HomeMy WebLinkAbout20123270.tiff RESOLUTION
RE: APPROVE STATEMENT OF WORK FOR PERTUSSIS RESPONSE IMMUNIZATION
FUNDING 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 a Statement of Work for Pertussis
Response Immunization Funding 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
Public Health and Environment, and the Colorado Department of Public Health and
Environment, commencing November 9, 2012, and ending December 31, 2012, with further
terms and conditions being as stated in said statement of work, and
WHEREAS, after review, the Board deems it advisable to approve said statement of
work, 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 the Statement of Work for Pertussis Response Immunization
Funding 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 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 statement of work.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 19th day of November, A.D., 2012, nunc pro tunc November 9,
2012.
BOARD OF COUNTY COMMISSIONERS
l,:)\\WELD COUNTY, COLORADO
• R ' P
ATTEST bNAA,
fi _Sean P. Co , Chair
Weld Count Clerk to the �' —4
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�''T =^ Wil m F. Garcia, ro-Te
BY: /r
D puty CI k to the Board
'Ba babars Kirkmeyer
APP AST RM: �F � \_ - ,
David E. Long
unty ttorney < Q -� ()aci.p,46-“--
I �1 Dougla4Rademacher
Date of signature: I5I2�IJ-
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1 8 6 1 2 0 1 1 Memorandum
TO: Sean Conway, Chair
Board of County Commissioners
W E L D___C O U N T Y FROM: Mark E. Wallace, MD, MPH, Director
I I Department of Public Health and
uEnvironment
DATE: October 31, 2012
SUBJECT: Pertussis Response Immunization
funding
Enclosed for Board review and approval is a Statement of Work for one-time funding offered to
our Immunization Program from the Colorado Department of Public Health and Environment
(CDPHE) entitled Pertussis Response Immunization Funding to provide community outreach for
immunizations and education through the media and/or printed material to address the recently
declared pertussis epidemic in Colorado. This project also supports case investigation, clinical
operations, and personnel needed to control the spread of the pertussis disease by educating and
vaccinating the at-risk people in the region.
The performance requirement/deliverables include using funding to support pertussis-related
projects. These projects may include, but are not limited to, holding special immunization
clinics; creating/printing/purchasing informational print materials; investigating possible
pertussis cases; providing personnel for these activities; recording of immunizations in the
Colorado Immunization Information System (CIIS); practice Standards for Child and Adolescent
Immunization Practices per ACIP/CDC recommendations to assure access for all populations;
and abstain from charging an office visit fee in addition to the allowable vaccine administration
fee. Compensation will be provided through a Purchase Order, beginning November 15, 2012,
and ending December 31, 2012. Funding for this program period will not exceed $24,736, of
which 100% is federal pass-through funds.
I recommend your approval of this task order amendment.
Enclosure
2012-3270
r\ 1861
COY—
Project description:
This one-time PERTUSSIS RESPONSE Immunization funding is available for WELD COUNTY
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (LPHA) to provide community
outreach and education through the media and/or printed material to address the recently declared
pertussis epidemic in Colorado. This project also supports case investigation, clinical operations, and
personnel needed to control the spread of the pertussis disease by educating and vaccinating the at-risk
people in the region. This funding period is November 9, 2012 through December 31, 2012.
II. Performance Requirement/Deliverables:
A. The LPHA shall use this funding to support pertussis-related projects. These projects may include,
but are not limited to, holding special vaccination clinics; creating/printing/purchasing informational
print materials; investigating possible pertussis cases; providing personnel for these activities.
B. The LPHA shall record all immunizations given in the Colorado Immunization Information System
(CIIS) within a reasonable amount of time.
C. The LPHA shall follow the Standards for Child and Adolescent Immunization Practices (CDC,
2006) to assure all populations have access to appropriate immunization services.
D. OFFICE VISIT FEE: Contractors receiving these 2012 Pertussis Response Immunization Funds
for LPHA agree to abstain from charging an office visit fee in addition to the allowable vaccine
administration fee.
E. The LPHA shall submit one (1) online progress report to the State. The link to the report form is:
http://fs9.formsite.com/ColoradoIMMprogram/PertussisReport/index.html .
This progress report is due within fifteen (15) calendar days of the end of the reporting period. The
progress report shall document the LPHA's progress towards completion of the activities described
herein. The LPHA's payment shall not be reimbursed by the State until the requisite progress report
is submitted to the State by the LPHA. Reporting period and progress report due dates are as
follows:
Progress Period Due Date
November 9—December 31, 2012 January 15,2013
III. Payment/Invoicing:
In consideration of those services satisfactorily and timely performed by the LPHA under this
Purchase Order, the State shall cause to be paid to the LPHA a sum not to exceed TWENTY-FOUR
THOUSAND SEVEN HUNDRED THIRTY-SIX DOLLARS ($24,736.00). Of the total financial
obligation of the State referenced above, $24,736.00 are identified as attributable to a funding source
of the United States government (CFDA #93.268), and $0.00 are identified as attributable to a
funding source of the state of Colorado.
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To receive compensation under this Purchase Order, the Contractor shall submit a signed CDPHE
Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
http://www.cdphe.state.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 fifteen (15) calendar days of the end of the billing period for which services
were rendered. Expenditures shall be in accordance with the Statement of Work.
All Counties, Local Public Health Agencies and select intergovernmental Contractors will undergo a
financial risk assessment conducted by the CDPI IE Financial Risk Management System. Until such
assessment is completed and the Contractor has been notified of the results, the Contractor shall
provide the following documentation with the completed invoice; none. This supporting
documentation shall be submitted with the completed CDPHE Reimbursement Invoice Form and
sent to:
Lynn McCracken
Colorado Department of Public Health and Environment
DCEED-A3-IMM
4300 Cherry Creek Drive South
Denver, Colorado 80246
To be considered for payment, billings for payments pursuant to this Purchase Order must be
received within a reasonable time after the period for which payment is requested, but in any event
no later than fifteen (15) calendar days after the relevant performance period has passed. Final
billings under this Purchase Order must be received by the State within a reasonable time after the
expiration or termination of this Purchase Order; but in any event no later than fifteen (15) calendar
days from the effective expiration or termination date of this Purchase Order.
Unless otherwise provided for in this Purchase Order, "Local Match", if any, shall be included on all
invoices as required by funding source.
'the Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements
unless approved in writing by the appropriate federal agency.
IV. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the purchase order period by the Program's Project Manager. Methods used will include
review of documentation reflective of performance to include progress reports.
V. Resolution of Non-Compliance:
The Contractor will be notified by e-mail and/or telephone within thirty (30) calendar of discovery of a
compliance issue. Within (30) calendar of discovery, the Contractor and the State will collaborate, when
appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the
action(s) must be completed. The action(s) and time line for completion will be documented by e-mail
and agreed to by both parties. If extenuating circumstances arise that require an extension to the time
line, the Contractor must e-mail a request to the Project Manager and receive approval for a new due
date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met
and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon
compliance resolution plan, the State may exercise its rights under the Terms and Conditions of this
Purchase Order.
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Statement of Work Acceptance:
PERTUSSIS RESPONSE FUNDS
LOCAL COUNTY HEALTH AGENCY TOTAL FOR 2012 = $24,736.00
LOCAL PUBLIC HEALTH PARTNER ACCEPTANCE OF Colorado Department of Public Health and
Environment Immunization Program Pertussis Response Immunization Funds for Local Public Health Agency
Statement of Work REQUIREMENTS:
I, Sean P. Conway , on behalfof the Weld County Department of 'Public Health
(print) and Environment
hereby acknowledge the requirements for the above-named Immunization Service Purchase Order have been
reviewed, and are accepted and agreed to. I further acknowledge that I have the necessary authority to sign this
acceptance on behalf of the entity mentioned above.
69)
Chair NOV 1 9 2012
Signature L. Title County Commissioners Date
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