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AGENDA______ March 17, 2020
Thomas L. Berkley Square 2000 San Pablo Avenue, Fourth Floor Oakland, California 94612 510-271-9100 / Fax: 510-271-9108 Lori A. Cox [email protected] Agency Director http://alamedasocialservices.org
February 24, 2020 Honorable Board of Supervisors County of Alameda 1221 Oak Street, Suite 536 Oakland, CA 94612 Dear Board Members: SUBJECT: APPROVE TWO SERVICE AGREEMENTS TO PROVIDE KINSHIP SUPPORT
SERVICES TO FOSTER CAREGIVERS
RECOMMENDATION:
A. Approve a new service agreement (Master Contract No. 900176; Procurement Contract No. 19632) with Family Support Services (Principal: Cheryl Smith; Location: Oakland) to provide kinship support services to foster caregivers in the Northern Alameda County for the contract term 7/1/20 - 6/30/22 in the amount of $1,500,000 ($750,000 annually);
B. Approve a new service agreement (Master Contract No. 900117; Procurement Contract
No.19631) with Lincoln (Principal: Allison Becwar; Location: Oakland) to provide kinship support services to foster caregivers in the Central, Southern, and Eastern Alameda County for the contract term 7/1/20 - 6/30/22 in the amount of $1,500,000 ($750,000 annually); and
C. Authorize the Social Services Agency Director, or designee, to negotiate and execute the
agreements under the Community-Based Organization (CBO) Master Contract process and return an executed copy to the Clerk of the Board for filing.
SUMMARY/DISCUSSION: This letter requests action by your Board to approve service agreements with two Community-Based Organizations (CBOs), Lincoln and Family Support Services, to provide kinship support programs in the County of Alameda for Fiscal Years (FY) 2020-2022. Kinship support programs increase the capacity for formal and informal relative caregivers and fictive kin (such as neighbors and family friends) to provide resource parenting for children and youth who are at risk of entering foster care or of becoming dependents of the juvenile court. On September 18, 2018 (Item No. 4), as a result of a 2018 Request for Proposal (RFP No. 2018-SSA-CFS-KSS), your Board approved awards for Family Support Services and Lincoln to provide kinship support services for FY 2018-2020. The RFP documents soliciting kinship support service providers specified the County’s intent to award the contracts for the period of July 1, 2018 through June 30, 2020 with an option
Honorable Board Members -2- February 24, 2020 for successful bidders to renew their contracts for two additional years. Approving these two service agreements provides the additional two years of service described in the RFP. Effectiveness of the kinship support services contracts is reported monthly by the contractors using seven performance measures, including: the number of outreach activities conducted; information, referral, crisis intervention, and critical needs support calls and contacts; families provided case management services; support group participant hours; youth programming participant hours; the percent of satisfied caregivers; and the percent of case management participants reporting a reduction in stress. In FY 2018-2019, the two contractors met or exceeded nearly all performance targets. Family Support Services met or exceeded all targets except the number of case management participants (94.5% of target) and the percent of case management participants with reduced stress (94% of target), while providing 478% of the target participant hours of youth programming. The other kinship support services provider, Lincoln, met or exceeded all targets except number of support group hours (86% of target) and the percent of case management participants with reduced stress (89% of target), while providing 179% of the target participant hours of youth programming. SELECTION CRITERIA/PROCESS:
On April 2, 2018, SSA released RFP No. 2018-SSA-CFS-KSS to solicit bids for kinship support service contractors for two service regions in Alameda County. SSA received Federal Grant Funds Waiver No. F1248 for the RFP process from the Office of Contract Compliance Reporting on February 28, 2019. The RFP was posted on the General Services Agency (GSA) and SSA websites and distributed through the Current Contract Opportunities mailing service, which includes certified Small Local Emerging Businesses (SLEB). Networking/bidders conferences were held in Hayward and Oakland on April 12 and April 13, 2018, respectively. The proposal process resulted in seven bids, which were evaluated in two stages by a County Selection Committee (CSC). Proposals were initially scored by CSC members to develop a short list of bidders. Four of the seven proposals from agencies obtained sufficient points to advance to the second stage, and those four agencies participated in interviews with the CSC. References of the four finalist agencies were screened by SSA staff. On May 31, 2018, Family Support Services and Lincoln were selected by the CSC to receive an Intent to Award letter from SSA. No appeals were received. Family Support Services is a certified small business (Certification No. 10-00093, expiration date March 31, 2020). Both agencies are local nonprofit agencies and are therefore exempt from County SLEB requirements. Federal Grant Funds Waiver No. F1248-D for Lincoln was approved by the Office of Contract Compliance and Reporting on January 31, 2020. Federal Grant Funds Waiver No. F1248-C was approved for Family Support Services by the Office of Contract Compliance and Reporting on January 31, 2020. Both waivers will expire June 30, 2021 and will be renewed by the SSA Contracts Office as required. FINANCING: Funding for the recommended awards will be included in the proposed FY 2020-2021 and FY 2021-2022 Maintenance of Effort Budgets with the funding level of the program at the same amount as the Fiscal Year 2019-20 Approved Budget. There are no additional net County costs. VISION 2026 GOAL: Approval of the kinship support contracts aligns with the 10x goals of Eliminate Poverty and Hunger and Eliminate Homelessness in support of our shared vision of a Thriving and Resilient Population. Sincerely,
Lori A. Cox Agency Director
Form 110-9 Rev 7/23/15, Page 1 of 2 – INTERNAL COUNTY OF ALAMEDA USE ONLY
REQUEST TO ENCUMBER, ADD, LIQUIDATE FUNDS OR PAY BOARD-APPROVED CONTRACTS
Department Contact Name: _______________________________________ Phone #:___________________ QIC:______________
Supplier Name: ______________________________________________________________________________________________
Supplier Remittance Address: ________________________________________________________Alcolink Supplier Address #____
Supplier Vendor ID: _________________ Master Contract #: _________________ Procurement Contract #: ___________________
Description of Contract: ______________________________________________________Performance Measurement: ___________
Procurement Contract Begin Date: __________Expire Date: ____________SLEB Waiver #:_______ Type: Board GSA Fed
Check box appropriate box (A-D) below. If request below is for CBO/Human Services Contract also check box here:
A. ENCUMBER FUNDS IN A NEW PURCHASE ORDER for Period of Funding from_____________ to_______________
PO# Board Approval Date: ________________ Agenda Item Number: ___________________
Total Amount Authorized By Board:$ ____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested: ________________________________________________________________ (See reverse for required Additional Supplier Contact Information when requesting A. for CBO/Human Services Contracts)
B. ADD FUNDS TO EXISTING PURCHASE ORDER for Period of Funding from_______________ to_________________
PO Number: _____________________Board Approval Date: ___________________Agenda Item Number: ______________
Total Amount Authorized By Board:$ _____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested:________________________________________________________________
C. LIQUIDATE FUNDS FROM A PURCHASE ORDER
Purchase Order Number: __________________________ Amount to be Liquidated: ____________________________
Liquidation Justification: _________________________________________________________________________________
D. PAY SUPPLIER – UPLOAD INVOICE
PO #___________ Business Unit: ____________ PO Type:_____________ Voucher #: __________________
Invoice #: _________________ Amount Due $: _____________________ Service Period: ____________________________
Payment Handling (See Reverse): US-Mail DP-Return to Department SP-Department Pick Up
AA-Mail w/Attachments 3rd
Party CBAP
Pay Comments _________________________________________________________________________________________
Dept Claims Processor: _____________________________ Dept. Claims Approver: _________________________________
ACCOUNTING INFORMATION
Business Unit Account Fund Dept Program BY Subclass Proj/Grant Amount
Total
CBO/Human Services
Contract History of Funding:
Original Amendment # Amendment # Amendment # Amendment # Amendment #
Funding Level
Amount of Encumbrance
File Date
File / Item #
Reason
Funding
Source Allocation
(Estimated Only. See Contract Exhibit B) Federal - CFDA # State County BOS Dist #
Authorized signatory below certifies that contractor has provided goods/services as invoiced and verifies the mathematical accuracy of the invoice; that all financial provisions of the contract have been met (including the rates charged); that all invoiced items are specifically authorized by the contract and no contract limits have
been exceeded (in total, by month or by expense category).
Authorized Signature: __________________________________Department:___________________________Date: ___________
Print Name of Authorized Signatory: _________________________________________________________ Phone: ______________
03-17-2020
23501
1st of two years approved by BOS on 3-17-20
10000
06-30-2021
SSA
4
$
SOCSA
07-01-2020
(50%)
X
19632
$
NA
X
900176
$750,000
80afd133-68aa-4920-858a-dfffac174cfe
610341
NA/3
$750,000
X
Board Action
30756
303 Hegenberger Road, Suite 400, Oakland CA 94621
$375,000
5
750,000
Other
Kinship Support Services
(510) 267-9457(510)268-2721Gloria Carroll
(510) 267-9457
1
4.0
320100
3
$750,000
23501
1.0
RBA
Family Support Services
3
$750,000
$375,000
a044N000015boFDQAY
F1248-C
Sandra Oubre
06-30-2021
2
93-658
750,000
36999
\\ac01fs8600.acgov.org\esign_SSA\SSAContractRenewals\2021\Family Support Services_30756_$750000
07-01-202003-17-2020
(50%)
2021
7/20/2020
Sandra Oubre
17500
Form 110-9 Rev 7/23/15 (Page 2 of 2)
Additional Supplier Contact Information (Required when requesting A. above for CBO/Human Services Contracts)
Supplier Mailing Address (if different from remittance address above):_________________________________________________
Supplier Contact Person: ______________________________________ Phone #:__________________ Fax #________________
Supplier Contact Person Email: _______________________________________________________________________________
Supplier Signatory Email: ____________________________________________________________________________________
Payment Handling Pay Comments / Instructions Must Include
DP-Return to Department
Return the warrant to the department
1. Name of the person to receive the warrant
2. QIC of the person to receive the warrant
3. The voucher payment handling code must not
specify "US" or the Auditor's Office will
automatically mail the warrant to the payee
SP-Department Pick Up
The department will pick up the warrant (In an
emergency, a department liaison may arrange with the
Auditor's Office to pick up a warrant. Vendors may not
pick up warrants.)
1. Name of the contact person to be notified when the
warrant is ready
2. Phone number of the contact person
3. The voucher payment handling code must not
specify "US" or the Auditor's Office will
automatically mail the warrant to the payee
US-Mail
The Auditor's Office will mail the warrant directly to the
vendor through the US Mail
1. The claim/voucher must have the correct address.
2. Attachments are not sent with the warrant.
AA-Mail with Attachments
The Auditor's Office will mail the warrant directly to the
vendor through the US Mail
1. Attachments are sent with the warrant.
2. The department must upload a copy of all
documents that are to be sent with the warrant.
3rd
Party CBAP
Third-party Contractor Bonding Assistance Program
1. Required when contractor is participating in
County Bonding Assistance Program sponsored
by County Administrator’s Office Risk
Management Unit.
2. Third-party address must be added to Vendor
file in Alcolink and identified in #2 Remittance
Address on reverse.
510-834-2443
303 Hegenberger Road, Suite 400, Oakland CA 94621
510-834-1548Cheryl Smith
Department Name: Children and Family Services
CBO MASTER CONTRACT ANNUAL RENEWAL AMENDMENT
FOR FISCAL YEAR (FY) 2020-2021 FOR EXHIBITS A & B
Reference is made to that Master Contract No. 900176 (“Master Contract”) made and entered
into by and between FAMILY SUPPORT SERVICES ("Contractor”), and the COUNTY OF
ALAMEDA, a body corporate and politic of the State of California ("County").
The Master Contract is hereby amended by adding the following described exhibits, all of which
are attached and incorporated into the Master Contract by this reference:
1. Exhibit A FY 2020-2021 Program Description and Performance Requirements:
This contract will supply Kinship Support services during the period of July 1, 2020
through June 30, 2021. Exhibit A FY 2020-2021 entered into between the Social Services
Agency of the County of Alameda and Contractor for the Master Contract referenced
above, replaces and supersedes any and all previous Exhibit As entered into between the
Social Services Agency of the County of Alameda and Contractor for this Master Contract.
2. Exhibit B FY 2020-2021, Terms of Payment: The amount payable under this Annual
Renewal Amendment shall not exceed $750,000. Exhibit B FY 2020-2021 entered into
between the Social Services Agency of the County of Alameda and Contractor for the
Master Contract referenced above, replaces and supersedes any and all previous Exhibit Bs
entered into between the Social Services Agency of the County of Alameda and Contractor
for this Master Contract.
3. Exhibit C Insurance Requirements
4. Exhibit D Audit Requirements
5. Exhibit E HIPAA Business Associate Agreement (intentionally omitted)
6. Exhibit F Debarment and Suspension Certification
7. The following Exhibits are also attached to and incorporated into the Master Contract by
this reference:
NA
Except as herein amended, the Master Contract is continued in full force and effect.
COUNTY OF ALAMEDA CONTRACTOR
By:{!1} ______________________________ By: {!2} _________________________
{!f1} ____________________________________ {!f2} ________________________________
Print or Type Name Print or Type name
Title: Director, Social Services Agency _ Title:{!3} _________________________
Date:{!4}______________________________ Date:{!5} _________________________
Page 1 of 25
ALCOLINK Master Contract No.: 900176 Board of Supervisors Approval Date: 3/17/2020
Supplier ID: 30756 Agenda Item No.: 3
Cheryl Smith
7/20/2020
Chief Executive Officer
7/20/2020
Lori A. Cox
Page 2 of 24
EXHIBIT A
PROGRAM DESCRIPTION AND PERFORMANCE REQUIREMENTS
Contractor Name: Family Support Services
Contracting Department: Children and Family Services
Type of Services: Kinship Support Services Program
I. Program Name
Family Support Services - Kinship Support Services Program
II. Contracted Services
The Kinship Support Services Program provides community-based family support services
to both formal and informal relative caregivers who reside within The County of Alameda
and care for their family members. Kinship sites provide an array of services to families who
are not engaged in the Juvenile Dependency Court process (non-dependent families) and
with families who are engaged with the Court (dependent families). For non-dependent
families, case management as well as supportive services are offered, including caregiver
support groups, respite care, child/youth activities, information and referral, advocacy,
homework clubs, education and training sessions, and other activities and events throughout
the year. For dependent families, all aforementioned activities, with the exception of case
management, are offered.
Due to orders issued by the State of California and County of Alameda, beginning in March
2020, related to the COVID-19 Pandemic, Contractor and County will collaborate to make
adjustments in the delivery of contracted services agreed to in this contract, so that all
services are carried out in compliance with State and County health requirements.
III. Program Information and Requirements
A. Program Goals
The goals of the program are to:
1. Assist Alameda County Social Services Agency (ACSSA) in its effort to decrease
the number of children/youth entering foster care by providing support services to
relative caregivers and fictive kin to care for children/youth who might otherwise
enter a foster home due to abuse or neglect or who are at risk of juvenile court
dependency.
2. Improve outcomes related to safety, permanency, and well-being for the
children/youth receiving services.
3. Reduce or eliminate need for children/youth to enter/re-enter foster care.
Page 3 of 24
4. Improve caregiver understanding of children and youth’s options for permanency,
such as guardianship or adoption and resources available to support permanency
such as the Kinship Guardianship Assistance Payment Program (Kin-GAP) and the
Adoption Assistance Program (AAP).
5. Increase likelihood of relatives to assume and maintain responsibility and care of
children/youth from their extended families.
6. Increase placement stability of children/youth with relative caregivers.
7. Build a sustainable network of care for kinship families through outreach,
education, and collaboration.
8. Improve educational outcomes for children/youth in relative care.
9. Increase awareness of the Kinship Support Services Program through presentations
and networking with community leaders/organizations.
B. Target Population
The Kinship Support Services Program (Kinship) works with relative caregivers who
reside in The County of Alameda and care for their family members. Census data
indicate that there are more than 2,600 grandparents living within The County of
Alameda who are primary caregivers for their grandchildren under 18 years of age.
Three large groups of children/youth are potential Kinship service recipients. These
include 353 current Kin-GAP recipients residing within the boundaries of The County
of Alameda, 254 current Non-Needy Relative CalWORKs recipients, and 291
children/youth currently living with Non-Related Extended Family Members.
C. Program Requirements
1. Referrals: Any child welfare worker can refer a relative caregiver family to a
Kinship site for support services. Additionally, the Kinship Unit, which is a part of
the Permanent Youth Connections section within the Department of Children and
Family Services (DCFS) has regular meetings with the Kinship sites and when
possible works to create a warm handoff for relative caregivers, so that when the
family leaves the Juvenile Court and child welfare system, the family has a familiar
resource available.
2. Service Area: Contractor shall provide services to Central, Southern, and Eastern
Alameda County: (San Leandro, San Lorenzo, Hayward, Fairview, Castro Valley,
Ashland, Cherryland, Livermore, Pleasanton, Dublin, Fremont, Newark, and Union
City).
3. Service Delivery Sites:
a. Taylor Memorial United Methodist Church, West Oakland
b. Contractor’s Office, 303 Hegenberger Road, Suite 400, Oakland
Page 4 of 24
c. Oakland Public Library, East Oakland Branch
d. Legal Assistance for Seniors, 333 Hegenberger Rd., Ste. 850, Oakland
D. Minimum Staffing Qualifications
Contractor shall have and maintain current job descriptions on file with the Department
for all personnel whose salaries, wages, and benefits are reimbursable in whole or in
part under this agreement. Job descriptions shall specify the minimum qualifications
for services to be performed and shall meet the approval of the Department. Contractor
shall submit revised job descriptions meeting the approval of the Department prior to
implementing any changes or employing persons who do not meet the minimum
qualifications on file with the Department.
IV. Contract Deliverables and Requirements
A. SUPPORT GROUPS FOR RELATIVE CAREGIVERS
Structured, regularly scheduled support groups for relative caregivers will offer assistance in
updating parenting skills and navigating service delivery systems and provide an
opportunity for families to interact with others with similar concerns.
1. Contractor will provide 750 support group participant hours annually (Performance
Measure 4), which will include trainings and workshops specific to kin caregivers.
2. Contractor will provide at least 36 support groups during the one-year contract term.
3. Contractor will offer support groups a minimum of twice per month.
4. Contractor will offer support groups at three locations. Support groups will include
meals and on-site age-appropriate respite/child care in easily accessible locations in
northern Alameda County (west and east Oakland).
5. Contractor will offer morning, evening, and weekend options at the following sites
and times:
a. Every fourth Thursday from 10 a.m. - 12 p.m. at Taylor Memorial United
Methodist Church in west Oakland.
b. Every first and third Wednesday from 5:30 p.m. - 7:30 p.m., Contractor’s
office, 303 Hegenberger Road, Oakland.
c. Every second Wednesday from 10:30 a.m. - 12:30 p.m. at the Oakland
Public Library, East Oakland Branch at 81st Avenue (Bilingual in
English/Spanish).
d. Saturday support group at each location.
e. Quarterly Saturday special events for caregivers and their children,
including Kinship Café.
6. A minimum of eight caregivers will attend each support group meeting.
Page 5 of 24
B. INFORMATION AND REFERRAL
1. Contractor will provide a trained staff member to respond to 350 information and
referral telephone calls or in-person inquiries to link caregivers to programs,
services, and resources in their communities. (Performance Measure 2).
2. The 350 inquiries and responses will include 150 for crisis intervention and critical
needs support (Performance Measure 2).
3. Contractor will transfer calls for assistance to the Kinship Program Director or
Program Supervisor.
4. When a staff person is not immediately available to respond to calls, Contractor’s
staff will return messages within no more than one business day.
5. Contractor staff will spend a minimum of one hour on crisis calls, gathering relevant
information from the caller, helping him/her identify and frame the problem/issue,
explaining options, providing referrals to immediately needed resources, and
completing an assessment form.
6. If needed, the Program Director or Supervisor will refer the case to one of the KSSP
Social Workers who will contact the caller to provide case management services.
C. PROGRAMMING FOR KINSHIP CHILDREN/YOUTH
1. Contractor will provide child/youth programming for kinship children from birth to
18 years of age. All programming will be designed to enhance children’s sense of
physical, emotional or intellectual well-being.
2. Contractor will provide a minimum of 2,800 participant hours annually
(Performance Measure 5).
3. Participation in afterschool activities will include 100 unduplicated children/youth
annually and will consist of:
a. Homework Club and Academic Support – 4-days-a-week 3:00-6:00 PM
b. Teen Night - 6 nights annually, including College Pathways to assist youth in
obtaining high school diplomas and applying for college
c. Community Service and Leadership – 6 events annually
4. Programming may include either one-time events or continuous activities.
5. Contractor will train two staff to teach Making Proud Choices and will offer at least
two series of the 10-module, 750-minute curriculum. One series will be offered in
the first week of August 2020 and one during Spring Break 2021. Courses will be
offered onsite or at a site to be determined.
D. CASE MANAGEMENT FOR KINSHIP FAMILIES
Page 6 of 24
Specific case management services will be provided to relative caregivers according to the
individual case plan timelines of the mutually developed case plan.
1. Contractor will provide case management services for 200 unduplicated families
annually (Performance Measure 3).
2. Contractor will assure case management staff are available to provide services 9:00
AM to 5:00 PM, Monday through Friday, year around. Social workers will begin
working with clients by meeting 1-3 times per week, including home visits and
telephone calls.
3. Case management staff will be available, when requested, at evening support groups
and occasional Saturdays, as needed.
4. Contractor will provide mobile case management services at multiple locations
including the kinship site, community-based support group meeting sites, the Legal
Assistance for Seniors (LAS) office, and in the relative caregiver’s home.
5. ACSSA will provide a stress questionnaire, and applicant will administer the
questionnaire at the beginning and termination of case management services and
record the percentage of case management clients reporting a reduction in stress in
the annual report. 80% of participants will report some reduction in stress by end of
fiscal year (Performance Measure 7).
E. NON-CASE MANAGEMENT FOR KINSHIP FAMILIES
1. Contractor will provide 1,000 non-case management hours to families annually.
2. Support services will include support groups, respite, child/youth activities, and
community education sessions.
3. Respite activities for relative caregivers may be diverse in nature, limited only by the
requirements that:
a. Each occurrence last four hours.
b. Occurrences are short-term and non-recurring.
c. Sufficient detail is given to the County to demonstrate the service is responsibly
administered.
d. Respite care settings are safe and healthy for the children/youth receiving care.
e. The care meets all applicable statutory and regulatory requirements.
4. Community education sessions and informal sessions related to kinship care will be
provided to relative caregivers, and offer:
a. Strategies for relating to and negotiating with children’s biological parents.
b. Guidance navigating education systems, including Individual Education
Programs (IEPs) and tutoring programs.
c. Information on available financial assistance programs and eligibility
requirements for each, such as Medi-Cal.
d. Options for permanency, such as probate guardianship and adoption.
Page 7 of 24
e. Resources available to support permanency.
f. Housing resource information.
F. OUTREACH AND RECRUITMENT
1. Contractor will engage in a minimum of 6 outreach activities annually with the
objective of increasing community awareness of the KSSP’s services in the service
region and recruiting un-served relative caregivers. (Performance Measure 1).
2. Contractor will target outreach toward eligible, un-served relative caregivers.
3. Contractor will strategically design recruitment by using census data and information
from other community organizations to locate program participants from a broad
variety of local communities and will develop and continue relationships with
community leaders, community service providers, and schools to promote outreach
and recruitment.
G. COLLABORATION
1. Contractor will participate in the Alameda County Kinship Collaborative, bringing
together various organizations who work with relative and fictive kin caregivers.
2. Contractor will collaborate with ACSSA and the Alameda County Health Care
Services Agency to seek and implement other sources of public and private funding.
3. Contractor will develop and submit a Memorandum of Understanding (MOU) to the
County for each of the Contractor’s collaborative Kinship partners. The MOUs will
describe the responsibilities of each partner and include the required insurance
documents.
4. Contractor will collaborate with DCFS to create a referral process and form to
facilitate a warm handoff for families exiting the child welfare system.
5. Contractor will participate in unit/section meetings with DCFS staff to share their
respective programs and provide updates.
V. Reporting and Evaluation Requirements
A. Annual Reporting
An annual report is due from Contractor at the close of each fiscal year and will
include:
1. Narrative and Statistical Summary: A narrative description of services provided,
encounter statistics, demographics, results of implementation activities, and the
results of Performance Measures 6 and 7.
2. Results of Satisfaction Surveys: Per Performance Measure 6, Contractor will create
an annual satisfaction survey for caregivers and children/youth to rate the
helpfulness of each service used and overall program satisfaction for participants.
The survey will be approved by ACSSA. The performance objective is that 80% of
caregivers find the program has been helpful. Satisfaction surveys will be
administered at the end of each fiscal year.
3. Results of Stress Questionnaires: Per Performance Measure 7, Contractor will
administer a stress questionnaire that will be provided by ACSSA to caregivers at
the beginning and termination of case management services. In an annual report,
Page 8 of 24
applicant will provide the percentage of case management clients reporting a
reduction in stress. The objective is for 80% to report a reduction in stress.
B. Quarterly Reporting
Contractor will submit a quarterly report to the County created from the agreed-on
database and including a narrative summary of the quarter, encounter statistics,
demographics, and supplementary reporting as needed by ACSSA. The quarterly report
will also include reporting on Results Based Accountability (RBA) Performance
Measures 1 through 5, as described in Exhibit A-1.
VI. Monitoring Requirements
ACSSA/DCFS staff, the Contracts Liaison, and/or a member of the Office of Policy,
Evaluation, and Planning (OPEP) may at any time, upon one week’s notice, monitor and
conduct an evaluation of operations, which may include site visits and reviews of
Contractor’s financial records and other records and materials to determine progress in the
achievement of program goals and objectives and service criteria and requirements as
specified within this agreement. A final report will be prepared by the Contracts Liaison to
provide feedback on areas of compliance and/or non-compliance. Contractor shall submit a
written corrective action plan to the Contracts Office Liaison in response to all findings of
non-compliance. A follow-up monitor visit will be conducted to ensure that all corrective
action measures have been completed and Contractor is in compliance with contract
requirements. Should subcontractors be utilized, Contractor will be responsible for
monitoring all subcontractors under this agreement.
VII. Entirety of Agreement
Contractor shall abide by all provisions of the Community Based Organization Master Contract
General Terms and Conditions, all Exhibits, and all Attachments that are associated with and
included in this contract.
VIII. Contractor Responsibilities – Client Grievance Policy
ACSSA Contractors are required to have a Client Grievance Policy in place and to disclose
the policy to all ACSSA clients during the Client Intake Process. As evidence that a Client
Grievance Policy is in place and all ACSSA clients provided services by the Contractor have
been made aware of its existence. Contractor must obtain the signature of each ACSSA client
on a copy of the policy acknowledging they were made aware of it, understand it, and
received a copy of the signed document. Contractor must also place a copy of the signed
document in each client’s case file and make the files available for review by County staff
upon request. See Attachment A for a sample ACSSA Grievance Policy in English and in
Spanish. An MS Word file of the ACSSA Grievance Policy Template is available through
your ACSSA Contract Liaison.
Page 9 of 24
IX. Language Access Requirements for Contractors
See Attachment B for more information regarding Limited English Proficient (LEP) client
language access requirements for contactors with the County of Alameda.
Page 10 of 24
EXHIBIT A-1
RESULTS-BASED ACCOUNTABILITY PERFORMANCE MEASURES
KINSHIP SUPPORT SERVICES PROGRAM
SSA has adopted RBA framework to strengthen and increase data collection and improve contract
performance. The RBA framework establishes performance measures which will allow ACSSA
to track the positive impact and benefits of services for the target population by focusing on three
critical questions: How much work was done? How well was it done?, and Is anyone better off?.
RBA Performance Measures Target
Goal
How to Calculate Service
Provider
Internal Data
Collection
Method for
Performance
Measure
How
Mu
ch D
id W
e D
o?
Performance Measure 1. Number of outreach activities
conducted annually
6 Count of outreach activities
conducted
Performance Measure 2. Number of information and
referral calls/contacts annually
350 Count of information and
referral calls/contacts,
including calls/contacts
counted under 2a
Performance Measure 2a. Number of crisis intervention and
critical needs support
calls/contacts annually
150 Count of crisis intervention and
critical needs support
calls/contacts (included in 2)
Performance Measure 3. Number of families provided with
case management services
annually
200 Count of unduplicated families
provided with case
management services
Performance Measure 4. Number of support group
participant hours annually
750 Count of support group
participant hours
Performance Measure 5. Number of participant hours of
youth programming
2800 Count of participant hours of
youth programming, including
homework club, afterschool /
weekend activities, youth
leadership program, and youth
community service
Page 11 of 24
How
Wel
l
Was
It D
on
e? Performance Measure 6.
Percent of caregiver survey
respondents who rate each service
used and the overall program as
helpful
80% # of satisfied caregiver survey
respondents
# of caregiver survey
respondents
Is
An
yon
e B
ette
r O
ff?
Performance Measure 7.
Percent of case management
participants reporting a reduction
in stress
80% # caregivers reporting a
reduction in stress on the stress
survey at the termination of
case management services
# caregivers terminating case
management services who
report any level of stress other
than “no stress” on the initial
stress survey
Def
init
ion
s Participant hours: One participant hour is one hour of participation in the
specified activity by one individual.
The service provider will be responsible for developing a system to collect and analyze each
performance measure on a monthly and/or quarterly and/or annual basis.
SSA may request individual client data on the services provided for evaluation and/or quality
assurance purposes.
Page 12 of 24
Attachment A
CLIENT GRIEVANCE POLICY
WHAT TO DO IF YOU HAVE A GRIEVANCE
If you have a complaint about the performance of ( _) INSERT NAME OF CONTRACTOR
staff, and/or you feel you have been treated unfairly, the following are the steps you should take
to have your complaint heard:
1. Talk privately to the person with whom you have the problem. We encourage you to try first
to work out the problem in an open and informal way.
2. If you do not feel comfortable talking with the person with whom you have the problem, or
you do talk with them and are not satisfied with the outcome, you may make an appointment
to speak with or submit a written complaint (which may be in your own language) to
( __ __ _____)’s Executive Director or designee. INSERT NAME OF CONTRACTOR
If you have good cause to use another medium to communicate your complaint, such as a tape
recording, you may do so. The Executive Director or designee shall meet with you or provide
you with a written response to your written complaint within ten (10) working days of the
meeting or receipt of your written complaint.
3. Or, if you prefer, you may bypass the above steps and immediately contact the funding agency
below:
Alameda County Social Services Agency
Contracts Office
1111 Jackson St., Suite 103
Oakland, CA 94607
Email: [email protected]
I certify that the information in this document was explained to my satisfaction in my own
language and a copy of this form was given to me. I understand that by signing below, I hereby
authorize (____________________________________________) to release all my information INSERT NAME OF THE CONTRACTOR pertaining to my grievance to the Alameda County Social Services Agency.
____________
Client’s Name (printed)
____________ ___ Client’s Signature Date
Revised 9/6/2019
Page 13 of 24
ANEXO A
POLITICA PARA QUEJAS DE CLIENTES
QUÉ HACER SI USTED TIENE UNA QUEJA
Si tiene una queja acerca del desempeño del personal de ( ____) INSERTAR NOMBRE DEL CONTRATISTA
o siente que se le ha tratado injustamente, tendrá que seguir los siguientes pasos para que su queja
sea escuchada:
1. Hable en privado con la persona con quien tiene el problema. Le recomendamos que trate de
solucionar el problema de una manera abierta e informal.
2. Si no se siente cómodo hablando con la persona con quien tiene el problema, o habla con esa
persona y no está satisfecho/a con los resultados, puede hacer una cita para hablar con el
director ejecutivo de ( ______________ ) o su representante, o INSERTAR NOMBRE DEL CONTRATISTA
enviarle la queja por escrito (la cual puede ser en su propio idioma). Si tiene una buena razón
para utilizar otro medio de comunicar su queja, como una cinta de grabación, lo podrá hacer.
El director ejecutivo o el representante se reunirá con usted o le proveerá una respuesta por
escrito a su queja en el plazo de diez (10) días hábiles a partir de su cita o de haber recibido su
queja por escrito.
3. O, si usted prefiere, puede evitar los pasos previos y contactar, inmediatamente, al siguiente
organismo de financiación:
Agencia de Servicios Sociales del Condado de Alameda
Contracts Office
1111 Jackson St., Suite 103
Oakland, CA 94607
Correo electrónico: [email protected]
Certifico que la información en este documento fue explicada para mi entera satisfacción y en mi
propio idioma, y que se me dio una copia de este formulario. Comprendo que al firmar abajo
autorizo a (______________ __) a que divulgue a la Agencia de Servicios INSERTAR NOMBRE DEL CONTRATISTA
Sociales del Condado de Alameda toda mi información en relación con mi queja.
Nombre del cliente (en letra de imprenta)
Firma del cliente Fecha
Page 14 of 24
Attachment B
LANGUAGE ACCESS REQUIREMENTS FOR CONTRACTORS
I. The Alameda County Social Services Agency (SSA) has developed and adopted a Master
Plan on Language Access to ensure its limited-English proficient (LEP) clients are
provided with language accessible services and communications. Under the plan’s
provisions, community-based organizations (CBOs)/contractors whose services are
contracted by the SSA:
A. Shall clearly disclose language access capabilities in relationship to the population
served.
B. Shall have a plan in place—available for review upon request by County staff—for
referring clients whose language needs the contractor can’t accommodate.
C. Shall permit County staff to conduct ongoing monitoring of contracted services for
compliance with provisions of the County’s Language Access Plan.
D. Shall provide the County with a list and copies of all printed contract-related
marketing/promotional/education-related materials (including languages materials are
printed in).
II. The SSA shall aid contracted CBOs in expanding language interpretation services
through:
A. Providing CBOs/contractors with training, materials and instruction on how to
effectively refer LEP clients to appropriate language resources.
B. Including service-marketing plan requirements in requests for proposals
(RFPs) and contracts with CBOs that propose to offer language services (including
appropriate outreach and notification of programs and services) to the LEP
community and customers.
C. Developing a monitoring process of contracted services to ensure high-quality
language accessible services are always provided to LEP clients.
D. Providing CBOs/contractors with access to Telephonic Interpreters, a 24-hours-a-day,
365-days-a-year telephone language interpretation service in over 100+ languages—
to supplement on-site language access services.
(Revised: 8/31/18)
Page 15 of 24
EXHIBIT B
TERMS OF PAYMENT
In addition to all terms of payment described in the Master Contract Terms and Conditions and
any relevant exhibits and attachments, the parties to this Agreement shall abide by the following
terms of payment:
I. Budget
Contractor shall use all payments solely in support of the program budget, set forth as follows:
A. Funded Program Budget: Exhibit B-1
B. Agency Composite Budget: Exhibit B-2
II. Terms and Conditions of Payment
A. Contract Amount/Maximum:
Reimbursement amount shall not exceed the contract maximum amount of $750,000 for the
contract period as specified in the Master Contract Exhibit A and B Coversheet, Exhibit A –
Program Description and Performance Requirements and Exhibit B – Terms Conditions of
Payment. In order for Contractor to be paid the full amount available, the level of service
provided by Contractor must meet the expected level of service defined by this contract, as
listed in Exhibit A.
It is the obligation of the Contractor to progressively monitor all services expenditures and
take appropriate corrective preventive measures including the timely notification of
ACSSA if stoppage of services becomes the necessary measure to prevent the over-
expenditure of contract funds. Prior approval from the ACSSA Director or an authorized
designee shall be required to alter or change the terms and conditions of this agreement.
B. Contract Term:
The contract term is July 1, 2020 to June 30, 2021.
C. Budget Revision Procedures
1. Contractor shall be reimbursed in accordance with the contract budget as detailed in
Exhibit B-1. Any budget adjustments, revisions to the service categories and service
units within the contract must be approved by ACSSA Contract Liaison prior to billing
the County.
Contracting Department: Children and Family Services
Contractor Name: Family Support Services
Type of Services: Kinship Support Services
Page 16 of 24
2. Contractor must submit a formal written (via e-mail) request to the ACSSA Program
Liaison with copy to Contract Liaison for any contract budget adjustment with
justification for requested expenditure revisions inclusive of specific impacts to
current services being delivered. If impacts to contracted services levels are significant
the Program Liaison will consult Contracts Liaison prior to making the approval.
3. No supplemental billing will be accepted without Contractor’s prior notification and
approval by ACSSA Contract Liaison of the need and justification for revisions of
the service categories, service units or contract budget (line-items or unit costs).
4. The County Auditor Controller’s Office will not pay for unauthorized service
categories, service units and budget line-items that are revised or rendered by
Contractor that are not approved by ACSSA Contract Liaison and/or for claimed
services that contract program monitoring findings indicate have not been provided.
III. Invoicing Procedures
Social Services Agency (SSA) Finance Department has established a centralized Payments
Unit. Please send all invoices and all payment questions to [email protected].
This unit will be your point of contact for all payment and invoicing matters. If you need
additional assistance, please contact Deputy Finance Director Robert Woolley at (510) 268-
2001.
Invoices must contain the following elements:
1. Must be on company letterhead that includes name, address, and contact information
2. For Community Based Organizations, must be signed by the head of the organization,
i.e., Executive Director, CEO, etc.
3. Document must contain the title Invoice
4. The date of the invoice
5. A description of services
6. The date range for services provided
7. If needed, itemization of any sales tax and delivery/postage charges
8. The Purchase Order (PO) number provided by the County
9. The total amount owed
10. Remittance instructions/address
11. A cc indication at the bottom of the invoice with names of people who received
courtesy copies
12. The CEO or Executive Director must be included in the cc
13. All data as required by your contract.
IV. Funding and Reporting Requirements
Page 17 of 24
A. Failure to submit required reports can delay the processing of invoices for
reimbursement.
B. The amount shown on the Exhibits A & B Coversheet of the CBO Master Contract with
Alameda County Social Services Agency is based on the estimated amount at the time the
contract was executed. This does not affect the total contract amount that was awarded to
Family Support Services. The actual federal expenditure amount, if any, will be available
to Contractors by October of the following fiscal year, and Contractor shall contact the
ACSSA Contract Liaison to receive this information.
V. Termination Provisions
A. Termination for Cause: If County determines that Contractor has failed, or will fail,
through any cause, to fulfill in a timely and proper manner its obligations under the
Agreement, or if County determines that Contractor has violated or will violate any of the
covenants, agreements, provisions, or stipulations of the Agreement, County shall
thereupon have the right to terminate the Agreement by giving written notice to Contractor
of such termination and specifying the effective date of such termination.
Without prejudice to the foregoing, Contractor agrees that if prior to or subsequent to the
termination or expiration of the Agreement upon any final or interim audit by County,
Contractor shall have failed in any way to comply with any requirements of this Agreement,
then Contractor shall pay to County forthwith whatever sums are so disclosed to be due to
County (or shall, at County's election, permit County to deduct such sums from whatever
amounts remain un-disbursed by County to Contractor pursuant to this Agreement or from
whatever remains due Contractor by County from any other contract between Contractor and
County).
B. Termination Without Cause: County shall have the right to terminate this Agreement
without cause at any time upon giving at least 30 days written notice prior to the effective
date of such termination.
C. Termination By Mutual Agreement: County and Contractor may otherwise agree in
writing to terminate this Agreement in a manner consistent with mutually agreed upon
specific terms and conditions.
Page 18 of 24
EXHIBIT B-1
PROGRAM BUDGET
FY20-21
Budget
PERSONNEL COSTS
Salaries and Wages: Annual Salary FTE Amount
1 Chief Executive Officer 168,521 0.02 3,033
2 Chief Operating Officer 108,212 0.05 5,411
3 Director of Program Operations 88,132 0.23 19,988
4 Kinship Support Services (KSSP) Program Director 87,994 0.90 79,195
5 Kinship Youth Program (KYP) Supervisor 58,000 0.84 48,952
6 Kinship Program (KSSP) Supervisor 62,098 1.00 62,098
7 KSSP Social Worker 43,000 1.00 43,000
8 KSSP Social Worker 43,000 1.00 43,000
9 KSSP Social Worker 43,000 1.00 43,000
10 KSSP Program Outreach Worker 32,956 0.25 8,239
11 Respite Providers (hourly) - Grant 5,000 1.00 0
12 Kinship Youth Program Assistant 42,200 0.84 35,617
13 Kinship Program Aides 37,000 0.83 30,695
14 School Year Youth Aides - Grant 33,638 0.49 0
15 Administrative Assistant 35,587 0.08 2,847
Subtotal Salaries and Wages 10 425,075
Payroll Taxes & Benefits:
Payroll taxes - FICA 32,518
Payroll taxes - SUI 3,335
Retirement 8,501
Life, ADD & LTD Ins. 1,129
Health Insurance 61,361
Workers Compensation Insurance 2,222
Subtotal Taxes and Benefits 109,067
Total Personnel Cost 534,142
SERVICES AND SUPPLIES
IT Support 5,100
Legal Consulting 5,000
Travel and Mileage 4,200
Phone/Internet 11,000
Office Supplies 2,700
Software 1,100
Printing and Postage 1,300
Rent and Lease of Structures 118,843
Rent and Lease of Equipment 3,800
Building Maintenance and Repairs 500
Training Fees and Materials 1,000
Meetings & Orientation 600
Insurance 4,600
Advertising, Recruitment & Pre-employment 700
Client & Program Expenses 1,000
Program & Activities Supplies 5,267
Subtotal Services and Supplies 166,710
Total Direct Cost 700,852
Indirect Cost - 8.5%* 49,148
GRAND TOTAL PROGRAM COSTS 750,000
TOTAL CONTRACT AMOUNT 750,000
0
*Indirect cost calculation excludes Rent and Lease of Structures and Equipment
FAMILY SUPPORT SERVICES
KINSHIP SUPPORT SERVICE PROGRAM
BUDGET FY 2020-2021
BUDGET ITEM
Page 19 of 24
AGENCY COMPOSITE BUDGET
EXHIBIT B-2
Page 20 of 24
EXHIBIT C
COUNTY OF ALAMEDA MINIMUM INSURANCE REQUIREMENTS
Without limiting any other obligation or liability under this Agreement, the Contractor, at its sole cost and expense, shall
secure and keep in force during the entire term of the Agreement or longer, as may be specified below, the following
insurance coverage, limits and endorsements:
TYPE OF INSURANCE COVERAGES MINIMUM LIMITS
A Commercial General Liability
Premises Liability; Products and Completed Operations;
Contractual Liability; Personal Injury and Advertising Liability
$1,000,000 per occurrence (CSL)
Bodily Injury and Property Damage
B Commercial or Business Automobile Liability
All owned vehicles, hired or leased vehicles, non-owned,
borrowed and permissive uses. Personal Automobile Liability is
acceptable for individual contractors with no transportation or
hauling related activities
$1,000,000 per occurrence (CSL)
Any Auto
Bodily Injury and Property Damage
C Workers’ Compensation (WC) and Employers Liability (EL)
Required for all contractors with employees
WC: Statutory Limits
EL: $100,000 per accident for bodily injury or disease
D Professional Liability/Errors & Omissions
Includes endorsements of contractual liability
$1,000,000 per occurrence
$2,000,000 project aggregate
E
Endorsements and Conditions:
1. ADDITIONAL INSURED: All insurance required above with the exception of Professional Liability, Personal Automobile
Liability, Workers’ Compensation and Employers Liability, shall be endorsed to name as additional insured: County of
Alameda, its Board of Supervisors, the individual members thereof, and all County officers, agents, employees and
representatives.
2. DURATION OF COVERAGE: All required insurance shall be maintained during the entire term of the Agreement with
the following exception: Insurance policies and coverage(s) written on a claims-made basis shall be maintained during the
entire term of the Agreement and until 3 years following termination and acceptance of all work provided under the
Agreement, with the retroactive date of said insurance (as may be applicable) concurrent with the commencement of activities
pursuant to this Agreement.
3. REDUCTION OR LIMIT OF OBLIGATION: All insurance policies shall be primary insurance to any insurance available
to the Indemnified Parties and Additional Insured(s). Pursuant to the provisions of this Agreement, insurance effected or
procured by the Contractor shall not reduce or limit Contractor’s contractual obligation to indemnify and defend the
Indemnified Parties.
4. INSURER FINANCIAL RATING: Insurance shall be maintained through an insurer with a minimum A.M. Best Rating
of A- or better, with deductible amounts acceptable to the County. Acceptance of Contractor’s insurance by County shall not
relieve or decrease the liability of Contractor hereunder. Any deductible or self-insured retention amount or other similar
obligation under the policies shall be the sole responsibility of the Contractor. Any deductible or self-insured retention amount
or other similar obligation under the policies shall be the sole responsibility of the Contractor.
5. SUBCONTRACTORS: Contractor shall include all subcontractors as an insured (covered party) under its policies or shall
furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all
of the requirements stated herein.
6. JOINT VENTURES: If Contractor is an association, partnership or other joint business venture, required insurance shall be
provided by any one of the following methods:
– Separate insurance policies issued for each individual entity, with each entity included as a “Named Insured (covered party),
or at minimum named as an “Additional Insured” on the other’s policies.
– Joint insurance program with the association, partnership or other joint business venture included as a “Named Insured.
7. CANCELLATION OF INSURANCE: All required insurance shall be endorsed to provide thirty (30) days advance written
notice to the County of cancellation.
8. CERTIFICATE OF INSURANCE: Before commencing operations under this Agreement, Contractor shall provide
Certificate(s) of Insurance and applicable insurance endorsements, in form and satisfactory to County, evidencing that all
required insurance coverage is in effect. The County reserves the rights to require the Contractor to provide complete,
certified copies of all required insurance policies. The require certificate(s) and endorsements must be sent to:
- Alameda County Social Services Agency Contracts Office, 1111 Jackson Street, Suite 103, Oakland, CA 94607
- With a copy to Risk Management Unit, 1106 Madison Street, Room 233, Oakland, CA 94607
Certificate C-2 Form 2001-1
Page 21 of 24
EXHIBIT D
AUDIT REQUIREMENTS
The County contracts with various organizations to carry out programs mandated by the Federal
and State governments or sponsored by the Board of Supervisors. Under the Single Audit Act
Amendments of 1996 (31 U.S.C.A. §§ 7501-7507) and Board policy, the County has the
responsibility to determine whether organizations receiving funds through the County have
spent them in accordance with applicable laws, regulations, contract terms, and grant
agreements. To this end, effective with the first fiscal year beginning on and after December 26,
2014, the following are required. I. AUDIT REQUIREMENTS
A. Funds from Federal Sources:
1. Non-Federal entities which are determined to be sub-recipients by the
supervising department according to 2 CFR § 200.330 and which expend
annual Federal awards in the amount specified in 2 CFR § 200.501 are
required to have a single audit performed in accordance with 2 CFR §
200.514.
2. When a non-Federal entity expends annual Federal awards in the amount
specified in 2 CFR § 200.501(a) under only one Federal program
(excluding R&D) and the Federal program's statutes, regulations, or
terms and conditions of the Federal award do not require a financial
statement audit of the auditee, the non-Federal entity may elect to have a
program-specific audit conducted in accordance with 2 CFR § 200.507
(Program Specific Audits).
3. Non-Federal entities which expend annual Federal awards less than the
amount specified in 2 CFR § 200.501(d) are exempt from the single audit
requirements for that year except that the County may require a limited-
scope audit in accordance with 2 CFR § 200.503(c) .
B. Funds from All Sources:
Non-Federal entities which expend annual funds from any source (Federal,
State, County, etc.) through the County in an amount of:
1. $100,000 or more must have a financial audit in accordance with the
U.S. Comptroller General’s Generally Accepted Government Auditing
Standards (GAGAS) covering all County programs.
2. Less than $100,000 are exempt from these audit requirements except as
otherwise noted in the contract.
Page 22 of 24
Non-Federal entities that are required to have or choose to do a single
audit in accordance with 2 CFR Subpart F, Audit Requirements are not
required to have a financial audit in the same year. However, Non-
Federal entities that are required to have a financial audit may also be
required to have a limited-scope audit in the same year.
C. General Requirements for All Audits:
1. All audits must be conducted in accordance with General ly Accepted
Government Auditing Standards issued by the Comptroller General of
the United States (GAGAS).
2. All audits must be conducted annually, except for biennial audits
authorized by 2 CFR § 200.504 and where specifically allowed
otherwise by laws, regulations, or County policy.
3. The audit report must contain a separate schedule that identifies all funds
received from or passed through the County that is covered by the audit.
County programs must be identified by contract number, contract
amount, contract period, and amount expended during the fiscal year
by funding source. An exhibit number must be included when applicable.
4. If a funding source has more stringent and specific audit requirements,
these requirements must prevail over those described above.
II. AUDIT REPORTS
A. For Single Audits
1. Within the earlier of 30 calendar days after receipt of the auditor’s report
or nine months after the end of the audit period, the auditee must
electronically submit to the Federal Audit Clearinghouse (FAC) the data
collection form described in 2 CFR § 200.512(b) and the reporting
package described in 2 CFR § 200.512(c). The auditee and auditors must
ensure that the reporting package does not include protected personally
identifiable information. The FAC will make the reporting package and
the data collection form available on a web site and all Federal agencies,
pass-through entities and others interested in a reporting package and data
collection form must obtain it by accessing the FAC. As required by 2
CFR § 200.512(a)(2), unless restricted by Federal statutes or regulations,
the auditee must make copies available for public inspection.
2. A notice of the audit report issuance along with two copies of the
management letter with its corresponding response should be sent to the
County supervising department within ten calendar days after it is
Page 23 of 24
submitted to the FAC. The County supervising department is responsible
for forwarding a copy of the audit report, management letter, and
corresponding responses to the County Auditor within one week of
receipt.
B. For Audits other than Single Audits
At least two copies of the audit report package, including all attachments and any
management letter with its corresponding response, should be sent to the County
supervising department within six months after the end of the audit year, or other
time frame as specified by the department. The County supervising department
is responsible for forwarding a copy of the audit report package to the County
Auditor within one week of receipt.
III. AUDIT RESOLUTION
Within 30 days of issuance of the audit report, the entity must submit to its County
supervising department a corrective action plan consistent with 2 CFR § 200.511(c)
to address each audit finding included in the current year auditor’s report. Questioned
costs and disallowed costs must be resolved according to procedures established by the
County in the Contract Administration Manual. The County supervising department
will follow up on the implementation of the corrective action plan as it pertains to
County programs.
IV. ADDITIONAL AUDIT WORK
The County, the State, or Federal agencies may conduct additional audits or reviews to
carry out their regulatory responsibilities. To the extent possible, these audits and
reviews will rely on the audit work already performed under the audit requirements
listed above.
Page 24 of 24
EXHIBIT E
HIPAA BUSINESS ASSOCIATE AGREEMENT
(INTENTIONALLY OMITTED )
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBRWVD
ADDLINSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLYNON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?(Mandatory in NH)
DESCRIPTION OF OPERATIONS belowIf yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-
STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP
(MM/DD/YYYY)POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCEDAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYPRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIREDAUTOS ONLY
3/10/2020
Arthur J. Gallagher & Co.Insurance Brokers of CA., Inc.505 N Brand Blvd, Suite 600Glendale CA 91203
Jenny Kim818.539.8611 818.539.8711
License#: 0726293 Cypress Insurance Company (CA) 10855FAMISUP-01 Berkley National Insurance Company 38911
Family Support Services.303 Hegenberger Road, Suite 400Oakland, CA 94621
202792014
B X 1,000,000X 1,000,000
20,000
1,000,000
3,000,000X
Y 8586974-10 3/15/2020 3/15/2021
3,000,000
B 1,000,000
XX X
8586974-10 3/15/2020 3/15/2021
B X X 2,000,0008587168-10 3/15/2020 3/15/2021
2,000,000
A XFAWC113651 1/1/2020 1/1/2021
1,000,000
1,000,000
1,000,000B Professional Liability 8586974-10 3/15/2020 3/15/2021 Per Claim
Aggregate$1,000,000$3,000,000
Coverage Information:
Policy: Improper Sexual Misconduct LiabilityPolicy Number: 8586974-10Policy term: 3/15/2020 to 3/15/2021Carrier: Berkley National Insurance CompanyEach claim: $1,000,000 / Aggregate: $1,000,000
See Attached...
Alameda County Social Services AgencyAttn: Contracts Office1111 Jackson St., 1st FloorOakland, CA 94607
ACORD 101 (2008/01)The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
FAMISUP-01
1 1
Arthur J. Gallagher & Co. Family Support Services.303 Hegenberger Road, Suite 400Oakland, CA 94621
25 CERTIFICATE OF LIABILITY INSURANCE
Policy: Directors & OfficersPolicy Number: PHSD1526458Policy term: 3/15/2020 to 3/15/2021Carrier: Philadelphia Indemnity Insurance CompanyEach claim: $1,000,000 / Aggregate: $1,000,000 / Retention: $2,500
County of Alameda, it's board of supervisors, the individuals members there of, and all county officers, agents, employees and representatives are namedadditional insured with respect to the operations of the named insured. Workers Compensation coverage is evidence only. 10 days for cancellation due tononpayment of premium applies and 30 days for all other reasons.
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2
ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:
1. Your acts or omissions; or 2. The acts or omissions of those acting on your
behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
8586974-10
Berkley National Insurance Company
County of Alameda, it's board of supervisors, the individuals members there of, and all county officers, agents, employees and representatives
Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13
C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
EXHIBIT F
COUNTY OF ALAMEDA
DEBARMENT AND SUSPENSION CERTIFICATION (Applicable to all agreements funded in part or whole with federal funds and contracts over $25,000).
The contractor, under penalty of perjury, certifies that, except as noted below, the
contractor, its principals, and any named and unnamed subcontractor:
Is not currently under suspension, debarment, voluntary exclusion, or
determination of ineligibility by any federal agency;
Has not been suspended, debarred, voluntarily excluded or determined
ineligible by any federal agency within the past three years;
Does not have a proposed debarment pending; and
Has not been indicted, convicted, or had a civil judgment rendered against it
by a court of competent jurisdiction in any matter involving fraud or official
misconduct within the past three years.
If there are any exceptions to this certification, insert the exceptions in the following
space. {!10}
Exceptions will not necessarily result in denial of award, but will be considered in
determining contractor responsibility. For any exception noted above, indicate
below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or
administrative sanctions. The above certification is part of the Community Based
Organization Master Contract. Signing this Contract on the signature portion
thereof shall also constitute signature of this Certification.
CONTRACTOR:{!8}________________________________________ ______
PRINCIPAL NAME:{!9} _______________________ TITLE:{!3}___________________
SIGNATURE:{!2} ______________________________ DATE:{!5} __________ {!7}
{!c} {!a}
a044N000015boFDQAY90afd133-68aa-4920-858a-dfffac174cff\\ac01fs8600.acgov.org\esign_SSA\SSAContractRenewals\2021\Family Support Services_30756_$750000
Family Support Services
None
Chief Executive Officer Cheryl Smith
7/20/2020
Form 110-9 Rev 7/23/15, Page 1 of 2 – INTERNAL COUNTY OF ALAMEDA USE ONLY
REQUEST TO ENCUMBER, ADD, LIQUIDATE FUNDS OR PAY BOARD-APPROVED CONTRACTS
Department Contact Name: _______________________________________ Phone #:___________________ QIC:______________
Supplier Name: ______________________________________________________________________________________________
Supplier Remittance Address: ________________________________________________________Alcolink Supplier Address #____
Supplier Vendor ID: _________________ Master Contract #: _________________ Procurement Contract #: ___________________
Description of Contract: ______________________________________________________Performance Measurement: ___________
Procurement Contract Begin Date: __________Expire Date: ____________SLEB Waiver #:_______ Type: Board GSA Fed
Check box appropriate box (A-D) below. If request below is for CBO/Human Services Contract also check box here:
A. ENCUMBER FUNDS IN A NEW PURCHASE ORDER for Period of Funding from_____________ to_______________
PO# Board Approval Date: ________________ Agenda Item Number: ___________________
Total Amount Authorized By Board:$ ____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested: ________________________________________________________________ (See reverse for required Additional Supplier Contact Information when requesting A. for CBO/Human Services Contracts)
B. ADD FUNDS TO EXISTING PURCHASE ORDER for Period of Funding from_______________ to_________________
PO Number: _____________________Board Approval Date: ___________________Agenda Item Number: ______________
Total Amount Authorized By Board:$ _____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested:________________________________________________________________
C. LIQUIDATE FUNDS FROM A PURCHASE ORDER
Purchase Order Number: __________________________ Amount to be Liquidated: ____________________________
Liquidation Justification: _________________________________________________________________________________
D. PAY SUPPLIER – UPLOAD INVOICE
PO #___________ Business Unit: ____________ PO Type:_____________ Voucher #: __________________
Invoice #: _________________ Amount Due $: _____________________ Service Period: ____________________________
Payment Handling (See Reverse): US-Mail DP-Return to Department SP-Department Pick Up
AA-Mail w/Attachments 3rd
Party CBAP
Pay Comments _________________________________________________________________________________________
Dept Claims Processor: _____________________________ Dept. Claims Approver: _________________________________
ACCOUNTING INFORMATION
Business Unit Account Fund Dept Program BY Subclass Proj/Grant Amount
Total
CBO/Human Services
Contract History of Funding:
Original Amendment # Amendment # Amendment # Amendment # Amendment #
Funding Level
Amount of Encumbrance
File Date
File / Item #
Reason
Funding
Source Allocation
(Estimated Only. See Contract Exhibit B) Federal - CFDA # State County BOS Dist #
Authorized signatory below certifies that contractor has provided goods/services as invoiced and verifies the mathematical accuracy of the invoice; that all financial provisions of the contract have been met (including the rates charged); that all invoiced items are specifically authorized by the contract and no contract limits have
been exceeded (in total, by month or by expense category).
Authorized Signature: __________________________________Department:___________________________Date: ___________
Print Name of Authorized Signatory: _________________________________________________________ Phone: ______________
a044N000015bo7TQAQ
(50%)
03/17/2020
Gloria Carroll23501
X
900117
Kinship Support Services
750,000
Board Action
$750,000NA
Lincoln
5
X
$375,000
(510) 267-9457
3
X
750,000
$
80afd133-68aa-4920-858a-dfffac174cfe
610341
1st of two years approved by BOS on 3-17-20
1
10000
(510) 267-9457
2
(50%)
F1248-D
$
Other
SSA
1266 - 14th Street, Oakland CA 94607
303/17/2020
30441/3
RBA
\\ac01fs8600.acgov.org\esign_SSA\SSAContractRenewals\2021\Lincoln_26606_$750000
5102682721
26606
5.0
93-658
$750,000
320100
23501
SOCSA
4.0
07/01/2020
36999 2021
07/01/2020 06/30/2021
19631
Sandra Oubre
$375,000
4
06/30/2021
$750,000
$750,000
7/27/2020
Sandra Oubre
17518
Form 110-9 Rev 7/23/15 (Page 2 of 2)
Additional Supplier Contact Information (Required when requesting A. above for CBO/Human Services Contracts)
Supplier Mailing Address (if different from remittance address above):_________________________________________________
Supplier Contact Person: ______________________________________ Phone #:__________________ Fax #________________
Supplier Contact Person Email: _______________________________________________________________________________
Supplier Signatory Email: ____________________________________________________________________________________
Payment Handling Pay Comments / Instructions Must Include
DP-Return to Department
Return the warrant to the department
1. Name of the person to receive the warrant
2. QIC of the person to receive the warrant
3. The voucher payment handling code must not
specify "US" or the Auditor's Office will
automatically mail the warrant to the payee
SP-Department Pick Up
The department will pick up the warrant (In an
emergency, a department liaison may arrange with the
Auditor's Office to pick up a warrant. Vendors may not
pick up warrants.)
1. Name of the contact person to be notified when the
warrant is ready
2. Phone number of the contact person
3. The voucher payment handling code must not
specify "US" or the Auditor's Office will
automatically mail the warrant to the payee
US-Mail
The Auditor's Office will mail the warrant directly to the
vendor through the US Mail
1. The claim/voucher must have the correct address.
2. Attachments are not sent with the warrant.
AA-Mail with Attachments
The Auditor's Office will mail the warrant directly to the
vendor through the US Mail
1. Attachments are sent with the warrant.
2. The department must upload a copy of all
documents that are to be sent with the warrant.
3rd
Party CBAP
Third-party Contractor Bonding Assistance Program
1. Required when contractor is participating in
County Bonding Assistance Program sponsored
by County Administrator’s Office Risk
Management Unit.
2. Third-party address must be added to Vendor
file in Alcolink and identified in #2 Remittance
Address on reverse.
510-273-4700 ext. 4150
510-530-8083Allison Becwar
1266 - 14th Street, Oakland CA 94607
Department Name: Children and Family Services
CBO MASTER CONTRACT ANNUAL RENEWAL AMENDMENT
FOR FISCAL YEAR (FY) 2020-2021 FOR EXHIBITS A & B
Reference is made to that Master Contract No. 900117 (“Master Contract”) made and entered
into by and between LINCOLN ("Contractor”), and the COUNTY OF ALAMEDA, a body
corporate and politic of the State of California ("County").
The Master Contract is hereby amended by adding the following described exhibits, all of which
are attached and incorporated into the Master Contract by this reference:
1. Exhibit A FY 2020-2021 Program Description and Performance Requirements:
This contract will supply Kinship Support services during the period of July 1, 2020
through June 30, 2021. Exhibit A FY 2020-2021 entered into between the Social Services
Agency of the County of Alameda and Contractor for the Master Contract referenced
above, replaces and supersedes any and all previous Exhibit As entered into between the
Social Services Agency of the County of Alameda and Contractor for this Master Contract.
2. Exhibit B FY 2020-2021, Terms of Payment: The amount payable under this Annual
Renewal Amendment shall not exceed $750,000. Exhibit B FY 2020-2021 entered into
between the Social Services Agency of the County of Alameda and Contractor for the
Master Contract referenced above, replaces and supersedes any and all previous Exhibit Bs
entered into between the Social Services Agency of the County of Alameda and Contractor
for this Master Contract.
3. Exhibit C Insurance Requirements
4. Exhibit D Audit Requirements
5. Exhibit E HIPAA Business Associate Agreement (intentionally omitted)
6. Exhibit F Debarment and Suspension Certification
7. The following Exhibits are also attached to and incorporated into the Master Contract by
this reference:
NA
Except as herein amended, the Master Contract is continued in full force and effect.
COUNTY OF ALAMEDA CONTRACTOR
By:{!1} ______________________________ By: {!2} _________________________
{!f1} ____________________________________ {!f2} ________________________________
Print or Type Name Print or Type name
Title: Director, Social Services Agency _ Title:{!3} _________________________
Date:{!4}______________________________ Date:{!5} _________________________
Page 1 of 25
ALCOLINK Master Contract No.: 900117 Board of Supervisors Approval Date: 03/17/20
Supplier ID: 26606 Agenda Item No.: 3
Allison Staulcup Becwar
7/27/2020
President & CEO
Lori A. Cox
7/27/2020
Page 2 of 24
EXHIBIT A
PROGRAM DESCRIPTION AND PERFORMANCE REQUIREMENTS
Contractor Name: Lincoln
Contracting Department: Children and Family Services
Type of Services: Kinship Support Services Program
I. Program Name
Lincoln Kinship Support Services Program
II. Contracted Services
The Kinship Support Services Program provides community-based family support services
to both formal and informal relative caregivers who reside within The County of Alameda
and care for their family members. Kinship sites provide an array of services to families who
are not engaged in the Juvenile Dependency Court process (non-dependent families) and
with families who are engaged with the Court (dependent families). For non-dependent
families, case management as well as supportive services are offered, including caregiver
support groups, respite care, child/youth activities, information and referral, advocacy,
homework clubs, education and training sessions, and other activities and events throughout
the year. For dependent families, all aforementioned activities, with the exception of case
management, are offered.
Due to orders issued by the State of California and County of Alameda, beginning in March
2020, related to the COVID-19 Pandemic, Contractor and County will collaborate on
adjustments to the delivery of contracted services in this contract, so all services will be
carried out in compliance with State and County health requirements.
III. Program Information and Requirements
A. Program Goals
The goals of the program are to:
1. Assist Alameda County Social Services Agency (ACSSA) in its effort to decrease
the number of children/youth entering foster care by providing support services to
relative caregivers and fictive kin to care for children/youth who might otherwise
enter a foster home due to abuse or neglect or who are at risk of juvenile court
dependency.
2. Improve outcomes related to safety, permanency, and well-being for the
children/youth receiving services.
3. Reduce or eliminate need for children/youth to enter/re-enter foster care.
Page 3 of 24
4. Improve caregiver understanding of children and youth’s options for permanency,
such as guardianship or adoption and resources available to support permanency such
as the Kinship Guardianship Assistance Payment Program (Kin-GAP) and the
Adoption Assistance Program (AAP).
5. Increase likelihood of relatives to assume and maintain responsibility and care of
children/youth from their extended families.
6. Increase placement stability of children/youth with relative caregivers.
7. Build a sustainable network of care for kinship families through outreach, education,
and collaboration.
8. Improve educational outcomes for children/youth in relative care.
9. Increase awareness of the Kinship Support Services Program through presentations
and networking with community leaders/organizations.
B. Target Population
The Kinship Support Services Program (Kinship) works with relative caregivers who
reside in The County of Alameda and care for their family members. Census data
indicate that there are more than 2,600 grandparents living within The County of
Alameda who are primary caregivers for their grandchildren under 18 years of age.
Three large groups of children/youth are potential Kinship service recipients. These
include 353 current Kin-GAP recipients residing within the boundaries of The County
of Alameda, 254 current Non-Needy Relative CalWORKs recipients, and 291
children/youth currently living with Non-Related Extended Family Members.
C. Program Requirements
1. Referrals: Any child welfare worker can refer a relative caregiver family to a Kinship
site for support services. Additionally, the Kinship Unit, which is a part of the
Permanent Youth Connections section within the Department of Children and Family
Services (DCFS), has regular meetings with the Kinship sites and when possible
works to create a warm handoff for relative caregivers, so that when the family leaves
the Juvenile Court and child welfare system, the family has a familiar resource
available.
2. Service Area: Contractor shall provide services to Central, Southern, and Eastern
Alameda County: (San Leandro, San Lorenzo, Hayward, Fairview, Castro Valley,
Ashland, Cherryland, Livermore, Pleasanton, Dublin, Fremont, Newark, and Union
City).
3. Service Delivery Sites:
a. Hayward Kinship Center: 111 Review Way, Hayward, CA 94544
b. Fremont Family Resource Center: 29155 Liberty Street, Room D450,
Fremont, CA 94538
Page 4 of 24
c. Tri-Valley: To be determined
D. Minimum Staffing Qualifications
Contractor shall have and maintain current job descriptions on file with the Department
for all personnel whose salaries, wages, and benefits are reimbursable in whole or in part
under this agreement. Job descriptions shall specify the minimum qualifications for
services to be performed and shall meet the approval of the Department. Contractor shall
submit revised job descriptions meeting the approval of the Department prior to
implementing any changes or employing persons who do not meet the minimum
qualifications on file with the Department.
IV. Contract Deliverables and Requirements
A. SUPPORT GROUPS FOR RELATIVE CAREGIVERS
Structured, regularly scheduled support groups for relative caregivers will offer assistance in
updating parenting skills and navigating service delivery systems and provide an
opportunity for families to interact with others with similar concerns.
1. Contractor will provide 750 support group participant hours annually (Performance
Measure 4), which will include trainings and workshops specific to kin caregivers.
2. Contractor will provide at least 36 support groups during the one-year contract term.
3. Contractor will offer support groups a minimum of twice per month.
4. Contractor will offer support groups in one to two locations. Supports groups will
include meals and on-site age-appropriate respite/child care in easily accessible
locations in Central, Southern, and Eastern Alameda County: (San Leandro, San
Lorenzo, Hayward, Fairview, Castro Valley, Ashland, Cherryland, Livermore,
Pleasanton, Dublin, Fremont, Newark, and Union City).
5. Contractor will offer morning, evening, and weekend options at the following sites
and times:
a. Hayward Kinship Center
1) Thursdays (first and third Thursday of the month ) from 10:00
a.m. to 11:30 a.m. (Spanish-speaking support group)
2) Tuesdays (second and fourth Tuesday of the month) from 6:00
p.m. to 7:30 p.m.
b. Las Positas College, Livermore
Saturday (second Saturday of the month) from 10 a.m. to noon
6. A minimum of eight caregivers will attend each support group meeting.
B. INFORMATION AND REFERRAL
1. Contractor will provide a trained staff member to respond to 350 information and
referral telephone calls or in-person inquiries to link caregivers to programs,
services, and resources in their communities. (Performance Measure 2).
2. The 350 inquiries and responses will include 150 for crisis intervention and critical
needs support (Performance Measure 2a).
Page 5 of 24
3. Contractor will maintain office hours of 9:00 a.m. to 5:00 p.m., Monday through
Friday.
4. Contractor will continually update referral resources and provide ongoing training to
existing and new staff in providing timely and effective responses to client inquiry.
5. Contractor will supplement kinship support through its emergency hotline, which is
staffed 24 hours a day, seven days per week.
6. As needed, staff will refer cases to one of the Kinship Social Workers, who will
contact the caller to provide case management services.
C. PROGRAMMING FOR KINSHIP CHILDREN/YOUTH
1. Contractor will provide child/youth programming for kinship children from birth to
18 years of age. All programming will be designed to enhance children’s sense of
physical, emotional or intellectual well-being.
2. Contractor will provide a minimum of 4,500 participant hours annually
(Performance Measure 5). The 4,500-hour total will include afterschool activities
shown in #3 below, as well as the following summer and weekend youth
programming:
a. Summer Camp for 40-60 youth per year
b. Weekend Group Respite as determined by Program
3. Participation in afterschool activities from the hours of 3:00-6:00 p.m. Monday
through Friday will include 100 unduplicated children/youth annually and will
consist of:
a. Afterschool Homework Club: Grades K-5 in Hayward and Fremont,
Monday through Friday followed by structured recreational/enrichment
activities
b. Afterschool Study Skills Workshops: Middle and high school students
with Individual Education Programs (IEPs) and 504s
c. Quarterly group activities for youth grades K-5
d. Quarterly enrichment activities: Art classes, cooking classes, and field
trips, in collaboration with local organizations
e. Writing Labs: In collaboration with school districts and the Writers
Coach Connection, a non-profit organization
f. Monthly Afterschool Welcome: For new Kinship youth
g. Community service, youth leadership, and recreational outings
h. Transition Age Youth (TAY) Services: College planning and life skills
development, in partnership with The County of Alameda's Independent
Living Program
i. Kinship Aviator Program: Structured leadership development for junior
recreation leaders, in which youth may earn high school community
service credits
4. Programming may include either one-time events or continuous activities.
5. Contractor will train two staff to teach Making Proud Choices and will offer at least
two series of the 10-module, 750-minute curriculum.
D. CASE MANAGEMENT FOR KINSHIP FAMILIES
Page 6 of 24
Specific case management services will be provided to relative caregivers according to the
individual case plan timelines of the mutually developed case plan.
1. Contractor will provide case management services for 200 unduplicated families
annually (Performance Measure 3).
2. Contractor will provide case management services 9:00 AM to 5:00 PM, Monday
through Friday, year around, with flexibility to schedule other days and times based
on families’ unique situations.
3. Families who are not in Juvenile Court Dependency will receive case management
services at multiple locations including the Kinship Center in Hayward, the Fremont
Family Resource Center, Pleasanton Unified School District offices and caregivers'
homes.
4. Contractor will provide case management services in English and Spanish.
5. Case management staff will be available, when requested, at evening support groups
and occasional Saturdays, as needed.
6. ACSSA will provide a stress questionnaire, and applicant will administer the
questionnaire at the beginning and termination of case management services and
record the percentage of case management clients reporting a reduction in stress in
the annual report. 80% of participants will report some reduction in stress by end of
fiscal year (Performance Measure 7).
E. NON-CASE MANAGEMENT FOR KINSHIP FAMILIES
1. Contractor will provide 1,000 non-case management hours to families annually.
2. Contractor will provide support services including social meetups for kinship
caregivers; group information sessions to address common caregiver concerns; and
four to six webinars that can be accessed by caregivers at their convenience.
3. Respite activities for relative caregivers may be diverse in nature, limited only by the
requirements that:
a. Each occurrence last four hours
b. Occurrences are short-term and non-recurring
c. Sufficient detail is given to the County to demonstrate the service is
responsibly administered
d. Respite care settings are safe and healthy for the children/youth receiving
care
e. The care meets all applicable statutory and regulatory requirements
4. Community education sessions and informal sessions related to kinship care will be
provided to relative caregivers, and offer:
a. Strategies for relating to and negotiating with children’s biological parents
b. Guidance navigating education systems, including IEPs and tutoring
programs
c. Information on available financial assistance programs and eligibility
requirements for each, such as Medi-Cal
d. Options for permanency, such as probate guardianship and adoption
e. Resources available to support permanency
f. Housing resource information
F. OUTREACH AND RECRUITMENT
Page 7 of 24
1. Contractor will engage in a minimum of 6 outreach activities annually with the
objective of increasing community awareness of kinship services in the service
region and recruiting un-served relative caregivers. (Performance Measure 1).
2. Contractor will target outreach toward eligible, un-served relative caregivers.
3. Contractor will strategically design recruitment by using census data and information
from other community organizations to locate program participants from a broad
variety of local communities and will develop and continue relationships with
community leaders, community service providers, and schools to promote outreach
and recruitment.
G. COLLABORATION
1. Contractor will participate in the Alameda County Kinship Collaborative, bringing
together various organizations who work with relative and fictive kin caregivers.
2. Contractor will collaborate with ACSSA and the Alameda County Health Care
Services Agency to seek and implement other sources of public and private funding.
3. Contractor will develop and submit a Memorandum of Understanding (MOU) to the
County for each of the Contractor’s collaborative Kinship partners. The MOUs will
describe the responsibilities of each partner and include the required insurance
documents.
4. Contractor will collaborate with DCFS to create a referral process and form to
facilitate a warm handoff for families exiting the child welfare system.
5. Contractor will participate in unit/section meetings with DCFS staff to share their
respective programs and provide updates.
V. Reporting and Evaluation Requirements
A. Annual Reporting
An annual report is due from Contractor at the close of each fiscal year and will
include:
1. Narrative and Statistical Summary: A narrative description of services provided,
encounter statistics, demographics, results of implementation activities, and the
results of Performance Measures 6 and 7.
2. Results of Satisfaction Surveys: Per Performance Measure 6, Contractor will create
an annual satisfaction survey for caregivers and children/youth to rate the
helpfulness of each service used and overall program satisfaction for participants.
The survey will be approved by ACSSA. The performance objective is that 80% of
caregivers find the program has been helpful. Satisfaction surveys will be
administered at the end of each fiscal year.
3. Results of Stress Questionnaires: Per Performance Measure 7, Contractor will
administer a stress questionnaire that will be provided by ACSSA to caregivers at
the beginning and termination of case management services. In an annual report,
applicant will provide the percentage of case management clients reporting a
reduction in stress. The objective is for 80% to report a reduction in stress.
B. Quarterly Reporting
Page 8 of 24
Contractor will submit a quarterly report to the County created from the agreed on
database and including a narrative summary of the quarter, encounter statistics,
demographics, and supplementary reporting as needed by ACSSA. The quarterly report
will also include reporting on Results Based Accountability (RBA) Performance
Measures 1 through 5, as described in Exhibit A-1.
VI. Monitoring Requirements
ACSSA/DCFS staff, the Contracts Liaison, and/or a member of the Office of Policy,
Evaluation, and Planning (OPEP) may at any time, upon one week’s notice, monitor and
conduct an evaluation of operations, which may include site visits and reviews of
Contractor’s financial records and other records and materials to determine progress in the
achievement of program goals and objectives and service criteria and requirements as
specified within this agreement. A final report will be prepared by the Contracts Liaison to
provide feedback on areas of compliance and/or non-compliance. Contractor shall submit a
written corrective action plan to the Contracts Office Liaison in response to all findings of
non-compliance. A follow-up monitor visit will be conducted to ensure that all corrective
action measures have been completed and Contractor is in compliance with contract
requirements. Should subcontractors be utilized, Contractor will be responsible for
monitoring all subcontractors under this agreement.
VII. Entirety of Agreement
Contractor shall abide by all provisions of the Community Based Organization Master Contract
General Terms and Conditions, all Exhibits, and all Attachments that are associated with and
included in this contract.
VIII. Contractor Responsibilities – Client Grievance Policy
ACSSA Contractors are required to have a Client Grievance Policy in place and to disclose
the policy to all ACSSA clients during the Client Intake Process. As evidence that a Client
Grievance Policy is in place and all ACSSA clients provided services by the Contractor have
been made aware of its existence. Contractor must obtain the signature of each ACSSA client
on a copy of the policy acknowledging they were made aware of it, understand it, and
received a copy of the signed document. Contractor must also place a copy of the signed
document in each client’s case file and make the files available for review by County staff
upon request. See Attachment A for a sample ACSSA Grievance Policy in English and in
Spanish. An MS Word file of the ACSSA Grievance Policy Template is available through
your ACSSA Contract Liaison.
IX. Language Access Requirements for Contractors
See Attachment B for more information regarding Limited English Proficient (LEP) client
language access requirements for contactors with the County of Alameda.
Page 9 of 24
EXHIBIT A-1
RESULTS-BASED ACCOUNTABILITY PERFORMANCE MEASURES
KINSHIP SUPPORT SERVICES PROGRAM
SSA has adopted RBA framework to strengthen and increase data collection and improve contract
performance. The RBA framework establishes performance measures which will allow ACSSA
to track the positive impact and benefits of services for the target population by focusing on three
critical questions: How much work was done? How well was it done?, and Is anyone better off?.
RBA Performance Measures Target
Goal
How to Calculate Service
Provider
Internal Data
Collection
Method for
Performance
Measure
How
Mu
ch D
id W
e D
o?
Performance Measure 1. Number of outreach activities
conducted annually
6 Count of outreach activities
conducted
Performance Measure 2. Number of information and
referral calls/contacts annually
350 Count of information and
referral calls/contacts,
including calls/contacts
counted under 2a
Performance Measure 2a. Number of crisis intervention and
critical needs support
calls/contacts annually
150 Count of crisis intervention and
critical needs support
calls/contacts (included in 2)
Performance Measure 3. Number of families provided with
case management services
annually
200 Count of unduplicated families
provided with case
management services
Performance Measure 4. Number of support group
participant hours annually
750 Count of support group
participant hours
Performance Measure 5. Number of participant hours of
youth programming
4500 Count of participant hours of
youth programming, including
homework club, afterschool /
weekend activities, youth
leadership program, and youth
community service
Page 10 of 24
How
Wel
l
Was
It D
on
e? Performance Measure 6.
Percent of caregiver survey
respondents who rate each service
used and the overall program as
helpful
80% # of satisfied caregiver survey
respondents
# of caregiver survey
respondents
Is
An
yon
e B
ette
r O
ff?
Performance Measure 7.
Percent of case management
participants reporting a reduction
in stress
80% # caregivers reporting a
reduction in stress on the stress
survey at the termination of
case management services
# caregivers terminating case
management services who
report any level of stress other
than “no stress” on the initial
stress survey
Def
init
ion
s Participant hours: One participant hour is one hour of participation in the
specified activity by one individual.
The service provider will be responsible for developing a system to collect and analyze each
performance measure on a monthly and/or quarterly and/or annual basis.
SSA may request individual client data on the services provided for evaluation and/or quality
assurance purposes.
Page 11 of 24
Attachment A
CLIENT GRIEVANCE POLICY
WHAT TO DO IF YOU HAVE A GRIEVANCE
If you have a complaint about the performance of ( _) INSERT NAME OF CONTRACTOR
staff, and/or you feel you have been treated unfairly, the following are the steps you should take
to have your complaint heard:
1. Talk privately to the person with whom you have the problem. We encourage you to try first
to work out the problem in an open and informal way.
2. If you do not feel comfortable talking with the person with whom you have the problem, or
you do talk with them and are not satisfied with the outcome, you may make an appointment
to speak with or submit a written complaint (which may be in your own language) to
( __ __ _____)’s Executive Director or designee. INSERT NAME OF CONTRACTOR
If you have good cause to use another medium to communicate your complaint, such as a tape
recording, you may do so. The Executive Director or designee shall meet with you or provide
you with a written response to your written complaint within ten (10) working days of the
meeting or receipt of your written complaint.
3. Or, if you prefer, you may bypass the above steps and immediately contact the funding agency
below:
Alameda County Social Services Agency
Contracts Office
1111 Jackson St., Suite 103
Oakland, CA 94607
Email: [email protected]
I certify that the information in this document was explained to my satisfaction in my own
language and a copy of this form was given to me. I understand that by signing below, I hereby
authorize (____________________________________________) to release all my information INSERT NAME OF THE CONTRACTOR pertaining to my grievance to the Alameda County Social Services Agency.
____________
Client’s Name (printed)
____________ ___
Client’s Signature Date
(Revised 9/6/19)
Page 12 of 24
ANEXO A
POLITICA PARA QUEJAS DE CLIENTES
QUÉ HACER SI USTED TIENE UNA QUEJA
Si tiene una queja acerca del desempeño del personal de ( ____) INSERTAR NOMBRE DEL CONTRATISTA
o siente que se le ha tratado injustamente, tendrá que seguir los siguientes pasos para que su queja
sea escuchada:
1. Hable en privado con la persona con quien tiene el problema. Le recomendamos que trate de
solucionar el problema de una manera abierta e informal.
2. Si no se siente cómodo hablando con la persona con quien tiene el problema, o habla con esa
persona y no está satisfecho/a con los resultados, puede hacer una cita para hablar con el
director ejecutivo de ( ______________ ) o su representante, o INSERTAR NOMBRE DEL CONTRATISTA
enviarle la queja por escrito (la cual puede ser en su propio idioma). Si tiene una buena razón
para utilizar otro medio de comunicar su queja, como una cinta de grabación, lo podrá hacer.
El director ejecutivo o el representante se reunirá con usted o le proveerá una respuesta por
escrito a su queja en el plazo de diez (10) días hábiles a partir de su cita o de haber recibido su
queja por escrito.
3. O, si usted prefiere, puede evitar los pasos previos y contactar, inmediatamente, al siguiente
organismo de financiación:
Agencia de Servicios Sociales del Condado de Alameda
Contracts Office
1111 Jackson St., Suite 103
Oakland, CA 94607
Correo electrónico: [email protected]
Certifico que la información en este documento fue explicada para mi entera satisfacción y en mi
propio idioma, y que se me dio una copia de este formulario. Comprendo que al firmar abajo
autorizo a (______________ __) a que divulgue a la Agencia de Servicios INSERTAR NOMBRE DEL CONTRATISTA
Sociales del Condado de Alameda toda mi información en relación con mi queja.
Nombre del cliente (en letra de imprenta)
Firma del cliente Fecha
Page 13 of 24
Attachment B
LANGUAGE ACCESS REQUIREMENTS FOR CONTRACTORS
I. The Alameda County Social Services Agency (SSA) has developed and adopted a Master
Plan on Language Access to ensure its limited-English proficient (LEP) clients are
provided with language accessible services and communications. Under the plan’s
provisions, community-based organizations (CBOs)/contractors whose services are
contracted by the SSA:
A. Shall clearly disclose language access capabilities in relationship to the population
served.
B. Shall have a plan in place—available for review upon request by County staff—for
referring clients whose language needs the contractor can’t accommodate.
C. Shall permit County staff to conduct ongoing monitoring of contracted services for
compliance with provisions of the County’s Language Access Plan.
D. Shall provide the County with a list and copies of all printed contract-related
marketing/promotional/education-related materials (including languages materials are
printed in).
II. The SSA shall aid contracted CBOs in expanding language interpretation services
through:
A. Providing CBOs/contractors with training, materials and instruction on how to
effectively refer LEP clients to appropriate language resources.
B. Including service-marketing plan requirements in requests for proposals
(RFPs) and contracts with CBOs that propose to offer language services (including
appropriate outreach and notification of programs and services) to the LEP
community and customers.
C. Developing a monitoring process of contracted services to ensure high-quality
language accessible services are always provided to LEP clients.
D. Providing CBOs/contractors with access to Telephonic Interpreters, a 24-hours-a-day,
365-days-a-year telephone language interpretation service in over 100+ languages—
to supplement on-site language access services.
(Revised: 8/31/18)
Page 14 of 24
EXHIBIT B
TERMS OF PAYMENT
In addition to all terms of payment described in the Master Contract Terms and Conditions and
any relevant exhibits and attachments, the parties to this Agreement shall abide by the following
terms of payment:
I. Budget
Contractor shall use all payments solely in support of the program budget, set forth as follows:
A. Program Budget: Exhibit B-1
B. Agency Composite Budget: Exhibit B-2
II. Terms and Conditions of Payment
A. Contract Amount/Maximum:
Reimbursement amount shall not exceed the contract maximum amount of $750,000 for the
contract period as specified in the Master Contract Exhibit A and B Coversheet, Exhibit A –
Program Description and Performance Requirements and Exhibit B – Terms of Payment. In
order for Contractor to be paid the full amount available, the level of service provided by
Contractor must meet the expected level of service defined by this contract, as listed in Exhibit
A.
It is the obligation of the Contractor to progressively monitor all services expenditures and
take appropriate corrective preventive measures including the timely notification of
ACSSA if stoppage of services becomes the necessary measure to prevent the over-
expenditure of contract funds. Prior approval from the ACSSA Director or an authorized
designee shall be required to alter or change the terms and conditions of this agreement.
B. Contract Term:
The contract term is July 1, 2020 to June 30, 2021.
C. Budget Revision Procedures
1. Contractor shall be reimbursed in accordance with the contract budget as detailed in
Exhibit B-1. Any budget adjustments, revisions to the service categories and service
units within the contract must be approved by ACSSA Contract Liaison prior to
billing the County.
Contracting Department: Children and Family Services
Contractor Name: Lincoln
Type of Services: Kinship Support Services
Page 15 of 24
2. Contractor must submit a formal written (via e-mail) request to the ACSSA Program
Liaison with copy to Contract Liaison for any contract budget adjustment with
justification for requested expenditure revisions inclusive of specific impacts to
current services being delivered. If impacts to contracted services levels are
significant the Program Liaison will consult Contracts Liaison prior to making the
approval.
3. No supplemental billing will be accepted without Contractor’s prior notification and
approval by ACSSA Contract Liaison of the need and justification for revisions of
the service categories, service units or contract budget (line-items or unit costs).
4. The County Auditor Controller’s Office will not pay for unauthorized service
categories, service units and budget line-items that are revised or rendered by
Contractor that are not approved by ACSSA Contract Liaison and/or for claimed
services that contract program monitoring findings indicate have not been provided.
III. Invoicing Procedures
A. Social Services Agency (SSA) Finance Department has established a centralized Payments
Unit. Please send all invoices and all payment questions to [email protected].
This unit will be your point of contact for all payment and invoicing matters. If you need
additional assistance, please contact Deputy Finance Director Robert Woolley at (510) 268-
2001.
Invoices must contain the following elements:
1. Must be on company letterhead that includes name, address, and contact
information
2. For Community Based Organizations, must be signed by the head of the
organization, i.e., Executive Director, CEO, etc.
3. Document must contain the title Invoice
4. The date of the invoice
5. A description of services
6. The date range for services provided
7. If needed, itemization of any sales tax and delivery/postage charges
8. The Purchase Order (PO) number provided by the County
9. The total amount owed
10. Remittance instructions/address
11. A cc indication at the bottom of the invoice with names of people who received
courtesy copies
12. The CEO or Executive Director must be included in the cc
13. All data as required by your contract.
Page 16 of 24
B. The County Auditor Controller’s Office will not pay for unauthorized service categories,
service units, and budget line-items that are revised or rendered by Contractor that are not
approved by the SSA Program Department and/or for claimed services that contract
program monitoring findings indicate have not been provided.
C. Contractor shall submit one invoice each month during the contract term, not to exceed
$750,000. Invoices shall be submitted by the tenth day of the month following the service
month.
D. In order for the County to meet year end closing deadlines, Contractors must submit their
May invoice and any prior late invoices by June 10. The June invoice must be submitted
by July 10.
IV. Funding and Reporting Requirements
A. Failure to submit required reports can delay the processing of invoices for reimbursement.
B. The amount shown on the Exhibits A & B Coversheet of the CBO Master Contract with
Alameda County Social Services Agency is based on the estimated amount at the time the
contract was executed. This does not affect the total contract amount that was awarded to
Lincoln. The actual federal expenditure amount, if any, will be available to Contractors
by October of the following fiscal year, and Contractor shall contact the ACSSA Contract
Liaison to receive this information.
V. Termination Provisions
A. Termination for Cause: If County determines that Contractor has failed, or will fail,
through any cause, to fulfill in a timely and proper manner its obligations under the
Agreement, or if County determines that Contractor has violated or will violate any of the
covenants, agreements, provisions, or stipulations of the Agreement, County shall
thereupon have the right to terminate the Agreement by giving written notice to Contractor
of such termination and specifying the effective date of such termination.
Without prejudice to the foregoing, Contractor agrees that if prior to or subsequent to the
termination or expiration of the Agreement upon any final or interim audit by County,
Contractor shall have failed in any way to comply with any requirements of this
Agreement, then Contractor shall pay to County forthwith whatever sums are so disclosed
to be due to County (or shall, at County's election, permit County to deduct such sums
from whatever amounts remain un-disbursed by County to Contractor pursuant to this
Agreement or from whatever remains due Contractor by County from any other contract
between Contractor and County).
B. Termination Without Cause: County shall have the right to terminate this Agreement
without cause at any time upon giving at least 30 days written notice prior to the effective
date of such termination.
Page 17 of 24
C. Termination By Mutual Agreement: County and Contractor may otherwise agree in
writing to terminate this Agreement in a manner consistent with mutually agreed upon
specific terms and conditions.
Page 18 of 24
EXHIBIT B-1
LINCOLN KINSHIP PROGRAM BUDGET – FY 2020-2021
Category Subcategory Description Amount
Salaries and Wages FTE $
Director Family-Youth Devel 0.2 17,304
Administrative Assistant 0.75 35,591
Program Manager 0.8 67,733
Youth Program Coordinator 1.0 52,020
Case Manager 3.0 152,003
Youth Program Mentor (2 staff @ .5 fte) 1.0 42,848
Academic Mentors 0.5 22,495
7.2 389,994$
Payroll Taxes and Benefits
FICA 7.65% 29,835
Unemployment (Estimated Claim) 0.80% 3,120
WC 2.20% 8,580
Retirement 5.00% 19,500
Health Benefits 16.00% 62,399
123,433$
Total Personnel Expenses 513,427$
Client Service Expenses Program Supplies, Food, Transportation,
Recreation
36,013
Office Supplies Supplies, Printing, Postage 2,500
Staff Development Conferences, Seminars, Meetings, Food,
Appreciation
4,000
Phone/Internet Internet, Data, Telephone; 8 staff @ 57/month 5,510
Occupancy Rent and Lease of Structures 58,605
Office Maintenance 18,364
Furniture & Equipment* 400
Licenses & Fees 1,430
Mileage 7.7 Staff @ 22/month 2,233
Software Data 5,500
QA, IT & Research Eval 39,200
Total Operating Expenses 173,755
Total Direct Expenses (Personnel and Operating Expenses Combined) 687,182$
Total Indirect Cost (Administrative Overhead, 10% Maximum) 62,818$
Total Contract Amount 750,000$
Operating
Expenses
Personnel
Expenses
Describe (add one line for each major category)
Page 19 of 24
EXHIBIT B-2
AGENCY COMPOSIT BUDGET
Page 20 of 24
EXHIBIT C
COUNTY OF ALAMEDA MINIMUM INSURANCE REQUIREMENTS
Without limiting any other obligation or liability under this Agreement, the Contractor, at its sole cost and expense, shall
secure and keep in force during the entire term of the Agreement or longer, as may be specified below, the following
insurance coverage, limits and endorsements:
TYPE OF INSURANCE COVERAGES MINIMUM LIMITS
A Commercial General Liability
Premises Liability; Products and Completed Operations;
Contractual Liability; Personal Injury and Advertising Liability
$1,000,000 per occurrence (CSL)
Bodily Injury and Property Damage
B Commercial or Business Automobile Liability
All owned vehicles, hired or leased vehicles, non-owned,
borrowed and permissive uses. Personal Automobile Liability is
acceptable for individual contractors with no transportation or
hauling related activities
$1,000,000 per occurrence (CSL)
Any Auto
Bodily Injury and Property Damage
C Workers’ Compensation (WC) and Employers Liability (EL)
Required for all contractors with employees
WC: Statutory Limits
EL: $100,000 per accident for bodily injury or disease
D Professional Liability/Errors & Omissions
Includes endorsements of contractual liability
$1,000,000 per occurrence
$2,000,000 project aggregate
E
Endorsements and Conditions:
1. ADDITIONAL INSURED: All insurance required above with the exception of Professional Liability, Personal Automobile
Liability, Workers’ Compensation and Employers Liability, shall be endorsed to name as additional insured: County of
Alameda, its Board of Supervisors, the individual members thereof, and all County officers, agents, employees and
representatives.
2. DURATION OF COVERAGE: All required insurance shall be maintained during the entire term of the Agreement with
the following exception: Insurance policies and coverage(s) written on a claims-made basis shall be maintained during the
entire term of the Agreement and until 3 years following termination and acceptance of all work provided under the
Agreement, with the retroactive date of said insurance (as may be applicable) concurrent with the commencement of activities
pursuant to this Agreement.
3. REDUCTION OR LIMIT OF OBLIGATION: All insurance policies shall be primary insurance to any insurance available
to the Indemnified Parties and Additional Insured(s). Pursuant to the provisions of this Agreement, insurance effected or
procured by the Contractor shall not reduce or limit Contractor’s contractual obligation to indemnify and defend the
Indemnified Parties.
4. INSURER FINANCIAL RATING: Insurance shall be maintained through an insurer with a minimum A.M. Best Rating
of A- or better, with deductible amounts acceptable to the County. Acceptance of Contractor’s insurance by County shall not
relieve or decrease the liability of Contractor hereunder. Any deductible or self-insured retention amount or other similar
obligation under the policies shall be the sole responsibility of the Contractor. Any deductible or self-insured retention amount
or other similar obligation under the policies shall be the sole responsibility of the Contractor.
5. SUBCONTRACTORS: Contractor shall include all subcontractors as an insured (covered party) under its policies or shall
furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all
of the requirements stated herein.
6. JOINT VENTURES: If Contractor is an association, partnership or other joint business venture, required insurance shall be
provided by any one of the following methods:
– Separate insurance policies issued for each individual entity, with each entity included as a “Named Insured (covered party),
or at minimum named as an “Additional Insured” on the other’s policies.
– Joint insurance program with the association, partnership or other joint business venture included as a “Named Insured.
7. CANCELLATION OF INSURANCE: All required insurance shall be endorsed to provide thirty (30) days advance written
notice to the County of cancellation.
8. CERTIFICATE OF INSURANCE: Before commencing operations under this Agreement, Contractor shall provide
Certificate(s) of Insurance and applicable insurance endorsements, in form and satisfactory to County, evidencing that all
required insurance coverage is in effect. The County reserves the rights to require the Contractor to provide complete,
certified copies of all required insurance policies. The require certificate(s) and endorsements must be sent to:
- Alameda County Social Services Agency Contracts Office, 1111 Jackson Street, Suite 103, Oakland, CA 94607
- With a copy to Risk Management Unit, 1106 Madison Street, Room 233, Oakland, CA 94607
Certificate C-2 Form 2001-1
Page 21 of 24
EXHIBIT D
AUDIT REQUIREMENTS
The County contracts with various organizations to carry out programs mandated by the Federal
and State governments or sponsored by the Board of Supervisors. Under the Single Audit Act
Amendments of 1996 (31 U.S.C.A. §§ 7501-7507) and Board policy, the County has the
responsibility to determine whether organizations receiving funds through the County have
spent them in accordance with applicable laws, regulations, contract terms, and grant
agreements. To this end, effective with the first fiscal year beginning on and after December 26,
2014, the following are required. I. AUDIT REQUIREMENTS
A. Funds from Federal Sources:
1. Non-Federal entities which are determined to be sub-recipients by the
supervising department according to 2 CFR § 200.330 and which expend
annual Federal awards in the amount specified in 2 CFR § 200.501 are
required to have a single audit performed in accordance with 2 CFR §
200.514.
2. When a non-Federal entity expends annual Federal awards in the amount
specified in 2 CFR § 200.501(a) under only one Federal program
(excluding R&D) and the Federal program's statutes, regulations, or
terms and conditions of the Federal award do not require a financial
statement audit of the auditee, the non-Federal entity may elect to have a
program-specific audit conducted in accordance with 2 CFR § 200.507
(Program Specific Audits).
3. Non-Federal entities which expend annual Federal awards less than the
amount specified in 2 CFR § 200.501(d) are exempt from the single audit
requirements for that year except that the County may require a limited-
scope audit in accordance with 2 CFR § 200.503(c) .
B. Funds from All Sources:
Non-Federal entities which expend annual funds from any source (Federal,
State, County, etc.) through the County in an amount of:
1. $100,000 or more must have a financial audit in accordance with the
U.S. Comptroller General’s Generally Accepted Government Auditing
Standards (GAGAS) covering all County programs.
2. Less than $100,000 are exempt from these audit requirements except as
otherwise noted in the contract.
Page 22 of 24
Non-Federal entities that are required to have or choose to do a single
audit in accordance with 2 CFR Subpart F, Audit Requirements are not
required to have a financial audit in the same year. However, Non-
Federal entities that are required to have a financial audit may also be
required to have a limited-scope audit in the same year.
C. General Requirements for All Audits:
1. All audits must be conducted in accordance with General ly Accepted
Government Auditing Standards issued by the Comptroller General of
the United States (GAGAS).
2. All audits must be conducted annually, except for biennial audits
authorized by 2 CFR § 200.504 and where specifically allowed
otherwise by laws, regulations, or County policy.
3. The audit report must contain a separate schedule that identifies all funds
received from or passed through the County that is covered by the audit.
County programs must be identified by contract number, contract
amount, contract period, and amount expended during the fiscal year
by funding source. An exhibit number must be included when applicable.
4. If a funding source has more stringent and specific audit requirements,
these requirements must prevail over those described above.
II. AUDIT REPORTS
A. For Single Audits
1. Within the earlier of 30 calendar days after receipt of the auditor’s report
or nine months after the end of the audit period, the auditee must
electronically submit to the Federal Audit Clearinghouse (FAC) the data
collection form described in 2 CFR § 200.512(b) and the reporting
package described in 2 CFR § 200.512(c). The auditee and auditors must
ensure that the reporting package does not include protected personally
identifiable information. The FAC will make the reporting package and
the data collection form available on a web site and all Federal agencies,
pass-through entities and others interested in a reporting package and data
collection form must obtain it by accessing the FAC. As required by 2
CFR § 200.512(a)(2), unless restricted by Federal statutes or regulations,
the auditee must make copies available for public inspection.
2. A notice of the audit report issuance along with two copies of the
management letter with its corresponding response should be sent to the
County supervising department within ten calendar days after it is
Page 23 of 24
submitted to the FAC. The County supervising department is responsible
for forwarding a copy of the audit report, management letter, and
corresponding responses to the County Auditor within one week of
receipt.
B. For Audits other than Single Audits
At least two copies of the audit report package, including all attachments and any
management letter with its corresponding response, should be sent to the County
supervising department within six months after the end of the audit year, or other
time frame as specified by the department. The County supervising department
is responsible for forwarding a copy of the audit report package to the County
Auditor within one week of receipt.
III. AUDIT RESOLUTION
Within 30 days of issuance of the audit report, the entity must submit to its County
supervising department a corrective action plan consistent with 2 CFR § 200.511(c)
to address each audit finding included in the current year auditor’s report. Questioned
costs and disallowed costs must be resolved according to procedures established by the
County in the Contract Administration Manual. The County supervising department
will follow up on the implementation of the corrective action plan as it pertains to
County programs.
IV. ADDITIONAL AUDIT WORK
The County, the State, or Federal agencies may conduct additional audits or reviews to
carry out their regulatory responsibilities. To the extent possible, these audits and
reviews will rely on the audit work already performed under the audit requirements
listed above.
Page 24 of 24
EXHIBIT E
HIPAA BUSINESS ASSOCIATE AGREEMENT
(INTENTIONALLY OMITTED )
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBRWVD
ADDLINSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLYNON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?(Mandatory in NH)
DESCRIPTION OF OPERATIONS belowIf yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-
STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP
(MM/DD/YYYY)POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCEDAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYPRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIREDAUTOS ONLY
2/27/2020
(WC) Heffernan Insurance Brokers1350 Carlback AvenueWalnut Creek, CA 94596
Stacey Okimoto925-934-8500 925-934-8278
Nonprofits Insurance Alliance of California 1184LINCCHI-02 Lloyd's of London
Lincoln1266 14th StreetOakland, CA 94607
Allied World Insurance Company 22730
1230166650
A X 1,000,000X 20,000
10,000
1,000,000
3,000,000X
Y 202010668NPO 2/15/2020 2/15/2021
3,000,000
A 1,000,000
X
X X
202010668NPO 2/15/2020 2/15/2021
A X X 10,000,000202010668UMB 2/15/2020 2/15/2021
10,000,000
ACB
PROFESSIONAL LIABILITYCRIMECYBER LIABILITY
202010668NPO03063839ESI0112522173
2/15/20202/15/20202/15/2020
2/15/20212/15/20212/15/2021
OCCUR/AGGREGATEOCCUR/AGGREGATEEACH CLAIM/AGGREGATE
$1M / $3M$1M / $1M$2M / $2M
Re: Kinship Support Services. County of Alameda, its Board of Supervisors, the individual members thereof, and all County officers, agents, employees andrepresentatives are included as an additional insured on General Liability policy per the attached endorsement, if required.
Alameda County Social Services AgencyAdministrative OfficesAttn: Lori A. Cox2000 San Pablo Avenue, 4th FloorOakland, CA 94612
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EXHIBIT F
COUNTY OF ALAMEDA
DEBARMENT AND SUSPENSION CERTIFICATION (Applicable to all agreements funded in part or whole with federal funds and contracts over $25,000).
The contractor, under penalty of perjury, certifies that, except as noted below, the
contractor, its principals, and any named and unnamed subcontractor:
Is not currently under suspension, debarment, voluntary exclusion, or
determination of ineligibility by any federal agency;
Has not been suspended, debarred, voluntarily excluded or determined
ineligible by any federal agency within the past three years;
Does not have a proposed debarment pending; and
Has not been indicted, convicted, or had a civil judgment rendered against it
by a court of competent jurisdiction in any matter involving fraud or official
misconduct within the past three years.
If there are any exceptions to this certification, insert the exceptions in the following
space. {!10}
Exceptions will not necessarily result in denial of award, but will be considered in
determining contractor responsibility. For any exception noted above, indicate
below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or
administrative sanctions. The above certification is part of the Community Based
Organization Master Contract. Signing this Contract on the signature portion
thereof shall also constitute signature of this Certification.
CONTRACTOR:{!8}________________________________________ ______
PRINCIPAL NAME:{!9} _______________________ TITLE:{!3}___________________
SIGNATURE:{!2} ______________________________ DATE:{!5} __________ {!7}
{!c} {!a}
\\ac01fs8600.acgov.org\esign_SSA\SSAContractRenewals\2021\Lincoln_26606_$750000a044N000015bo7TQAQ
N/A
Lincoln
90afd133-68aa-4920-858a-dfffac174cff
Allison Staulcup Becwar
7/27/2020
President & CEO