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HomeMy WebLinkAbout20032825.tiff RESOLUTION RE: APPROVE TASK ORDER FOR COLORADO PHYSICAL ACTIVITY AND NUTRITION 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 Colorado Physical Activity and Nutrition 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 October 1, 2003, and ending September 30, 2008, with further terms 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 Colorado Physical Activity and Nutrition 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 8th day of October, A.D., 2003, nunc pro tunc October 1, 2003. BOARD OF COUNTY COMMISSIONERS e W D COUNTY, COLORADO ATTEST: � �l _ 'j • """"""���J D-vid E. Lo •, Chair Weld County Clerk to the Board ,�: \ •� /�i Robert D. 'sden, Pro-Tem V k to the Board 1186, 4Z9= M. J. eile William H. Jer my Attorn y Glenn Vaa Date of signature: ti-O7 2003-2825 H L0030 Executive Summary. Steps to a Healthier Colorado (STEPS) is a project meeting the Steps to a HealthierUS requirements for State-Coordinated Small City and Rural Community Applicants. The Colorado Department of Public Health & Environment (CDPHE) will coordinate STEPS projects in four communities: Mesa County, Pueblo County, Teller County, and Weld County. Community intervention strategies are evidence based and include community level interventions, environmental interventions, and educational interventions. The Colorado STEPS project's planned short-term outcomes include: increased exposure of community members, educators, health care professionals, and school-aged children to education about disease prevention and self-management, healthy lifestyles, increased availability of health care services and screening, and increased access to and consumption of healthy foods. Major planned intermediate outcomes include: increased awareness of the benefits of a healthy lifestyle, the risks of diseases and the advantages of proper treatment for chronic diseases; more community residents engaging a healthier lifestyle; increased access to healthier environments; and increased correct diagnosis of and appropriate care for people with chronic diseases. DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT DEPARTMENT OR AGENCY NUMBER FLA CONTRACT ROUTING NUMBER 04-00154 TASK ORDER Colorado Physical Activity and Nutrition Program This Task Order is made this 22nd day of September,2003,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 fa political subdivision of the state of Coloradol,whose address or principal place of business is 915 10th Street, 3r°Floor,Greeley,Colorado 80631, 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 17th Avenue,Greeley,Colorado 80631,hereinafter referred to as"the Contractor". FACTUAL RECITALS WHEREAS,the United State Department of Health and Human Services("USDHHS"),through the Centers for Disease Control and Prevention(CDCP)has awarded the State federal funds under Notice of Cooperative Agreement Award("NCAA")number U58/CCU823313-01 to perform Steps to a HealthierUS: A Community- Focused Asthma,Diabetes,and Obesity Program, (see,Catalog of Federal Domestic Assistance("CFDA")number 93.283),Program Announcement Number 03135; WHEREAS,the State has formulated a comprehensive State plan, with associated budgets,to disburse these funds throughout the state of Colorado; WHEREAS,under this comprehensive State plan,the State shall allocate these funds to qualified entities to provide to the citizens of the state of Colorado on behalf of the State, community consortiums that focus on the prevention and control of chronic disease and associated risk factors; WHEREAS,as of the made date of this Contract, the State has a currently valid Group II purchasing delegation agreement with the division of finance and procurement within the Colorado Department of Personnel and Administration; WHEREAS,section 29-1-203, 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; Page 1 of 7 WHEREAS,all state of Colorado contracts with its political subdivisions are exempt from the state of Colorado's personnel rules and procurement code; WHEREAS, 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 02 FAA 00008. This Task Order is issued pursuant to the terms and conditions of that Master Contract. WHEREAS,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 of this Contract in Fund Number 100,Appropriation Account 777,and Organization Number 7350,under Contract Encumbrance Number PO FLA PPG0400154; and, WHEREAS,all required approvals,clearances, and coordination have been accomplished from and with all appropriate agencies. 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 September 22.2003. However,in accordance with section 24-30-202(1), C.R.S.,as amended,this Contract is not valid until it has been approved by the State Controller,or an authorized designee thereof If the underlying NCAA authorizes the State to pay all allowable and allocable expenses of a contractor as of the effective date of that NCAA,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 Contract. If the underlying NCAA does not authorize the State to pay all allowable and allocable expenses of a contractor as of the effective date of that NCAA,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 Contract. The initial term of this Contract shall commence on its effective date and continue through and including September 21,2003. If the State receives additional federal funding for the purposes of this Contract,then this Contract shall automatically renew for the period covered by those additional federal funds. This Contract is funded entirely with federal funds. Therefore,the State's liability for payment for all services rendered,or goods supplied,under this Contract 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 Contract,then the State may immediately amend or terminate this Contract without further liability to the State. The total term of this Contract, including all automatic renewals,bilateral options to renew,and extensions,may not exceed five(5)years. B. DUTIES AND OBLIGATIONS OF THE CONTRACTOR. 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 Statement of Work and Budget, which are incorporated herein by this reference,made a part hereof and attached hereto as"Attachment A". Page 2 of 7 Contractor agrees: 1. That 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. 2. To the greatest extent practicable, all equipment and products purchased with CDC funds should be American-made. 3. When issuing statements,press releases,requests for proposals,bid solicitations and other documents describing projects or programs funded in whole or in part with Federal money, all awardees receiving Federal funds, including and not limited to State and local governments and recipients of Federal research grants, shall clearly state(a)the percentage of the total costs of the program or project which will be financed with Federal money;b)the dollar amount of Federal funds for the project or program,and 3)the percentage and dollar amount of the total costs of the project or program that will be financed by nongovernmental sources. 4. To comply with the"standard patent rights"clauses in 37 CFR 401.14. 5. To provide monthly reports due the first of each month which: a. Describe the progress made toward each objective set forth in this Scope of Work; b. Describe the activities and goals for completion over the following month; c. Provide a detailed explanation for any activity or objective not completed 6. To complete staff hires by November 1, 2003, and provide proof of such hires CDPHE by November 2,2003. 7. To provide scopes of work to CDPHE for all sub-contractors by December 1,2003. 8. Complete YRBS by December 30,2003 and provide proof of such completion to CDPHE by December 31,2003. 9. Conduct their first health coalition meeting by January 30,2004 and provide proof of such meeting to CDPHE by January 31,2003. 10. Meet the communication plan specified in the grant announcement and application. 11. Attend required trainings,conferences, workshops,etc. as outlined in the grant announcement, grant application,or communication with CDPHE. Page 3 of 7 12. Complete a five(5)year action plan within eight(8)months of the start date of the contract,and provide such action plan to CDPHE no later than May 31,2004. C. DUTIES AND OBLIGATIONS OF THE STATE. 1. The Contractor shall be compensated in accordance with the 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 TWO HUNDRED SIXTY-NINE THOUSAND NINE HUNDRED NINETY-FOUR DOLLARS, ($269,994.00)for the initial term of this Task Order. Of the total financial obligation of the State referenced above, $269,994.00 are identified as attributable to a funding source of the United States government and, $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 of a 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, duplicate monthly Task Order Reimbursement Statement within sixty(60)calendar days of the end of the billing period for which services were rendered. A sample Task Order Reimbursement Statement is incorporated herein by reference,made a part hereof, and attached hereto as"Attachment B". Expenditures shall be in accordance with those items identified in Attachment A. These items may include,but are not limited to: the Contractor's salaries, fringe benefits,supplies,travel,operating,and indirect costs which are allowable and allocable expenses related to its performance under this Task Order. Each Task Order Reimbursement Statement shall reference the related Matter 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: Rachel Oys Prevention Services Division Colorado Department of Public Health and Environment CDPHE-COPAN-A5 4300 Cherry Creek Drive South Denver,CO 80246 Page 4 of 7 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 C". 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. 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: Page 5 of 7 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 D". 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 7 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. If the 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. Page 7 of 7 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 By: C �cx a By: 1 Name: David E. Long, Chair For the Execu ive Director • Title: Board of County Comm ssioners DEPARTMENT OF PUBLIC H FEIN: 84-6000813 B AND ENVIRONMENT �►•t 08/2003 d Date: ,,L I . l /��,�► /fin, 71441 t4/1 I' ATTEST: PROGRAM APPROVAL: ZA't By: GC Ct__OAl 0 X C — rr/`� < County, Satial2113121aXIPINAKICtilt16XiXa181111 Deputy Clerk to the Board 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: Arthur L.Barnhart • By: Date: /o _ /6— 03 Revised:12/31/02 Page 8 of 7 ATTACHMENT A WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT SCOPE OF WORK AND BUDGET Objective 1: Increase awareness, among 3,000 adolescents and adults, of health complications that result from being overweight/obese and work towards decreasing obesity prevalence in Weld County by September 2004. (Baseline: 2000 residents currently served) Actions: 1. Introduce the Colorado On The MoveTM program using pedometers to two large worksites, per year, in Greeley, with at least 20% of the employees participating at each company by September 2004 through 2008. 2. Develop and implement a walking program at both the Greeley and Evans Senior Centers incorporating the pedometers and Colorado On The MoveTM with at least 20% of the members participating by September 2004 through 2008. 3. Work with major worksites to encourage the use of local fitness centers and implement overall wellness programs by September 2004. 4. Work with major worksites to implement point of decision prompts by September 2004. 5. Provide three six-week nutrition education and cooking classes on reducing fat and increasing fruits and vegetables into a healthy diet to parents of participants of the after school nutrition and fitness program, spring and summer semesters, by September 2005. 6. Develop a multi-faceted campaign to promote the 5 A Day program working with restaurants, the farmer's market, and major worksites by September 2006. 7. Develop and implement guidelines to encourage offering healthy snacks and foods in vending machines in schools, recreation centers and adolescent congregations by September 2007. 8. Work with local restaurants to provide nutrition and portion size information to patrons by September 2008. Objective 2: Increase both the proportion of adults diagnosed with diabetes in Weld County and provide increased care to at least 1000 by September 2004. (Baseline: 10,218 current adults with diabetes) Actions: 1. Conduct a media campaign to inform residents of the screenings available and to educate adults with diabetes on the necessity of annual foot and dilated eye examinations by September 2004 through 2008. 2. Train at least 70 health care professionals on office-based procedures for foot screenings, teaching blood glucose monitoring, and insulin administration techniques by September 2004 through 2006. 3. Collect data on the number of adults with diabetes who currently receive an annual foot and dilated eye exam by September 2004. 4. Increase the proportion of adults with diabetes in Weld County who have a foot examination by 300 by September 2005. 5. Increase to at least 20%the proportion of adults with diabetes who engage in moderate physical activity for at least 30 minutes, five or more days per week by September 2005. 6. Increase the proportion of adults with diabetes in Weld County who receive at least two A1C measures per year by 250 by September 2006. 7. Provide dilated eye exams for 120 low-income individuals with diabetes in Weld County, who do not have vision insurance by September 2007. 8. Offer American Diabetes Association self assessment risk tool Take the Test, Know Your Score to senior centers, worksites and community groups by September 2008. 9. Offer four cooking classes for people with diabetes and their families specializing in healthy menu choices by September 2008. Objective 3: Increase by 20% the number of Weld County residents who receive education about treatments, resources, and causes of asthma by September 2004. (Baseline: To be determined)[Banner Health, WDPHE Tobacco Program Coordinator] Actions: 1. Collect data on numbers of children and adults diagnosed with asthma from schools, community health centers and local PCPs by September 2004 through 2008. 2. Increase by 20% over the data collected in Action#1 the number of persons with asthma who receive formal patient education, including information about community resources, as an essential part of the management of their condition by September 2004 through 2008. 3. Provide schools, community health centers and local PCPs with educational in-service opportunities using best practices to identify appropriate diagnosis, degree of the disease and the effectiveness of medication control by September 2005. 4. Increase by 150 the number of adult Weld County Smokers making quit attempts by September 2004 through 2008. 5. Work with at least three communities in Weld County on a comprehensive clean indoor air ordinance, which protects the public from secondhand smoke in public places and the workplace by September 2006. 6. Visit at least 50 Weld County tobacco retailers to disseminate educational information about youth access laws by September 2007. 7. Promote local and state cessation resources to 30 worksite/businesses in Weld County, with at least five of these sites being Latino businesses by September 2008. Effectiveness. The WCDPHE intends to allow the differences between agencies to continue to benefit the community while leveraging scarce resources and information to increase capacity for preventive chronic disease services. It is the goal of the WCDPHE to build on and complement, not duplicate, existing programs. Sustainability Plan. The budget estimates the key partners in the STEPS project will donate in- kind funding in the amount of$120,000. Many of the proposed projects will become a part of the participating organizations' operating budgets and, therefore, funded from patient revenues and traditional grant sources. The grant manager will continue to leverage local, state and federal funds to support those projects not absorbed by operating budgets. WELD SCHOOL INTERVENTION PLAN Objective 1: Increase awareness, among 2,000 adolescents of health complications that result from being overweight/obese and work towards decreasing obesity prevalence in Weld County by September 2004. (Baseline: approximately 18,000 students in Weld County School District 6)[School District 6] Actions: 1. Introduce the TAKE 10! Program into at least four elementary schools in the Weld County School District 6 with at least 50% of the classrooms participating in each school by September 2004. 2. Implement the Nu-Fit Program in four Weld County School District 6 after school programs providing education and skill building activities on physical activity and nutrition twice a week at each site by September 2004. 3. Implement the Nu-Fit Program in one Weld County School District 6 summer program providing education and skill building activities on physical fitness and nutrition twice a week by September 2004. 4. Establish a Nutrition Advisory Committee for Weld County School District 6 by September 2005. 5. Provide nutrition services and access to variety of nutritious meals which reflect the Dietary Guidelines for Americans in all elementary and middle schools in Weld County School District 6 by September 2005. 6. Establish a school nutrition program that limits the availability of foods high in fat, sodium, and added sugars in all schools in Weld County School District 6 and alter the food environment in Weld County School District 6 by making healthy food an easy, less expensive, and a desirable choice by September 2005. 7. Serve wheat breads instead of white breads in all Weld County School District 6 schools by September 2006. 8. Limit the number of a la carte items offered in all Weld County School District 6 schools to only include foods, which reflect the Dietary Guidelines for Americans by September 2006. 9. Increase the number and kinds of fresh fruits and vegetables offered daily at the elementary, middle, and high schools sites to at least three times a week by September 2007. 10. Implement a marketing campaign on 5 A Day in all District 6 schools the third week of September 2004 for the entire week by September 2007. 11. Increase knowledge of fruits, vegetables and grains, preparation methods and benefits of eating five or more servings daily by youth ages 6— 13 participating in the after school program, the Nu-Fit Program, by providing nutrition education and food preparation classes by September 2008. 12. Increase knowledge and skills for consuming a diet with less than 30% calories from fat by providing nutrition education and food preparation classes to the participants, ages 6— 13, in the after school program, the Nu-Fit Program by September 2008. Objective 2: Provide increased care to at least 250 diagnosed students with diabetes by September 2004. (Baseline: To be determined[School District 61) Actions: 1. Conduct a media campaign to inform residents of the screenings available and to educate people with diabetes on the necessity of annual foot and dilated eye examinations by September 2004 through 2008. 2. Train at least 10 school nurses about blood glucose monitoring and insulin administration techniques by September 2004 through 2008. Objective 3: Increase by 20% the number of Weld County adolescents who receive education about treatments, resources, and causes of asthma by September 2004. (Baseline: To be determined)[Banner Health, School District 6, WDPHE Tobacco Coordinator] Actions: 1. Identify adolescents who have been diagnosed with asthma from schools, community health centers and local PCPs by September 2004 through 2008. 2. Increase the proportion of adolescents with asthma who receive formal patient education, including information about community resources, as an essential part of the management of their condition by September 2004 through 2008. 3. Provide schools, community health centers and local PCPs with educational in-service opportunities using best practices to identify appropriate diagnosis, degree of the disease and the effectiveness of medication control by September 2004 through 2008. 4. Increase smoke-free and tobacco-free environments in schools, including all school facilities, property, vehicles, and school events by September 2004 by marketing evidence-based tobacco reduction and cessation programs to schools. 5. Conduct at least five CDC Got A Minute presentations at various schools, parent organizations or community organizations in Weld County by September 2005. 6. Present Tobacco Free Weld County presentation to at least four Educational staff development meetings regarding Alternative to Suspension, Not On Tobacco, video resource library, and other programs at the WCDPHE by September 2007. 7. Increase to 23% the proportion of Weld County School Districts with one or more schools offering an Alternative to Suspension program for students facing suspension for violating their schools tobacco policy by September 2008. Effectiveness. Because of the size of Weld County School District 6, approximately 18,000 students, the effects of the STEPS project in conjunction with the Improving the Health Education and Well-Being of Colorado's Young People grant, recently received by the Colorado Department of Education, will improve student health dramatically in large numbers of students. Another factor that will significantly enhance the impact of these two major initiatives is the fact that the Executive Director of the WCDPHE is currently the Greeley/Evans School Board President and wholeheartedly supports efforts focused towards preventing chronic diseases. Sustainability Plan. Many of the proposed school-based projects will require policy changes, which will then be implemented with no need for future funding. The grant manager will continue to leverage local, state and federal funds to support those projects, which are not policy changes. icIal0003GBT'JWSTIFICA.TION A. PERSONNEL TOTAL $ 103,462.00 Position Title and Name Yearly Percent of Number of $ Amount Salary Time Months Project Coordinator- Bidel $40,318.00 100% 12 $40,318.00 School Health Coordinator- Vacant $33,616.00 100% 12 $33,616.00 Tobacco Coordinator- Martinez $37,444.00 50% 12 $18,722.00 Administrative Assistant- Duell $21,611.00 50% 12 $10,806.00 Justification: The Coordinator positions will be responsible for an effective Community Consortium, School Health Council, Leadership Team, evidenced based programming delivered with fidelity, materials and supply selection and evaluation/reporting on the project. The Administrative Assistant will maintain databases, publish newsletters, and purchase supplies. B. FRINGE BENEFITS TOTAL $33,108.00 32% of total salaries for positions. C. TRAVEL TOTAL $11,453.00 In-State Travel 3 trips to Denver x 2 staff x 100miles r/t x .36/mile $216.00 4 per diem @ 42 /day x 2 staff $336.00 1 night lodging @ $75 /nt x 2 staff x 3 trips $450.00 Local Travel for 2 staff est. at 365mi/mo x 11 mo = 8030 mi @ .36 $2,891.00 Out-of-State Travel 3 persons x $600 airfare x 2 trips $3,600.00 4 days per diem x $45 x 3 persons x 2 trips $1,080.00 3 nights lodging x $150/nt x 3 persons x 2 trips $2,700.00 Ground Transportation x $30 r/t x 3 persons x 2 trips $180.00 Justification: Staff members will travel to Denver, Atlanta, and D.C. for meetings/conferences. D. EQUIPMENT: TOTAL 51,200.00 1 personal computer with monitor $1,200.00 Justification: 1 computer will be purchased for School Health Coordinator. E. SUPPLIES TOTAL $30,777.00 Take 10! Program and Nu-Fit Club kits $8,277.00 Pedometers $4,000.00 Media Campaign $7,715.00 Health Trainings $2,000.00 Increased Examinations $3,500.00 Patient Education and Tobacco Prevention Materials $2,500.00 General Office Supplies $2,785.00 Justification: Office supplies for staff members to carry out daily activities of the program. Pedometers for COTM. Program materials and curriculums for program implementation. F. CONTRACTUAL TOTAL $58,300.00 8 Contract positions $33,900.00 Banner Health -Asthma Outreach Coordinator $14,400.00 Northern Colorado Health Alliance- Grant Manager $10,000.00 Justification: The WCDPHE will contract with UNC graduate students to fully implement the Nu-Fit program. In addition, the WCDPHE will contract with an asthma outreach coordinator, trained by Banner Health and a grants manager at the North Colorado Health Alliance, to maintain the HealthierUS grant. J. TOTAL DIRECT CHARGES TOTAL $238,300.00 I. INDIRECT COSTS TOTAL $31,694.00 13.3% indirect rate is applied to all direct costs. K. TOTAL DIRECT AND INDIRECT TOTAL $269,994.00 Dates Budgeted Expenditures WELD Total Overall Personnel Supplies Total Project Outcomes&Activities Start Finish (Salary& Travel Equipment & Contracts Indirect Costs— Fringe Materials Direct conference _Benefit_ _ Trips _ Community Outcome 1: Increase awareness of health complications that result from being overweight/obese. Activity 1.1 Colorado on 10/03 06/04 $3749 $259 $0 $2154 $556 $6718 $2777 $7560 the Move @ Worksites Activity 1.2 Colorado on the Move @ Senior 10/03 08/04 $3749 $259 $0 $2154 $556 $6718 $2777 Centers Activity 1.3 Implement Overall Wellness 10/03 09/04 $3749 $259 $0 $1904 $556 , $6468 $2777 Programs Activity 1.4 Worksite Point 10/03 09/04 $3749 $259 $0 $1904 $556 $6468 $2777 of Decision Prompting Community Outcome 2: Increase both the proportion of diagnosed diabetic adults and provide increased care. Activity 2.1 Media 10/03 09/04 $3749 $259 $0 $4011 $556 $8585 $2778 Campaign Activity 2.2 Healthcare • 10/03 09/04 $3749 $260 $0 $1154 $556 $5719 $2778 Training Activity 2.3 Collect Data 10/03 09/04 $3749 $0 $0 $158 $556 $4463 $2778 Community Outcome 3: Increase the number of residents who receive education about treatments, resources, and causes of asthma. Activity 3.1 Collect Data 10/03 09/04 $3749 $0 $0 $158 $4155 $8062 $2778 Activity 3.2 Patient 10/03 09/04 $3749 $260 $0 $779 $4155 $8943 $2778 Education Activity 3.4 Tobacco 10/03 09/04 $16,105 $260 $0 $779 $556 $17,700 $2778 Prevention School Objective 1: Increase awareness of health complications that result from being overweight/obese. Activity 1.1 Introduce TAKE 10! To Four 10/03 09/04 $9296 $260 $150 $2913 $38,955 $51,574 $2778 Schools Activity 1.2 Implement Nu 10/03 09/04 $9296 $260 $150 $2913 $7755 $20,374 $2778 Fit Club in Four Schools 14 Activity 1.3 Implement Nu- Fit Club in Summer 10/03 09/04 $9296 $260 $150 $2913 $556 $13,175 $2778 Program , School Objective 2: Increase both the proportion of diagnosed diabetic adults and provide increased care. Activity 2.1 Media 10/03 09/04 $9296 $260 $150 $4012 $555 $14,273 $2778 Campaign _ Activity 2.2 Healthcare 10/03 09/04 $9296 $260 $150 $1154 $555 $11,415 $2778 Training School Objective 3: Increase the number of adolescents who receive education about treatments,resources,and causes of asthma. Activity 3.1 Collect Data 10/03 09/04 $9296 $0 $150 $159 $4155 $13,760 $2778 Activity 3.2 Patient 10/03 09/04 $9296 $260 $150 $779 $4155 $14,640 $2778 Education Activity 3.3 Tobacco 10/03 09/04 $21,652 $260 $150 $779 $555 $23,396 $2778 Prevention Total $136,570 $3894 $1200 $30,777 $70,000 $242,440 $50,000 15 ATTACHMENT B TASK ORDER REIMBURSEMENT STATEMENT To: Rachel Oys Colorado Department. of Public Health&Environment FEDERAL TAX ID#: 84-6000813 B HPDP-COPAN-A5 4300 Cherry Creek Drive South NAME OF PROGRAM: Steps to a Healthier US: Denver,Co 80246-1530 From: Weld County Department of Public Health and Environment EXPENDITURES: FROM TO Expenditures BRIEF DESCRIPTION OF EXPENDITURES TOTAL EXPENSES Charged to CDPHE Agency's Share of In- Kind/Other covering the above period. Total Reimbursement Request: $ This is to certify that these expenses were incurred per master contract routing#02 FAA 00008 and Task Order Routing#04 FLA 00154 during the time period designated above. Contractor Signature: DATE: I hereby certify that all contract requirements have been met and the amounts billed are correct. Payment is authorized. CDPHE Authorized Designee: DATE: [Date] SAMPLE TASK ORDER CHANGE ORDER LETTER Attachment C 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 JLEGAL 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 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 (Seal) ATTEST: PROGRAM APPROVAL: By: 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: Arthur L.Barnhart By: Date: Revised:08/30/02 [Date[ SAMPLE TASK ORDER OPTION TO RENEW LETTER Attachment D Task Order Option to Renew Letter Number**, Contract Routing Number** *** ***** State Fiscal Year 20**-20** *************** Pro¢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,f*.**'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 (Seal) ATTEST: PROGRAM APPROVAL: By: 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: Arthur L.Barnhart By: Date: Revised:08/30/02 6 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT j 1555 N. 17th Avenue Greeley, 80631 WEBSITE: www.co.weld.co.us ' ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 C PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 FAX: (970) 304-6416 O ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 COLORADO FAX: (970) 304-6411 Memorandum TO: David E. Long, Chair Board of County Commissioners FROM: Mark Wallace, MD, MPH ,4 .5 /�/, �, /)j2 Executive Director �"""�C DATE: October 6, 2003 SUBJECT: Health & Human Services Steps Grant Enclosed for Board review and signature are the objectives and action steps for the Weld County Department of Public Health and Environment's application for the Health &Human Services Steps Grant. The total amount of award is $1.35 million for the funding period of October 1, 2003 through September 30, 2008. This grant has been awarded and has a five-year project period, with the initial year's funding amount of$269,994. Weld County Department of Public Health and Environment will use this funding for a 1.0 FTE Project Coordinator, a 1.0 FTE School Health Coordinator, a 0.5 FTE Tobacco Coordinator, and a 0.5 FTE administrative assistant. I recommend your approval. Enclosure 2003-2825 Jodi Moore-Steps to a Healthier Colorado Contract Page 11 From: "Pam Marroney" <pam.marroney@state.co.us> To: <jmoore@co.weld.co.us> Date: 10/6/03 10:01 AM Subject: Steps to a Healthier Colorado Contract ** High Priority** Jodi, Good morning. I have been asked to forward to you for routing, an electronic version of the Task Order between the Colorado Department of Public Health and Environment and Weld County, contract routing number 04-00154. It is my understanding that the board is meeting this morning. Attached is the Task Order, however, we would ask that you please insert at the end of the Scope of Work and before the budget pages, your attachment D which sets forth dollar amounts for each objective. If you are unclear on what to include or how to do that, please contact me. It is necessary to have five copies of the Task Order signed with appropriate signatures, one of which is the designated authority for the Board of County Commissioners and the other is an attestation to the authority of the first signature. If you have a seal, affix it to the signature page of each copy. Please return all copies as soon as possible to: Lena Peschanskaia, Chief Budget and Fiscal Analyst, Colorado Department of Public Health and Environment, PSD-Admin-A5, 4300 Cherry Creek Drive South, Denver, CO 80246-1530. Upon receiving the Task Orders, they will be forwarded for approval by the proper authorities. A verified copy of the contract will be returned to you as soon as possible. Please be reminded this contract shall not be deemed valid until the State Controller authorizes it. Should you have any questions or require further information, please do not hesitate to contact me. Pam Marroney PSD Administration - Fiscal 4300 Cherry Creek Drive South-A5 Denver, Colorado 80246-1530 (303)692-2516 (303) 691-7721 CC: "Lyn Collins" <Lecollin@smtpgate.dphe.state.co.us>, "Lena Peschanskaia" <Lpeschan@smtpgate.dphe.state.co.us>, "Normie C Morin" <Ncmorin@smtpgate.dphe.state.co.us> Hello