local health
officers to immediately report unusual disease occurrences or outbreaks to
CDPH. Reports should be conveyed by calling the CDPH STDCB Office at (510)
620-3400.
E. Financial Expenditures and Reporting
Grantees must maintain records reflecting actual expenditures. Please see the
CDPH STDCB Use of Local Assistance Funds document for guidance on
allowable and non-allowable expenditures.
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/
UseofLocalAssistanceFunds.pdf. The CDPH STDCB reserves the right to
question and re-negotiate reimbursement for any expenditure that may appear to
exceed a reasonable cost for the service. Financial expenditures/reporting are
required and must be submitted within 45 calendar days after the end of each
quarter. Annual financial expenditures and reporting should be submitted no later
than 45 days after the end of the budget period. Invoices should be sent to
STDLHJInvoices@cdph.ca.gov.
F. Performance Progress Reporting
The Annual Performance Progress Report is due no later than 30 days prior to
the end of the budget period (e.g. May 31, 2020), and serves as the continuation
application for the follow-on budget period. All publications and manuscripts
published as a result of the work supported in part or whole by the cooperative
grant must be submitted with the performance progress reports. Additionally,
health advisories, health education materials, and other products should be
submitted. Annual Performance Progress Report should be submitted to
STDLHJContracts@cdph.ca.gov.
G. Reporting Use of Incentives
Acceptable incentives include items such as low value gift cards (e.g., WalMart,
Safeway, transportation vouchers), hygiene kits, and/or other STD-related
incentives. All proposals for incentives must be submitted to CDPH STDCB for
review prior to purchase and project implementation, accompanying documents
must contain justification for use as behavior modification material, and
County of Fresno
Grant 19-10960
Page 5 of 5
Exhibit E
STD Local Assistance Funds – Standards and General Terms and Conditions
accompanied by a targeted distribution plan and tracking/reporting/outcome log.
When using incentives to achieve the goals and objectives outlined in the Scope
of Work, the Grantee must adhere to the following requirements:
1. Complete a Subject Reimbursement Log that is kept within a secure
study file. This log will contain the gift card brand, gift card number,
denomination, date purchased, reason for disbursement, the recipient of
the incentive, and the issue date (see attached log).
2. Each participant receiving an incentive must complete a Subject Incentive
Payment Receipt at the time the incentive is issued. The Subject
Incentive Payment Receipt must be kept in a secure location.
3. Participation incentives cannot be used for the purchase of alcohol,
tobacco, or drug products.
4. A copy of the Subject Reimbursement Log must be submitted with the
quarterly invoice.
5. The Subject Incentive Payment Receipt must be kept for a minimum of
five (5) years after the termination of the grant.
4. Rights of California Department of Public Health, Sexually Transmitted Disease
Control Branch
A. The CDPH STDCB reserves the right to modify the terms and conditions of all
awards. Additional information and documentation may be required.
B. The CDPH STDCB reserves the right to use and reproduce all reports and data
produced and delivered pursuant to the local assistance awards and reserves the
right to authorize others to use or reproduce such materials, provided that the
confidentiality of patient information and records is protected pursuant to
California State laws and regulations.
County of Fresno
Grant 19-10960
Page 1 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
This Information Privacy and Security Requirements Exhibit (For Non-HIPAA/HITECH Act Contracts)
(hereinafter referred to as “this Exhibit”) sets forth the information privacy and security requirements
Contractor is obligated to follow with respect to all personal and confidential information (as defined
herein) disclosed to Contractor, or collected, created, maintained, stored, transmitted or used by
Contractor for or on behalf of the California Department of Public Health (hereinafter “CDPH”), pursuant
to Contractor’s agreement with CDPH. (Such personal and confidential information is referred to herein
collectively as “CDPH PCI”.) CDPH and Contractor desire to protect the privacy and provide for the
security of CDPH PCI pursuant to this Exhibit and in compliance with state and federal laws applicable to
the CDPH PCI.
I. Order of Precedence: With respect to information privacy and security requirements for all CDPH PCI,
the terms and conditions of this Exhibit shall take precedence over any conflicting terms or conditions
set forth in any other part of the agreement between Contractor and CDPH, including Exhibit A (Scope
of Work), all other exhibits and any other attachments, and shall prevail over any such conflicting terms
or conditions.
II. Effect on lower tier transactions: The terms of this Exhibit shall apply to all contracts, subcontracts, and
subawards, and the information privacy and security requirements Contractor is obligated to follow with
respect to CDPH PCI disclosed to Contractor, or collected, created, maintained, stored, transmitted or
used by Contractor for or on behalf of CDPH, pursuant to Contractor’s agreement with CDPH. When
applicable the Contractor shall incorporate the relevant provisions of this Exhibit into each subcontract
or subaward to its agents, subcontractors, or independent consultants.
III. Definitions: For purposes of the agreement between Contractor and CDPH, including this Exhibit, the
following definitions shall apply:
A. Breach:
“Breach” means:
1. the unauthorized acquisition, access, use, or disclosure of CDPH PCI in a manner which
compromises the security, confidentiality or integrity of the information; or
2. the same as the definition of "breach of the security of the system" set forth in California Civil
Code section 1798.29(f).
B. Confidential Information: “Confidential information” means information that:
1. does not meet the definition of “public records” set forth in California Government Code
section 6252(e), or is exempt from disclosure under any of the provisions of Section 6250,
et seq. of the California Government Code or any other applicable state or federal laws; or
2. is contained in documents, files, folders, books or records that are clearly labeled, marked or
designated with the word “confidential” by CDPH.
County of Fresno
Grant 19-10960
Page 2 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
C. Disclosure: “Disclosure” means the release, transfer, provision of, access to, or divulging in any
manner of information outside the entity holding the information.
D. PCI: “PCI” means “personal information” and “confidential information” (as these terms are
defined herein:
E. Personal Information: “Personal information” means information, in any medium (paper,
electronic, oral) that:
1. directly or indirectly collectively identifies or uniquely describes an individual; or
2. could be used in combination with other information to indirectly identify or uniquely
describe an individual, or link an individual to the other information; or
3. meets the definition of “personal information” set forth in California Civil Code section
1798.3, subdivision (a) or
4. is one of the data elements set forth in California Civil Code section 1798.29, subdivision
(g)(1) or (g)(2); or
5. meets the definition of “medical information” set forth in either California Civil Code section
1798.29, subdivision (h)(2) or California Civil Code section 56.05, subdivision (j); or
6. meets the definition of “health insurance information” set forth in California Civil Code
section 1798.29, subdivision (h)(3); or
7. is protected from disclosure under applicable state or federal law.
F. Security Incident: “Security Incident” means:
1. an attempted breach; or
2. the attempted or successful unauthorized access or disclosure, modification or destruction
of CDPH PCI, in violation of any state or federal law or in a manner not permitted under the
agreement between Contractor and CDPH, including this Exhibit; or
3. the attempted or successful modification or destruction of, or interference with,
Contractor’s system operations in an information technology system, that negatively
impacts the confidentiality, availability or integrity of CDPH PCI; or
4. any event that is reasonably believed to have compromised the confidentiality, integrity, or
availability of an information asset, system, process, data storage, or transmission.
Furthermore, an information security incident may also include an event that constitutes a
violation or imminent threat of violation of information security policies or procedures,
including acceptable use policies.
G. Use: “Use” means the sharing, employment, application, utilization, examination, or analysis of
information.
County of Fresno
Grant 19-10960
Page 3 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
IV. Disclosure Restrictions: The Contractor and its employees, agents, and subcontractors shall protect
from unauthorized disclosure any CDPH PCI. The Contractor shall not disclose, except as otherwise
specifically permitted by the agreement between Contractor and CDPH (including this Exhibit), any
CDPH PCI to anyone other than CDPH personnel or programs without prior written authorization from
the CDPH Program Contract Manager, except if disclosure is required by State or Federal law.
V. Use Restrictions: The Contractor and its employees, agents, and subcontractors shall not use any
CDPH PCI for any purpose other than performing the Contractor's obligations under its agreement
with CDPH.
VI. Safeguards: The Contractor shall implement administrative, physical, and technical safeguards that
reasonably and appropriately protect the privacy, confidentiality, security, integrity, and availability of
CDPH PCI, including electronic or computerized CDPH PCI. At each location wher CDPH PCI exists
under Contractor’s control, the Contractor shall develop and maintain a written information privacy
and security program that includes administrative, technical and physical safeguards appropriate to
the size and complexity of the Contractor’s operations and the nature and scope of its activities in
performing its agreement with CDPH, including this Exhibit, and which incorporates the requirements
of Section VII, Security, below. Contractor shall provide CDPH with Contractor’s current and updated
policies within five (5) business days of a request by CDPH for the policies.
VII. Security: The Contractor shall take any and all steps reasonably necessary to ensure the continuous
security of all computerized data systems containing CDPH PCI. These steps shall include, at a
minimum, complying with all of the data system security precautions listed in the Contractor Data
Security Standards set forth in Attachment 1 to this Exhibit.
VIII. Security Officer: At each place where CDPH PCI is located,, the Contractor shall designate a Security
Officer to oversee its compliance with this Exhibit and to communicate with CDPH on matters
concerning this Exhibit.
IX. Training: The Contractor shall provide training on its obligations under this Exhibit, at its own expense,
to all of its employees who assist in the performance of Contractor’s obligations under Contractor’s
agreement with CDPH, including this Exhibit, or otherwise use or disclose CDPH PCI.
A. The Contractor shall require each employee who receives training to certify, either in hard copy
or electronic form, the date on which the training was completed.
B. The Contractor shall retain each employee’s certifications for CDPH inspection for a period of
three years following contract termination or completion.
C. Contractor shall provide CDPH with its employee’s certifications within five (5) business days of
a request by CDPH for the employee’s certifications.
X. Employee Discipline: Contractor shall impose discipline that it deems appropriate (in its sole
discretion) on such employees and other Contractor workforce members under Contractor’s direct
control who intentionally or negligently violate any provisions of this Exhibit.
County of Fresno
Grant 19-10960
Page 4 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
XI. Breach and Security Incident Responsibilities:
A. Notification to CDPH of Breach or Security Incident: The Contractor shall notify CDPH
immediately by telephone call plus email or fax upon the discovery of a breach (as defined in
this Exhibit), and within twenty-four (24) hours by email or fax of the discovery of any security
incident (as defined in this Exhibit), unless a law enforcement agency determines that the
notification will impede a criminal investigation, in which case the notification required by this
section shall be made to CDPH immediately after the law enforcement agency determines that
such notification will not compromise the investigation. Notification shall be provided to the
CDPH Program Contract Manager, the CDPH Privacy Officer and the CDPH Chief Information
Security Officer, using the contact information listed in Section XI(F), below. If the breach or
security incident is discovered after business hours or on a weekend or holiday and involves
CDPH PCI in electronic or computerized form, notification to CDPH shall be provided by calling
the CDPH Information Security Office at the telephone numberslisted in Section XI(F), below.
For purposes of this Section, breaches and security incidents shall be treated as discovered by
Contractor as of the first day on which such breach or security incident is known to the
Contractor, or, by exercising reasonable diligence would have been known to the Contractor.
Contractor shall be deemed to have knowledge of a breach if such breach is known, or by
exercising reasonable diligence would have been known, to any person, other than the person
committing the breach, who is a employee or agent of the Contractor.
Contractor shall take:
1. prompt corrective action to mitigate any risks or damages involved with the breach or
security incident and to protect the operating environment; and
2. any action pertaining to a breach required by applicable federal and state laws, including,
specifically, California Civil Code section 1798.29.
B. Investigation of Breach and Security Incidents: The Contractor shall immediately investigate such
breach or security incident. As soon as the information is known and subject to the legitimate
needs of law enforcement, Contractor shall inform the CDPH Program Contract Manager, the
CDPH Privacy Officer, and the CDPH Chief Information Security Officer of:
1. what data elements were involved and the extent of the data disclosure or access involved in
the breach, including, specifically, the number of individuals whose personal information was
breached; and
2. a description of the unauthorized persons known or reasonably believed to have improperly
used the CDPH PCI and/or a description of the unauthorized persons known or reasonably
believed to have improperly accessed or acquired the CDPH PCI, or to whom it is known or
reasonably believed to have had the CDPH PCI improperly disclosed to them; and
3. a description of where the CDPH PCI is believed to have been improperly used or disclosed;
and
County of Fresno
Grant 19-10960
Page 5 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
4. a description of the probable and proximate causes of the breach or security incident; and
5. whether Civil Code section 1798.29 or any other federal or state laws requiring individual
notifications of breaches have been triggered.
C. Written Report: The Contractor shall provide a written report of the investigation to the CDPH
Program Contract Manager, the CDPH Privacy Officer, and the CDPH Chief Information Security
Officer as soon as practicable after the discovery of the breach or security incident. The report
shall include, but not be limited to, the information specified above, as well as a complete, detailed
corrective action plan, including information on measures that were taken to halt and/or contain
the breach or security incident, and measures to be taken to prevent the recurrence or further
disclosure of data regarding such breach or security incident.
D. Notification to Individuals: If notification to individuals whose information was breached is required
under state or federal law, and regardless of whether Contractor is considered only a custodian
and/or non-owner of the CDPH PCI, Contractor shall, at its sole expense, and at the sole election
of CDPH, either:
1. make notification to the individuals affected by the breach (including substitute notification),
pursuant to the content and timeliness provisions of such applicable state or federal breach
notice laws. Contractor shall inform the CDPH Privacy Officer of the time, manner and
content of any such notifications, prior to the transmission of such notifications to the
individuals; or
2. cooperate with and assist CDPH in its notification (including substitute notification) to the
individuals affected by the breach.
E. Submission of Sample Notification to Attorney General: If notification to more than 500
individuals is required pursuant to California Civil Code section 1798.29, and regardless of
whether Contractor is considered only a custodian and/or non-owner of the CDPH PCI,
Contractor shall, at its sole expense, and at the sole election of CDPH, either:
1. electronically submit a single sample copy of the security breach notification, excluding any
personally identifiable information, to the Attorney General pursuant to the format. content
and timeliness provisions of Section 1798.29, subdivision (e). Contractor shall inform the
CDPH Privacy Officer of the time, manner and content of any such submissions, prior to the
transmission of such submissions to the Attorney General; or
2. cooperate with and assist CDPH in its submission of a sample copy of the notification to the
Attorney General.
F. CDPH Contact Information: To direct communications to the above referenced CDPH staff, the
Contractor shall initiate contact as indicated herein. CDPH reserves the right to make changes
to the contact information below by verbal or written notice to the Contractor. Said changes
shall not require an amendment to this Exhibit or the agreement to which it is incorporated.
County of Fresno
Grant 19-10960
Page 6 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
CDPH Program
Contract
Manager
CDPH Privacy Officer CDPH Chief Information
Security Officer
See the Scope of
Work exhibit for
Program Contract
Manager
Privacy Officer
Privacy Office
Office of Legal Services
California Dept. of Public Health
1415 L Street, 5th Floor
Sacramento, CA 95814
Email: privacy@cdph.ca.gov
Telephone: (877) 421-9634
Chief Information Security Officer
Information Security Office
California Dept. of Public Health
P.O. Box 997377
MS6302
Sacramento, CA 95899-7413
Email: cdphiso@cdph.ca.gov
Telephone: (855) 500-0016
XII. Documentation of Disclosures for Requests for Accounting: Contractor shall document and make
available to CDPH or (at the direction of CDPH) to an Individual such disclosures of CDPH PCI, and
information related to such disclosures, necessary to respond to a proper request by the subject
Individual for an accounting of disclosures of personal information as required by Civil Code section
1798.25, or any applicable state or federal law.
XIII. Requests for CDPH PCI by Third Parties: The Contractor and its employees, agents, or
subcontractors shall promptly transmit to the CDPH Program Contract Manager all requests for
disclosure of any CDPH PCI requested by third parties to the agreement between Contractor and
CDPH (except from an Individual for an accounting of disclosures of the individual’s personal
information pursuant to applicable state or federal law), unless prohibited from doing so by applicable
state or federal law.
XIV. Audits, Inspection and EnforcementCDPH may inspect the facilities, systems, books and records of
Contractor to monitor compliance with this Exhibit. Contractor shall promptly remedy any violation of
any provision of this Exhibit and shall certify the same to the CDPH Program Contract Manager in
writing.
XV. Return or Destruction of CDPH PCI on Expiration or Termination: Upon expiration or termination of
the agreement between Contractor and CDPH for any reason, Contractor shall securely return or
destroy the CDPH PCI. If return or destruction is not feasible, Contractor shall provide a written
explanation to the CDPH Program Contract Manager, the CDPH Privacy Officer and the CDPH Chief
Information Security Officer, using the contact information listed in Section XI(F), above.
A. Retention Required by Law: If required by state or federal law, Contractor may retain, after
expiration or termination, CDPH PCI for the time specified as necessary to comply with the law.
B. Obligations Continue Until Return or Destruction: Contractor’s obligations under this Exhibit
shall continue until Contractor returns or destroys the CDPH PCI or returns the CDPH PCI to
CDPH; provided however, that on expiration or termination of the agreement between
Contractor and CDPH, Contractor shall not further use or disclose the CDPH PCI except as
required by state or federal law.
County of Fresno
Grant 19-10960
Page 7 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
C. Notification of Election to Destroy CDPH PCI: If Contractor elects to destroy the CDPH PCI,
Contractor shall certify in writing, to the CDPH Program Contract Manager, the CDPH Privacy
Officer and the CDPH Chief Information Security Officer, using the contact information listed in
Section XI(F), above, that the CDPH PCI has been securely destroyed. The notice shall include
the date and type of destruction method used.
XVI. Amendment: The parties acknowledge that federal and state laws regarding information security and
privacy rapidly evolves and that amendment of this Exhibit may be required to provide for procedures
to ensure compliance with such laws. The parties specifically agree to take such action as is
necessary to implement new standards and requirements imposed by regulations and other
applicable laws relating to the security or privacy of CDPH PCI.The parties agree to promptly enter
into negotiations concerning an amendment to this Exhibit consistent with new standards and
requirements imposed by applicable laws and regulations.
XVII. Assistance in Litigation or Administrative Proceedings: Contractor shall make itself and any
subcontractors, workforce employees or agents assisting Contractor in the performance of its
obligations under the agreement between Contractor and CDPH, available to CDPH at no cost to
CDPH to testify as witnesses, in the event of litigation or administrative proceedings being
commenced against CDPH, its director, officers or employees based upon claimed violation of laws
relating to security and privacy, which involves inactions or actions by the Contractor, except where
Contractor or its subcontractor, workforce employee or agent is a named adverse party.
XVIII. No Third-Party Beneficiaries: Nothing express or implied in the terms and conditions of this Exhibit is
intended to confer, nor shall anything herein confer, upon any person other than CDPH or Contractor
and their respective successors or assignees, any rights, remedies, obligations or liabilities
whatsoever.
XIX. Interpretation: The terms and conditions in this Exhibit shall be interpreted as broadly as necessary to
implement and comply with regulations and applicable State laws. The parties agree that any
ambiguity in the terms and conditions of this Exhibit shall be resolved in favor of a meaning that
complies and is consistent with federal and state laws and regulations.
XX. Survival: If Contractor does not return or destroy the CDPH PCI upon the completion or termination of
the Agreement, the respective rights and obligations of Contractor under Sections VI, VII and XI of
this Exhibit shall survive the completion or termination of the agreement between Contractor and
CDPH.
County of Fresno
Grant 19-10960
Page 8 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
Attachment 1
Contractor Data Security Standards
1. General Security Controls
A. Confidentiality Statement. All persons that will be working with CDPH PCI must sign a
confidentiality statement. The statement must include at a minimum, General Use, Security
and Privacy safeguards, Unacceptable Use, and Enforcement Policies. The statement must
be signed by the workforce member prior to access to CDPH PCI. The statement must be
renewed annually. The Contractor shall retain each person’s written confidentiality statement
for CDPH inspection for a period of three (3) years following contract termination.
B. Background check. Before a member of the Contractor’s workforce may access CDPH PCI,
Contractor must conduct a thorough background check of that worker and evaluate the
results to assure that there is no indication that the worker may present a risk for theft of
confidential data. The Contractor shall retain each workforce member’s background check
documentation for a period of three (3) years following contract termination.
C. Workstation/Laptop encryption. All workstations and laptops that process and/or store
CDPH PCI must be encrypted using a FIPS 140-2 certified algorithm, such as Advanced
Encryption Standard (AES), with a 128bit key or higher. The encryption solution must be full
disk unless approved by the CDPH Information Security Office.
D. Server Security. Servers containing unencrypted CDPH PCI must have sufficient
administrative, physical, and technical controls in place to protect that data, based upon a risk
assessment/system security review.
E. Minimum Necessary. Only the minimum necessary amount of CDPH PCI required to
perform necessary business functions may be copied, downloaded, or exported.
F. Removable media devices. All electronic files that contain CDPH PCI data must be
encrypted when stored on any removable media or portable device (i.e. USB thumb drives,
floppies, CD/DVD, smart devices tapes etc.). PCI must be encrypted using a FIPS 140-2
certified algorithm, such as Advanced Encryption Standard (AES), with a 128bit key or higher
G. Antivirus software. All workstations, laptops and other systems that process and/or store
CDPH PCI must install and actively use a comprehensive anti-virus software solution with
automatic updates scheduled at least daily.
H. Patch Management. All workstations, laptops and other systems that process and/or store
CDPH PCI must have operating system and application security patches applied, with system
reboot if necessary. There must be a documented patch management process which
determines installation timeframe based on risk assessment and vendor
recommendations. At a maximum, all applicable patches must be installed within 30 days of
vendor release.
I. User IDs and Password Controls. All users must be issued a unique user name for
accessing CDPH PCI. Username must be promptly disabled, deleted, or the password
changed upon the transfer or termination of an employee with knowledge of the password.
County of Fresno
Grant 19-10960
Page 9 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
Passwords are not to be shared. Must be at least eight characters. Must be a non-dictionary
word. Must not be stored in readable format on the computer. Must be changed every 60
days. Must be changed if revealed or compromised. Must be composed of characters from
at least three of the following four groups from the standard keyboard:
• Upper case letters (A-Z)
• Lower case letters (a-z)
• Arabic numerals (0-9)
• Non-alphanumeric characters (punctuation symbols)
J. Data Sanitization. All CDPH PCI must be sanitized using NIST Special Publication 800-88
standard methods for data sanitization when the CDPH PCI is no longer needed.
2. System Security Controls
A. System Timeout. The system must provide an automatic timeout, requiring
reauthentication of the user session after no more than 20 minutes of inactivity.
B. Warning Banners. All systems containing CDPH PCI must display a warning banner each
time a user attempts access, stating that data is confidential, systems are logged, and
system use is for business purposes only. User must be directed to log off the system if they
do not agree with these requirements.
C. System Logging. The system must maintain an automated audit trail which can identify the
user or system process which initiates a request for CDPH PCI, or which alters CDPH PCI.
The audit trail must be date and time stamped, must log both successful and failed
accesses, must be read only, and must be restricted to authorized users This logging must
be included for all user privilege levels including, but not limited to, systems administrators.
If CDPH PCI is stored in a database, database logging functionality must be enabled. Audit
trail data must be archived for at least 3 years after occurrence.
D. Access Controls. The system must use role based access controls for all user
authentications, enforcing the principle of least privilege.
E. Transmission encryption. All data transmissions of CDPH PCI outside the contractor’s
secure internal network must be encrypted using a FIPS 140-2 certified algorithm, such as
Advanced Encryption Standard (AES), with a 128bit key or higher. Encryption can be end to
end at the network level, or the data files containing CDPH PCI can be encrypted. This
requirement pertains to any type of CDPH PCI in motion such as website access, file
transfer, and E-Mail.
F. Intrusion Detection. All systems involved in accessing, holding, transporting, and
protecting CDPH PCI that are accessible via the Internet must be protected by a
comprehensive intrusion detection and prevention solution.
3. Audit Controls
County of Fresno
Grant 19-10960
Page 10 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
A. System Security Review. All systems processing and/or storing CDPH PCI must have at
least an annual system risk assessment/security review which provides assurance that
administrative, physical, and technical controls are functioning effectively and providing
adequate levels of protection. Reviews shall include vulnerability scanning tools.
B. Log Reviews. All systems processing and/or storing CDPH PCI must have a routine
procedure in place to review system logs for unauthorized access.
C. Change Control. All systems processing and/or storing CDPH PCI must have a
documented change control procedure that ensures separation of duties and protects the
confidentiality, integrity and availability of data.
4. Business Continuity / Disaster Recovery Controls
A. Disaster Recovery. Contractor must establish a documented plan to enable continuation of
critical business processes and protection of the security of electronic CDPH PCI in the
event of an emergency. Emergency means any circumstance or situation that causes
normal computer operations to become unavailable for use in performing the work required
under this agreement for more than 24 hours.
B. Data Backup Plan. Contractor must have established documented procedures to securely
backup CDPH PCI to maintain retrievable exact copies of CDPH PCI. The backups shall be
encrypted.The plan must include a regular schedule for making backups, storing backups
offsite, an inventory of backup media, and the amount of time to restore CDPH PCI should it
be lost. At a minimum, the schedule must be a weekly full backup and monthly offsite
storage of CDPH data.
5. Paper Document Controls
A. Supervision of Data. CDPH PCI in paper form shall not be left unattended at any time,
unless it is locked in a file cabinet, file room, desk or office. Unattended means that
information is not being observed by an employee authorized to access the information.
CDPH PCI in paper form shall not be left unattended at any time in vehicles or planes and
shall not be checked in baggage on commercial airplanes.
B. Escorting Visitors. Visitors to areas where CDPH PCI is contained shall be escorted and
CDPH PHI shall be kept out of sight while visitors are in the area.
C. Confidential Destruction. CDPH PCI must be disposed of through confidential means,
using NIST Special Publication 800-88 standard methods for data sanitization when the
CDPH PSCI is no longer needed.
D. Removal of Data. CDPH PCI must not be removed from the premises of the Contractor
except with express written permission of CDPH.
E. Faxing. Faxes containing CDPH PCI shall not be left unattended and fax machines shall be
in secure areas. Faxes shall contain a confidentiality statement notifying persons receiving
County of Fresno
Grant 19-10960
Page 11 of 11
Exhibit F
Information Privacy and Security Requirements
(For Non-HIPAA/HITECH Act Contracts)
CDPH IPSR (10/19)
faxes in error to destroy them. Fax numbers shall be verified with the intended recipient
before sending.
F. Mailing. CDPH PCI shall only be mailed using secure methods. Large volume mailings of
CDPH PHI shall be by a secure, bonded courier with signature required on receipt. Disks
and other transportable media sent through the mail must be encrypted with a CDPH
approved solution, such as a solution using a vendor product specified on the CALIFORNIA
STRATEGIC SOURCING INITIATIVE.
Contractor Certification Clause
CCC 04/2017
CERTIFICATION
I, the official named below, CERTIFY UNDER PENAL TY 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 (Authorized Signature)
Printed Name and Title of Person Signing
Federal ID Number
Ernest Buddy Mendes, Chairman of the Board of Supervisors of the County of Fresno
Date Executed Executed in the Countv of
ATTEST: Fresno ~ Lf 1...()°LD BERNICE E. SEIDEL
____ .___.__ __________ ~----Clerk of the Board of Supervisors
CONTRACTOR CERTIFICATION CLAUSES County f Fre~no , late of California
By·~lli:J,b.,~~~:k:--
Deputy
1. STATEMENT OF COMPLIANCE : Contractor has, unless exempted, complied with the
nondiscrimination program requirements. (Gov. Code §12990 (a-f) and CCR, Title 2,
Section 11102) (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 of the National Labor Relations Board. (Pub. Contract
Code §10296) (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 of 30
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 of Industrial
Relations, or the Department of Justice to determine the contractor’s compliance with the
requirements under paragraph (a).
7.DOMESTIC PARTNERS: For contracts of $100,000 or more, Contractor certifies that
Contractor is in compliance with Public Contract Code section 10295.3.
8.GENDER IDENTITY: For contracts of $100,000 or more, Contractor certifies that
Contractor is in compliance with Public Contract Code section 10295.35.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of California.
1.CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions
regarding current or former 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 §10410):
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 former 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 §10420)
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 of the
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 of legal 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 of the 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
CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT
DGS OLS 04 (Rev. 01/17 )
DEPARTMENT OF GENERAL SERVICES
OFFICE OF LEGAL SERVICES
Pursuant to Public Contract Code section 2010 , a person that submits a bid or proposal to, or
otherwise proposes to enter into or renew a contract with , a state agency with respect to any
contract in the amount of $100,000 or above shall certify , under penalty perjury , at the time the
bid or proposa l is submitted or the contract is renewed , all of the following :
1. CALIFORNIA CIVIL RIGHTS LAWS : For contracts executed or renewed after January 1,
2017 , the contractor certifies compliance with the Unruh Civ il Rights Act (Section 51 of the Civil
Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code);
and
2 . EMPLOYER DISCRIMINATORY POLICIES : For contracts executed or renewed after
January 1, 2017 , if a Contractor has an internal policy against a sovereign nat ion or peoples
recognized by the United States government, the Contractor certifies that such pol icies are not
used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair
Employment and Housing Act (Section 12960 of the Government Code).
CERTIFICATION
r-------------------------------------------------------,----------------------1 I, the official named below, certify under penalty of perjury under I Federal ID Number
the laws of the State of Californi a that the foregoing is true and !
correct. I
I
I
Proposer/Bidder Firm Name (Printed) I
I
County of Fresno I
I r -------------------------------------------------------....1..----------------------7
1 By (Authorized Signature) 1
I I
I ~ I ~ Printed Name and Title of~~ -----------------~
I I
I Ernest Buddy Mendes, Cha i rman of the Board of Supervisors of the County of Fresno I
I I r--------------------------------r----------------------------------------------1
1 Date Executed I Executed in the County and State of 1
I I I ! 'b \ ~) '2£>2::D ! Fresno California ! L ________________________________ L ______________________________________________ J
ATTEST:
Agreement Between the County of Fresno and California Department of
Public Health
Name: Sexually Transmitted Disease (STD) Program Management and Collaboration
Project Grant Agreement No. 19-10960
Fund/Subclass: 0001/10000
Organization #: 56201661
Revenue Account #: 3530