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DATE:June 3, 2008 Agenda Item 5D TO: FROM: SUBJECT: Board of Supervisors ~~ Julie Hornback, Director, Department of Employ~~~t &Temporary Assistance CalWORKs Employment Services Agreements RECOMMENDED ACTIONS: 1.Make a finding that it is in the best interest of the County to waive the competitive bidding process consistent with Administrative Policy No.34 for the solicitation of Educational Management and Specialized Assessment Services. 2.Approve and authorize the Chairman to execute four CalWORKs Agreements for Educational Management and Specialized Assessment Services,effective July 1, 2008 through June 30,2009 ($1,332,656)with the following providers: a.California State University,Fresno Foundation b.Fresno City College c.Fresno County Superintendent of Schools d.Reedley College Total $297,727 464,629 428,300 142,000 $1,332,656 3.Approve and authorize the Chairman to execute the renewal of the Central Valley YMCA Supervised Children's Room Services Agreement,effective July 1, 2008 through June 30, 2009 ($306,218). Approval of the recommended Agreements will allow for Educational Management, Vocational Training, Assessment, Counseling services and onsite childcare for CalWORKs families. The Agreements will be 100% funded with State and Federal funds utilizing the CalWORKs Single Allocation with no increase in net County cost. _____________APPROVEDAS RECOMMENDED _ JNANIMOUS ANDERSON CASE LARSON PEREA WATERSTON _ :C-017 (eForms-0904) Board of Supervisors June 3,2008 Page2 FISCAL IMPACT: There is no increase in net County cost associated with the recommended actions. The total combined compensation amount of the five recommended Agreements ($1,638,874)will be 100% offset utilizing CalWORKs Single Allocation funds.Sufficient appropriations are included in the requested FY 2008-09 Department of Employment and Temporary Assistance Organization 56107001. The County will have a required Maintenance of Effort (MOE)($4,022,882)for the CalWORKs Program in FY 2008-09. Once the MOE has been met, all expenses over and above that amount will be 100% funded with State and Federal dollars up to the amount of the annual CalWORKs Allocation.Social Services Realignment funds will be utilized to meet the CalWORKs MOE. IMPACT ON JOB CREATION: There is a positive impact on job creation as provider agencies employ individuals from the community to provide contracted services. In addition, the recommended Agreements include funding for On-the-Job Training placements, which are expected to result in permanent full-time employment opportunities,and provide additional vocational training for CalWORKs recipients to help them become skilled and better qualified for job openinqs, DISCUSSION: With concurrence of the County's Purchasing Division, four (4)Agreements with the Fresno County Superintendent of Schools, Fresno City College, Reedley College and California State University's Fresno Foundation for Assessment meet the County's Purchasing guidelines.All of these educational institutions are uniquely qualified to provide their contracted services, as they are State approved sites and the lone educational institutions in their respective geographical areas that can provide CalWORKs services for recipients in the area. As such, it is recommended that your Board waive the competitive bidding process consistent with Administrative Policy No. 34 for the solicitation of educational management and specialized assessment services. Agreements include Welfare To Work (WTW)activities, such as vocational training,work placement and internships that will increase Federal Work Participation Rates (WPR). Each State is required to meet a 50%participation rate for all CalWORKs families receiving assistance,and a separate 90% participation rate for two-parent families. Effective October 1, 2006, States who fail to meet WPR each Federal Fiscal Year will receive an annual sanction which will be passed on to counties and only County General funds may be used to pay financial sanctions.A summary of the recommended Agreements (provider agency, funding amount, and description of services)is detailed in the Attachment.Performance outcomes have been adjusted to focus on meeting WPR. The Agreement with the Central YMCA for Supervised Children's Room Services is being recommended for an additional year through June 3D,2009. The Agreement was established through RFP 952-4209 in January 2006, and is in the third year of the bid cycle.Services include onsite childcare for clients accessing services at four department locations throughout the county. The Agreements include new language that requires Contractors to employ strict controlS to insure the integrity and security of confidential client information and to prevent unauthorized access to this data. As permitted by State and Federal rules and regulations, the recommended Agreements include a clause allowinq for advance payments of up to 20% of the total compensation at the sole discretion of the Department Director. The services and maximum compensation amount provided in the recommended Agreements are contingent upon the availability of State and Federal funds and can be amended at any time during the contract period. The Agreements also give the Director or designee the authority to make budget line item changes that do not exceed 10% of the maximum Fe-017 (eForms-0904) Board of Supervisors June 3,2008 Page 3 compensation amount and in no event increase beyond that amount. The Agreement may be terminated for any reason by either the County or the Contractor upon the giving of 30-day advance written notice. OTHER REVIEWING AGENCIES: The Department of General Services Purchasing Division has been included in discussions and concurs with the recommended actions. Attachment JH: pv rc-orz (eForms-0904) CalWORKs Agreements July 1, 2008 - June 30, 2009 Attachment Agency Funding Service Target Population Activities that Major Performance Levels I.Directly/SUpport ..,'.WPR California State $297,727 Specialized CalWORKs No activities directly •All plans for CalWORKs University, Fresno Assessment participants with supportWPR recipients must be Foundation Services limited English completed within two speaking ability,weeks from the date of the potential learning Assessment test or date disabilities,potential referred trauma symptoms,•12 outreach activities and other unique conducted to promote needs Specialized Assessment services Central Valley $306,218 Supervision of Any client that No activities directly Performance levels are not YMCA children in the receives services support WPR required for this agreement Coalinga &from an agency Selma Regional located in the four Centers,E&TA offices Fairgrounds Intake and Heritage Center Children's Rooms Fresno City $464,629 Education CalWORKs •Training •350 CalWORKs recipients College Counseling recipients who are programs will receive services Services and enrolled as students •Work Study •100% of CalWORKs Training at the college placements recipients will have a Programs •Student Student Education Plan Internships (SEP)developed •275 participants will be enrolled into the CalWORKs classes 1 Attachment Performance levels are not required for this agreement as FresnoCounty Superintendent of Schools does not provide direct service that impacts WPR No activities directly support WPR Management of Basic Education and Vocational Training services with school districts and educational institutions CalWORKs Agreements Jul 1, 2008 - June 3D,2009 ~----,-.,.."....,.".====~.,.."....,.".~= Fresno County Superintendent of Schools Reedley College $142,000 Employment Counseling and Job Readiness Classes CalWORKs recipients who are enrolled as students at the college •Training programs •Work Study placements •Student Internships • 170 CalWORKs recipients will receive services •100%of CalWORKs recipients will have a Student Education Plan (SEP)developed • 80 participants will be enrolled into the CalWORKs classes TOTAL $1,638,874 2 - 1 - AGT.#0 8- 2 ?0 COUNTY OF FRESNO 1 herein. 2 B.Additionally,CONTRACTOR shall provide all services in accordance with the 3 State of California's Social Services Manual of Policies and Procedures,Eligibility and Assistance 4 Standards,incorporated herein by reference. 5 C.COUNTY shall be held responsible for services as set forth in the Summary of 6 Services,identified in Exhibit A,page seven (7),under the heading ~'COUNTY SHALL BE 7 RESPONSIBLE FOR THE FOLLOWING". 8 2.TERM 9 This Agreement shall become effective on the 1st day of July,2008 and shall terminate 10 on the 30th day of June 2009. 11 3.TERMINATION 12 A.Non-Allocation of Funds - The terms of this Agreement,and the services to be 13 provided thereunder,are contingent on the approval of funds by the appropriating government 14 agency.Should sufficient funds not be allocated,the services provided may be modified,or this 15 Agreement terminated at any time by giving CONTRACTOR thirty (30) days advance written 16 notice. 17 B.Breach of Contract -COUNTY may immediately suspend or terminate this 18 Agreement in whole or in part,wherein the determination of COUNTY there is: 19 I)An illegal or improper use of funds; 20 2) A failure to comply with any term of this Agreement; 21 3) A substantially incorrect or incomplete report submitted to COUNTY; 22 4)Improperly performed service. 23 In no event shall any payment by COUNTY constitute a waiver by COUNTY of 24 any breach of this Agreement or any default which may then exist on the part of CONTRACTOR. 25 Neither shall such payment impair or prejudice any remedy available to COUNTY with respect to 26 the breach or default.COUNTY shall have the right to demand of CONTRACTOR the repayment 27 to COUNTY of any funds disbursed to CONTRACTOR under this Agreement,which in the 28 judgment of COUNTY were not expended in accordance with the terms of this Agreement. -2-COUNTY OF FRESNO 1 CONTRACTOR shall promptly refund any funds upon demand or, at COUNTY's option such 2 repayment shall be deducted from future payments owing to CONTRACTOR under this 3 Agreement. 4 C.Without Cause -Under circumstances other than those set forth above, this 5 Agreement may be terminated by CONTRACTOR or COUNTY upon the giving of thirty (30)days 6 advance written notice of an intention to terminate. 7 4.COMPENSATION 8 COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive 9 compensation as follows:Payment shall be made upon certification or other proof satisfactory to 10 COUNTY's Department of Employment and Temporary Assistance,that services have actually 11 been performed by CONTRACTOR as specified in this Agreement.Allowable expenditures under 12 this Agreement are specifically established and identified in Exhibit B,attached hereto and by this 13 reference incorporated herein. In no event shall compensation for services performed under this 14 Agreement be in excess of Two Hundred Ninety-Seven Thousand Seven Hundred Twenty-Seven 15 and NollOO Dollars ($297,727.00)for the term of this Agreement.It is understood that all expenses 16 incidental to CONTRACTOR's performance of services under this Agreement shall be borne by 17 CONTRACTOR. 18 To the extent permitted by State and Federal rules and regulations,advanced payment of 19 up to twenty percent (200A»)of the compensation under this Agreement may be requested of 20 COUNTY by CONTRACTOR Approval of an advanced payment is at the sole discretion of 21 COUNTY's Department of Employment and Temporary Assistance Director,or designee.If 22 advanced payment occurs,the amount of the advanced payment shall be deducted in equal 23 installments from claims submitted for the final six (6)months of this Agreement. 24 Except as provided above regarding advanced payment,payments by COUNTY shall be 25 in arrears,for services provided during the preceding month,within forty-five (45) days after 26 receipt and verification of CONTRACTOR's invoices by COUNTY's Department of Employment 27 and Temporary Assistance.If CONTRACTOR should fail to comply with any provision of this 28 Agreement,COUNTY shall be relieved of its obligation for further compensation.All final claims -3-COUNTY OF FRESNO n ..............rA 1 and/or any final budget modification requests shall be submitted by CONTRACTOR within sixty 2 (60)days following the final month of service for which payment is claimed.No action shall be 3 taken by COUNTY on claims submitted beyond the sixty (60)day closeout period Any 4 compensation which is not expended by CONTRACTOR pursuant to the terms and conditions of 5 this Agreement shall automatically revert to COUNTY. 6 5.INVOICING 7 CONTRACTOR shall invoice COUNTY monthly,addressed to the Fresno County 8 Department of Employment and Temporary Assistance,4499 E.Kings Canyon Road,Fresno,CA 9 93702-3604,Attention:Cal WORKs Staff Analyst. 10 6. INDEPENDENT CONTRACTOR 11 In performance of the work,duties and obligations assumed by CONTRACTOR under 12 this Agreement,it is mutually understood and agreed that CONTRACTO~including any and all of 13 CONTRACTOR's officers.agents and employees will at all times be acting and performing as an 14 independent contractor,and shall act in an independent capacity and not as an officer,agent, 15 servant,employee,joint venturer,partner or associate of COUNTY.Furthermore,COUNTY shall 16 have no right to control or supervise or direct the manner or method by which CONTRACTOR 17 shall perform its work and function However,COUNTY shall retain the right to administer this 18 Agreement so as to verify that CONTRACTORis performing its obligations in accordance with the 19 terms and conditions thereof.CONTRACTOR and COUNTY shall comply with all applicable 20 provisions of law and the rules and regulations.if any.of government authorities having jurisdiction 21 over matters which are directly or indirectly the subject of this Agreement. 22 Because of its status as an independent contractor,CONTRACTOR shall have 23 absolutely no right to employment rights and benefits available to COUNTY employees. 24 CONTRACTOR shall be solely liable and responsible for providing to, or on behalf of, its 25 employees all legally-required employee benefits.In addition,CONTRACTOR shall be solely 26 responsible and save COUNTY harmless from all matters relating to payment of CONTRACTOR's 27 employees;including compliance with SocialSecurity,withholding and all other regulations 28 governing such matters.It is acknowledged that during the term of this Agreement, -4-COUNTY OF FRESNO L'...............£"'" 1 CONTRACTOR may be providing services to others unrelated to COUNTY or to this Agreement. 2 7.MODIFICATION 3 A. Any matters of this Agreement may be modified from time to time by the written 4 consent of CONTRACTOR and COUNTY without,in any way,affecting the remainder. 5 Notwithstanding the above,changes to line items in the budget,attached hereto as Exhibit B,that 6 do not exceed 10%of the maximum compensation payable to the contractor,may be made with the 7 written approval of COUNTY's Department of Employment and Temporary Assistance Director,or 8 designee.Said budget line item changes shall not result in any change to the maximum 9 compensation amount payable to CONTRACTOR,as stated herein. lOB.CONTRACTOR hereby agrees that changes to the compensation under this 11 agreement may be necessitated by a reduction in funding from State or Federal sources. 12 CONTRACTOR further understands that this Agreement is subject to any restrictions,limitations, 13 or enactments of all legislative bodies which affect the provisions,term,or funding of this 14 agreement in any manner. 15 8.NON·ASSIGNMENT 16 Neither party shall assign or transfer this Agreement nor their rights or duties under this 17 Agreement without the prior written consent of the other party. 18 9.HOLD-HARMLESS 19 CONTRACTOR agrees to indemnify,save,hold harmless,and at COUNTY's request, 20 defend COUNTY,its officers,agents and employees from any and all costs and expenses,including 21 attorney fees and court costs,damages,liabilities,claims and losses occurring or resulting to 22 COUNTY in connection with the performance,or failure to perform,by CONTRACTOR,its 23 officers,agents or employees under this Agreement,and from any and all costs and expenses, 24 including attorney fees and court costs,damages,liabilities,claims and losses occurring or resulting 25 to any person,firm or corporation who may be injured or damaged by the performance,or failure to 26 perform,ofCONTRACTO~its officers,agents or employees under this Agreement.In addition, 27 CONTRACTOR agrees to indemnify COUNTY for Federal,State of California and/or local audit 28 exceptions resulting from non-compliance herein on the part of CONTRACTOR -5-COUNTY OF FRESNO 1 10.INSURANCE 2 Without limiting COUNTY's right to obtain indemnification from CONTRACTOR or 3 any third parties,CONTRACTOR,at its sole expense,shall maintain in full force and effect the 4 following insurance policies throughout the term of this Agreement: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 A.Commercial General Liability Commercial General Liability Insurance with limits of not less than One Million Dollars ($1,000,000.00.)per occurrence and an annual aggregate of Two Million Dollars ($2,000,000.00).This policy shall be issued on a per occurrence basis. COUNTY may require specific coverage including completed operations,product liability,contractua11iability,Explosion-Collapse-Underground (XCV),fire,legal liability or any other liability insurance deemed necessary because of the nature of the Agreement. B.Automobile Liability Comprehensive Automobile Liability Insurance with limits for bodily injury of not less than Two Hundred Fifty Thousand Dollars ($250,000.00)per person,Five Hundred Thousand Dollars ($500,000.00)per accident and for property damages of not less than Fifty Thousand Dollars ($50,000.OO),or such coverage with a combined single limit of Five Hundred Thousand Dollars ($500,000.00).If CONTRACTOR provides transportation to COUNTY CalWORKs participants in connection with this Agreement,a combined single limit of not less than One Million Dollars ($1,000,000)is required.Coverage should include owned and non-owned vehicles used in connection with this Agreement. C.Professional Liability If CONTRACTOR employees licensed professional staff (e.g.,Ph.D.,R.N., L.C.S.W.,M.F.C.C.)in providing services,Professional Liability Insurance with limits of not less than One Million Dollars ($1,000,000.00)per occurrence,Three Million Dollars ($3,000,000.00)annual aggregate. D.Worker's Compensation A policy of Worker's Compensation Insurance as may be required by the California Labor Code. CONTRACTOR shall obtain endorsements to the Commercial General Liability Insurance naming the County of Fresno,its officers,agents,and employees,individually and collectively,as additional insured,but only insofar as the operations under this Agreement are -6-COUNTY OF FRESNO 1 concerned.Such coverage for additional insured shall apply as primary insurance and any other 2 insurance,or self-insurance,maintained by the COUNTY,its officers,agents and employees shall 3 be in excess only and not contributing with insurance provided under the CONTRACTOR's 4 policies herein.This insurance shall not be cancelled or changed without a minimum of thirty (30) 5 days advance written notice given to COUNTY. 6 Within thirty (30)days from the date CONTRACTOR signs this Agreement, 7 CONTRACTOR shall provide certificates of insurance and endorsements as stated above for all the 8 foregoing policies,as required herein,to the Fresno County Department of Employment and 9 Temporary Assistance,4499 E.Kings Canyon Road,Fresno,California,93702-3604,Attention: 10 CalWORKs Staff Analyst,stating that such insurance coverages have been obtained and are in full 11 force;that the County of Fresno,its officers,agents and employees will not be responsible for any 12 premiums on the policies;that such Commercial General Liability insurance names the County of 13 Fresno,its officers,agents and employees,individually and collectively,as additional insured,but 14 only insofar as the operations under this Agreement are concerned;that such coverage for 15 additional insured shall apply as primary insurance and any other insurance,or self-insurance, 16 maintained by the COUNTY,its officers,agents and employees,shall be excess only and not 17 contributing with insurance provided under CONTRACTOR's policies herein;and that this 18 insurance shall not be cancelled or changed without a minimum of thirty (30)days advance,written 19 notice given to COUNTY. 20 In the event CONTRACTOR fails to keep in effect at all times insurance coverage as 21 herein provided,the COUNTY may,in addition to other remedies it may have,suspend or 22 terminate this Agreement upon the occurrence of such event. 23 All policies shall be with admitted insurers licensed to do business in the State of 24 California.Insurance purchased shall be from companies possessing a current A.M.Best,Inc. 2S rating of A FSC VII or better. 26 11.SUBCONTRACTS 27 CONTRACTOR shall obtain written approval from COUNTY or COUNTY's 28 Department of Employment and Temporary Assistance Director,or designee before subcontracting -7-COUNTYOF FRESNO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 any of the services delivered under this Agreement.Any transferee,assignee or subcontractor will be subject to all applicable provisions of this Agreement,and all applicable State and Federal regulations.CONTRACTOR shall be held primarily responsible by COUNTY for the performance of any transferee,assignee or subcontractor unless otherwise expressly agreed to in writing by COUNTY.The use of subcontractors by CONTRACTOR shall not entitle CONTRACTOR to any additional compensation than is provided for under this Agreement. 12.CONFLICT OF INTEREST No officer,employee or agent of COUNTY who exercises any function or responsibility for planning and carrying out of the services provided under this Agreement shall have any direct or indirect personal financial interest in this Agreement.CONTRACTOR shall comply with all Federal,State and local conflict of interest laws,statutes and regulations,which shall be applicable to all parties and beneficiaries under this Agreement and any officers,employee or agent of COUNTY. 13.NON-DISCRIMINATION CONTRACTOR hereby agrees that in the performance of this Agreement,it will comply with Title VI and VII of the Civil Rights Act of 1964 as amended;Section 504 of the Rehabilitation Act of 1973 as amended;the Age Discrimination Act of 1975 as amended;the Food Stamp Act of I 1977,as amended and in particular section 272.6;Title II of the Americans with Disabilities Act of 1990;California Civil Code Section 51 et seq.,as amended;California Government Code section 11135~11139.5,as amended;California Government Code section 12940 (c),(h)(1),(i),and 0); California Government Code section 4450;Title 22,California Code of Regulations section 98000 -98413;Title 24 of the California Code of Regulations,Section 3105A(e);the Dymally-Alatorre Bilingual Services Act (California Government Code Section 7290-7299.8);Section 1808 ofthe Removal of Barriers to Interethnic Adoption Act of 1996;and other applicable federal and state laws,as well as their implementing regulations [including 45 Code of Federal Regulations (CFR) Parts 80, 84,and 91,7 CFR Part 15,and 28 CFR Part 42],by ensuring that employment practices and the administration of public assistance and social services programs are nondiscriminatory,to the effect that no person shall because of ethnic group identification,age,sex,color,disability, -8-COUNTYOF FRESNO -9-COUNTYOF FRESNO IZ_..._...I'"A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 employment practices.Such practices include retirement,recruitment advertising,hiring,layoff, termination,upgrading,demotion, transfer,rates of payor other forms of compensation,use of facilities and other terms and conditions of employment. C.Nepotism. Except by consent of the COUNTY'S Department of Employment and Temporary Assistance Director,or designee,no person shall be employed by CONTRACTOR who is related by blood or marriage to, or who is a member of the Board of Directors or an officer of CONTRACTOR ' D. The requirements stated above are binding on CONTRACTOR directly or through contract,license,or other provider services,as long as it receives federal or state assistance. 14.RECRUITMENT OF EMPLOYEES AND SERVICE TO CLIENTS CONTRACTOR shall ensure that its employment recruitment efforts,including administrative and professional staff positions,are carried out so as to adequately reflect the cultural and ethnic diversity of the population of Fresno County.CONTRACTOR shall use its best efforts to serve all cultural and ethnic groups residing in Fresno County.CONTRACTOR's employment efforts will be monitored by COUNTY at periodic intervals. IS.LIMITED ENGLISH PROFICIENCY, CONTRACTOR shall provide interpreting and translation services to persons participating in CONTRACTOR's services who have limited or no English language proficiency, including services to persons who are deaf or blind.Interpreter and translation services shall be provided as necessary to allow such participants meaningful access to the programs,services and benefits provided by CONTRACTOR. Interpreter and translation services,including translation of CONTRACTOR's "vital documents"(those documents that contain information that is critical for accessiIig CONTRACTOR's services or are required by law)shall be provided to participants at no cost to the participant.CONTRACTOR shall ensure that any employees,agents,subcontractors,or partners who interpret or translate for a program participant,or who directly communicate with a program participant in a language other than English,demonstrate proficiency in the participant's language and can effectively communicate any specialized terms and concepts peculiar to -10-COUNTY OF FRESNO 1 CONTRACTOR's services. 2 16.CONFIDENTIALITY 3 All services performed by CONTRACTOR under this Agreement shall be in strict 4 conformance with all applicable Federal,State of California and/or local laws and regulations 5 relating to confidentiality including,but not limited to,California Welfare and Institutions Code 6 section 10850 and the California Department of Social Services (CDSS)Manual of Policies and 7 Procedures,Division 19-0000 to assure that all applications and records concerning program 8 recipients shall be kept confidential and shall not be opened to examination,publicized,disclosed or 9 used for any purpose not directly connected with administration of the program.CONTRACTOR 10 shall inform all of its employees,agents,officers,subcontractors,Board of Directors member or 11 partners of this provision and that any person knowingly and intentionally violating this provision is 12 guilty ofa misdemeanor. 13 17. DATA SECURITY 14 For the purpose of preventing the potential loss,misappropriation or inadvertent disclosure 15 of COUNTY data including sensitive or personal client information;abuse of County resources; 16 and/or disruption to County operations,individuals and/or agencies that enter into a contractual 17 relationship with the COUNTY for the purpose of providing services under this Agreement must I 18 employ adequate data security measures to protect the confidential information provided to the 19 CONTRACTOR by the COUNTY,including but not limited to the following: 20 A.Contractor-Owned MobilelWireless/Handheld Devices may not be connected to 21 County networks via personally owned mobile,wireless or handheld devices,except when 22 authorized by COUNTY for telecommuting and then only if virus protection software currency 23 agreements are in place,and if a secure connection is used. 24 B.Contractor-Owned Computers or Computer Peripherals may not brought into the 25 COUNTY for use without prior authorization from the COUNTY's ChiefInfonnation Officer 26 and/or designee(s),including and not limited to mobile storage devices.Data must be stored on a 27 secure server approved by the COUNTY and transferred by means of a VPN (Virtual Private 28 -11 -COUNTY OF FRESNO ,', Network) connection, or another type of secure connection of this type if any data is approved to be 2 transferred. 3 C. County-Owned Computer Equipment -CONTRACTOR or anyone having an 4 employment relationship with the COUNTY may not use COUNTY computers or computer 5 peripherals on non-COUNTY premises without prior authorization from the COUNTY's Chief 6 Information Officer and/or designee(s). 7 D. CONTRACTOR may not store COUNTY's private, confidential or sensitive data on 8 any hard-disk drive. 9 E. CONTRACTOR is responsible to employ strict controls to insure the integrity and 10 security of the COUNTY's confidential information and to prevent unauthorized accessto data II maintained in computer files, program documentation, data processing systems, data files and data 12 processing equipment which stores or processes COUNTY data internally and externally. 13 F. Confidential client information transmitted to one party by the other by means of 14 electronic transmissions must be encrypted according to Advanced Encryption Standards (AES)of 15 128BIT or higher. Additionally, a password or pass phrase must be utilized. 16 G. CONTRACTOR is responsible to immediately notify COUNTY of any breaches or 17 potential breaches of security related to COUNTY's confidential information, data maintained in 18 computer files, program documentation, data processing systems, data files and data processing 19 equipment which stores or processes COUNTY data internally orexternally. 20 H.In the event of a breach of security related to COUNTY's confidential client 21 information provided to CONTRACTOR, COUNTY will managethe response to the incident, 22 however, CONTRACTOR will be responsible to issue any notification to affected individuals as 23 required by law or as deemed necessary by COUNTY in its sole discretion. CONTRACTOR will 24 be responsible for all costs incurred as a result of providing the required notification. 25 18. PERSONNEL DISCLOSURE 26 CONTRACTOR shall make available to COUNTY a current list of all personnel 27 providing services hereunder. Changes to this list will be immediately provided to COUNTY in 28 writing. The list shall provide the following information: - 12-COUNTY OF FRESNO Fresno,CA 1 A.All full or part-time staff positions by title whose direct services are required to 2 provide the programs described herein; 3 B. A brief description ofthe functions of each such position and hours each person in 4 such position works each week or, for part-time positions,each day or month,as appropriate; 5 C.The education and experience levels required for each position;and 6 D.The names of persons filling the identified positions. 7 19.CLEAN AIR AND WATER 8 In the event the funding under this Agreement exceeds One Hundred Thousand and 9 No/lOO Dollars ($100,000.00),CONTRACTOR shall comply with all applicable standards,orders 10 or requirements issued under the Clean Air Act contained in 42 U.S.Code 7601 etseq;the Clean 11 Water Act contained in 33 U.S.Code 1368 et seq.;and any standards,laws and regulations, 12 promulgated thereunder.Under these laws and regulations,CONTRACTOR shall assure: 13 A.No facility shall be utilized in the performance of the Agreement that has been 14 listed on the Environmental Protection Agency (EPA)list of Violating Facilities; 15 B.COUNTY shall be notified prior to execution of this Agreement ofthe receipt of 16 any communication from the Director,Office of Federal Activities,U.S.EPA indicatingthat a 17 facility to be utilized in the performance of this Agreement is under consideration to be listed on the 18 EPA list of Violating Facilities; 19 C. COUNTY and U.S.EPA shall be notified about any known violation of the above 20 laws and regulations;and 21 D.This assurance shall be included in every nonexempt subgrant,contract,or 22 subcontract. 23 20.DRUG-FREE WORKPLACE REQUIREMENTS 24 For purposes of this Paragraph,CONTRACTOR will be referred to as the "grantee".By 25 drawing funds against this grant award,the grantee is providing the certification that is required by 26 regulations implementing the Drug-Free Workplace Act of 1988,45 CFR Part 76,Subpart F.These 27 regulations require certification by grantees that they will maintain a drug-free workplace.False 28 certification or violation of the certification shall be grounds for suspension of payments, -13·COUNTY OF FRESNO 3)Where the prospective recipient of Federal assistance funds is unable to certify to any of the statements in this certification,such prospective participant shall attach an explanation to this Agreement. 4) The prospective recipient shall provide immediate written notice to COUNTY if at any time prospective recipient learns that its certification in Paragraph Twenty One (21)of this Agreement was erroneous when submitted or has become erroneous by reason of 1) The prospective recipient of Federal assistance funds certified by entering into this Agreement.that neither it nor its principals are presently debarred,suspended,proposed for debarment,declared ineligible.or voluntarily excluded from participation in this transaction by any Federal department or agency. I, 2) The prospective recipient offunds agrees by entering into this Agreement, that it shall not knowingly enter into any lower tier covered transaction with a person who is debarred,suspended,declared ineligible,or voluntarily excluded from participation in this covered transaction,unless unauthorized by the Federal department or agency with which this transaction originated. 1 suspension or termination of grants,or government wide suspension or debarment. 2 CONTRACTOR shall also comply with the requirements of the Drug-Free Workplace 3 Act of 1990 (California Government Code section 8350 et seq.) 4 21.DEBARMENT-CERID1CAnON REGARDING DEBARMENT. SUSPENSION. 5 INELIGIBILITY AND VOLUNTARY EXCLUSION-LOWER TIER COVERED 6 TRANSACTIONS 7 A.COUNTY and CONTRACTOR recognize that Federal assistance funds will be 8 used under the terms of this Agreement.For purposes of this Paragraph,CONTRACTOR will be 9 referred to as the ''prospective recipient". 10 B.This certification is required by the regulation implementing Executive Order 11 12549,Debarment and Suspension,29 CFRPart 98,section 98.51O,Participant's responsibilities. 12 The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160- 13 19211). 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 - 14 ~COUNTY OF FRESNO 1 changed circumstances. 2 5) The prospective recipientfurtheragrees that by entering into this Agreement, 3 it will include a clause identical toParagraph Twenty-One(21)of this Agreement and titled 4 "Certification Regarding Debarment, Suspension,Ineligibilityand Voluntary Exclusion-Lower Tier 5 Covered Transactions", in all lower tier covered transactionsand in all solicitations for lowertier 6 covered transaction. 7 6) This assurance shall be included in everynonexempt subgrant,contract,or 8 subcontract. 9 7) The certification in Paragraph Twenty-One(21)of this Agreement is a 10 material representation of fact upon which COUNTYrelied in entering into this Agreement. 11 22.ACKNOWLEDGEMENT 12 CONTRACTOR shall acknowledge in all public relations activities,materials and 13 publications that COUNTY is the funding sourcefor servicesto be providedthrough this 14 Agreement. 15 23.POUTICAL ACTIVITY 16 None of the funds, materials, property or servicesprovided directly or indirectly under 17 this Agreement shall be used for any political activity, or to furtherthe election or defeat of any 18 candidate for public office. 19 24.LOBBYING ACTIVITY 20 None of the funds provided under this Agreementshall be used for publicity, lobbying or 21 propaganda purposes designed to support or defeat legislation pending in the Congress of the 22 United States of Americaor the Legislature of the State of California. 23 25.STATE ENERGY CONSERVAnON 24 CONTRACTORmust comply with the mandatory standardand policies relating to 25 energy efficiency which are contained in the StateEnergy Conservation Plan issued in compliance 26 with 42 United States(US) Code sections 6321,et. seq. 27 26.GRIEVANCES 28 CONTRACTOR shall establish procedures for handling client complaints and/or -15 -COUNTY OF FRESNO '1:'.........._ ....,....", 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ,j, gnevances.Such procedures will include provisions for informing clients oftheir rights to a State Hearing to resolve such issues.' 27.FRATERNIZATION CONTRACTOR shall establish procedures addressing fraternization between CONTRACTOR's staff and clients.Such procedures will include provisions for informing CONTRACTOR's staff and clients regarding fraternization guidelines. 28.INTERPRETATION OF LAWS ANDREGULATIONS COUNTY reserves the right to make final interpretations or clarifications on issues relating to Federal and State laws and regulations,to ensure compliance. 29.COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS COUNTY,its officers,consultants,subcontractors,agents and employees shall comply with all applicable State,Federal and local laws and regulations governing projects that utilize Federal Funds. 30.EQUIPMENT A.All items purchased with funds provided under this Agreement or which are furnished to CONTRACTOR which have a single unit cost in excess of Five Thousand and Noll 00 Dollars ($5,000.00)including sales tax and have a useful life of more than one (1)year shall be I, considered capital equipment.Title to all items ofcapital equipment purchased shall vest and will remain vested in the County of Fresno.CONTRACTOR further agrees to the following: 1) To maintain all items of capital equipment in good working order and condition,normal wear and tear excepted;and 2) To label all items of capital equipment,perform periodic inventories as required by COUNTY and to maintain an inventory list showing where and how the capital equipment is being used,in accordance with procedures developed by COUNTY.All such lists shall be submitted to COUNTY within ten (l0)days of any request therefore;and 3)To report in writing to COUNTY immediately after discovery,the loss or theft of any items of capital equipment.For stolen items,the local law enforcement agency must be contacted and a copy of the police report submitted to COUNTY. - 16-COUNTY OF FRESNO ,I, 1 B. The purchase of any capital equipment by CONTRACTOR shall require the prior 2 written approvaJ of COUNTY,and must be appropriate and directly related to CONTRACTOR's 3 service or activity under the terms of the Agreement.COUNTY may refuse reimbursement for any 4 costs resulting from capital equipment purchased,which are incurred by CONTRACTOR,ifprior 5 written approval has not been obtained from COUNTY. 6 31.RECORDS 7 A. Record Establishment and Maintenance 8 CONTRACTOR shall establish and maintain records in accordance with those 9 requirements prescribed by COUNTY,with respect to all matters covered by this Agreement 10 CONTRACTOR shall retain all fiscal books,account records and client files for services performed II under this Agreement for at least three (3)years from date of final payment under this Agreement or 12 until all State and Federal audits are completed for that fiscal year,whichever is later. 13 B. Cost Documentation 14 1)CONTRACTOR shall submit to COUNTY within ten (10)calendar days 15 following the end of each month,all fiscal and program reports for that month.CONTRACTOR 16 shall aJso furnish to COUNTY such statements,records, data and information as COUNTY may 17 request pertaining to matters covered by this Agreement.In the event that CONTRACTOR fails to 18 provide reports as provided herein, it shall be deemed sufficient cause for COUNTY to withhold 19 payments until compliance is established. 20 2) All costs shall be supported by properly executed payrolls,time records, 21 invoices, vouchers,orders, or any other accounting documents pertaining in whole or in part to this 22 Agreement and they shall be clearly identified and readily accessible.The support documentation 23 must indicate the line budget account number to which the cost is charged. 24 3)COUNTY shall notify CONTRACTOR in writing within thirty (30) days of 25 any potential State or FederaJ audit exception discovered during an examination.Where findings 26 indicate that program requirements are not being met and State or Federal participation in this 27 program may be imperiled in the event that corrections are not accomplished by CONTRACTOR 28 within thirty (30) days of receipt of such notice from COUNfY,written notification thereof shall -17-COUN1Y OF FRESNO I constitute COUNTY's intent to terminate this Agreement. 2 C.Service Documentation 3 CONTRACTOR agrees to maintain records to verify services under this 4 Agreement including names and addresses of clients served,the date of service and a description of 5 services provided on each occasion.These records and any other document pertaining in whole or 6 in part to this Agreement,shall be clearly identified and readily accessible. 7 D. Use of Data 8 CONTRACTOR shall grant to COUNTY and the United States Department Health 9 and Human Services the royalty-free,nonexclusive and irrevocable license throughout the world to 10 publish,translate,reproduce,deliver,perform,dispose of,duplicate,use,disclose in any manner II and for any purpose whatsoever and to authorize others to do so, all subject data now or hereafter 12 covered by copyright.However,with respect to subject data not originated in the performance of 13 this Agreement,suchlicense shall be only to the extent that CONTRACTOR has the right to grant 14 such license without becoming liable to pay any compensation to others because of such grant 15 CONTRACTOR shall exert all reasonable effort to advise COUNTY at time of delivery of subject 16 data furnished under this Agreement,of all possible invasions of the right of privacy therein 17 contained,and of all portions of such subject data copied from work not composed or produced in 18 the performance of this Agreement and not licensed under this provision. 19 As used in this clause,the term "Subject Data"means writing,sound recordings, 20 pictorial reproductions,drawings,designs or graphic representations,procedural manuals,forms, 21 diagrams,work flow charts,equipment descriptions,data files and data processing of computer 22 programs,and works of any similar nature (whether or not copyrighted or copyrightable)which are 23 first produced or developed under this Agreement.The term does not include financial reports,cost 24 analyses and similar information incidental to contract administration. 25 CONTRACTOR shall report to COUNTY promptly and in written detail,each 26 notice of claim of copyright infringement received by CONTRACTOR with respect to all subject 27 data delivered under this Agreement.CONTRACTOR shall not affix any restrictive markings upon 28 any data.Ifmarkings are affixed,COUNTY shall have the right at any time to modify,remove, -18-COUNTY OF FRESNO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ,', obliterate or ignore such markings. COUNTYshallhaveaccess to any report,preliminary findingsor data assembled by CONTRACTOR.under this Agreement In addition,CONTRACTOR must receive written permission from COUNTY prior to publication of any materials developed under this Agreement and file with COUNTY a copy of all educational and training materials,curricula,audio/visual aids, printed material and periodicals,assembled pursuant to this Agreement prior to publication. 32.SINGLE AUDIT CLAUSE As a subrecipient of Federal financial assistance,CONTRACTOR,agrees to provide a copy of its audit report,performed in accordance with the requirements of the Single Audit Act of 1984 (31 USC section 7502)and subject to the terms of Office of Management and Budget (OMB) Circulars (A~llO,A-I22 and A-133),to the County of Fresno.Such audit shall be delivered to COUNTY's Department of Employment and Temporary Assistance,for review not later than nine (9)months after the close of the subrecipient's fiscal year in which the funds supplied through this Agreement are expended and/or received for this program.The audit must include a statement of findings or a statement that there were no findings,If there were negative findings, CONTRACTOR must include a corrective action plan signed by an authorized individual.Failure to comply with this Act m,ay result in COUNTY performing the necessary audit tasks,or, at , COUNTY's option,contracting with a qualified accountant to perform this audit.All audit costs related to this Agreement are the sole responsibility of CONTRACTOR who agrees to take corrective action to eliminate any material noncompliance or weakness found as a result of such audit.Audit work performed by COUNTY under this paragraph shall be billed at COUNTY cost as determined by COUNTY's Auditor-Controller/Treasurer-Tax Collector. 33. TAX EQUITY AND FISCAL RESPONSmILITY ACT To the extent necessary to prevent disallowance of reimbursement under section 1861(v)(l)(I)of the Social Security Act (42 U.S.C.§1395x{v)(l)[I]),until the expiration of four (4) years after the furnishing of services under this Agreement,CONTRACTOR shall make available, upon written request to the Secretary of the United States Department of Health and Human Services.or upon request to the Comptroller General of the United States General Accounting -19-COUNTY OF FRESNO 1 Office,or any of their duly authorized representatives,a copy of this Agreement and such books, 2 documents and records as are necessary to certify the nature and extent of the costs of these services 3 provided by CONTRACTOR under this Agreement.CONTRACTOR further agrees that in the 4 event CONTRACTOR carries out any of its duties under this Agreement through a subcontract, 5 with a value or cost ofTen Thousand and No/lOO Dollars ($10,000.00)or more over a twelve (12) 6 month period,with a related organization,such Agreement shall contain a clause to the effect that 7 until the expiration of four (4)years after the furnishing of such services pursuant to such 8 subcontract,the related organizations shall make available,upon written request to the Secretary of 9 the United States Department of Health and Human Services,or upon request to the Comptroller 10 General of the United States General Accounting Office,or any of their duly authorized 11 representatives,a copy of such subcontract and such books,documents and records of such 12 organization as are necessary to verify the nature and extent of such costs. 13 34.AUDITS AND INSPECTIONS 14 CONTRACTOR shall at any time during business hours,and as often as COUNTY may 15 deem necessary,make available to COUNTY for examination all of its records and data with 16 respect to the matters covered by this Agreement.CONTRACTOR shall,upon request to 17 COUNTY,permit COUNTY to audit and inspect all such records and data necessary to ensure 18 CONTRACTOR's compliance with the terms of this Agreement. 19 If this Agreement exceeds Ten Thousand and No/l 00 Dollars ($10,000.00). 20 CONTRACTOR shall be subject to the examination and audit of the State Auditor General for a 21 period of three (3)years after final payment under contract (Government Code section 8546.7). 22 Notwithstanding the term provision stated in Paragraph Two (2)of this Agreement,it is 23 acknowledged by the parties hereto that this Agreement shall continue in full force and effect until 24 all audit procedures and requirements as stated in this Agreement have been completed to the 25 review and satisfaction of COUNTY.CONTRACTOR shall bear all costs in connection with or 26 resulting from any audit and/or inspection including but not limited to actual costs incurred and the 27 payment of any expenditures disallowed by either COUNTY,State or Federal governmental 28 entities,including any assessed interest and penalties. -20-COUNTY OF FRESNO 1 35.NOTICES 2 The persons having authority to give and receive notices under this Agreement and their 3 addresses include the following: 4 5 6 7 COUNTY Director,Department of Employment &Temporary Assistance 4499 E. Kings Canyon Road Fresno,CA 93702~3604 CONTRACTOR ,Rehabilitation Counseling Coordinator California State University,Fresno ~ Foundation 4910 North Chestnut Avenue Fresno,CA 9372~1852 8 Any and all notices between COUNTY and CONTRACTOR provided for or permitted 9 under this Agreement,or by law,shall be in writing and shall be deemed duly serviced when 10 personally delivered to one of the parties,or in lieu of such personal service,when deposited in the 11 United States Mail,postage prepaid,addressed to such party. 12 36.GOVERNING LAW 13 The parties agree,that for purposes of venue,performance under this Agreement is to be 14 in Fresno County,California. 15 The rights and obligations of the parties and all interpretation and performance of this 16 Agreement shall be governed in all respects by the laws of the State of California. 17 37.ENTIREAGBEEMENT, 18 This Agreement,including all Exhibits,constitutes the entire agreement between 19 CONTRACTOR and COUNTY with respect to the subject matter hereof and supersedes all 20 previous agreement negotiations,proposals,commitments,writings,advertisements,publications 21 and understandings of any nature whatsoever unless expressly included in this Agreement. 22 III 23 III 24 III 25 III 26 11/ 27 11/ 28 III - 21 -COUNTY OF FRESNO c_..._....rJl- 1 IN WIlNESS WHEREOF,the parties hereto have executed this Agreement as of the 2 day and year first hereinabove written. 3 ArrEST: 9 Print Name:Thomas McClanahan 4 5 6 7 8 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 CONTRACTOR: CALIFORNIA STATE UNIVERSITY, FRESNO·FOUNDATION Tnle:Assoc.VB;ORSP Chairman of the Board,or President,or any Vice President Date:---'~~~:...::::._ BY/~~ Print Name:Keith Kompsi Tnle:Director.Financial Services Secretary (of Corporation),or any Assistant Secretary,or Chief Financial Officer,or any Assistant Treasurer Mailing Address: Rehabilitation Counseling Evaluation Center California State University,Fresno 5005 North Maple Avenue,MIS ED 302 Fresno,CA 93740 Phone No.: (559)278-0229 Contact:John R Lloyd,MS,CRC,eVE Director -22- COUNTY OF FRESNO By ~cLc Cbair,BOafdOfupervisors JUN 0 3 Z008 BERNICE E.SEIDEL,Clerk Board of Supervisors PLEASE SEE ADDITIONAL SIGNATURE PAGE ATTACHED COUNTY OF FRESNO 1 APPROVED AS TO LEGAL FORM: DENNIS A.MARSHALL,COUNTY COUNSEL 2 3 4 By ----f~---+-~':..../_------ 5 APPRO AS TO ACCOUNTING FORM: 6 VICKI CROW, C.P.A.,AUDITOR-CONTROLLER! TREASURER-TAX COLLECTOR 7 8 11 9 By _--.j,.-c-...:::....-_.....J,_---I'------D~ 10 REVIEWED AND RECOMMENDED FOR APPROVAL: D·tor D fEmployment and T em.porary Assistance 12 13 14 15 16 17 18 19 20 Fund/Subclass:0001/10000 Cttg~tion;56107001 21 AccountlProgram:7870/0 22 23 24 25 26 27 28 ~23-COUNTY OF FRESNO '&'--..._....rA Exhibit A Page 1 of18 SUMMARY OF SERVICES FY 2008-09 ORGANIZATION:CALIFORNIA STATE UNIVERSITY,FRESNO FOUNDATION ADDRESS:5005 N. Maple Ave., M/S 302,Fresno CA 93726 SERVICES:CalWORKs Specialized Assessment Services CONTRACT PERIOD: July 1, 2008 -June 30, 2009 CONTRACT AMOUNT:$297,727 SUMMARY OF SERVICES:CONTRACTOR shall provide specialized assessment services for referred CalWORKs participants with limited English speaking ability,potential learning disabilities,potential trauma symptoms,and other unique needs, residing in Fresno County.CONTRACTOR shall also be responsible for providing Third Party Assessments as requested by the Department.The period of activity for this Agreement is July 1, 2008 through June 30, 2009. The CalWORKs participants to be assessed will be identified and referred by Fresno County's Department of Employment and Temporary Assistance (E&TA).Additionally,E&TA will identify and determine appropriate types of assessments for each CalWORKs participant.CONTRACTOR shall administer assessments based on E&TA's determination.The purpose of the assessment is to: 1.Provide an evaluation of the CalWORKs participants'interests,academic abilities, aptitudes and work history; and 2.Develop a Welfare-to-Work (WTW) Plan as appropriate and/or Learning Disabilities Evaluation or Diagnostic Profile (DP) for each CalWORKs participant utilizing tests results and information obtained from interviews. 3.Provide a Learning Disabilities Evaluation in accordance with ALL COUNTY LETTER (ACL) No. 01-70 for each referred CalWORKs participant. 4.Provide a third party review of assessment plans written by E&TA as requested and determine if plan is appropriate.Additionally,if review of the COUNTY plan requires a new assessment,testing will be completed and a new plan will be developed by CONTRACTOR. 5.Screen referred clients for potential trauma symptoms (anxiety,panic episodes, traumatic events,psychotic episodes)during the intake interview process. The scheduling of assessments will be coordinated with E&TA.CONTRACTOR agrees to provide services according to the CalWORKs Assessment Procedures.CONTRACTOR shall also ensure that limited English proficiency (LEP)clients have meaningful,effective and equal access at every point of contact with project services. Dr.Charles Arokiasamy,RhO is the Project Director/Coordinator of the Rehabilitation Counseling Program and oversees all work completed at the CalWORKs Assessment Center. John Lloyd,MS/CRC is the Clinical Director responsible for determination of what tests to administer,training of evaluation staff and quality of reports. In addition, there are Exhibit A Page 2 of 18 two full-time evaluators one of whom is bilingual (Spanish), a bilingual Administrative Assistant (Spanish), four contract LD assessors, several part-time graduate students (GATS certified), and staff trainees fluent in Hmong, Lao, and Russian. Additionally, there are several Certified Rehabilitation Counselors to assist in providing services on an as- needed basis. A Psychologist provides consultation and review of LD evaluation. CONTRACTOR shall submit Monthly Program Activity Reports (MPAR). Samples of the MPAR are attached to this exhibit (page 9 thru page 17) and shall include the following: 1. Number of participant assessments completed during the month. 2. Number of referrals received during the month. 3. Number of participants currently in assessment (these individuals will be carried over to the next month for completion). 4. Number of participants unable to complete assessment (dropouts, deferrals, etc.). 5. Number of Welfare-to-Work Plans developed. 6. Number of Learning Disabilities Evaluations/Diagnostic Profiles developed. 7. Number of Learning Disabilities Evaluations with wrw Plan completed. 8. Number of Learning Disabilities Evaluations without WTW Plan. 9. Number of Trauma Symptom Inventory completed. 10. Number of Third Party Reviews completed. 11. Number of Third Party Reviews and Plan only completed. 12. Number of Third Party Assessment and Plan completed. 13. Tests utilized and number of participants taking each test. 14. Primary job skills and educational competency levels of those assessed. 15. Other information as required by E&TA. SCHEDULE OF SERVICES:The schedule of services for Assessment Services will be from the hours of 8:00 a.m. to 5:00 p.m., Monday through Friday. The CONTRACTOR will make every effort to accommodate participants during non-traditional hours. TARGET POPULATION:Services will be restricted to only CalWORKs recipients referred through E&TA. I.CONTRACTOR AGREES TO PROVIDE THE FOLLOWING SERVICES: CONTRACTOR shall take into consideration the following when developing the Welfare to Work Plan: 1. Detailed information on any past or present employment history. 2. Information regarding client's attendance in vocational/educational type training (i.e. school, date of enrollment, type of training, hours per week, degree or certificate program, etc.) should be discussed and included in the plan. If applicable, any past education/training should also be included in development of the plan. 3. Provide information about the second parent in the household if applicable. Encourage second parent participation. Exhibit A Page]of18 I.SPECIALIZED ASSESSMENTS-LIMITED ENGLISH PROFICIENT (WELFARE-TO- WORK PLAN WTWPl CASE MANAGEMENT TEAMS: Participants can be assigned to one of four case management teams. Their assessment referral is then based on which of the groups they will be working in. These teams are primarily set up according to the primary languages of the clients and the level of their English language abilities. The four teams include English, Spanish,Southeast Asian and a coalition (mixed) group for miscellaneous languages that cannot be accommodated by one of the other groups. These teams were organized not only to accommodate for language but also to ensure that clients are working with the same individuals throughout the entire process of initial orientation,assessment and the WTWP conferences. A. FIRST DAY ACTIVITIES: 1. GROUP ORIENTATION: The purpose of assessment is explained to the participants during this orientation. The differences between ability and aptitude are outlined and efforts are made to ease test anxiety. Vocational goals/exploration is discussed. Spanish, Hmong, Lao, and Russian translation is available as needed, on an individual basis. 2. INTAKE APPLICATION: Each participant is asked to complete an application covering personal/educational data, health and medical history and vocational goals. 3.INTEREST TESTING: Conducted in either group or individual meetings, this includes the Gordon Checklist and the Geist Picture Interest Inventory from which the participant is asked to choose the jobs that are of most interest. Additional interest assessments might be utilized (including COPES), along with values clarification and obstacles to work. Work samples also include information on occupational areas and assist the consumer to learn more about various jobs. 4.ABILITY TESTING: Educational achievement levels are assessed using the CASAS ABE and ESL Appraisals as well as the Wide Range Achievement Test form R-3. The Raven Progressive Matrices and or Beta-III are used to test broad intellectual functioning. Instruments such as the Micro TOWER Work Sample series and the VALPAR Work Sample will be utilized to round out the assessment, and may be given on the afternoon of day one and/or day two. B.SECOND DAY ACTIVITIES: 1. QUESTION AND ANSWER PERIOD: Participants are given the opportunity to discuss their feelings about the first day of assessment and ask questions. WTWP conferences are scheduled and the WTWP process is explained. Parking passes are provided at this time. 2.VOCATIONAL APTITUDE TESTING: A discussion of the General Aptitude Test Battery (GATB) or Career Ability Placement Survey (CAPS) Exhibit A Page 4 of 18 is presented by the evaluator and staff persons, and an explanation of how the test results will help the participant in vocational planning is given. After any questions have been answered, all or portions of the twelve-part GATS (eight-part CAPS) is administered. Additional work samples may be administered. After the participant has completed testing, all tests are scored and recorded. Each participant's work history is examined and a transferable skills analysis may be done if needed using vocational volumes. 3. WTWP CONFERENCE: Within seven working days after the first day of assessment, the WTWP conference is held and involves the participant and the assessment counselor. A vocational plan, which is satisfactory to both, is developed in over ninety-eight percent of the conferences. A local individualized labor market survey may be done for each participant, if necessary, after the WTWP to supplement labor market information and assure that the agreed upon vocational plan is realistic. Rehabilitation Counseling Masters' Degree Graduate Assistants and Interns provide assistance to the evaluator to allow for further information to be forwarded to Department of Employment and Temporary Assistance (E&TA). Telephone contact may occur with the CalWORKs Case Manager to facilitate EDP development. Additionally, translation assistance is available as needed. II. LEARNING DISABILITY EVALUATION A. REFERRAL PROCESS: Upon specific request and referral from E&TA, CONTRACTOR will provide additional specialized assessment testing to evaluate participants for the following impediments to employment: learning disabilities,developmental challenges, mental illness, and post traumatic stress disorders.Together with evaluation results, recommendations will be made on resources for persons with such disabilities and specific referrals suggested for various compensatory or support services. NOTE: Unlike the Specialized Assessments for participants with limited English, Diagnostic Profiles will be completed on referred participants having a minimum sixth grade reading comprehension level. B. TESTING AND EVALUATION PROCESS: In addition to an initial interview and wrap-up session, several tests will be administered. Testing will be individualized and tailored to meet the particular needs of each client. All of the tests listed below are multi-purpose and wide-ranging in scope and designed to identify many different challenges. Test selection and administration will be done with caution and according to the needs and capabilities of the participant. These tests will be utilized, as they are relatively free of culture bias and can be modified to suit the needs of limited English speakers. The Clinical Director, who has a M.S. in Rehabilitation Counseling, will assist professional staff and graduate students administer the tests. A registered Psychologist will provide monitoring and supervision of testing as needed. The Clinical Director and the Psychologist will research other tests than those listed below to improve services. Exhibit A Page 5 of 18 The following tests may be utilized to complete the diagnostic assessments: 1. Wechsler Scales - Revised (WAIS-III) 2.Woodcock-Johnson - Revised or WJ-III Tests of Cognitive and/or Achievement 3.Post Traumatic Stress Syndrome (PTSD) Screening Tool 4.Psychological Assessment Screener (PAS) 5.Minnesota Multiphasic Personality Inventory 6.Wechsler Abbreviated Scale of Intelligence (WASI) 7.Trauma Symptom Inventory The following assessment tools may also be used to provide supplemental information for plan development: 1.VALPAR 300 Series Dexterity Modules 2.Reading Free Vocational Interest InventorylWide Range Interest-Opinion Test C. REPORTING PROCESS: For all diagnostic assessments, a separate written participant profile will be developed based on individual interviews, all test findings and results, and personal observations. The profile will provide a brief discussion of the test implications and conclude with recommendations for further action and/or referrals for needed services. The report will also include aWTWP. III.ABREVIATED ONE DAY ASSESSMENT Provide assessment in one-day format for part-time employed participants. Assessment will include orientation, intake, and administration of appropriate assessment tools. ACHIEVEMENT TESTING: Participants will be administered the WRAT3 to measure the coding skill to learn the basic skills of reading and Math. When appropriate,participants will be administered all portions of the TABE to provide an estimate of grade equivalency for reading comprehension, language, spelling, and Math. VOCATIONAL APTITUDE TESTING: Based on observation and achievement testing results, participants may be administered the Career Ability Placement Survey (CAPS) to provide information about abilities and aid in career planning. INTEREST SURVEY: Participants will be administered an appropriate interest survey to aid in the exploration of participants' vocational interests. NON-VERBAL ABILITY: Participants who are unable to take the TABE and/or the CAPS will be administered either the Standard Progressive Matrices (SPM) or the BETA 111 to provide a quick measure of nonverbal intellectual abilities. WORK SAMPLES: Based on observation and previous administered assessment tools,participants may be administered portions of the VALPAR 300 series Dexterity Exhibit A Page 6 of 18 Modules (VDM) to help assess vocational aptitude(s), work characteristic and vocational interests. WTWP CONFERENCE: The participant and assessment counselor will review and discuss information gathered during assessment and working together, will develop a plan that is suitable to both. Results from prior assessment and previously developed plans will be reviewed when available and incorporated into the plan development when appropriate. NOTE: If the participant does not agree with the results of the assessment or the WTW Plan, a referral will be made to an independent Third Party Assessment after review of WTW Plan by the supervisor with the participant. The recommendations resulting from the independent Third Party Assessment shall be used to develop the WTW Plan. IV.TRAUMA SYMPTOM INVENTORY The TSI will be administered along with Learning Disability testing when indicated and determined by the tester at any time during the intake interview, testing or post test interview for clients who disclose a reported history of depression, anxiety, panic episodes, psychotic episodes and/or traumatic events. Additionally, CONTRACTOR shall administer the TSI upon E&TA specific request and referral. Although the TSI is not a diagnostic tool, CONTRACTOR shall identify clients that may have serious issues dealing with past or present traumatic events where further psychological assessment and treatment is necessary. V. THIRD PARTY ASSESSMENT REFERRAL PROCESS: Upon specific request and referral from E&TA, CONTRACTOR will provide an impartial third party assessment of Welfare to Work plan(s) developed by E&TA staff. CalWORKs participants have the right to be automatically referred to a third party assessment when the participants do not agree with the results of their assessments. EVALUATION PROCESS: E&TA will forward all testing utilized to develop the participant's WTW plan to the CONTRACTOR. Upon receipt of the WTW plan, the CONTRACTOR will perform a thorough review of the test(s) administered by E&TA and review the developed plan. Based on this review, a determination will be made whether the test results and plan are valid or a new plan is necessary. If it is deemed appropriate to assess the participant, the CONTRACTOR will complete another assessment and develop a new plan for the participant. The results of the third party assessment are binding between the County and the participant. VI. STAFF DEVELOPMENT TRAINING CONTRACTOR agrees to provide staff development training to E&TA staff. At a minimum, training will include topics on Understandingllnterpreting Learning Disability Evaluation Reports, and Trauma and Abuse.Additional training topics will be identified based on staff training needs. A minimum of four training events will be targeted. NOTE: .,. Exhibit A Page 7 of 18 It is anticipated that staff training will be conducted in a format appropriate to the topic covered. Training sessions will be provided throughout the contract year in coordination with the E&TA liaison training staff person. II. COUNTY SHALL BE RESPONSIBLE FOR THE FOLLOWING: 1. Provide CalWORKs referrals determined appropriate for Limited English Proficient (LEP), Learning Disability EvaluationlDP specialized assessment, Third Party Assessment, or Trauma Symptom Inventory assessment to the CONTRACTOR. 2.Provide current information and/or training to CONTRACTOR's staff on specific areas/functions of the CalWORKs Employment Services Program when determined helpful and/or needed for the successful delivery of CSUF specialized assessments. 3.Provide all needed and appropriate supportive services for participants including child care, transportation, and ancillaries. 4. Work with CONTRACTOR'S staff for compliance resolution including good cause determination and sanction. 5. Meet with CONTRACTOR's staff as often as needed to monitor services, exchange pertinent information, resolve problems, and work together to coordinate services. 6. Coordinate with CONTRACTOR's staff in planning, conducting and evaluating staff development training. III.FEDERAL WORK PARTICIPATION RATE In response to the Federal Temporary Assistance to Needy Families (TANF) Program reauthorization, the Fresno County Department of Employment and Temporary Assistance (E&TA) is committed to implementing activities and practices that support to achieve TANF program goals and meet the CaIWORK's Welfare To Work (WTW)Federal Work Participation Rates (WPR). WPR requires at least 50% work participation among all CalWORKs families and 90% for two parent families. Effective October 1, 2006, the State and counties are subject to Federal penalties on an annual basis if these rates are not met. As a result, E&TA requires CONTRACTOR's assistance in engaging WTW participants in activities that will increase the County's WPR and assist recipients to become self- sufficient. Our primary objective is job placement and retention, work experience, andfor training activities that meet the WPR requirements. Counseling and supportive services in conjunction with job placement will assist our recipients in obtaining financial self- sufficiency. The following services provided by the CONTRACTOR will support WTW WPR: 1.Direct Services: Assessment is a non-core activity and is not counted in the WPR. Exhibit A Page 8 of 18 2.Indirect Services: A. Development of the Welfare to Work plan in a timely manner. B. Assisting E&TA in determining if participants have barriers to employment and making recommendations to assist with removal of these barriers. C. Referrals to employment of clients ready and able to work while participating in recommended wrw activities. D. Referrals to employment for the 2 nd parent in the home. E.Encourage the sanctioned 2 nd parent to cure sanction and participate in wrw. F. Provide detailed information on any client employment (employer, date of hire, hours per week, type ofjob, and rate of pay). G. Provide detailed information on client's past or present attendance in vocational/educational type training (school, date of enrollment, type of training, hours per week, degree or certificate program, expected date of graduation/completion of training) H. Provide above listed information on spouse/Z'"parent in household. IV. PERFORMANCE MEASUREMENTS Overall Service Objective: CONTRACTOR shall provide specialized assessment testing to assist CalWORKs recipients in the development of Welfare to Work plans. The plan will be used to assist the recipients in obtaining new skills that will lead to higher wages and self-sufficiency. Specific Performance Measurements: E&TA will consider CONTRACTOR performance levels when determining funding recommendations for future Agreements. For this contract period, CONTRACTOR shall meet the following performance measurements and levels: PERFORMANCE MEASURE EXPECTED LEVEL OF PERFORMANCE Performance Measure 1:All plans completed within two (2) weeks from the date of the Completion Rate of Assessments-the length of time Assessment test or date referred. allowed for development and completion of assessments, evaluations, and reviews Measurement Parameters: CalWORKs recipients eligible for services. Data Sources: The primary data sources are referrals from E&TA. --- Performance Measure 2: Outreach Activities - the number of outreach activities conducted to promote Specialized Assessment services by the end of the contract term. Measurement Parameters: • Activities include presentations at designated E&TA locations, presentations to specialized E&TA units on a quarterly basis, community events and publications for the E&TA PS Newsletter. Data Sources: The primary data sources are invites from E&TA. Exhibit A Page 9 of 18 12 Outreach activities to be performed by the end of the contract term. MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2008-09 California State University -Fresno Foundation LIMITED ENGLISH ASSESSMENTS (and WTW Plan @ $360) REPORT MONTHlYEAR _ DATE Exhibit A Page 10 of 18 Case Number No Show Assessment Assessment Education Level Date Assessment Employment Plan/Comments Complete Incomplete Reading,Language,Math sent to County 1 2 J 4 5 6 7 8 9 10 11 12 13 14 MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2008-09 CALIFORNIA STATE UNIVERSITY -FRESNO FOUNDATION ABBREVIATED LIMITED ENGLISH ASSESSMENTS (and WTW Plan @ $189) REPORT MONTHlYEAR _ DATE Exhibit A Page II of 18 Case Number No Show Assessment Assessment Education Level Date Assessment Employment Plan/Comments Complete Incomplete Reading,Language,Math sent to County I 2 3 4 5 6 7 8 9 10 II 12 13 14 MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2008-09 CALIFORNIA STATE UNIVERSITY -FRESNO FOUNDAnON DIAGNOSTIC PROFILESILEARNING DISABILITIES EVALUATION (and WTW Plan @ $520) REPORT MONTHlYEAR _ DATE Exhibit A Page 120f18 Case Number No Show Diagnostic Diagnostic Date Assessment sent Profile Profile to County Employment Plan/Comments Complete Incomplete I 2 3 4 5 6 7 8 9 IO II 12 13 14 MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2008-09 CALIFORNIA STATE UNIVERSITY -FRESNO FOUNDATION DIAGNOSTIC PROFILESILEARNING DISABILITIES EVALVA TlON (no WTW Plan @ $415) REPORT MONTHlYEAR _ DATE Exhibit A Page 13 of 18 Case Number No Show Diagnostic Diagnostic Date Assessment sent Employment Plan/Comments Profile Profile to the County Complete Incomplete t 2 3 4 5 6 7 8 9 10 II 12 13 14 MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2008-09 CALIFORNIA STATE UNIVERSITY -FRESNO FOUNDATION THIRD PARTY ASSESSMENT WI WTW PLAN @ $360 REPORT MONTHIYEAR._ Exhibit A Page 140f18 Case Number No Show Assessment Date Assessment sent Complete to Counly Employment Plan/Comments I 2 3 4 5 6 7 S 9 10 II 12 13 14 MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2008-09 CALIFORNIA STATE UNIVERSITY -FRESNO FOUNDATION WELFARE-TO-WORK PLAN ONLY @$IOO REPORT MONTHlYEAR,_ DATE _ Exhibit A Page 15 of 18 Case Number SSN Name Date of Date Assessment sent to Employment Plan/Comments Assessment County 1 2 3 4 5 6 7 8 9 10 II 12 13 14 MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2007-08 CALIFORNIA STATE UNIVERSITY -FRESNO FOUNDATION THIRD PARTY ASSESSMENT REVIEW ONLY @$50 REPORT MONTHlYEAR _ DATE _ Exhibit A Page 160f18 Case Number SSN Name Date of DateReview sentto Comments Review County 1 2 3 4 5 6 7 8 9 10 II 12 13 14 MONTHLY PROGRAM ACTIVITY REPORT CalWORKs SPECIALIZED ASSESSMENTS FY 2007-08 CALIFORNIA STATE UNIVERSITY -FRESNO FOUNDATION TRAUMA SYMPTOM INVENTORY ASSESSMENT @ $100 REPORT MONTHlYEAR _ DATE _ Exhibit A Page 17 of 18 Case Number SSN Name Date of Referral from CSUF Symptom Assessment Case Managers OR E&TA I 2 3 4 5 6 7 8 9 10 11 12 13 14 "' Exhibit A Page 180fl8 CALIFORNIA STATE UNIVERSITY,FRESNO SPECIALIZED ASSESSMENT SERVICES ACTIVITY REPORT CONTRACT NO: CONTRACT PERIOD: CONTRACT AMOUNT: REPORT MONTH: Assessments: A-OO-OOO July 1, 2008 -June 30, 2009 $000000 JULY -2008 Month YTD 1. Limited English with WTW Plan a. No. Referred b.Assessments Completed c. No Shows 2.Abbreviated Plan a. No. Referred b. Plans Completed c. No Shows 3. DP/LP Eval and WTW Plan a. No. Referred b.Assessments Completed c. No Shows 4.DP/LP Eval Only a. No. Referred b.Evaluations Completed c No Shows 5.3r~Party ASM and Plan a. No.Referred b.Assessments Completed c. No Shows 6.WTW Plan Only a. No. Referred b. Plans Completed c No Shows 7.3rt!Party ASM Review Only a. No. Referred b. Reviews Completed c No Shows 8.3r~Party Review &Plan Only a. No. Referred b.Assessments Completed c. No Shows 9.TSI a. No. Referred b.Assessments Completed c. No Shows Trainings: 9.Trainings a. No. of sessions Other: 10. No. of Plans not completed within 10 days 11. No. of Outreach Activities Comments: I certify that this report is correct and complete to the best of my knowledge. Authorized Signature Date _ ,', Exhibit B Page 1 of3 PAYMENT BASIS FY2008-09 ORGANIZATION:CALIFORNIA STATE UNIVERSITY, FRESNO FOUNDATION SERVICES:CalWORKs Specialized Assessment Services CONTRACT PERIOD: July I, 2008 - June 30, 2009 PAYMENT BASIS: I.CONTRACTOR shall be reimbursed for Specialized Assessments at "fee-for-service"with the following ~: • Limited English Proficient (LEP)Specialized Assessment and WTWPlan • LEP Abbreviated Assessment and WTW Plan • Learning Disability EvaluationlDiagnostic Profile and WTW Plan • Learning Disability EvaluationlDiagnostic Profile only • Third Party Assessments and Plan • WTW Plan only" • Third Party Assessment Review only" • Trauma Symptom Inventory • Training $360 $189 $520 $415 $360 $100 $50 $100 $130 per hour "For purposes of billing, in cases where a Third Party Review and then a new WTW plan is developed, the CONTRACTOR will bill for the WTW Plan only and the Third Party Assessment Review only together. Fiscal Claiming: For purposes of payment, the CONTRACTOR shall bill the County when the specialized assessment report, including a WTW Plan if applicable, is completed and submitted to County. In cases when client attends at least one day of specialized assessment but fails to complete assessment after attempts by County and Contractor to have client complete, Contractor shall bill County for 50%of appropriate service fee. Monthly Financial and Program Activity Reports with supporting documentation (copies ofWTW Plans and/or Profiles) are to be submitted by the tenth (10 th)day of the month following the report month to the following: Fresno County's Department of Employment &Temporary Assistance, Barton Building ATTN:CalWORKs Staff Analyst 4499 E. Kings Canyon Blvd. Fresno, CA 93702, 3'dFloor ,,~, Exhibit B Page 2 of 3 With the exception of instances of participant non-compliance (when additional time is needed), completed assessment results (WTW Plans,Profiles,&Reviews)are to be submitted no later than the fifteenth (I 5th)working day from the first day of testing to the following: Fresno County's Department of Employment &Temporary Assistance,Barton Building A TIN:Assessment Social Services Program Supervisor (SSPS) 4499 E.Kings Canyon Blvd.Fresno,CA 93702,2nd Floor OUTCOMES:The table below shows the projected number of assessments and reviews,cost for each unit, and the estimated cost of training for FY 2008-09.It is anticipated that CONTRACTOR will provide a minimum of eight training events -each of which will be broken into four sessions to accommodate groups of 40-45 staff,at three hours each session.Each training session will also include one (l)hour of preparation time. Soecialized Assessment No.of Assessments Unit Price Total LEPIWTW Plan 240 $360 $86,400 Abbreviated LEP 3 $189 $567 LDIWfWPlan 298 $520 $154,960 LD onlv 96 $415 $39,840 3r•Party/Plan 10 $360 $3,600 3"Party Review Only 10 50 $500 WTW Plan Onlv 15 $100 $1,500 Training 32 hours $130 per hour $4,160 TSI 62 $100 $6,200 Total $297.727 Fiscal Claiming:All staff development training expenses shall be claimed on the Monthly Financial Report. MAXIMUM AMOUNT ALLOWABLE UNDER THIS AGREEMENT:$297.727 NOTE:County contracting procedures require a maximum amount payable.The maximum amount is based upon a high estimate of the total number of individuals that will require assessment services during the term of the Agreement.There is no minimum guaranteed number of referrals for specialized assessments.All dollar amounts listed above have been estimated.The actual costs to each category (assessments,reviews and staff development training)may vary from amounts listed. ExhibitB Page3 013 CalWORKs SPECIALIZED ASSESSMENT SERVICES MONTHLY FINANCIAL REPORT FY2008~ AGENCY:CALIFORNIA STATE UNIVERSITY,FRESNO FOUNDATION REPORT MONTHlYEAR:_ INSTRUCTIONS: Please attach documentation of all assessment services provided (Assessment Profiles and Welfare-To-Work Plans). Monthly Budget and documentation must be provided to the Fresno County Department of Employment &Temporary Assistance, Barton Building, Third Floor, Attn: Staff Analyst, Fresno,California,93702 BUDGET DETAil: BUDGET CATEGORY ACCOUNT NUMBER LIMITED ENGLISH! WTW PLAN@ $360 ABBREV WTW PLAN@ $189 DPfLD EVAUW TW PLAN@ $520 DPfLD EVAL ONLY@ $415 31Ul PARTY ASMI WTW@ PLAN $360 3RD PARTY REVIEW ONLY@ $SO WTW PLAN ONLY@ $100 TSI @SlOO TOTAL CURRENT EXPENSES No.of CalWORKs 0300 Assessments C"",- AMOUNT '" , $s".",", ,-,·,.c... $s s s $$s Staff Development Training 0450 •,'c._._,__,.,,' .-?'~tr~:N~~."~~3~:.;';~:h~~~~ :~f'~~~~';#?~$~~~~.fv7,,;. "~i=~~~~~ TOTAL AMOUNT ~J;~~~,:~~~:.~,.,~..,~~c.,-."~--,._. ~;.<j;I,.r~~_._".,_,-."- r~;:t'!=..'ii;;~~.L"~.,;",~~;v:;:···'",;';;~~w;'!1 ~~,.'-- s BUDGET SUMMARY: BUDGET APPROVED CURRENT YEAR·TQ..OATE BUDGET CATEGORY BUDGET MONTH EXPENSES BALANCE EXPENSES TOTAL $$$$EXPENSES COMPLETED BY:TlTLE:_ PHONE NO:.DATE:_ •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Approved For Payment By:Date:_ VENDOR ASSURANCE OF COMPLIANCE WITH THE FRESNO COUNTY WELFARE DEPARTMENT NONDISCRIMINATION IN STATE AND FEDERALLY ASSISTED PROGRAMS NAME OF VENDOR/RECIPIENT:California State University,Fresno Foundation HEREBY AGREES THAT it will comply with Title VI and VII of the Civil Rights Act of 1964 as amended; Section 504 of the Rehabilitation Act of 1973 as amended; the Age Discrimination Act of 1975 as amended; the Food Stamp Act of 1977, as amended and in particular section 272.6; Title II of the Americans with Disabilities Act of 1990;California Civil Code Section 51 es seq., as amended; California Government Code section 11135-11139.5,as amended;California Government Code section 12940 (c), (h) (1), (i), and 0); California Government Code section 4450; Title 22,California Code of Regulations section 98000 - 98413; Title 24 of the California Code of Regulations,Section 3105A(e); the Dymally-Alatorre Bilingual Services Act (California Government Code Section 7290-7299.8);Section 1808 of the Removal of Barriers to Interethnic Adoption Act of 1996; and other applicable federal and state laws, as well as their implementing regulations [including 45 Code of Federal Regulations (CFR) Parts 80, 84, and 91, 7 CFR Part 15, and 28 CFR Part 42J, by ensuring that employment practices and the administration of public assistance and social services programs are nondiscriminatory,to the effect that no person shall because of ethnic group identification, age, sex, color,disability,medical condition,national origin, race, ancestry, marital status, religion, religious creed or political belief be excluded from participation in or be denied the benefits of, or be otherwise subject to discrimination under any program or activity receiving federal or state financial assistance;and HEREBY GIVE ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement. THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all federal and state assistance;and THE VENDOR/RECIPIENT HEREBY GIVES ASSURANCE THAT administrative methods/procedures which have the effect of subjecting individuals to discrimination or defeating the objectives of the California Department of Social Services (CDSS) Manual of Policies and Procedures (MPP),Chapter 21, will be prohibited. BY ACCEPTING THIS ASSURANCE,the vendor/recipient agrees to compile data,maintain records and submit reports as required, to permit effective enforcement of the aforementioned laws, rules and regulations and permit authorized CDSS and/or federal government personnel, during normal working hours, to review such records, books and accounts as needed to ascertain compliance.If there are any violations of this assurance,CDSS shall have the right to invoke fiscal sanctions or other legal remedies in accordance with Welfare and Institutions Code section 10605, or Government Code section 11135-11139.5,or any other laws, or the issue may be referred to the appropriate federal agency for further compliance action and enforcement of this assurance. -.Director's Signature '~ ate THIS ASSURANCE is binding on the vendor/recipient directly or through contract, license, or other provider services,as long as it receives federal or state assistance. }d-/oJ--~o~ (08/13/01) CR50-Vendor Assurance of Compliance 07/07/2008 14:09 FAX 415 402 0773 ","" ALLIANT INSURANCE fij]0021010 CERTIFICATE OF COVERAGE I CA1E\MM'Q{JtYYYVj 7/7/2008 PROOUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION ONLY JI.lliant Insurance Services,Inc.AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 500 Ncnt qome ry Stree':CERTIFICATE DOES NOT AMEND,EXTEND OR AL TER THE 9th Floor COVERAGE AFFORDED BY THE PROGRAMS BELOW. San F'rancisco C.,941:1 PROGRAM AFFORDING COVERAGE COIIEREDPARTY ,........O::;T1PMll.11,7 0 ~"nrl CSU,Pr-e s no Foundation a: 4.910 Nor-th Chestnut c.Pr e sno CA 93726-1652 0 E COVERAGES THIS IS TO CERTIFY THAT THE COVERAGE (S AFFORDED TO 1 HE ABOVE NAMED ME.MBER. AS PROVIDED BY THE MEMORANDUM(Sj OF COVERAGE.FOR ·(HE COVERAGE PERIOD SHOWN BELOW.NOT WITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DDCLJMENT WITH RESPECT TO WHICH THiS ::ERTIF:CATE MAY BE ISSUEO OR MAY PERTAIN.THE COVERAGE AFFORDED BY THE PROGRAM DESCRISED HEREIN IS SUBJEC1 TO ALL THE TER~,tS.EXCLUSIDNS.AND CON)ITIONS OF SLICH MEMORANDUMiSj OF COVERAGE THE FOLLOWING COVERAGE IS IN EFFECT. ,"0 COVERAGE MEMORANDUM OF COVERAGE EFFECTIVE OATE EXPIAATlOH OATi:LIMITSLTRMMIOOlYYYn(MMIODIYYYYI A OENERALLIABILITY AORMA·0809-01 7/1/2008 7/1/2009 EJoCH OCCURRENCE ,250 000-COMMERCIAL GE"lERIIL LlABfllTY ~~:C~~~~,,~.,·~~?z,:J CLAIMS""."'DE ~OCC'JR MED EJ(P(Ant one perS')nl s- X EPL $500,000 P£:N:SO~4 AO'/INJURV s X Contractual Lia GEfloE:RAl AGGREGATE s GENl -'GGREGA1!:lIl,.'tIT I\.P"UE:SPER PRODUC1S.cOMPiQP ~GG ~ I POLICY nFFlOJE-Cl nLOC A AUTOMOBILE LIABILITY AORM.~-080 9- 01 7/1/2008 7/1/2009-COM61NEO SINGLE LIMfl Ai'o:'r IIVTO (Ea ll<:cldClll!,250,OOC f- ~ALL OWNEO IIEiilCLES eoonv IIIlJ1JflY (Per per$ool sF-SC~EOUl EO AJTOS ~IH~~O ;\UTOS eco«V INJURY (P~'iI<:~'"'1 s F-NON.OWNED AUTOS f-PRC;>"R rv DAMAGE «Per .~jdenl)s GARACE UAflll.ITV AUlD ONLV·EA ACCIOI:Nl ,RAN'AUW OTItI:N:lHAN EAACC s AUTQONLY AGG s WORKERSCOMPENSATION AND I~h~~~¥'l~~·EMPLOYERS LIABILITY ANI'PROPRIl'i'l'QRlPARTNERJ EL EACIl ~CCIOI:.Nr EXECUTIVe/OFfICEHiMEOMBER EJICLUDED7 E c.OISEASE·EA EMPLOYi:::E::S I~Yl::S.DESCRIBE UNDERSPECIAL PROViSIONS SELOW (i.,L.OISEASE·POtle'\'"LI~II s A OHiER AORMA-0809-C1 7/1/2008 7/1/2009 Limit S5e,000 Hirec:!/l'<onOwned APD Ded\:.ctible S1.000 OTHER DESCRIPTION OF OPERATJONS I LOCATrONS I VEHICLES I EXCLUSIONSADOEDBY ENDORSEMENT I SPECIALPROVISIONS Count '.'of s'r e sno .its cf I i c ar s .a.gents,ond employees,indi ....ic~al:..y and collectively ore nllmed as ecc i c i one ;cove r e d parties as ~espect.5 '-he ce j vc r k s CSOF Specialized Jo.ssessment .:;greement between t ne County of P'resno and t:he Named Insured.Aqr e emenx No.;A-07-229,Reference Ik)..2i~2007 Pro~essional Li e b t Li t y Coverage is i nc l uded in Gener-al Liability, ~~'1;ot !1lxv,.Aft"A CERTIFICATE HOLDER CANCELLATiON 30 County of Fresno SHDULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELLED 4499 E Kings Canyon ~oad 8EFORE THE EXPIRATION OATE THEREOF.THE ISSUING PROGRAM AFFOROING Fresno CA 93750-:1001 COVERAGE WILL ENDEAVOR ,0 MAIL 10 DAYS WRITTEN NDTICE TO THE CE:RTIFICA1E HOLOER NAMED TO THE:LEFT.BUT FAILURE 10 DO SO SHAL~ IMPOSE ~D OBUGATION OR LIABiliTY DF ANY K!ND UPON THE PROGRAM AFFORDING CovERAGE.ITS AGENTS DR REPRESENTATIvES. AUTHORIZfO IIlPRf!.EN1"llVE 'J-P<1~~ -.i 07/07/2008 14:10 FAX 415 402 0773 ALLIANT INSURANCE ~003/010 ACORD".CERTIFICATE OF LIABILITY INSURANCE I DatE IMWOOIYYYYj 7(7/2008 PRODUCER Phone,415-403-1400 Fux :';15-40;2-0773 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Alliant Insurance Services,Inc.ONLY AND CONFERS NO RIGHTS UPON THE. CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 600 Montgomery Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 9th Floor !San Francisco CA 94111 i INSURERS AFFORDING COVERAGE NAICII.._,.,-._._..''''~.".__.,-"'....L_....~.'.._---_._--._...,-_.,_.,-,...__._", .._.... I~SUREO !INSURE RA:J've res t_._N '!J:.i qrl<l._l Ins1,ll:"anc~CQ iLQ".l 2 0_.._._.- CSU,Fresno Foundation i INSURER B' 4910 North Chestnut ------------_.-----_..--___~_____T ___'c~'c.n .......~_..-----....__._---------_._--~--. i INSURERC' , Fresno ClI.93726 -1852 .-._.-"...,_..~_.,_..._,._...~-~~.-.._--_.-~--....'-_........----~---_.-._. :INSURER 0:--,-_._-_._-._---_._,..--_....._.._-,-~,-•___."h"~'.•••."...,,-......~........"~ i INSURER;;; COVERAGES T,H:;PO:.TCIE:S G:rNSU'R.~_'KE 1.1 STO:'l EE:"OIl'i't"VE 3EEN ISSUED TO THE INSURED NP.MED ABOVE ;;oOR THr:POLICY PERIOD IHDIC1'.TED. NOT~;rT:-JST;;:"':)Jt>10 ANY REQUl REf1ENL TER/>j 0;'1 CON:JITlON OF 1'.."'"Y CONTR1,CT OR OTHER DOCUJllENT "In!>RESPECT TO WHICH THIS CEiUIFICATE:HAY ~E ISSUED OR ~.1."'Y PERT;.,rN,THE !NSUI"""}lCE ',;;-FORDE;)BY 'tHE POLl ClES DESCRIBED HER,EIl,IS SUIlJECT TO .".LI,T!lc. TF;;<~;S.zxcz.usross ,,'10 CON:JrTrO:-lS 0:'SUCH POLICIES.".GGREGATE:L1i',ITS SHOWl'I MAY 1-l1'.vr::BEj';J{REDUCED BY PAID C:"J'.IM5. j~f:'~~~~'~:;:F-l------'-'--""PO~ICY ~UMll£R "gA~~~~,j~'::~JJ~e :Pgilf",~~{f,6Rt~~H!.~_..----._-_.~~;~;-.--.-_..... A X .!'i.NERA~~IA51~ITY :71A2000004-081 17/1/2008 [7/1/2009 :~~1g~~g~~~~~~..,'..'L..7.5.Q ..OOO . X ,_~?MMeRCIA~GENE~UABIUT'I'I'!L.PB~_II-:I.S.~§.I"••2~r.er£!'L..~.s_ ...CLAIMS l.lADE ;X.OCCUR:i MEDEXP(AnYOl1l>p""",1 ..:.$_... j I !;;~~;~;':;'~~~~I~~~~~'5LS.e.e.O.ther EelQ~'L__,I!.......--....---....-....--~.-._. .x CQntr~c_t.ual Liab :I GeNERAL AGGReGATE S ..G~N'~AG3REG"TELIMITAPPLlE5PER I :PI-tOOUCTS·COM"IOPAGG 54.750.000 ..._ p'POLlC~'r--------'~:8T-"'"roc ..:IEmo ' .Practice 4 500 000 .n.'X AUTOMOBILE ~1"8ILITY ANYAUTO 71A2000004-081 7/1/2008 7/1(2009 ..COI,;BINEO SING~E LIMIT ..IE.a«·<lenl)54.750,000 AGG S EAACC 5-----..__.._--,----- ..x_."J.l owr~E 0 AUT05 ,X._.SC>iEDULEDAUtOS ,.l'----i ~IRED AUT05 J.{_.NON·OWNEDAUTDS ....._-----, :GARAGE lIABI~ITY I----l ANY AUTO 1 I ,BOOI~Y INJURY ..IPer p."on) .ElOOI~\'INJUR'I' .(~r ooo<l.oll i---··----_. :PROP€RTY DAW,4,GE ;(POI 8C(;.1dentl I, OTHER tl-IAN AUTO ONLY s 5 :EXCESSIUMilREU...~1"'Bl~ITY "1 -- ~----.J OCCUR .....cu.IMS MADE r-il-J DEDUCTIBLE i I RHEIIITION 5 I EACHOCC.URR..ENEE•. ;AGGREG~TE _.•"_'•.•5 i t--.....s "'.~-.._....._...... :5 SIR E?L ~300.QOO OLher Li~h Excess S250~OOO : E L DISEASE·EAEMP~O'l'EE'S:,~"-',-_.,---_._--,..•_,__._,_..~---- ;E.l DISEASE -POLICY ~IMIT $ , I WC STAtU·:OT'i-- L......2.oRVLIMIlS~JL:..........._ !E ~EACH ACCIDEt-:T ..5,. ~7 (1/200917/1/200B , OlA2000004-081 !WORKERS COMPENSATION AND EMP~OYERS'~IAI!I~ITY i AN'I'PROPRiEtOR,PARTNER/EXECuTlvE I OFFICi:MIEMBER EXCLUDED? j ~~EC~~LSpRbO~S:ONSO~IOw 1-1 \OTHER !5p~it Se~f InsuredIn.e~ention ! ClESCRIPTION OF OPERAtiONS I ~OCATIONS (VEHICLES I "XC~USIONS ADDED BY ENClORSEMEN1(SPECIA~PROVISIONS ount y of ~resnc.r t s of f a.ce r s ,agent-5 j and employees~Lnd a v t dua Lf y and cor i ect rve i y a r e named as add i.t i ona I cove r ed pal-ties as respec~s ~he Cclwa~}:s CSUF Speciali~ed A~se$$ment Ag~eement between the County of rresno and t~e Named t ns ur ed .;,greewen:.No.:lI'07-229.Reference No.:21-2007.Prcfes,.ional Liability Coverage is i ne I ...cled in General ....iabl:i t y . CERTIFICATE HOLDER CANCELLATION)0 county of Fresno 4499 E.Kings Ca~yon Road Fresno CA 93750-000: SHOUL;)A..'V'f OF THE A.BOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRl,TION D~TE TnERF.OF,THE ISSuING INSURER I"lILL <.NDEAVOR TO t4AIL ;0 DlIYS I-IRITTEN NOTICE TO TnE CE?Ttl'ICi'lTE t-lOl,~ER Ni\1-1ED TO THE LEFT,BUT FJ\ILUI'F.TO DO SO SHJ'Ll.lr'oPOSE NO OB:'lG-i\.T,ON Oil LIABILITY OF A!>'Y KIND UPON Tlit INSIJRER,ITS AGENTS Oll.REP"ESENTATIVES. A,UTHORIZED REPRESeNTATIVE ~J>?~~ ACORD 25 (2001/08)©ACORD CORPORATION 1988 07/07/2008 14:10 FAX 415 402 0773 ALL1ANT 1NSl~ANCE IMPORTANT ~004/01 0 If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights 10the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on Ihe reverse side of this form does not constitute a contract between the iSSUing lnsurer(s),authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) 07/07/2008 14:09 FAX 415 402 0773 Fax Transmittal TO, Marcy Crabtree --;:F.-;-~X;-;'~N-;;U MBER (559) 453-3782 ,......,,~-,,-...,'~ ALLIANT INSURANCE FROM, Johnny Yang DATE, July 7,2008 1410011010 ~lljant DRIVF.R SPECIALTY GROUP COMI'ANY, County of Fresno ~pH'"O"'N'"E""""N (.1M BEK (559)453-44532 SUBJECT: Certificates for CSU Fresno &Fresno Foundation NO.OF PAGES (INCLUDING COVER!, 10 SENDER'SREFERENCE NUMBER, YOURREFERENCENUMBER: o URGENT NOTES/COMMENTS: Hi Marcy, [gJ FOR REVIEW o PLEASE COMMENT 181 PLEASE REPLY Please find the attached certificates of insurance for CSl.~Fresno Foundation,\Xlir.h reg-ards to CSU Fresno,I was unable t.o find the agrcclnent.Could you fax or email a copy of the ngreen1ent with esc FresJ1o?Let Inc know either way.IV!y e-mail is jyang@:tlliantinsurancc.con1 and the fax number here is 415-402-0773.Thanks Marcv, Regards. Johnny Yang A lliant Insurance Services,Inc.~600 Montgomery Street ~9th Floor.San Francisco .CA 941 J 1 PIIONE (415)403·1403 .wwvv,elliannnsurance.com •License No. OC36861 ,<, FRESNO COUNTY -CONTRACT ROUTING FORM o Purchasing Agents'Agreement [gJ Board of Supervisors'Agreement ORIGINATING DEPARTMENT:Employment &Temporary Assistance REQUISITION NO.: Ext:453-4431Contactpersonoriginatingthecontract:.::K~e:."u~H.::e:r ~:::.':..-:=== Contractor's Name:California State University,Fresno Foundation Term of Contract:July 1,2008 -June 30, 2009 o The attached contract follows completely the wording of County's Model for Service Contracts -FCMC 1/95. o The attached contract has been written to meet unique terms and conditions required for this service. [gJ The attached contract meets established/approved boilerplate language. o The attached contract follows the County's Model Contract-FCMC 1/95 with the following exceptions or revisions: Note section title and reason for revision on the lines provided below. (Example:Insurance Section has been revised to increase the liability coverage as per Risk Management) o The attached contract is predated.The service has been started or is completed.See attached explanation. SPECIAL HANDLING INSTRUCTIONS when signed.@Ext. o Time sensitive.Please process and return to Purchasing no later than _ [gJ Call Keu Her,453-4431 or ---------o Other instructions:_ COUNTY COUNSEL REVIEW (Mail Stop 32)DATE STAMP HERE: Pre-approved by:Zachary Redmond on 4/22/08 AUDITOR/CONTROLLER-TREASURER/TAX COLLECTOR REVIEW (Mail Stop 21)DATE STAMP HERE: Reviewed by:-L.---Date:______Ext.: COUNTY ADMINISTRATIVE OFFICE REVIEW (Mail Stop 20)DATE STAMP HERE: Reviewed by:______________Date:______Ext.: t8l WHEN SIGNED, SEND THE ATTACHED CONTRACT TO THE COUNTY ADMINISTRATIYE OFFICE TO BE PLACED ON THE AGENDA o WHEN SIGNED, SEND THE ATTACHED CONTRACT TO THE PURCHASING DIVISION (Stop 25) FOR SIGNATURE AND DISTRIBUTION. C:\Documents and Settings\kxher\Desktop\ASM 08M09\CC Route Fonn.doc Updated 8/10/04 ,', PRODUCER Alliant Insurance Services,Inc. 600 Montgomery Street 9th Floor San Francisco, CA 94111 (415)403-1400 25-Jul-2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED CSU, Fresno Foundation 4910 North Chestnut Fresno, CA 93726-1852 INSURERSAFFORDING COVERAGE Please refer to Coverages section below. 565 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWlTHSTANDlNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CoverogeType Insurer Policy Amount 5elf1"",,;edUabll "'25.000 EPLDe<1Jdible CSURMA Sell Insured AORMA SIRFund AORMA-070S-01 01.Ju~2007 01.Jul-200B S250,OOO $5OQ,OOO 550,000 $1000 S250,000 $4,500,000 $4,750,000 $4,500,000 $4,750,000 $10,000,000 SIR Entn &Omissions· Excess SIR Errora &Omissions 01-Jul-200B01-Ju~2007 T0707-19J1247 71P2IXlX04-071 71P2QXC04.<l71 Exceu SIR Uallil DESCRIPTION OF OPERATIONSIlOCATIONSNEHICLES/EXCLUSIONS ADDED BV ENDORSEMENTS/SPECIAL PROVISIONS County of Fresno, its officers, agents, and employees,indiVidually and collectively are named as additional covered parties as respeds the Calworks CSUF Specialized Assessment Agreement between the County of Fresno and the Named Insured.Agreement No.: A-07-229.Reference No.: 21-2007. Term of Agreement:7/1/07 -6/30/08 IMPORTANT lIthe csrtificaIeholder is OWl AOOInONAt INSURED,Itle pdicy[ies}mJSI be Bndoo;ed.A _00 this certificateooes rat corfBr rights 10Itle 1:B'IlfiOaI&hoIdalin lieu or such endorsemenl(s). II SUBROGATION IS WAIVED,st.tJjec:Il0 Itle 1emls 0W1!J 0<>"10Il0Ils r:11t"e policy,oertainpolicies may requirean 8I1dorsemerl.A stBlElmBnl 00 this <Dtifit.a18 does Ml <Xrlfer rigus 10the certificale holder in leu of suc:h s DISCLAIMER The certificate d 1nslr.lnCB 00 this fcfmdoes rat consliMe B c::ontJE ~\Il&iSSling insuer(s),auIhorized.-epresenla1Ne or producer.and \hQ certilieate holder.nor doesd affirmeovely or negalivelyilIllElr'd,_or eher 1he CXJIIBI39ll a'forQed by 1he pdiDBS listlll!1hInor>. County of Fresno 4499 E. Kings Canyon Rd. Fresno, CA 93750-0001 Attn: Marcy Crabtree 14194- 1553 SHO\,lLOANY OF THE AEIOVE DESCRIBEDPOUCIESBECANCELLEDBEFORETHE EXPIRATIONDAn:THEREOF.THE ISSUINGCOMPANY'MLL ENDEAVORTO MAIL 30 DAYS ~ITTEN NOTICETO THE CERTIFICATEHOLDERNAMEDTO THE LEFT, BUT FAILURETO DO SO SHAlL IMPOSENOOBLIGATIONCiA LIABILITYOF A~KINOUPONTHE COMPA~,ITS AGENTSOR REPRESENTATIVES AUTHORIZEOREPRESENTATlYE Department of Employment &Temporary Assistance Julie Hornback,Director December 10,2008 John Lloyd California State University, Fresno Foundation 5005 N. Maple Ave,MIS ED 302 Fresno, CA 93740 RE: FY 2007·08 Single Audit Report Dear Mr. Lloyd: As a contract agency that receives Federal funding and in accordance with the "Single Audit Clause" provision in your Fiscal Year 2007-08 CalWORKs contract, you agreed to provide our Department with a copy of your agency's audit report no later than nine months after the close of the fiscal year. This is required by the Single Audit Act of 1984 and is subject to the terms of the Office of Management and Budget Circulars (A-110, A-122 and A-133). It should be noted that the Single Audit requirement only applies to agencies receiving a total of more than $500,000 in Federal funds from one or more sources in the fiscal year. If your agency is subject to this Single Audit requirement, please submit an audit report for Fiscal Year 2007-08. The audit must include a statement of findings or a statement that there were no findings. If there were negative findings, you must include a corrective action plan. All audit reports should be provided to the Staff Analyst assigned to your contract by March 31, 2009. However, if your agency is not required to conduct a Single Audit. please inform your Staff Analyst in writing. We appreciate your prompt attention to this request. Should you have any questions regarding this requirement, please contact your Staff Analyst. Mailing Address:4499 E. Kings Canyon Road / Fresno,California 93702 (559)453-6407.FAX (559)453-4920.P.O. Box 1912/Fresno,California 93718-1912 Equal Employment Opportunity.Afftrmative Action.Disabled Employer www.co.fresno.ca.us cz ~ CJ (IJ i! 51 "Uo IJJ i!r- (IJ m ~ () m ;raid':!!3-o!S-~;:;:CIllO o Z (II orpQO!:'l Q "T1~,<limom= -0 IIIc: • "'l'jto~t::JO-;pl~Cll Cll :4 1,,0 "0[g 0 1,,0 fl:l o::sm:4 "n ~~~ ......c......::s.....-.....::s .... 1,,0 ..::OCI 0 WOCIJ......,-....lOom 00-;3 t;J §"dW~_ 0'1 00o::s ~ ~:::0 3oCll !l'::s0...... Ro ~ 3-eo ~ >-CIJCIJI' Cll o Agent I o Addressee C.Date of Delivery ; x A.Signature D.Is delivery addressdifferent from Item 1?0 Yes If YES.enterdelivery address below:0 No 3.~eice Type 6ertified Mall 0 Express Mall Registered 0 ReturnReceipt for Merchandise : o Insured Mall 0 C.O.D. ,.B.Received by (Printed Name) Total PoslSgeJohn Lloyd Sen/To California State University,Fresno sitiieCApi:No:F 0 undati 0 n ~·~t?_~·~~·~~:·5005 N Maple Ave MIS ED 302CIty.Slale.ZIP;', Fresno, CA 93740 U.S.Postal Service., CERTIFIED MAIL",RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) o O'.. .'0 .0 I OFFICIAL USE I Postage $ Certified Fee Postmark "n Receipt Fee Here11enlRequired) ld Delivery Fee 11enlRequired). ru ru r-I"'- U1 Lt1 :r .:r -II ~ U1 Lt1 .:r :r n-o- r-'!r-'! 0 0 0 0 c:J 0 0 0 -II ~ U1 Lt1 ru ru r-I"'- 0 CJ 0 CJ r'-I"'- •Complete ltems 1,2. and3. Also complete Item 411 Restricted Delivery Is desired. • Printyournameandaddresson the reverse so thatwecan return the card to you. • Attachthiscardto theback of the rnailpiece. or on thefront If spacepermits. t.Article Addressed to: i John Lloyd California State University,Fresno Foundation 5005 N. Maple Ave, MIS ED 302 Fresno, CA 93740 4.Restricted Delivery?(EXtra Fee)0 Yes I I i 2.Article Number i I (Transfer from servlce/abeQ 7007 2560 0001 9456 4572 I IInC"r.__1)0'1 '1 t='_...._.__•....""... Department of Employment &Temporary Assistance Julie Hornback,Director November 26, 2008 John Lloyd California State University, Fresno Foundation 5005 N. Maple Ave,MIS ED 302 Fresno, CA 93740 RE: FY 2008-09 Civil Rights Training Dear Mr. Lloyd: The California Department of Social Services requires the Department of Employment and Temporary Assistance to provide Civil Rights training information and materials to all contract agencies that provide direct services to welfare recipients. This requirement pertains to agencies receiving State and Federal funding to ensure Civil Rights compliance. As you know, Civil Rights laws have been passed and regulations written to ensure nondiscrimination in the administration of public assistance and social services programs; specifically that no person shall, because of race, color, national origin, political affiliation, religion, marital status, sex, age or disability be excluded from participation, be denied the benefits of, or be subjected to discrimination. To meet this State requirement. you will soon be provided with all the necessary Civil Rights training materials in order for you to train your agency staff. Additionally, the Staff Analyst assigned to your contract will meet with you to review the information and answer any questions you might have. Due to the importance of adhering to Civil Rights mandates, please provide a list of agency staff that has completed the Civil Rights Training to the Staff Analyst who will follow-up to monitor your agency's compliance with this requirement We anticipate that this training information will be well received by your agency and will assist your staff in providing the best quality of services to our CalWORKs families. Should you have any questions,please contact Nicole Argain,Staff Analyst and Civil Rights Investigator at 453- 6072 or your contract Staff Analyst. ta Anthony / ipal Analyst/C~9hts Coordinator Mailing Address:4499 E. Kings Canyon Road /Fresno,California 93702 (559)453-6407.FAX (559)453-4920.P.O. Box 1912/Fresno,California 93718-1912 Equal Employment Opportunity.Afftrmative Action.Disabled Employer www.co.fresno.ca.us U.S.Postal ServiceTr.1 CERTIFIED MAl i.,RECEIPT (Domestic Mail Only;No Insurance CoverageProvided) v'J ~'-Im CJl "Uo CJ) ~r- OOm ~ (') m cz :::j Jltidl:!!~~<n Ci!3 u __ ;:::cn~(, Z (l)iii P go,~ 'iJ ~~~<D~.o tn >: -0 IIIa ---- • 00 (l) ::I ~~...~~a. (l) 0 -l ...ttl Q :: *~\C"C :::"UfIJ\C~=in(l)III""'I ~~s,~CJl Z (l) "'00~~~Q ::I. ~>S·a ~-c 'C::::0c\C~"C ~.., ::::l ~~QfIJ III 3-....l -l =(l)':::!:>Q~~Q . III~~~a.a..., Q ~(l) CJl ==!Jl ~Q.III ::::l 0- Q >~~fIJ "U Q.~.+.j:>. fIJ S'~ ~:T =iii' ~CJ ttl 0x• IoAgentI o Addressee i C.Date of Delivery I Postmark Here A.Signature x B.Received by (Printed Name) D. Is delivery address different from Item 11 0 Ves If VES.enter delivery address below:0 No 3.Service Type I o CertifiedMail 0 Express Mall I o Registened 0 Retum Receipt for Merchandise I o Insuned Mall 0 C.O.D.I 4.Restrtcted Delivery?(Extla Fee)0 Ves Postage I$I Total Postage &Fees I ~ California State University,Fresno Foundation John Lloyd 5005 N.Maple Ave,MIS ED 302 Fresno, CA 93740 Sen/To Certified Fee Rerum Receipt Fee (Endorsement Required)I I Restncted Delivery Fee (Endorsement Required)I I SireeCApTNo:;. orP08oxNo. citY:si,;Ie:zFp;';' r-r- IT'IT' r-r-eo eo .n ~ IT'IT' r-'I r-'I U1 U1 a a 0 aaCl 0 Cl a CJ ru ru ru ru Cl a r-f'-a 0aCl f'-f'- •Complete items 1, 2, and 3. Also complete Item 4 If Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. •Attach this card to the back of the ma/lplece, or on the front If space permits. 1.Article Addressed to: ,California State University,Fresno Foundation John Lloyd 5005 N. Maple Ave,MIS ED 302 Fresno, CA 93740 2.ArtIcle Number (Transfer from servIce labeQ 7007 0220 0000 5196 8797 Department of Employment &Temporary Assistance Julie Hornback,Director November 24,2008 John Lloyd California State University,Fresno Foundation 5005 N.Maple Ave,MIS ED 302 Fresno, CA 93740 RE: FY 2008-09 Vendor Assurance of Compliance Dear Mr. Lloyd: This letter is written to inform you that the California Department of Social Services requires the Department of Employment and Temporary Assistant to obtain a signed "Vendor Assurance of Compliance"form from all contract agencies that provide direct services to welfare recipients. Your agency,as a recipient of State and Federal funding,is required to ensure compliance with Title VI and VII of the Civil Rights Act of 1964. To assist in meeting this funding mandate,please sign, date and return the enclosed assurance statement to our Department no later than December 19, 2008,attention to: Nicole Argain,Staff Analyst Employment &Temporary Assistance Barton Building 3rd Floor 4499 E. Kings Canyon Road Fresno,CA 93718-1912 We appreciate your prompt response to this request.Should you have any questions,please contact Nicole Argain at 453-6072 or your contract Staff Analyst. R neeta Anthony Pnncipal Analys Civil Rights Coordinator Enclosure Mailing Address:4499 E. Kings Canyon Road /Fresno,California 93702 (559)453-6407.FAX (559)453-4920.P.O. Box 1912/Fresno,California 93718-1912 Equal Employment Opportunity.Affirmative Action.Disabled Employer www.co.fresno.ca.us VENDOR ASSURANCE OF COMPLIANCE WITH THE FRESNO COUNTY WELFARE DEPARTMENT NONDISCRIMINATION IN STATE AND FEDERALLY ASSISTED PROGRAMS NAME OF VENDOR/RECIPIENT:California State University, Fresno Foundation HEREBY AGREES THAT it will comply with Title VI and VII of the Civil Rights Act of 1964 as amended; Section 504 of the Rehabilitation Act of 1973 as amended; the Age Discrimination Act of 1975 as amended; the Food Stamp Act of 1977, as amended and in particular section 272.6; Title II of the Americans with Disabilities Act of 1990; California Civil Code Section 51 es seq., as amended; California Government Code section 11135-11139.5,as amended; California Government Code section 12940 (c), (h) (1),(i),and 0); California Government Code section 4450; Title 22, California Code of Regulations section 98000 - 98413; Title 24 of the California Code of Regulations, Section 3105A(e); the Dymally-Alatorre Bilingual Services Act (California Government Code Section 7290-7299.8); Section 1808 of the Removal of Barriers to Interethnic Adoption Act of 1996; and other applicable federal and state laws, as well as their implementing regulations [including 45 Code of Federal Regulations (CFR) Parts 80, 84, and 91, 7 CFR Part 15, and 28 CFR Part 42], by ensuring that employment practices and the administration of public assistance and social services programs are nondiscriminatory,to the effect that no person shall because of ethnic group identification, age, sex, color,disability,medical condition, national origin, race, ancestry, marital status, religion, religious creed or political belief be excluded from participation in or be denied the benefits of, or be otherwise subject to discrimination under any program or activity receiving federal or state financial assistance; and HEREBY GIVE ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement. THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all federal and state assistance; and THE VENDOR/RECIPIENT HEREBY GIVES ASSURANCE THAT administrative methods/procedures which have the effect of subjecting individuals to discrimination or defeating the objectives of the California Department of Social Services (CDSS) Manual of Policies and Procedures (MPP),Chapter 21, will be prohibited. BY ACCEPTING THIS ASSURANCE,the vendor/recipient agrees to compile data, maintain records and submit reports as required, to permit effective enforcement of the aforementioned laws, rules and regulations and permit authorized CDSS and/or federal government personnel, during normal working hours, to review such records, books and accounts as needed to ascertain compliance. If there are any violations of this assurance, CDSS shall have the right to invoke fiscal sanctions or other legal remedies in accordance with Welfare and Institutions Code section 10605, or Government Code section 11135-11139.5, or any other laws, or the issue may be referred to the appropriate federal agency for further compliance action and enforcement of this assurance. THIS ASSURANCE is binding on the vendor/recipient directly or through contract, license, or other provider services, as long as it receives federal or state assistance. Date Address of vendor/recipient CR50-Vendor Assurance of Compliance Director's Signature (08/13/01) cz =imo (J) ~'-im 00 "'tJo C/l ~r- (IJ m :Al<('i m "OC"tl"Tl III (n iil :i 3"tls"'i"" ;::;:(neD o Z (!)iij' l'pog: cp ;r~o m= "tl Ola: • (J) tr.l (I) :Ja0. (I) "C :"1-"'tJ0'<m ~III 00~(I) ~~"'trj(j "0 ~~e Q ::J, ~~\O'¥-='<0 e tr.l '-<=c ~.e ., Qc~~::J III 3=-.(1)\0 lJCl 1<0 Q WCI.l ~III ~~~~0. 0.., N=e~(I) 00='t:l rD .00'<Qe.,\IJ Dl=~=:::J 0.~~Q t::!c.>"'tJ CIJ +CIJ ~.... CIJ 5'-~=s l':l en'~ 0- 0x • ICJAgentIoAddressee C,Date of Delivery , I Postmark Here x A.Signature D. Is delivery address different trom Item 1?0 Yes It YES.enter delivery address below:0 No 3.Service Type I o certifiedMall 0 Express Mail I o Registered 0 Return Receipt for Merchandise I o Insured Mall 0 C.O.D, , 8.Received by(Printed Name) CertltledFee ReturnReceiptFee (Endorsemenl Required) \I RestrictedDeliveryFee (Endorsement Required)I I Total Postage &Fees I $ 'ani California State University,Fresno Foundation ~:;~~John Lloyd CitY::5005 N,Maple Ave, MIS ED 302 ,Fresno,CA 93740 rn U1 0 IT" ..lI e- M U1 0 0 CI 0 0 0 CI 0 CI 0 ru rururu 0 0 r-I"'- CI CI CI 0 I"'-I"'- California State University,Fresno Foundation John Lloyd 5005 N. Maple Ave,MiS ED 302 Fresno,CA 93740 •Complete I,tems 1,2,and 3.Also complete Item 4If Restricted Delivery Is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpJece, or on the front If space permits. ,1.Article Addressed to: 4.Restricted Delivery?(Extra Fee)0 Yes 2. Article Number (rransfer from service label)7007 0220 0000 5196 9053 Department of Employment &Temporary Assistance Julie Hornback,Director November 24, 2008 John Lloyd California State University, Fresno Foundation 5005 N. Maple Ave,MIS ED 302 Fresno, CA 93740 RE: FY 2008-09 Vendor Assurance of Compliance Dear Mr. Lloyd: This letter is written to inform you that the California Department of Social Services requires the Department of Employment and Temporary Assistant to obtain a signed "Vendor Assurance of Compliance"form from all contract agencies that provide direct services to welfare recipients. Your agency, as a recipient of State and Federal funding, is required to ensure compliance with Title VI and VII of the Civil Rights Act of 1964. To assist in meeting this funding mandate, please sign, date and return the enclosed assurance statement to our Department no later than December 19. 2008.attention to: Nicole Argain, Staff Analyst Employment &Temporary Assistance Barton Building 3 rd Floor 4499 E.Kings Canyon Road Fresno, CA 93718-1912 We appreciate your prompt response to this request. Should you have any questions,please contact Nicole Argain at 453-6072 or your contract Staff Analyst. R neeta Anthony Pnncipal Analys Civil Rights Coordinator Enclosure Mailing Address:4499 E. Kings Canyon Road /Fresno,California 93702 (559)453-6407.FAX (559)453-4920.P.O. Box 1912/Fresno,California 93718-1912 Equal Employment Opportunity.Affirmative Action.Disabled Employer www.co.fresno.ca.us VENDOR ASSURANCE OF COMPLIANCE WITH THE FRESNO COUNTY WELFARE DEPARTMENT NONDISCRIMINATION IN STATE AND FEDERALLY ASSISTED PROGRAMS NAME OF VENDOR/RECIPIENT:California State University,Fresno Foundation HEREBY AGREES THAT it will comply with Title VI and VII of the Civil Rights Act of 1964 as amended; Section 504 of the Rehabilitation Act of 1973 as amended;the Age Discrimination Act of 1975 as amended; the Food Stamp Act of 1977, as amended and in particular section 272.6;Title II of the Americans with Disabilities Act of 1990;California Civil Code Section 51 es seq., as amended;California Government Code section 11135-11139.5,as amended;California Government Code section 12940 (c), (h) (1),(i),and (j); California Government Code section 4450;Title 22,California Code of Regulations section 98000 - 98413; Title 24 of the California Code of Regulations,Section 3105A(e);the Dymally-Alatorre Bilingual Services Act (California Government Code Section 7290-7299.8);Section 1808 of the Removal of Barriers to Interethnic Adoption Act of 1996; and other applicable federal and state laws, as well as their implementing regulations [including 45 Code of Federal Regulations (CFR) Parts 80, 84, and 91, 7 CFR Part 15, and 28 CFR Part 42), by ensuring that employment practices and the administration of public assistance and social services programs are nondiscriminatory,to the effect that no person shall because of ethnic group identification,age, sex, color,disability,medical condition,national origin, race,ancestry,marital status, religion,religious creed or political belief be excluded from participation in or be denied the benefits of, or be otherwise subject to discrimination under any program or activity receiving federal or state financial assistance;and HEREBY GIVE ASSURANCE THAT it will immediately take any measures necessary to effectuate this agreement. THIS ASSURANCE is given in consideration of and for the purpose of obtaining any and all federal and state assistance;and THE VENDOR/RECIPIENT HEREBY GIVES ASSURANCE THAT administrative methods/procedures which have the effect of subjecting individuals to discrimination or defeating the objectives of the California Department of Social Services (CDSS)Manual of Policies and Procedures (MPP),Chapter 21, will be prohibited. BY ACCEPTING THIS ASSURANCE,the vendor/recipient agrees to compile data,maintain records and submit reports as required,to permit effective enforcement of the aforementioned laws, rules and regulations and permit authorized CDSS and/or federal government personnel,during normal working hours, to review such records,books and accounts as needed to ascertain compliance.If there are any violations of this assurance,CDSS shall have the right to invoke fiscal sanctions or other legal remedies in accordance with Welfare and Institutions Code section 10605, or Government Code section 11135-11139.5,or any other laws, or the issue may be referred to the appropriate federal agency for further compliance action and enforcement of this assurance. THIS ASSURANCE is binding on the vendor/recipient directly or through contract,license, or other provider services,as long as it receives federal or state assistance. Date Address of vendor/recipient CR50-Vendor Assurance of Compliance Director's Signature (08/13/01 ) cz ~o CJ)>iT! CII ""0 Vl>r- CJ) m ~ C'im 1JC1JJ:llOcn0(il3"tJ~'r';:;:cn~0 Z 1O W ~110 III Q "TIs::,1OQ)~CD_.o 1Il- 1J III 0: • ~ CJ) CD a :J 0. "'0 CD-:1 0 ""0 '<(j) ('D III ('D CII :u:~~~~ CD "'C ~~8 0 :::I. ~~\O'¥-='<0 o ~'<=c....8 ~ Qc~q :J III=....3 \O!ICl reo 0 .CD (,HCIJ ~III ~n~~0. 0. ~N~8..,m='t:l ~.CII'<co .,tI.2 Q)=~=:J ~~0 0. NQ..>=0 <:0'>+<:0'>....~ <:0'>....:j" ~=~I":l ~CII 0' 0 X • IClAGent, o Addressee C. Date of Delivery I Postmark Here A. Signature x D. Is deliveryaddressdifferentfrom Item1?0 Yes If YES, enter delivery address below; 0 No 3. Service Type I o Certified Mall 0 Express Mall I o Registered 0 Return Receipt for Merchandise i o Insured Mall 0 C.O.D.I 4. Restricted Delivery?(Extra Fee)0 Yes , 8.Received by (Printed Name) Certified Fee Relum Receipt Fee (Endorsemenl Required)I I Restricted DellveryFee (Endorsement Required)I I Total Postage &Fees I $ SenT California State University,Fresno Foundation sire.J hn LlorP(0 oyd CitY.-'5005 N. MapleAve,MIS ED 302 Fresno,CA93740 fTl lJ] 0 IT' ..D IT' r-'l lJ] CJ CI CJ CI CJ CI CJ CI CJ CI ru rururu CJ CJ f"'-r- CJ CI CJ CJ f"'-f"'- California State University,Fresno Foundation John Lloyd 5005 N.Maple Ave,MIS ED 302 Fresno,CA 93740 •Complete I,tems 1,2, and3. Also complete Item4 If Restricted Del/very Is desired. • Printyournameand address onthe reverse so that wecan return the cardto you. • Attachthiscardto thebackof themailpiece, or onthefrontIf spacepermits. ,t,ArtIcle Addressedto: 2. ArtIcle Number (T"ransfer from service label)7007 0220 0000 5196 9053 Department of Employment &Temporary Assistance Julie Hornback,Director June 11, 2008 John lloyd,Rehabilitation Counseling Coordinator California State University, Fresno Foundation 5005 N. Maple Ave, MIS ED 302 Fresno CA 93726 RE:Executed Agreement &Requirements Dear Mr. Lloyd: The Fresno County Board of Supervisors has approved your agency Agreement with the Department of Employment and Temporary Assistance. Enclosed you will find a copy of the executed Agreement for Specialized Assessment Services. The term of the agreement is March 1, 2008 through June 30, 2009 in the amount of $297,727. In accordance with contract requirements, please provide a disclosure on agency personnel providing services and a job description with the education and experience levels requIred for each funded position under this Agreement. The personnel disclosure should include all full or part-time staff positions by title, a brief description of the functions of each position along with hours, and the names of persons filling the identified positions. You have also agreed to obtain endorsements to the Commercial General Liability Insurance naming the County of Fresno, its officers, agents, and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned. In addition, to maintain insurance policies for automobile and professional liability and Worker's Compensation throughout the term of this Agreement if applicable. As such, please review the enclosed insurance requirements. In the event your agency fails to keep in effect at all times the appropriate insurance coverage, the County may suspend or terminate this Agreement. Please note that the Personnel Disclosure, Job Descriptions. Certificate of Insurance and Endorsements for Policies are due within fourteen days from receipt of this letter. These documents should be mailed to Keu Her at 4499 E.Kings Canyon Road, Fresno, CA 93702. I look forward to working with your agency on this Agreement and appreciate your prompt attention to this request. Should you have any questions regarding these requirements, please contact me at 453-4431. Enclosures Mailing Address: 4499 E. Kings Canyon Road / Fresno,California 93702-3604 (559)453-6407.FAX (559)453-4920.P.O. Box 1912/Fresno,California 93718-1912 Equal Employment Opportunity • Affirmative Action.Disabled Employer www.co.fresno.ca.us •v ---~-------- IoAgentI o Addressee , A.Signature x B.Aecelved by (PrintedNsme)Ic.Date of Delivery ; D.Is delively addIBSS different from Item 1?0 Yes I II YES,en~er deJJvery addnlSS below:0 No I I 3. Service Type I o CertifiedMalj 0 Expf'llSll Mall : D Fleglstered 0 Return Receipt for Merchandise I o Insured Mall 0 C.O.D. COMPLETE THIS SECTION ON DELIVERY John Lloyd California State University,Fresno Foundation 5005 N. Maple Ave.,MIS ED 302 Fresno, CA 93740 U.S. Postal Service,, CERTIFIED MAIL RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) ,",...,,. I OFFICIAL USE I Po&Iag8 S (;erUWed Fee Poalma,k R8lumRee:elpt Fee Here(Endorwment ReQulf8d) Rntricted DaRwry Fee (E,*"",,,8n1 ~uJred) Total p &I=DII&!t rn /T1 .lJ ...ll r-["- zr ~ .lJ ...ll U1 lJ1 ~zr IT"IT" r-'l r-'l Cl Cl I:J C I:J 0 Cl Cl..c ...ll U1 lJ1 ru ru ["-["- C C C C r'--["- John Lloyd California State University,Fresno Foundation 5005 N.Maple Ave.,MIS ED 302 Fresno, CA 93740 SENDER:COMPLETE THIS SECTION 1.Article Addressed to: •Complete Items1, 2,and3. Also complete I Item4 ff Restricted Delivery Isdesired. i •Printyournameandaddresson the reverse :so that wecan retumthe card to you. , • Attach this card.to theback of the mailpiece, I or on thefront if spacepermits. 4.Restricted Delivery?(Extra Fe$)0 Yes i.Article Numbe, .(Transfer from servfcelabeQ 7007 2560 0001 9456 4763 Department of Employment &Temporary Assistance Julie Hornback,Director June 11, 2008 Dr. Charles Arokiasamy, Program Director California State University, Fresno Foundation 4910 N. Chestnut Avenue Fresno, CA 93726-1852 RE:Executed Agreement &Requirements Dear Dr. Arokiasamy: The Fresno County Board of Supervisors has approved your agency Agreement with the Department of Employment and Temporary Assistance. Enclosed you will find a copy of the executed Agreement for Specialized Assessment Services. The term of the agreement is July 1, 2008 through June 30, 2009 in the amount of $297,727. In accordance with contract requirements, please provide a disclosure on agency personnel providing services and a job description with the education and experience levels required for each funded position under this Agreement. The personnel disclosure should include all full or part-time staff positions by title, a brief description of the functions of each position along with hours, and the names of persons filling the identified positions. You have also agreed to obtain endorsements to the Commercial General Liability Insurance naming the County of Fresno, its officers, agents, and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned. In addition, to maintain insurance policies for automobile and professional liability and Worker's Compensation throughout the term of this Agreement if applicable. As such, please review the enclosed insurance requirements. In the event your agency fails to keep in effect at all times the appropriate insurance coverage, the County may suspend or terminate this Agreement. Please note that the Personnel Disclosure, Job Descriptions. Certificate of Insurance and Endorsements for Policies are due within fourteen days from receipt of this letter. These documents should be mailed to Keu Her at 4499 E.Kings Canyon Road. Fresno. CA 93702. I look forward to working with your agency on this Agreement and appreciate your prompt attention to this request. Should you have any questions regarding these requirements, please contact me at 453-4331. Enclosures Mailing Address: 4499 E. Kings Canyon Road / Fresno,California 93702-3604 (559)453-6407 • FAX (559)453-4920 • P.O. Box 1912/Fresno,California 93718-1912 Equal Employment Opportunity.Affirmative Action.Disabled Employer www.co.fresno.ca.us cz =lmo (J) >.'-lm Ul "'tlo Ul:; r (J)m ~ C'im • • IoAgenti o Addressee I A..SIgnature x 3.Service Type o Certlfied MallO Expt8SS Mall CJ Registered 0 Ratum Receipt for Merchandise o Insured Mall 0 C.O.D. B.Received by (Prlnl&d Name)1C. Date of Delivery : D. Is delivery addresa different from Item 1?0 Yas i If YES,enter delivery address below: 0 No COMPLETE THIS SECTION ON DELIVERY Dr.,Charles Arokiasamy Callfornl~State University,Fresno FoundatIon 4910 N.Chestnut Avenue Fresno, CA 93726-1852 U.S.Postal Service 11 CERTIFIED MAIL,RECEIPT (Domestic Mail Only;No Insurance Coverage PrOvided)..'.;..'.I .. 0 F FI C I A L U S E I POSlags $ Certilled Fee Retum Receipt Fee Postmark (Endorwmenl Required)Here ReslItcled Delivery Fee (Endorsemen'R"qulred) Total Postage &1"---~ -D ..D U")U") I"'-I"'- ::r ::r ..lJ ...D U")U") ::r zr IT"IT' ,....:j r""l CJ CJ 0 CJ l:J CJ CJ Cl ..!I ...D U'l lJ1 ru ru I"'-I"'- CJ 0 CJ CJr-I"'- Dr,Charles Arokiasamy California State University,Fresno Foundation 4910 N.Chestnut Avenue Fresno. CA 93726·1852 • CompleteItems 1,2,and3. Also complete Item 4 If Restricted Delivery Is desired. • Prfntyourname and address on the reverse so that wecan return the card to you. • Attach this card to theback 01 the mailplece, or on the front 11 space permits. 1. ,Article Addressed to: SENDER;COMPLETE THIS SECT/ON 4.Restricted Delivery?(EUra Fee)0 Yes :2.Article Number trransfer from service label)7007 2560 0001 9456 4756 CALIFORNIA STATE UNIVERSITY, FRESNO SPECIALIZED ASSESSMENT SERVICES ACTIVITY REPORT CONTRACT NO: A-08-250 CONTRACT PERIOD: July 1,2008 -June 30,2009 CONTRACT AMOUNT: $466,447 REPORT MONTH: February-09 1. Llmlted English with VVrW Plan a No. Referred 23 275 b Assessments Completed 17 1 64 c. No Shows 6 11 1 2. Abbreviated Plan a. No. Referred 0 0 b. Assessments Completed 0 0 c. No Shows 0 0 3. DPILP Eval and VVrVV Plan a. No. Referred b. Assessments Completed c. No Shows 4. DPILP Eval Only a. No. Referred b. Assessments Completed c. No Shows 5. VVrW Plan Only a. No. Referred b. Assessments Completed c. No Shows 6. TSI (Trauma Symptom Inventory) a. No. Referred b. Assessments Completed c. No Shows 7. Third Party Reviews only a. No. Completed 8. Third Party Assessment and Plan a. No. Referred b. Assessments Completed a. No Shows Total Number Referred: Total Number of Plans: 11. No. of Outreach dctivities Comments: I certify that the this report is correct and complete to the best of my knowledge. Christina Gutierrez quthyized Signature 311 912009 Date CALIFORNIA STATE UNIVERSITY, FRESNO SPECIALIZED ASSESSMENT SERVICES ACTIVITY REPORT CONTRACT NO: A-08-250 CONTRACT PERIOD: July 1,2008 - June 30,2009 CONTRACT AMOUNT: $466,447 REPORT MONTH: January-09 1. Limited Enalish with VVrW Plan a. No. Gferred b. Assessments Completed c. No Shows 2. Abbreviated Plan a. No. Referred b. Assessments Completed c. No Shows 3. DPlLP Eval and VVrW Plan a. No. Referred b. Assessments Completed c. No Shows - -- 4. DPlLP Eval Onlv - ~ ~- - ~a a. No. Referred b. Assessments Com~leted c. No Shows 5. VVrW Plan Only a. No. Referred b. Assessments ComDlekd c. No Shows - -. - 6. TSI (Trauma Symptom Inventory) a. No. Referred -- b. Assessments Completed 3 22 c. No Shows 0 0 7. Third Party Revlews only a. No Completed 0 0 8. Third Party Assessment and Plan a. No. Referred 0 1 b. Assessments Completed 0 1 a. No Shows 0 0 Total Number Referred: 144 944 Total Number of Plans: 74 559 9. No. of Sessions 0 n 1 1. No. of Outreach Activities Comments: I certify that the this report is correct and complete to the best of my knowledge. Christina Gutierrez 212312009 Au orized Signature !J' POSTED Date:/•.3/-1/'1 _ 1nil i aI:---.-R..K..--.._~--~.._._----~ CALIFORNIA STATE UNIVERSITY, FRESNO SPECIALIZED ASSESSMENT SERVICES ACTIVITY REPORT CONTRACT NO:A-oS-250 CONTRACT PERIOD:July 1J 200S -June 30, 2009 CONTRACT AMOUNT: $297,727 REPORT MONTH:December-oS 1. Limited English with WTW Plan a. No. Referred b.Assessments Completed c. No Shows 2. Abbreviated Plan a. No. Referred b.Assessments Completed c. No Shows 3. DP/LP Eval and WTW Plan a.No. Referred b.Assessments Completed c. No Shows 4. DP/LP Eval Only a.No. Referred b.Assessments Completed c. No Shows 5.WTW Plan Only a. No. Referred b.Assessments Completed c. No Shows 6. TSI (Trauma Symptom Inventory) a. No. Referred b.Assessments Completed c. No Shows 7. Third Party Reviews only a. No. Completed 8. Third Party Assessment and Plan a.No. Referred b.Assessments Completed a. No Shows Total Number Referred: Total Number of Plans: Trainil1lJ8: 9. No. of Sessions Other: 10. No. of Plans completed within 10 days 11.No. of Outreach Activities Comments: Month 39 20 19 o o o 74 44 30 5 2 3 o o o 1 1 o o 1 1 o 120 68 o 46 1 YTD 215 127 88 o o o 500 305 195 65 33 32 o o o 19 19 o o 1 1 o 431 6 22 reports were late because they were all pending psychologist signature and also late due to the 2 weeks Christmas break. is report is correct and complete to the best of my knowledge. 1/16/09 Date 1/d-I/67 CALIFORNIA STATE UNIVERSITY,FRESNO SPECIALIZED ASSESSMENT SERVICES ACTIVITY REPORT CONTRACT NO:A-OS-250 CONTRACT PERIOD:July 1, 200S -June 30, 2009 CONTRACT AMOUNT:$297,727 REPORT MONTH:November-oS 1. Limited English with wrw Plan a. No. Referred 50 176 b. Assessments Completed 27 107 c. No Shows 23 69 2.Abbreviated Plan a.No. Referred 0 0 b.Assessments Completed 0 0 c. No Shows 0 0 3.DPfLP Eval and WTW Plan a. No. Referred 95 426 b. Assessments Completed 53 261 c. No Shows 42 165 4. DP/LP Eval Only a. No. Referred 6 60 b. Assessments Completed 2 31 c. No Shows 4 29 5.wrw Plan Only a.No. Referred 0 0 b.Assessments Completed 0 0 c. No Shows 0 0 6.TSI (Trauma Symptom Inventory) a. No. Referred 1 18 b. Assessments Completed 1 18 c. No Shows 0 0 7. Third Party Reviews only a. No. Completed 0 0 8.Third Party Assessment and Plan a. No. Referred 0 0 b. Assessments Completed 0 0 a.No Shows 0 0 Total Number Referred:152 680 Total Number of Plans:83 417 9.No. of Sessions 0 0 10. No. of Plans completed within 10 days 78 385 11. No. of Outreach Activities 2 5 Comments: The 5 reports that were late were pending psychologist signature and one in particular was rescheduled to December 3, 2008 but originally was from November 18, 2008. I certify that the this report is correct and complete to the best of my knowledge. Christina Gutierrez 12/12/2008 ~<JiL~/d(&d/~(f Date CALIFORNIA STATE UNIVERSITY, FRESNO SPECIALIZED ASSESSMENT SERVICES ACTIVITY REPORT CONTRACT NO:A-QS-250 CONTRACT PERIOD:July 1, 200S -June 30, 2009 CONTRACT AMOUNT: $297,727 REPORT MONTH: October-QS AM........:Month YTD 1. Limited English with wrw Plan a. No. Referred 33 126 b.Assessments Completed 16 80 c. No Shows 17 46 2. Abbreviated Plan a. No. Referred 0 0 b.Assessments Completed 0 0 c. No Shows 0 0 3. DP/LP Eval and wrw Plan a. No. Referred 80 331 b.Assessments Completed 52 208 c. No Shows 28 123 4. DP/LP Eval Only a. No. Referred 11 54 b.Assessments Completed 5 29 c. No Shows 6 25 5.wrw Plan Only a.No. Referred 0 0 b.Assessments Completed 0 0 c. No Shows 0 0 6. TSI (Trauma Symptom Inventory) a. No. Referred 3 17 b.Assessments Completed 3 17 c. No Shows 0 0 7.Third Party Reviews only a. No. Completed 0 0 8. Third Party Assessment and Plan a. No. Referred 0 0 b.Assessments Completed 0 0 a. No Shows 0 0 Total Number Referred:127 Total Number of Plans:76 Trainings: 9. No. of Sessions Other: 10. No. of Plans completed within 10 days 66 307 11. No. of Outreach Activities 2 #VALUEI Comments: 10 reports were not completed with the 10 days because they were pending psychologist signatures. Also a few were also rescheduled to a later date. Notes are given by case number. DateAUhO~2fft c?h~ ~.,.......~t:!.!h~is report is correct and complete to the best of my knowledge. 11/17/08 ~--~po~t~Cn \ Oa1,':/t/-/,),-o,f.__\ ~~0.1~c~..ce--_··.:J CALIFORNIA STATE UNIVERSITY, FRESNO SPECIALIZED ASSESSMENT SERVICES ACTIVITY REPORT CONTRACT NO: A-08-250 CONTRACT PERIOD: JUly 1, 2008 - June 30,2009 CONTRACT AMOUNT: $297,727 REPORT MONTH: September-08 o o o o o o o o o o o o 14 43 14 24 19 95 29 64 401 258 156 251 o o o o 6 6 6 o o 41 34 12 27 21 68 '<\h:1"":.'t,;·,-.......,........,.- ;~;~i('-'" 1. Limited English with WTW Plan a. No. Referred b. Assessments Completed c. No Shows 2. Abbreviated Plan a. No. Referred b. Assessments Completed c. No Shows 3. DP/LP Eval and WTW Plan a. No. Referred b. Assessments Completed c. No Shows 4. DP/LP Eval Only a. No. Referred b. Assessments Completed c. No Shows 5. WTW Plan Only a. No. Referred b. Assessments Completed c. No Shows 6. TSI (Trauma Symptom Inventory) a. No. Referred b. Assessments Completed c. No Shows 7. Third Party Reviews only a. No. Completed 8. Third Party Assessment and Plan a. No. Referred b. Assessments Completed a. No Shows Total Number Referred: Total Number of Plans: .trainings:' 9. No. of Sessions r _It:/\("y.~;:JPt j/:-:~lt~t~4/i'~"lijit.E;ir,~,:,WmjE{!~;1/,~,.,,~,,;jt ,y ;;<hmmlJi>1'; 10. No. of Plans completed within 10 days 11. No. of Outreach Activities Comments: 66 1 241 1 Two reports were not completed within the 10 days due to clients being rescheduled and pending signatures from the pyschologist. I certify that the this report is correct and complete to the best of my knowledge. Christina Gutierrrez 11/10/2008 Authorized Signature Date CALIFORNIA STATE UNIVERSITY,FRESNO SPECIALIZEDASSESSMENT SERVICESACTIVITY REPORT CONTRACT NO:A-GS·250 CONTRACT PERIOD: July 1, 2008 - June 30, 2009 CONTRACT AMOUNT:$297,727 REPORT MONTH:August-GS ~:....YTD 1.Limited English with WTW Plan a. No. Referred 36 59 b.Assessments Completed 24 43 c. No Shows 12 16 2.Abbreviated Plan a. No.Referred 0 0 b.Assessments Completed 0 0 c. No Shows 0 0 3.DP/LP Eval and WTW Plan a. No.Referred 84 183 b.Assessments Completed 56 115 c. No Shows 28 68 4. DP/LP Eval Only a. No.Referred 8 31 b.Assessments Completed 5 18 c. No Shows 3 13 5.wrw Plan Only a. No. Referred 0 0 b.Assessments Completed 0 0 c. No Shows 0 0 6. TSI (Trauma Symptom Inventory) a. No. Referred 4 8 b.Assessments Completed 4 8 c. No Shows 0 0 7. Third Party Reviews only a. No.Completed 0 0 8. Third Party Assessment and Plan a.No. Referred 0 0 b.Assessments Completed 0 0 a. No Shows 0 0 Total Number Referred:132 TotalNumber of Plans:89 9. No.of Sessions 0 0 OUter: 10. No. of Plans completed within 10 days 83 175 11. No. of Outreach Activities Comments: Two reports were pending psychologist signatures and the other three the clients showed up at a rescheduled date. Notes are listed in red. /.I /q;/;I ce~e this report is correct and complete to the best of my knorledge.(Jiku k /~0-22--0 0 Authorized Signature Date 10/I/lJ?> r CALtF'ORHlA STAT!UNIVERtIfTY.FROM) 8P£CW.IZED A........,SERVICES ACTMTY Refl'()ftT CQH1'AA.CT NO!A.oe-2IO CONTRACT PERIOO:Jufw ,.2008 •.JutN 30.HOt CONTRACT AIlIOUHT:$2'11.72T RDORT 1IONllt:Jutr41 I llll'Wt«l Engli.,..with wrw P1an llIINoJ;l~ b ~Comp4a11!d e No ShO'Ira :2 ~Ptan 8 No ~etemJd I)AaMaaments ~ c toto Shows J DP.\..fl'Eval and 'NrW A.ar1 aNo~ e AsMrssmentl ~ e NoShows •OPIlP C....ar.y •t40~ b ~.COl!ll~ c No $nc:JwlJ s WTVI'F'WI Onl'J •No R.-.r~ b ~CQfflfJ681ed c NaS~ 6 TS1I'TilIUffia S1~4!1¥'8f1lDJYi II NoR~ b ~COfI;l'elllll c MoS~ l Thtrd Pert~R~()fuy .II NQC~ 8-TtNn:I Pany ~and Pt.n ill t40 ~1Ttd b~ta~ a NoSh<w4 T*,NiunIbIIr .............~ T.......berol~ 10 No of P*a CD'TIpIcthId 'lMth1n 10 day• •1 .No.of 0ul:reItc:f\~ e-ntI: o o o 23 ---owe'·,"...·..e o o o o e e __-,-1~ !1 2 o o 10 o e o o e o e o .......~bec.!N ...""'Y ~~~st ~and !he ott'ter bIe8uM the ......uMOf waanl IIUI1I·or.t"Iat ~do Wf.ltI 1M dienC he needed <1n.Jg ~ AGENCY NAME SERVICE CONTRACT #' CALIFORNIA STATE UNIVERSITY OF FRESNO SPECIALIZED ASSESSMENT SERVICES A-08-250 CONTRACT PERIOD JULY 1,2008 -JUNE 30, 2009 CONTRACT AMOUNT: $297,727 REPORT MONTH: ~6 f REVISED 3/24/09 NSTRUCTIONS; Please attach documentation of all assessment services provided(Assessment 'rofiles and Welfare-to-Work). Monthly Budget and documentation must be provided to the 'resno County Departent of Employment 8 Temporary Assistance. Barton Building. Third Floor.. 1m: Staff Analyst. Fresno, California. 937504001 DATE: -9- d 7-89 CC: - -- --,- --7 .-- 3UDGET DETAIL SUDGET SUMMARY: I r I I i APPROVED CURRENT YEAR TO BUDGETCATEGORY I 1 MONTH I DATE I ,","EE / BUDGET EXPENSES EXPENSES TOTAL EXPENSES 1 466,447.00 1 23.480.00 1 278,515.00 1 187,932.00 1 7eviewed and Approved for Payment: \mount: California State Unive'rsity,-Fresno Foundation .... .... OMV@OGE . - ... .. , : - .&, , $ . .. -. - ....... (.). . ' " ! L. C.. - c.. . r 7 .r. I... L... i...: , i... .-> ' ! i:.:..~ , !, - ;,,-. ......... :; !. > - L-. : ...- ... 8 .i c.i 'I ;: ,.! >+->.:2 +,:>c.: 2. .v..?"'. . .... . AGENCY NAME CALIFORNIA STATE UNIVERSITY OF FRESNO lSERVICE SPECIALIZED ASSESSMENT SERVICES ICONTWCT PERIOD JULY 1,2008 -JUNE 30,2009 REPORT MONTH: INSTRUCTIONS; Please attach documentation of all assessment services provided(Assessmenl Profiles and Welfare-t~-Work). Monthly Budget and documentation must be provided to the Fresno CounQ Departent of Employment 8 Temporary Assistance. Banon Building. Third Floor.. Atln: Staff Analyst. Fresno. California. 93750-0001 BUDGET SUMMARY: I I i APPROVED CURRENT YEAR TO BUDGET BUDGETCATEGORY I I MONTH I DATE I DLUNcE / BUDGET EXPENSES EXPENSES I I I TOTAL EXPENSES 297,727.00 33,810.00 255,035.00 42.692.00 WlWPlan Only @ $100 TOTAL TSI @ $100 CURRENT EXPENSES '.; !,< . c :-,> .:. ... r- ... ... : ! ;.: I:. Calij zia State University,,Fresno FOL. Jatio ... UMV@UWZ .... AGENCY NAME SERVICE CONTRACT#' CONTRACT PERIOD CONTRACT AMOUNT: REPORT MONTH: CALIFORNIA STATE UNIVERSITY OF FRESNO SPECIALIZED ASSESSMENT SERVICES A-08-250 JULY 1, 2008 •JUNE 30, 2009 $297,727 1~E~i~f'~'E~·"7FJ}····..···'-1 DATE L~d/--~'7 l n v a~~;-'-=./ ~~Nrt-i::c;~::d~u=1 ~2:(;J~~'/'2,..~~~OS~~..._;,£-;~g4,:;;:f!g~-:~~·:::::=::;;.1 #.;l3/3?) INSTRucnONS;Please attach documentation of all assessment services provided(Assessment Profiles and Welfare-io-lM:lrl<).Monthly Budget and documentation must be provided to the Fresno County Departent of Employment &Temporary Assistance, Barton Building, Third Floor., Attn:Staff Analyst, Fresno, California,93750-0001 BUDGET DETAIL BUDGET CATEGORY ACCOUNT NUMBER Umlted EngllshlWTW Plan@$360 AbbnIVWTW Plan gS189 DPILD EvallWTW DPILD Eval Plan @$620 Only @$415 3rd Party AlP@$360 3rd Party Review only @$60 WTWPlan TOTAL Only @ $100 TSI @ $100 CURRENT EXPENSES No.of CalWortts 0300 20Assessments AMOUNT 7,200.00 Staff Development 0450Training TOTAL AMOUNT 7,200.00 BUDGET SUMMARY: o 0.00 0.00 44 22,880,00 22,880,00 2 830,00 830,00 360.00 360.00 o 0.00 0.00 o 0.00 0,00 100.00 100.00 68 31,370.00 31,370,00 BUDGET CATEGORY APPROVED BUDGET TOTAL EXPENSES 297,727.00 CURRENT MONTH EXPENSES 31,370.00 YEAR TO DATE EXPENSES 221,225.00 BUDGET BALANCE 76,502.00 Date:~ California State lIniversiiy,-Fresno Foundation,C:i ,:):l C f': D~W@O©~ ::.::.'...;.~.,,::;.",' })c;C U !1"i e n t rt ()C):l l.il,n c e I)ue CUSTOMER ~3 1.v :..::::./......:.; "\..-'...... 'i'<'-".-.',:' p.~~~:/: ~".-._'"fI-"<.' /c?.,;J.::J-tlo" AGENCY NAME CALIFORNIA STATE UNIVERSITY OF FRESNO ~t:~~~:---'_'_--'- SERVICE SPECIALIZED ASSESSMENT SERVICES ._-,---'~'--~- ,........_J"'.,.~,!.-~._-,4.,.~~%::..1!:.,tC2,____,__I", CONTRACT#'A-08-250 ,,..I2g;,_~.Lf!'_!:!L __._.__ ·_.~•••w.••...._._••_".._~;;;;:j CONTRACT PERIOD JULY 1,2008 -JUNE 30,2009 #;2~"if) CONTRACT AMOUNT:$291,121 REPORT MONTH:"01-01 INSTRUCTIONS;Please attach dOOJment8llon of all assessmentservices provided(Assessrnenl Profiles and Wellare-to-'M>ri<).MonthlyBudgetand documentationmust be providedto the Fresno CountyDepartent of Employment &TemporaryAssistance,BartonBuilding,Third Floor., Attn:Staff Analyst,Fresno,California,93750-0001 BUDGET DETAIL ACCOUNT Umlted AbbrevWTW DPILOEvallWTW OP/LOEval 3rd Party 3rd Party WTWPIan TOTAL BUDGET CATEGORY NUMBER EngllahIWTW Plang S189 Plan CIl$620 Only CIl$416 AlPCIl$380 Review only Only CIl TSI CIl$1oo CURRENT Plan CIl$360 @$50 $100 EXPENSES No.of CalWorks 0300 27 0 53 2 0 0 0 1 83 Assessments AMOUNT 9,720.00 0.00 27,560.00 830.00 0.00 0.00 0.00 100.00 38,210.00 Staff Development 0450Tralnina TOTAL AMOUNT 9,720.00 0.00 27,560.00 830.00 0.00 0.00 0.00 100.00 38,210.00 BUDGET SUMMARY: APPROVED CURRENT YEAR TO BUDGETBUDGETCATEGORYBUDGET'MONTH DATE BALANCEEXPENSES EXPENSES TOTAL EXPENSES 297,727.00 38,210.00 189,855.00 107,872.00 ReviewedandApproved for Payment:~a1L-Date:/~~c))I Amount:~O.fll) / 1 ~\l '.j :]::C E. California State Llniuersitu,Fresno Foundation ,-,','..::e D~\Y7@D©~ r~I~ESG~O COUNTY [)E.PT elF EMPL &TE:Mf)ASS1' AT-~=KEU MCMULLEN,STAFF ANALYST BARTON BLDG .•3RD FLOOR -STOP 53 449C~)~c KINGS CA~!YON ROAD Ff1ES~tO CA 93750--0()O~. ..........~- .'_/~::'_!..,I.:'f;:em,31'k Ln vo rc a ':''lm Dun t 23040 001 11/30/0B ASSESSMTS 11/1/08-11/30/08 38:-:2 °i 0"()O AGREE~;EN1'~!O~A--08--250 SFl[CIAL:rZED ASSESSMENTS SERVICES ACTUAL TESTING 11/01/08-11/30/08 CUSTOMER I I AGENCY NAME CALIfORNIA STATE UNIVERSITY Of fRESNO SERVICE SPECIALIZED ASSESSMENT SERVICES CONTRACT#'A-GS-250 CONTRACT PERIOD JULY 1,200S -JUNE 30,2009 Invoice 22931 --~.~,...,"-=-.,~•....- REV1EWED -- CONTRACT AMOUNT:$297,727 REPORT MONTH:0Ct-0I DA TE:../.L:dfk:d!K__ .o ~~By:._B~_-L . .____.~.-.---.--CC··-rru---·~------- INSTRUCTIONS;Please aU8ch documentation of all assessment services provided(Assessment cor,r;·:'\i"T NO'.d.-v?!..'.,d60 Profiles and VVelfar&-lo-v.bt<).MonthlyBudget aIld documentation must be provided 10 the J _,',o.,J __•0 ________.-._._--- Fresno County Departenl of Employment &TemporaryAssistance,Berton Building,ThirdFloor.,TOT/j~COST:$g,K ';::r;U"-'-2,'/;j. AIIn:SteffAnalyst, Fresno, California,93750-0001 ,--_",",.'0"_'>-- BUDGET DETAIL ACCOUNT Umlted AbbrevWlW DP/LDEvallWTW DPILDEval 3rd Party 3rd Party WlWPlan TOTAL BUDGET CATEGORY NUMBER EnllllahIWTW Plan g$189 Plan@$520 Only@$415 AlP@$360 Rwlewonly@ Only@$100 TSI@$100 CURRENT Plan@$360 $50 EXPENSES- No.of CalWorks 0300 16 0 52 5 0 0 0 3 76 Assessments AMOUNT 5,760.00 0.00 27,040.00 2,075.00 0.00 0.00 0.00 300.00 35,175.00 Staff Development 0450Training TOTAL AMOUNT 5,760.00 0.00 27,040.00 2,075.00 0.00 0.00 0.00 300.00 35,175.00 BUDGET SUMMARY: APPROVED CURRENT YEAR TO BUDGETBUDGETCATEGORYMONTHDATEBUDGETEXPENSESEXPENSES BALANCE TOTAL EXPENSES 297,727.00 35,175.00 151,645.00 146,082.00 Reviewed and Approved lor Payment: 4-:7){:JJtJL".~I!j?-w/CJP; Amount:Jt -:1;5=;/7 S.oD l r,,'"\tr>-r- 1"-j,":~,..:.:'! I)c C um e n t. ASSESS~l·rs 10/1/()8-10/31:08 AGRE:EME~~T NO:0··~()8-·2S() f:::;F'F'~_::IP:l."I Z !;::I)'A~~~E:;F~L-3r'iEi'-"j"~"'3 ~:'';E F,:V ICES AC1"\.lAL l"ES'rING 10/03,108-10/31/08 CUSTOMER AGENCY NAME CALIFORNIA STATE UNIVERSITY OF FRESNO SERVICE SPECIALIZED ASSESSMENT SERVICES CONTRACT #0 A-QS·250 r--·_·····..·RE\flE\VEJ)'-, CONTRACT PERIOD JULY 1, 200S- JUNE 30, 2009 I /~0/~~!P3 !, CONTRACT AMOUNT:$297,727 ISY ~...!{"( I'...~.- REPORT MONTH: .1 ~/l~d..J>.:d-.24 Iln'·-·-r..~~~:::UST.S ..Yet.'7de!.»o d.._._~---~-.. INSTRUCTIONS;Please attach documentation of all assessment services provided(Assessment Profiles and Welfare·to-Work).Monlhly Budget and documentation must be provided to the Fresno County Departent of Employment &Temporary Assistance,Barton Building, Third Floor., Attn: Staff An3lyst.Fresno,California,93750-<l001 BUDGET DETAIL "., ACCOUNT Limited AbbrevWTW .DP/LD EvallWTW DPILD Eva• 3rd Party 3rd Party WTWPlan Only TOTAL BUDGET CATEGOR'I NUMBER EnglishIWTW Plan@$189 Plan@$520 Only@$415 AfP@$360 Review only @$100 TSI@$100 CURRENT Plan@$360 ;@$50 EXPENSES I No.of CalWorks a . .~.., "a Assessments 0300 21 0 41 6 , i ..·.,a 6 : 74 AMOUNT ;-ira::'7,560.00 000 21,320.00 2,490.00 0.00 11.110 000 600.00 31,970.00 Staff Development _:i:"::..F !.·f·'it,"':TT Ij;'i :,,:t.'0450 ::950 Training V:::, "I:::'::',"TOTAL AMOUNT \:!::::.,::,7,560,00 0.00 21;320.00 2,490.00 0,00.. ..'c,oo "0,00 600,00 32,920,00 BUDGET SUMMARY: APPROVED CURRENT YEAR TO BUDGETBUDGET CATEGORY MONTH DATEBUDGETEXPENSES EXPENSES BALANCE TOTAL EXPENSES 297,727.00 32,920.00 116,470.00 181,257.00 Reviewed and Approved for Payment:~//J;o}ti?f ~7 Amount:~.OD I ~-_i California State University,Fresno Foundation ooow,@ 0 ©~ ",."'-'..",..-.-'-', '.,! CUSTor,lCR AGENCY NAME CALIFORNIA STATE UNIVERSITY OF FRESNO SERVICE SPECIALIZED ASSESSMENT SERVICES CONTRACT#'A-08·250 CONTRACT PERIOD JULY 1, 2008 - JUNE 30, 2009 Invoice 22682 ""---="'-=<".'~~~..,.",,,-.~~.~-......,,,,,,,,,,..',,--.--.........~"........." CONTRACT AMOUNT:$297,727 REVIEWED DATE:_/8-til-O,y REPORT MONTH:Aug-oe ~~:=K~:::·<INSTRUCTIONS;Please attach documenlalion of all assessment services provided(Assessment Profiles and \lllelfare-to-VIklrl<).Monthly Budget and documentation must be provided to the CONTRACT NO:/1-t:!?.oi?212 Fresno County Oepartent of Employment &Temporary Assistance,Barton Building,Third Floor..TOT,lid:..COST:$~a3d,o-oAttn:Stall Analyst,Fresno,California,93750-0001 "".--......"'.-..,".,..,.,.~--"..",.,......~-.----...-.:=....-- BUDGET DETAIL BUDGET ACCOUNT Umlted AbbrevWTW DPILO EvallWTW OPILO Evar 3rd Party 3rd Party WTWPIan TOTAL CATEGORY NUUSER EngllahIWTW pton 9 $189 Plan 4!l $520 Only 4!l $415 AJP4!l$360 Review only Only 4!l$1oo TSI4!l $100 CURRENT Plan 4!l $360 «!I $50 EXPENSES No.of CalWortls 0300 24 0 56 5 0 0 0 4 89Assessments AMOUNT 8,640.00 0.00 29,120.00 2,075.00 0.00 0.00 0.00 400.00 40,235.00 Staff Development 0450Training TOTAL AMOUNT 8,640.00 0.00 29,120.00 2,075.00 0.00 0.00 0.00 400.00 40.235.00 BUDGET SUMMARY: BUDGET APPROVED CURRENT YEAR TO BUDGET CATEGORY BUDGET MONTH DATE BALANCEEXPENSESEXPENSES TOTAL EXPENSES 297,727.00 40,235.00 83,550.00 214,177.00 Reviewed and Approved for Payment:'~n Date(oL~/o'l Amount: California Sttite'Uhiversity,Fresno Foundation Xn \.'oi C i.e' DOOW@D©~ F~i~ES~!O F'()lj!~DA-rlON ~·9j.O ~!C~~E~3'r~!l)T'AVE BARTON BLDG .•3RD FLOOR - STOP 53 i!·4 1?9 E.,KINGS CANYON R(:lAI) n ~tt "Doculnent c T~:./Reference [)ue Da"te P em,';,J'-k .Ln'v'CiJ.CE 2~:':":682 (3()1 08/31/()8 ASSESS~iEN'rS 8/1/08--8/3:l/0B B£il.El.nCf.'Du e SPECIALIZED ASSESSMENTS SERVICES ACTlJAl.,TEE;T:[j~G Of;/Ol/08···08/31/C)8 AGENCY NAME CALIFORNIA STAlE UNIVERSITY OF FRESNO SERVICE CALWORKS SPECIALIZED ASSESSMENT SERVICES CONTRACT #A-Ge-260 ,-_.~,.REVIEWED----- CONTRACT PERIOD JULY 1, 200e •JUNE 30, 2009 DATE:_~-(}J-A------ CONTRACT AMOUNT:$297,727 HY.~ CC:__ -~=---- REPORT MONTH:Jul-Ge CONTRACT NO:/1-IJ£·d.50 INSTRUCTIONS;Pleale 8llach doa,lInentation of all 888easment -.rices provided(AaMS8lTlent TOTAL COST:$~dI~:t?OProfilesandWlIlfa~o-Wo!'k),Monthly Budget and documentation must be provided to the ••~""•.••..•_",-........-~..........,...<L.,~...""'~.-..."'••_""'.~".- Fresno County Oepartent of Employment & Temporary Assistance,Barton Building,Third Floor" Attn:Staff Analyllt,Fresno,California,93750-0001 BUDGET DETAIL BUDGET ACCOUNT Umitlld Abbnw WTW PIa"DPILD EvallWTW DPILD Eval 3rd Party 3rd Party Wl'WPlan On~TOTAL CAlEGORY NUMBER EngilahlWTW 8.'·PlanO,S20 OnIY0541S AlPOhIO Rev-i_only 0"00 TS10"oo CURRENT Plan 0'310 0'110 EXPENSES No.of CalWortts 0300 19 0 59 13 0 0 0 4 95Assessments AMOUNT 6,840.00 0.00 30,680.00 5,395.00 0.00 0_00 0.00 400.00 43,315.00 Staff Development 0450Training TOTAL AMOUNT 8,840.00 0.00 30,680.00 5,395.00 0.00 0.00 0.00 400.00 43,315.00 BUDGET SUMMARY: BUDGET APPROVED CURRENT YEAR TO BUDGET CAlEGORY BUDGET MONTH DAlE BALANCEEXPENSESEXPENSES TOTAL EXPENSES 297,727.00 43,315.00 43,315.00 254,412.00 Reviewed and Approved for Payment:~Date:~I (q0 'i> Amount: California Stil:te-'Universify,"Fresno Foundation In Ii Q i C f:' TI\/l...JUICF ooow@o©~ Remit to -CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION 4910 N CHESTNUT AVE FRE:~~N[)7 CA 9372~)··'·1852 FRESNO COUNTY DEPT OF EMPL &TEMP ASST ATTN;KEU HERR.STAFF ANALYST B!~'~H"r'()N E~l...r.)Cj 'I.,::3F[)F·i....I::;CH .._.~;}TCJP :::~.:'3 4499 E.KINGS CANYON ROAD ACCOtlllt·-136485 Date 8/()8/0E1 G INQU~RIES CONTAC'r WILMA SATTERBCRG AT(559l278-0851 WSArT~RB@CSUFRESNO.EDU ""DocufilE.'nt " Ty Refe~ence Due Date Rem,::trk Ln vo ic e (iii'l()Unt C7/~::~:t /C)E:p ..J 07/3:;'/0<:3 p: ()'.i'/~.3 l/{};::::R.J O'//31,/OE P.l 22548 001 07/31/08 19 LTD END/WTW @ $350/EA 22548 002 07/31/08 59 DP/LD EVAL/WTW @ $S20/EA 22548 003 07/31/08 13 DP/LD EVAL ONLY @ 5415/EA 22548 004 07/31/08 4 T81 @ $100/EA B-::llBilCE)DU.f.' AGREEMENT NO.A-OS-250 ~;~)ECIAl_IZED ASE5E~;~~MEN1'~3 S:~RV:I:(:E~S ACTUAL TES1'ING 07/01/08-07/31/08