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County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB 4/22/2014 9:15:47 AM AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS CLERK OF THE BOARD 44 N. San Joaquin Street, Suite #627 Stockton, California 95202 For Clerk's Use Only: AGENDA NUMBER SUBMIT ONE COPY OF TIDS FORM WITH EACH BOARD AGENDA ITEM. At the time of submitting your agenda item documents, please provide ONE ORIGINAL & 7 COPIES OF THE BOARD LETTER AND ANY ACCOMPANYING DOCUMENTS (Resolutions, Board Orders, Contracts, etc.) for distribution after Board Approval. If more than one original is required, you must provide the appropriate number of originals to be executed by the Board of Supervisors. DATE: April 18, 2014 AGENDA ITEM TITLE: DEPARTMENT: Human Services Agency CONTACT & PHONE #: Dean Fujimoto, (209) 468-3805 APPROVAL OF AMENDMENTS TO THREE TITLE III OLDER AMERICANS ACT CONTRACTS INCREASING TOTAL FUNDING FROM $154,230 TO $162.837 FOR THE PERIOD OF JULY 1.2013 TO JUNE 30. 2014 PROPOSED AGENDA PLACEMENT DATE: 5/6/14 PROPOSED CALENDAR: Consent H & HS DISTRIBUTION: (MAILING ADDRESSES MUST BE PROVIDED IF NOT A COUNTY DEPARTMENT) TO: DOCUMENT #OFCOPIES Clerk ofthe Board Board Order, Amendments (3) 1 Original Adult Services - Clerical Board Order, Amendments (3) 1 Copy Director, HSA Board Order, Amendments (3) 1 Copy Auditor-Controller Board Order, Amendments (3) 1 Copy County Counsel Board Order 1 Copy County Administrator Board Order 1 Copy Special instructions to the Clerk of the Board: AGENDA ITEMS MUST BE REVIEWED AND SIGNED OFF BY THE DEPARTMENT HEAD, COUNTY ADMINISTRATOR AND COUNTY COUNSEL. Department Head __ ' oate._Lf-+-/:......:..,I'l Jr----,I Cf/--------- r I --'10 .,.2 =

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Page 1: AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS … meetings/agendas/050614/mg98775... · County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB. 4/22/2014

County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB

4/22/2014 9:15:47 AM

AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS

CLERK OF THE BOARD 44 N. San Joaquin Street, Suite #627

Stockton, California 95202

For Clerk's Use Only: AGENDA NUMBER

SUBMIT ONE COPY OF TIDS FORM WITH EACH BOARD AGENDA ITEM.

At the time of submitting your agenda item documents, please provide ONE ORIGINAL & 7 COPIES OF THE BOARD LETTER AND ANY ACCOMPANYING DOCUMENTS (Resolutions, Board Orders, Contracts, etc.) for distribution after Board Approval.

If more than one original is required, you must provide the appropriate number of originals to be executed by the Board of Supervisors.

DATE: April 18, 2014

AGENDA ITEM TITLE:

DEPARTMENT: Human Services Agency

CONTACT & PHONE #: Dean Fujimoto, (209) 468-3805

APPROVAL OF AMENDMENTS TO THREE TITLE III OLDER AMERICANS ACT CONTRACTS INCREASING TOTAL FUNDING FROM $154,230 TO $162.837 FOR THE PERIOD OF JULY 1.2013 TO JUNE 30. 2014

PROPOSED AGENDA PLACEMENT DATE: 5/6/14 PROPOSED CALENDAR: Consent H & HS

DISTRIBUTION: (MAILING ADDRESSES MUST BE PROVIDED IF NOT A COUNTY DEPARTMENT)

TO: DOCUMENT #OFCOPIES

Clerk ofthe Board Board Order, Amendments (3) 1 Original

Adult Services - Clerical Board Order, Amendments (3) 1 Copy

Director, HSA Board Order, Amendments (3) 1 Copy

Auditor-Controller Board Order, Amendments (3) 1 Copy

County Counsel Board Order 1 Copy

County Administrator Board Order 1 Copy

Special instructions to the Clerk of the Board:

AGENDA ITEMS MUST BE REVIEWED AND SIGNED OFF BY THE DEPARTMENT HEAD, COUNTY ADMINISTRATOR AND COUNTY COUNSEL.

Department Head Signature_~t-+---~ __ ' oate._Lf-+-/:......:..,I'l Jr----,I Cf/--------­r I

--'10 .,.2 =

Page 2: AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS … meetings/agendas/050614/mg98775... · County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB. 4/22/2014

SAN JOAQUIN COUNTY

April 18, 2014

Board of Supervisors County of San Joaquin 44 North San Joaquin Street Stockton, CA 95202

P.O. Box 201056 102 South San Joaquin Street

JOSEPH E. CHELLI Director

Stockton, CA 95201-3006

Tel (209) 468-1000 Fax (209) 468-1985

Cal WORKs Head Start

First 5 San Joaquin Children's Services

Aging and Community Services Mary Graham Children's Shelter

APPROVAL OF AMENDMENTS TO THREE TITLE III OLDER AMERICANS ACT CONTRACTS INCREASING TOTAL FUNDING FROM $154,230 TO $162,837 FOR THE

PERIOD OF JULY 1,2013 TO JUNE 30, 2014

Dear Board Members:

RECOMMNEDATION:

It is recommended that the Board of Supervisors:

1. Approve amendments to the subcontractors between the County of San Joaquin and Jene Wah, Inc., LOEL Center and Gardens, and the University of the Pacific, for the period of July 1,2013 to June 30, 2014; and

2. Authorize and direct the Chairman of the Board to sign said Contract Amendments.

REASONS FOR RECOMMENDATION:

The Area Agency on Aging (AAA) is a component of the Human Services Agency, Aging and Community Services Bureau (HSA-ACS). The AAA is responsible to administer federal and State funding targeted to meet the needs of seniors throughout San Joaquin County. The AAA ensures the delivery of services through a combination of providing services directly, and contracting with community-based service providers. Annual Contract funding and units of service are based on the allocation received through the California Department of Aging (CDA).

On June 4, 2013, the San Joaquin County Board of Supervisors approved the Contracts with Jene Wah, Inc., LOEL Center and Gardens, and the University of the Pacific (B-13-395). On April 15, 2014, your Board accepted $75,825 additional Older American's Act Title III funds from the CDA. The additional funds are federal funds which are used to improve the delivery of services.

0. IIiuioI is II lead ill the

aUIioII aid deIMry " .mas dIat iIprIft die qaIity " Ie • _ ~.

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Board of Supervisors APPROVAL OF AMENDMENTS TO TITLE III OAA CONTRACTS

April 18, 2014 Page 2

In accordance with CDA guidelines, the Title III-C nutrition funding is available to sub-contractors Jene Wah, Inc. and LOEL Center and Gardens, and the Title III-D health promotion funding is available to the University of the Pacific.

At this time, the Commission on Aging and staff are recommending funding for the following service providers:

• Jene Wah, from $84,400 to $88,852 to provide 14,229 meals in the Congregate Meal program.

• LOEL Center and Gardens, from $58,238 to $61,312 to provide 13,029 meals in the Congregate Meal program.

• University of the Pacific, from $11,592 to $12,673 to provide 276 contacts in the Falls Prevention Program

The Contract Amendments have been reviewed and approved as to form by County Counsel. At this time, staff is requesting the Board of Supervisors approve the Contract Amendments of the Title III Older Americans Act Programs for 2013-2014.

FISCAL IMPACT:

Total Cost

Approval of these Contract Amendments increases the funds issued to the listed Agencies by $8,607 from $154,230 to $162,837. There is a match requirement of$19,165 associated with the amount awarded to Subcontractors. Subcontractors will meet this match requirement as part of the Contracts.

Net County Cost

There is no net County cost associated with the approval of these Contract Amendments.

ACTION TO BE TAKEN FOLLOWING APPROVAL:

Upon approval by the Board of Supervisors, staff will process the contract amendments.

Sincerely,

n1 ~. JO';;t! E~helli, Director Human Services Agency

JEC:DF:EV:jlc

Attachments

cc: Auditor Controller County Administrator County Counsel

Clerk of the Board for May 6, 2014 Agenda

Our IIissioI is III lead ill the aatioR .. deIMry of senices that iIIprM

die quality of life ... _ ..-ity.

Page 4: AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS … meetings/agendas/050614/mg98775... · County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB. 4/22/2014

Before the Board of Supervisors County of San Joaquin, State of California

B-14-

MOTION:

APPROVAL OF AMENDMENTS TO THREE TITLE III OLDER AMERICANS ACT CONTRACTS INCREASING TOTAL FUNDING FROM $154,230 TO

$162,837 FOR THE PERIOD OF JULY 1,2013 TO JUNE 30, 2014

THIS BOARD OF SUPERVISORS DOES HEREBY:

1. Approve amendments to the subcontractors between the County of San Joaquin and Jene Wah, Inc., LOEL Center and Gardens, and the University of the Pacific, for the period of July 1,2013 to June 30, 2014; and

2. Authorize and direct the Chairman of the Board to sign said Contract Amendments.

I HEREBY CERTIFY that the above order was passed and adopted on _______ by the following vote of the Board of Supervisors, to wit:

AYES:

NOES:

ABSENT:

ABSTAIN:

MIMI DUZENSKI Clerk of the Board of Supervisors

County of SWl Joaquin State of California

Page 5: AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS … meetings/agendas/050614/mg98775... · County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB. 4/22/2014

San Joaquin County Human Services Agency

A-14-----AMENDMENT TO AGREEMENT NUMBER A-13-207

This Amendment to Agreement Number A- t 3-207 (hereinafter "AMENDMENT") is

made at Stockton, County of San Joaquin, California, as of this 6th day of May, 2014, by

and between the COUNTY OF SAN JOAQUIN, a political subdivision of the State of

California, acting through the HUMAN SERVICES AGENCY, hereinafter referred to as

"COUNTY", and JENE WAH, a nonprofit corporation, hereinafter referred to as the

"CONTRACTOR".

WHEREAS, on July 9, 2013, COUNTY AND CONTRACTOR entered into Agreement

Number A-13-207 to provide Congregate Nutrition Services~ and

WHEREAS, COUNTY AND CONTRACTOR now desire to amend certain provisions of

Agreement Number A-13-207.

NOW, THEREFORE. in consideration of mutual obligations in this Agreement and for

other good consideration, the receipt and sufficiency of which is hereby acknowledged,

the parties to this AMENDMENT, AGREE AS FOLLOWS:

1. Fiscal Provisions (Exhibit B), shall be changed to: COUNTY shall reimburse

CONTRACTOR for actual expenditures, not to exceed EIGHTY EIGHT

THOUSAND, EIGHT HUNDRED FIFTY TWO DOLLARS ($88,852). [Change in

dollar amount only.] All payments are contingent upon the availability of state and

federal funding.

Amendment to Contract Contract Management Division

1

Page 6: AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS … meetings/agendas/050614/mg98775... · County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB. 4/22/2014

San Joaquin County Human Services Agency

2. The original budget included in Agreement A-I3-207 Exhibit A is hereby canceled

and replaced by a revised budget marked as Exhibit B and is attached hereto and

incorporated herein.

3. All other provisions of Agreement A-13-207 shall remain unchanged.

CONTRACTOR: JENE 11':'IH 238 E. Church Street Stockton. C4 95203

COUNTY: COUN7l' OF SAN.JOAQUIN - IlU}.IAl'vT

SERHCES AGENCY P.o. Box 201056 Stockion. C4 9520]

IN WITNESS OF THEIR AGREEMENT to the terms and conditions set forth above. the COUNTY OF SAN JOAQUIN and JENE WAH have placed their signatures below:

ATTEST: MIMI DUZENSKl Clerk of the Board ofSupcrvisors of the County of San Joaquin State of California

By: ________ _

Deputy Clerk

Amendment to Contract Contract Management Division

2

COUNTY OF SAN JOAQUIN. a political subdivision of the State ofCaJifomia

By: _______ _

ROBERT V. ELLIOTT. Chainnan Board of Supervisors

JENE WAIl

Board Chair.

Federal 10 # 94-2449450

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EXHIBI1 a v.tl.":IO'4

IU.Ef$~'~UL.O;NJP._·~~> .'"., "···':~'~I

Contractor: Program:

Budget Period Contract Number:

COST CATEGORY

[dF~E(~ 1 PRul...Rr..rr \~( I:-;~::-:' lilpl"lll I

I 'HJ IIi [ IT, oo;r'o

_"'.~'-.' "~,,.,,-., •. ~ "--"'IfIi.'" 'fit ~"' ~ ~w~' 'f; i!J!~ ~~::!~4 ,,~t t%iat:1[\ii

~," ,. "'.-~" ,,"' ,>{",,~ ~~~,,#Jj!f

Jfu.~ __ ::..::.JiJJ,

Jane Wtl:!, Inc

___ .:::C.:::on",g""r!l'l'le Meals . Tille III C ·IINSIP Education

July 1.2013· June 30. 201"

A,. 13-93

"' . ... "0/)/;::~ ;;c.,; .~;//.;:;.:.::@ ",

III YOU' iIId-'.'''~ ...... "" ~ 01 Progr.m SIMI"", pIN •• com".'. ~n 'ndIrec' Co.' Form ."tI.~b"'" INdh tho b.., I

TOTA&.

'fit GRANT .~ STATE FUNDS

ORANOTOTAL .t24 • Yl.1d • '1.218 t

Date Submitted: ~J?611" -----------------o-n-Gl"~c1r~'1:& .1-..,-10 Ad~!~~.~~!!:t_g"!.-_____ _

IPIECtAL LOCALAAA

FUNDS CMHIIATCH • S 121 ••

\\h,...:tl'IA:;Nl'J IfYIIIo'A'hll" t;uno",I.lU",. ~"\lk.o •• ",,:,tm""1 o.M rnl.'~''''':n-I'lIId1\-YCA, '10 .ftlJJo_ Uu.oy.t.'o1JLluCl n:hSL'EKl..'''fI RAl.. "0RQ,\I.,n", WIlh'F,( 201-'·1.41,)111'. 'Nil" C • f.lfVISf,[) Ihlljg~ n·lo!. 11,\lAw .'\..:!e~1 .. ,"-l1 . lAlm"'!A,v/)(311:;C1'.

CASttNON- PROGRAM MATCH INCOMe

t , 2UIO

~'''''''''~AicS'''\W # ,W'lfiI. $4,$';:,,, w,,,,, 44,£).. '. ~-H*Xik.",,· . .7( >Lt>~j':\jl.~ tn, 1, .4HR!k p,e kf1IJ .A 4%1--. ",.;" 9.,,9A\,.. F'*.'¥A. 3W}M$4,4JIM¥i',;'? 4}¥PQ $U4:;P&i%,;;;XtMiJJ'; J.J !Mt"iQ.4MU;::;:;t5If4!i,WWiil!4¥4i)#$bJffM!(",¥¥< tPiU", -4A4, ;m:,4...#Aiq;?iLK.¥X4)(,1L '* t;WbJ?U ,t .. QtlE~-'.Q¢, >". , ,'¥ J.@&. £1$:; -d;;Q¥%::;;'#¢ZM£Iil~

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F.XHIBIT B

t.... ",~, _ . _-ii~ .~:. __ .i: ~::.. . ._.~ ... ~~

Contractor' Jon. \N.~. :""

Program' ('fAJ'''P*'MIt.n Trw lie 1:"'Sf'l:.d~Oh

!iUMBI!R Of'

PO!ltTION S

NUMBER OF

PO!ltllON S

ANNUAL HOURS

PER PERSON

ANNUAL HOURS

PER PERION

~

~"'IIItf.It.'""' AddItIOnal F vndng

SPECIAL lOCALAAA

FUNDS

SPECiAL

CASH MATCH I CASH NOIII· AMOUNT MATCH

TotAL AlKlUliT

STATE QRANTiLOCAL AAA I CASH MATCH I CASH NON· I I, . I AMOONl._ .• t:UNDli AMOUNT MIt. TCH AMOUNT • P!!!!M

... I + ... ·~·····I! • I

I~AfiDPJiOOIWiU&MY!""'" ~ Of· r""'Amu: ~~lt-:··.~·"fI;::·"!l. aJlJi1'i"f·~·· n~U ~'1IIUii1

\1tI .... ".!J'Jlqrg nl.vrllClut6.':lIIr ...... m~1j ~tf!~ ... , ... ,,,,,. l'lIIA "'J~'l;uml""'~ MO, "-l"j.N-tllI«I"lI'/:'1III .. fIEr~~IbIJp,L\~NrRA(.l:)P!:.",_w ... '.rv :>013.!40>JfllrwWriI': I IlifV!iHI KtI¥1 I,' 1,q ~ tW. .".16·141',. . ' ... ...,h","-,.\'.'11,";101

~F"""~~"1I'¥",~~, "J; ",,¥;;t¥ Ai!+A· jOWJ0j.J,,¢4!U .%;m.1$ A ,t j-)?1i'.~P4M!Q.lJl+lltw('i'AIPIQi~", <)¥l£,S .kn, ; Mit.. B.4%4'_·'.,A i. ;;; !4V,j% .. HI'-I4£!,!Jif,X€',,,,,,.).£* W¥4AW),yi,%\ifJ44"lA bJ")5 44!/(4@i,"1f_$\f.bi.$.J. t,iil!}k(M~.JiJ"" U ,3. lA h __ .&LF,i. A .. hk!l!"P¥*I'U am ~lffll\,Hi~; JiiM"WV"'i;g;;;: .. Ut$

Page 9: AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS … meetings/agendas/050614/mg98775... · County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB. 4/22/2014

EXHI81TB

:-'-.- .. -~-- .. - -.----- -- -' ., .. ~.._"

Contractor, Jeno \\Ion. Inc 0-Program: ~""'!!~. ", .. I.· T~le III C_:'I~.S~..!'~ __ _ ~""'III".ftlll'l ~_I~~.!~_~-~~----

lV_III~·,-InIUr",If1C"",,-. __ _

Iltf~.ln.~u

TOTAL PROGRAM STAFF BENEFITS 27.112 S •. _ S 11._ S 2.5" 27.112

rE "'- .-ec;w. .-.~-

NIP *'to1ll LOOM. OMIt 0::: --,.,. ......, MA 1lAft:H -- TOTAL ADMIN AIIOUNT I'UNI:Ml - AMOUNT AMOUNT ULAND

I. s .. ' . . t • . .. • ___ ~t.L . . __ c!

TOTAL ADMIN STAFF BENEFITS S $

"_'1· ... '.., .~""'n.y .. GQ .... ltUlr.yt_~,·,(,."« .. IJCrlII.~.·'-anl'lId8 ",,(11,;1 If'I.t-t'·!!k.II!Jr!fII'.I\IJ(:;C·fro;':'\.tlo/.; ....... ·I'I .. (·I:''IIII!I· .... lfI'/tI''''FY :01" '4'olD""""''' C·, ,n."'I~tIJftU4tct 'I '01 .11\.101 '~!l '""If.! ~..., ~,,","1'7tll"

SijiI# , "'.'~.~,~>i A -i, J4l!9 - Q,AJX'<*,.4,. J.G¢' 3 ~ ,",!¥ +,;,4&% AiiU,·2,·Y4P;;:.,a:z:s;" *9 ,- wAg; SA" L ,to FlU kU.,Ht*!l1!!@k£i8., 4&.;;Q;,®WPii¥;;:4.J.ll4n;:U:;;11<it.44W-,H4J$K¥#&, $U!:iq\L,1i4***#?!hFIl)II"!~f'lil¥" XtAi? iiilifW.iA¥ ',~ XWA¥ n .. _*- FA ,:RM%M¥)53,A c • _ Ii #\., ., '" J; $. ·S· gSM;;a;; 49

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EXHIBIT B ':1"}o14

~_: .. _:jL:~, ~-~:'~'~,=~~;=_~~L,:~. ~-~,;_",,_._,_, _,._'"._, ... ~ ....... ",.~ .. ,,~. _, . .;..,_ Contractor: Jene W8~. InC

Program:

I', K I'~ll J 11 1',11 r !,> '-,AI ,d·, I'

COMPARABLE TITLE & TYPE OF ACTIVITIES Vo .... lee' i-iUirii;oo Education ,--.---,. -~-~.~--- ."-.--~---~.

,,-"--------~--

·_~~_+ __ ~e __ + ____ ~

Congregate Meals . TI'"'!_III.~.:~~.SIF' • .§~E"~~ ...

NUMBER OF

_~~ITIONS 600

.... ....L1l!l

ANNUAL CASH VALUE

IN·KINO ANNUAL HOURS HOURLY

PER VOLUNTEER RATE 202 l) 800

3 S _ .• ,a}X)

TOTAL IN·KINO SALARIES

'II0F USAGE fOR

DIRECT PROGRAM ACTIVITIES

0--~'"'II'f;.~" Additional Funding

VOLUNTEER nME AlLOCATlON

TOTAL. IONO..-4

9,720

'110 USAGE FOR

INDIRECT. GENERAL. OR

ADMIN ACTIVITIES

'!IoOF TIME SPENT ON

DRECT PROGRAM ACTMTlES

100'110 ___ .. ..100" ....

'IIoOFnME ON

INDIRECT. TOTAL GENERAl, \IOUJHT&lt or ADMIN Talat-

ACTMTlES .....

PROGRAM VS. INOIREcTiAiiMiN'iN-KiNO'MATCif

'~I PROGRAM I'" ADi!lfW,fII.ICINO TOTAL .... tciNDMA1'CIf i1QI IONO-

I !III 24 •

• '.no $ ----';-i20"

\":'.~J\AOI·~"",tJldu!l (\ ('Qorl"lljfl"" !:>frYI.:o,II( ... '-.nlflf.1 OlOOl 'oldor5·.(~l,Int .. ItiJ·UO~"'H"oI1i4$.&ldgtts\jh'lx,e:r:-O\9ue(":~Nl~"t.l(1 .... ~\~ ' .... .., .. H· ... (l11.1.~1"1VI Wilt' C 1 Fiev HO MQf)I" I,I.U. i"INA,L ·~·ZI5·1ol<?~In.Klr.(\IJ,':' ';.'1.11.

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Contractor: Program:

Jene Wah, Inc.

Congregate Meals - Title III C -1/NSIP Education

Total (must match summary page) Amount of Program Income on Summary Page

Total (must matcn summary Amount of Cash Non-Match on Summary Page

Total (must match summary page) Amount of Cash Match on Summary Page

$ $

$

$ $

313112014

o Original

o Amendment & Reason Additional Funding

26,350 26,350

121,498 121,498

I\hsa33\Aging-sys\Adult & Community Services\General Dept Folders\Contracts-MOU's-Leases-Budgets\BUDGETS\SUBCONTRACTORS\Jene Wah\FY 2013-14\Jene Wah C-1 REVISED Budget 13-14 FINAL 3-28-14/#4 Prg Inc & Cash (Non) Match/3/31/2014

\..}\h{4!(t,\ TO "'.""""''''''''7''~",*'''''~'~>, t-A,Q). 4P+M*i#J;;H,*;,&,8'#.?,~*.P9A.1,. h1" '*'_' ,,!\'h"""~~~~«i%RU;JL ,J.lL,a;;;::.,,?'hWp'I\h,##*. ".Il%,,,f5.f._H~~-.L, .;p,!" #1 "!§"'\i.id-'j\"'lJ.;"3!t'7L;i(iJih'ij''IlPy",,w~F~~~~~~~''''"''''''''''''"''i'''-'r,=-:~~

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San Joaquin County Human Services Agency

A-14-----

AMENDMENT TO AGREEMENT NUMBER A-13-209

This Amendment to Agreement Number A-13-209 (hereinafter "AMENDMENT") is

made at Stockton, County of San Joaquin, California, as of this 6th day of May, 2014, by

and between the COUNTY OF SAN JOAQUIN, a political subdivision of the State of

California, acting through the HUMAN SERVICES AGENCY. hereinafter referred to as

"COUNTY", and LOEL CENTER AND GARDENS. a nonprofit corporation. hereinafter

referred to as the ··CONTRACTOR".

WHEREAS, on July 9,2013, COUNTY AND CONTRACTOR entered into Agreement

Number A-13-209 to provide Congregate Meal Services; and

WHEREAS, COUNTY AND CONTRACTOR now desire to amend certain provisions of

Agreement Number A-13-209.

NOW, THEREFORE, in consideration of mutual obligations in this Agreement and for

other good consideration, the receipt and sufficiency of which is hereby acknowledged.

the parties to this AMENDMENT, AGREE AS FOLLOWS:

1. Fiscal Provisions (Exhibit B), shall be changed to: COUNTY shall reimburse

CONTRACTOR for actual expenditures. not to exceed SIXTY ONE THOUSAND

THREE HUNDRED TWELVE DOLLARS ($61.312). [Change in dollar amount

only.] All payments are contingent upon the availability of state and federal funding.

Amendment to Contract Contract Management Division

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San Joaquin Count) Iluman Services Agency

2. The original budget included in Agreement A-13-209 Exhibit A is hereby canceled

and replaced by a revised budget marked as Exhibit B and is attached hereto and

incorporated herein.

3. All other provisions of Agreement A-13-209 shall remain unchanged.

CONTRACTOR: LOEL CENTtR AI"'/) GAR/)EIVS 105 S. Washington Street Lodi. CA 92-10

COUNTY: COC]NTY OF SAN JOAQUIN -l!UA-fA,V SERVICES AGENCY p.o. Box 201056 SIOCklOn. C4 952Ul

IN WIlNESS OF THEIR AGREEMENT to the terms and conditions set forth above. the COUNTY OF SAN JOAQUIN and LOEL CENTER A.l\JD GARDENS have placed their signatures below:

A TTEST: MIMI DUZENSKI Clerk of the Board of Supervisors of the County of San Joaquin State of California

By: ________ _

Deputy Clerk

Amendment to C ontraet Contract Management Division

2

COUNTY OF SAN JOAQUIN. a political subdivision of the State of California

By: --------

ROBERT V. ELLlOTT, Chainnan Board of Supervisors

Director

Federal ID # 94-2412399

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Contractor: Program:

Budget Period Contract Number:

-cOITQTEGORY --

EXHIBITB

________ L_O_E_L_F_O_UN_D_A_T_IO_N _______ _

C-l CONGREGATE MEALS

71112013 - 61301201-,-~ ______ _

A-13-95

III ~OUI m</IIecI ,aM •• c.~d. B% 01 Program Sa",,,,, plea,e oomp/llie <In 1'-'1 Coal Form and subl1lll MIl! tile budge/.)

GRAND TOTAL

Date Submitted: 3127114

0>.", .. Qn-.-mnom. ~ ......... , Ad __ dl_tIonaf __ F_und __ 5 _____ _

\lh'.Jl31"'A tly .. ~ .. ""dll". <:'lIm'· 1~1I~ ~."'lvl'" •• \l..~, ... all:.pt~tllr,:pfilo\i;II"tr!llr:1 •• "'OIJ .. l t!' ....... ·Il"dg.h,\l:J!Jl',QE l£WUSCON':~At.tr.1rf.s\Lo,d S(m (II 1.-:lIIf1t",~r II ;m,) 14UOFi t·1 ~;rL \,IISLOU .. dt,JaI .]01 ::\·21;'" FiNAl :)..18.-,.,/-'5 £11 ... "".,,/3131,1:'0''''

;to'J· .. I~)l"

~''"W''--"'ry'i'('J'" -. W ""AiM·'" f' ~ ,t;;; UQ}!!4\.!< 1£¥II*fl4#') .M, ·'f;"M _ ;wy.,4;;:Z, 9. S , • ;s. ,.JU it +)"~~V tHMi#i¥¥'A$#$#,,%$)iAA9!1tA$ 3;_30&.35$ 4~ Z.~ i. 14.}::;;;;$4% {,·L M AlPA;:::;;;.l~. '\t%Jllj .• ~ ~~'!.~4i (fiN- .JiLJM"Jii14t,. 1f'I&:;t;. $, ;;;';;:::::. t.M. liRAW .. \k-P ..• k lM.m. 9 ;S <L* itj . .\itt. hiP- •. .4.1i NLPwa, $ ;::tAL uA.,%SMM 3 .. ; PO #9

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EXHIBIT B

~:. -.:--=~._ . ___ ,~3··· :iL:..:.,.. _. _~ __ .,~_ .... ~~ .. ~ .. .,

Contractor'

Program

LOEL fOUNDATION

C·1 CDNCR.EGATE MEALS

0--0 a...rrd"fII!.1tAIt,., .. n

Addl11on1l Fund.

SPECIAL STATI! GRANT I LOCAL AAA I CASH ""ArCH

AMOUNT FUNOS AMOUNT

116W4IiWiMDl'!!IOQIWIWOMLCliii:4iJJr:' ,._-,.,.-,.. II" 1I.flt'fI'!!"'A Wi.. &·n'!!i!!!I!·-~

\." .. ~~ .y1""""l,,'" 0II'~'...n1l't ~">'II;:",\J""". f'l'fII r:kl!tr.";:(JfIir.c:. MOll, ~_.l\ud!)ltl.II!UUIJ.t rS~5 ... !K:nNlkA:; '1)1oi!'!\(lIJ<I It....." ;;anI.,\fv?U- .\.1 ..... on ( •. 1 RlVI.50l:D a~ ;.IQ1J·:;Ctot f NAL.~la-''''''l ., .. .., ~ •• ·• .. i'.l1:l·.t.x'l1 ..

~- n, ,fSjiM sP'~" Fi" Wi . I., ,HlH5Jt+b AAIJf,.j.,L 3 z.¥'j@, . i¢. l. m, . .Q ;. 441 #\ 4 %1 ;gg" "lUi ¥4iX{IW4IJXlAi ,tA A,Jl~§)"'W%NM?+iIIf¥I"l$@c);;;;XW\tlJlJlYU,:g¥>i._¥Pii/¥iiB .,;;S;; ." #£A4_k if,,;¥I1!YJ)¥.(M,S.I1AfLQ(4A YMi#.J#!It< 4q" < ,-4 k, .• ,j ,_ J&7f&'!'#JiJW,@!&&iJi.A#} A J¥Ff!lI4H:;;:; .J)@ LOI$)lIi)k&,ii!}4jiA:,t; 'M.t%tk.2,.!J!ii!??ASi9i.oJ,.;;/4.tp.

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EXHIBIT e

~f~-:·_~,:..:i~:. ~:..:.." ".~;.",;...:.:,-,:~~:r.~';;7_~

Contractor

ProgrBm

R.t"lU!l!~ __ ~ ______ _ rJo

H_'!~~.~_)n!J!!~Jt ___ ~~.~~~::r_~ ['10

LoEL fOUNDATION

C·I CO~~EGAT"..MEA=L::S,-___ _

---.~g--- ._ .... _ .. _-.+-------IJo<-[)< [Jonw_. [Jo

TOTAL PROGRAM STAFF BENEFITS I

cQ'¥'t:'~~~~lC!.."_ __ I~"""""" §.QQ'"

c~.~ \~~'!fl __ "" '~I ~~. =::':~::-=-lr-----­

lQJ!l!f.J.!J!..'~'!YL TOTAL ADMIN STAFF BENeFITS S

[>-

~~ ..... "" AdchtiOMt Fundi

t.021 S 4.150 I

UP •

'huU'lv,J"', ." .... nll'" I D'I""IU~"" ;,g .... lC.rrw-::>t". • .II lilt,. .Q~"..,"i.·,./jf ... ,."j.·"Ol'~·I .. " • .....rwtl\P"I ...... \I.l~1 I 'H".Jt'oC.(·..,. :11",(,1, ~~'lOtP' ,:.'1f!>r '~utl ... 'f·1 ,'Ul ~ U·'~L>f.L i:. R(VISit'! 81>4iQ1r1 ~Ol~':-:-U r NAI 1·28- , ..... ;( . C-...... "'"'''''"t.'1..'I''.i'\lI''

2,410 541 1.850 • t.026

3.155 S 2,615

~""""1'"~_''''"'''''''''~~~p;;::::, t, L g, Ah*4 i<b4H\4d k,J ,0, < _ :;;:P:'!¥*iiAMfi'Ut k &2 4bm A # L,A'!3i.bJk,"i '.An)C C"i;. J.A¥4 ,.lJ4{ii!iJ4!i;4WW,Oil$,MJ¥,4 Zj(@ ,,.Ug:Ui ;~$fI$%3.U.$4,_, 1/'P9iRi"'¥3.JdW$·,.11Jl1.i.i40iiJ¢W.&iJQJAJ4KLJij,¥$$k\SUi P_~;:;GRiRz,:;;qg:;:M ,§.IN·ik;p. £44, *HI ·4.1 "G4'* L H., -1 .31Ii#l

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EXHIBIT B

~_.t ,~--~"~.~'~~:::,,:~~_, ~,,_~~::.:::J~j:'~:~L~._,_

Contractor: LOR FOUNDATION ~

Program: c·, CONGREGATE MEALS ~Io~_

Addrt!Onai FlMIds

!'j .... ltJ,l Jill II',II-I-H '-AI ;\1" I VOLUNIEE'! TIME ALLOCATION

NUMBER OF COMPARABLE mLE & TYPE OF ACTlYmeS POSITIONS ser.e;&i Clea,;~ 4.00

-----,---------------------

-.-------,~"

--------------- .

IN·KIND ANNUAL HOURS HOURLY lOTAI. ...

PER VOLUNTEER RATE ·IClNDWNIU 498 S 8.32 1 673

TOTAL IN·KIND IlAl.ARlES 1'.1173

_ ............ + USAGEA~L~~:'2~_ '!IoOF

USAGE FOR

t=========-===='---t-==:.:..:==+-"~E~J~F;~~ I-·~~.'·~=-

'110 OF TIME '110 OF TIME ON SP£NTON INDIRECT,

DIRECT GENERAL, PROGRAM arADMIN ACTIVITIES ACTIVITIES

100%

-----_.,"-

PROGRAM va.INDIRECTIADMiNlH~jijiifDMATCH

......w. ... 1CIHO .. 1eH

ta

1'.173

INDIItIiCT , ........... lOT ....... .~ ICIIIP"'"

$ 11,673

IIDIft&CT 1 I lOTAI. .... ADMIN IM-4CIIIIO

MATCH

INDIRECT I ADMIN IN·KIND

MATCH

ADMIN I lOTAI. I PROGRAM IN-I INDIRECT IN·

O'IHIR1Mo KIND NON· KIND NON· MATCH

\\hI;"':l\AptMW·"\''I.~11l 4 '~~"'mIJ"'ry !'!~-"'c,",,'If.~ .. nlll .. lrj~ t:'nlrif,'f\l.":t:mII..:tr. MOl.," t.lI_ 6ud\lf'tJ.i(41.'O(,;rl!l\$l.eco,,"V\C-:"C.If'I!i11 Q.dS«niul ':':.nt.,',r" r:·ll 1.4'11.0( I. t; I RnIlS!::J t4<.idc.J.t )Qtl 1Q141 • .... "1 } ~II t'~ hl KIh£tllj!,'J7.0t.t

TOTAl. 0TMIIIt ....

&%\4"% A@;;:;:::;;Y i' t3d" 'W,"' , .~ft4i <"~1! '!#Q(4NiIi . &}t (tV MY '._ $,~ .1t4&q. Z! '\4 QMA@.,M, .• , M $j$·;;Wo t, ,A, 4WjU P,AtJ ¥~., ,<4. i ~ t J L$ A8, ,tLA.A14Wi-, ~ X Ji" At..;: qqq'" 4"::rEi J U §I,,'Wl!'. ,¥~ ,iiiM,<Z{E .• "" ,JIM Q iM,(4!KI:;;'Rc l.:P- ,w. ;; a ,pun; e:;:A,tH."'*, . P-LaWt,,:/-A14A !,_J?,!!!tl&',;;;W.;h'lj), ; ,@,; .sw "", MV4U,h U¥U4AP\if ;y:

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Contractor: Program:

EXHIBIT B

LOEL FOUNDATION

C-1 CONGREGATE MEALS

Total (must match summary page) Amount of Program Income on Summary Page

Total (must match summary page) Amount of Cash Non-Match on Summary Page

Total (must match summary page) Amount of Cash Match on Summary Page

$

$ $

$ $

3/3112014

o Original

o Amendment & Reason Additional Funds

21,600 21,600

5,109 5,109

78,458 78,458

\\hsa33IAging-syslAdult & Community Services\General Dept Folders\Contracts-MOU's-Leases-Budgets\BUDGETS\SUBCONTRACTORS\Loel Senior Center\FY 2013-14\LOEL C-1 REVISED Budget 2013-2014 FINAL 3-28-141#4 Prg Inc & Cash (Non) MatchJ3/31/2014

~~'-"'.-';""""'~"""'(:"'%"7'r~~~,,:M:.Il"._~b*fI!I2iP.',A't9 .• !lC,,f.;:W . .j'R.l!IV.,O(,H,PIF)P -YA .,,]:w;q:es::n''''JLE·)!'ii\i,fAtE}Q¥ ,Wo,F'h "'8X§f~9};S; iJhffi1iUf#.${,)j§!%0;VA,t"!;; (qAA~,)!L*M".~_lf~(,;;; 4»)t;;i""j(&t~~!,,~"'?"#''''',,"11 Mfl> -%. 1t_%!",if_,%'mJ~';:;_4EL?Ci<H*.'Aik\l4,)" *,.ii.S:;,! _}l.1!}j ;~i!N' %4,Af-JiPiB%RiJ!I!f'!!t",

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San Joaquin County Human Services Agency

A-14-----AMENDMENT TO AGREEMENT NUMBER A-13-211

This Amendment to Agreement Number A-I3-211 (hereinafter '"AMENDMENT") is

made at Stockton, County of San Joaquin, California, as of this 6th day of May. 2014. by

and between the COUNTY OF SAN JOAQUIN, a political subdivision of the State of

California, acting through the HUMAN SERVICES AGENCY. hereinafter referred to as

"COUNTY''. and UNIVERSITY OF THE PACIFIC, a nonprofit corporation. hereinafter

referred to as the "CONTRACTOR".

WHEREAS, July 9, 2013, COUNTY AND CONTRA.CTOR entered into Agreement

Number A-13-2 ) ) to provide Fall Prevention Services: and

WHEREAS, COUNTY AND CONTRACTOR now desire to amend certain provisions of

Agreement Number A-13-2It.

NOW, THEREFORE, in consideration of mutual obligations in this Agreement and for

other good consideration, the receipt and sufficiency of which is hereby acknowledged.

the parties to this AMENDMENT, AGREE AS FOLLOWS:

I. Fiscal Provisions (Exhibit B), shall be changed to: COUNTY shall reimburse

CONTRACTOR for actual expenditures, not to exceed TWELVE THOUSAND SIX

HUNDRED SEVENTY THREE DOLLARS ($12.673). [Change in dollar amount

only.] All payments are contingent upon the availability of state and federal funding.

Amendment to Contract Contract Management Division

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San Joaquin County Iluman Services Agency

2. The original budget included in Agreement A-13-2011 Exhibit A is hereby canceled

and replaced by a revised budget marked as Exhibit B and is attached hereto and

incorporated herein.

3. All other provisions of Agreement A-13-211 shall remain unchanged.

CONTRACTOR: UlvJVERSITY OF TIfE PACIFIC Thomas Long School of Pharmacy 757 Brookside Road. PHS 232 Stockton. C4 95211

COUN,Y: CO (JNTI' OF SAlv JOAQUIN - HUlvJAN SERVICES AGE-VCY P.o. Box 201056 STocktOn. CA 95201

IN WITNESS OF THEIR AGREEMENT to the terms and conditions set forth above, the COUNTY OF SAN JOAQUIN and UNIVERSITY OF THE PACIFIC have placed their signatures below:

ATTEST: MIMI DUZENSKI Clerk of the Board of Supervisors of the County of San Joaquin State of California

By: ________ _

Deputy Clerk

Amendment to C ontraet Conlract Management Division

..,

COUNTY OF SAN JOAQUIN. a political subdivision of the State ofCalitomia

By: _______ _

ROBERT V. ELUOTT, Chairman Board of Supervisors

UNIVERSITY OF THE PACIFIC

BY:/f-G2~ JOSEPH A. WOELFEL Ph.D. R.Ph.

Federal ID # 941-156266

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EXHIBITS

[ ·~!·.:;:.A;( .. i<"";;t·\ ',i <.~"': c' .' _-MIIN,llft !« ,0: Contractor:

Program: Budget Period

Contract Number:

UnI ...... ty of Itt. Pacific. T J ~0119 School of Ph.""acy G'~"tUn!li Fill i p • ..,....,,"" :9<, ..... ,"'9

F.d .. l';Jt'lJf1 "lnllt.WI,II'ICI" ttl' Senlll'li ---

JUly 1. 2013· June 30, 201~ ---- ._--_._ ..... - ........... _--A-13-91

317

STATE FUNDS

Date Submitted: 3131114 .. ~~~----------

I"" .. ,· 14111tlO"Ml1l oro Fundi ","..,.,1* •. BudQ_t RIV{llOn ... ----

340 530

CASH NON­CASH MATCH I MATCH

.1,,-0591 1 S 178 759

1.081

.-~-.... - .. --+---+-----+-., S ., S 1.INI. ., . • IS . "

(II rou, 1IICI"Kt lat. eJc~5 '" of Prog,-.m SeJ.,tnes. please complete an Illd"ecl Cost Form .nd submit with the budgflt.J

'IOTA!. IPECIAL fN.KIND 0RANt PfilOGRM FEDERAL .;= LOCN..AM IN-KIND NC)N. CAIH' . fUNDI 'IOT& fIUNDS . JIUNDI MATCH MATCH CASH MA1cH' 'Me

I caRMO TOTAL S 12..n • am s 12.171 S • • • S 10..00 S • S • S • • \\n •• ~)\A1I 1)1;1 "~'oAlJl.I! & Lom-um~" !W'VK'."'\ljol'no(!la,1 [:"tot F(lI{l"IIIi{;~l'!~·I1ot.h. ~O~I·r.I..aUI'" I:hdQ.,t ... \t)IJU<..illl:i\S')a(.(:NH~.( lORS'I~t)P'I'::,( 2013-14\I.O~ rill·" P',..,. lin 13 1", P1F·V~"I!. tl tl .. eg,,1 nIl) 3,31 14I.~ ~um" .V .... 'HlU.4

PROGRAM INCOME·

PROGRAM INCOME

-4.'1t.'I1-,4

-

p u;; " UA, dO ,,~='--'~;'!>~"+i, -·*9 . JilNf41S\;t& .,,,.,4 _ 1i% .9.44. ,hM811&£UHikj}P",,", $~Q, X ,)Ji9'f,4iP,)P ,AJ 4 ".J+<>-. 4 tAU (#(4,;;;'C;t}4tii4 ,¥jf14 I?AU!4(¥hf.MijA.X4, ,,, ,¥Sfi!Ji3A,3:;;;4t¥@.4C rA"g&\ Jj\.tQiSiU'($Ji!.;;U p, AI , k, $:& •• Rt ,$ U1ALjlJtJA .J It 34Mt 14 .i'A 4$., C. '''" ,.£t)'%IJIIdiII\lihM

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F)(tjIBIT B

~,'~~~"'" <""::;,~,;"'~~~~"~~ ..: .. ,_ :ir:·~. ~='::-';;::;~~l.~;.:~_c.:~:-::'-:::;;~:"" :"'JE~

Contractor" _~~t'IIw~£ TJIQ'tg:l«_'1IPIvI.,._,

Program:

TITLE· NII....c.l of Employ" ,If._ poeftlon_1

I~)I~". -l-ab~I.fWI$r'~

t*1fIJtpI 11rw...nfOflfo &'nCHS

NUMaER OF

POSitION S

NUMBER OF

POSITION S

ANNUAL HOURS

PER PERSON

ANNUAL HOURS

PER PERSON

1tJA.r ..... , .. " OlD FufW't A~all",I~'tr f:hll~(" ~f!"',' :V'

FEDERAL GRANT

AMOUNT STATE GRANT

AMOUNT

SPl!CIAL LOCALMA

FUNDS

SPl!CIAL LOCAL AM

FUNDS

CASH MATCH I CASH NON. AMOLWT MATCH AMOUNT

CASH MATCH I CASH NON· AMOUNT MATCH AMOUNT

~NI;;;A;;;TR=""T;;;;IVI';-lIo~IT~i~F::F:-U=L';;':':::~i L s"

PROGRAM INCOME AMOUNT

PROGRAM INCOME AMOUNT

'IOTA!. -.. 1MI

'IOTA!.

- ',;.~ 'rf"l~ -:" ,,~. ,... . ~-~., '" ~~~:::. ~ . , ' ' -"~I-.r;r .... :;;;; .. -:-- ::"I

",I"'tJ.J~~ .¥~'.A.. .. ,II"" """"'.rllt) ..,," ..... · ... \C_ ... l'~ ........... Q"fI;Itl.·"·II::.;,,,,·ltt-'l·a..~.\>JU·)[;1;"1~',~ .. ~.~0 ... THA(Tr.,Rr..''''·JP\'" JCll· ... \UOI' r~ ... ·, ... Ul: *:;"'1<11 Mt:VS::L: ~ ,Iffl \·.'1 14'" C'M.t! S.IiaI.IIoI40'I,';'(Il&

\; ... ,~"')'~."!"""'",<;",,.,.~~~.~«,,,,, ~""J;;:;<!>5f ¥kfj, f,:W;;, r;;;:., %d,!!jiiiiW I:fPM J:;:, .,bl4f,ftGf",3b:'it'ffl!V!l< Ftc j'ilkjH ,~CM¥i, .. itF8.JQ,¥ .• ;;:qI;±,;~>,.,,"t,.4!1\15.h;;;jI.i\)iP;RiL,\i)i ; OJ #.<ii,,,*,IIJA311!! M!lH!'*'!,!~bQ'iM .41), %!b~.jJJji)W;;f4q4\.milUP"J4 UIlI.*+P. -:;:; ,PS;;;t¥¥¥3%) ,L )lii4,P'M};:eq t 54 1)\3;M', *-'4.,. o;pa

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EXHIBn 8

~~. __ "~ __ '" .. 'l-L--""':_T,,=~':~'

Contractor' ~'.'!~~~,ot t~ PIICIUC T ~ l:C?~_~.~!~ Ph8fTnK),

Program

~ lIf, IJl~U'."';~.

: ~.!! .. er,a (tp6~!~""

OthiU (lpeClfyJ _

~ ..... 1O"'~~::i0'tl'0"1ll1l .... _' .. ,~ .. s..nClO'~

TOTAl. PROGRAM aUFF BENEFITS ,

tOTAL ADMIN IT"" HN!Flla

1,3H S 1,)H

'l ... 'lA.IIl~ .'f.'MIll .. I..,....,."'OI"II~ ...... u:.·.::..t ...... o.t .. r"."" .... :." ......... ~."')1."~ l_. ftl.fpI ....... ltx •• li' ... ~I,",."", r~ .. t:·l.,;;jb1,IXA'·.f1 .'U1 I I.iI .. L .... ' ... .;> __ 111 (J 1J '.&ld':V.'.U:O budget • .:,0 ) Jl U ... ~ '--~ Dtt ...... ·',I·~"~.

~, nlo:, ... ~jJ.""I .... BudgllrtRft ___

UH

____ ,''''-'''.".''',"1', ~P""',,"""""--r'"""'P,i %""'f $(1{ ,1<-4".;' &_ ,J$ ji .• 4mw.%¥'liftqPf8! t", ),' ViA A£4)(3. \f\#,k Y,;;;, Jk l*- ;pM.iN ."1' HW$9LJ~M) qq.! A 3\k$WX tt)§4WJ}W;!Vq.%$ ,R %0; P¥;Yi JVM';;:, , __ ; ,. ,bA\l!uz;q M, £t;Q." Q%£;;;; 11k%, .11i,4 "M';,,~3J. &ii\ 1&(;1.$, \ \ .n: ,L £ ,R,. U,,,,~il)lJjn;;;,"%fI3'Mi)ljJ4qq{i:;O;;;:,",, ;; t 4. ,; J.. m.(W.,J,,?'UH

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EXHIBIT B

,.z.::' ,'~'.

Contractor: U"'yen4y or tl>e PacifIC, r J long School 01 pnarmacy

• r; nTL~TYPE OF Student Inlem I Studentln1em Phvlll<ai rher ..... i.'''· f'harmatlll FlICullv Phys"""'rh,, ... py Facully

BENEF1T TYPE

~"''Ii.' rllhPr.YClnban ~1-.n"9. Program: Ect,JCMml. &. ",~"I .... ntIrm'Dr '3cffloI. rtJ........-.-. OTO Fundi Av-'!Itbte Budgttt Revt8lofl

T"

IN·KIND NUMBER OF I ANNUAL HOURS I HOURLY POSITIONS PER VOLUNTEER RATE

_!!l'~!t.

"4 OF TIME SPENT ON

DIRECT PROGRAM ACTIVITIES

:TlME "40FnME

ON

INDIRECT. riM. GENERAL. .VOLUfI11IIt 0' ADMIN _ ..... ..... -~

t-·- 3~ ~~ ~~ ..L __ -:1;;1:;;~g:;;%(fTr_-_-_-_-_-_-_--tt_-_-_-_~-f!1Ij 3 IT "To 'T 100% 032 10 100%

TOTAL IN·KIND SAlARIES

BENEFIT RATE

-

',402

~. ~

PROGRAMVS. IN·KlND MATCH

b3.;llr. •• •

,~-~~:~~ ':" .".. . --~q~, •.. :S.r .. . ' . 11 "~~'I~:~-~~"0,~'~~' :a. _~"::*,"',' r:':

~. TI', .;;:;:,-;;;:;;;-' 'II,,' ."~

',402

'~~ 'J.1CIl

',402

TOTAL ... KIND ........

~O£I.'!!§~U,I)!~ M!ldicai! .. ·'·-"---'----------+----HF~!.' .. ' _:;'1 (

~~J ( roTALiN·KIND BENEFITS ...., ...., . .---....,

\,hUP ..... u.-O· .. .,..iAII1I1.'\. I ~ .. I·Hun·~ ~ ... ,"'tr._I(";_' .. 1 :;"pt I ;M.I .. "'.~"'1a.:" :\IIutJ'~ t ....... ·tJudU-llIi\al'~fJEr~',c"t.811 'Fl.TRAI":rnRj.;\u:.;>',rv :,{p:\ 1.t\l'Of' '-.1 ... ,',.'01 tll r. IJ·" I("\'IS!::'" :.tudij.' 01<..': ]-~1 14 •• , In k ... ..-u~'I.'::'014

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Page 25: AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS … meetings/agendas/050614/mg98775... · County Administrator 4/21/2014 11:07:04 AM County Counsel 4/22/2014 8:25:22 AM COB. 4/22/2014

Contractor: Program:

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University of the Pacific. T J Long School of Pharmacy Osteoporosis - Falls Prevention Screening, Education, & Intervention for Seniors

Total (must match summary page) Amount of Program Income on Summary Page

Total (must match summary page) Amount of Cash Non-Match on Summary Page

Total (must match summary page) Amount of Cash Match on Summary Page

$

$ $

$

41112014

[.Ii Amendmen OTO Funds Available - Budget Revislc

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