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Home My WebLink About20072900 RESOLUTION RE: APPROVE TASK ORDER CONTRACT FOR STEPS TO A HEALTHIER WELD COUNTY 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 for the Steps to a Healthier Weld County Program between 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,and the Colorado Department of Public Health and Environment, commencing September 22, 2007, and ending September 21, 2008, with further terms and conditions being as stated in said task order contract, and WHEREAS,after review,the Board deems it advisable to approve said task order 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 for the Steps to a Healthier Weld County Program between 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, 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 task order contract. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 12th day of September, A.D., 2007. BOARD OF COUNTY COMMISSIONERS l• I Lt%WELD COUNTY, COLORADO ATTEST: Pali '� I CUSED .vid E. Long, Chair Weld County Clerk to the jJ ' William l . -r e, 'ro-Tem De t Cle4-‘ XCUSED to the Boarfl - Willi F. Garcia APP` S Dy • O:M: k.t Robert D. Masden, Acting Chair Pro-Tem / ounty Attorney ugl Radema her Date of signature: 'htX9107 2007-2900 CS(H5 HL0034 O9 -27-07 Memorandum rest ‘-- TO: David E. Conn, Chair Board of County Commissioners l C FROM: Mark E. Wallace, MD, MPH, Director Department of Public ealth and Environment /%. ,1„ /I/I COLORADO DATE: September 7, 2007 SUBJECT: Steps to a Healthier Weld County Task Order Enclosed for Board review and approval is the task order option to renew the Steps to a Healthier Weld County program between the Colorado Department of Public Health and Environment and the Weld County Department of Public Health and Environment. The time period for the task order is September 22, 2007 through September 21, 2008. The total amount of the task order is $491,155.00 Steps to a Healthier Weld County is a comprehensive program to reduce the burden of diabetes, asthma and obesity through education and behavior change programs to increase physical activity, improve nutrition intake, and decrease tobacco use in Weld County. This is the fifth year of the 5 year national initiative, Steps to a Healthier US, funded through the Centers for Disease Control and Prevention and the US Department of Health and Human Services. I recommend your approval. 73 o o-c m m 3m 0 30 D rn� Enclosure 0 p N—e 0 c 2007-2900 STATE OF COLORADO Bill Ritter,Jr.,Governor —� James B.Martin,Executive Director grt oF. o \ Dedicated to protecting and improving the health and environment of the people of Colorado r.T it of 4300 Cherry Creek Dr.S. Laboratory Services Division \ �* Denver,Colorado 80246-1530 8100 Lowry Blvd. \ Phone(303)692-2000 Denver,Colorado 80230-6928 ra76 TDD Line(303)691-7700 (303)692-3090 Colorado Department Located in Glendale,Colorado of Public Health http://www.cdphe.state.co.us and Environment August 31, 2007 David E. Long, Chairman Weld County-Board of County Commissioners 915 10th Street Greeley, CO 80632-0758 Dear Mr. Long: Enclosed are four (4) copies of the Task Order between the Colorado Department of Public Health and Environment Steps Program and Weld County for the Steps to a Healthier Colorado Program in Weld County. In addition to the copies of the Contract, the exhibits are also attached. Please have all four (4) copies of the contract signed and attested by the appropriate individuals and return to me at the address listed below as quickly as possible to expedite the routing process. COPAN/Steps to a Healthier Colorado Attn: Mina Liebert Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South, PSD-COPAN-A500 Denver, CO 80246-1530 One copy of the Task Order will be returned to you after it has been approved and fully executed. As a reminder, work cannot be done nor costs incurred until the State Controller has signed the Contract. Please feel free to contact me at (303) 692-2606 should you have any questions or need further information on the contract or signature requirements. Sincerely, t'„`'� Rachel ys Director PSD/Steps to a Healthier Colorado DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ROUTING NO.08 FLA 00324 APPROVED TASK ORDER CONTRACT-WAIVER#154 This Task Order Contract is issued pursuant to Master Contract made on 01/23/2007,with routing number 08 FAA 00052 STATE: CONTRACTOR: State of Colorado for the use&benefit of the Board of County Commissioners of Weld County Department of Public Health and Environment 915 10°Street Prevention Services Division Greeley,Colorado 80632-0758 CD-Steps for the use and benefit of the 4300 Cherry Creek Drive South Weld County Department of Public Health and Denver,Colorado 80246 Environment, 1555 North 17°Avenue Greeley,Colorado 80631 TASK ORDER MADE DATE: CONTRACTOR ENTITY TYPE: 08/22/2007 Colorado Political Subdivision PO/SC ENCUMBRANCE NUMBER CONTRACTOR FEIN OR SOCIAL SECURITY NUMBER PO FLA PPG0800324 84-6000813 TERM: BILLING STATEMENTS RECEIVED: This Task Order shall be effective upon Monthly approval by the State Controller, or designee, or on 09/22/2007,whichever is later. The STATUTORY AUTHORITY: Task Order shall end on 09/21/2008. NA PRICE STRUCTURE: CONTRACT PRICE NOT TO EXCEED: Cost Reimbursement $491,155.00 PROCUREMENT METHOD: FEDERAL FUNDING DOLLARS: $491,155.00 Exempt STATE FUNDING DOLLARS: BID/REP/LIST PRICE AGREEMENT NUMBER: MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR: Not Applicable FY 08: $491,155.00 FY XX: $ LAW SPECIFIED VENDOR STATUTE: FY XX: $ Not Applicable FY XX: $ FY XX: $ STATE REPRESENTATIVE: CONTRACTOR REPRESENTATIVE Rachel Oys,JD,MPP Board of County Commissioners of Weld County Department of Public Health and Environment Weld County Department of Public Health and Prevention Services Division Environment, 1555 North 17°I'Avenue CD-Steps Greeley,Colorado 80631 4300 Cherry Creek Drive South Denver,CO 80246 SCOPE OF WORK: The Contractor will maintain and expand the existing coordinated Steps to a Healthier Colorado Program infrastructure in Weld County and will work to reduce asthma,diabetes,and obesity through the promotion of nutrition,physical activity, tobacco cessation,and prevention of tobacco use and exposure in the community,healthcare systems, schools, and worksites. Page 1 of 4 EXI IIBITS: The following exhibits are hereby incorporated: Exhibit A - Additional Provisions (and its attachments if any—e.g.,A-1,A-2, etc.) Exhibit B - Statement of Work and Budget(and its attachments if any—e.g.,B-1, B-2,etc.) Exhibit C - Limited Amendment Template for Task Orders GENERAL PROVISIONS The following clauses apply to this Task Order Contract. These general clauses may have been expanded upon or made more specific in some instances in exhibits to this Task Order Contract. To the extent that other provisions of this Task Order Contract provide more specificity than these general clauses,the more specific provision shall control. 1. This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract including,but not limited to,Exhibit One thereto. The total term of this Task Order Contract, including any renewals or extensions,may not exceed five(5)years. The parties intend and agree that all work shall be performed according to the standards,terms and conditions set forth in the Master Contract. 2. In accordance with section 24-30-202(1),C.R.S.,as amended,this Task Order Contract is not valid until it has been approved by the State Controller,or an authorized delegee thereof The Contractor is not authorized to, and shall not;commence performance under this Task Order Contract until this Task Order Contract has been approved by the State Controller or delegee. The State shall have no financial obligation to the Contractor whatsoever for any work or services or,any costs or expenses, incurred by the Contractor prior to the effective date of this Task Order Contract. If the State Controller approves this Task Order Contract on or before its proposed effective date,then the Contractor shall commence performance under this Task Order Contract on the proposed effective date. If the State Controller approves this Task Order Contract after its proposed effective date,then the Contractor shall only commence performance under this Task Order Contract on that later date. The initial term of this Task Order Contract shall continue through and including the date specified on page one of this Task Order Contract,unless sooner terminated by the parties pursuant to the terms and conditions of this Task Order Contract and/or the Master Contract. Contractor's commencement of performance under this Task Order Contract shall be deemed acceptance of the terms and conditions of this Task Order Contract. 3. The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made a part hereof as if fully set forth herein. Unless otherwise stated,all exhibits and/or attachments to this Task Order Contract are incorporated herein and made a part of this Task Order Contract. Unless otherwise stated, the terms of this Task Order Contract shall control over any conflicting terms in any of its exhibits. In the event of conflicts or inconsistencies between the Master Contract and this Task Order Contract(including its exhibits and/or attachments),or between this Task Order Contract and its exhibits and/or attachments,such conflicts or inconsistencies shall be resolved by reference to the documents in the following order of priority: 1)the Special Provisions of the Master Contract;2)the Master Contract(other than the Special Provisions)and its exhibits and attachments in the order specified in the Master Contract;3)this Task Order Contract;5)the Page 2 of 4 • Additional Provisions-_Exhibit A,and its attachments if included,to this Task Order Contract;4) the Scope/Statement of Work-Exhibit B,and its attachments if included,to this Task Order Contract;6)other exhibits/attachments to this Task Order Contract in their order of appearance. 4. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order Contract, shall perform and complete, in a timely and satisfactory manner,all work items described in the Statement of Work and Budget,which are incorporated herein by this reference,made a part hereof and attached hereto as "Exhibit B". 5. The State,with the concurrence of the Contractor,may,among other things,prospectively renew or extend the term of this Task Order Contract, subject to the limitations set forth in the Master Contract, increase or decrease the amount payable under this Task Order Contract,or add to,delete from,and/or modify this Task Order Contract's Statement of Work through a"Limited Amendment for Task Orders"that is substantially similar to the sample form Limited Amendment that is incorporated herein by this reference and identified as Exhibit C. To be effective,this Limited Amendment must be signed by the State and the Contractor,and be approved by the State Controller or an authorized delegate thereof Upon proper execution and approval, this Limited Amendment shall become a formal amendment to this Task Order Contract. This contract is subject to such modifications as may be required by changes in Federal or State law,or their implementing regulations. Any such required modification shall automatically be incorporated into and be part of this Task Order Contract on the effective date of such change as if fully set forth herein. 6. The conditions,provisions, and terms of any RFP attached hereto,if applicable,establish the minimum standards of performance that the Contractor must meet under this Task Order Contract. If the Contractor's Proposal,if attached hereto, or any attachments or exhibits thereto,or the Scope/Statement of Work- Exhibit B,establishes or creates standards of performance greater than those set forth in the RFP,then the Contractor shall also meet those standards of performance under this Task Order Contract. Page 3 of 4 IN WITNESS WHEREOF, the State has executed this Task Order Contract as of the day first above written. CONTRACTOR: STATE OF COLORADO: Board of County Commissioners of Weld County BILL TTER,JR. GOVERNOR for the use and benefit of the Weld County Dgnitrrnt of Public Health and Environment Legal Name of Contracting Entity By (yQ� For Executive Director 84-6000813 Department of Public Health and Environment Social Security Number or FEIN �.� Department Program Approval: Signatu e of Authorized Officer 09/12/2007 • Robert D. Masden, Acting Chair Pro—Tem By Print Name&Title of Authorized Officer GOVERNMENTAL ENTT11bS: (An atp1tation and eal ar req fired) rt,'N 1E iyA r (Seal) 0 d ,1861 , Attest Seal B C r , iii11V�SSS (Town/City/Coon Clerk quivalent) Iadtjl.Wn-fie al here) (tl� ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER CRS 24-30-202 requires that the State Controller approve all state contracts. This contract is not valid until the State Controller,or such assistant as he may delegate,has signed it. The contractor is ntit authorized to begin performance until the contract is signed and dated below. If performance begins prior to the date below, the State of Colorado may not be obligated to pay for the goods and/or services provided. STATE CONTROLLER: Leslie M.Shenefelt By A, Date I 0 3 107 WELD COUNTY DEPARTMENT OF PUBLIC IC , BY: -HEALTH A� EN IR NT ff Mark E. Wallace, MD, MPH-Director Page 4 of 4 ;&007-x900 EXHIBIT A ADDITIONAL PROVISIONS To Task Order Contract Dated 08/22/2007- Contract Routing Number 08 FLA 00324 These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified above. 1. 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 HIPAA. 2. This Task Order Contract contains federal funds(see Catalog of Federal Domestic Assistance(CFDA) number 93.283) 3. The United State Department of Health and Human Services("USDHHS"),through the Centers for Disease Control and Prevention("CDCP")has awarded federal funds under Award number U58/CCU823313-01,hereinafter"Award",to perform the following— Steps to a HealthierUS: A Community-Focused Asthma, Diabetes,and Obesity Program. If the underlying Award authorizes the State to pay all allowable and allocable expenses of a contractor as of the effective date of that Award, then the State shall reimburse the Contractor for any allowable and allocable expenses of the Contractor that have been incurred by the Contractor since the proposed effective date of this Task Order Contract. If the underlying Award does not authorize the State to pay all allowable and allocable expenses of a contractor as of the effective date of that Award,then the State shall only reimburse the Contractor for those allowable and allocable expenses of the Contractor that are incurred by the Contractor on or after the effective date of this Task Order Contract, with such effective date being the later of the date specified in this Task Order Contract or the date the Task Order Contract is signed by the State Controller or delegee. 4. To receive compensation under this Task Order Contract,the Contractor shall submit a signed monthly Cost Reimbursement Statement in a format acceptable to the State. A sample Cost Reimbursement Statement is attached hereto as Attachment A-1 and incorporated herein by this reference. A Cost Reimbursement Statement must be submitted within sixty(60)calendar days of the end of the billing period for which services were rendered. Expenditures shall be in accordance with the Statement of Work attached hereto as Exhibit B and incorporated herein.These items may include,but are not limited to,the Contractor's salaries, fringe benefits, supplies,travel,operating,indirect costs which are allowable, and other allocable expenses related to its performance under this Task Order Contract. Cost Reimbursement Statements shall: I)reference this Task Order Contract by its contract routing number, which number is located on page one of this Task Order Contract;2)state the applicable performance dates;3)state the names of payees;4)include a brief description of the services performed during the relevant performance dates; 5)describe the incurred expenditures if reimbursement is allowed and requested;and, 6)show the total requested payment. Payment during the initial,and any renewal or extension,term of this Task Order Contract shall be conditioned upon affirmation by the State that all services were rendered by the Contractor in accordance with the terms of this Task Order Contract. Invoice/Cost Reimbursement Statements shall be sent to: Rachel Oys,Program Manager Prevention Services Division A-500 COPAN-Steps to a Healthier Colorado Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver,CO 80246 To be attached to CDPHE Page I of 2 Revised: 12/19/06 Task Order v1.0(11/05)contract template EXHIBIT A To be considered for payment,billings for payments pursuant to this Task Order Contract must be received within a reasonable time after the period for which payment is requested,but in no event no later than sixty (60)calendar days after the relevant performance period has passed. Final billings under this Task Order Contract must be received by the State within a reasonable time after the expiration or termination of this Task Order Contract;but in no event no later than sixty(60)calendar days from the effective expiration or termination date of this Task Order Contract. Unless otherwise provided for in this Task Order Contract, "Local Match", if any,shall be included on all billing statements as required by the 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. 5. Time Limit For Acceptance Of Deliverables. a. Evaluation Period. The State shall have thirty(30)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 ten(10)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 thirty(30) calendar days,to correct the noted deficiencies. If the Contractor fails to correct such deficiencies within ten(10)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 Contract or the Master Contract and all Task Order Contracts entered into pursuant to the Master Contract. 6. Any publications,journal articles,etc.,produced under this project must bear an acknowledgement and disclaimer, as appropriate,that it was supported by the grant,citing the name,cooperative agreement number, etc.,from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention. Publications must be approved by the COPAN Program Manager. • 7. Notwithstanding anything herein to the contrary,the parties understand and agree that all terms and conditions of this contract and the exhibits and attachments hereto which may require continued performance,compliance or effect beyond the termination date of this contract shall survive such termination date and shall be enforceable by the State as provided herein in the event of such failure to perform or comply by the Contractor. To be attached to CDPHE Page 2 of 2 Revised: 12/19/06 Task Order v1.0(11/05)contract template ) ) ■ d ! ) O ) B § � 0 k # A h / a $ . . . . !! & § § )! 2 \ - 4 § / / / jo U § r w ] ° < = < !° $ •/ \ ) § § K 0 c •.0 _ ? 5 { A - A 2 / � \ ) ) 0 2 ] \ } b g2 cl. \ F ° ° ° ` z § k k a Vs as6. W a It a tu a -IA \ - - " ti E E 6 ) O gk ) / . f ) be ow « | / § o. k § A � / a © / k o• \ \ % 9 - \ \ ke t : x © ; § ' w k a ( / \ { ) � � E § \ / a) R. ) / E � kkk � / ] E & � . \ / / /} \ en en / CO CJ > O CO ci 40a_ \ C ) f § [\ — / ° — Z 2 § 2753E ± ® U ) ° § es 8 \ m t § m24gA § § / § m ` N / § / \ \ k ) § / / i H \ 2 \ EXHIBIT B STATEMENT OF WORK To Task Order Contract Dated 08/22/2007-Contract Routing Number 08 FLA 00324 These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified above. 1. The Contractor,in accordance with the terms and conditions of this contract,shall perform and complete,in a timely and satisfactory manner, all activities described in the approved Work Plan that is attached hereto as Attachment B-1 and incorporated in accordance with the associated Budget which is attached hereto as Attachment B-2 and incorporated herein. 2. The Contractor will be required to participate in meetings or trainings as requested by the CDPHE. 3. The Contractor will be required to submit quarterly progress reports,dates to be determined. To be attached to CDPHE Page 1 of 1 Revised: 12/19/06 Task Order v1.0(11/05)contract template ? ,- i C4; Oil O o E" V) U e ti W t •ItO M C/D s O .�, w H CS ti ? '= a a o a E. a ti d F C� w 7 's a .s ,� .s O co Q > o ti a .�.• O W y s C pa C W C cv- a U S U 0 U Cie 7 uD 44 ' Z dX x x x x x Z r , I24 C U U 41 O M ;,j dx x x x x X U W U 0J U O E N N �te '� N O'x X X X X X .� v z � - ax x x x x x s �41 t ea � - s QI DI C.D O O a o y a O z .O w c, t ox� o t d 0. v ° W vi E. .a V '� . ±" ±I 8co). nU. a5ax ° cn V ea ,.O w � U _ o C a oo 4 4 o '� OO t W E' o N o . -' �V I- F O N '.b0 .,, U I l k o F „ ti) 40 • - c ,r F E s O U g u CE U 2 7st 29, 2 Z Z z Z Z x --� [� _' Qtzi o v n 4-, v oCeD L U 'S mcri FF O �/ W � N o ��.. Y A U 2 0 3 A W a 8"2a W a .t w p j. 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E v 3 co ¢ 01 .00 (n O N x r E y a F 7 .y li v.,°, a N ° N w Vl N c a E ° w o .o N y u c v_ .o '� m `i' o J� o .S U E o c u 0 a A ro o lab y a ° E N 3 , �, .D O ° G O d = y v a L Y E D Q. y x N A o E E " o _c v s u 4 C H � a i> > N V TI v _ � E o a _E a'. o E ° 3 o U A a b - E w V -o Cow N .� N C a) N .L ._ '° N a y O 0 a :� a '� E E 3 .E ,E N o °-' a o aci s . E , '° m O ca v ' a> v o a E .. i F- U E o iti' u0002- a' ° u X an .o r n• m co ti 4 v �ti c 0 0 vi h a a v in v, 0 G0.J a) G I- N 0 6. v, N 3 0 Can ATTACHMENT B-2 Steps to a Healthier Colorado Program r e v^ pl aa r r v+,r e� Nor V: =�>� , .� �C" ° l v1• ' a.'144 r,.. �.e` St ?ii cS fh�- [ �. 1 � : t; Y. ,. i��:1 A. PERSONNEL TOTAL $164,658 Percent of #of Personnel Annual Salary Time Months Position cost Project Coordinator Denise Retzlaff $56,777 100% 12 $56,777 Health Educator Worksite Elizabeth de Jongh $43,945 100% 12 $43,945 Health Educator Generalist Amy Charlson $43,945 75% 12 $32,958 Administrative Assistant Adriana Chairez $30,978 100% 12 $30,978 Total Position Costs $164,658 Justification: The Project Coordinator (PC) will be responsible for overall grant management including action plan completion, budget, contractor accountability including the evaluators, quarterly reporting of project activities,and grant re-application. The PC will assume a local fiscal steward role to ensure federal funds allocated to the Weld County Steps project are appropriated in a manner consistent with the HHS contract. The PC will provide direction to the Contractor School Health Coordinator, the Health Educator, and the Administrative Assistant. The PC will be the primary liaison with Colorado Department of Public Health and Environment (CDPHE), community partners, and evaluation contractor. In addition, the PC will take a lead role with the Community Wellness Consortium, the Health Media Advisory Coalition, and with the Health Care Providers to oversee and ensure completion of all Year 5 action plan activities. The PC will participate in all required national,state,and community committees,and trainings. The Health Educator Worksite (HE) will be responsible for the coordination and implementation of worksite-wellness programs and community-specific activities as directed by the PC. In conjunction with the PC, the HE will function as an accountable fiscal steward to ensure responsible appropriation of federal funds in the worksite section of the budget.The HE will oversee the Worksite Wellness group maintenance and recruitment.The HE will participate in all required national,state, and community level trainings. The HE is an integral team member who will also participate in other areas of the Steps action plan as required by the Project Coordinator. The Health Educator Generalist (HE) will be responsible for the coordination and implementation of community-specific activities as directed by the PC. In conjunction with the PC,the HE will function as an accountable fiscal steward to ensure responsible appropriation of federal funds in the community section of the budget. The HE will participate in all required national, state, and community level trainings. The HE is an integral team member who will also participate in other areas of the Steps action plan as required by the PC. The Administrative Assistant (AA) is responsible for supporting the Steps team to ensure overall office and program efficiency as directed by the PC. These activities include, but are not limited to grant writing assistance, travel arrangements, receipt and invoice tracking, meeting arrangements, correspondence (meeting minutes, newsletters, and mailings), maintaining databases, and purchasing supplies. The AA is an integral team member who will also participate in other areas of the Steps action plan as required by the PC. Page 1 of G Colorado Department of Public Health and Environment ATTACHMENT B-2 Steps to a Healthier Colorado Program B. FRINGE BENEFITS TOTAL $54,864 Fringe cost Personnel Position Cost Percent of Fringe by position Project Coordinator Denise Retzlaff $56,777 33.32% $18,918 Health Educator Worksite Elizabeth de Jongh $43,945 33.32% $14,642 Health Educator Generalist Amy Charlson $32,958 33.32% $10,982 Administrative Assistant Adriana Chairez $30,978 33.32% $10,322 Total Fringe Costs $54,864 Justification:Fringe benefits are calculated at 33.32%of total salaries for Weld County positions. C. TRAVEL TOTAL $ 19,288 Estimated Destination Travelers Trip cost Project Coordinator, School Health Coordinator, Two Health Educators, One National Steps meeting Administrative Assistant $4,245 Total out-of state travel $4,245 Out-of State Travel is calculated at: $350/airfare x 5 staff;_$1750;per diem=$33/day meals x 4 days x 5 staff=$660;hotel$130/day x 4 nights x 3 rooms=$1560;other(including parking)estimated at $55/person x 5 =$275 4 Professional Development trainings,2 Project Coordinator, retreats and&bi-monthly Denver meetings School Health Coordinator, for 3 staff Health Educator(s) $8,250 In-town Staff Mileage All Staff $6,793 Total In-State Travel $15,043 Justification: Program Coordinator, School Health Coordinator, and two Health Educators will each attend 3 in-state and 1 out-of-state professional development trainings to ensure that they remain current with asthma, diabetes, and/or obesity and/or risk factors (physical activity and nutrition) and to enhance networking and communication skills. In-state Travel(professional development trainings) ($700/each x 4 staff=$2800);Retreat($250 x 5 staff=$1250);Other trainings($600 x 5 staff=$3000);Denver meetings = $300/each x 4 staff= $1200). Steps staff will travel to the Denver area for at least two meetings AND quarterly coordinator meetings. Training, retreat, and meeting mileage for the grant year is estimated at $0.485/mileage = $8,250. Local travel includes day-to-day activities in Weld County to meet with community partners to complete the action plan (estimated at $0.485/mile). Based on Year 4 history of $6300 for 4.75 staff($1362/person x 5%x 4.75 persons=$6793). D. EQUIPMENT TOTAL $1,800 Anticipated Item cost 1 Laptop computer for SHC(WCSD6) $1,800 Total Equipment $1,800 Page a,of Co Colorado Department of Public Health and Environment ATTACHMENT B-2 Steps to a Healthier Colorado Program Justification: Laptop and associated software, monitor and accessories needed for outdated computer at WCSD6. E. SUPPLIES TOTAL $9,000 Anticipated Item cost General Office Supplies (Cost share with other programs at WCDPHE) $2,200 Educational materials related to obesity$50/month x 12 months $600 Educational materials related to diabetes prevention$50/month x 12 months $600 Educational materials related to physical activity$50/month x 12 months $600 Incentives and meeting expenses for meetings,coalitions,consortiums,work groups,task forces(including appreciation events) $4,000 Copying/printing of materials for programming(include YRBS report) $1000 Total Supplies $9,000 Justification: General office supplies include paper supplies, copies and printed materials for all Steps- related education programs and activities, print cartridges for black and white and color printers, all office supplies such as pens, pencils, packets, binders, and postage. Educational materials will include (English and Spanish) posters, brochures and other educational materials that will be purchased to expose and educate the Weld community residents on obesity, diabetes, nutrition and physical activity. Incentives include not only educational materials, but also appreciation supplies and events that reward community partners for contributing to a healthier Weld County. Professional copying of YRBS report. F. CONTRACTUAL TOTAL $122,267 Contract Contract Amount School Health Coordinator(SHC)** Melissa Martin $50,992 Program Evaluation $32,000 BRFSS-CDPHE Health Statistics Division $33,615 North Colorado Health Alliance Medical Van for mobile education and prevention to migrants and congregate meal programs $700 Contracts with Educators and Trainers for community events(2/month x 12 months x 2 events x$20/hour x 4 hours) $960 Community College affiliation/continuing education and college for kids classes estimated at 6 classes x 500/class) $3,000 Weld Walks Affiliation with Colorado Walks $1,000 Total Contractual $122,267 Justification: The School Health Coordinator (SHC) contracted through Weld County District 6 (WCSD6) will be responsible for the coordination, implementation, and completion of WCSD6 school- specific activities. In conjunction with the PC, the SHC will function as an accountable fiscal steward to ensure responsible appropriation of federal funds in the school section of the budget. The SHC will also ensure that appropriate evaluation processes are in place and are highlighted in the quarterly CDC progress report on school activities. The SHC will assume responsibility for all activities associated with the YRBS reporting to the School Board, County Commissioners and Board of Health, and for the school-related portion the Steps grant re-application. The SHC will be responsible for coordination and implementation of school-based asthma and diabetes prevention and management activities. The SHC will maintain the district level Coordinated School Health Team and Coordinated School Health Teams through active participation at regularly scheduled meetings, as well as education and training of the CSH teams. The SHC will participate in all required national, state, and community level Steps trainings and committees. Page 3 of 6 Colorado Department of Public Health and Environment ATTACHMENT B-2 Steps to a Healthier Colorado Program The SHC is an integral team member who will also participate in other areas of the Steps action plan as required by the Project Coordinator. Program Evaluation will be completed by a contractor. Currently he is a Ph.D. candidate at the University of Northern Colorado in Greeley,Colorado. The BRFSS Over sample for Weld County a requirement of the grant, will be conducted by Colorado Department of Public Health and Environment,Health Statistics Division. North Colorado Health Alliance Medical Van is an RV that is equipped to provide education and health care to the underserved population in Weld County. It is coordinated through the Weld County Department of Public Health and Environment. Services include 2 school based(mobile)health clinics, migrant farmer education and treatment, and plans for diabetes screenings for the seniors at 17 congregate meal sites in Weld County. Support of this initiative will include materials and supplies related to Steps diseases, and daily rental for implementation of objectives. COMMUNITY CONTRACTORS: Will include many of our community partners conducting local monthly events including(but not limited to): 1. CSU Extension agents — to teach nutrition classes at the Food Bank and other locations around Weld County. These agents target underserved and disparate populations and are bilingual. 2. City of Greeley partners—to implement Colorado Walks initiatives in and around Greeley. 3. Boys and Girls Clubs of Weld County—to increase physical activity and nutrition education and activities to the underserved and disparate populations in Weld County, including the VERB Summer Scorecard. 4. University of Northern Colorado staff and students—to assist in the implementation of the action plan related to physical activity and nutrition on the campus. 5. Restaurant owners in Weld County to promote better nutrition when eating out. Weld Walks is an affiliate with Colorado Walks to leverage resources including adopting and adapting the logo for local use, a webpage on the Colorado Walks website and other collaborative events and activities. G. CONSULTANTS TOTAL $11,500 Contract Consultant Amount ACE consultant for City and County Smart Growth education $5,500 Webmaster(ACS is the WCDPHE preferred contractor) $6,000 Total Consultants $11,500 Justification: ACE Consultant - Dan Burden is a national consultant that Steps has sponsored in this community for the past three years of the grant to educate community leaders about Active Community Environments and the Smart Growth initiative. The Webmaster is a WCDPHE preferred contractor who will be utilized to enhance our www.stepstoahealthierweld.com website and to consult on the Weld Walks webpage. H. OTHER TOTAL $87,448 Anticipated Community Cost Media: Spanish radio($100); English radio($800); Print($2500); Sponsorships of local events(2 @$1000/each)-cost share with WCDPHE $5,400 Media: Costs for development and reproduction of materials to promote programs $17,895 Other schools outside of WCSD6(4 x$400 each) $1,600 Colorado Department of Public Health and Environment Page 1+ of Cr, ATTACHMENT B-2 Steps to a Healthier Colorado Program Proposals from agencies($1700)and Incentives($2000)for community participation in Steps programming $3,700 Special Programs: • Steps year end appreciation event($2000) • Community Calendar includes 1 local events/month x 10 months x $100/event($1000) • Weld Walks walking and physical activity challenges ($5000) • Community Garden mini grants for implementation($3000) • Smart meal seal contract with On the Menu and promotional materials ($1200) • VERB Summer Scorecard sponsorship($2000) $14,200 Sub-Total $42,795 11,:a'Weave. Meeting Expenses (est. @ 10 physician practices x$50/practice) $500 Education/Training promotion and implementation $500 Media including flyers and brochures for CME $100 Supplies,educational materials and Incentives $500 Special Educational programs for CME on Steps related diseases $1,000 Sub-Total $2,600 School Meeting Expenses $600 CSH $600 Education/Training(CSH stipends&action plans) $16,753 Supplies and Incentives for SWP Implementation $3,000 Special Programs: Harvest of the Month $4,000 Health Education training $4,000 Sub-Total $28,953 1k'orLsite Meeting Expenses (15 meetings est.@$40/meeting) $600 Education and Training $1,500 Marketing, media,and incentives for(Greeley)Well City Initiative $1,000 CEO events $2,000 Special Program implementation(WELCOA Well Workplace U) $3,000 Chamber of Commerce memberships North and South county (Share with Health Promotion Department WCDPHE) $500 Mini-grants issued for sustainability to promote wellness programs in the workplace by community partners $4,500 Sub-Total $13,100 Total Other $87,448 Justification: Meeting expenses for all environments (community, school, healthcare providers, and worksite) include office supplies and materials (pens, paper, folders, binders, etc), copying and printing, space rental, food and paper products. The action plan also supports some educational/training supplies necessary for the meetings. Media and marketing costs include ad production, radio airtime, bus and bench ads, city and school newspaper spots, newsletters, brochures, flyers, posters and educational materials to publicize Steps to a Colorado Department of Public Health and Environment Page 5 of (o ATTACHMENT B-2 Steps to a Healthier Colorado Program Healthier Weld Campaign and its activities including VERB,5-A-Day, Dining with Diabetes, Weld Walks, Harvest of the Month, Diabetes and Asthma Clinical guidelines, etc, with the community, schools, worksites and healthcare providers. Coordinated School Health: Stipends and substitute teacher pay will be provided to participating Coordinated School Health Team members for meetings, professional development activities and training. Professional development is also included for nutrition service employees in school district. Worksites: The goal is to implement worksite wellness programs in Weld County worksites. The ultimate goal is to have Greeley designated as a Well City through WELCOA. To accomplish this, a close partnership is being developed with Chambers of Commerce, which will allow for the smooth accomplishment of the action plan objectives in the worksite section of year 5 action plan. Name of Contractor—WELCOA and Well City Initiative Period of Performance- September 22,2007 to September 21, 2008. I. TOTAL DIRECT CHARGES TOTAL $470,825 Total A.Total Personnel Costs $164,658 B.Total Fringe Costs $54,864 C.Total Travel Costs $19,288 D. Total Equipment Costs $1,800 E.Total Supplies Costs $9,000 F.Total Contractual Costs $122,267 G.Total Consultants Costs $11,500 H.Total Other Costs $87,448 Total Direct Costs $470,825 J. INDIRECT COSTS TOTAL $20,330 Category Total Indirect Rate Indirect Calculation A.Total Personnel Costs $164,658 0.00% $0 B.Total Fringe Costs $54,864 0.00% $0 C.Total Travel Costs $19,288 8.09% $1,560 D.Total Equipment Costs $1,800 8.09% $146 E.Total Supplies Costs $9,000 8.09% $728 F.Total Contractual Costs $122,267 8.09% $9,891 G.Total Consultants Costs $11,500 8.09% $930 FL Total Other Costs $87,448 8.09% $7,075 Total Indirect Costs $20,330 Justification:An 8.09%indirect rate is applied to all direct costs, except personnel and fringe benefits. K. TOTAL REQUEST TOTAL $491,155 Total Direct Costs $470,825 Total Indirect Costs $20,330 Total Request $491,155 Page (o of (o Colorado Department of Public Health and Environment DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (ADD PROGRAM NAME HERE) DEPARTMENT OR AGENCY NUMBER *** CONTRACT ROUTING NUMBER ELIMINATE ALL INFORMATION APPEARING IN RED LIMITED AMENDMENT FOR TASK ORDERS #* This Limited Amendment is made this **** day of*********, 200*, by and between the State of Colorado, acting by and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal place of business is 4300 Cherry Creek Drive South,Denver, Colorado 80246, hereinafter referred to as the"State"; and, LEGAL NAME OF ENTITY, (legal type of entity), whose address or principal place of business is Street Address, City, State & Zip Code, hereinafter referred to as the"Contractor". FACTUAL RECITALS The parties entered into a Master Contract, dated ******** **, ****,with contract routing number** *** ***** "the Master Contract"). Pursuant to the terms and conditions of the Master Contract, the parties entered into a Task Order Contract, dated ******** **, ****, with contract encumbrance number PO *** ********** and contract routing number ** *** *****, [insert the following if previous amendment(s), change order(s), renewal(s) have been processed: as amended by] [include all previous amendment(s), change order(s), renewal(s) and their routing numbers], [insert the following if previous amendment(s), change order(s), renewal(s) have been processed: collectively] referred to herein as the "Original Task Order Contract, whereby the Contractor was to provide to the State the following: [Briefly describe what the Contractor was to do under the Original Task Order Contract—indent this paragraph] [Please choose one of the following four options and delete the other three options not selected] The State promises to [choose one and delete the other] increase/decrease the amount of funds to be paid to the Contractor by ********** Dollars, ($*.**) during the current term of the Original Task Order Contract in exchange for the promise of the Contractor to perform the [choose one and delete the other] increased/decreased work under the Original Task Order Contract. Page 1 of 5 EXHIBIT C The State promises to pay the Contractor the sum of********** Dollars, ($*.**) in exchange for the promise of the Contractor to continue to perform the work identified in the Original Task Order Contract for the renewal term of**** years/months, ending on ******** **, ****. The State promises to [choose one and delete the other] increase/decrease the amount of funds to be paid to the Contractor by********** Dollars, ($*.**) for the renewal term of**** [choose one and delete the other] years/months, ending on ******** **, ****, in exchange for the promise of the Contractor to perform the [choose one and delete the other] increased/decreased work described herein. The State hereby exercises a"no cost" change to the [choose those that apply and delete those that don't apply] budget, specifications within the Statement of Work, project management/manager identification, notice address or notification personnel, or performance period within the [choose one and delete the other] current term of the Original Task Order Contract or renewal term of the Original Task Order Contract. NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree as follows: 1. Consideration for this Limited Amendment to the Original Task Order Contract consists of the payments and services that shall be made pursuant to this Limited Amendment, and promises and agreements herein set forth. 2. It is expressly agreed to by the parties that this Limited Amendment is supplemental to the Original Task Order Contract, contract routing number** *** *****, [insert the following language here if previous amendment(s), change order(s), renewal(s) have been processed] as amended by [include all previous amendment(s), change order(s), renewal(s) and their routing numbers], [insert the following word if previous amendment(s), change order(s), renewal(s) have been processed, otherwise delete "collectively"]collectively referred to herein as the Original Contract, which is by this reference incorporated herein. All terms, conditions, and provisions thereof, unless specifically modified herein, are to apply to this Limited Amendment as though they were expressly rewritten, incorporated, and included herein. 3. It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified, altered, and changed in the following respects only: [Please choose one of the following three options and delete the two options not selected] A. [Use this paragraph when changes to the funding level of the Original Task Order Contract occur during the current term of the Original Task Order Contract] This Limited Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified by contract routing number ** *** *****. This Limited Amendment is for the current term of********* ** Page 2 of 5 EXHIBIT C **_* through and including ********* **, ****. The maximum amount payable by the State for the work to be performed by the Contractor during this current term is [choose one and delete the other] increased/decreased by ********** Dollars, ($*.**) for an amended total financial obligation of the State of********** DOLLARS, ($*.**). [Delete the following sentence if not applicable in your situation] The revised Statement of Work is incorporated herein by this reference and identified as "Attachment *". [Delete the following sentence if not applicable in your situation] The revised Budget is incorporated herein by this reference and identified as"Attachment *". The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original Task Order Contract are reaffirmed. A. [Use this paragraph when the Original Task Order Contract will be renewed for another term] This Limited Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified by contract routing number** *** *****. This Limited Amendment is for the renewal term of********* ** ****, through and including ********* **, ****• The maximum amount payable by the State for the work to be performed by the Contractor during this renewal term is ********** Dollars, ($*.**) for an amended total financial obligation of the State of********** DOLLARS, ($*.**). [Delete the following sentence if not applicable in your situation] The revised Statement of Work is incorporated herein by this reference and identified as"Attachment*". [Delete the following sentence if not applicable in your situation] The revised Budget is incorporated herein by this reference and identified as"Attachment *". The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original Task Order Contract are reaffirmed. A. [Use this paragraph when there are"no cost changes" to the Budget, the specifications within the original Statement of Work, allowable contract provisions as noted, or performance period.] This Limited Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified by contract routing number** *** *****. This Limited Amendment [choose those that apply and delete those that don't] modifies the Budget in [identify location in contract], modifies the Statement of Work in [identify location in contract], modifies the project management/manager identification in [identify location in contract], modifies the notice address or notification personnel in [identify location in contract], modifies the period of performance in [identify location in contract] of the Original Task Order Contract. The revised [choose those that apply and delete those that don't] Budget, Statement of Work, project management/manager identification, notice address or notification personnel, or period of performance is incorporated by this reference and identified as. All other terms and conditions of the Original Task Order Contract are reaffirmed. 4. The effective date of this Limited Amendment is **/**/****, or upon approval of the State Controller, or an authorized delegate thereof, whichever is later. Page 3 of 5 EXHIBIT C 5. Except for the Special Provisions and other terms and conditions of the Master Contract and the General Provisions of the Original Task Order Contract, in the event of any conflict, inconsistency, variance, or contradiction between the terms and provisions of this Limited Amendment and any of the terms and provisions of the Original Task Order Contract,the terms and provisions of this Limited Amendment shall in all respects supersede, govern, and control. The Special Provisions and other terms and conditions of the Master Contract shall always control over other provisions of the Original Task Order Contract or any subsequent amendments thereto. The representations in the Special Provisions to the Master Contract concerning the absence of personal interest of state of Colorado employees and the certifications in the Special Provisions relating to illegal aliens are presently reaffirmed. 6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED, AND OTHERWISE MADE AVAILABLE. • Page 4 of 5 EXHIBIT C IN WITNESS WHEREOF, the parties hereto have executed this Limited Amendment on the day first above written. CONTRACTOR: STATE: [LEGAL NAME OF CONTRACTOR] STATE OF COLORADO (a political subdivision of the State of Colorado) Bill Ritter,Jr. Governor By: By: Name: For the Executive Director Title: DEPARTMENT OF PUBLIC HEALTH FEIN: AND ENVIRONMENT ATTEST: PROGRAM APPROVAL: Because the Contractor is a governmental entity, an attestation is required By: (Seal, required) By: City, City and County, County, Special District, or Town Clerk or Equivalent [Delete inapplicable language.] ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER CRS 24-30-202 requires that the State Controller approve all state contracts. This limited amendment is not valid until the State Controller, or such assistant as he may delegate,has signed it. The contractor is not authorized to begin performance until the contract is signed and dated below. If performance begins prior to the date below, the State of Colorado may not be obligated to pay for goods and/or services provided. STATE CONTROLLER Leslie M. Shenefelt By: Date: Page 5 of 5 STAT LayN OLORADO Bill Ritter,Jr.,Governor C C'MM!SS}O ERS c James B. Martin,Executive Director oF. 070 Dedicated to protecting and improving the health and environment of the e¢�I�ofor6do c r90 P 9 P LU01 to 1 J A II: JS n,7 o 4300 Cherry Creek Dr.S. Laboratory Services Division ' '1,' y�i * Denver,Colorado 80246-1530 8100 Lowry Blvd. • Phone(303)692-2000 Denver,Colorado 80230-6928 RECEIVED •I8n6. TDD Line(303)691-7700 (303)692-3090 Colorado Department Located in Glendale,Colorado of Public Health http://www.cdphe.state.co.us and Environment October 5, 2007 David E. Long, Chairman Weld County-Board of County Commissioners 915 10th Street Greeley, CO 80632-0758 Dear Mr. Long : Enclosed is one (1) copy of the approved and fully executed Task Order between the Colorado Department of Public Health and Environment Steps Program and Weld County for the Steps to a Healthier Colorado Program in Weld County. Please feel free to contact me at (303) 692-2381 should you have any questions. Sincerely, eaa Mina Liebert, Program Manager PSD/Steps to a Healthier Colorado I Tema for Healthy Lining and Chronic.Disease Pres Clnm,ic Disease Prevalllo,l Brv,cl lsteps lea Hallloer USISteps lo Iica1Wa COuveld Sipud Contract Lelladoc Hello