HomeMy WebLinkAbout20122510.tiff RESOLUTION
RE: APPROVE AMENDMENT #3 TO COLORADO PREVENTION PROGRAM CONTRACT
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 #3 to the Colorado
Prevention Program Contract between the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Department of Human
Services, and the Colorado Department of Human Services commencing October 1, 2012, and
ending September 30, 2013, 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 #3 to the Colorado Prevention Program Contract
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, and the
Colorado Department of Human Services 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 17th day of September, A.D., 2012.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST ,)
41 Sean P. Conwa Chair
Weld County Clerk to the .r-r•
m F. arcia, ro-T
BY: G �_ Ca. ��i.�t- �„ c� //
Deputy Clerk to the Boar r u< t tiff/
% , J� ,Bar a Kirkmeyer
APPR AS FORM: A,
Da
vid E. Long /���
out ttorney ;o t} to, JC9 kricli i
DouglasrRademach r
Date of signature:
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3rr /D Cresan %f/Aq /1St
2012-2510
HR0083
186r MEMORANDUM
IX T
C� J� DATE: September 13, 2012
GpUNT �
TO: Sean P. Conway, Chair, Board of County Commissioners
FROM: Judy A. Griego, Director, Huma c' D
RE: Amendment to the Colorado Prevention Program Contract
between the Weld County Department of Human Services
and North Range Behavioral Health
Enclosed for Board approval is an Amendment to the Colorado Prevention Program Contract
between the Department and North Range Behavioral Health. This Amendment was reviewed
under the Board's Pass-Around Memorandum dated September 6, 2012, and approved for
placement on the Board's Agenda.
The Board entered into a FY 2007 Colorado Prevention Partners Contract with the Colorado
Department of Human Services under a non-competitive "Colorado Prevention Partners"
application, which was submitted on behalf of Weld County's Interagency Oversight Group
(HB04-1451, "Collaborative Management of Multi-agency Services Provided to Children and
Families), and at the request of the Governor's Office. The Department continues to act as the
Fiscal Agent and North Range continues to act as the Program Administrator. Under this
Agreement, the Youth and Family Connections, acting as the Interagency Oversight Group
(IOG), provides oversight for the Project. This Contract and all prior amendments thereto, if
any, are modified as follows:
a. Page 1, Original Contract, under "Contract price not to exceed" delete "$1,042,711" and
replace with "$1,442,711".
b. Page 1, Original Contract, under"Maximum amount available per fiscal year" change to
"FY 13: $400,000".
c. The supplemental FY 13 Exhibit A for FY 2012-2013, incorporated herein by this reference,
is in addition to the original contract Exhibit A, Agency Work Plan.
d. The FY 13 Exhibit C for FY 2012-2013, incorporated herein by this reference, replaces the
original contract Exhibit C, Budget, as amended.
e. The term of this interagency agreement is from October 1, 2012 through September 30,
2013.
If you have any questions, please give me a call at extension 6510.
2012-2510
CONTRACT AMENDMENT
Amendment# 3 Original Contract CMS or CLIN # Amendment CMS #48650
10 IHM 13553
1) PARTIES
This Amendment to the above-referenced Original Contract (hereinafter called the Contract) is
entered into by and between Weld County, Department of Human Services, (hereinafter
called "Contractor"), and the STATE OF COLORADO (hereinafter called the "State") acting by
and through the Department of Human Services, Division of Behavioral Health, (hereinafter
called the "DBH").
2) EFFECTIVE DATE AND ENFORCEABILITY
This Amendment shall not be effective or enforceable until it is approved and signed by the
Colorado State Controller or designee (hereinafter called the "Effective Date"). The State shall
not be liable to pay or reimburse Contractor for any performance hereunder including, but not
limited to, costs or expenses incurred, or be bound by any provision hereof prior to the
Effective Date.
3) FACTUAL RECITALS
The Parties entered into the Contract for/to improve the clinical alcohol and drug treatment
system and add valuable support services through development of a voucher system to
address the unique challenges inhibiting access to recovery resources for clients in urban and
rural settings.
4) CONSIDERATION-COLORADO SPECIAL PROVISIONS
The Parties acknowledge that the mutual promises and covenants contained herein and other
good and valuable consideration are sufficient and adequate to support this Amendment. The
Parties agree to replacing the Colorado Special Provisions with the most recent version (if
such have been updated since the Contract and any modification thereto were effective) as
part consideration for this Amendment. If applicable, such Special Provisions are attached
hereto and incorporated by reference herein as Exhibit N/A.
5) LIMITS OF EFFECT
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments thereto, if any, remain in full force and effect except as specifically modified
herein.
6) MODIFICATIONS.
The Contract and all prior amendments thereto, if any, are modified as follows:
CONTRACT PRICE NOT TO EXCEED:
Shall be changed from $1,042,711 to $1,442,711
MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR
Shall be changed to:
FY 13: $400,000
The supplemental FY 13 Exhibit A for FY 2012-2013, incorporated herein by this reference, is
in addition to the original contract Exhibit A, Agency Work Plan.
The FY 13 Exhibit C for FY 2012-2013, incorporated herein by this reference, replaces the
original contract Exhibit C, Budget, as amended.
The term of this interagency agreement is from October 1, 2012 through September 30, 2013.
7) START DATE
This Amendment shall take effect on the later of its Effective Date or October 1, 2012.
8) ORDER OF PRECEDENCE
Except for the Special Provisions, in the event of any conflict, inconsistency, variance, or
contradiction between the provisions of this Amendment and any of the provisions of the
Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The most recent version of the Special Provisions incorporated into the Contract or
any amendment shall always control other provisions in the Contract or any amendments.
9) AVAILABLE FUNDS
Financial obligations of the state payable after the current fiscal year are contingent upon
funds for that purpose being appropriated, budgeted, or otherwise made available.
•
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
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 OF COLORADO
Weld County John W. Hickenlooper, GOVERNOR
Colorado Department of Human Services
By: Sean P. Conway Reggie Bicha, Executive Director
Title: Chair, Board of County Commissioners
By
*Signature 7 2012 By: ndrew artinez, Associate irector, Business and
Support Services, Chief Financia Officer, Mental Health
Services
ALL CONTRACTS REQUIRE APPROVAL 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: 0-ar1'1CLINT WOODRUFF
Date: 1/Ly(Z,
Effective Date: 1/6/09-Rev 8/25/09
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FY 13 Exhibit C
Division of Behavioral Health
CPPS Budget and Narrative
wit ntDepartment of Human Services/North Range i s vi y- �tlfC Prevention Partners
.yam
w'.ibw.w.v..4... .,:..r..-.-_v-J3�.' "-F-N.Mss'n"!=a.r...m-r-_
Personnel
Division of Behavioral Calculations and Narrative DBH
Health
CPPS Budget and
Narrative
1 Project Coordinator-1.FTE:$50,107.00 $50 107.00
2 Project Coordinator Fringe Benefits @ 30.7%=$ $15,383.00
15,383.00
3 Project Evaluator-LEW-.70 FTE:$53,566.00 $53,566.00
4 Project Evaluator Fringe Benefits @ 26%= $13,927.00
$13 927.00
5 Project Evaluator-Data collection-.30 FTE: $11,663.00
$11.663,00
6 Project Evaluator Fringe Benefits @ 12%=$1,400.00 $1,400.00
7 Pro ect Assistant/Su••ort-.20FTE:510,970.00 $10,970.00
8 Project Assistant/Support-Benefits @7%=$768.00 - $768.00
Total Personnel $157,784.00
Consultants
Line Item Calculations and Narrative DBH.
1 Social Marketing/Media=30 hrs/month x $23,400.00
12@$65.00.423,400.00
2 Website&Face book management(and ads) $24,000.00
GMAN @$700.00/month x 12=58,400.00 and
Growth Weaver @$1,300.00/month x 12=
$15,600.00
3 TIPS trainer @$400.00 for two monthly trainings x $4,800.00
12= $4,800.00
4 Prevention Education-SF 10-14 site coordinator-25 $20,995.00
hours/month x 12 x$20/hour=$6,000.00&
facilitators (English&Spanish speaking)/child care
for 4 classes x$3448.75.00/class=513,795.00.00;
Prevention Education-facilitators/consultants i.e..
Bridges out of Poverty,Mental Health First Aid-
Parenting $300.00/class x 4-$1,200.00
5 Community Coalition support:Latino Advisor 25 $14,040.00
hours/month x$18.00 x 12=$5,400.00;Teams/RAR
of WC support(2)x 20 hours/month x$18.00 x 12=
58,640.00
6 Support for data collection/recruiting families for $1,600.00
classes/surveying/focus groups:4 individuals x 8
•eriods x 50.00= 1 600.00
Total Consultants " $88;835.00 -.
Travel
Line Item - Calculations and Narrative - DBH. .
In service area 4 staff local travel:300 miles/month x 12 @ .50 $7,200.00
mile=$7 200.00
Out-of-service area 4 staff out of area:Denver CPPS meetings,other $2,448.00
trainings @ 100/month x 12 @ .50/mile=$600.00
Total Travel $9,648.00
Operating Expenses
Line Item Calculations and Narrative DBH
Page 1 of 2
1 Data collection/assessments and surveys:HKCS- $23,813.00
Countywide sample with OMNI;all survey materials,
scanning of completed surveys to 5659 students @
2.75/survey=$15,563.00; other surveys ie.extra
reports to schools 3 x$200.00+9 x$350.00=
$3,750.00; other surveys:perception survey-social
norm, RAR of WC satisfaction survey,SF 10-14
pre/post survey and analysis=-$4,500.00
2 Prevention Education-SF 10-14 expenses:class $4,200.00
materials&food for classes. $150.00 x 7 x 4=
$4200.00
3 Community Coalition/Monthly Meetings:PLC-WC, $6,000.00
Local Teams, EPI LEW&RAR of WC meeting
expenses include: food/meals,supporting
materials;room rent&supplies. Five meetings
monthly x 12 x$100.00/meeting=$6,000.00
4 Alternative Activities:Support of various $6,000.00
existing/proposed pro social,youth leadership and
recreational activities&opportunities in WC.2
activities/$250.00 each=$500.00 x 12=$6,000.00
5 Marketing:Production-Social marketing,social $17,600.00
norm and Media campaigns.Design,production,
printing of all materials=$12,000.00;registration at
health fairs,parades,booths and festival=
$100.00x6=$600.00;purchased print ads/
oromotionalItems/oerioherals=S5.000.00
6 Memberships/registrations/fees:Evan/Greeley $2,700.00
Chamber of Commerce;misc.registrations-$500.00
annually;professional development for staff(4)
$550.00 x 4=$2,200.00
7 Office Supplies&technology: 1 Wi-Fi hub @ $3,420.00
$60.00/month x 12=$720.00;supplies$100/month
x 12=$1,200.00; pencils @$1,500.00
Total Operating $63,733.00
9ubtptalofDlrect Xpenses �..- , . - - _4gtorDDOttl4' ...
Indirect Expenses
Not to exceed 20%of the total contract amount
At 20%for WCPP-IT,accounting,human resources, $80,000.00
administration, maintenance,building support,
utilities,etc. _
Total Ex)iehses - . ._ $4#f6,t10C1 flb -.
Applicant Agency Authorized Signature Date
Page 2 of 2
............................. .
�oF �nt� ocT
�%„If\ �'�co State of Colorado
„, „ � Contract Management Information
Niuti
Annual Certification
Upon renewal or continuation of a personal services contract in a subsequent fiscal year, the individual selected by
the state agency or institution of higher education (IHE), pursuant to CRS §24-103.5-101(3), to monitor the
contractor's work under the contract (Contract Monitor), shall certify as to whether the contractor is complying with
the terms of the contract pursuant to CRS §24-103.5-101(5).
Use of this Form
• The Contractor Monitor should complete this Certification annually during the term of the contract, for each renewed
or continued personal services contract (including grants) with a value over $100,000, on or before each 12-month
anniversary of the contract effective date.
> Use of this form does not replace electronic certification in the CMS record. This form may be required by your
procurement office in addition to the electronic certification. This form should support of the electronic
certification.
> By signing this Certification, the Contract Monitor certifies as to whether the contractor has or has not complied
with the terms of the contract. The contractor's compliance shall be determined using the performance standards
and measurable outcomes included in the contract.
o If the contractor has not complied with the terms of the contract, the state agency or IHE shall be
entitled to any remedy available under law in the case of contract nonperformance.
> The original signed Certification should be maintained as part of the official contract record at the state agency or
II-IE,with either a copy in the contract record or scanned .pdf copy attached to the statewide CMS record.
This Certification is not required for contracts under Medicare, the "Colorado Medical Assistance Act", Articles 4 to 6
of Tide 25.5, CRS, the "Children's Basic Health Plan Act", Article 8 of Title 25.5, CRS, or the "Colorado Indigent
Care Program",Part I of Article 3 of Title 25.5, CRS.
> This Certification does not need to be attached to the contract as an exhibit.
> This Certification is not signed by the vendor/contractor.
CMS Identification Number of Original Contract: 13553 Effective Date of Original Contract: 7/1/2010
Term of Contract(check one): Annual with Renewal(s) ® Multi-year❑ CMS ID No. of Modification(if applicable):
Name of State Agency/IHE: IID, Colorado Division of Behavioral Health
(Department named in the contract)
Name of the Contractor/Grantee: Weld County, Department of Social Services
(Primary party named in the contract)
Name of Project/Program: Colorado Prevention Partnership for Success(CPPS)
Contractor/Grantee is in compliance with the terms of the contract(check one): YES ® NO ❑
Interim Rating(if any)and Date Rating Assigned(check one):
Below Standard(1) ❑ Standard(2) ® Above Standard(3) ❑
Date of last Interim Contractor Performance Evaluation: 9/27/12
By signing below, I hereby certify, in accordance with CRS §24-103.5-101(5), that I have determined whether the vendor is
complying with the terms of the contract and have set forth my determination in the section above.
CR\ThiC) Specialist. Finance and Contracts. Business and Support
� �;r , Services
Signature Title
Printed Name Ralph E Duran
9/27/12 303-866-7512
Date Phone
Annual CERT Performance M&S Effective May 20 2010
Hello