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Home My WebLink About20051368.tiff RESOLUTION RE: APPROVE TASK ORDER CHANGE ORDER LETTER#2 FOR NURSE HOME VISITOR 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 Change Order Letter#2 for the Nurse Home Visitor 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 July 1, 2004, and ending June 30, 2005,with further terms and conditions being as stated in said change order, and WHEREAS,after review,the Board deems it advisable to approve said change 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 Change Order Letter#2 for the Nurse Home Visitor 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 change order. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 4th day of May, A.D., 2005, nunc pro tunc July 1, 2004. BOARD OF COUNTY COMMISSIONERS 4 LELa ) / WELD COUNTY, COLORADO 1861 j William H. ke, Chair I O .y Clerk to the Board 777 °Ili WI ile, Pro- em 4' eputy Clerk to the Board David E. Long R ED AS TO FOEXCUSED Robe. Masde ounty A rney � Glenn Vaad Date of signature: -�lJ04— 2005-1368 HL0032 7 Memorandum TO: William H. Jerke, Chair Board of County Commissioners IFROM: Mark E. Wallace, MD, MPH, Director O Department of Public Health and ��" �J Environment elmo lit iuk _ ' COLORADO DATE: May 2,2005 /6/� `Pew- SUBJECT: Change Order Letter#2 for the Nurse Home Visitor Program Enclosed for Board review and approval is Change Order Letter#2 between the Colorado Department of Public Health and Environment (CDPHE) and Weld County for the Nurse Home Visitor Program. This change order letter will increase the amount eligible for reimbursement by CDPHE for the current Task Order term, July 1, 2004 through June 30, 2005 by $55, 192 bringing the total amount to $482,302. All of the funds Weld County receives from CDPHE for this program originate from the Master Settlement Agreement between multiple states (including Colorado) and certain tobacco companies. Under the provisions of the original task order, WCDPHE has implemented and provides county- wide nurse home visitor service to low-income, first-time mothers. The nurse home visits support health, education, and other resources for new young mothers during their pregnancies and the first years of their infants' lives. Since July 1, 2004, the Department of Public Health and Environment has been able to bill Medicaid of Colorado for these services. This additional funding will supplement the previously anticipated Medicaid reimbursement. I recommend your approval of this change order letter. Enclosure 2005-1368 TASK ORDER CHANGE ORDER LETTER April 27,2005 Task Order Change Order Letter Number 02, Contract Routing Number 05 FLA 00528 State Fiscal Year 2004-2005, PSD-CASH-NHVP This Task Order Change Order Letter is issued pursuant to paragraph F_3.of the Master Contract identified as contract routing number 00 FAA 00008 and paragraph D. of the Task Order identified as contract routing number 01 FAA 00942 and contract encumbrance number PO FAA FHS0100942. This Task Order Change Order Letter is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and 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. The Task Order has been amended by Task Order Renewal Letter 01 contract routing number 02 FAA 00183,Task Order Renewal Letter 02,contract routing number 03 FAA 00290,Task Order Change Order Letter 01,contract routing number 03 FAA 00865,and Task Order Option To Renew Letter 03,contract routing number 04 FAA 00065 and Task Order Amendment#1,contract routing number 05 FLA 00051. 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 July 1,2004,through June 30,2005. The maximum amount payable by the State for the Continuation Services performed by the Contractor during this current term is increased by Thirty- Four Thousand Twenty Dollars($34,020.00),for an amended maximum amount payable by the State for the Continuation Services during this current term of Three Hundred Twelve Thousand,Two Hundred Thirty Dollars ($312,230.00),and the maximum amount payable by the State for the Expansion Services performed by the Contractor during this current term is increased by Twenty-One Thousand One Hundred Seventy-Two Dollars($21,172.00),for an amended maximum amount payable by the State for the Expansion Services during this current term of One Hundred Seventy Thousand,Seventy-One Dollars($170,071.00),for a total increase during this current term of Fifty-Five Thousand One Hundred Ninety-Two Dollars,($55,192.00),for an amended total financial obligation of the State of ONE MILLION SIX HUNDRED THIRTY-THREE THOUSAND FOUR HUNDRED SIXTY-ONE DOLLARS AND SEVEN CENTS,($1,633,461.07). The revised Continuation Budget and the revised Expansion Budget are incorporated herein by this reference,made a part hereof,and attached hereto as"Attachment K"and "Attachment L". The first sentence in paragraph C. 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 June 1,2005,whichever is later. Please sign,date,and return all four fill originals of this Task Order Change Order Letter by May 23,2005,to the attention of: Reny Becker,Colorado Department of Public Health and Environment,4300 Cherry Creek Drive South,Mail Code PSD-MCH-A4,Denver,Colorado 80246. One original of this Task Order Change Order Letter will be retumed to you when fully approved. BOARD OF COUNTY COMMISSIONERS STATE OF COLORADO OF WELD COUNTY(a political subdivision Bill Owens,Governor of the state of Colorado)for the use and benefit of the Weld County Department of Public Health and Environment G. By: , \r/i ft, By: f Name: William H. Jerke 05/04/2005 For the Exe tiveDirector Title: Chair DEPART NT OF PUBLIC HEALTH F IN: 84-6000813 AND ENVIRONMENT 40 /W PROGRAM PPROVAL: .V. • ,Mired) l .)-1 •..�, ) "6 111 By e n �" 1861 `�^•'4 � red • 14 'War /diL // ' ,t•1 'N �� 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. S E CONTROLLER: WELD COUNTY DEPARTMENT OF slie M.She efe h� LIC HEALTH J ENViRONM T /f � ` BY: Gi"� By: Gl Date: D< Mark E. Wallace, MD, MPH-Dire Pagel of I Revised:11/5/04 EXPANSION BUDGET REVISED Attachment L " BUDGET AND/OR EXPENDITURE REPORT FORM APPLICANT: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH 8 ENV. FOR THE PERIOD: 7/01/04 TO 6/30/05 PROJECT:NURSE HOME VISITOR PROGRAM 0.73117 Annual No.of Total - Source of Funds Salary Months Amount Received from Rate Budget FTE Awarded CDPHE OTHER' PERSONAL SERVICES: Public Health Nurses,Supvr,8 Cleric 12 2.50 $107,956 $78,934 Contractual/Fee for Service- - Budget Redistribution $0 $0 "Vac Say"Additional Funding $15,846 Fringe Benefits: Rate= $35,175 $25,719 Total Personal Services $143,131 $120,499 $0 OPERATING EXPENSES(which are not part of indirect): 00¢e Rent/Utilities-County Building Services $0 $0 Office Supplies $600 $439 "Vac Say"Additional Funding $0 $911 Client Support Materials $4,000 $2,925 Forms/Facilitators/Outreach Materials $1,000 $731 Copying 8 Postage $300 $219 Advisory Board $0 $0 Telephone $600 $439 Computer Network/Internet Fees $180 $132 Cell Phones $1,200 $877 Medical 8 Program Supplies $450 $329 Professional Development $1,000 $731 Interpreter Services $0 $0 Utilities,Bldg,Maint.8 Insurance $0 $0 Finance 8 HR $0 $0 Total Operating $9,330 $7,733 $0 EQUIPMENT Computer,Software 8 Office Eqpt.PLUS Vac Say Add. $3,200 $6,755 Total Equipment $3,200 $6,755 $0 TRAVEL(In-state/Out-state) Visit/Outreach Mileage $8,520 $6,230 NCCFC/UCHSC Training Travel $4,125 $3,016 NCAST Travel $3,444 $2,518 Total Travel $16,089 $11,764 $0 TRAINING 8 TECHNICAL ASSISTANCE-NCCFC/UCHSC Clinical Training 8 Support $6,500 $0 $6,500 Training Materials $875 $0 $875 Purchase of Clinical Info.System(CIS) $0 $0 $0 Technical Assistance $0 $0 $0 NCCFC Contract Indirect Costs $2,043 $0 $2,043 PIPE Materials $484 $0 $484 Total Training 8 Tech.Assistance $9,902 $0 $9,902 NCAST TRAINING 8 MATERIALS NCAST TRAINING 8 MATERIALS $2,081 $1,522 Total NCAST Training 8 Materials $2,081 $1,522 $0 Total Direct Costs(Personal Services+Operating+Trayel+Contractual) $183,733 $148,273 $9,902 ADMINISTRATIVE/INDIRECT COST 17.15%TDC $31,510 $21,798 Total Administrative/Indirect Costs $31,510 $21,798 $0 TOTAL PROJECT COST $215,243 $170,071 $9,902 'Source of funding for"Other"(Cash or In-kind) including funding from Medicaid sources. $ $ $ TOTAL May the NON FEDERAL funds be used as match? YES NO ,Signature of Authorized Representative Date Page IN1 • CONTINUATION BUDGET REVISED Attachment K ` BUDGET AND/OR EXPENDITURE REPORT FORM APPLICANT: WELD COUNTY DEPT.OF PUBLIC HEALTH&ENV. FOR THE PERIOD: 7/01104 TO 6/30/05 PROJECT:NURSE HOME VISITOR PROGRAM 0.71480 Annual No.of Total Source of Funds Salary Months Amount Received from Rate Budget FTE Awarded CDPHE OTHER' PERSONAL SERVICES: Public Health Nurses,Supvr.8 Clerk 12 4.80 $225,683 $161,318 Contractual/Fee for Service- Budget Redistribution(Original) $500 $0 "Vac Say"Additional Funding $32171 Fringe Benefits: Rale= $72,151 $51,574 Total Personal Services $298,334 $245,063 $0 OPERATING EXPENSES(which are not part of indirect): Office Rent/Utilities-County Building Services $0 $0 Office Supplies $1,200 $858 "Vac Sav"Additional Funding $0 $1849 Client Support Materials $5,800 $4,146 Forms/Facilitators/Outreach Materials $2,000 $1,430 Copying 8 Postage $600 $429 Advisory Board $0 $0 Telephone $1,200 $858 Computer Network/Internet Fees $360 $257 Cell Phones $2,500 $1,787 $4 Medical 8 Program Supplies $600 $429 Professional Development $2,000 $1,430 Interpreter Services $0 $0 Utilities,Bldg.Maint.8 Insurance . $0 $0 Finance 8 HR $0 $0 Total Operating $16,260 $13,473 $0 EQUIPMENT Computer,Software 8 Office Eqpt. $0 $0 Total Equipment $0 $0 $0 TRAVEL(in-state/Out-state) Visit/Outreach Mileage $17,040 $12,180 NCCFC/UCHSC Training Travel $1,000 $715 NCAST Travel $0 $0 Total Travel $18,040 $12,895 $0 TRAINING&TECHNICAL ASSISTANCE-NCCFC/UCHSC Clinical Training 8 Support $0 $0 $0 Training Materials $0 $0 $0 Purchase of Clinical Info.System(CIS) $0 $0 $0 Technical Assistance $6,000 $0 $6,000 NCCFC Contract Indirect Costs $1,560 $0 $1,560 PIPE Materials $0 $0 $0 Total Training B Tech.Assistance $7,560 $0 $7,560 NCAST TRAINING 8 MATERIALS NCAST TRAINING 8 MATERIALS $100 $71 Total NCAST Training&Materials $100 $71 $0 Total Direct Costs(Personal Services+Operatinq+Travel+Contractual) $340,294 $271,502 $7,560 ADMINISTRATIVE/INDIRECT COST 17.15%TDC Cap $58,360 $40,728 Total Administrative/Indirect Costs $58,360 $40,728 $0 TOTAL PROJECT COST $398,654 $312,230 $7,560 'Source of funding for"Other"(Cash or In-kind) including funding from Medicaid sources. $ $ $ TOTAL May the NON FEDERAL funds be used as match? YES NO Signature of Authorized Representative Date Page I Si 1 Hello