HomeMy WebLinkAbout20121205.tiff R OLUTION
RE: APPROVE ENDMENT #1 TO TASK ORDER CONTRACT FOR CANCER,
RDIOV CULAR DISEASE, AND PULMONARY DISEASE PREVENTION
C P IVE GRANT FOR THE WELD COUNTY CARDIOVASCULAR DISEASE
PRE ENTION P M AND AUTHORIZE CHAIR TO SIGN
WHEREAS, Board of Co Commissioners of Weld County, Colorado, pursuant to
Colorado statute an e Weld ounty ome Rule Charter, is vested with the authority of
administering the affair Weld C nty, Co rado, and
WHEREAS,the Boar has bee presented with Amendment#1 to Task Order Contract for
the Cancer, Cardiovascular Dis ase, a d Pulmonary Disease Prevention Competitive Grant,for the
Weld County Cardiovascular Di Pre • rogram, from the County of Weld, State of
Colorado, by and through the Boa of ounty Com • sioners of Weld County, on behalf of the
Weld County Department of Public Ith and Envir ent,to the Colorado Department of Public
Health and Environment, Office of alth Disparities, commencing July 1, 2012, and ending
June 30, 2013, with further terms and nditions being as stated in said amendment, and
WHEREAS,after review, the Board d ms it a ' a le to approve said amendment, a copy
of which is attached hereto and incorporated in by reference.
NOW, THEREFORE, BE IT RESOLVED b the Bo of County Commissioners of Weld
County, Colorado, that Amendment #1 to Task Or ontract for t ancer, Cardiovascular
Disease, and Pulmonary Disease Prevention C petitive Grant, fo the Weld County
Cardiovascular Disease Prevention Program, from the ounty of Weld, St e of Colorado, by and
through the Board of County Commissioners of Weld ounty, on alf of the Weld County
Department of Public Health and Environment, to the Colo do D artment of Public Health and
Environment, Office of Health Disparities, be, and hereby is, roved.
BE IT FURTHER RESOLVED by the Board that the Chai , and eby is, authori to
sign said contract.
5-i -� 12-1205
HL0039
AMENDMENT#1 TO TASK ORDER CONTRACT FOR THE WELD COUNTY CARDIOVASCULAR
DISEASE PREVENTION PROGRAM
PAGE 2
The above and foregoing Resolution was,on motion duly made and seconded,adopted by
the following vote on the 14th day of May,A.D.,2012.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY,COLORADO
ATTEST: EXCUSED
Sean P.C.nw. ,Chair
Weld County Clerk to the Board 7)
�� W m arcia,Pro Teyn
BY:
Deputy CI r to the Boah1�. / k
O 4'512 rbkra Kirkmeyer
APP AS RM: ® oiSt
N1'-1°\ David E.Lo
o t rney b� (}- v"'GX;v"
/ Dougla Radema her
Date of signature: Le a_
2012-1205
HL0039
Memorandum
1861 - 2011
TO: Sean P. Conway, Chair
Board of County Commissioners
W E L DEC O U N T l FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and
Environment
DATE: May 2, 2012
SUBJECT: Health Disparities Task Order Contract
Enclosed for Board review and approval is the task order contract between the Colorado
Department of Public Health and Environment's Office of Health Disparities and Weld County
Department of Public Health and Environment for the "Love Your Life, Take Care of Your
Heart" (Ama Tu Vida, Cuida to Corazon) program for the prevention of cardiovascular disease
(including diabetes and other precursors) among Hispanic and other minority populations in
Weld County.
This program expands on the Heart of Weld program (2008-2010) to address the issue of
cardiovascular disease by targeting men, women and families who are among Weld County's
low income, minority populations most affected by lack of insurance and access to health care.
Strategies will include cardiovascular disease prevention and self management programs offered
at sites already frequented by the target population, such as churches, community centers, food
banks and other service agencies. We will also work with Sunrise Community Health Center,
Salud Family Health Centers, other local health care providers and service agencies to recruit
clients into the program.
The task order includes funding for existing staff, a .5 FTE program coordinator, a .5 FTE
bilingual health educator and operating expenses such as educational materials, office supplies,
mileage, and travel expenses for state meetings.
The total amount of the task order is $98,213.00 for the time period of July 1, 2012 —June 30,
2013.
I recommend approval of this task order contract with the Office of Health Disparities.
2012-1205
Enclosure
DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
ADMINISTRATION AND FINANCIAL SERVICES DIVISION
DEPARTMENT OR AGENCY NUMBER
FAA
CONTRACT ROUTING NUMBER
13-43648
AMENDMENT FOR TASK ORDERS#1
This Amendment is made this 26th day of April,2012,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 Colorado Political Subdivsion),whose
address or principal place of business is 915 10`"Street,Greeley,CO 80632 for the use and benefit of the WELD
COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT,whose address or principal place
of business is 1555 North 17i1 Avenue,Greeley,CO 80631,hereinafter referred to as the"Contractor".
FACTUAL RECITALS
The parties entered into a Master Contract,dated January 23,2007,with contract routing number 08 FAA 00052.
Pursuant to the terns and conditions of the Master Contract,the parties entered into a Task Order Contract,dated
May 9,2012,with contract encumbrance number PO FAA ADM12031515,and contract routing number 12 FAA
31ST referred to herein as the Original Task Order Contract,whereby the Contractor was to provide to the State
the following:
The project will implement a linguistic and culturally specific,multi-faceted risk factor
reduction program within the Hispanic/Latino community. The interventions are targeted
to reduce cardiovascular disease (CVD).
The State promises to pay the Contractor the sum of Ninety-Eight Thousand Two Hundred Thirteen Dollars,
(898,213.00) in exchange for the promise of the Contractor to continue to perform the work identified in the
Original Contract for the renewal term of one(1)year,ending on June 30,2013.
NOW THEREFORE,in consideration of their mutual promises to each other,stated below,the parties hereto agree
as follows:
1. 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 12 FAA 31515,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 12 FAA 31515. This Amendment is for the renewal term of July 1,
2012,through and including June 30,2013. The maximum amount payable by the State for the
Page 1 of 3 Rev 03/16/2010
work to be performed by the Contractor during this renewal term is Ninety-Eight Thousand
Two Hundred Thirteen Dollars,($98,213.00)for an amended total financial obligation of the
State of One Hundred Ninety-Three Thousand Eight Hundred Eighty-One Dollars,
($193,881.00). This is an increase of Ninety-Eight Thousand Two Hundred Thirteen Dollars,
($98,213.00)of the amount payable from the previous term. The revised Budget is incorporated
herein by this reference and identified as"Exhibit E".
B. To receive compensation under this Contract,the Contractor shall submit a signed Monthly
CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
http://www.cdphe.state.co.tts!Standardizedlnvoice/index.html CDPHE will provide technical
assistance in accessing and completing the form. The CDPHE Reimbursement Invoice Form must
be submitted within thirty(30)calendar days of the end of the billing period for which services
were rendered.
C. CDPHE's monitoring of this contract for compliance with performance requirements will be
conducted throughout the contract period by the Program's Contract Monitor. Methods used will
include review of documentation reflective of performance to include progress reports and site
visits. The Contractor's performance will be evaluated at set intervals and communicated to the
contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of
the contract.
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 July 1,2012,or upon approval of the State Controller,or an
authorized delegate thereof,whichever is later.
5. Except for the General Provisions and Special Provisions of the Original Contract,in the event of any
conflict,inconsistency,variance,or contradiction between the terms and provisions of this Contract
Amendment and any of the terms and provisions of the Original Contract, the terms and provisions of this
Contract Amendment shall in all respects supersede, govern,and control. The Special Provisions shall
always control over other provisions of the Original Contract or any subsequent amendments thereto. The
representations in the Special Provisions to the Original Contract conceming the absence of personal
interest of state of Colorado employees is 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 3 Rev 03/16/2010
work to be performed by the Contractor during this renewal term is Ninety-Eight Thousand
Two Hundred Thirteen Dollars,($98,213.00)for an amended total financial obligation of the
State of One Hundred Ninety-Three Thousand Eight Hundred Eighty-One Dollars,
($193,881.00). This is an increase of Ninety-Eight Thousand Two Hundred Thirteen Dollars,
($98,213.00)of the amount payable from the previous term. The revised Budget is incorporated
herein by this reference and identified as"Exhibit E".
B. To receive compensation under this Contract, the Contractor shall submit a signed Monthly
CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
http://www.cdphe.statc.co.us'Standardizedlnvoice-index.html CDPHE will provide technical
assistance in accessing and completing the form. The CDPHE Reimbursement Invoice Form must
be submitted within thirty(30)calendar days of the end of the billing period for which services
were rendered.
C. CDPHE's monitoring of this contract for compliance with performance requirements will be
conducted throughout the contract period by the Program's Contract Monitor. Methods used will
include review of documentation reflective of performance to include progress reports and site
visits. The Contractor's performance will be evaluated at set intervals and communicated to the
contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of
the contract.
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 July 1,2012,or upon approval of the State Controller,or an
authorized delegate thereof,whichever is later.
5. Except for the General Provisions and Special Provisions of the Original Contract,in the event of any
conflict,inconsistency,variance,or contradiction between the terms and provisions of this Contract
Amendment and any of the terms and provisions of the Original Contract,the terms and provisions of this
Contract Amendment shall in all respects supersede,govern,and control. The Special Provisions shall
always control over other provisions of the Original Contract or any subsequent amendments thereto. The
representations in the Special Provisions to the Original Contract concerning the absence of personal
interest of state of Colorado employees is 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 3 Rev 03/16/2010
IN WITNESS WHEREOF,the parties hereto have executed this Contract Amendment on the day first above
written.
* 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: STATE:
BOARD OF COUNTY COMMISSIONERS STATE OF COLORADO
OF WELD COUNTY John W.Hickenlooper,Governor
(a Colorado Political Subdivision)
For the use and benefit of the
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH AND ENVIRONMENT
By:
Signature of Authorized Officer MAY 1 4 2012 For the Executive Director
DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT
William F. Garcia
Print Name of Authorized Officer
Chair Pro—Tem
Print Title of Authorized Officer
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.
STATE CONTROLLER
David J. McDermott,CPA
By:
Date:
Page 3 of 3 Rev 03/16/2010
D/ate /�TJJ
t^t=Xl+'l51i E
Health Disparities Grant Program - FY 12-13 Application
i i7r:._'s!'`"-'i..,Y>- tom, rte— j 1 •v�, ? 'C. F.` F,, t.F•^�: lea s' �t y ;>
*Please note, indirect costs in this sheet are calculated at 20%. Change the percentage in the
formulas in cells 816& C16 from.20 to your indirect percentage rate if necessary(maximum 20%).
Enter Project Title in next cell: Ama Tu Vida, Cuida Tu Corazon
Enter Agency/Organization: Weld County Department of Public Health& Environment
Fiscal Year 11-12 Fiscal Year 12-13 Total
(Year 1) (Year 2) (Years 1&2)
Personnel Expenses
(including salaries or wages and
fringe benefits) $76,982 $77,398 $154,380.00
Operating/Itemized Supplies
$1,724 $2,000 $3,724.00
In-State Travel Expenses
$1,104 $1,500 $2,604.00
Contracts/Subcontracts
$8,550 $9,500 $18,050.00
n l t
t J
Subtotals for Direct Costs r, S � , "I ar fL� EA a,
Indirect Costs*
(Not to exceed 20%of Direct
Costs listed above: Personnel,
Operating, Travel, Contractual/
Subcontracts budget categories) $7,308.00 $7,815.00 $15,123.00
Total Project Cost
$95,668.00 $98,213.00 $193,881.00
List the detailed cost breakdown in Budget Narrative section of the application for each grant
year separately. Please see the Health Disparities Guidelines for detailed budget information.
Signature of Authorized Official: — 4 - 0y•Print Name of Authorized
Official: Mark Wallace, MD, MPH
Title: Executive Director
Date: 2/1/2012
11. Year 2 Budget Narrative: FY 12-13 (July 1, 2012 —June 30, 2013)
Personnel Expenses Total for Year 2=$77,398 •
Cassie Kauffman,MA .50 FTE: Cassie will be responsible for managing the day-to-day activities of the program,including
Program Coordinator program implementation,staff supervision,overseeing contracts(w/sub-contractors), progress monitoring
and reports.She will also be responsible for program outreach and marketing,coordinating referrals with
local providers and service organizations,overseeing promotor training,facilitating the steering group,
securing locations for classes,and assisting with pl3ticas and classes.
Annual salary is$56,250 X.50(FTE)_$28,125
$39,074 Fringe calculated at 38,93%($28,125)=$10,949
Total salary and fringe requested=$39,074
Ofelia Orozco, MA .50 FTE: Ofelia will be the lead educator for the pl8ticas and lifestyle intervention classes. She will also
Health Educator help lead the support group and oversee the promotores.
Annual salary is$55,170 X.50(FTE)_$27,585
$38,324 Fringe calculated at 38.93%($27,585)_$10,739
Total salary and fringe requested=$38,324
Operating/Supplies Total for Year 2=$2,000
Office Supplies An annual budget for office supplies needed to implement the program is estimated at$500 for the year.
Example of supplies needed include printer toner,paper,pens/pencils,file folders,etc. Actual expenses
$500 will be charged to the grant as incurred,
P nting Miscellaneous copying for the program is budgeted at approximately 500 copies per month at.10
cents/copy. Items to be copied included class handouts,program flyers,and other outreach materials.
$600 500(copies)X.10(cents)X 12 months=$600
Pl2tica Host Stipends If a Platica is held in someone's home,we would like to be able to provide a$25 dollar gift card to off-set
any expenses they may incur as the host. As the host,most will want to provide refreshments for their
quests. We do not want them to have to cover this expense out-of-pocket.
$900 3 pl5ticas per month @$25 per Pl3tica X 12 months=$900
In-State Travel Total for Year 2= $1,500
Mileage reimbursement Actual mileage will be charged to the grant as incurred. Mileage will be used by program staff and
• promotores for travel related to the program including travel to and from sites where platicas and
educational classes. An annual budget for mileage has been set at$1,500(estimated 250 miles per
$1,500 month for all staff at.50 cents/mile X 12 months=$1,500).
Contracts/Subcontracts Total for Year 2 = $9,500
Promotor Training In the event that all three promotores from year one are not retained,we are budgeting for the training of
at least two additional promotores in year two. Either a subcontractor will be hired or a training program
$1000 will be found for the training. It is estimated that the training will cost$1000.
Promotores Promotores will be contracted to provide community presentations(plAticas),assist with community
outreach, implement physical activity opportunities in their communities,and provide backup for the
lifestyle intervention classes.
$8,100 3 promotores X 180 hrs./year X$15/hr._$8,100
Contract Nurse Practitioner or We will contract with a either a Nurse Practitioner or CDE to teach 4 diabetes self-management classes
Certified Diabetes Educator(CDE) during the grant year. Each class will be for 1 hr.with 1 hr.of prep time per class.
$400 2 hrs.X 4 classes X$50/hr.=$400
Indirect Costs Total for Year 2=$7,815
•
$7,815 Total of Personnel+Operating+Travel+Subcontractors=$90,398
$90,398 X.087=$7,815
•
Total Program Cost(Year 2) $98,213
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