The URL can be used to link to this page

Browse Search

Home My WebLink About20051553.tiff RESOLUTION RE: APPROVE TASK ORDER OPTION TO RENEW LETTER#1 FOR COLORADO WOMEN'S CANCER CONTROL INITIATIVE 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 Option to Renew Letter#1 for Colorado Women's Cancer Control Initiative 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 July 1, 2005, and ending June 30, 2006, with further terms and conditions being as stated in said task order option to renew letter, and WHEREAS, after review, the Board deems it advisable to approve said task order option to renew letter, 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 Option to Renew Letter#1 for Colorado Women's Cancer Control Initiative 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 option to renew letter. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of May, A.D., 2005. ,,t\ IE BOARD OF COUNTY COMMISSIONERS ilanedikG WELD COUNTY, COLORADO 1861 (if estS William H. J r e, Chair ® � my Clerk to the Board t y / / M. ile, Pr -Tem BY: ia/A wktd -e ea Deputy Clerk to the Board D id E. Long APP AS TO F Robert D. Masde County Attorn y G enn Vaa Date of signature: 006-- 2005-1553 HL0032 Memorandum I It L": TO: William IL Jerke, Chair Board of County Commissioners II I FROM: Mark E. Wallace, MD, MPH, Director O Department of Public Health and (' Environment May !�11L/ COLORADO DATE: Ma 17, 2005 , - SUBJECT: Colorado Women's Cancer Control Initiative Task Order Enclosed for Board review and approval is the task order between the Colorado Department of Public Health and Environment and the Weld County Department of Public Health and Environment for continuation of the Colorado Women's Cancer Control Initiative. The time period for the task order is July 1, 2005 through June 30, 2006. The total amount of the contract is $68,402.00. The Colorado Women's Cancer Control Initiative provides funding for breast and cervical cancer education and screening for the underserved, uninsured and underinsured residents in Weld County. I recommend your approval of the task order. Enclosure 2005-1553 • TASK ORDER OPTION TO RENEW LETTER May 5,2005 Task Order Option to Renew Letter Number 01, Contract Routing Number 06 FLA 00097 State Fiscal Year 2005-2006 Colorado Women's Cancer Control Initiative Program This Task Order Option to Renew Letter is issued pursuant to paragraph F.4.of the Master Contract identified by contract routing number 05 FAA 00054 and paragraph C_4. of the Task Order identified by contract routing number 05 FLA 00253 and contract encumbrance number PO FLA PPG0500253. This Task Order Option to Renew Letter is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and The Board of County Commissioners of Weld County,(a political subdivision of the state of Colorado),for the use and benefit of the Weld County Department of Public Health and Environment,(a political subdivision of the state of Colorado). 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 June 30,2005 through June 29,2006. The maximum amount payable by the State for the work to be performed by the Contractor during this renewal term is Sixty eight thousand four hundred and two Dollars ($68,402.001 for an amended total financial obligation of the State of One Hundred thirty three thousand three hundred and thirty six DOLLARS This is an increase of ($68,402.00)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 A. The first sentence in paragraph B.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 June 30,2005 whichever is later. Please sign,date, and return all 03 originals of this Task Order Option to Renew Letter by June 9,2005,to the attention of:Angie Villamaria,Colorado Department of Public Health and Environment,Mail Code PSD- WHS-A5,4300 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. The Board of County Commissioners of Weld County, STATE OF COLORADO (a political subdivision of the state of Colorado), Bill Owens,Governor for the use and benefit of the Weld County Department of Public Health and Environment., (a political subdivision of the state of Colorado). By: ' /L.� By: Name: William H. J' rke MAY 2 3 2005 Fort to Exec we Director air DEPAR T OF PUBLIC HEALTH nt e�000-813 AND ENVIRONMENT PROGRAPPROVAL: 1961 1,------ By: nti �� By: _ reputy Cle c to the Bo ALL CONTRACTS MUST BE PROVED 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. TE CONTROLLER: WELD COUNTY DEPARTMENT OF eslie M.S en PU LIC HEATH N EN�V�MMENT NrcL rf CLU\ By: BY: Date: Mark E. Wallace, MD, MPH-Director Revised:11/5M4 aeon--/ss3 • CONTRACT COMPLIANCE June 30, 2005-June 29, 2006 Due Date Activity Documentation To State Objective: Coordinate and expand the scope of services for CWCCI enrolled women in each geographic breast and cervical cancer medical service catchment area. Conduct an inventory update of breast and cervical cancer Competed CWCCI Partners Inventory for each agency or October 15,2005 services for: approved equivalent • Public Education and awareness • Outreach • Recruitment/Navigation • CWCCI providers • DX services • Treatment • Support Update any changes to the CWCCI Partnership areas.Areas List Partnership Areas with counties or parts of counties Include in the quarterly should be formed around diagnostic service areas. List served. Explain any overlap or gaps. narrative October 15, geographic areas(counties or parts of counties) 2005 Schedule or attend Partnership meetings. Each Partnership Schedule of meetings Include in quarterly area must have at least 2 meeting per year. Meeting attendance by name and agency represented narratives due 15th day Brief meeting minutes of I"month of each quarter Develop common MOUs between CWCCI providers and service subcontractors. Proposed MOUs As requested by Completed MOUs consortia Narrative report-Briefly document activities,provide specific Include in quarterly • information on success and challenges with plan to address narratives challenges. J:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Comm Coordinator\Contract requirements fy06.doc Activity Documentation To State Due Date Objective:Develop plans for public education and recruitment,with input from partners,to program-eligible women Use CWCCI Partnerships to plan and implement inreach Meeting agendas Include in quarterly activities,recruitment activities and special screening events. Action Plans for meeting input narratives due 15th day of lst month of each quarter Communicate with CWCCI providers Meet with non-profit and for-profit agencies and businesses Monthly CAT submissions Monthly 15`s day of that serve women who have rarely or never received breast or month cervical cancer screenings to develop potential collaborative Brief synopsis of success and challenges with actions to CWCCI marketing projects. address challenges Quarterly narrative Quarterly narrative Solicit input from partners on the development or revision of Submit new or modified materials recruitment materials Objective: Conduct marketing events in local communities, Monthly utilizing one-on-one recruitment,to reach and refer rarely Monthly CAT submissions and never screened women. Monthly Distribute promotional materials at community locations that Monthly CAT submissions serve women who are rarely/never screened. Objective:Utilize local print and broadcast media(paid and in kind)to reach program eligible rarely and never women in priority populations. Quarterly narrative Solicit input from partners on the development or revision of Submit new or modified materials or media outlets. Describe media messages. selection's ability to reach rarely and never screened women. Monthly Distribute CWCCI information to local media outlets CAT Quarterly narrative Describe selection's ability to reach rarely and never screened women 1:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Comm Coordinator\Contract requirements fy06.doc Activity Documentation To State Due Date Objective: Coordinate and maintain a system to allow easy access for women to obtain screening information and screening referrals. Document calls and referrals. Enter referrals in CAT CAT Monthly database. Brief synopsis of success and challenges with actions to Identify other community referral line(s)to which these call Quarterly narrative may be directed at some future time address challenges Objective: Meet with case managers and other appropriate staff at CWCCI service sites basis to collaborate recruitment of women into screening services Contact CWCCI providers to discuss provider's contractual Brief synopsis of success and challenges with actions to Quarterly narrative target#s;change in recruitment and training needs. address challenges Objective: Provide one-on-one follow-up(counseling, education and support)to women to overcoming barriers to screening. Within thirty(30)days of receipt of match log from CWCCI, CAT Monthly initiate contact with women who have not completed screening referral. This activity will NOT be initiated unless or until CWCCI provides a match log. Note: In the event of a discrepancy in due dates the Contract Compliance Attachment A document will supercede the work plan. J:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Comm Coordinator\Contract requirements fy06.doc Northeast Colorado CWCCI Community Coordinator Workplan, June 30, 2005 —June 29, 2006 NEW Performance Indicators Case Management Goal: 1. The number of established consortia who have consolidated MOUs in place between Improve system of clinical and essential support services for CWCCI clinical service providers and subcontractors. enrolled women 2. Number of consortia who have developed a MOU between other funding organizations and CWCCI Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation Objective Assessing Progress Responsible Coordinate and expand the 1. Define medical service catchment Service Inventory Quarterly Community scope of services for areas. MOUs Coordinators #Of completed CWCCI enrolled women 1A.Existing consortium area includes: MDE's Nurse Consultant inventories in each geographic breast Larimer and Weld.Proposed NBCCEDP Data Clinical Services Case and cervical cancer consortium area: Yuma,Morgan, Management #Of attendance of medical service catchment Washington. Remaining counties to be Coordinator consortia meetings. area. evaluated for joining existing Nurse Consultant consortium or developing stand alone ft Of MOUs service area consortium. #Of new CWCCI 2. Conduct inventory of existing Ongoing contractors or services. subcontractors. 2A.Conduct evaluation of each county for existing providers 2B. Conduct evaluation of need for additional services per identified catchment areas. 3. Establish or strengthen existing Quarterly consortia at central points. 3A. See IA. 4. Motivate CWCCI providers to Bimonthly regularly attend consortium meetings. Or y (providers will be required by Quarterly contract to attend at least 2 meeting/year) 4A.Community coalition or advisory groups and consortium are used C:\DOCUME—I\alvilla\LOCALS-1\Temp\Community Coor Workplan 05 02 05.doc NEW Performance Indicators Case Management Goal: 1. The number of established consortia who have consolidated MOUs in place between Improve system of clinical and essential support services for CWCCI clinical service providers and subcontractors. enrolled women 2. Number of consortia who have developed a MOU between other funding organizations and CWCCI Evaluation Objectives Activities Planned To Achieve This Data Timeframe for Team Members Objective Assessing Progress Responsible interchangeably. Meetings may be held every other month or quarterly. 5. Establish MOUs Quarterly 5A. Initiate and/or update MOUs for all providers and sub-contractors 6. Recruit new providers and Quarterly subcontractors in the consortium. 7. Recruit new participants in the consortia. C:\DOCUME-1\alvilla\LOCALS-1\Temp\Community Coor Workplan 05 02 05.doc Recruitment Recruitment Goal Performance Indicators MODIFIED To increase awareness among woman who have rarely or never been 1. A minimum of 30 women will be reached will be those that are rarely or never screened screened for breast or cervical cancer,address barriers that prohibit 2. A maximum of 1500 women will be reached through coordinator recruitment efforts. Since the target screening,recruit women for these services and support completion of population is the rarely and never screened,activities should limit the number of other women screening. Objective will be met by developing and implementing an encountered. appropriate mix of broad-based awareness-raising,narrow cast education 3. A minimum of 50%of these program-eligible women reached will be referred to screening and one-on-one recruitment strategies through partnerships with agencies 4. A minimum of 50%of program-eligible women referred to screening will have a completed breast and/or or organizations providing other services to the same target population. cervical cancer screening exam Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation Objective Assessing Responsible Progress Develop plans for public 1. Identify existing breast and cervical Quarterly Community Coordinators Review of meeting education and recruitment, cancer groups in local communities, Clinical Services Case minutes, including with input frompartners,toManagement Coordinator participant attendance P I.A.A American Cancer Society,Komen, g program-eligible women Breast Friends in Windsor,Lydia Doddy Nurse Consultant in Ft.Collins,Breast Cancer Support at Recruitment Coordinator Results of evaluations North Colorado Medical Center Program Manager Numbers of meetings 2. Collaborate with service provider staff Quarterly A minimum of three to plan and implement inreach statewide meetings will activities,recruitment activities and be held,with advisory special screening events. committees,local businesses,provider 3. Communicate with service providers, staff,community coalition members/volunteers and Quarterly agencies,as a part of other partnering agencies to identify larger conferences opportunities for marketing recruitment and one-on-one interactions with eligible women. 3A. Opportunities/locations include: Swift Plant,Kodak,Walmart Distributions,beauty salons,church groups,hotel/motel work force,etc. C:\DOCUME-1\alvilla\LOCALS-1\Temp\Community Coor Workplan 05 02 05.doc Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation Objective Assessing Responsible Progress 4. Meet with non-profit and for-profit Quarterly agencies and businesses to discuss potential collaborative projects. 4A. Centennial BOCES,Aims Community College,University of Northern Colorado,Human Services, Area Agency on Aging,Walmart Distributions,'Quart,Target,Kohls, Malls,Swift Plant,Department of Social Services,etc. 5. Solicit input from partners on the Quarterly development or revision of recruitment materials and strategies. SA. To be reviewed at consortia/advisory group meetings Conduct marketing events in 1. With input from partners,identify Ongoing Recruitment Coordinator Coordinator Contact local communities,utilizing opportunities for non-traditional Community Coordinators Logs(#of local one-on- one-on-one recruitment,to marketing recruitment. one recruitment activities reach and refer 30 rarely IA. Review options with local media, will be conducted) and never screened women. UNC and Aims Hotline Call Summary (#Received as a result 2. Distribute promotional materials at Quarterly of one-on-one community locations that serve women recruitment efforts) who are rarely/never screened,such as correctional facilities,mental health Screening Referrals facilities, substance abuse agencies, (#Referrals made as a domestic violence agencies,homeless result of one-on-one shelters,mobile home parks,agencies recruitment efforts) who serve non-English speaking women,migrant ands tribal groups. Personal History Forms Priority populations are ethnic and (15%of responses to racial minorities,women who partner "how did you hear?"will with women and women with he frnm nne-nn-nne C:\DOCUME-1\alvilla\LOCALS-1\Temp\Community Coor Workplan 05 02 05.doc • Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation Objective Assessing Responsible Progress disabilities. be from one-on-one 2k Continued utilization of above marketing efforts) locations along with distribution of CWCCI posters in restaurants and wherever permitted 3. Mail brochures,posters,and free Ongoing screening certificates to human services and other agencies/ organizations that communicate with rarely and never screened women. 3A. Work with advisory group to develop community outreach plan for written materials Utilize local print and 1. Identify potential media sources and NCI-CHP Data Ongoing Community Coordinators Coordinator Contact broadcast media(paid and in channels for rarely/never screened Target Eligibility Logs(#of local one-on- kind)to reach program women, i.e.Dept. Social Services Case Data one recruitment activities eligible rarely and never Workers. will be conducted) screened' women in priority 1A. Utilize"want ads"in community populations. newspapers,PSAs,utility bill statements, Hotline Call Summary county/city newsletters. Publish in both (#Received as a result English and Spanish. of one-on-one recruitment efforts) 2. Establish and maintain collaborative Ongoing relationships with local media sources Screening Referrals 2A. Contact local channels for PSAs (#Referrals made as a 3. Review and revise existing media or result of one-on-one develop new media to include Ongoing recruitment efforts) electronic public service announcements,camera-ready ads, Personal History Forms print public service messages, news (15%of responses to releases and feature stories. "how did you hear?"will 3A. Utilize Free Press and other be from one-on-one marketing efforts) community newspapers(both English and Spanish)to provide information and C:\DOCUME-1\alvilla\LOCALS-1\Temp\Community Coor Workplan 05 02 05.doc Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation Objective Assessing Responsible Progress referral. Copies of print and/or 4. Distribute CWCCI information to local Ongoing electronic media will be newspapers,community publications, reviewed when available. church bulletins,television/radio stations,cable channels and electronic bulletin boards. 4A Contact church organizations throughout northeast forinreach activities and distribution of CWCCI materials. Coordinate and maintain a 1. Identify other community referral Hotline call logs Ongoing Community Coordinators Coordinator Contact system to allow easy access line(s)to contract with to take calls Community Recruitment Coordinator Logs(#of local one-on- for women to obtain directed at some future time. Coordinator logs one recruitment activities screening information and 1A. Educate 211 on referral of caller to will be conducted) screening referrals. appropriate community resource. 2. Provide eligibility and screening Ongoing Hotline Call Summary information to all callers. (#Received as a result ofe-on-one 3. Educate callers about the importance of recruitment ou efforts) Ongoing efforts) regular screening and the availability of free exams every year if women Screening Referrals qualify (#Referrals made as a 4. Assess each caller's need for assistance Ongoing result of one-on-one • with making appointments,arranging recruitment efforts) transportation,etc. 5. Ensure all marketing/media materials Ongoing Personal History Forms list the hotline number. (15%of responses to "how did you hear?"will be from one-on-one marketing efforts) Client Satisfaction Survey C:\DOCUME-1\alvilla\LOCALS-1\Temp\Community Coor Workplan 05 02 05.doc Objectives Activities Planned To Achieve This Data Timeframe for Team Members Evaluation Objective Assessing Responsible Progress Meet with case managers 1. Contact new case managers and/or Service delivery As needed Community Coordinators Documentation of case and other appropriate staff at clinic staff at service delivery agencies case manager list Clinical Services Case manager visits and in- CWCCI service sites basis to learn process for providing services. Management Coordinator service presentations to collaborate recruitment of 1A. Identify all new service providers Nurse Consultant women into screening and insure understanding of referral and Review of provider services service delivery process. Provide in- screening data service as needed. Provider evaluation of 2. Identify appropriate referral contacts Ongoing CWCCI staff/ coordinators 3. Conduct in-services for new provider As requested staff Provide one-on-one follow- 1. Identify women referred for services Referral logs Ongoing Data Coordinator Screening Referral up(counseling, education who have not completed screening Coordinator/ Yearly site visit Community Coordinators Follow-up(a minimum and support)to women to exams. Recruitment Recruitment Coordinator of 50%referred women overcoming barriers to 1A. Review referral logs for follow up Summary Reports Clinical Services Case will complete their screening with women not completing exams. Screening Data Management Coordinator screening exam within 6 Identify barriers and assist with Nurse Consultant months) addressing problem areas. 2. Contact women to determine what Ongoing Screening Data barriers they faced. Encourage women Client Satisfaction to be screened and assist with removal Survey of barriers as needed. 3. Visit contract agencies to address As needed Feedback to contractors barriers and identify strategies to reduce barriers. 3A. Focus upon outlying communities with socio-economic concerns. Develop strategies to address referral and service delivery. 3B. Work with consortium to address service barriers. C:\DOCUME-.1\alvilla\LOCALS--1\Temp\Community Coor Workplan 05 02 05.doc Please draw or otherwise indicate, which counties would be served with this Community Coordinator contract and show the areas that would be covered by individual consortia. I Sedgwick ID Moffat Jackson lirrter Weld Logan�iRouttPhillips (<Morgan CD Grand Denver rri-Rio Blanco Yuma Washington 7 1 Eagle ummi+ Garfield • Elbert Kit Carson Pitkin Lake Mesa . Park . • ..•I • • • • • i, a . am • • •••.r! . Tel- Delta ler 1� El Paso --� Cheyenne Chaffee Lincoln Gunnison Montrose Frrmont �... Kiowa Crowley Ouray Pueblo Saguache .Custer "a"�--r San Miguel Hinsdale Bent Provers San Otero Dolores Juan Mineral Huerfano © —_ Rio Grande ,glamosa Montezuma La Plata jostilla Baca ID • C:\DOCUME--1\alvillaUACALS-1\Temp\Community Coor Workplan 05 02 05.doc CWCCI Budget Request And Matching Funds for Outreach Contractors July 1, 2005—June 30, 2006 List the budget request from CWCCI, CDPH&E and calculate all private and public (local, state, and federal) matching funds that will support this project. I Weld County Department of Public Health& Environment—Health Promotions Name of Agency : Budget Category Dollar Amount Requested Dollar Amount of from CDPH&E Matching Funds Personnel/fringe 56 128.63 Travel 1,250 - X Equipment 400 Supplies 174 500 0 Contractual Operating 2,385 1,000 Total Direct 59,937.63 Indirect Cost 12,065.44 Total Request 72,003.07 1,900 Budget Detail: Complete the following budget request and justification template (personnel and fringe, travel, equipment, supplies,operating, indirect charges). Line Item Totals should match those above. "( ` .. • R.v '^ ir yr p r x"7"--44;a4;;;"7 .9., , , g "`3' +eti+s 10i a.,,.. ..�'.,u,.. aw.e .... !:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Conlin Coordinator\Weld-NE\Weld budget.doc Olivia Martinez Health Education 42,531.35 13,597.27 Ii th 56,128.63 Specialist I •. A .. a [ .. ."+x�w �iF. .Y...t.. .. xS .uM. u. .4'C.. Mileage Mileage Northeastern Region for outreach,marketing, 2,000 .385 770 attend consortium meetings and State conference -4.;_- .. 7.- S,._., �t1,.t to tea •- }. g k $` 0 otat M lea e .x. • Lodging 3 Required Regional Consortium Meetings 3 night 90 270 Statewide Comprehensive Cancer Conference 1 night 90 90 1-17 -1.11• - .. . fT. bCa v yea.As...'r Sri m"k JSN' . v . 9 Per Diem Meals overnight stay 6 15 90 Meals—Cancer Conference 2 15 30 J:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Comm Coordinator\Weld-NE\Weld budget.doc t i,'..',-;1121-f!-r-'tt i t. j1 { F - P - i .. M Yt ., `x :j 47�'. " 4?:' .a3i,r , „ �4 e i tair 'e ".474.4.1`;:11"4., ...,t4 22C,121`et al 1,1144"C( ? +k yet �,e'.''a,--` i ., Equipment(TV,VCR,flip chart,etc.) dotal E ui e I 124 ft a, 4 J t 1,r .. 1( a S °, e rtv5__ r_ "'it S 4.I., 3k t₹ 'f €.' -I ... - e;. J ur_... : ...t.x�'t_-.. 't .... ..av_v- 21 ......3:. _. ..(.f.S......_ .»u... . . .. .......r._- I. Office Supplies(paper,pens,notebooks,tablets,flip chart paper,markers,etc.) Paper for reports, letters,minutes 3 reams 8 24 Copies for marketing 5000 copies .03 150 - • -`; :: x` -, ,,:Total Office Supplie4 . .t ,• . .—. , r:z: W. - tso -,-4,414 , ,, 4, Total Supplies { i,,,„,„_4" r 3 4 ,42 ,t,. i€'�4 J:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Comm Coordinator\Weld-NE\Weld budget.doc Marketing(promotional materials,booth space,etc.) .s a . ....'x z �.� �° � „xr r'� ret� tu`lt< �.. ^1- Media Advertising(television,radio,newspaper,etc.) 6 100 600 Greeley Tribune,Trifty Nicle,Radio ads,etc. r „sue �x „ : ti y�-x `" -F^' r l'-,,:h-.1-''..... th-. ,axKs Postage Mailings to service providers,cervical cancer groups, 500 .37 185 volunteers and partnering agencies -., TotalPostage $185 Honoraria, incentives,refreshments Meeting expenses 12-18 75 1,350 Total Honoraria,incentives,refreshments $1,350 Staff Training Statewide Comprehensive Cancer Conference—2 days 1 250 250 J:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Comm Coordinator\Weld-NE\Weld budget.doc • tt.. ry t t. i £ r ti_ tig* " r:; [ '�&*x}� 9=$ tF3 $, rah , t Lr .,� •` J Total Operating < r� Indirect Charges(legal fees,rent,utilities,cleaning supplies, audit cost, interest payments, liability insurance, general postage, general office equipment,building maintenance,etc.) 20.1€3% of all direct costs 12,065.44 tiff - ' v: CWCCI Budget Justification for July 1,2005—June 30,2006 1. Personnel salary for one FTE to coordinate and oversee the Regional Coordinator position. 2. Fringe benefits for one FTE for the Regional Coordinator position 3. Equipment to purchase a cell phone and pay monthly charges. 4. Supplies for promotion and education to reach rarely and never screened women. 5. Contractual none 6. Travel for mileage to cover northeastern region of Colorado,attend consortium meetings and recruit never/rarely screened. 7. Other—operating expense to purchase marketing/promotional materials, for media coverage, for mailings,refreshments and meals for consortium participants and registration fee for statewide conference. 8. Indirect for legal fees,utilities,cleaning supplies, audit cost, liability insurance,general postage, general office equipment,building maintenance,etc. J:\CCP\CWCCI\CONTRACTS\2005-2006 Contracts\Comm Coordinator\Weld-NE\Weld budget-doe Hello