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Home My WebLink About20063241.tiff RESOLUTION RE: APPROVE TASK ORDER FOR ABSTINENCE EDUCATION 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 for the Abstinence Education 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 January 1,2007,and ending December 31,2007,with furtherterms and conditions being as stated in said task order, and WHEREAS, after review, the Board deems it advisable to approve said task order, 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 for Abstinence Education 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. The above and foregoing Resolution was, on motion duly made and seconded,adopted by the following vote on the 27th day of November, A.D., 2006. BOARD OF CO NTY COMMISSIONERS WELD COUN , COLORADO ATTEST: Liii;� � ,I�f;—'� �� it a M. ile, hair Weld County Clerk to th f o. ,. ,t►j CCU I� "`�=� �+40 I David E. Long, Pro-Tem i t" 4ry ° . BY: 1. _. , Dep , Cler o the ,$�t �� Al . V =i N Willi Jerk r AP ED AS TO rl� Robert D. asden County Attorney EXCUSED Glenn Vaad Date of signature: IZ151 2006-3241 C� �w HL0033 � � Hz__ Ia.- 73- a (2, Memorandum TO: M. J. Geile, Chair Board of County Commissioners ' FROM: Mark E. Wallace, MD, MPH, Director• Department of Public Health and /_ �� Environment C ,1 COLORADO DATE: November 27, 2006 AA SUBJECT: Community Based Abstinence Education Program Task Order Enclosed for Board review and approval is the Task Order for the Colorado Abstinence Education Program Community Implementation Grant. The time period for the Task Order between the Weld County Department of Public Health and Environment and the Colorado Department of Public Health and Environment is January 1, 2007 through December 31, 2007. The total amount of the Task Order is $64,575.00. The Weld County Department of Public Health and Environment will use this funding to reduce teen sexual activity and the subsequent consequences of premarital sex in Weld County; to increase parental involvement and communication between parents and their children about the benefits of delaying sexual activity until marriage and to increase the prevalence of community based, medically accurate, age appropriate sexual abstinence messages in Weld County. I recommend your approval. iJ 2006-3241 DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT DEPARTMENT OR AGENCY NUMBER FLA CONTRACT ROUTING NUMBER 07-00613 TASK ORDER EDO-ABSTIN This Task Order is made this 9TH day of NOVEMBER, 2006, by and between: the state of Colorado,acting by and through the COLORADO 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,the BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY (a political subdivision of the State of Colorado), whose address or principal place of business is 915 10`"Street, Greeley,Colorado 80632-0758 for the use and benefit of the Weld County Department of Public Health and Environment, whose address or principal place of business is 1555 North 171h Avenue,Greeley,Colorado 80631, hereinafter referred to as"the Contractor". FACTUAL RECITALS The United State Department of Health and Human Services("USDHHS"),through the Maternal and Child Health Bureau ("MCHB") has awarded the State federal funds under Notice of Grant Award, hereinafter"NGA", number G-060ICOAEGP, (See,Catalog of Federal Domestic Assistance("CFDA")number 93.235)to perform abstinence education services through local abstinence education programs, and where appropriate,mentoring,counseling, and adult supervision services. Section 29-1-201, C.R.S. as amended,encourages governments to make the most efficient and effective use of their powers and responsibilities by cooperating and contracting with each other to the fullest extent possible to provide any function,service,or facility lawfully authorized to each of the cooperating or contracting entities. Section 29-I- 201,C.R.S., as amended, further states that all state of Colorado contracts with its political subdivisions are exempt from the state of Colorado's personnel rules and procurement code. This Contractor was selected by the State in response to a Request for Grant Applications, issued by the State on August 15,2006 to conduct abstinence education programs in the state of Colorado. The Contractor is a political subdivision of the state of Colorado. The State and the Contractor mutually agree that the most efficient and effective way to provide the above-described services is at the local level. The State and the Contractor previously entered into a Master Contract with contract routing number 05 FAA 00054. This Task Order is issued pursuant to the terms and conditions of that Master Contract. As to the State, authority exists in the Law and Funds have been budgeted, appropriated, and otherwise made available, and a sufficient uncommitted balance thereof remains available for subsequent encumbering and payment in Fund Code(s) 100,Organizational Unit Code(s)6035 Appropriation Code(s)591, Program Code(s)9017, Function Code(s) FLWT,Object Code(s)5120,and Grant Budget Line Code(s) NS7C under Contract encumbrance number PO FLA PSD0700613. All required approvals, clearances, and coordination have been accomplished from and with all appropriate agencies. Page 1 of 9 064 -31.91 NOW,THEREFORE, in consideration of their mutual promises to each other,stated below,the parties hereto agree as follows: A. PERIOD OF PERFORMANCE AND TERMINATION. The proposed effective date of this Contract is January 1,2007. However, in accordance with section 24-30-202(1),C.R.S., as amended,this Task Order is not valid until it has been approved by the State Controller, or an authorized designee thereof. If the underlying notice of award authorizes the State to pay all allowable and allocable expenses of a contractor as of the effective date of that notice of award,then the State shall reimburse the Contractor for any allowable and allocable expenses of the Contractor that have been incurred since the proposed effective date of this Task Order. If the underlying notice of award does not authorize the State to pay all allowable and allocable expenses of a contractor as of the effective date of that notice of award,then the State shall only reimburse the Contractor for those allowable and allocable expenses of the Contractor that were incurred on or after the effective date of this Task Order. The initial term of this Task Order shall commence on its effective date and continue through and including December 31,2007. This Contract is funded entirely with federal funds. Therefore,the State's liability for payment for all services rendered,or goods supplied, under this Task Order is contingent upon the State's receipt of those federal funds. If the State does not receive all,or any part,of the federal funds necessary to pay its obligations under this Task Order,then the State may immediately amend or terminate this Task Order without further liability to the State. In accordance with section 24-103-503, C.R.S.,as amended, and Colorado Procurement Rule R-24- 103-503,the total term of this Task Order, including all automatic renewals, bilateral options to renew, and extensions, may not exceed five(5)years. B. DUTIES AND OBLIGATIONS OF THE CONTRACTOR. 1. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order,shall perform and complete, in a timely and satisfactory manner,all work items described in the"Work Plan, Budget Narrative and Budget",which are incorporated herein by this reference, made a part hereof and attached hereto as"Attachment A". 2. Definitions of acronyms and symbols used in Attachment A. a. CDPHE=Colorado Department of Public Health and Environment b. STD= Sexually Transmitted Diseases(s) c. WAIT= WAIT Training Program d. WCDPHE= Weld County Department of Public Health and Environment 3. The Contractor shall track unduplicated count of clients and total number of client encounters by gender, age group, race and ethnicity. Parents should be included in these numbers. The Contractor shall submit, by February 28,2008,unduplicated count of clients, included parents, and the total number of client encounters by gender, age group,race and ethnicity. The Contractor shall use the reporting forms provided by the State of Colorado Abstinence Education Program, which are incorporated herein by this reference, made a part hereof and attached hereto as "Attachment B". 4. The Contractor shall submit a six-month progress report to the Colorado Department of Public Health and Environment by July 30, 2007. 5. The Contractor shall submit an annual progress report by February 28,2008. 6. The contractor shall submit a final report of actual project expenditures to the State within a reasonable time after the expiration or termination of this Contract;but in no event no later than sixty(60)calendar days from the effective expiration or termination date of this Contract. Page 2 of 9 7. On or Before September 30,2007, and September 30 of each subsequent contract renewal year, the Contractor shall submit a new grant application for the contract renewal term. The Contractor shall use and submit the same forms as were submitted for the original grant application. The Colorado Abstinence Education Program shall complete the review of the Contractor's renewal grant application within thirty(30)calendar days after the due date of submission. Any recommendations or requirements for changes or additions to the annual work plan, budget narrative,or budget shall be provided to the Contractor by the State on or before November 15 of that year. The Contractor and the State program staff shall negotiate an agreement, if necessary,regarding any State proposed recommendations(s)or requirement(s) by November 15 of that year. An approved new annual work plan,budget narrative, or budget shall be incorporated into the contract renewal for the following contract year. 8. The contractor shall obtain prior written approval from the Colorado Abstinence Education Program for all budgetary changes that adjust any line item by either ten percent(10%)or five hundred dollars($500.00),whichever is less. 9. The contractor shall obtain prior written approval of the Colorado Abstinence Education Program for all expenditures for the purchase of equipment and furniture. The contractor shall provide the State with appropriate supporting documentation for any request to purchase equipment or furniture. Invoices for equipment and furniture must contain sufficient data for inventory control. If the contractor makes equipment or furniture purchase without prior written approval of the Colorado Abstinence Education Program,then the Colorado Abstinence Education Program may deny payment for the unauthorized purchase of equipment or furniture. 10. The contractor shall obtain prior written approval of the Colorado Abstinence Education Program for all anticipated or actual out-of-town air travel and lodging expenses. The contractor shall provide the Colorado Abstinence Education Program with appropriate supporting documentation for any request for out-of-town air travel or lodging. If the contractor makes any out-of-town air travel or lodging purchase without the prior written approval of the Colorado Abstinence Education Program,then the Colorado Abstinence Education Program may deny payment for the unauthorized purchase of out-of-town air travel or lodging. 11. The contractor shall coordinate and participate in site visits with the State Abstinence Education Program staff. The Contractor shall be visited at least once during the contract term. Additional site visits may occur on an as-needed basis. The Contractor is responsible for the following components of the visit: Working with State staff to set a date and agenda; coordinating parents, youth and project staff for interviews; organizing services for site visitors to observe; participating in the actual visit;and implementing resulting recommendations from the State. 12. The Colorado Abstinence Education Program will conduct a one-or two-day workshop, up to twice a year. Workshops are usually held in the spring and fall. Most workshops will occur in Denver, but some will occur in other regions of the state,the Contractor shall budget for this travel accordingly. Workshops shall provide guidance on data usage, abstinence education programming,grant requirements,technical assistance, resources, educational opportunities, and networking opportunities. The Contractor is required to send at least one representative to the workshops. 13. The Colorado Department of Public Health and Environment is prohibited by state law from requiring or directing the contractor to deal with a particular person in procuring any goods or services under this contract. However, the contractor shall obtain the prior written approval of the Colorado Department of Public Health and Environment before executing a subcontract with any individual or entity for the performance of work under this contract. While the Colorado Department of Public Health and Environment may authorize the contractor to subcontract some, Page 3 of 9 or all, of the services, which are to be performed under this contract,the subcontractor is subject to all of the terms and conditions of this contract. Additionally,the contractor remains ultimately responsible for the timely and satisfactory completion of all work performed by a subcontractor. 14. The contractor shall provide the Colorado Abstinence Education Program with three (3)copies of all media or other materials it develops using funds awarded through this contract. If any copyrightable material(e.g.;audiovisuals, software,publication, curricula and training materials,etc.) is developed under this grant,the State, and the Department of Health and Human Services(HHS)shall have a royalty-free, nonexclusive and irrevocable right to reproduce, publish or otherwise use, and authorize others to use the work, for purposes which further the objective of the Maternal and Child Health (MCH)Bureau. The following wording shall appear on all printed materials developed through funding awarded through this contract: "Supported in part by the Abstinence education Grant Program from the United States Department of Health and Human Services, Administration for Children and Families, as made available through the Colorado Department of Public Health and Environment." For broadcast material,the following wording must appear in audio or visual presentation: "...supported in part by the Abstinence Education Grant through the U.S. Department of Health and Human Services Administration,Administration for Children and Families." C. DUTIES AND OBLIGATIONS OF THE STATE. The Contractor shall be compensated in accordance with he rates set forth in Attachment A hereto. In consideration of those services satisfactorily and timely performed by the Contractor under this Task Order the State shall cause to be paid to the Contractor a sum not to exceed SIXTY-FOUR THOUSAND FIVE HUNDRED SEVENTY-FIVE DOLLARS,($64,575.00) for the initial term of this Task Order. Of the total financial obligation of the State referenced above, Sixty-Four Thousand Five Hundred Seventy-Five Dollars,($64,575.00) are identified as attributable to a funding source of the United States government and,Zero Dollars,($0.00)are identified as attributable to a funding source of the state of Colorado. 2. Payments under this Task Order shall be made either through the State's Electronic Fund Transfer system or, upon the Contractor's periodic submission ofa duplicate"Task Order Reimbursement Statement". 3. If this Task Order requires the Contractor submit a"Task Order Reimbursement Statement",then the Contractor shall submit a signed Task Order Cost Reimbursement Statement at least quarterly. A sample Task Order Cost Reimbursement Statement is attached hereto as Attachment C and incorporated herein by this reference and made a part hereof. A Task Order 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 Attachment A. 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 Contract. Page 4 of 9 Each Task Order Reimbursement Statement shall reference the related Master Contract by its contract routing number and this Task Order by their respective contract routing numbers. The contract routing numbers are located on page one of these documents. Each Task Order Reimbursement Statement shall also indicate the applicable performance dates,the names of payees;a brief description of the services performed during the relevant performance dates;all expenditures incurred;and,the total reimbursement requested. Reimbursement during the initial, or any renewal,term of this Task Order 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. Each Task Order Reimbursement Statement shall be sent to: Leonor Nieto Prevention Services Division Colorado Department of Public Health and Environment PSD-HCP-A4 4300 Cherry Creek Drive South Denver,CO 80246 4. The State may prospectively increase or decrease the amount payable under this Task Order through a"Task Order Change Order Letter"that is substantially similar to the sample Task Order Change Order Letter that is incorporated herein by this reference, made a part hereof, and attached hereto as"Attachment D". To be effective,a Task Order Change Order Letter must be: signed by the State and the Contractor; and,approved by the State Controller or an authorized designee thereof Additionally,a Task Order Change Order Letter shall include the following information: A. Identification of the related Master Contract and this Task Order by their respective contract routing numbers and affected paragraph number(s); B. The type(s)of service(s)or program(s) increased or decreased and the new level of each service or program; C. The amount of the increase or decrease in the level of funding for each service or program and the new total financial obligation; D. A provision stating that the Task Order Change Order Letter is effective upon approval by the State Controller, or designee, or its proposed effective date,whichever is later. Upon proper execution and approval, a Task Order Change Order Letter shall become an amendment to this Task Order. Except for the General and Special Provisions of the Master Contract,and the Additional Provisions of the Task Order, if any,the Task Order Change Order Letter shall supersede this Task Order in the event of a conflict between the two. It is expressly understood and agreed to by the parties that the task order change order letter process may be used only for increased or decreased levels of funding, corresponding adjustments to service or program levels, and any related budget line items. Any other changes to this Task Order,other than those authorized by the task order option to renew letter process described below, shall be made by a formal amendment to this Task Order executed in accordance with the Fiscal Rules of the state of Colorado. Page 5 of 9 If the Contractor agrees to and accepts a proposed Task Order Change Order Letter,then the Contractor shall execute and return that Task Order Change Order Letter to the State by the date indicated in that Task Order Change Order Letter. If the Contractor does not agree to and accept a proposed Task Order Change Order Letter,or fails to timely return a partially executed Task Order Change Order Letter by the date indicated in that Task Order Change Order Letter,then the State may,upon written notice to the Contractor,terminate this Task Order no sooner than thirty(30) calendar days after the return date indicated in the Task Order Change Order Letter has passed. This written notice shall specify the effective date of termination of that Task Order. If a Task Order is terminated under this clause,then the parties shall not be relieved of their respective duties and obligations under that Task Order until the effective date of termination has passed. Increases or decreases in the level of contractual funding made through the task order change order letter process during the initial,or renewal,term of a Task Order may only be made under the following circumstances: E. If necessary to fully utilize appropriations of the state of Colorado and/or non- - appropriated federal grant awards; F. Adjustments to reflect current year expenditures; G. Supplemental appropriations,or non-appropriated federal funding changes resulting in an increase or decrease in the amounts originally budgeted and available for the purposes of a Task Order; H. Closure of programs and/or termination of related contracts or task orders; I. Delay or difficulty in implementing new programs or services;and, J. Other special circumstances as deemed appropriate by the State. 5. The State may renew a Task Order through a"Task Order Option to Renew Letter"substantially similar to the sample Task Order Option to Renew Letter that is incorporated herein by this reference, made a part hereof, and attached hereto as"Attachment E". To be effective,a Task Order Option to Renew Letter must be: signed by the State and the Contractor;and, approved by the State Controller or an authorized designee thereof. Additionally, a Task Order Option to Renew Letter shall include the following information: A. Identification of the related Master Contract and that Task Order by their respective contract routing numbers and affected paragraph number(s); B. The type(s)of service(s)or program(s), if any, increased or decreased and the new level of each service or program for the renewal term; C. The amount of the increase or decrease, if any, in the level of funding for each service or program and the new total financial obligation; D. A provision stating that the Task Order Option to Renew Letter is effective upon approval by the State Controller,or designee, or its proposed effective date,whichever is later. Page 6 of 9 Upon proper execution and approval,a Task Order Option to Renew Letter shall become an amendment to this Task Order. Except for the General and Special Provisions of the Master Contract,and the Additional Provisions, if any of that Task Order,a Task Order Option to Renew Letter shall supersede that Task Order in the event of a conflict between the two. It is expressly understood and agreed to by the parties that the task order option to renew letter process may be used only to: renew a Task Order; increase or decrease levels of funding related to that renewal; make corresponding adjustments to service or program levels,and,adjust any related budget line items. Any other changes to a Task Order,other than those authorized by the task order change order letter process described above,shall be made by a formal amendment to a Task Order executed in accordance with the Fiscal Rules of the state of Colorado. If the Contractor agrees to and accepts a proposed Task Order Option to Renew Letter,then the Contractor shall execute and return that Task Order Option to Renew Letter to the State by the date indicated in that Task Order Option to Renew Letter. lithe Contractor does not agree to and accept the proposed renewal term,or fails to timely return a partially executed Task Order Option to Renew Letter by the date indicated in that Task Order Option to Renew Letter,then the State may, upon written notice to the Contractor,terminate this Task Order no sooner than thirty(30) calendar days after the return date indicated in the Task Order Option to Renew Letter has passed. This written notice shall specify the effective date of termination of that Task Order. If a Task Order is terminated under this clause,then the parties shall not be relieved of their respective duties and obligations under that Task Order until the effective date of termination has passed. 6. All attachments or exhibits to this Task Order are incorporated herein by this reference and made a part hereof as if fully set forth herein. If a conflict or inconsistency is found to exist between the terms and conditions of this Task Order and those of any attachment or exhibit hereto,then the terms and conditions of this Task Order shall control. D. ADDITIONAL PROVISIONS. 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. Title V,Section 504(b)(6).Title V funds may not be used to pay for any item or service(other than an emergency item or service)furnished by an individual or entity convicted of a criminal offense under the Medicare or any State health care program(i.e.,Medicaid,Maternal and Child Health,or Social Services Block Grant Programs). 3. The Contractor shall protect the confidentiality of all applicant or recipient records and other materials that are maintained.in accordance with this Contract. Except for purposes directly connected with the administration of this Contract,no information about or obtained from, any applicant or recipient shall be disclosed in a form identifiable with the applicant or recipient without the prior written consent of the applicant or recipient,or the parent or legal guardian of a minor applicant or recipient with the exception of information protected by Colorado statute as it applies to confidentiality for adolescent services in which case the adolescent minor and not the parent or legal guardian must provide consent or,as otherwise properly ordered by a court of competent jurisdiction. The Contractor shall have written policies governing the access to,and duplication and dissemination of,all such information. The Contractor shall advise its employees, agents,servants,and subcontractors, if any,that they are subject to these confidentiality requirements. Page 7 of 9 4. The Contractor agrees to provide services to all Program participants and employees in a smoke-free environment in accordance with Public Law 103-227, also known as"the Pro-Children Act of 1994",(Act). Public Law 103-227 requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health,day care,early childhood development services,education or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments,by Federal grant,contract,loan,or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed,operated,or maintained with such Federal funds. The law does not apply to children's services provided in private residences;portions of facilities used for inpatient drug or alcohol treatment;service providers whose sole source of applicable Federal funds is Medicare or Medicaid;or facilities where WIC coupons are redeemed. Failure to comply with the provision of Public Law 103-227 may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. By signing this Contract,the Contractor certifies that the Contractor will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act. The Contractor agrees that it will require that the language of the Act be included in any subcontracts which contain provisions for children's services and that all contractors shall sign and agree accordingly. 5. The Contractor certifies,to the best of its knowledge and belief,that no federally appropriated funds have been paid or will be paid by or on behalf of the Contractor,to any person for influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of this Contract,and the extension,continuation,renewal, amendment,or modification of this Contract,or any grant, loan,or other cooperative agreement that utilizes Federal funds. If any funds other than federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency,Member of Congress,an officer or employee of Congress in connection with this Contract, or any other grant, loan,or other cooperative agreement,then the Contractor shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying" in accordance with its instructions. The Contractor shall require that the language of this certification be included in the award documents for subawards at all tiers(including subcontracts,subgrants,and contracts under grants, loans, and cooperative agreements)and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. This certification is a prerequisite for making or entering into this transaction imposed by section 1352,title 31,U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. 6. 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. Page 8 of 9 IN WITNESS WHEREOF,the parties hereto have executed this Task Order as of the day first above written. CONTRACTOR: STATE: BOARD OF COUNTY COMMISSIONERS STATE OF COLORADO OF WELD COUNTY Bill Owens. Governor (a political subdivision of the state of Colorado) for the use and benefit of the Weld County Department of Public Health and Environment 1-\4 • By: By: ( -I'l � Name: M T Ge-i 1 e 11/77/2006 For the Executive Director Title: Chair of BOCC DEPARTMENT OF PUBLIC HEALTH FEIN: 84-6000813 AND ENVIRONMENT Date: 11 /27/7006 Date: ATTEf:i / 7 PROGRAM APPROVAL: 1861 t (V By: tom] y,County, 4•!x/1 j• � „�!� rte~"'ict,or Town Clerk or Equivalent i• APPROVALS: 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 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 the goods and/or services provided. STATE CONTROLLER: Leslie M.Shenefelt (e-S—t-e7 By: WELD C(1ri.,n, n".^r.e-*10 OF Date: / PUBI' " i NT Revised: 11/5/04 BY �A ,oeiiace, D, MPH•Director Page 9 of 9 &caa,-3.31 V/ 'U'41 0 awl k ) / e_ @ . . ) g / \ k // a e , ° k \ k M) c ~ I 44 1 � 2 { & E § •) $ e & / . I e v ,,.E 72 j / \) \ � \ \ / { \ / 2 0 § 7 \ \ C ! f k 4b S e } § � 2 � CA § | \ � '( ) % ) § 0 ~ / § d tu / w 0 f O \ \ ° 0 � k z § ) 2N 0 7 § K § ) gz . 2s. ) 5 2k N ) % C. § ) k /2 ) 2 a «» . . A w & I 8 C), . \ . - o ° 7 $ � 7 \ } \ 77 \ u.1 ] • 0 » , ) m ® k Pia' § ® i H jt J 2 2 a ± j r 4 / A ) § ° #- *_ ! 5 t ! ) \lai \ t ! ) k & \ $ m 'C 0 ' 0 0w \ � �k ! � q / G � 0J \ § } ) ! § �§ ) 0 k k C o 0 ) ) f 3 J ) / \ / \ \ 4. / § ca & Pr \ I. \ ) \ § k } 0 / {) o DO E . . . ria \ K X 2 � It \ \ 4> / \ 2 § _ § � � 0 ) \ 121 O el % � a /\ CU CU a00 Ea . § ° ! O J ® f § § / . \ 0 , ) § 0] . . \ - kf ( \ k 1 @ a e & a. . _ . . . . » a R I •0 0 Ed \ /\ Cl§ X1 U " 2 ] G ) ) / o k 2 .. 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M en en en A cn .n O 04 W O .0 ,3p0 W w 0 pW O �aa� .0 .D ., 'pq (8 ' > P 5 ElN 0t- ON NN. aN • 6) .g OO OO OO 00 0A Q . 'O - m AN AN . AN . AN_ _ - Qpo 3cvl 'd N b0 ,5 N .p v . P. 'R N Fj 0 b4 3 o 8 .5 6J' d o o a p, o �n vi O 0 0 O 6) q A at ^y O >. p 0 4 O M A tY a d �' f6a o to .� Y >. ° d b El 6) 2 Y 6) C d ,� O v 'O b 0.. 5 a0 > t p p O C b •p bpi 2 o ,- 3 y 2 r -O 8 .,g '.^5. y N 00 °.° 0 O ° teu �,, tb z � CA7 � -c) ..O <4 i 2 A o o4 a 02 a, CAEP Community-Based Abstinence Education Program Grant WCDPHE Modified Budget Narrative 6. BUDGET AND JUSTIFICATION a. Line Item Budget: Please see Appendix G b. Budget Justification: Total Project Cost=$206,808.00. Direct Costs=$191,329.00. i. Personnel Service—$155,363.10 There are two .75 FTE health educators, a.25 FTE sexual cessation nurse, .05 supervisor, .05 administrative assistant and various contractual employees. $121287.15 is provided by WCDPHE(matching). $34,075.95 requested from CDPHE for.50 FTE sexual cessation nurse. ii. Abstinence Awareness Week Event—$1,000 $1000 for promotion, publicity, meeting expenses and educational incentives for event. Funds requested from CDPHE. Intensive Programming—$8,045 Provide WAIT Training educator scholarships to 5 educators @$299 per scholarship for a total of$1495. Host 1 advanced WAIT Training for 20 participants @$15 per participant which will provide lunch and materials costs$300 plus an additional $250 for speaker fees. $6000 will be used for supplemental tools and resources to ensure continual education over a 3-month period($2000 for speaker fees, $2000 for supplemental magazines for 1000 students participating in intensive programming and - - - $2000 for additional supplemental resources such as videos). $300 for meeting expenses provided by WCDPHE (matching). $7745 requested from CDPHE. iv. WAIT Training Latino Rites of Passage Program—$1,020 Stipends for individuals to teach community programs at$15 per hour for 17 hours are $255 per program. $255 in stipends to run 4 programs would be a total of$1020. Page 14 of 20 CAEP Comrpunity-Based Abstinence Education Program Grant WCDPHE Modified Budget Narrative Additional 3 programs will be taught by bilingual health education specialist. Funds requested from CDPHE. v. Sexual Cessation-S1,000 Promotion and incentives($400) are for sexual cessation participants and support groups. Meeting expenses for support group meetings medical providers totals$600. $600 meeting expenses provided by WCDPHE(matching). $400 requested from CDPHE. vi. Parent Connect—$1,550 Parent workbooks @$15 each for 30 participants who attend 5-one hour parent education sessions for a total cost of$450. $100 for meeting expenses for the 5-one hour parent education sessions. $1000 for print and radio ads to promote Talk to Your Kids About Sex Month in Weld County. $100 meeting expenses provided by WCDPHE(matching). $1450 requested from CDPHE. vii. Community Coalitions—$1,100 $1100 for meeting expenses to host 10 adult and 10 youth coalition meetings during the year. Funds provided by WCDPHE(matching). viii. Weld County Media Campaign—$5,851 $5850.55 to continue existing media campaign throughout Weld County. hr-the media - -- campaign,bus benches and billboards will be$2,700, indoor advertising$1151, newspapers$500 and radio/TV spots$1500. Funds requested from CDPHE. ix. Peer Mentoring—$2,000 $400 for sampling peer mentoring models and curriculum. $200 for curriculum for participants and$200 for meeting expenses to implement pilot mentor program. $1200 Page 15 of 20 • r • CAEP Community-Based Abstinence Education Program Grant WCDPHE Modified Budget Narrative will be utilized to send students to the STARS Leadership Conference. Funds requested from CDPHE. x. Abstinence Education Incentives/Promotional Items—$2,200 Promotional items such as brochures,posters,t-shirts, stickers,temporary tattoos, pens/pencils,highlighters,mints, suckers and bookmarks will be used to positively influence students toward the abstinence message and the WeldWaits campaign. Funds requested from CDPHE. xi. Miscellaneous Operating Expenses—$5,700 Office supplies $1000, operating supplies$1200,postage$800, copying/printing $1200, memberships/subscriptions $500 and meeting expenses$1000. Funds provided by WCDPHE (matching). xii. Travel—$6,500 Local Travel—$2500 to attend Colorado State Abstinence Meetings, Positive Youth and Assets Training and local travel. Funds provided by WCDPHE(matching). Out of State Travel—$4000 for three abstinence staff members to attend out-of-state abstinence education training($1333 X 3). Funds requested from CDPHE. Administrative/Indirect Cost—$15,479.00 Indirect approved county rate @ 8.09%costs $10645.00 provided by WCDPHE — (matching) and$4833.00 requested from CDPHE. TOTAL FUNDS REQUESTED FROM CDPHE=$64,575.00 Page 16 of 20 Appendix G Colorado Abstinence Education Program BUDGET REQUEST APPLICANT: Weld County Department of Public Health & Environment.Abstinence Education Proq. PROJECT: Comprehensive Model Abstinence Education Program Grant Source of Funds Detailed Budget Total Applicant Requested For the Period Amount and from 0 /101/07 Annual Number Required Other CDPHE to Salary Months 12/31/07 Rate Budget %Time DIRECT COST Personnel Services: $ $ $ .75 Fit Bilingual Health Education Specialist 36,592.91 36,592.91 0.00 .75 FTE Health Education Specialist 35,304.05 35,304.05 0.00 .50 FTE Community Health Nurse I 25,559.52 0.00 25,559.52 .05 Office Tech 1,463.85 1,463.85 0.00 Contractual/Fee-for-service&Professional Services: 21,000.00 21,000.00 0.00 Sub-Total $119,920.33 $94,360.81 $25,559.52 Supervising Personnel: .05 Fit Health Promotion Supervisor 2,970.27 2,970.27 0.00 - Sub-Total $2970.27 $2970.27 $0.00 Fringe Benefits: 33.32% $32,472.50 $23,956.07 $8,516.43 Total Personnel Services . $155,363.10 $121,287.15 $34,075.95 Page 17 of 20 Colorado Abstinence Education Program BUDGET REQUEST APPLICANT:Weld County Department of Public Health&Environment,Abstinence Education Proq. PROJECT: Comprehensive Model Abstinence Education Program Grant Source of Funds Requested Total Applicant From Amount and CDPHE Required Other DIRECT COST(Continued) Operating Expenses: $ $ Abstinence Awareness Week Event 1000 0 1000 Promotion, publicity, materials for event 1000 0 1000 Intensive Programming 8045 300 7745 WAIT Training Scholarships @$299 X 5 1495 0 1495 Advanced WAIT Training 550 300 250 Supplemental Resources 6000 0 6000 WAIT Training Latino Rites of Passage Program 1020 0 1020 Stipends($15/hour X 17 hours for 4 programs—Gris teach 3) 1020 0 1020 Sexual Cessation 1000 600 400 Promotion/Incentives for Participants 400 0 400 Meeting Expenses & Food 600 600 0 Parent Connect 1550 100 1450 Educational Opportunities (curriculum 30 @$15,meeting expenses-loo) 550 100 450 Talk to Your Kids About Sex Month 1000 0 1000 Community Coalitions 1100 1100 0 Meeting Expenses&Food 1100 1100 0 Weld County Media Campaign 5851 0 5851 Peer Mentoring 2000 0 2000 Abstinence Education Incentives/Promotional Items 2200 0 2200 Miscellaneous Operating Expenses 5700 5700 0 Office Supplies 1000 1000 0 Operating Supplies 1200 1200 0 Postage 800 800 0 Copying/Printing 1200 1200 0 Memberships&Subscriptions 500 500 0 Additional Meeting Expenses 1000 1000 0 Sub-Total $29466.00 $7800.00 $21666.00 Page 18 of 20 Travel: In-State(Local)Travel 2500 2500 0 Out-of-State Travel 4000 0 4000 $6500.00 $2500.00 $4000.00 Sub-Total TOTAL DIRECT COST $191,329.00 $131,587.00 $59,742.00 Page 19 of 20 Colorado Abstinence Education Program BUDGET REQUEST APPLICANT:Weld County Department of Public Health & Environment,Abstinence Education Proq. PROJECT: Comprehensive Model Abstinence Education Program Grant Source of Funds Requested Total Applicant from Amount and CDPHE Required Other ADMINISTRATIVEIINDIRECT COST $ $ $ _ Indirect Approved County Rate 8.09% 15479.00 10645.00 4833.00 Sub-Total $15479.00 $10645.00 $4833.00 TOTAL PROJECT COST $206,808.00 $142,232.00 $64,575.00 *Local County BOCC *SOURCE OF FUNDING FOR THE MATCH, i.e.State, Local, in-kind, etc. Local: Board of County Commissioners (BOCC), County funding $ 142,232.00 In-kind: Other(Itemize): Total $142,232.00 *May the non-Federal funds be used to match this grant? Yes X No Signature of Director or Aujbp ir rizesentative: -Dr.Mark E.Wallace,Director Department of Public Health&Environment Page 20 of 20 m 4 . E s -6 co z b .� O a m o a o o p . N = `^ C) w w0 N - O z co p N (— U - V ct U N v, a.) o. m c to a) Q N Y (1] - 0 in 0 E w N 0 O Lr 0 bk VD NN B ��. O\ C N N O ,--a — N U N �' CD et b4 0 Q N f--' N 67 z 4 O U r O : p N - w U E 0 0 U .0 Ws...) 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A R O Q) d 0 zo . L bQ i-' y a• A n z y O o s WI H � .ett 0 w a 0 L4al 0 co w a v z y 0 0 M •5 oA . O `� o O 1:1 c4 a� co cel o I Z u o U (-3 0 48 O-45 0 DA 44 O U ¢0 b g 7549 0 c, w 0 0 i = U0 0 zc ai °o 5 o a • 0u 0 z O rU U 'b g G. ai > w, 0 o b 0 A y cs V - to o = a z '- c 0 sa U § rt ` F fl me ❑ O -« § I « 44) E _ a § / \ )! k ED / \ k \\ LI ) ( - 2 ao § ( F, § k . A2 al 0 - ( N % k C) § � § F. A | 7j � ) 'et . g C CID E'.4 E. E § 0. 0 0 § 2 1 { I:4 . \ 02 # Ti § Cl) l'4' t ) § § j ) § ) 7 ) \ I O. \ ° \ It. ( ) _ in ; ( .. : 1— corn k ( ( . / < tet ® � ° A w � ZL. e { § \ 2 \ - k ) f \ i a • } o / / ) @ ! u ! / © ® ] Pc to \ z \ \ Z0 = = 3 ` O` La 2 U � 2 » / § ! ) ) S0 ± § / a E ) § .2 H.,0 5 § / } \ ( i- ( \ \ 4 7 - < Attachment D TASK ORDER CHANGE ORDER LETTER (Date) Task Order Change Order Letter Number**, Contract Routing Number** *** ***** State Fiscal Year 20** -20**, *************** Program This Task Order Change Order Letter is issued pursuant to paragraph_*.of the Master Contract identified as contract routing number** *** ***** and paragraph *. *. of the Task Order identified as contract routing number ** *** *"" and contract encumbrance number** *** **********. This Task Order Change Order Letter is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and'LEGAL NAME OF CONTRACTOR'. The Task Order has been amended by Task Order Option to Renew Letter "* Contract routing number** *** ***** and/or Task Order Change Order Letter**, contract routing number ** *** ***** if any. The Task Order,as amended, if applicable, is referred to as the"Original Task Order". This Task Order Change Order Letter is for the current term of********* ** ****,through ********* **,****. The maximum amount payable by the State for the work to be performed by the Contractor during this current term is increased/decreased by********** Dollars,($*.**)for an amended total financial obligation of the State of ********** DOLLARS,($*.**). The revised specifications to the original Scope of Work and the revised Budget are incorporated herein by this reference,made a part hereof,and attached hereto as"Attachment *"and "Attachment *". The first sentence in paragraph_*.of the Original Task Order is modified accordingly. All other terms and conditions of the Original Task Order are reaffirmed. This change to the Task Order shall be effective upon approval by the State controller,or designee,or on ********* **, ****,whichever is later. Please sign,date,and return all ** originals of this Task Order Change Order Letter by********* **, **** to the attention of: ************ ************,Colorado Department of Public Health and Environment,4300 Cherry Creek Drive South,Mail Code ***-***-**,Denver,Colorado 80246. One original of this Task Order Change Order Letter will be returned to you when fully approved. [LEGAL NAME OF CONTRACTORI STATE OF COLORADO (a political subdivision of the state of Colorado) Bill Owens,Governor By: By: Name: For the Executive Director Title: DEPARTMENT OF PUBLIC HEALTH FEIN: AND ENVIRONMENT PROGRAM APPROVAL: (Seal-Required) By: ATTEST(required): By: 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 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 the goods and/or services provided. STATE CONTROLLER: Leslie M.Shenefelt By: Date: Revised: 11/5/04 Page 1 of 1 Attachment E TASK ORDER OPTION TO RENEW LETTER [Date] Task Order Option to Renew Letter Number **, Contract Routing Number** *** ***** State Fiscal Year 20**-20** *************** Proi ram This Task Order Option to Renew Letter is issued pursuant to paragraph *_*.of the Master Contract identified by contract routing number** *** ***** and paragraph *. *. of the Task Order identified by contract routing number ** *** ***** and contract encumbrance number ** *** **********. This Task Order Option to Renew Letter is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and JLEGAL NAME OF CONTRACTOR'. The Task Order has been amended by Task Order Change Order Letter**,contract routing number** *** ***** and/or Task Order Option to Renew Letter **,contract routing number** *** *****, if any. The Task Order,as amended, if applicable, is referred to as the"Original Task Order". This Task Order Option to Renew Letter is for the renewal term of********* ** ****,through ********* **,****. The maximum amount payable by the State for the work to be performed by the Contractor during this renewal term is ********** Dollars (*.**1 for an amended total financial obligation of the State of********** DOLLARS, This is an increase/decrease of($*.**)of the amount payable from the previous term. The Budget for this renewal term is incorporated herein by this reference, made a part hereof,and attached hereto as"Attachment *". The first sentence in paragraph *_**.of the Original Task Order is modified accordingly. All other terms and conditions of the Original Task Order are reaffirmed. This Task Order Option to Renew Letter is effective upon approval by the State Controller,or designee,or on ********* **, ****,whichever is later. Please sign,date,and return all ** originals of this Task Order Option to Renew Letter by ********* **, ****,to the attention of: ************ ************,Colorado Department of Public Health and Environment,Mail Code ***-***-**,4300 Cherry Creek Drive South,Denver,Colorado 80246. One original of this Task Order Option to Renew Letter will be returned to you when fully approved. [LEGAL NAME OF CONTRACTOR] STATE OF COLORADO (a political subdivision of the state of Colorado) Bill Owens,Governor By: By: Name: For the Executive Director Title: DEPARTMENT OF PUBLIC HEALTH FEIN: AND ENVIRONMENT PROGRAM APPROVAL: (Seal- required) By: ATTEST(required): By: 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 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 the goods and/or services provided. STATE CONTROLLER: Leslie M.Shenefelt By: Date: Revised: 11/5/04 Page 1 of 1 STATE OF COLORADO Bill Ritter,Jr.,Governor James B.Martin,Executive Director .0v.cot°AF Dedicated to protecting and improving the health and environment of the people of Colorado tie" ;?t 4300 Cherry Creek Dr.S. Laboratory Services Division * S a* Denver,Colorado 80246-1530 8100 Lowry Blvd. * Phone(303)692-2000 Denver,Colorado 80230-6928 /876 TOD Line(303)691-7700 (303)692-3090 Colorado Department Located in Glendale,Colorado of Public Health http://www.cdphe.state.co.us and Environment Prevention Services Division Center for Healthy Families&Communities Telephone:(303)692-2370;FAX:(303)782-5576 January 23,2007 Ms.Judy Nero Business Manager Weld County Department of Public Health & Environment 1555 North 17th Avenue Greeley,Colorado 80631 Re: Abstinence Task Order Contract Routing Number 07 FLA 00613 Dear Ms.Nero: Enclosed please find a fully executed copy of the above referenced Task Order for your files. This Task Order covers the period from January 12,2007 through and including December 31,2007. There are acronyms within the contract and paragraph 2 was added to explain what the acronyms are. If you have any questions regarding this Limited Amendment please contact Carla Beeson,Abstinence Program Director or Leonor Nieto,Abstinence Fiscal Officer. Carla can be reached at 303-692-2376 or carla.beeson@state.co.us and Leonor can be reached at 303-692-2322 or leonor.nieto@state.co.us. Sincerely, Peggy Becker Contract Coordinator 303-692-2404 peggy.becker@state.co.us Enclosure Hello