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File #: 25-1042   
On agenda: 10/21/2025 Final action: 10/21/2025
Enactment date: Enactment #: Agreement No. 25-543, Agreement No. 25-544, Agreement No. 25-545
Recommended Action(s)
1. Approve and authorize the Chairman to execute Amendment No. 3 to Agreement with Reading and Beyond to continue providing health intervention activities for Fresno County's Community Health Worker Network, effective upon execution, extending the three-year base contract term by seven months from June 1, 2026, through December 31, 2026, with the two optional one-year extensions bringing the expiration date to December 31, 2028, and increasing the maximum compensation by $189,000 to a total of $1,449,000; 2. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement with Avenal Community Health Center dba Aria Community Health Center to continue providing health intervention activities for Fresno County's Community Health Worker Network, effective upon execution, extending the two-year base contract term by seven months from June 1, 2026, through December 31, 2026, with the two optional one-year extensions bringing the expiration date to December 31, 2028, and increasin...
Attachments: 1. Agenda Item, 2. Agreement A-25-543 Amendment No. 3 to Agreement with Reading and Beyond, 3. Agreement A-25-544 Amendment No. 1 to Agreement with Aria, 4. Agreement A-25-545 Amendment No. 3 to Agreement with FMM
DATE: October 21, 2025

TO: Board of Supervisors

SUBMITTED BY: Joe Prado, Interim Director, Department of Public Health

SUBJECT: Multiple Amendments to Agreements with Community Based Organizations to Implement Department of Public Health's Community Health Worker Network Intervention Activities

RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Amendment No. 3 to Agreement with Reading and Beyond to continue providing health intervention activities for Fresno County's Community Health Worker Network, effective upon execution, extending the three-year base contract term by seven months from June 1, 2026, through December 31, 2026, with the two optional one-year extensions bringing the expiration date to December 31, 2028, and increasing the maximum compensation by $189,000 to a total of $1,449,000;
2. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement with Avenal Community Health Center dba Aria Community Health Center to continue providing health intervention activities for Fresno County's Community Health Worker Network, effective upon execution, extending the two-year base contract term by seven months from June 1, 2026, through December 31, 2026, with the two optional one-year extensions bringing the expiration date to December 31, 2028, and increasing the maximum compensation by $111,385 to a total of $575,453; and
3. Approve and authorize the Chairman to execute Amendment No. 3 to Agreement with Fresno Metropolitan Ministry to continue providing health intervention activities for Fresno County's Community Health Worker Network, effective upon execution, extending the four-year and five-month contract term by seven months from June 1, 2026, through December 31, 2026, with no change to the maximum compensation of $12,496,869.
REPORT
There is no additional Net County Cost associated with the recommended actions. Approval of the recommended actions will allow Reading and Beyond, Avenal Community Health Cen...

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