Inter-Departmental Correspondence

Health Department



April 16, 2008


May 6, 2008







Honorable Board of Supervisors


Charlene A. Silva, Director, Health Department

Brian Zamora, Director, Public Health and Environmental Protection Division



Amendment Two to the Agreement with the AIDS Community Research Consortium


Adopt a Resolution authorizing the President of the Board to execute Amendment Two to the Agreement with the AIDS Community Research Consortium to provide health education and a food services program, extending the Agreement term from June 30, 2008, to June 30, 2009, and increasing the contract amount by $169,522, for a maximum obligation of $491,300.


Commitment: Ensure basic health and safety for all.

Goals 5 & 8: Residents have access to healthcare and preventive care; and help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life.


The Agreement contributes to the commitment and goals by providing health education and a food program to help improve the quality of life for people with HIV/AIDS.


Performance Measure


FY 2006-07

FY 2007-08

Percentage of clients who increased their basic understanding of the concepts presented in the Health Education Program, as measured by the pre/post tests





The AIDS Community Research Consortium (ACRC) has been providing health education and a food services program to San Mateo County residents affected by HIV/AIDS since 1998. The health education program provides strategies and interventions to assist clients with HIV/AIDS in maximizing their health and productivity through behavior change support, adherence to treatment regimens, and stress reduction. The food program has enabled numerous HIV/AIDS clients to obtain proper nutrition, maintain stable and healthier lifestyles, keep medical appointments, and adhere to increasingly complex medication regimens.

On September 11, 2007, your Board approved an Agreement with ACRC to provide health education and a food services program for the period of March 1, 2007 through February 29, 2008 for $296,778. Contracts are completed on an annual basis due to uncertainty of funding. The Resolution for the Agreement gave the Director of the Health Department the authority to sign Amendments of no more than $25,000 in aggregate.

The California Department of Public Health (CDPH) provided one-time-only funds for the food services program and requested that the date of services be extended. On December 26, 2007, the Director of the Health Department approved Amendment One to increase the amount of the Agreement by $25,000 and extend the term of the agreement to June 30, 2008.


The San Mateo County AIDS Program has recently received $77,800 in funds from CDPH to provide HIV health education, $87,722 from Ryan White CARE funding for a food services program, and $4,000 from the General Fund to provide health education on Hepatitis C. A Request for Proposals (RFP) for health education and food services was released in December 2006. ACRC was selected to provide these services. This is the second year of the RFP period. Amendment Two with ACRC increases the amount of the Agreement by $169,522 for a maximum obligation of $491,300 and extends the term from June 30, 2008 to June 30, 2009.


County Counsel has reviewed and approved the Amendment and Resolution as to form and content.



The term of the Agreement was March 1, 2007 through June 30, 2008. Amendment Two extends the term of the Agreement through June 30, 2009. The amount of the original Agreement was $296,778. Amendment One increased funds by $25,000 and Amendment Two adds $169,522, bringing the total amount of the Agreement to $491,300. The Public Health FY 2007-08 Adopted Budget includes the new funding in the amount of $23,450. Funds in the amount of $146,072 are included in the Public Health FY 2008-09 Recommended Budget. The Net County Cost for this Amendment is $4,000.