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HomeMy WebLinkAbout20253460 Resolution Approve Task Order Contract Modification for Local Public Health Agency (LPHA) Chronic Disease Pilot Program 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 Task Order Contract Modification for the Local Public Health Agency (LPHA) Chronic Disease Pilot Program 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 upon full execution of signatures, and ending June 30, 2026, with further terms and conditions being as stated in said contract, and Whereas, after review, the Board deems it advisable to approve said contract, 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 Task Order Contract Modification for the Local Public Health Agency (LPHA) Chronic Disease Pilot Program 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 contract. The Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Resolution, on motion duly made and seconded, by the following vote on the 15th day of December, A.D., 2025: [Insert Resolution Attestation Block Post Meeting] 2025-3460 HL0058 Conk— c� 11) 101 �CZ BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE: FY 26 LPHA Chronic Disease Pilot Contract DEPARTMENT: WCDPHE—Community Health Division DATE: December 9, 2025 PERSON REQUESTING: Jason Chessher, WCDPHE Executive Director Brief description of the problem/issue: To request the Board's approval of a contract (including scope of work and budget) with the Colorado Department of Public Health (CDPHE) for the FY26 Chronic Disease Pilot. The Board approved of WCDPHE's FY26 LPHA Chronic Disease Pilot application on Oct. 13'h. Part time Community Health Workers (CHWs) are a foundational part of the department's chronic disease prevention outreach and programming efforts and funding for CHWs lapses in mid-2026. The goal of this grant is to identify priority chronic diseases prevention efforts for Weld County and to provide continued funding for CHWs beyond 2026 to maintain support for chronic disease prevention strategies. What options exist for the Board? The Board can approve or decline the CDPHE contract for grant funding. Consequences: Approval of this grant contract will allow WCDPHE to receive funding to identify chronic prevention efforts and implement prevention strategies as well as provides an avenue to retain CHWs after current funding ends in mid-2026. Impacts: Declining the grant contract would limit funding for chronic disease prevention and management programming and may prevent the continuation of the CHW Program when current funding ends. Costs (Current Fiscal Year/ Ongoing or Subsequent Fiscal Years): No associated county cost. $100,000 for initial 6-month contract (through 6/30/26) additional funding available ($400,000 maximum) to be requested for subsequent implementation. Pilot will begin no sooner than Jan. 2026 and run through June 30, 2028. No additional county funds or FTEs are requested. Grant activities will be carried out by current staff. Recommendation: I recommend approval to place this item on a future Board agenda for formal consideration. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck Scott K. James Jason S. Maxey Lynette Peppier 10 Kevin D. Ross 2025-3460 12A5 NLu05$ LIVI.UJII9II CIIVCIUp ILL.IoCUJYICO-LCI.U-YLJLI-/1ULIO-JJ/1I-J1.1J1-YIUJ State of Colorado Contract Modification Task Order State Agency Colorado Department of Public Health and Task Order Contract Number Environment 2026*2729 Contractor Task Order Performance Beginning Date Board of County Commissioners of Weld The later of the Task Order Effective Date or County (a political subdivision of the state of January 1, 2026 Colorado) for the use and benefit of the Weld County Department of Public Health and Task Order Expiration Date Environment June 30, 2026 Task Order Number Task Order Maximum Amount 1 01/01/2026 - 06/30/2026: $100,000.00 Main Task Order Contract Number Total for All Terms: $100,000.00 23 FAA 00051 Exhibits and Order of Precedence The following Exhibits and attachments are included with this Contract: 1. Exhibit A - Additional Provisions. 2. Exhibit B - Statement of Work. 3. Exhibit C - Budget. In the event of a conflict or inconsistency between this Contract and any Exhibit or attachment, such conflict or inconsistency shall be resolved by reference to the documents in the following order of priority: 1. Colorado Special Provisions in 518 of the main body of this Contract. 2. The provisions of the other sections of the main body of this Contract. 3. Exhibit A Additional Provisions. 4. Exhibit B - Statement of Work. 5. Exhibit C - Budget. In accordance with S4.B of the Main Task Order Contract referenced above, Contractor shall complete the following Project: 1. Project Description Contractor shall complete the Project described in Exhibit B - Statement of Work (SOW) that is attached hereto and incorporated herein (the "SOW"). All terminology used in this Task Order and the Statement of Work shall be interpreted in accordance with the Main Task Order Contract unless specifically defined differently in this Task Order. The Statement of Work and Budget are incorporated herein, made a part hereof and attached hereto as Exhibit B - Statement of Work and Exhibit C - Budget. 2. Payment Task Order Number: 2026*2729 Page 1 of 3 Version 08.2025 L/ULUJ11J.1 IL/.IJCUJYI CO-LC Ii J-YLJL/-P1UL/O-V.7/1f J/1JrY/OJ The State shall pay Contractor the amounts shown in Exhibit C - Budget that is attached hereto and incorporated herein, in accordance with the requirements of that Proposal and the Main Task Order Contract. The State shall not make any payment for a Term that exceeds the Task Order Maximum Amount shown above for that Term. 3. Performance Period Contractor shall complete all Work on the Project described in this Task Order by the Task Order Expiration Date stated above. Contractor shall not perform any Work on the Project described in the Proposal prior to the Task Order Performance Beginning Date or after the Task Order Expiration Date stated above. 4. Task Order Effective Date The effective date of this Task Order is upon approval of the State Controller or January 1, 2026, whichever is later. Task Order Number: 2026*2729 Page 2 of 3 Version 08.2025 V UUUJIIJ.II LII VGIUpG IV. VLUJYI LV-LLL,U-'LJU-t1UUV-G0P11-GP1Jf Y/VJ Contractor State of Colorado Board of County Commissioners of Weld Jared S. Polls, Governor County (a political subdivision of the Colorado Department of Public Health state of Colorado) for the use and and Environment benefit of the Jill Hunsaker Ryan, MPH, Executive Weld County Department of Public Health and Environment Director By: Chelsea Gilbertson, Procurement a Contracts Section Director By: Perry L. Buck, Chair, Board of Weld County Commissioners Date: Date: State Controller Robert Jaros, CPA, MBA, JD By: Kurt Williams, Controller Task Order Effective Date: In accordance with §24-30-202, C.R.S., this Task Order is not valid until signed and dated above by the State Controller or an authorized delegate. Task Order Number: 2026*2729 Page 3 of 3 Version 08.2025 IJVI.0 JIyI I CI IYCIVIIC ILJ.I.CVJY I CO-4 J-YL JC/-/1VVO'.7.7Mr.7r1JrY/O' EXHIBIT A ADDITIONAL PROVISIONS To Master Task Order Contract Dated 06/29/2022 Task Order Routing Number 2026*2729 These provisions are to be read and interpreted in conjunction with the provisions of the Master Task Order Contract specified above. 1. To receive compensation under the Contract, the Contractor shall submit a signed Monthly CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet website https://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later than forty-five (45) calendar days after the end of the billing period for which Services were rendered. Expenditures shall be in accordance with the Statement of Work and Budget. Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email the scanned invoice with the Excel workbook containing the Expenditure Details page to: CDPHE Chronic Disease Project Officer via email at cdphe hpcdp@state.co.us email address. Final billings under the Contract must be received by the State within a reasonable time after the expiration or termination of the Contract; but in any event no later than forty-five (45) calendar days from the effective expiration or termination date of the Contract. Unless otherwise provided for in the Contract, "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. Contractor shall request prior approval in writing from the State for all modifications to the Statement of Work/Work Plan, or for any modification to the direct costs in excess of twenty-five percent (25%) of the total budget for direct costs, or for any modifications to the indirect cost rate. Any request for modifications to the Budget in excess of twenty-five percent (25%) of the total budget for direct costs, or any modifications to indirect cost rates, shall be submitted to the State at least ninety (90) days prior to the end of the contract period and will require a modification in accordance with the provisions of this Contract. 2. Time Limit For Acceptance Of Deliverables. a. Evaluation Period. The State shall have fifteen (15) calendar days from the date a deliverable is delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables that have a different time negotiated by the State and the Contractor. b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design specifications for that particular deliverable, or is otherwise deficient, then the State shall notify the Contractor of the failure or deficiencies, in writing, within fifteen (15) calendar days of: 1) the date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or deficiency. The above time frame shall apply to all deliverables except for those deliverables that have a different time negotiated by the State and the Contractor in writing pursuant to the State's fiscal rules. c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed deliverable, the Contractor shall have a reasonable period of time, not to exceed fifteen (15) Task Order Number: 2026*2729 Page 1 of 3 Version 02.24.2022 VULUJIIyII Li IVCIV4./C IL).LoCUU+ICO-LCIr:)WLJLJ—f1UIJO—JJ)1r J,-Jr+I UJ calendar days, to correct the noted deficiencies. If the Contractor fails to correct such deficiencies within fifteen (15) calendar days, the Contractor shall be in default of its obligations under this Task Order Contract and the State, at its option, may elect to terminate this Task Order. 3. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination. The State has determined that this Contract does not constitute a Business Associate relationship under HIPM. 4. Contractor agrees to provide services to all Program participants and employees in a smoke-free environment in accordance with Public Law 103-227, also known as "the Pro-Children Act of 1994", (Act). Public Law 103-227 requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of eighteen (18), if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. 5. The State of Colorado, specifically the Colorado Department of Public Health and Environment, shall be the owner of all equipment as defined by Federal Accounting Standards Advisory Board (FASAB) Generally Accepted Accounting Principles (GAAP) purchased under this Contract. At the end of the term of this Contract, the State shall approve the disposition of all equipment. 6. Contractor shall not use State funds provided under this Contract for the purpose of lobbying as defined in Colorado Revised Statutes (C.R. S.) 24-6-301(3.5)(a). 7. All data collected, used or acquired shall be used solely for the purposes of this Contract. The Contractor and its subcontractors agree not to release, divulge, publish, transfer, sell, or otherwise make known any such data to unauthorized persons without the express prior written consent of the State or as otherwise required by law. This includes a prior written request by the Contractor to the State for submission of abstracts or reports to conferences, which utilize data collected under this Contract. Notwithstanding the foregoing, the Contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under this Contract and in accordance with professional standards. 8. If Contractor indicates full expenditure of funds under this Contract by March 31st of each grant year and the full expenditure does not occur, CDPHE has the option to reduce current or upcoming Contract by said amount or a percent deemed reasonable by CDPHE. CDPHE will notify the Contractor of the potential need to decrease the current or upcoming budget. If the Contractor indicates at a later date than March 31st of each grant year an expectation of surplus of funds or inability to fully expend said funds for unforeseen circumstances that Contractor had not anticipated by March 31st, CDPHE will reallocate unspent funds without any penalties to the Contractor. Upon receipt of timely written notice of an objection by the State for inability to fully expend funds, the Contractor shall have a reasonable period of time not to exceed ten (10) calendar days to respond to the action. If no dispute is received by the State within ten (10) calendar days, the State has the option to reduce the current budget for the current year and any upcoming budget for future contractual agreements. 9. Funds provided under this Contract may not be used to: supplant funding for any existing programs/ models; develop new cessation programs/models; develop curricula for youth or adults not reviewed and approved by the State; pay for individual cessation aids or nicotine replacement therapy; fund capital improvements; or fund costs of enforcement of state or local laws and ordinances unless approved by CDPHE; stand-alone supplies for community testing and outreach for diabetes, cholesterol, and hypertension include but are not limited to at-home cholesterol or diabetes test kits; blood pressure cuffs Task Order Number: 2026'2729 Page 2 of 3 Version 02.24.2022 LJUUUJILJ.II CIIVCIUF/C IL). IiCUJY/LU-LCLJJ-YLJLJ-/1ULJU-'J/1r 0/101-9 I UC not part of a loaner program; medications; or other supplies meant to be used at home for disease management or monitoring (continuous glucose monitors, wearables, fitness trackers, etc.). 10. Contractor affirms that it maintains no affiliations or contractual relationships, direct or indirect, with tobacco companies, owners, affiliate, subsidiaries, holding companies or companies involved in any way in the production, processing, distribution, promotion, sales, or use of tobacco. 11. Publications, presentations, or public events resulting from Amendment 35 Tobacco Grants Program funding must include the following acknowledgment of grant support and disclaimer: Funding for this event/project/program was provided (in part) by Amendment 35 Tobacco Education, Prevention and Cessation Grant Program funding. The views expressed do not necessarily reflect the official policies of, nor does the mention of imply endorsement by, the Colorado Department of Public Health and Environment. Task Order Number: 2026*2729 Page 3 of 3 Version 02.24.2022 VVI.UJIyI GIIVCIVf/C IV. VCVJY/CO-LCI,J-4/LJLJ-/1UVO-UOM-Ul1JFY/V7 EXHIBIT B STATEMENT OF WORK To Original Contract Number: 2026*2729 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: Weld County Department of Public Health and Environment II. Project Description: This project serves to improve the health of all Coloradans by implementing the Local Public Health Agency (LPHA) Chronic Disease Framework (Framework), delivered through the Contractor 's service area. The Framework serves as a strategic tool developed by the Colorado Department of Public Health and Environment (CDPHE), in partnership with key stakeholders, to support LPHAs in identifying as well as implementing evidence- based approaches to chronic disease prevention. The project will include capacity- building activities along with evidence-based strategies that provide chronic disease public health services for communities in Colorado. During the Capacity Building phase, the Contractor shall participate in foundational activities, including infrastructure development, needs assessment, in conjunction with equity-centered planning. During the Evidence-Based Strategy Implementation phase, guided by its local readiness, the Contractor shall develop an implementation plan that identifies specific strategies from the Framework to implement with the support along with oversight from CDPHE. The goal of the project is to support LPHAs in addressing chronic disease prevention and management through capacity building, planning, and implementation of strategies that reduce chronic disease risk factors. All activities will align with the CDPHE Chronic Disease State Plan as well as the Framework. The project lists a menu of allowable strategies from the Framework. The Contractor shall submit an individualized Implementation Plan indicating the specific strategies in addition to activities the Contractor plans to implement in Phase 2 of the project. Funding of the project is to ensure alignment with state-level priorities, advance health equity, along with maximizing the efficient use of available resources. III. Definitions: 1. Authentic Community Engagement: A culturally and linguistically responsive process of involving individuals and communities who are most impacted by health disparities in the design, implementation, and evaluation of programs and policies. This includes ongoing, bidirectional dialogue; shared decision-making; and equitable collaborations that value lived experience and community wisdom. 2. Business Days: means any day in which the State is open and conducting business, but shall not include Saturday, Sunday, or any day on which the State observes one of the holidays listed in 524-11 -101 (1), C.R.S. Task Order Number: 2026*2729 Page 1 of 12 Ver. 02.15.24 LJULUJIIyI I CI IVCIUpe IL). I,COJ4/GO-L GI.UWLJV-P1ULJO-UU/1r J/1JU'f/UJ EXHIBIT B 3. Capacity Building Strategies: continuous, long-term process to develop and strengthen the skills, knowledge, processes, systems, and resources an individual, organization, or community needs to effectively achieve its goals. 4. CDPHE: means Colorado Department of Public Health and Environment. 5. Commercial Tobacco (tobacco): Harmful products that are made and sold by tobacco companies. This is distinct from "traditional tobacco" used by Native American people and other groups for religious or ceremonial purposes. Tobacco, in this document, refers to the use of manufactured, commercial tobacco products, not the sacred, medicinal, traditional use of tobacco by Native American people. 6. Chronic Disease: A disease that is long-lasting or persistent in its effects, such as cardiovascular disease, cancer, chronic respiratory diseases, and diabetes. Chronic diseases are often associated with modifiable risk factors such as tobacco use, poor nutrition, physical inactivity, and excessive alcohol consumption. 7. Chronic Disease Community Assessment: A resource in the LPHA Chronic Disease Framework to help LPHAs assess needs, opportunities, readiness, and community support for addressing the chronic disease burden in the LPHA area. 8. Chronic Disease State Plan: The "CDPHE Chronic Disease State Plan 2022-2030" outlines goals, objectives, and priority strategies to reduce the burden of chronic disease in Colorado. This plan serves as a roadmap for coordinated, cross-sector action and informs the priorities of this contract. 9. Culturally Responsive Practices: An approach that recognizes the importance of including cultural references in all aspects of service delivery. It involves understanding and respecting the values, beliefs, and behaviors of diverse populations and tailoring services to meet their social, cultural, and linguistic needs. 10. Email: means electronic mail. 11. Health Equity: The attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and healthcare disparities. 12. Implementation Plan: A document developed by the LPHA during Phase 1 of this contract, outlining which strategies and activities will be pursued in Phase 2. The plan includes selected strategies, activities, timelines, staffing plans, budget alignment, and must be submitted to and approved by CDPHE. 13. Infrastructure Development: Activities conducted in Phase 1 of this contract to strengthen the LPHA's organizational readiness, capacity, and collaborations necessary for the successful implementation of chronic disease strategies. This includes staffing, planning, training, assessments, and community engagement. May also be referred to as capacity-building. 14.LPHA: Local Public Health Agency. 15. LPHA Chronic Disease Framework (Framework): Refers to the "LPHA Chronic Disease Framework," a resource created by CDPHE in collaboration with stakeholders Task Order Number: 2026*2729 Page 2 of 12 Ver. 02.15.24 VOLualyl I CI I VCIVpe IL/.l'CUJY I CO-LCl'J-4LJuJ-/1OL/0-t3/1r Jf1Jr'+I UV EXHIBIT B to guide LPHAs in selecting evidence-based strategies for chronic disease prevention, aligned with state priorities, health equity goals, and funding parameters. 16.Objective: A measurable, time-bound statement describing what the Contractor must achieve under this contract. All objectives are to be completed no later than the expiration date of this contract. 17.Priority Populations: Communities disproportionately impacted by chronic disease due to systemic barriers, historical disinvestment, or social determinants of health. Priority populations may include but are not limited to: Black, Indigenous, and People of Color (BIPOC); people living with disabilities; LGBTQIA+ communities; low- income populations; rural residents; and immigrants or refugees. 18. Project Officer: CDPHE program contact. 19.Quarterly: i. Quarter 1: July 1 - September 30 ii. Quarter 2: October 1 - December 31 iii. Quarter 3: January 1 - March 31 iv. Quarter 4: April 1 - June 30 20.Service Area: the geographic area identified by the Contractor as part of this project. 21.Social Determinants of Health: The non-medical factors that influence health outcomes, including education, income, employment, housing, transportation, and access to nutritious food, safe spaces, and healthcare. These determinants contribute to health inequities. 22.Training and Technical Assistance (TTA): Training, consultation, or hands-on support provided by CDPHE or its designees to assist LPHAs in building capacity, selecting and implementing strategies, measuring impact, or engaging communities. IV. Work Plan Goal #1: Enhance LPHA infrastructure while advancing health equity by completing Phase 1: Capacity Building Strategies, including a comprehensive chronic disease needs assessment, which will guide the selection, leading to the implementation of evidence-based strategies. Objective #1: No later than the expiration date of this contract, complete Phase 1 : Capacity Building Strategies, focusing on a chronic disease-focused community assessment within the defined project timeline, to identify local needs within the Contractor's service area, determine priority populations, followed by the selection of evidence-based strategies from the Framework aimed at chronic disease prevention and management. Task Order Number: 2026*2729 Page 3 of 12 Ver. 02.15.24 LJULU II,II LI IVCIUFJC IL) \..LVJY/LU-LLUJ-4LJLJ-/10LJU-JC/1f'/1JI YI VC EXHIBIT B Primary Activity #1: The Contractor shall complete the Chronic Disease Community Assessment to identify the most effective evidence-based strategies within the Contractor's service area that support chronic disease prevention and management. Sub-Activity #1: 1 . The Contractor shall review the Colorado Local Public Health Agency Chronic Disease Framework document to become familiar with the strategies. 2. The Contractor shall conduct the Chronic Disease Community Assessment to identify the most effective evidence-based strategies within the Contractor's service area that support chronic disease prevention and management. 3. The Contractor shall use one of the following options to complete the analysis of the data collected within the Contractor's service area: a. The four-step Chronic Disease Community Assessment. b. A recently completed data-gathering and analysis tool. 4. The Contractor shall develop a Summary Report that summarizes the findings to support the selection of Phase 2 strategies. 5. The Contractor shall provide a copy of the Summary Report via email to CDPHE. Primary Activity #2: The Contractor shall implement Capacity Building Strategies identified in the Framework to address the chronic disease burden in Colorado. Sub-Activity #2: 1 . The Contractor shall implement the following Framework strategies to address chronic disease burden in Colorado: a. Strategy 1 - Educate Community: Educate the community about the importance of programs and policies that influence chronic disease and reduce health disparities. b. Strategy 2 - Data: Encourage, promote, and advocate for participation in state and local data collection to gather critical information and build staff capacity to use local data to communicate health disparities. c. Strategy 3 - Community Collaborations: Engage with your community, support and/or lead coalitions, and build collaborations that advance chronic disease prevention and management efforts. d. Strategy 4 - Promote Chronic Disease Intervention and Treatment Options: Promote chronic disease prevention and management options (e.g., screening, blood pressure management). e. Strategy 5 - Internal Expertise: Build and maintain internal team or staff expertise in chronic disease prevention and management, and deepen an understanding of the root causes of chronic conditions. Task Order Number: 2026*2729 Page 4 of 12 Ver. 02.15.24 UULUDIIyII CIIVCIUpe Ill.I.CUJY/CO-LCI,:I-YLJIJ-nUUO-VV/-% J/1J1 Y/O� EXHIBIT B f. Strategy 6 - Funding Requirements: Comply with applicable grant administration duties, including progress reporting and implementation of the evaluation plan for the Framework. 2. The Contractor shall report the required data related to the strategy(ies). Goal #2: Phase 2: Promote health equity through the implementation of evidence-based strategies outlined in the Framework across social determinants of health, 3+ behavior, chronic disease prevention and management strategies that are culturally responsive, community-driven, based on the assessment results conducted in Phase 1. Objective #1: No later than the expiration date of this contract, reduce chronic disease risk factors, improve disease management, and promote equitable health outcomes by implementing selected strategies from the Framework, as specified in the approved Implementation Plan. Primary Activity #1: The Contractor shall continue to implement the Capacity- Building Activities identified in Phase 1 to address the chronic disease burden in Colorado, as outlined in the Implementation Plan. Primary Activity #2: The Contractor shall implement the Social Determinants of Health strategies from the Framework, as outlined in the Implementation Plan. Sub-Activity #2: 1. The Contractor shall implement the following strategy(ies), provided those strategies are selected in the Implementation Plan: a. Strategy 7 - Physical Environments: Promote access to stable and healthy housing, nutritious food, and safe and connected neighborhoods. b. Strategy 8 - Healthcare Access: Increase access to comprehensive, high- quality healthcare and preventative services. Primary Activity #3: The Contractor shall implement the 3+ Behaviors focused strategies from the Framework, as outlined in the Implementation Plan. Sub-Activity #3: 1 . The Contractor shall implement the behavior-focused strategies identified in the Framework, addressing the following areas, provided these areas are selected in the Implementation Plan: a. Tobacco use b. Physical Activity Task Order Number: 2026*2729 Page 5 of 12 Ver. 02.15.24 LIVLUJILyI I Cr IVCIVpe ILJ. IJCVJ'Y I CO-L CL,U-'1LJLJ-, ULJO-V'/1r O/10rY/V� EXHIBIT B c. Healthy Eating d. Alcohol Use 2. The Contractor shall implement strategy(ies), provided those strategies are selected in the Implementation Plan: a. Strategy 9 - Tobacco Alignment: Coordinate with those working on the Local Public Health Agency Colorado Tobacco Framework to align efforts for chronic disease prevention. b. Strategy 10 - Physical Activity Access: Advance community-level policies and practices to increase safe routes for walking and biking to everyday destinations. c. Strategy 11 - Physical Activity Social Supports: Increase social supports for physical activity, such as community-based walking programs, programs integrated into local recreation centers, etc. d. Strategy 12 - Breastfeeding: Implement evidence-based policies and activities that achieve continuity of care and supportive environments for breastfeeding families. e. Strategy 13 - Healthy Food Access: Advance community-level policies and practices to increase access to healthy foods. f. Strategy 14 - Healthy Food Distribution: Improve local and regional distribution and procurement systems for healthy foods and beverages. g. Strategy 15 - Sugary Drinks: Decrease access to and consumption of sugary beverages. h. Strategy 16 - Alcohol Use- Awareness and Substance Use Supports: Promote healthy, substance-free environments and increase educational efforts and support to reduce excessive alcohol use and foster community well-being. Primary Activity #4: The Contractor shall implement chronic conditions strategies from the Framework for cardiovascular disease, diabetes, cancer, and pulmonary disease, as outlined in the Implementation Plan. Sub-Activity #4: 1 . The Contractor shall implement the behavior-focused strategies identified in the Framework, addressing the following areas, provided these areas are selected in the Implementation Plan: a. Cardiovascular Disease b. Diabetes c. Cancer d. Pulmonary Disease Task Order Number: 2026*2729 Page 6 of 12 Ver. 02.15.24 LJVI.L1W9I I GI IVCIL/L/C IL/. L/CVJYI GO-LCV:YYLJL!-F1VLlo-JC/1r y,--Jr+I VY EXHIBIT B 2. The Contractor shall implement strategy(ies), provided those strategies are selected in the Implementation Plan: a. Strategy 17 - Cardiovascular Disease Education: Advance educational efforts to inform communities to understand issues related to cardiovascular disease, such as blood pressure and cholesterol management. b. Strategy 18 - Access to Cardiovascular Disease Programming: Expand access to Self-Measured Blood Pressure (SMBP) Monitoring efforts. c. Strategy 19 - Access to Diabetes Programming: Increase access to National Diabetes Prevention Programs (DPP) and accredited/recognized Diabetes Self-Management Education and Support (DSMES) programs by supporting new program development and sustainability of existing programs. d. Strategy 20 - Cancer Screening: Increase screening rates for colorectal, lung, breast, and cervical cancers. e. Strategy 21 - Access to Cancer Survivor Support: Increase availability and access to cancer survivorship-related resources. f. Strategy 22 - Pulmonary Support: Increase access to and utilization of Asthma and Chronic Obstructive Pulmonary Disease (COPD) management programs by increasing screening, referrals, and care coordination. Primary Activity #5: The Contractor shall implement cross-cutting strategies from the Framework to improve health across multiple behaviors and conditions, as outlined in the Implementation Plan. Sub-Activity 5: 1 . The Contractor shall implement strategy(ies), provided those strategies are selected in the Implementation Plan: a. Strategy 23 - Community-Clinical Linkage: Support community-clinical linkages between the community and clinical sectors to improve population health through utilizing LINKAGE strategies and referrals. b. Strategy 24 - Screening, Brief Intervention, and Referral to Treatment (SBIRT): Promote integration of SBIRT into chronic disease management education for people with chronic disease. c. Strategy 25 - Chronic Disease and Aging: Provide support for addressing co-occurring chronic diseases within an aging population, including considerations for Alzheimer's and Related Dementia. Standards and Requirements Task Order Number: 2026*2729 Page 7 of 12 Ver. 02.15.24 L/VLUJIIJ.II CI iveiupc IL/. LoCVJYIGO—LCLJ—`ILJLI—/1UL/0— /'1)1 IVJ EXHIBIT B 1 . The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall adhere to the following requirements for the CDPHE Implementation Plan: a. Develop an annual CDPHE Implementation Plan outlining the following: i. The strategy(ies) on which the project will focus, based on the information collected during the Chronic Disease Community Assessment and other readiness activities. ii. The detailed steps Contractor shall take to address the objectives of this agreement. b. Develop an annual CDPHE Implementation Plan with the following individuals to adopt and implement prioritized strategies approved by CDPHE: i. CDPHE Project Officer. ii. CDPHE Subject Matter Expert. c. CDPHE will inform the Contractor of necessary modification(s) or provide approval of the CDPHE Implementation Plan within 30 Business Days. d. Modify the CDPHE Implementation Plan in collaboration with CDPHE, as needed. e. Obtain approval from CDPHE prior to initiating any activities outlined in the Implementation Plan. f. Use the CDPHE Implementation Plan template developed by CDPHE. g. Use CDPHE-approved TA providers to support activities identified in the CDPHE Implementation Plan. h. CDPHE's evaluation of the Contractor's performance will be determined by the Contractor's adherence to the established CDPHE Implementation Plan. 3. The Contractor shall maintain fidelity to evidence-based in conjunction with evidence-informed approaches. 4. The Contractor shall complete the following required tasks that support the project's objectives: a. Monitor implementation progress. b. Document all programmatic adaptations. c. Submit all reports to CDPHE in accordance with the established timelines and reporting protocols. 5. The Contractor shall adhere to the evidence-based strategies in addition to guidelines stated in the Colorado Local Public Health Agency Chronic Disease Framework 2025 document. This information is incorporated and made a part Task Order Number: 2026*2729 Page 8 of 12 Ver. 02.15.24 vut,uJIIyII GIIVCIU'JC IL).I,CUJY/GO-L LL.J-YLJu-PIUUO-JDJ1r Jl1JrY I QC EXHIBIT B of this contract by reference and is available on the following website Colorado Local Public Health Agency Chronic Disease Framework. 6. CDPHE will provide the Contractor with the Quarterly Progress Report template via email no later than 90 Business Days prior to the due date specified in the Deliverable Section, which will include the following: a. Activities completed. b. Progress towards objectives. c. Barriers encountered. 7. CDPHE will provide the Contractor with the Annual Progress Report template via email no later than 90 Business Days prior to the due date specified in the Deliverable Section, which will include the following: a. Summary of work completed during the state fiscal year across all goals and objectives. b. Barriers encountered. 8. CDPHE will provide the Contractor with the Final Project Report template via email no later than 90 Business Days prior to the due date specified in the Deliverable Section, which will include the following: a. Summary of all work completed under this contract. b. Key outcomes. c. Evaluation results. d. Sustainability efforts. 9. The Contractor shall prepare to participate in Learning Community Calls in addition to CDPHE-led training and technical assistance (TTA) activities that support the project's objectives. 10.The Contractor shall prepare to participate in peer learning opportunities facilitated by CDPHE. 11.The Contractor shall prepare to participate in CDPHE-led evaluation efforts that support continuous quality improvement along with statewide learning by: a. Developing an evaluation plan. b. Complying with data reporting requirements. c. Reviewing progress. d. Identifying barriers within the Contractor's service area. 12.The Contractor shall notify CDPHE Project Officer within 15 Business Days of the updating the evaluation plan. 13.The Contractor shall, unless otherwise indicated, submit all deliverables to the Project Officer via email at cdphe hpcdp@state.co.us by the due date listed in the Deliverables Section. Task Order Number: 2026*2729 Page 9 of 12 Ver. 02.15.24 LJUL.UJIL9II CI IVCIUJC IL).I,CUJYI CO-LCL.J-YLJLJ-/1ULI0-J,l11-JF1Jl-YI OU EXHIBIT B 14. If purchasing gift cards, the Contractor shall, upon request, provide to CDPHE written procedures related to gift card purchasing/handling. At a minimum, procedures shall include the following: i. How is the gift card inventory tracked/maintained? ii. Gift card storage/safeguards against theft. iii. The primary person responsible for securing/distribution of gift cards. iv. A gift card distribution log that records: 1. Each gift card number. 2. Gift card dollar amount. 3. Printed name of each gift card recipient. 4. Signature of each gift card recipient. 15.The Contractor shall develop a media plan with guidance in addition to prior approval from CDPHE prior to: a. Placement of any media buys. b. Implementation of any communication plan through media mechanisms. 16.CDPHE will approve media plans within 15 Business Days from the submission date. 17.CDPHE will review all deliverables providing feedback via email within 30 Business Days from the submission date of the deliverable. 18.CDPHE will respond via email to all email communications within 5 Business Days from the date of receipt. 19.The Contractor shall prepare to return to CDPHE, by the end of the contract period, all equipment purchased with LPHA Chronic Disease grant funds that is less than three (3) years old, as requested. Expected Results of Activity(s) 1 . Increase capacity to prevent and manage chronic disease. 2. Improve authentic community engagement and cultural responsiveness. 3. Expand implementation of evidence-based strategies within the Contractor's service area. Measurement of Expected Results 1. CDPHE receives reports demonstrating community assessment completion. 2. CDPHE receives the signed implementation plan that identifies strategies in which the Contract will engage. 3. CDPHE receives documentation on implemented capacity-building and additional strategies. Task Order Number: 2026*2729 Page 10 of 12 Ver. 02.15.24 UuI.0 JIyI I GI IVCIupe IL).L.r uJ4/GO-LGle J-4LJLI/1VUO-VJ/1r'P%Jr4 I UV EXHIBIT B 4. CDPHE receives Quarterly Progress Reports. 5. CDPHE receives Annual Progress reports. 6. CDPHE receives Final Progress report. 7. CDPHE receives data and measurement reports. Deliverables Description Completion Date 1. The Contractor shall submit a Chronic Disease Assessment summary, including analysis of chronic No later than disease burden and disparities, and identified August 30, 2026 evidence-based strategies aligned with the LPHA Chronic Disease Framework. 2. The Contractor shall submit a draft Implementation No later than Plan. October 30, 2026 3. The Contractor shall submit a final signed No later than implementation plan. November 30, 2026 4. The Contractor shall submit an updated, signed Annually, no later than annual implementation plan. August 30th. 5. The Contractor shall submit quarterly progress No later than 15 Business reports using a CDPHE-approved template or Days following the last day reporting tool. of each quarter (e.g., October 15, January 15, April 15, July 15). 6. The Contractor shall submit an annual progress Annually, no later than report using a CDPHE-approved template or July 15th reporting tool. 7. The Contractor shall submit a final project report No later than using a CDPHE-approved template or reporting tool. July 15, 2029. V. Monitoring CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the CDPHE Project Officer. Methods used will include a review of documentation determined by CDPHE to be reflective of performance, to include progress reports and other fiscal and programmatic documentation as applicable. The Contractor's performance will be • Task Order Number: 2026*2729 Page 11 of 12 Ver. 02.15.24 LJVL.UJILyII Li IVCIUFJC IL).L LOJYI CO'L CIi:J'YLJLJ'/1V LJO''Jl1r'r%UF t(V' EXHIBIT B 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. VI. Resolution of Non-Compliance The Contractor will be notified in writing within 15 (fifteen) calendar days of discovery of a compliance issue. Within 30 (thirty) calendar days 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 timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the Project Officer and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure timelines 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 provisions of this contract. Task Order Number: 2026*2729 Page 12 of 12 Ver. 02.15.24 LJUUUJIyII CI IVCIUFJC ILJ. 1-/CUJ•1 I CO-LCL.U-YLJLJ-MULJO-U VMF JP1JUY I UV M,74M COLORADO -- - Department of Public TM CDPHE Health & Environment PREVENTION SERVICES DIVISION- LESS THAN 12 MONTH BUDGET WITH JUSTII Original Contract Routing#2026*2729 Weld County Department of Public Health and Program Contact Name,Title, Olivia Contractor Name Environment Phone and Email Fiscal Contact Name,Title, E Budget Period 01/01/2026 - 06/30/2026 Phone and Email Project Name WCDPHE Chronic Disease Pilot Contract(CT or PO) Number Expenditure Categories Personal Services Salaried Employees Peru Gross or Position Title Description of Work Fringe Tim Annual Salary Pro Lead Chronic Disease Community Assessment. Health Data Analyst II Lead implementation of Chronic Disease capacity 100,406.59 38,064.14 2 building strategy 2. (Fringe rate 37.91%: insurance, PTO, pension) Assist with Chronic Disease Community Assessment. Lead implementation of Chronic Disease capacity building strategies 1, 3, and 4, Health Education Specialist II 87,855.77 33,306.12 4 and support strategy 5. Manage day to day activities for WCDPHE Chronic Disease Pilot. (Fringe rate 37.91%: insurance, PTO, pension) Provide overall oversight and guidance on WCDPHE Chronic Disease project including Public Health Initiatives Manager deliverables, reports, and budget. Lead Chronic 110,826.14 42,014.19 1 Disease capacity building strategies 5 and 6. (Fringe rate 37.91%: insurance, PTO, pension) Personal Services Hourly Employees n..-:a:..... r:al.. I S 1A/....I. L1UI.UJI9II CI IVCIUF.IC ILl.Lo CUJYICU—LCL.JWLJ1J—MULJU'VJP1r M/1JI— IU) Utilize a Community Advisory Committee to advance capacity building strategy 1 - development of culturally relevant and effective chronic disease Community Advisory Committee communication materials. ($50 gift cards * 15 participants = $750, $75.50 food Meeting * 2 meetings = $151) *Excluded from indirects- participant support costs Host 3 Health Fairs throughout Weld County to gather community feedback on Chronic Disease Community Assessment and advance capacity building strategy 1, educate community, and strategy 4, promote chronic disease Health Fairs: Screening Supplies intervention and treatment, by offering education and screening for a variety of chronic diseases (screenings to include lipid panel, A1c reading, InBody Scale reading, blood pressure, and oxygen and pulse). ($10 screening *75 people screened per event- price reflective of lipid panel and A1c) Provide snacks at 3 Health Fairs throughout Weld County to improve community engagement and participation in Chronic Disease Community Health Fairs: Food Assessment and capacity building strategies. *Excluded from indirects- participant support costs Paid advertisement for 3 Health Fairs throughout Weld County to improve community engagement and advance capacity building strategies. (Average Health Fairs: Advertisements cost of printed ad in Weld County newspaper$160 * 2 weekly ads per health fair= $320; Spanish radio ad (30 sec) $20 * 7 ads per health fair= $140.) Paid advertisement and participatory media to raise awareness and provide education about chronic diseases (capacity building strategy 1). (Digital ads for Awareness Campaign 1 month period: audience targeted streaming TV $2,500; advanced audience targeted banner ads$5,000; radio and streaming ads $1,000.) TI Travel Item Description of Item RE. Mileage for Health Education Specialist II to attend meetings and events to Mileage advance Chronic Disease capacity building strategies. ("200 miles per month *6 months = 1,200 miles * 0.70) LJVL.0 Jly1I GI IVCIupC 1LI.laGAJJ411G0-LCI,J-414J1J-nuLJO-VVnr AnJrY/O A subcontractor will facilitate a series of community partner meetings and activities for the Chronic Disease Community Assessment (steps 1, 3, and 4 and for capacity building strategy 3, community partnership. SOW will be defined by WCDPHE and Weld County's informal bid process will be followed to identify TBD: Community Partner Meeting subcontractor. Costs to include all costs associated with subcontractor 15,( Facilitator facilitating a series of in-person community partner meetings (personnel, travel, supplies, and indirect costs assumed). Anticipated deliverables expected are detailed meeting minutes with action items and next steps identified as well as materials and presentations created for community partner meetings. SUE Less: Expenses per OMB 2 CFR 200 Subconti Equip 01 Total Exr Modified To Indirect Item Description of Item CY 2025 approved rate: 19.74% of Modified total direct costs, consisting of all salaries wages, fringe benefits, materials and supplies, services, travel, and subgrants and subcontracts up to the first$50,000 of each subgrant or subcontract(regardless of the CDPHE-Negotiated Indirect Cost Rate period covered by the subgrant or subcontract). Equipment, capital expenditures, char, for patient care, tuition remission, rental costs, scholarships, and fellowships, participa support costs and the portion of each subgrant and subcontract in excess of$50,000 sF excluded from modified total direct costs. Contract Form Entity Information Entity Name* Entity ID* New Entity? COLORADO DEPT OF PUBLIC @00001 926 HEALTH/ENVIRONMENT Contract Name* Contract ID Parent Contract ID CDPHE FY 2026 LPHA CHRONIC DISEASE PILOT 10162 CONTRACT Requires Board Approval Contract Lead* YES Contract Status BFRITZ CTB REVIEW Department Project # Contract Lead Email bfritz@weld.gov;Health- Contracts@weld.gov Contract Description* CDPHE FY 2026 LPHA CHRONIC DISEASE PILOT CONTRACT Contract Description 2 Contract Type* Department Requested BOCC Agenda Due Date GRANT HEALTH Date* 1 2/1 1 ,2025 12/15/2025 Amount* Department Email $100,000.00 CM-Health@weld.gov Will a work session with BOCC be required?* NO Renewable* Department Head Email NO CM-Health- Does Contract require Purchasing Dept. to be DeptHead@weld.gov included? Automatic Renewal County Attorney Grant GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 06/01 /2026 Termination Notice Period Expiration Date* Committed Delivery Date 06/30/2026 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel JASON CHESSHER RUSTY WILLIAMS BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 12/10/2025 12/10/2025 12/10,2025 Final Approval BOCC Approved Tyler Ref# AG 121525 BOCC Signed Date Originator BOCC Agenda Date BFRITZ 12/15/2025 Hello