HomeMy WebLinkAbout20132609.tiffRESOLUTION
RE: APPROVE AMENDMENT #2 TO TASK ORDER CONTRACT FOR STATE TOBACCO
EDUCATION AND PREVENTION PARTNERSHIP GRANT AND AUTHORIZE CHAIR TO
SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Amendment #2 to the Task Order Contract
for the State Tobacco Education and Prevention Partnership Grant between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of
the Weld County Department of Public Health and Environment, and the Colorado Department of
Public Health and Environment, commencing July 1, 2013, and ending June 30, 2014, with further
terms and conditions being as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that Amendment #2 to the Task Order Contract for the State Tobacco Education
and Prevention Partnership Grant between the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Weld County Department of
Public Health and Environment, and the Colorado Department of Public Health and Environment be,
and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 16th day of September, A.D., 2013, nunc pro tunc July 1, 2013.
ATTEST:
Weld County Clerk to the Board
AP Bf: /EDA8 O5ORM:
County Attorney
Date of signaturEP 2 6 2013
3
BOARD OF C
WELD
TY COMMISSIONERS
RADO
William F. Garcia, Chair
,a_vn io)VL
ademacher, ro-Tem
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2013-2609
HL0040
Memorandum
William F. Garcia, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and Environment
DATE: September 3, 2013
SUBJECT: Revised A35 -State Tobacco Education & Prevention
Partnership (STEPP)
Enclosed for BOCC signature is the revised A35 State Tobacco Education & Prevention
Partnership (STEPP). This is the second (2) year of a three (3) year agreement with the Colorado
Department of Public Health and Environment (CDPHE). The BOCC originally approved this
grant last month. Due to a "stop work order" from CDPHE related to deliverable 4 (per a state
audit of smoke free policy work), CDPHE requested we revise the deliverable to not work on
smoke free campus policy work with UNC and focus on a new school, IBMC. The reason for
this change is that IBMC has a higher percentage of students representing disparate populations.
They also requested that we add a new deliverable to the work plan (increasing from 8
deliverables to 9). The new deliverable (number 9) has staff still working with UNC, but only on
education related to the benefits of a smoke free campus policy versus directly advocating for a
smoke free campus policy. The grant amount is remains the same and the positions remain at
3.0 FTE.
The grant will enable the Weld County Public Health Tobacco Program to continue its work in
youth tobacco prevention and cessation strategies for the county.
The total grant amount is $340,277; and the contract period is July 1, 2013 to June 30, 2014.
2013-2609
DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
PSD-STEPP
DEPARTMENT OR AGENCY NUMBER
FLA
CONTRACT ROUTING NUMBER
14-59142
AMENDMENT FOR TASK ORDERS #2
This Amendment is made this 26th day of August 2013 by and between the State of Colorado, acting by and
through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal place
of business is 4300 Cherry Creek Drive South, Denver, Colorado 80246 hereinafter referred to as the `State";
and, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY (a political subdivision of the State of
Colorado), 915 10th Street, Greeley, Colorado 80632 -0758, -for the use and benefit of the Weld County
Department of Public Health and Environment, whose address or principal place of business is 1555 17`h
Avenue, Greeley, Colorado 80631, hereinafter referred to as the "Contractor".
FACTUAL RECITALS
The parties entered into a Master Contract, dated January 17, 2012 with contract routing number 13 FAA 000051.
Pursuant to the terms and conditions of the Master Contract, the parties entered into a Task Order Contract, dated
October 1, 2012 with contract encumbrance number PO FLA PPG1348329 and contract routing number 13 FLA
48329, as amended by Contract Amendment #1, contract routing number 14 FLA 55697, collectively referred to
herein as the "Original Task Order Contract, whereby the Contractor was to provide to the State the following:
To provide tobacco cessation, reduce initiation of tobacco use, decrease tobacco prevalence
among youth and decrease exposure to secondhand smoke.
The State hereby exercises a "no cost" change to the specifications within the Statement of Work and Budget
within the current term of the Original Task Order Contract.
NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree
as follows:
Consideration for this Amendment to the Original Task Order Contract consists of the payments and
services that shall be made pursuant to this Amendment, and promises and agreements herein set forth.
2.
It is expressly agreed to by the parties that this Amendment is supplemental to the Original Task Order
Contract, contract routing number 13 FLA 48329, as amended by Contract Amendment #1, contract
routing number 14 FLA 55697, collectively referred to herein as the Original Contract, which is by this
reference incorporated herein. All terms, conditions, and provisions thereof, unless specifically modified
herein, are to apply to this Amendment as though they were expressly rewritten, incorporated, and included
herein.
3. It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified,
altered, and changed in the following respects only:
A. This Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified by
contract routing number 13 FLA 48329. This Amendment replaces the Statement of Work in
Exhibit E of the Original Contract. The revised specifications to the Statement of Work are
incorporated herein by this reference and identified as "Revised Exhibit E."
Page 1 of 5 Rev 3/16/2010
B. This Amendment also replaces the Budget in Exhibit F of the Original Contract. The revised
specifications to the Budget are incorporated herein by this reference and identified as "Revised
Exhibit F."
The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original
Task Order Contract are reaffirmed.
4. The effective date of this Amendment is October 1, 2013 or upon approval of the State Controller, or an
authorized delegate thereof, whichever is later.
5. Except for the Special Provisions and other terms and conditions of the Master Contract and the General
Provisions of the Original Task Order Contract, in the event of any conflict, inconsistency, variance, or
contradiction between the terms and provisions of this Amendment and any of the terms and provisions of
the Original Task Order Contract, the terms and provisions of this Amendment shall in all respects
supersede, govern, and control. The Special Provisions and other terms and conditions of the Master
Contract shall always control over other provisions of the Original Task Order Contract or any subsequent
amendments thereto. The representations in the Special Provisions to the Master Contract concerning the
absence of personal interest of state of Colorado employees and the certifications in the Special Provisions
relating to illegal aliens are presently reaffirmed.
6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR
ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED,
AND OTHERWISE MADE AVAILABLE.
Page 2 of 5 Rev 3/16/2010
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Page 3 of 5 Rev 3/16/2010
IN WITNESS WHEREOF, the parties hereto have executed this Amendment on the day first above written.
a Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's
behalf and acknowledge that the State is relying on their representations to that effect.
CONTRACTOR:
BOARD OF COUNTY COMMISSIONERS OF
WELD COUNTY (a political subdivision of the
State of Colorado) for the use and benefit of the
Weld County Department of Public Health and
Environment
William F. Garcia
SjghaturrE of Authorized Officer
STATE:
STATE OF COLORADO
John W. Hickenlooper, Governor
By:
SEP 1 6 2013
Print Name of Authorized Officer
Chair, Board of Weld County Commissioners
Print Title of Authorized Officer
For the t jxecutive Director
DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT
PROGRAM APPROVAL:
By:
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS §24-30-202 requires the State Controller to approve all State Contracts. This Contract is not valid until
signed and dated below by the State Controller or delegate. Contractor is not authorized to begin
performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not
obligated to pay Contractor for such performance or for any goods and/or services provided hereunder.
By:
Date:
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
9-1L-/3
Page4of5 Rev 3/l6/20t0
07oi3 - a6 0
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Page 5 of 5 Rev 3/16/2010
REVISED EXHIBIT E
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conjunction with the provisions of the Task Order Contract specified above.
Project Description:
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Performance Requirements/Deliverables:
Goal Area: Goal 1 — Cessation and Goal 2 —Healthcare Systems
Deliverable 1: By June 30 2014, calls by Weld County residents to the Colorado Quitline cessation services will increase by 5% of baseline.
LTarget Population: Clients and employees of targeted organizations; Clients from private and community health clinics (e.g. Salud Ft. Lupton, North Colorado Family
Medicine and Family Physicians of Greeley), approximately 20,000 individuals, in addition to the approximately 7,500 potential individuals served by Sunrise Community
Health Center, North Range Behavioral Health, etc.
Responsible
Agency
Weld County
Department of
Public Health
and Environment
(WCDPHE)
W
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3
WCDPHE
Deadline
Start:
7/1/2013
End:
12/31/2013
Start:
7/1/2013
End:
6/30/2014
Start:
10/1/2013
End:
6/30/2014
Measurement
Number of clients tracked by Quitline
referral question; number of individuals
referred and attending community classes
and presentations by age group, number of
providers attending educational events,
Number of individuals who received
QuitLine services by 6/30/2014.
Number of providers attending 5As
presentations and educational events.
Number of individuals who received
training.
Number of providers/supervisors contacted
after 5As presentations and educational
events, and training.
Quarters of
activity_
N
-
7
N
-
M
N
Q.'
Q
Activity 1.1: Expand the assessment of current provider reminder
system for cessation and determine needed improvements to
ensure effective evidence -based system to include three additional
community health clinics.
Activity 1.2: Conduct education for at least 20 providers per
quarter on the importance of the 5A's for increasing cessation
attempts, referring to the Quitline and in-house cessation
opportunities. This will be conducted through meeting with the
providers individually and/or setting up staff training events at the
facility depending on the needs of the clinic and/or provider.
Activity 1.3: Provide technical assistance regarding the 5As
training to three community health clinics by meeting with
supervisor or clinic managing staff to see how the implementation
of the training is going with the trained individuals. Staff will
continue to follow up with and provide technical assistance to
Sunrise Community Health Center, North Range Behavioral
REVISED EXHIBIT E
WCDPHE
WCDPHE
Start:
7/1/2013
End:
6/30/2014
Start:
7/1/2013
End:
6/30/2014
Number of classes scheduled at each
location.
L
Number of clients referred and attending
community classes by age group.
Participants need to attend at minimum
75% of the course to be considered
completed.
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Health and WCDPHE.
Activity 1.4: Work with community health clinics to coordinate
class locations and times. Each community clinic will actively
promote cessation classes and assist in recruiting via provider
referrals.
Activity 1.5: Conduct at least two supplemental community -based
tobacco cessation classes per quarter to at least 5 participants
using an evidence -based curriculum (e.g. American Cancer
Society's Freshstart or American Lung Association's Freedom
From Smoking) to clients and employees recruited from three
identified health clinics in addition to Sunrise Community Health
Center, North Range Behavioral Health and WCDPHE.
Goal Areas: Goal 2 — Healthcare Systems and Goal 6 — Secondhand Smoke
Deliverable 2: By June 30 2014, at least 2 targeted Weld County organizations serving priority populations will assess, develop, strengthen, and expand their policies to
protect their clients and consumers from secondhand smoke exposure.
Target Population: Clients and employees of targeted organizations; Clients from private and community health clinics (e.g. Salud Ft. Lupton, North Colorado Family
Medicine and Family Physicians of Greeley), approx 20,000 individuals; approx 300 residents at Section 8 Housing (e.g. Stage Coach Apts and Meeker Commons)
Responsible
Agency
WCDPHE
WCDPHE
Q
3
A
3
G
3
Deadline
c., O
Start:
101 /01/2014
End:
03/31/2014
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Start:
4/1/2014
End:
6/30/2014
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Measurement
Organizational participant counts; copies
of old policies compared with mode!
language and new policies.
Participant count data; and informal
surveys taken and analyzed
Organizational participant count data;
copies of policies and meetings conducted.
Organizational participant count data;
copies of policies, and surveys taken and
analyzed.
Organizational participant count data;
copies of policies, meetings conducted,
proposed policy.
Quarters of
activity
N
M
M
..
en
N
N
d
CC
u
Activity 2.1: Assess tobacco -free policies of 3 community health
clinics and two Section 8 housing units. This expands work from
Year 1 which assessed the policies at Sunrise Community Health
Center, North Range Behavioral Health and WCDPHE.
Activity 2.2: Host a landlord forum to discuss SHS and marijuana
issues and educating property owners and managers about
secondhand smoke policies in multi -unit housing.
Activity 2.3: Establish work group and identify champions by
meeting at least quarterly with organizations identified in activity
1 (above).
Activity 2.4: Conduct a survey of staff and clients at each
organization to assess smoke -free policies. Present data along with
best -practice guidelines to work group and decision makers.
Activity 2.5: Write model policies utilizing survey data, best
practice model language and feedback from decision makers.
Q
.44
0
N
O
N
REVISED EXH
WCDPHE
WCDPHE
Start:
4/1/2014
End:
6/30/2014
Start:
4/1/2014
End:
6/30/2014
Organizational participant count data;
copies of policies passed, meetings
conducted, educational campaign
developed.
Organizational participant count data;
Number of technical assistance requests.
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Activity 2.6: Develop an individualized educational campaign that
will promote a tobacco free campus and educate the leadership,
employees and clients on the importance of policy change.
Activity 2.7: Provide technical assistance and materials to those
advancing and implementing their tobacco policy.
Goal Areas: Goal 4 — Young Adult
Deliverable 3: By June 30 2014, increase community support by mobilizing at least 2 young adult communities to promote tobacco -free behaviors with their populations.
Target Population: Low SES young adults 18-24 years (2012 DOLA Census population estimate for 18 — 24 yrs Weld residents = 29,347); UNC has approximately
10,000 undergraduate students (90% in -state; 85% < 25 years old; 20% Weld County residents); AIMS Greeley has 5,200 students (3,800 are less than 30 years of age).
Responsible
Agency
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WCDPHE
WCDPHE
Start: WCDPHE
07/01/2013
End:
06/30/2014
Deadline
T1 -
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0
0
N 0
Cl)0 Z en
O W 0
Start:
07/01/2013
End:
12/31/2013
Start:
07/01/2013
End:
06/30/2014
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Count and demographic make-up of young
adult coalition members and outreach
activities; program documents including
coalition and related meeting sign -in sheets,
meeting minutes, copies of surveys,
checklists, presentations, focus/forum group
materials, website hits.
Count and demographic make-up of coalition
members and outreach activities; meetings
conducted, tactics decided.
Count and demographic make-up of
members and outreach activities.
Meetings conducted, monitoring efforts
conducted, checklists, focus group and
survey results
Count and demographic make-up of
members and outreach activities; meetings
conducted
Quarters of
activity
N
N
M
N
M
N
Activity
Activity 3.1: Expand adult Tobacco -Free Coalition of Weld
County by recruiting at least 6 new members who represent the
18-24 year old population through outreach and awareness at
identified organizations, schools and regions. Recruitment at Aims
Greeley, UNC Greeley, Aims Fort Lupton, AIMS Automotive &
Technology Center Windsor, IBMC, Cheeks Beauty School, and
other high -density, high risk young adult locations.
Activity 3.2: Expand membership of existing young -adult task
group to include at least 6 new members .
Activity 3.3: Young adult task group will monitor tobacco
industry advertising tactics near their campuses stores,
employment or social settings; monitoring will be via in-store
checklists or photographic audits of advertising/promotions by
young adult coalition participants..
Activity 3.4: Counter tobacco industry marketing tactics with the
Young Adult Task group and educate their campuses through
earned and paid media (i.e. writing articles in the local newspaper,
appearing on the local cable news channel, radio appearances,
print advertising, etc).
REVISED EXHIBIT E
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Goal Areas: Goal 3 — Policy and Regulation where Coloradoans live, work, and play and Goal 4 — Young Adult
Deliverable 4: By June 30 2014, at least two Weld County college campus partners will promote, implement, or expand tobacco -free college campus policies that are
designed to eliminate health disparities among segments of the population that have a higher than average tobacco burden .
Target Population: Low SES young adults 18-24 years (2012 DOLA Census population estimate for 18 -- 24 yrs Weld residents = 29,347); IBMC (Greeley Campus) has
approximately 242 students (55% < 25 years old) and about 97% of IBMC students receive financial aid; AIMS Greeley has 5,200 students (3,800 are less than 30 years
, old) and 57% receive financial aid.
Responsible
Agency
WCDPHE
WCDPHE
WCDPHE
WCDPHE
WCDPHE
Deadline
Start:
07/01/2013
End:
06/30/2014
Start:
07/01/2013
End:
06/30/2014
Start:
10/01/2013
End:
03/31/2014
Start:
01/01/2014
End:
06/30/2014
Start:
04/01/2014
End:
06/30/2014
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Work with approximately 5-10 people at
each campus to measure affect and reach;
comparision of old and new policies;
meeting notes.
Organizational participant count data; copies
of policies; meetings conducted.
Organizational participant count data; copies
of policies; meetings conducted, surveys
taken and analyzed.
Copies of policies; meetings conducted,
proposed policy.
Copies of policies; meetings conducted,
educational campaign developed.
Quarters of
activity
N
,-.
N
. -
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Activity 4.1: Identify and assess current tobacco -free policies at
least one new young adult worksite and/or non-traditional
educational service center (IBMC Campus (Greeley), Aims
Campuses (Greeley, Ft. Lupton, Windsor).
Activity 4.2: Build and /or Maintain FY12/13 work groups at each
identified campus and create appropriate plans to advance
tobacco -free policy changes at respective campuses, integrating
BACCHUS curriculum (i.e. STEP By STEP).
Activity 4.3: Conduct a survey at FY 13/14 campuses to assess
opposition and potential challenges to implementing a tobacco -
free campus policy. Present this data along with best -practice
guidelines for tobacco free campus to the work group and decision
makers.
Activity 4.4: Utilizing survey data, best practice model language
and feedback from decision makers, determine and write an
evidenced -based policy for each FY12/13 targeted organization.
Activity 4.5: Develop an individualized educational campaign that
will promote a tobacco -free campus and educate campus
leadership, staff, faculty and students on the importance of a
policy change.
REVISED EXHIBIT E
Coal Areas: Goal 3 — Policy and Regulation where Coloradoans live, work, and play; Goal 5 — Youth
Deliverable 5: By June 30 2014, increase community support by mobilizing at least 8 Weld County youth to sustain a youth alliance aimed at monitoring, reducing and
countering tobacco industry marketing practices in targeted areas.
Target Population: Approximately 9,000 middle and high school students in the highest risk middle and high schools (i.e.>50% free and reduced lunch population).
Responsible
Agency
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WCDPHE and
Youth
Coalition
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WCDPHE
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3
WCDPHE and
Youth
Deadline
Start:
07/01/2013
End:
12/31/2013
Start:
01/01/2014
End:
06/30/2014
Start:
04/01/2014
End:
06/30/2014
Start:
07/01/2013
End:
09/30/2013 _
Start:
10/01/2013
End:
03/31/2014
0
N
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4.
Q
Number of students attending meetings.
Middle and high school tobacco use rates
will be monitored annually;
Sign -in sheet at coalition meetings, counts
and descriptions of youth events/activities;
copies of youth products such as
resentations, fl ers, articles, web media.
Number of youth involved in project, youth
exposed to final presenation; neighborhoods
visisted, number of stores visited (goal is 11).
Reports with recommendations for
improvement.
Number of youth involved in project, youth
exposed to final presenation; neighborhoods
visisted, number of stores visited (goal is 11).
Number of CHIP members exposed to final
presentation.
Reports with recommendations for
im rovement.
Documentaton of materials created.
Number of retailers receiving packets.
Documentation of repsonse to materials.
Number of students attendingefforts.
Middle and high school tobacco use rates
will be monitored annually;
Sign -in sheet at coalition meetings, counts
and descriptions of youth events/activities;
copies of youth products such as
presentations, flyers, articles, web media.
Documentation of materials created. Number
of school districts were outreach is
Quarters of
activity
N
t
d
ri
Activity 5.1: Building on the exisiting FY12/13 youth task force,
initiate system integration efforts by partnering with at least two
groups/agencies that serve disparately affected youth to incorporate
youth -driven tobacco prevention activites within each organizaion.
At least one formal Youth Task Force meeting will occur every
month (12 formal meetings total).
Activity 5.2: In conj unction with the youth task force, conduct
community/store audits and environmental scans as part of a
"Healthy Corner Store" initiative, documenting tobacco industry
marketing tactics within in their communities and expand work to
include at least one rural Weld County community. _
Activity 5.3: Youth will conduct at least one formal presentation to
share findings of the retail environment assessments with the
Community Health Improvement Plan (CHIP) project in Weld (e.g.
CHIP -based healthy corner store initiative).
Activity 5.4: Prepare and distribute letters to at least 100 retailers in
Weld County including information about current requirements for
tobacco sales.
Activity 5.5: Educate and increase awareness and knowledge of
store employees, store managers and store owners about laws and
the importance of preventing tobacco product sales to anyone under
the age of 18 by implementing the Oregon Office of Mental Health
and Addiction Services Tobacco Merchant Education checklist.
Locations include gas stations, grocery stores, pharmacies, and any
tobacco retail outlets within 2 miles of high schools that have open
campus policies. Meet with at least 3 store owners per quarter.
Activity 5.6: Educate (i.e. conduct presentations, create educational
materials, etc) school districts (i.e. administration, faculty, staff,
REVISED EXHIBIT E
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WCDPHE
Youth
Coalition
TFCWC
C
cr
Start:
07/01/2013
End:
06/30/2014
0
IN
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conducted.
# of individuals reached, # of presentations
Documentation of materials created. Number
of placements. Number of impressions.
Documetnataion of community response.
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en
Parent Teacher Associations, etc.) on the prevalence of tobacco use
at the local level (FY 12/13 target Districts: Greeley/Evans District 6
& Ft. Lupton and expanding the work to include at least one rural
Weld County school district).
Activity 5.7: Develop a youth -focused spit tobacco prevention
awareness campaign using earned and paid media; primary
locations are school newspapers, billboards, and youth social media.
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Deliverable 6: By June 30 2014, at least two lower SES (i.e., > 50% free/reduced lunch) school districts in Weld County will promote, implement, or expand tobacco -free
school policies and/or evidence -based or innovative alternatives to suspension programs.
I Target Population: All Weld County School Districts (Fall 2011 total K-12 enrollment count equals 37,243).
Responsible
A enc
WCDPHE and
RMC
WCDPHE and
Youth
Coalition
WCDPHE and
RMC
WCDPHE and
RMC
WCDPHE and
RMC
WCDPHE
Start: WCDPHE
10/01/2013
Deadline
Start:
07/01/2013
End:
06/30/2014
Start:
07/01/2013
End:
06/30/2014
Start:
07/01/2013
End:
06/30/2014
Start:
01/01/2014
End:
06/30/2014
Start:
07/01/2013
End:
06/30/2014
Start:
07/01/2013
End:
06/30/2014
Measurement
Enrollment for two school districts; copies of
old and new policies and curricula.
Number of students attending the Weld
County Middle and High Schools in which
youth coalition focuses their efforts.
School campus policies will be reviewed and
compared against best practices.
Meetings with school district leadership;
policy assessments made, meetings notes
with school district leaders.
Meetings with school district leadership;
policy assessments made, meetings notes
with school district leaders.
Meetings with school district leadership;
policy assessments made, meetings notes
with school district leaders.
Meetings with school district leadership;
policy assessments made, meetings notes
with school district leaders.
Meetings with school district leadership;
policy assessments made, meetings notes
Quarters of
activity
c+1
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CI
Activity 6.1: Conduct Tobacco Free School policy assessments
within FY12/13 targeted school districts and expand tobacco free
policy assessments to include at least one rural Weld County school
district (Greeley/Evans District 6 and Ft. Lupton).
Activity 6.2: Identify gaps in campus policy (using the RMC
Tobacco Free Schools Law Checklist) and the quality of current
tobacco prevention/cessation activities within targeted FYI2/ 1 3
school districts and expand work to include at least one rural Weld
County school district.
Activity 6.3: In addition to determining strategies to strengthen
enforcement of Tobacco Free School policies within FY12/13
targeted schools, expand this work to include at least one Weld
County rural school district.
Activity 6.4: Meet with school officials and school administrators
to determine enforcement priorities to strengthen policies and
identify and implement creative solutions (for example smoker's
corner issues or alternatives to suspension programs).
Activity 6.5: Maintain support and technical assistance with both
FY12/13 and FYI3/14 identified schools to assist with stronger
enforcement of Tobacco Free School policies.
Activity 6.6: Incorporate tobacco prevention and cessation
messages into targeted schools districts, including placement of
resources guides and promotion of/education about tobacco -free
policy as part of a larger cessation initiative.
Activity 6.7: Work with targeted FY13/14 school districts to find
staff to be trained to conduct evidence -based youth cessation
IL
>
REVISED EXHIBIT E
with school district leaders.
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Goal Areas: Goal 3 — Use and Access 5 -Youth and Goal 7 — Pricing
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Target Population: Greeley (2010 Pop., 92,889) and/or Evans (2010 Pop., 18,537)
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REVISED EXHIBIT E
Goal Areas: Goal 3 — Policy and Regulation where Coloradoans live, work and play; Goal 7 — Pricing
Deliverable 8: By June 30, 2014, Tobacco -Free Coalition of Weld County (TFCWC) will educate at least 500 of the target population (i.e. public and community
stakeholders) about the evidence of different strategies in reducing youth initiation of tobacco.
Target Population: Greeley (2010 Pop., 92,889) and/or Evans (2010 Pop., 18,537).
Responsible
Agency
WCDPHE and
TFCWC
WCDPHE and
TFC WC
WCDPHE and
TFCWC
WCDPHE and
TFCWC
Deadline
Start:
7/1/2013
End:
6/30/2014
Start:
7/1/2013
End:
12/31/2013
Start:
7/1/2013
End:
6/30/2014
Start:
10/1/2013
End:
6/30/2014
Measurement
Copies of presentations and written
materials, attendance records.
Copies of presentations and written
materials, attendance records, list of new
speakers in speakers' bureau.
Copies of presentations and written
materials, attendance records, list of new
locations/existing groups that have
received presentations.
Copies of letters written, clipping from
newspaper.
Quarters of
activity
v
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N
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Activity 8.1: Continue to recruit, identify, train and charge key
coalition members to educate community members and leaders on
issues of tobacco prevention and control and price increase
initiatives.
Activity 8.2: Identify at least 2 Spanish speaking key members
who would be willing to serve in the "speaker's bureau". These
two will join the previously established speaker's bureau formed
under the previous year's grant cycle.
Activity 8.3: Conduct Speaker's Bureau and community
presentations and that discuss evidence -based tobacco prevention
and control, cessation, and other services provided in the
community. Contact key leaders at area agencies and give
presentations to groups (e.g. Rotary clubs, church groups, Youth
Net).
Activity 8.4: Write at least one press release per quarter on
tobacco and health issues, including cessation services or success
stories.
Goal Areas: Goal 4 — Young Adults; Goal 6 — Secondhand Smoke
REVISED EXHIBIT E
WCDPHE
O
N
Start:
7/1/2013
End:
6/30/2014
L 8
W CO
presentations.
Documentation of follow-up requests
Documentation of meetings
fl
ct
emerging issues in tobacco prevention and control. Provide
follow-up information on best practices to interested campus
leadership groups.
Activity 9.2: Participate in at least one quarterly FY 12/13 work
group meeting on the UNC campus to provide feedback on
secondhand smoke education and best practices surrounding
tobacco -free policy.
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Contractor shall participate in meetings and trainings as required by CDPHE.
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Contractor shall participate in state -level outcome evaluation efforts as required by the State.
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Revised Exhibit F
calacadotirnt Colorado Department of Public Health and Environment
aj&+.r mnons
PREVENTION SERVICES DIVISION- BUDGET JUSTIFICATION FORM
To Task Order Contract Dated 10/01/2012 - Contract Routing Number 13 FLA 48329 - Contract Amendment Routing Number 14 FLA 59142
Contractor Name
Weld County Public Health and Environment
Budget Period
July 1, 2013 -June 30, 2014
Project Name
Web County Public Health Tobacco Program
Program Contact Name.
Title, Phone and Email
Eric Aakko; Division Director, Health Communication and Education
970304.6470 x 2380
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Administrative Services Director 970.304.6410 a 2122
Expenditure Categories
FY14 Budget 14
FLA 55697
Amount
Requested in
Amendment
Total Amount
Requested
from CDPHE
l` Personal Services _
.. .. - ..
Gans or
Annual Salary
:.F�ige •
m F
.
'• ., '.'--
-
_
Position Title/Employee
Name
Description of Work
(for hourly employees, please include the hourly
rate and number of hours in your description).
include of months budgetted.
List Deliverable
this supports
Health Eduratlon Specialist
ll/Rsthll Freeman
1.0 FTE Health educator {12 mos) will coordinate youth
prevention activities; including at risk young adults.
collaboration with community based organizations.
youth organizations, school administrators and
coordination dulled based trainings and retailer
audits. Additional duties are related to the paid and
earned media.
3,4,5,5,9
$55,010.11
521,415.44
100.00%
576,425.55
576,426
Health Education Specialist
I I/Maggie Shawcross
1.0 FTE Health educator (12 mos) will coordinate
activities related to cessation, secondhand smoke, and
tobacco free coalition; induding working with multiunit
housing, colleges, collaboration with community based
organizations, and the Weld County tobacco free
coalition.
1.2,7.9
553,410.57
$20,792.73
100.00%
$74,203.30
574.203
Health Educator and
Program Coordlnator/Cassin
Kauffman
0.5 FTE Health educator (12 mos) will provide overall
program coordination and oversight of work plan
activities. Additional responsibilities include supporting
bilingual health educator on smoke free multiunit
housing and healthy corner stores.
1 thru 8
558,936.51
$22,905.05
50.05%
$40,870.75
$40,871
Bilingual Health Education
Speciahst/Ofelia Orozco
03 FTE Bilingual health educator (12 mos) will
collaborate on the healthy corner store initiative in
Spanish speaking neighborhoods, provide cessation
resources in Spanish, and smoke free housing activities.
1,35,7
$57,750..06
$22,497.55
30.00%
$24,075.48
$24,075
Data and Evaluation
Specialist/Cindy Kronauge
0.05 FIE Data and evaluation specialist (12 mos) will
provide evaluation assistance on all workplan activities
and evaluation coordination with the Wald County
Community Health Improvement Plan (CHIP).
1 thu 8
$62,749.66
532,2I4,44
5.00%
55,746.21
$5,748
Office Technician
III/Marjorie Hanson
Office technician @ 517.73 per hour (-4 hours per week)
will provide desktop publishing, design, and other duties
as required in fulfilling activitities.
1 thru 8
S37,91057
514.758.58
10.00%
55,266.92
55,267
Division Director/Eric Aakko
0.05 FTE Division director (12 mos) will provide overall
program administration, budget management, and staff
supervision of 3.0 FIE tobacco staff.
1 thin 8
$78,996.69
$30,753.41
5.00%
55,487.51
$5,488
Fringe@38,99%
Fringe benefits are 38.93%. Components included are:
145% Medicare, .09% unemployment .03% worker's
compensation, 13.7% PERA, .33% life insurance, 12.13%
health Insurance.4.6% vacation, 423% far holidays and
2.3% for aids leave.
50
- .: yes ::....... ..... ..
!.:.,..,..- .. . -•..:
•.. ..::
W.., ... -. ..
- �
.. ..... ,. ....'.' .
.. , r r,, ,
„w . .. . .. . .. .. ........ -... [.:-...Ott
;Total P.ersotlab5liricas
dudi frin a benefits)
D5. 9 )"1�"kr.d10�:.;
.
;.y
'?=`ca
'•_
^;;
•,.
j0.0Q.
x.73,74
Page 1 of 4
V. t Jan 2013
Revised Exhibit F
Coou do fhwr SIt
E Rt61ic mn.oa
arid Fminmmmt
Colorado Department of Public Health and Environment
PREVENTION SERVICES DIVISION- BUDGET JUSTIFICATION FORM
To Task Order Contract Dated 10/01/2012 - Contract Routing Number 13 FLA 48329 - Contract Amendment Routing Number 14 FLA 59142
Connector Name
Wee County Public Health and Environment
Budget Period
July 1, 2013 -June 30, 2014
Project Name
Weld County Public Health Tobacco Program
Program Contact Name,
Title, Phone and Email
Eric Aakko; Division Director, Health Communication and Education
970,304.64700 2380
Fiscal Contact Name, Title.
Phone and Entail
Tanya Geiser, Administrative Services Director 970.3046410 x 2122
.uti o!r. Qptiiti6 6rR0las
Item
Desorption of item
List
Deliverable
Rata
Quantity
Original Budget
Amount
Requested in
Amendment
Total Amount
Requested from
CDPHE
Printing/Copies
Printing and photocopying (black and white @ .02 cents per copy x
20,000 a $400; color @ .06 cents per copy x 3000 •• $I80); replacement
of Ink toners @ 5300. Printing supports all activities from 1 thru 8 in the
workpfan. County also supports some printing expenses as 'in-kid.'
1 thru 8
5880.00
1
$880.00
$880
Postage
Postage for mailing surveys, response to complaints, etc. The County
does include some postage "in -kind" in our general operating budget,
therefore we do not require a large postage line -item.
1 thru 8
$0.43
300
5129.00
$129
General Office supplies
Paper, pens, Iamhlation supplies, etc. The County also supports our
supplies svhh'in-kind" support.1
thru 8
5300.00
1
$300.00
$300
Educational Supplies -
tobacco products
Purchase of emerging tobacco supplies for youth coalition meetings (e.g.
chew, snuff, tobacco). Approx. cost is $5 per item.
3,4,5,6
$5.00
5
>35.00
SOS
Meeting Supplies
$240 for material to support youth meetings,(e.g. plates. cups, napkins,
etc), Food, beverages for youth meetings, community meetings @
approx 30 people per month(12 months) X 510 per person • $3600
3,4,5,6
53,840,00
1
53.&10.00
53.840
: `_s • ,r , ., & 9. -
�' $5,174
$D
_ $5,274
Tlravel
Rem
Description of Item
List
objective/aOl
vity
number(s)
this budget
item supports
Rate
Quantity
Original Budget
Amount
Requested in
Amendment
Total Amount
Requested from
CDPHE
Mileage
4 health educators @ 150 miles/month X 54.5 cents a mile; travel
includes in county travel and required travel to CDPHE meetings (2
separate meetings).
1 thru 8
$0.55
7200
$3,920.00
$3,920
"' rr tom.;'i•' ' -' :": .. �4 -} , hk i'4iFrr;. . t
�.-
rvy .
-.i
n
'1.= i,
Page 2 of
V. 1Jan 2013
Revised Exhibit F
Galore& Depansivinc Colorado Department of Public Health and Environment
afx`alrb PREVENTION SERVICES DIVISION- BUDGET JUSTIFICATION FORM
+ed tna�.t
To Task Order Contract Dated 10/01/2012 - Contract Routing Number 13 FLA 48329 - Contract Amendment Routing Number 14 FLA 59142
Contractor Name Weld County Public Health and Environment
Budget Period
July 1, 2013 -June 30, 2014
Project Name
Weld County Public Health Tobacco Program
Program Contact Name,
Title, Phone and Email
ErksAakko; Division Director, Health Communication and Education
970.304.64700 2380
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Administrative Services Director 970-304-6410 x 2122
Contractual (payments to third parties or entities)
item
Subcontractor Entity Name and/or Description of Item,
List
objective/acti
vtt9
number(s)
this budget
item supports
Rate
Quantity
Original Budget
Amount
Requested in
Amendment
Total Amount
Requested from
CDPHE
Media •TBD
Public information and education on youth prevention related to spit
tobacco, includes paid and earned media in college (e.g. UNC Mirror
newspaper) and lsighschool newspapers, billboards near schools, and
Greeley Stampede in Weld County (e.g. vendor for billboards is Lamar
Advertising).
3
516,108.71
1
$16,100.71
$16,109
Tobacco Free Weld County
Coalition
Ming rant to support the work of the coalition in educating at least 500
of the target population (i.e. pubEc and community stakeholders) about
theevidence of different strategies in reducing youth initiation of
tobacco and increasing community awareness about evidence -based
tobacco pricing strategies
78
55,10000
1
55,100 00
$5,100
Cessation Counselors -T00
Two cessation counselors 9, $1400 each; providing assistance to
complete Objectives 1 and 2 by facilitating Spanish and English speaking
cessation classes: cessation counselors may be a continuance of
counselors selected in Year 1.
1,2
51,400.00
2
$2,500.00
$2.800
Healthy Corner Store
Initiative - Targeted Stores
TBD
Mini -grant support to assist Spanish speaking comer stores with healthy
signage and point of purchase displays.
3,5
$818.19
11
59,000.00
$9,000
Health center mini rents -
TED
Mlni-grant for community health centers to assess provider reminder
system and policy assessment 9151,000 per center.
1.2
$1,000.00
3
$3,000.00
$3,000
Bob Doyle • Consultant
Colorado Tobacco Education end Prevention Alliance (CTEPA) -
consultation on smoke free housing forum and coalition development.
Continue consultation activities from Year 1.
2,7,5
$4,900.00
1.
$4,900.00
$4,900
Lindsey Sides
Lktdsey is a Positive Youth Development expert and wit provide youth
coalition leadership; she has experience in collaboration with Weld
County partners to bridge gaps between nonprofit, governmental and
youth partners. She will recruit high burden and low SES youth; and
provide school district information and presentations specific to Weld
County youth.
3
514,250.00
1
$14,250.00
$14,250
University of Northam
Colorado and Alms
Community College
BACCHUS tobacco prevention curriculum (STEP by STEP) at two colleges
(UNC and Aims) 952,500 each.
4
52,500.00
2
55,000.00
155,00050)
$0
IBMC (Institute of 0uslness
and Medi®I Careers)
IBMC (Institute of Business and Medical Careers) will implement the
BACCHUS tobacco prevention curriculum (STEP by STEP) to aid in second
hard tobacco smoke education and policy support
4
$2,500.00
1
$0.00
$2,500.00
$2,500
Aims Community College
Alms Community College will implement the BACCHUS tobacco
prevention curriculum (STEP by STEP) to aid in second hand tobacco
smoke education and policy support.
4
$2,500.00
1
50.00
$2,500.00
$2,500
• Total Contractual
- $6015871
$10
$60159
'
y di'r r fztfr it t>s i ttfi t"..,
.l.. 't..
r+ '..c. ,,,., sm�" re�i. , sr1 3? yn 3N�in+l UBTOTAtBEFORE INDIRECT
.r..:i•+a...,-S. )`.`;.c.-. . ,.' .�.a,; i"rut.,.. ;t
$3i11330.4Sa,{
t
•
•S•
n S
s
''$iQE�.
Page 3 of 4
V. 1 Jan 2013
Revised Exhibit F
Coiors& a .... r Colorado Department of Public Health and Environment
of Public Hdrh
4E+.imn,nmr PREVENTION SERVICES DIVISION- BUDGET JUSTIFICATION FORM
To Task Order Contract Dated 10/01/2012 - Contract Routing Number 13 FLA 48329 - Contract Amendment Routing Number 14 FLA 59142
Contractor Name
Weld County Public Health and Environment
Budget Period
July 1, 2013 - lune 30, 2014
Project Name
Weld County Public Health Tobacco Program
Program Contact Name,
Title, Phone and Email
Eric nakko; Division Direcmn Health Communication and Education
970.304.8470 x 2380
FiscalContactName, Title,
Phone and Email
Tanya Geiser, Administrative Services Director 9]0.304641e e 2122
Indirect'
it
Description of Item
Original Budget
Amount
Requested in
Amendment
Total Amount
Requested from
C0PHE
Negotiated Indirect cost
race
WCDPHE 2013 intllmctfate of 15.65%
037/4338
$0O0
$3],]43
Indirect (other): please list
specific indirect casts in
description if no rate exists
$D
$0
$0
Indirect (other): Contractual
rate, if applicable
2% of contractual
$1,203.19
$0O0
$1,203
Totatlndirect
':$38,946.55
50
1$38.947
TOTAL
$340,277
$0
$340,277
Page 4 of 4
V. Ilan 2013
CDPHE-Weld County-STEPP-14 FLA 59142 -Notification
STATE 6E
COLORADO
Moritz - CDPHE, Heather <heather.moritz@state.co.us> Thu, Sep 26, 2013 at 9:09 AM
To: Tanya Geiser <tgeiser@co.weld.co.us>, Eric Aakko <eaakko@co.weld.co.us>
Cc: Jennifer Schwartz - CDPHE <jennifer.schwartz@state.co.us>, Deborah Borek - CDPHE
<deborah.borek@state.co.us>
Dear Tanya and Eric,
This email serves as notification of your FULLY EXECUTED Colorado Department of Public Health &
Environment (CDPHE) Task Order Amendment listed below:
Contractor Name: Board of County Commissioners of Weld County for the use and benefit of
the Weld County Department of Public Health and Environment
Task Order Amendment Number: 14 FLA 59142
Original Contract Number: 13 FLA 48329
Division: Prevention Services Division/PSD
Program Name: State Tobacco Education and Prevention Partnership/STEPP
Reason for Contract: Revised Statement_of Work and Budget
Please "Reply to Sender" acknowledging the receipt of this email.
The Task Order Amendment listed above has been fully executed and you may begin work on 10-
1-2013. An original hard copy of the Task Order Amendment will be mailed to you soon.
Please contact me with questions or concerns. My contact information is listed below.
Kind regards,
Heather Moritz
Contract Administrator
Prevention Services Division
Colorado Department of Public Health & Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Phone: (303) 692-6271
heather.moritz@state.co.us
Hello