HomeMy WebLinkAbout20092621RESOLUTION
RE: APPROVE COLORADO IMMUNIZATION PROGRAM STATEMENT OF WORK FOR
TDAP COCOONING PROJECT EXPANSION 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 Colorado Immunization Program
Statement of Work for the Tdap Cocooning Project Expansion, utilizing American Recovery and
Reinvestment Act (ARRA) Funding, from the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Weld County Department
of Public Health and Environment, to the Colorado Department of Public Health and
Environment, commencing October 1, 2009, and ending September 30, 2010, 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 Colorado Immunization Program Statement of Work for the Tdap
Cocooning Project Expansion, utilizing American Recovery and Reinvestment Act (ARRA)
Funding, from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Department of Public Health and
Environment, to 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 5th day of October, A.D., 2009, nunc pro tunc October 1, 2009.
ATTEST:
Weld County Clerk to the B
BY: /1/f //Jut i� •�_f�
Deputy Clerly%Co the Board
APPROVED AS TO FOR1
Linty `Attofney
Date of signature:44z2a
BOARD OF COUNTY COMMISSIONERS
WELD OUNIT COLORADO
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Stiravo-AA—r—
Radem. her, Pro-Tem
David E. Long
2009-2621
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COLORADO
Memorandum
TO: William F. Garcia, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and
Environment
)/VV04‘, /11)C-eeO4_S
DATE: September 1, 2009
SUBJECT: CIP-ARRA Immunization Grant : Tdap
Cocooning Project Statement of Work
Enclosed for Board review and approval is a statement of work for the CIP-ARRA
Immunization Grant between the Colorado Department of Public Health and
Environment (CDPHE) and the Weld County Department of Public Health and
Environment (WCDPHE). If approved and signed, this statement of work will define the
services WCDPHE will provide for this project.
The funding will cover public health nurse hours, vaccine administration, promotion and
clinic supplies used to administer Tdap vaccine to parents, grandparents, siblings and
other close caregivers of babies. The intent is to keep babies safe from Pertussis or
whooping cough by vaccinating those who are in close contact with them on regular
basis.
The term of this grant is October 1, 2009 through September 30, 2010 for the amount of
$24,999.00. This funding is through the American Recovery and Reinvestment Act
(ARRA) as administered through the Colorado Immunization Program (CIP) at the
CDPHE. I recommend your approval of this statement of work.
Enclosure
2009-2621
STATE OF COLORADO
Bill Ritter, Jr., Governor
James B. Martin, Executive Director
Dedicated to protecting and improving the health and environment of the people of Colorado
4300 Cherry Creek Dr. S.
Denver, Colorado 80246-1530
Phone (303) 692-2000
TDD Line (303) 691-7700
Located in Glendale, Colorado
http://www.cdphe.state.co.us
Laboratory Services Division
8100 Lowry Blvd.
Denver, Colorado 80230-6928
(303) 692-3090
Colorado Department
of Public Health
and Environment
2009-2010
American Recovery and Reinvestment Act (ARRA)
Colorado Immunization Program (CIP)
Statement of Work
Agency Name: Weld County Department of Public Health and Environment
ARRA-funded Project: Tdap Cocooning Project Expansion
The Colorado Immunization Program (CIP) will incorporate American Recovery and Reinvestment
Act (ARRA) resources to increase the number of children and adults vaccinated against vaccine -
preventable diseases. CIP will utilize the ARRA funds to enhance existing strategies that have been
shown to be effective in raising immunization coverage and reducing vaccine -preventable disease
(VPD) morbidity and mortality. Through local government, community -vaccinators, and partners CIP
will engage in innovative strategies to reach populations not currently being reached.
All programs financed with ARRA funds will be seen as supplemental to existing immunization
programs and will not be allowed to hinder or replace current State operations funded by the VFC and
317 grants.
Grant Information:
Funding period
11/15/09 — 9/30/10
Starting the project
Work is not to begin on the proposed project until the grantee receives an
approved contract or purchase order from the CIP.
ARRA-required
reporting
All funded projects are required to comply with the Federal ARRA grant
reporting requirements.
Monthly online progress report information will be sent to you as it becomes
available to the CIP.
Additional follow-up contact will be made periodically by the CDPHE CIP
contract monitor.
ARRA-required terms
and conditions
All contracts and grants involving the use of ARRA funds must include
certain provisions. These provisions can be viewed in Appendix 2 —
Solicitation Terms for ARRA Acquisitions located at the end of this
document.
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Project monitoring
Throughout the funding period, the CIP will conduct ongoing project
monitoring and provide technical assistance as needed. In the event that
project performance does not meet the agency's stated goals, a follow-up
work plan will be created and additional technical assistance will be
provided. In an extreme situation, and in consultation with the agency, the
CIP reserves the right to reduce or withhold quarterly payments due to poor
project performance.
Required CIIS use
All projects will utilize the Colorado Immunization Registry (CIIS) to track
doses administered.
Payments
Contractor will invoice the CIP quarterly using the invoice provided (invoice
located at the end of the document).
1. Please provide the following information:
Agency name
Weld County Department of Public Health and Environment
Agency mailing address
1555 N 17' AVE
Phone number
970-304-6420
Fax number
970-304-6420
2. Who is the contact person for this project?
Name
Kimberly Koeltzow
Phone number
970-304-6420 EXT 2308
Email address
kkoeltzow@co.weld.co.us
3. Project Plan:
Goal #1
Our goal is to improve the rate of mothers of newborn babies, women
planning to become pregnant, and any other adults who care for children
under the age of 2 years who are not immunized with Tdap vaccine visiting
the Weld County Department of Public Health and Environment and the
Weld County Prenatal Program by immunizing a minimum of fifteen clients
per week.
Objective #1-1:
Tdap vaccine will be offered and administered to clients visiting the Family
Planning clinic, Sunrise Prenatal Program, Southwest Weld County Family
Planning Clinic, and South County WIC Program. The minimum number of clients
to be immunized will be ten per week.
Steps/Activities
1. Client will visit provider in the Clinic.
2. Provider will assess client's Tdap immunization status.
3. If Tdap vaccine is recommended for client, provider will contact
immunization coordinator or immunization nurse to administer vaccine.
4. Immunization Coordinator will provide Vaccine Information Statement,
obtain consent, and administer Tdap vaccine the day of the visit.
5. If the client is pregnant, a voucher will be given to the client to schedule an
appointment for Tdap vaccine after delivery.
How will you know
the objective is
met?
The objective will be met by meeting the goal of immunizing a minimum of ten
clients per week (520 clients by the end of the grant cycle) with Tdap vaccine.
Objective #1-2:
A voucher for Tdap vaccine will be offered to family members of all clients
receiving Tdap vaccine in Family Planning Clinic, Prenatal Clinic, and WIC clinic
with a focus on those who have regular contact with infants and children. A
minimum of 1000 vouchers will be distributed.
2
Steps/Activities
1. The Immunization Coordinator will ask the client about immunization status
of spouse/partner and other caretakers of children.
2. A voucher will be given to the client to present to family members with
close contact to infants and children.
3. Family members may call and schedule an appointment in immunization
clinic to receive Tdap vaccine at no cost.
How will you know
the object is met?
The objective will be met when all 1000 vouchers or more are distributed.
Success will be measured by the number of vouchers redeemed and number of
doses of Tdap vaccine administered in immunization clinic.
Objective #1-3:
Tdap vaccine will be offered and administered to parents/legal guardians of
children under age 2 during the children's routine immunization visits at the
Health Department (North and Southwest Weld County sites). A minimum of
five doses of Tdap vaccine will be administered per week (260 doses by the
end of the grant cycle) at no cost.
Steps/Activities
1. Parent or legal guardian visits immunization clinic with child or children
under age 2.
2. Immunization nurse will assess Tdap immunization status of parents/legal
guardian along with immunization status of child.
3. If Tdap is recommended, VIS will be given, consent will be obtained,
immunization nurse will administer Tdap vaccine during the visit at no cost
to the adult(s) accompanying child.
How will you know
the objective is
met?
A minimum of five doses of Tdap per week will be administered to parents of
children under the age of two in immunization clinic.
4. Timeline: List the monthly activities your agency plans to complete to meet your goal(s) for this
project.
Description of the planned activities
Additional comments
Nov 2009
Tdap Vouchers will be ordered and printed in English and
Spanish, A kit containing consents, VIS and vouchers will be
assembled for Clients, Tdap vaccine will be ordered and in
stock, we will then begin assessing need and offering Tdap
vaccine to clients visiting the Health Department. A monthly
tally will be obtained with the number of doses of Tdap
vaccine administered for each objective.
Dec
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Jan 2010
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Feb
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
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children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Mar
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
April
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
May
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
June
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
July
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
August
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Sept
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A final tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Evaluation of success of the project will be completed.
5. Collaboration: Please list the providers, community groups, networks, agencies, etc. who will
be your collaborators with this project. Indicate the specific role each will play.
Care providers in our clinics will assist to identify clients in need of Tdap vaccine and contact
immunization coordinator. The Immunization coordinator will be the main contact to plan and
implement the project. Immunization nurses will administer Tdap vaccine in immunization clinic.
Nursing students from the University of Northern Colorado will assist with data collection and
administering of vaccine under the supervision of the Immunization Coordinator. The Immunization
Coalition of Weld County will provide support and collaboration with this project by promoting
immunizations to all community members across the lifespan.
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6. Barriers: What problems must be solved or obstacles overcome to commence and/or to
complete the project? How do you plan to address them?
1. One potential barrier that may exist will be communication between providers and the
Immunization Coordinator. Due to clinic flow and time constraints, it may be a challenge for providers
to take the time coordinate Tdap vaccine administration during their clinic. It will be a change process
for their clinic flow.
2. Another potential barrier in immunization clinic will be that the nurse may not have enough time
during the child visit to immunize both the parent and the child, or that the parent may refuse the
vaccine.
The Immunization Coordinator will make the process simple for the provider and be available as
needed to administer vaccine. The Immunization Coordinator will educate clinic staff about the
importance of protecting people of all ages from Pertussis disease. In the event that there is not
enough time to administer the vaccine, or if the parent refuses the vaccine, a voucher will be given so
that the client can return to the clinic at their convenience to receive the vaccine.
7. Evaluation: All funded agencies are required to have a detailed evaluation plan in place at the
time of application. A final comprehensive evaluation report will be submitted by the grantee at the
end of the project period. Include your project evaluation plan here and ensure it includes the
following information:
A. What specific aspects of the program will be evaluated when judging project performance?
• We will evaluate the number of doses of Tdap vaccine administered for
the three separate listed objectives to assess whether or not the goal
was met.
• We will evaluate the effectiveness and convenience of working with
other programs in our facility and within our own children's
immunization program to immunize adults with Tdap vaccine.
• We will evaluate the number of family members with vouchers who
visit our clinic for the Tdap vaccine to assess whether or not this
method is effective.
B. What standards (i.e. type or level of performance) must be reached for the project to be
considered successful (overall target performance measures)?
• By the end of the grant cycle, we will have administered the minimum number of doses (780)
of Tdap vaccine to adults who spend time caring for children.
C. Include process measures (description of the extent to which the project was implemented
according to the project plan).
• The doses administered will be tracked and counted to measure progress.
D. Conclusions (analyze data/results, interpret results, judgment, recommendations)
• Data results will be presented in a report based on the three primary objectives; each
objective will be evaluated and judged for success/failure by the number of doses
administered; recommendations will be made for future planning for the most effective way
to immunize adults with Tdap vaccine.
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E. Ensure use and lessons learned (feedback, follow-up, dissemination)
• Feedback will be obtained from clinic staff regarding the utilization of their clinic time to
administer vaccine. Feedback will be obtained from immunization staff about administering
adult Tdap vaccine during child visits. Feedback will be obtained from our evaluation
results.
• Follow-up plans will take place for continuing/discontinuing use of both clinic time and
space for administering Tdap vaccine and Child immunization clinic time for administering
Tdap Vaccine. Follow-up plans will take place regarding the success of voucher use for
clients, as well.
• Information will be disseminated among all providers and stakeholders involved with the
coordinated Tdap efforts.
F. What is the future plan for using the project process and outcome data to improve
immunization services?
• If the project is successful, and the minimum number of Tdap doses as stated in our
objectives is administered, our future planning may include continuing the project beyond
the grant cycle if funds are available to permit continuation.
8. Budget
Expenses
Describe in detail
Proposed
funding
Local
In -kind
Total
Budget
Personnel
11 hours per week FTE nurse time (.275)
$19,818.83
Travel
No plans for travel outside Health
Department.
0
Marketing
0
Incentives
0
Equipment
Immunization supplies -Needles, Bandaids,
Cotton balls, Alcohol swabs, sharps cont.
$ 1,000.00
Office
supplies
Printing, paper for vouchers, general office
supplies
$ 955.41
Indirect
14.81%
$3224.76
Other
0
Total
$24,999.00
9. Additional information: None
10. ARRA-specific deliverables:
Proposed # of vaccine doses to be administered
Tdap: 780
All administered doses will be tracked in CIIS
Yes
Number of FTE/jobs created for the project period
Number of FTE/jobs retained for the project period
.275
6
The number of jobs created/retained can be calculated as:
FTE = Cumulative Hours Worked that were funded by the Recovery Act
Cumulative Hours in a Full-time Schedule
Examples:
A person working full-time for 1 year = 1 FTE.
A person working half-time for 1 year = .5 FTE.
A person working full-time for 3 months = .25 FTE.
LOCAL HEALTH PARTNER ACCEPTANCE OF THE 2009-2010 American Recovery and Reinvestment
Act (ARRA) Colorado Immunization Program (CIP) Statement of Work requirements:
1,
William F. Garcia
, on behalf of
the Weld County Board of Commissioners
hereby acknowledge that 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.
ignature
Chair 10/19/2009
Title Date
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g?oCr-W(2/
Appendix 2 — Solicitation Terms for ARRA Acquisitions
Terms and Conditions for ARRA Funded Contracts
a.) Sub -Recipients Requirements
Contractor shall include these terms, including this requirement, in any of its subcontracts or subgrants in connection with
projects funded in whole or in part with funds available under the American Recovery and Reinvestment Act of 2009, Pub.
L. 111-5.
b.) Reporting & Registration Requirements (Section 15121
Division A, Title XV, Section 1512 of the ARRA outlines reporting requirements. Not later than ten calendar days after the
end of each calendar quarter, the State must submit a report that, at a minimum, contains the information specified in
Section 1512 of the ARRA. It is imperative all contracts involving the use of ARRA funds include requirements that the
Contractor supply the State with the necessary information to provide these reports in a timely manner.
The Contractor's failure to provide complete, accurate, and timely reports shall constitute an "Event of Default". Upon the
occurrence of an Event of Default, the state department or agency may terminate this contract upon 30 days prior written
notice if the default remains uncured within five calendar days following the last day of the calendar quarter, in addition to
any other remedy available to the state department or agency in law or equity.
c.) Buy American Requirement (Section 1605)
I. Required Use of American Iron, Steel, and Other Manufactured Goods
(a) Definitions. As used in this Section I:
"Designated Country" means Aruba, Australia, Austria, Belgium, Bulgaria, Chile, Cyprus, Czech Republic, Denmark,
Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Israel, Italy, Japan, Korea
(Republic of), Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania,
Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, the United Kingdom, Australia, Costa Rico,
Dominican Republic, El Salvador, Guatemala, Honduras, Nicaragua, and Morocco.
"Designated country iron, steel, and/or manufactured goods" mean iron, steel and/or a manufactured good that:
(1) Is wholly the growth, product or manufacture of a Designated Country; or
(2) In the case of a manufactured good that consists in whole or in part of materials from another country, has been
substantially transformed in a Designated Country into a new and different manufactured good distinct from the
materials from which it was transformed.
"Domestic iron, steel and/or manufactured good" is iron, steel and/or a manufactured good that:
(1) Is wholly the growth, product or manufacture of the United States; or
(2) In the case of a manufactured good that consists in whole or in part of materials from another country, has been
substantially transformed in the United States into a new and different manufactured good distinct from the
materials from which it was transformed. There in no requirement with regard to the origin of components or
subcomponents in manufactured goods or products, as long as the manufacture of goods occurs in the United
States.
"Federal Agency" means the department or agency of the federal government that awarded funds to the State of
Colorado from the ARRA that finance the project described in this solicitation.
"Foreign iron, steel and/or manufactured good" means iron, steel and/or manufactured good that is not domestic or
designated country iron, steel and/or manufactured goods.
"Manufactured good" means a good brought to the construction site for incorporation into the building or work that has
been --
(1) Processed into a specific form and shape; or
(2) Combined with other raw material to create a material that has different properties than the properties of the
individual raw materials.
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"Public building" and "public work" means a public building of, and a public work of, a governmental entity (the United
States; the District of Columbia; commonwealths, territories, and minor outlying islands of the United States; State and
local governments; and multi -State, regional, or interstate entities which have governmental functions). These
buildings and works may include, without limitation, bridges, dams, plants, highways, parkways, streets, subways,
tunnels, sewers, mains, power lines, pumping stations, heavy generators, railways, airports, terminals, docks, piers,
wharves, ways, lighthouses, buoys, jetties, breakwaters, levees, and canals, and the construction, alteration,
maintenance, or repair of such buildings and works.
"Steel" means an alloy that includes at least 50 percent iron, between .02 and 2 percent carbon, and may include other
elements.
(b) Domestic preference.
(1) This term and condition implements:
(i) Section 1605(a) of Division A, Title XVI of the ARRA by requiring that all iron, steel, and manufactured
goods used in the public building or public work are produced in the United States; and
(ii) Section 1605(d) of Division A, Title XVI of the ARRA, which requires the application of the Buy American
requirement in a manner consistent with U.S. obligations under international agreements. The restrictions
of Section 1605 of the ARRA do not apply to designated country iron, steel, and/or manufactured goods
procured for projects with an estimated value of $7,433,000 or more.
(2) The Contractor shall use only domestic or Designated country iron, steel and/or manufactured goods in
performing work funded in whole or in part with funds available under the ARRA, except as provided in
subparagraphs (3) and (4) of this paragraph (b).
(3) The requirement in paragraph (2) of this Section does not apply to the material listed by the Federal Agency as
follows: [List applicable excepted materials or indicate "none")
(4) The Federal Agency may add other iron, steel, and/or manufactured goods to the list in paragraph (b) (3) of
this Section if the Federal government determines that—
(i) The cost of the domestic iron, steel, and/or manufactured goods would be unreasonable. The cost of
domestic iron, steel, or manufactured goods used in the project is unreasonable when the cumulative cost of
such material will increase the cost of the overall project by more than 25 percent;
(ii) The iron, steel, and/or manufactured good is not produced, or manufactured in the United States in
sufficient and reasonably available quantities and of a satisfactory quality; or
(iii) The application of section 1605 of the ARRA would be inconsistent with the public interest.
(c) Request for determination of inapplicability of Section 1605 of the ARRA.
(1) (i) Any Bidder's request to use foreign iron, steel, and/or manufactured goods in accordance with paragraph
(b) (4) of this Section shall include adequate information for Federal Agency evaluation of the request,
including —
(A) A description of the foreign and domestic iron, steel, and/or manufactured goods;
(B) Unit of measure;
(C) Quantity;
(D) Cost;
(E) Time of delivery or availability;
(F) Location of the project;
(G) Name and address of the proposed supplier; and
(H) A detailed justification of the reason for use of foreign iron, steel, and/or manufactured goods cited in
accordance with paragraph (b)(3) of this term and condition.
(ii) A request based on unreasonable cost shall include a reasonable survey of the market and a completed
cost comparison table in the format in paragraph (d) of this Section.
(iii) The cost of iron, steel, and/or manufactured goods material shall include all delivery costs to the
construction site and any applicable duty.
(iv) Any Contractor's request for a determination submitted after ARRA funds have been obligated for a
project for construction, alteration, maintenance, or repair shall explain why the Contractor could not
reasonably foresee the need for such determination and could not have requested the determination
before the funds were obligated. If the Contractor does not submit a satisfactory explanation, the Federal
Agency need not make a determination.
(2) If the Federal Agency determines after funds have been obligated for a project for construction, alteration,
maintenance, or repair that an exception to section 1605 of the ARRA applies, the State will amend the
contract to allow use of the foreign iron, steel, and/or relevant manufactured goods. When the basis for the
exception is nonavailability or public interest, the amended contract shall reflect adjustment of the contract
amount, redistribution of budgeted funds, and/or other actions taken to cover costs associated with acquiring
or using the foreign iron, steel, and/or relevant manufactured goods. When the basis for the exception is the
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(3)
unreasonable cost of the domestic iron, steel, or manufactured goods, the State shall adjust the award
amount or redistribute budgeted funds by at least the differential established in 2 CFR 176.110(a).
Unless the Federal Agency determines that an exception to section 1605 of the ARRA applies, use of foreign
iron, steel, and/or manufactured goods is noncompliant with section 1605 of the American Recovery and
Reinvestment Act.
(d) Data. To permit evaluation of requests under subparagraph (b)(4) of this Section based on unreasonable cost,
the Bidder shall include the following information and any applicable supporting data based on the survey of suppliers:
FOREIGN AND DOMESTIC ITEMS COST COMPARISON
Description
Unit of Measure
Quantity
Cost (Dollars)*
Item 1:
Foreign steel, iron, or manufactured good
Domestic steel, iron, or manufactured
good
Item 2:
Foreign steel, iron, or manufactured good
Domestic steel, iron, or manufactured
good
[List name, address, telephone number, email address, and contact for suppliers surveyed.
Attach copy of response; if oral, attach summary.]
[Include other applicable supporting information.]
r Include all delivery costs to the construction site.]
II. NOTICE of Required Use of American Iron, Steel, and Other Manufactured Goods
REQUIRED USE OF AMERICAN IRON, STEEL, AND MANUFACTURED GOODS —SECTION 1605 OF THE
AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009
(a) Definitions. "Designated country iron, steel and/or manufactured goods," "domestic iron, steel and/or
manufactured goods", "Federal Agency", "Foreign iron, steel and/or manufactured good", "Manufactured good,"
"public building and public work," and "steel," as used in this Section, are defined in Section I..
(b) Requests for determinations of inapplicability. A prospective Bidder requesting a determination regarding the
inapplicability of section 1605 of the ARRA should submit the request to the Federal Agency in time to allow a
determination before submission of applications or proposals. Bidders should provide a copy of this request to DMB.
The prospective applicant shall include the information and applicable supporting data required by paragraphs (c)
and (d) of Section I of this solicitation in the request. If Bidder has not requested a determination regarding the
inapplicability of Section 1605 of the ARRA before submitting its application or proposal, or has not received a
response to a previous request, the applicant shall include the information and supporting data in the application or
proposal. The Federal Agency is the sole entity authorized to make determinations regarding the inapplicability of
Section 1605 of the ARRA.
(c) Evaluation of project proposals.
If the Federal Agency determines that an exception based on unreasonable cost of domestic iron, steel, and/or
manufactured goods applies, the State will evaluate a project requesting an exception to the requirements of section
1605 of the ARRA by adding to the estimated total cost of the project 25 percent of the project cost, if foreign iron,
steel, or manufactured goods are used in the project based on unreasonable cost of comparable manufactured
domestic iron, steel, and/or manufactured goods.
(d) Alternate project proposals.
(1) When a project proposal includes foreign iron, steel, and/or manufactured goods, other than designated country
iron, steel and/or manufactured goods, not listed in paragraph (b)(3) of the Section 6.022, the Bidder also may
10
submit an alternate proposal based on use of equivalent domestic iron, steel, and/or manufactured goods.
(2) If an alternate proposal is submitted, the Bidder shall submit a separate cost comparison table prepared in
accordance with paragraphs (c) and (d) of Section I of this solicitation for the proposal that is based on the use of
any foreign iron, steel, and/or manufactured goods for which the Federal Agency has not yet determined an
exception applies.
(3) If the Federal Agency determines that a particular exception requested in accordance with paragraph (b) of
Section I of this solicitation does not apply, the State will evaluate only those proposals based on use of the
equivalent domestic or designated country iron, steel, and/or manufactured goods, and the Contractor shall be
required to furnish such domestic or designated country items.
d.) Wage Rate Requirements (Section 1606)
All laborers and mechanics employed by contractors and subcontractors on projects funded in whole or in part with funds
available under the ARRA shall be paid wages at rates not less than those prevailing on projects of a character similar in
the locality, as determined by the United States Secretary of Labor in accordance with subchapter IV of chapter 31 of title
40 of the United States Code. (See ARRA Sec. 1606). The Secretary of Labor's determination regarding the prevailing
wages applicable in Colorado is available at http://www.gpo.gov/davisbacon/co.html. (GEO should seek DOE Guidance
on Weatherization contracts.)
e.) Inspection & Audit of Records
The Contractor shall permit the United States Comptroller General or his representative or the appropriate inspector
general appointed under section 3 or 8G of the Inspector General Act of 1998 or his representative (1) to examine any
records that directly pertain to, and involve transactions relating to, this contract; and (2) to interview any officer or
employee of the Contractor or any of its subcontractors/subgrantees regarding the activities funded with funds
appropriated or otherwise made available by the ARRA.
f.) Whistle Blower Protection for Recipients of Funds
Contractor shall not discharge, demote or otherwise discriminate against an employee for disclosures by the employee
that the employee reasonably believes are evidence of: (1) gross mismanagement of a contract or grant relating to
Covered Funds; (2) a gross waste of Covered Funds; (3) a substantial and specific danger to public health or safety
related to the implementation or use of Covered Funds; an abuse of authority related to implementation or use of Covered
Funds; or (5) a violation of law, rule, or regulation related to an agency contract (including the competition for or
negotiation of a contract) or grant, awarded or issued relating to Covered Funds. In this Subsection, "Covered Funds"
shall have the same meaning as set forth in Section 1553(g)(2) of Division A, Title XV of the ARRA.
(a) Recipient must post notice of the rights and remedies available to employees under Section 1553 of Division A, Title
XV of the ARRA. (For Colorado employees see the State Personnel Employee Protection Act CRS §24-50-101 et. seq.
and obtain the complaint form at www.colorado.qov/dpa/spb/docs/WhistleblowerComplaint.doc
(b) The Contractor shall include the substance of this clause including this paragraph (b) in all subcontracts.
g.) Funding of Programs
The Contractor acknowledges that the programs supported with temporary federal funds made available by the American
Recovery and Reinvestment Act of 2009, Pub. L. 111-5, will not be continued with state financed appropriations once the
temporary federal funds are expended.
h.) Fixed Price - Competitively Bid
Contractor, to the maximum extent possible, shall award any subcontracts funded, in whole or in part, with ARRA funds as
fixed -price contracts through the use of competitive procedures.
i.) Segregation of Costs
Contractor shall segregate obligations and expenditures of ARRA funds from other funding. No part of funds made
available under the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, may be comingled with any other
funds or used for a purpose other than that of making payments for costs allowable under the ARRA.
11
j.) Publication
All contract solicitations funded in whole or in part with ARRA funds will be posted on the State BIDS website
https://www.gssa.state.co.usNenSols. All contracts resulting from the ARRA will be published on the State of Colorado's
Recovery Web site, www.colorado.00v/recovery.
Contractor shall include the Colorado Recovery logo on all signage or other publications in connection with the activities
funded by the State of Colorado through funds made available by the American Recovery and Reinvestment Act of 2009,
Pub. L. 111-5.
k.) Non- Discrimination
The Contractor shall comply with Title VI and Title VII of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act
of 1973, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, and other civil rights laws
applicable to recipients of Federal financial assistance.
I.) Prohibition on Use of Funds
None of the funds made available under this contract may be used for any casino or other gambling establishment,
aquarium, zoo, golf course, swimming pools, or similar projects.
m.) False Claims Act
The Contractor shall promptly refer to an appropriate federal inspector general any credible evidence that a principal,
employee, agent, contractor, sub -grantee, subcontractor or other person has committed a false claim under the False
Claims Act or has committed a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or
similar misconduct involving those funds.
n.) Conflicting Requirements
Where ARRA requirements conflict with existing state requirements, ARRA requirements control.
o.) Job Opportunity Posting Requirements
Contractor shall post notice of job opportunities created in connection with activities funded in whole or in part with ARRA
funds in the Connecting Colorado Job Site, http://www.connectinqcolorado.com/.
p.) Compliance with National Environmental Policy Act
In accordance with ARRA § 1609, the state agencies, contractors/grantees and sub-contractors/sub-grantees must
comply with any applicable environmental impact requirements of the National Environmental Policy Act of 1970, (NEPA).
12
INVOICE #:
Today's Date:
Billing period:
TO: Teri Lindsey
Colorado Department of Public Health & Environment/Immunization Program
4300 Cherry Creek Drive South
DCEED-IMM-A3
Denver, CO 80246-1530
303-692-2732 303-691-6118 (fax)
EXPENSES
DESCRIPTION
AMOUNT
Personnel
Travel
Marketing
Incentives
Equipment
Office Supplies
Indirect
Other
TOTAL DUE
Agency name: Weld County Department of Public Health and Environment
Address:
City:
State: Colorado
Zip Code:
Agency Tax ID#:
Name of agency staff authorized to complete this invoice:
To whose attention should the check be mailed:
Purchase order #:
13
COLORADO
Memorandum
TO: William F. Garcia, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health 0
Environment V\JCS-
DATE: October 8, 2009
SUBJECT: CIP-ARRA Immunization Grant : Tdap
Cocooning Project
Enclosed for Board review and approval is the ARRA Scope of Work (SOW) changes of the
Tdap Cocooning Project Expansion between the Colorado Department of Public Health and
Environment and the Weld County Department of Public Health and Environment. The start date
has been moved to November 15, 2009; the .275 FTE request will be completed in question #10;
and a request for quarterly invoices has been made. None of these changes are material. It is
recommended that these administrative changes be accepted.
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STATE OF COLORADO
Bill Ritter, Jr., Governor
James B. Martin, Executive Director
Dedicated to protecting and improving the health and environment of the people of Colorado
4300 Cherry Creek Dr. S.
Denver, Colorado 80246-1530
Phone (303) 692-2000
TDD Line (303) 691-7700
Located in Glendale, Colorado
http://www.cdphe.state.co.us
Laboratory Services Division
8100 Lowry Blvd.
Denver, Colorado 80230-6928
(303) 692-3090
Colorado Department
of Public Health
and Environment
2009-2010
American Recovery and Reinvestment Act (ARRA)
Colorado Immunization Program (CIP)
Statement of Work
Agency Name: Weld County Department of Public Health and Environment
ARRA-funded Project: Tdap Cocooning Project Expansion
The Colorado Immunization Program (CIP) will incorporate American Recovery and Reinvestment
Act (ARRA) resources to increase the number of children and adults vaccinated against vaccine -
preventable diseases. CIP will utilize the ARRA funds to enhance existing strategies that have been
shown to be effective in raising immunization coverage and reducing vaccine -preventable disease
(VPD) morbidity and mortality. Through local government, community -vaccinators, and partners CIP
will engage in innovative strategies to reach populations not currently being reached.
All programs financed with ARRA funds will be seen as supplemental to existing immunization
programs and will not be allowed to hinder or replace current State operations funded by the VFC and
317 grants.
Grant Information:
Funding period
Starting the project
ARRA-required
reporting
11/15/09 — 9/30/10
Work is not to begin on the proposed project until the grantee receives an
approved contract or purchase order from the CIP.
All funded projects are required to comply with the Federal ARRA grant
reporting requirements.
Monthly online progress report information will be sent to you as it becomes
available to the CIP.
Additional follow-up contact will be made periodically by the CDPHE CIP
contract monitor.
All contracts and grants involving the use of ARRA funds must include
certain provisions. These provisions can be viewed in Appendix 2 —
Solicitation Terms for ARRA Acquisitions located at the end of this
document.
ARRA-required terms
and conditions
1
cvcc2-a.ai
Project monitoring
Throughout the funding period, the CIP will conduct ongoing project
monitoring and provide technical assistance as needed. In the event that
project performance does not meet the agency's stated goals, a follow-up
work plan will be created and additional technical assistance will be
provided. In an extreme situation, and in consultation with the agency, the
CIP reserves the right to reduce or withhold quarterly payments due to poor
project performance.
Required CIIS use
All projects will utilize the Colorado Immunization Registry (CIIS) to track
doses administered.
Payments
Contractor will invoice the CIP quarterly using the invoice provided (invoice
located at the end of the document).
1. Please provide the following information:
Agency name
Weld County Department of Public Health and Environment
Agency mailing address
1555 N 17' AVE
Phone number
970-304-6420
Fax number
970-304-6420
2. Who is the contact person for this project?
Name
Kimberly Koeltzow
Phone number
970-304-6420 EXT 2308
Email address
kkoeltzow@co.weld.co.us
3. Project Plan:
Goal #1
Our goal is to improve the rate of mothers of newborn babies, women
planning to become pregnant, and any other adults who care for children
under the age of 2 years who are not immunized with Tdap vaccine visiting
the Weld County Department of Public Health and Environment and the
Weld County Prenatal Program by immunizing a minimum of fifteen clients
per week.
Objective #1-1:
Tdap vaccine will be offered and administered to clients visiting the Family
Planning clinic, Sunrise Prenatal Program, Southwest Weld County Family
Planning Clinic, and South County WIC Program. The minimum number of clients
to be immunized will be ten per week.
Steps/Activities
1. Client will visit provider in the Clinic.
2. Provider will assess client's Tdap immunization status.
3. If Tdap vaccine is recommended for client, provider will contact
immunization coordinator or immunization nurse to administer vaccine.
4. Immunization Coordinator will provide Vaccine Information Statement,
obtain consent, and administer Tdap vaccine the day of the visit.
5. If the client is pregnant, a voucher will be given to the client to schedule an
appointment for Tdap vaccine after delivery.
How will you know
the objective is
met?
The objective will be met by meeting the goal of immunizing a minimum of ten
clients per week (520 clients by the end of the grant cycle) with Tdap vaccine.
Objective #1-2:
A voucher for Tdap vaccine will be offered to family members of all clients
receiving Tdap vaccine in Family Planning Clinic, Prenatal Clinic, and WIC clinic
with a focus on those who have regular contact with infants and children. A
minimum of 1000 vouchers will be distributed.
2
Steps/Activities
1. The Immunization Coordinator will ask the client about immunization status
of spouse/partner and other caretakers of children.
2. A voucher will be given to the client to present to family members with
close contact to infants and children.
3. Family members may call and schedule an appointment in immunization
clinic to receive Tdap vaccine at no cost.
How will you know
the object is met?
The objective will be met when all 1000 vouchers or more are distributed.
Success will be measured by the number of vouchers redeemed and number of
doses of Tdap vaccine administered in immunization clinic.
Objective #1-3:
Tdap vaccine will be offered and administered to parents/legal guardians of
children under age 2 during the children's routine immunization visits at the
Health Department (North and Southwest Weld County sites). A minimum of
five doses of Tdap vaccine will be administered per week (260 doses by the
end of the grant cycle) at no cost.
Steps/Activities
1. Parent or legal guardian visits immunization clinic with child or children
under age 2.
2. Immunization nurse will assess Tdap immunization status of parents/legal
guardian along with immunization status of child.
3. If Tdap is recommended, VIS will be given, consent will be obtained,
immunization nurse will administer Tdap vaccine during the visit at no cost
to the adult(s) accompanying child.
How will you know
the objective is
met?
A minimum of five doses of Tdap per week will be administered to parents of
children under the age of two in immunization clinic.
4. Timeline: List the monthly activities your agency plans to complete to meet your goal(s) for this
project.
Description of the planned activities
Additional comments
Nov 2009
Tdap Vouchers will be ordered and printed in English and
Spanish, A kit containing consents, VIS and vouchers will be
assembled for Clients, Tdap vaccine will be ordered and in
stock, we will then begin assessing need and offering Tdap
vaccine to clients visiting the Health Department. A monthly
tally will be obtained with the number of doses of Tdap
vaccine administered for each objective.
Dec
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Jan 2010
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Feb
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
3
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Mar
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
April
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
May
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
June
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
July
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
August
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A monthly tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Sept
Tdap vaccine will be offered and administered according to the
detailed objectives daily, and vouchers will be presented to
clients to give to family members with close contact to
children. A final tally will be obtained with the number of
doses of Tdap vaccine administered for each objective.
Evaluation of success of the project will be completed.
5. Collaboration: Please list the providers, community groups, networks, agencies, etc. who will
be your collaborators with this project. Indicate the specific role each will play.
Care providers in our clinics will assist to identify clients in need of Tdap vaccine and contact
immunization coordinator. The Immunization coordinator will be the main contact to plan and
implement the project. Immunization nurses will administer Tdap vaccine in immunization clinic.
Nursing students from the University of Northern Colorado will assist with data collection and
administering of vaccine under the supervision of the Immunization Coordinator. The Immunization
Coalition of Weld County will provide support and collaboration with this project by promoting
immunizations to all community members across the lifespan.
4
6. Barriers: What problems must be solved or obstacles overcome to commence and/or to
complete the project? How do you plan to address them?
1. One potential barrier that may exist will be communication between providers and the
Immunization Coordinator. Due to clinic flow and time constraints, it may be a challenge for providers
to take the time coordinate Tdap vaccine administration during their clinic. It will be a change process
for their clinic flow.
2. Another potential barrier in immunization clinic will be that the nurse may not have enough time
during the child visit to immunize both the parent and the child, or that the parent may refuse the
vaccine.
The Immunization Coordinator will make the process simple for the provider and be available as
needed to administer vaccine. The Immunization Coordinator will educate clinic staff about the
importance of protecting people of all ages from Pertussis disease. In the event that there is not
enough time to administer the vaccine, or if the parent refuses the vaccine, a voucher will be given so
that the client can return to the clinic at their convenience to receive the vaccine.
7. Evaluation: All funded agencies are required to have a detailed evaluation plan in place at the
time of application. A final comprehensive evaluation report will be submitted by the grantee at the
end of the project period. Include your project evaluation plan here and ensure it includes the
following information:
A. What specific aspects of the program will be evaluated when judging project performance?
• We will evaluate the number of doses of Tdap vaccine administered for
the three separate listed objectives to assess whether or not the goal
was met.
• We will evaluate the effectiveness and convenience of working with
other programs in our facility and within our own children's
immunization program to immunize adults with Tdap vaccine.
• We will evaluate the number of family members with vouchers who
visit our clinic for the Tdap vaccine to assess whether or not this
method is effective.
B. What standards (i.e. type or level of performance) must be reached for the project to be
considered successful (overall target performance measures)?
• By the end of the grant cycle, we will have administered the minimum number of doses (780)
of Tdap vaccine to adults who spend time caring for children.
C. Include process measures (description of the extent to which the project was implemented
according to the project plan).
• The doses administered will be tracked and counted to measure progress.
D. Conclusions (analyze data/results, interpret results, judgment, recommendations)
• Data results will be presented in a report based on the three primary objectives; each
objective will be evaluated and judged for success/failure by the number of doses
administered; recommendations will be made for future planning for the most effective way
to immunize adults with Tdap vaccine.
5
E. Ensure use and lessons learned (feedback, follow-up, dissemination)
• Feedback will be obtained from clinic staff regarding the utilization of their clinic time to
administer vaccine. Feedback will be obtained from immunization staff about administering
adult Tdap vaccine during child visits. Feedback will be obtained from our evaluation
results.
• Follow-up plans will take place for continuing/discontinuing use of both clinic time and
space for administering Tdap vaccine and Child immunization clinic time for administering
Tdap Vaccine. Follow-up plans will take place regarding the success of voucher use for
clients, as well.
• Information will be disseminated among all providers and stakeholders involved with the
coordinated Tdap efforts.
F. What is the future plan for using the project process and outcome data to improve
immunization services?
• If the project is successful, and the minimum number of Tdap doses as stated in our
objectives is administered, our future planning may include continuing the project beyond
the grant cycle if funds are available to permit continuation.
8. Budget
Expenses
Describe in detail
Proposed
funding
Local
In -kind
Total
Budget
Personnel
11 hours per week FTE nurse time (.275)
$19,818.83
Travel
No plans for travel outside Health
Department.
0
Marketing
0
Incentives
0
Equipment
Immunization supplies -Needles, Bandaids,
Cotton balls, Alcohol swabs, sharps cont.
$ 1,000.00
Office
supplies
Printing, paper for vouchers, general office
supplies
$ 955.41
Indirect
14.81%
$3224.76
Other
0
Total
$24,999.00
9. Additional information: None
10. ARRA-specific deliverables:
Proposed # of vaccine doses to be administered
Tdap: 780
All administered doses will be tracked in CIIS
Yes
Number of FTE/jobs created for the project period
Number of FTE/jobs retained for the project period
.275
6
The number of jobs created/retained can be calculated as:
FTE = Cumulative Hours Worked that were funded by the Recovery Act
Cumulative Hours in a Full-time Schedule
Examples:
A person working full-time for 1 year = 1 FTE.
A person working half-time for 1 year = .5 FTE.
A person working full-time for 3 months = .25 FTE.
LOCAL HEALTH PARTNER ACCEPTANCE OF THE 2009-2010 American Recovery and Reinvestment
Act (ARRA) Colorado Immunization Program (CIP) Statement of Work requirements:
I,
William F. Garcia
, on behalf of
the Weld County Board of Commissioners
hereby acknowledge that 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.
Chair 10/19/2009
Title Date
7
o7(li9- O76a/
Appendix 2 — Solicitation Terms for ARRA Acquisitions
Terms and Conditions for ARRA Funded Contracts
a.) Sub -Recipients Requirements
Contractor shall include these terms, including this requirement, in any of its subcontracts or subgrants in connection with
projects funded in whole or in part with funds available under the American Recovery and Reinvestment Act of 2009, Pub.
L. 111-5.
b.) Reporting & Registration Requirements (Section 15121
Division A, Title XV, Section 1512 of the ARRA outlines reporting requirements. Not later than ten calendar days after the
end of each calendar quarter, the State must submit a report that, at a minimum, contains the information specified in
Section 1512 of the ARRA. It is imperative all contracts involving the use of ARRA funds include requirements that the
Contractor supply the State with the necessary information to provide these reports in a timely manner.
The Contractor's failure to provide complete, accurate, and timely reports shall constitute an "Event of Default". Upon the
occurrence of an Event of Default, the state department or agency may terminate this contract upon 30 days prior written
notice if the default remains uncured within five calendar days following the last day of the calendar quarter, in addition to
any other remedy available to the state department or agency in law or equity.
c.) Buy American Requirement (Section 1605)
I. Required Use of American Iron, Steel, and Other Manufactured Goods
(a) Definitions. As used in this Section I:
"Designated Country" means Aruba, Australia, Austria, Belgium, Bulgaria, Chile, Cyprus, Czech Republic, Denmark,
Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Israel, Italy, Japan, Korea
(Republic of), Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania,
Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, the United Kingdom, Australia, Costa Rico,
Dominican Republic, El Salvador, Guatemala, Honduras, Nicaragua, and Morocco.
"Designated country iron, steel, and/or manufactured goods" mean iron, steel and/or a manufactured good that:
(1) Is wholly the growth, product or manufacture of a Designated Country; or
(2) In the case of a manufactured good that consists in whole or in part of materials from another country, has been
substantially transformed in a Designated Country into a new and different manufactured good distinct from the
materials from which it was transformed.
"Domestic iron, steel and/or manufactured good" is iron, steel and/or a manufactured good that:
(1) Is wholly the growth, product or manufacture of the United States; or
(2) In the case of a manufactured good that consists in whole or in part of materials from another country, has been
substantially transformed in the United States into a new and different manufactured good distinct from the
materials from which it was transformed. There in no requirement with regard to the origin of components or
subcomponents in manufactured goods or products, as long as the manufacture of goods occurs in the United
States.
"Federal Agency" means the department or agency of the federal government that awarded funds to the State of
Colorado from the ARRA that finance the project described in this solicitation.
"Foreign iron, steel and/or manufactured good" means iron, steel and/or manufactured good that is not domestic or
designated country iron, steel and/or manufactured goods.
"Manufactured good" means a good brought to the construction site for incorporation into the building or work that has
been --
(1) Processed into a specific form and shape; or
(2) Combined with other raw material to create a material that has different properties than the properties of the
individual raw materials.
8
"Public building" and "public work" means a public building of, and a public work of, a governmental entity (the United
States; the District of Columbia; commonwealths, territories, and minor outlying islands of the United States; State and
local governments; and multi -State, regional, or interstate entities which have governmental functions). These
buildings and works may include, without limitation, bridges, dams, plants, highways, parkways, streets, subways,
tunnels, sewers, mains, power lines, pumping stations, heavy generators, railways, airports, terminals, docks, piers,
wharves, ways, lighthouses, buoys, jetties, breakwaters, levees, and canals, and the construction, alteration,
maintenance, or repair of such buildings and works.
"Steel" means an alloy that includes at least 50 percent iron, between .02 and 2 percent carbon, and may include other
elements.
(b) Domestic preference.
(1) This term and condition implements:
(i) Section 1605(a) of Division A, Title XVI of the ARRA by requiring that all iron, steel, and manufactured
goods used in the public building or public work are produced in the United States; and
(ii) Section 1605(d) of Division A, Title XVI of the ARRA, which requires the application of the Buy American
requirement in a manner consistent with U.S. obligations under international agreements. The restrictions
of Section 1605 of the ARRA do not apply to designated country iron, steel, and/or manufactured goods
procured for projects with an estimated value of $7,433,000 or more.
(2) The Contractor shall use only domestic or Designated country iron, steel and/or manufactured goods in
performing work funded in whole or in part with funds available under the ARRA, except as provided in
subparagraphs (3) and (4) of this paragraph (b).
(3) The requirement in paragraph (2) of this Section does not apply to the material listed by the Federal Agency as
follows: [List applicable excepted materials or indicate "none"]
(4) The Federal Agency may add other iron, steel, and/or manufactured goods to the list in paragraph (b) (3) of
this Section if the Federal government determines that—
(i) The cost of the domestic iron, steel, and/or manufactured goods would be unreasonable. The cost of
domestic iron, steel, or manufactured goods used in the project is unreasonable when the cumulative cost of
such material will increase the cost of the overall project by more than 25 percent;
(ii) The iron, steel, and/or manufactured good is not produced, or manufactured in the United States in
sufficient and reasonably available quantities and of a satisfactory quality; or
(iii) The application of section 1605 of the ARRA would be inconsistent with the public interest.
(c) Request for determination of inapplicability of Section 1605 of the ARRA.
(1) (i) Any Bidder's request to use foreign iron, steel, and/or manufactured goods in accordance with paragraph
(b) (4) of this Section shall include adequate information for Federal Agency evaluation of the request,
including —
(A) A description of the foreign and domestic iron, steel, and/or manufactured goods;
(B) Unit of measure;
(C) Quantity;
(D) Cost;
(E) Time of delivery or availability;
(F) Location of the project;
(G) Name and address of the proposed supplier; and
(H) A detailed justification of the reason for use of foreign iron, steel, and/or manufactured goods cited in
accordance with paragraph (b)(3) of this term and condition.
(ii) A request based on unreasonable cost shall include a reasonable survey of the market and a completed
cost comparison table in the format in paragraph (d) of this Section.
(iii) The cost of iron, steel, and/or manufactured goods material shall include all delivery costs to the
construction site and any applicable duty.
(iv) Any Contractor's request for a determination submitted after ARRA funds have been obligated for a
project for construction, alteration, maintenance, or repair shall explain why the Contractor could not
reasonably foresee the need for such determination and could not have requested the determination
before the funds were obligated. If the Contractor does not submit a satisfactory explanation, the Federal
Agency need not make a determination.
(2) If the Federal Agency determines after funds have been obligated for a project for construction, alteration,
maintenance, or repair that an exception to section 1605 of the ARRA applies, the State will amend the
contract to allow use of the foreign iron, steel, and/or relevant manufactured goods. When the basis for the
exception is nonavailability or public interest, the amended contract shall reflect adjustment of the contract
amount, redistribution of budgeted funds, and/or other actions taken to cover costs associated with acquiring
or using the foreign iron, steel, and/or relevant manufactured goods. When the basis for the exception is the
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(3)
unreasonable cost of the domestic iron, steel, or manufactured goods, the State shall adjust the award
amount or redistribute budgeted funds by at least the differential established in 2 CFR 176.110(a).
Unless the Federal Agency determines that an exception to section 1605 of the ARRA applies, use of foreign
iron, steel, and/or manufactured goods is noncompliant with section 1605 of the American Recovery and
Reinvestment Act.
(d) Data. To permit evaluation of requests under subparagraph (b)(4) of this Section based on unreasonable cost,
the Bidder shall include the following information and any applicable supporting data based on the survey of suppliers:
FOREIGN AND DOMESTIC ITEMS COST COMPARISON
Description
Unit of Measure
Quantity
Cost (Dollars)'
Item 1:
Foreign steel, iron, or manufactured good
Domestic steel, iron, or manufactured
good
Item 2:
Foreign steel, iron, or manufactured good
Domestic steel, iron, or manufactured
good
[List name, address, telephone number, email address, and contact for suppliers surveyed.
Attach copy of response; if oral, attach summary.]
[Include other applicable supporting information.]
r Include all delivery costs to the construction site.]
II. NOTICE of Required Use of American Iron, Steel, and Other Manufactured Goods
REQUIRED USE OF AMERICAN IRON, STEEL, AND MANUFACTURED GOODS -SECTION 1605 OF THE
AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009
(a) Definitions. "Designated country iron, steel and/or manufactured goods," "domestic iron, steel and/or
manufactured goods", "Federal Agency", "Foreign iron, steel and/or manufactured good", "Manufactured good,"
"public building and public work," and "steel," as used in this Section, are defined in Section I..
(b) Requests for determinations of inapplicability. A prospective Bidder requesting a determination regarding the
inapplicability of section 1605 of the ARRA should submit the request to the Federal Agency in time to allow a
determination before submission of applications or proposals. Bidders should provide a copy of this request to DMB.
The prospective applicant shall include the information and applicable supporting data required by paragraphs (c)
and (d) of Section I of this solicitation in the request. If Bidder has not requested a determination regarding the
inapplicability of Section 1605 of the ARRA before submitting its application or proposal, or has not received a
response to a previous request, the applicant shall include the information and supporting data in the application or
proposal. The Federal Agency is the sole entity authorized to make determinations regarding the inapplicability of
Section 1605 of the ARRA.
(c) Evaluation of project proposals.
If the Federal Agency determines that an exception based on unreasonable cost of domestic iron, steel, and/or
manufactured goods applies, the State will evaluate a project requesting an exception to the requirements of section
1605 of the ARRA by adding to the estimated total cost of the project 25 percent of the project cost, if foreign iron,
steel, or manufactured goods are used in the project based on unreasonable cost of comparable manufactured
domestic iron, steel, and/or manufactured goods.
(d) Alternate project proposals.
(1) When a project proposal includes foreign iron, steel, and/or manufactured goods, other than designated country
iron, steel and/or manufactured goods, not listed in paragraph (b)(3) of the Section 6.022, the Bidder also may
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submit an alternate proposal based on use of equivalent domestic iron, steel, and/or manufactured goods.
(2) If an alternate proposal is submitted, the Bidder shall submit a separate cost comparison table prepared in
accordance with paragraphs (c) and (d) of Section I of this solicitation for the proposal that is based on the use of
any foreign iron, steel, and/or manufactured goods for which the Federal Agency has not yet determined an
exception applies.
(3) If the Federal Agency determines that a particular exception requested in accordance with paragraph (b) of
Section I of this solicitation does not apply, the State will evaluate only those proposals based on use of the
equivalent domestic or designated country iron, steel, and/or manufactured goods, and the Contractor shall be
required to furnish such domestic or designated country items.
d.) Wage Rate Requirements (Section 1606)
All laborers and mechanics employed by contractors and subcontractors on projects funded in whole or in part with funds
available under the ARRA shall be paid wages at rates not less than those prevailing on projects of a character similar in
the locality, as determined by the United States Secretary of Labor in accordance with subchapter IV of chapter 31 of title
40 of the United States Code. (See ARRA Sec. 1606). The Secretary of Labor's determination regarding the prevailing
wages applicable in Colorado is available at http://www.gpo.gov/davisbacon/co.html. (GEO should seek DOE Guidance
on Weatherization contracts.)
e.) Inspection & Audit of Records
The Contractor shall permit the United States Comptroller General or his representative or the appropriate inspector
general appointed under section 3 or 8G of the Inspector General Act of 1998 or his representative (1) to examine any
records that directly pertain to, and involve transactions relating to, this contract; and (2) to interview any officer or
employee of the Contractor or any of its subcontractors/subgrantees regarding the activities funded with funds
appropriated or otherwise made available by the ARRA.
f.) Whistle Blower Protection for Recipients of Funds
Contractor shall not discharge, demote or otherwise discriminate against an employee for disclosures by the employee
that the employee reasonably believes are evidence of: (1) gross mismanagement of a contract or grant relating to
Covered Funds; (2) a gross waste of Covered Funds; (3) a substantial and specific danger to public health or safety
related to the implementation or use of Covered Funds; an abuse of authority related to implementation or use of Covered
Funds; or (5) a violation of law, rule, or regulation related to an agency contract (including the competition for or
negotiation of a contract) or grant, awarded or issued relating to Covered Funds. In this Subsection, "Covered Funds"
shall have the same meaning as set forth in Section 1553(g)(2) of Division A, Title XV of the ARRA.
(a) Recipient must post notice of the rights and remedies available to employees under Section 1553 of Division A, Title
XV of the ARRA. (For Colorado employees see the State Personnel Employee Protection Act CRS §24-50-101 et. seq.
and obtain the complaint form at www.colorado.qov/dpa/spb/docs/VVhistleblowerComplaint.doc
(b) The Contractor shall include the substance of this clause including this paragraph (b) in all subcontracts.
g.) Funding of Programs
The Contractor acknowledges that the programs supported with temporary federal funds made available by the American
Recovery and Reinvestment Act of 2009, Pub. L. 111-5, will not be continued with state financed appropriations once the
temporary federal funds are expended.
h.) Fixed Price - Competitively Bid
Contractor, to the maximum extent possible, shall award any subcontracts funded, in whole or in part, with ARRA funds as
fixed -price contracts through the use of competitive procedures.
i.) Segregation of Costs
Contractor shall segregate obligations and expenditures of ARRA funds from other funding. No part of funds made
available under the American Recovery and Reinvestment Act of 2009, Pub. L. 111-5, may be comingled with any other
funds or used for a purpose other than that of making payments for costs allowable under the ARRA.
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j.) Publication
All contract solicitations funded in whole or in part with ARRA funds will be posted on the State BIDS website
https://www.gssa.state.co.us/VenSols. All contracts resulting from the ARRA will be published on the State of Colorado's
Recovery Web site, www.colorado.qov/recoverv.
Contractor shall include the Colorado Recovery logo on all signage or other publications in connection with the activities
funded by the State of Colorado through funds made available by the American Recovery and Reinvestment Act of 2009,
Pub. L. 111-5.
k.) Non- Discrimination
The Contractor shall comply with Title VI and Title VII of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act
of 1973, Title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, and other civil rights laws
applicable to recipients of Federal financial assistance.
I.) Prohibition on Use of Funds
None of the funds made available under this contract may be used for any casino or other gambling establishment,
aquarium, zoo, golf course, swimming pools, or similar projects.
m.) False Claims Act
The Contractor shall promptly refer to an appropriate federal inspector general any credible evidence that a principal,
employee, agent, contractor, sub -grantee, subcontractor or other person has committed a false claim under the False
Claims Act or has committed a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or
similar misconduct involving those funds.
n.) Conflicting Requirements
Where ARRA requirements conflict with existing state requirements, ARRA requirements control.
o.) Job Opportunity Posting Requirements
Contractor shall post notice of job opportunities created in connection with activities funded in whole or in part with ARRA
funds in the Connecting Colorado Job Site, http://www.connectinqcolorado.com/.
p.) Compliance with National Environmental Policy Act
In accordance with ARRA § 1609, the state agencies, contractors/grantees and sub-contractors/sub-grantees must
comply with any applicable environmental impact requirements of the National Environmental Policy Act of 1970, (NEPA).
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INVOICE #:
Today's Date:
Billing period:
TO: Teri Lindsey
Colorado Department of Public Health & Environment/Immunization Program
4300 Cherry Creek Drive South
DCEED-IMM-A3
Denver, CO 80246-1530
303-692-2732 303-691-6118 (fax)
EXPENSES
DESCRIPTION
AMOUNT
Personnel
Travel
Marketing
Incentives
Equipment
Office Supplies
Indirect
Other
TOTAL DUE
Agency name: Weld County Department of Public Health and Environment
Address:
City:
State: Colorado
Zip Code:
Agency Tax ID#:
Name of agency staff authorized to complete this invoice:
To whose attention should the check be mailed:
Purchase order #:
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