HomeMy WebLinkAboutAgreement A-16-684-3 with First 5 for Nurse Liaison.pdfC o mmission:
Contractor:
Agreement No . 16-684-3
County of Fresno, Department of Public Health
Contract #201617-0950
Nurse Liaison
Page 1
Amendment III to
Services Agreement
Fiscal Year 2020/2021
Parties
Children and Families Commission of Fresno County, California
County of Fresno, Department of Public Health
Administrative
Original Contract Number: 201617-0950
201617-0950 Amendment III Contract Number:
Recitals
A. Commission and Contractor are parties to that certain Services Agreement
(the "Agreement"), dated December 23, 2016, the Term of which is from July 1, 2016 to June 30, 2018
(the "O riginal Term"). Co mmission and Contracto r are also parties to Amendment I, dated August
2 8 , 2018, and Amendment II to the Agreement, dated October 23, 2019, extending the Term of the
Agreement to June 3 0, 202 0 .
B. The Parties now desire to amend the Agreement to provide for an extensio n
of the Term and to modify the Services and Project Budget all as defined in the Agreement.
C . A ll c apitalized terms used in this Amendment III to Services Agreement (this
"Amendment III") shall have the meanings provided for in the Agreement unless otherwise specified
in this Amendment III.
Therefore, in consideration of the above recitals, which are incorporated into this
Amendment III b y reference, the Parties agree as follows :
1. Term. This Amendment III is made effective as of July 1, 202 0 (the "Effectiv e
Date"). The Term of the Agreement is extended until June 30, 2021, unless
terminated earlier under the Agreement (the "Term") or as specified in this
Amendment III to the contrary .
2 . Amendment to Section 2.1. Effectiv e as of July 1, 2020, Exhibit A will be
replaced with the Exhibit A, "Scope of Work (2020 -2021 Fiscal Year)" attached to this Amendment
III and incorporated herein by this reference. As of July 1, 2020, except as needed to interpret and
enforce Contractor's responsibilities and obligations under the original Term of the Agreement, the
original Exhibit A attached to the Agreement will have no further force and effect.
Ro620(1&2)
D. Aggregate Services and Narrative
•
•
•
1 Agency Name:Contract Term:
2 Project Name:Contract Number:
3
4
5
6
7 Title FTE Amount Title FTE Amount Title FTE Amount Title FTE Amount
8 Supervising Public Health Nurse 0.31 35,684 Supervising Public Health Nurse 0.39 44,755 - -
9 Public Health Nurse II 0.42 41,817 Public Health Nurse II 0.58 58,497
10 Public Health Nurse I 0.38 31,976 Public Health Nurse I 0.62 51,734
11 Public Health Nurse I 0.49 36,789 Public Health Nurse I 0.51 38,547
12 Public Health Nurse II 0.46 46,621 Public Health Nurse II 0.54 54,293
13
14
15 2.06 192,887 2.64 247,826 - - - -
16 B. Benefits 77.434%
17 C. Taxes 7.65%
18
19
20
21
22
23
24
25
26
27
28
29
33
34
35
36
37
38
39
40
41
43
44
50 Program Totals
51
52
53 A. Indirect Rate 5.000%
54
55 Total Proposed Budget
D
YEAR 4 CAR
First 5 Amounts Leveraged Select Other Funding Source:Select Other Funding Source:
County of Fresno, Department of Public Health 07/01/16-06/30/21
Nurse Liaison 201617-0950
A B C
07/01/20-6/30/21 07/01/20-6/30/21 07/01/20-6/30/21 07/01/20-6/30/21
I. Personnel
The "Amount" should be: Annual
Salary X the FTE whenever possible.
1 FTE = 40 hours / week
A. Total Salaries & FTE
149,360 191,902 - -
14,756 18,959 - -
Personnel Subtotal 357,003 458,686 - -
Justification of Benefits and Taxes: Estimated benefits rates reflect Unemployment Insurance (.00206), Retirement (.526-.7077), OASDI (.0765), Health Insurance
($8,943-$11,810 per FTE per year) and Benefits Administration ($113 per FTE per year).
II. Operating Expenses
A. Facilities Costs 5,789 7,411 - -
Narrative/Justification – Explain these costs and how they apply to the program, then state methodology (FTE, Square Footage, etc) for these costs and provide the calculation
Fresno County Department of Public Health, 1221 Fulton St, 4th floor, Fresno, CA 93721. Telephones ($2,000), facility operation/maintenance/household services
($5,600), utilities ($4,000), and security/alarm ($1,600). These are all Internal Service Funds charges by square footage and assigned phone lines for the program.
General Services Administration provides base amount for the department. Nurse Liaison staff account for approximately 950 sq ft.
Narrative/Justification – Narrative/Justification –
B. Operational/Supplies 1,326 674 - -
III. Program Expenses
Instructional Information In the Narrative/Justification box provide a detailed explanation of all program expenses considered on this line item and how they are to support the program participants (include calculations where applicable).
A. Materials and Supplies 4,104 - - -
Narrative/Justification – Explain these costs and how they apply to the program, then state methodology (materials, services, leases) for these costs and provide the calculation
General office supplies such as paper, pencils, envelopes and filing supplies ($1,000) and postage ($200). Medical supplies for PHNs to use during home visits
($800).
Narrative/Justification – Narrative/Justification –
C. Training/Travel 3,289 4,211 - -
Narrative/Justification – Explain these costs and how they apply to the program, then state methodology (name of local conferences & trainings) for these costs and provide the calculation
Fees for staff to attend local meetings, conferences, and trainings ($2,000). Staff private auto mileage reimbursement at a rate of $0.575 per mile ($2,500). County
vehicle maintenance/usage/garage ($3,000).
Narrative/Justification – Narrative/Justification –
Operating Expenses Subtotal 10,404 12,296 - -
376,511 470,982 - -
Narrative/Justification –
VI. Indirect (= Program Totals - Equipment x Percentage of Indirect)
Instructional Information In the Narrative/Justification box explain these costs, how they will support/benefit the program, and how the percentage was determined.
Subtotal 4,104 - - -
Narrative/Justification – Provide the number of participants, cost per item, a description of the item, and justification for all expenses that support the clients of the program.
Forms, pamphlets, educational materials (books and toys for children) to evaluate, educate and foster
physical/mental/social growth in Nurse Liaison clients.
Narrative/Justification for Materials and Supplies Narrative/Justification for Materials and Supplies Narrative/Justification for Materials and Supplies
IV. Professional Services (Contracts, MOU's, Sub agreements, etc.)
Instructional Information In the Narrative/Justification box provide a detailed explanation of all professional services considered on this line item and how they are to support the program or staff (include calculations where applicable). Any services
exceeding $5,000 must have attached a narrative delineating services.
Subtotal 5,000 - - -
Estimated costs for interpreters/translators who provide services for various languages through a
Countywide contract. Interpreting services at a rate of $40.00 per hour.
Narrative/Justification – Narrative/Justification –
Narrative/Justification –
394,361 493,917 - -
17,850 22,934
Fresno County Department of Public Health’s indirect cost rate is 25.42% of the total personnel costs, prepared following OMB’s 2 CFR Part 200 guidelines and
approved by County of Fresno’s Auditor-Controller/Treasure-Tax Collector Department. Lower rate applied to this budget to ensure sufficient funding for direct costs
and remaining within funding award amount.
Narrative/Justification –
1
2
3
4
5
6
7
8
9
10
11
12 A B C E E
13
Year 1
Actuals
Year 2
Actuals
Year 3
Actuals
Year 4
Budget
Year 5
Budget
14 07/01/16-6/30/17 07/01/17-06/30/18 07/01/18-06/30/19 07/01/19-06/30/20 07/01/20-06/30/21
15
16
17 144,171 135,693 173,854 187,729 192,887 834,334
18 96,882 96,858 117,470 128,942 149,360 589,512
19 11,188 10,006 12,397 14,361 14,756 62,708
20 252,241 242,557 303,721 331,032 357,003 1,486,554
21
22 4,579 4,826 4,705 5,366 5,789 25,265
23 3,069 2,611 3,080 1,832 1,326 11,918
24 2,832 1,200 2,764 4,575 3,289 14,660
25 10,480 8,637 10,549 11,773 10,404 51,843
26
27 2,889 2,983 4,000 14,929 4,104 28,905
28 2,889 2,983 4,000 14,929 4,104 28,905
29 7,000 6,060 4,585 8,000 5,000 30,645
30 40,007 63,525 45,557 18,405 17,850 185,344
31
32 312,617 323,762 368,412 384,139 394,361 1,783,291$
33
34
Year 1
Actuals
Year 2
Actuals
Year 3
Actuals
Year 4
Budget
Year 5
Budget
Total Other
Funding
35 A.Leveraged 344,725 376,600 504,244 459,245 493,917 2,178,731
36 B.Select Other Funding Source:0 0 0 0 0 0
37 C.Other Funding Source:0 0 0 0 0 0
38 344,725 376,600 504,244 459,245 493,917 2,178,731
FIRST 5 FRESNO COUNTY
Category
Agency Name:
Project Name:
Contract Term:
Contract Number:
Direct Service Budget
Total Program
Amount
Title:
Submission Date:
Prepared by:Aphivanh Xayavath
Staff Analyst III
County of Fresno, Department of Public Health
Nurse Liaison
Total Program Expenses
C. Training/Travel
Total Operating Expenses
III. Program Expenses
A. Materials and Supplies
07/01/16-06/30/21
201617-0950
5/21/2020
Total Other Funding
IV. Professional Services
VI. Indirect Costs
VII. Other Funding
Total Program
I. Personnel
A. Facilities Costs
B. Operational/Supplies
A. Salaries
B. Benefits
C. Taxes
Total Personnel
II. Operating Expenses
Children and Families Commission of Fresno County
Name/No.: NURSE LIAISON Amendment III to Agreement 201617-0950
(#A-16-684).
Fund/Subclass:
Organization #:
0001/10000
56201615
Revenue Account #: 3530