HomeMy WebLinkAbout20260389 Resolution
Approve Amendment #4 to Task Order Contract for Syphilis Field Delivered
Therapy (FDT) and Jail-Based Sexually Transmitted Infection (STI) Programs, and
Authorize Chair Pro-Tem 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 Amendment #4 to the Task Order Contract
for the Syphilis Field Delivered Therapy (FDT) Program and the Jail-Based Sexually
Transmitted Infection (STI) Program between the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the
Department of Public Health and Environment, and the Colorado Department of Public
Health and Environment, commencing upon full execution of signatures, and ending
June 30, 2026, with further terms and conditions being as stated in said amendment, and
Whereas, after review, the Board deems it advisable to approve said amendment, 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 Amendment #4 to the Task Order Contract for the Syphilis Field
Delivered Therapy (FDT) Program and the Jail-Based Sexually Transmitted Infection
(STI) Program between the County of Weld, State of Colorado, by and through the Board
of County Commissioners of Weld County, on behalf of the 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 Pro-Tem be, and hereby is, authorized
to sign said amendment.
cc , hl L (sc/t3F/s► .) 2026-0389
031 \\aL.o HL0059
Amendment #4 to Task Order Contract for Syphilis Field Delivered Therapy (FDT) and
Jail-Based Sexually Transmitted Infection (STI) Programs
Page 2
The Board of County Commissioners of Weld County, Colorado, approved the above
and foregoing Resolution, on motion duly made and seconded, by the following vote on
the 25th day of February, A.D., 2026:
Scott K. James, Chair: Excused
Jason S. Maxey, Pro-Tem: Aye ���S I ®••
Perry L. Buck: Aye r/ Ili0Lynette Peppler: Aye `�, #V)"" '�
Kevin D. Ross: Excused
cI
Approved as to Form: ®uV
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
2026-0389
HL0059
Con hra O Z
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW
PASS-AROUND TITLE: CONTRACT AMENDMENT#4 — STI / FIELD-DELIVERED THERAPY (FDT) GRANT
DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: FEBRUARY 10, 2026
PERSON REQUESTING: JASON CHESSHER, EXECTUIVE DIRECTOR
SHAUN MAY, DIVISION DIRECTOR, PUBLICHEALTH SERVICES
Brief description of the problem/issue:
The Colorado Department of Public Health and Environment (CDPHE) has requested a contract amendment to
update the Statement of Work (SOW) and Budget for the existing STI / Field-Delivered Therapy (FDT) grant
agreement. The requested changes align the contract with current program operations by adding activities that
are now being implemented and removing activities that are no longer applicable.
What options exist for the Board?
1. Approve the requested contract amendment to allow Weld County to continue operating the STI/FDT
program in compliance with updated CDPHE requirements.
2. Decline the amendment, which would place the County out of compliance with the current grant
agreement and jeopardize continued funding.
Consequences: Approval of the amendment allows continued implementation of STI prevention, testing,
and treatment services, including field-delivered therapy and jail-based and community outreach activities.
Impacts: This amendment does not expand the scope of the program beyond its original public health
purpose. It clarifies and formalizes activities already being conducted.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): There is no change to the total
contract amount. No County General Fund impact. No new FTEs are requested; existing staff will support
this work.
Recommendation: I recommend approval to place this item on a future BOCC agenda for formal consideration.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck
Scott K. James `
Jason S. Maxey C (vcc
Lynette Peppler
Kevin D. Ross
2026-0389
Z/ZS t-A"1--60 9
Docusign Envelope ID C30DDECE-F4B4-490D-8BA9-B5C704CFFA26
State of Colorado Contract Modification
Contract Amendment #4
State Agency Contract Performance
Colorado Department of Public Health and Beginning Date
Environment July 1, 2024
Contractor Current Contract
Board of County Commissioners of Weld Expiration Date
County (a political subdivision of the state June 30, 2026
of Colorado) for the use and benefit of the
Weld County Department of Public Health Current Contract
and Environment Maximum Amount
Original Contract Number Initial Term
2025*0538 7/1/2024-6/30/2025: $148,976.24
Extension Terms
Amendment Contract Number 7/1/2025-6/30/2026: $90,000.00
2026*0270 AMD#4 Total for All State Fiscal Years:
$238,976.24
Amendment Contract Number: 2026*0270 Page 1 of 4
Docusign Envelope ID:C3ODDECE-F4B4-490D-8BA9-B5C704CFFA26
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized
to execute this Amendment and to bind the Party authorizing his or her signature.
Contractor State of Colorado
Board of County Commissioners of Weld Jared S. Polis, Governor
County (a political subdivision of the state Jill Hunsaker Ryan, MPH, Executive
of Colorado) for the use and benefit of the Director
Weld County Department of Public Health
and Environment
cDocuSigned byy:'''I��,,[,
LSigned by: 1/""`�'� (llLiitx X1t&
` L(. 114 bJL4tll
— .� By: tJ etsea Gilbertson, Procurement a
4u ruru�scs 4 Contracts Director
By: Jason 4Ctaxey, Chair Pro-Tem, Board
of Weld County Commissioners
Date?026-02-25 Date: 2026-02-26
State Controller
Robert Jaros, CPA, MBA, JD
—DocuuSiiggnle'd by:
Effective Date: 2026-02-26
IJl.4. 4 W
�—� bbr A In accordance with S24-30-202, C.R.S., this
By: burr Witriams, Controller
Amendment is not valid until signed and
dated above by the State Controller or an
authorized delegate.
Amendment Contract Number: 2026*0270 Page 2 of 4
ZUZ(I2—OSS<A.
Docusign Envelope ID:C3ODDECE-F4B4-490D-8BA9-B5C704CFFA26
Amendment Effective Date:
1. Parties
This Amendment (the "Amendment") to the Original Contract shown on the Signature and
Cover Page for this Amendment (the "Contract") is entered into by and between the
Contractor, and the State.
2. Terminology
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. Amendment Effective Date and Term
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be
bound by any provision of this Amendment before that Amendment Effective Date, and
shall have no obligation to pay Contractor for any Work performed or expense incurred
under this Amendment either before or after of the Amendment term shown in §3.B of
this Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown
on the Signature and Cover Page for this Amendment or February 9, 2026 whichever is
later and shall terminate on the termination of the Contract or June 30, 2026,
whichever is earlier.
4. Purpose
The Parties entered into the agreement to serve to prevent new cases of syphilis by
screening, identifying, and treating syphilis in persons of reproductive age in Weld County and
surrounding counties in NE Colorado.
The Parties now desire to update the Statement of Work and the Budget exhibits to include
new activities and eliminate those no longer applicable.
5. Modifications
The Contract and all prior amendments thereto, if any, are modified as follows:
Amendment Contract Number: 2026*0270 Page 3 of 4
Docusign Envelope ID:C3ODDECE-F4B4-490D-8BA9-B5C704CFFA26
A. The Parties now agree to modify Exhibit B-Statement of Work of the agreement.
Exhibit B-SOW is deleted and replaced in its entirety with Exhibit B-SOW to include
new activities and eliminate those no longer applicable.
B. The Parties now agree to modify Exhibit C- Budget of the agreement. Exhibit C-
Budget is deleted and replaced in its entirety with Exhibit C- Budget to add new
line items and decrease line items no longer applicable.
6. Limits of Effect and Order of Precedence
This Amendment is incorporated by reference into the Contract, and the Contract and all
prior amendments or other modifications to the Contract, if any, remain in full force and
effect except as specifically modified in this Amendment. Except for the Special Provisions
contained in the Contract, in the event of any conflict, inconsistency, variance, or
contradiction between the provisions of this Amendment and any of the provisions of the
Contract or any prior modification to the Contract, the provisions of this Amendment shall in
all respects supersede, govern, and control. The provisions of this Amendment shall only
supersede, govern, and control over the Special Provisions contained in the Contract to the
extent that this Amendment specifically modifies those Special Provisions.
Amendment Contract Number: 2026*0270 Page 4 of 4
Docusign Envelope ID:C30DDECE-F4B4-490D-8BA9-B5C704CFFA26
EXHIBIT B
STATEMENT OF WORK
Amendment Contract Number 2026*0270 Amendment#4
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
Entity Name: Weld County Department of Public Health("WCDPHE")
II. Project Description:
This health project serves to prevent new cases of syphilis by screening, identifying,and treating syphilis in
persons of reproductive age in Weld County and surrounding counties in NE Colorado (see service area
below). Weld County Department of Public Health will provide field-delivered therapy to any individual
who is otherwise unable to access treatment in a clinical setting due to barriers. These barriers include, but
are not limited to being unhoused, lacking primary or prenatal care, lacking adequate insurance coverage,
transportation barriers, or substance use disorders. Additionally, this project seeks to increase early
identification of syphilis, access to treatment and referrals, linkage to prenatal care services, which will
reduce the risk and burden of syphilis transmission. This project is being funded to address the increasing
rates of syphilis in Colorado.
HI. Definitions:
1. Advertise-To advertise means a read,written,visual,oral,watched,or heard bid for,or call to
attention. Advertisements can be considered communications or marketing based on the intent and
content of the message.
2. Active Referrals-Active referrals are providing assistance to a client(s)with accessing the service
they are referred to,including but not limited to:assisting clients in making an appointment,
completing a Release of Information,providing resources for client to access services,providing
appointment reminders,following up with the agency providing the service to confirm client's
attendance
3. CDC—Centers for Disease Control and Prevention
4. CDPHE—Colorado Department of Public Health and Environment
5. CLIA—Clinical Laboratory Improvement Amendments
6. Client-An individual receiving contracted services from the Contractor
7. Comprehensive STI Screening-Chlamydia,gonorrhea,syphilis,and HIV
8. DIS-Disease Intervention Specialist
9. Educational Sessions-Providing information and education to healthcare providers and priority
populations about STIs,STI testing,STI treatment and STI referrals.Educational sessions may
occur through community outreach.
10. FDA—Food and Drug Administration
11. FDT Eligibility Criteria-Any individual with a positive syphilis screen or anyone who is a sex
partner to someone who has tested positive for syphilis.
12. FDT-Field-Delivered Therapy is the delivery of medication or a prescription to a client's home
or other non-clinical setting
13. HCV-Hepatitis C Virus
14. HIV—Human Immunodeficiency Virus
15. Indicated Intervention—Comprehensive STI screening,treatment and referrals
16. Non Clinical Settings-These are settings where medical,diagnostic,and/or treatment services
are not routinely provided.This includes testing at fixed venues or outreach sites,such as a
person's home,community-based organizations,home-test kits,mobile testing units,churches,
bathhouses,parks,shelters,syringe services programs,businesses,work release,and other social
service organizations.Non-clinical settings are easily accessible and comfortable for populations
who might not access medical services regularly.
17. Prenatal care-Medical care,specific to individuals who are pregnant,that is received during
pregnancy; including check-ups and prenatal testing
18. Pregnancy Testing-A test that checks the client or patient's urine or blood for a hormone called
human chorionic gonadotropin(HCG).
19. Priority Population: Individuals with a positive syphilis screen,anyone who is a sex partner to
someone who has tested positive for syphilis or anyone at increased risk(those who have a new
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Amendment Contract Number 2026*0270 AMD#4 Version 1.7.2026
Docusign Envelope ID:C30DDECE-F4B4-490D-8BA9-B5C704CFFA26
EXHIBIT B
sex partner,more than one sex partner,a sex partner with concurrent partners,or a sex partner who
has an STI.Additional risk factors include inconsistent condom use among persons who are not in
mutually monogamous relationships,previous or coexisting sexually transmitted infections,and
exchanging sex for money or drugs.
20. Quality Improvement Plan-A set of focused activities designed to monitor,analyze and
improve the quality of processes in order to improve the outcomes of a program.
21. Rapid Syphilis Testing-point-of-care tests that can be performed outside a laboratory setting,
using a small amount of whole blood collected by a finger stick.
22. Reactive rapid syphilis result-One of three possible results from a rapid syphilis test.A reactive
result using a rapid syphilis test is also interpreted as`positive'.
23. REDCap—Research Electronic Data Capture:a secure web application for data collection
24. Reproductive Age- 15-45 years old
25. ROI-Release of Information
26. Screen-Assessment of clients to identify the possible presence of and/or risk for additional social,
behavioral,and financial risks including,but not limited to,substance use,intimate partner
violence,medication assistance,and linkage to care
27. Service area—Boulder, Larimer,Morgan,Weld,Washington,Philips,Logan,Yuma,and
Sedgwick Counties
28. STI-Sexually Transmitted Infection
29. Support Services-Support services may consist of STI/HIV case management,linkage to care
services,housing assistance,food services,mental health treatment,substance use treatment,
transportation assistance,intimate partner violence services,crisis services,and medication
assistance.
30. Technical Assistance(TA)-Guidance provided to LPHAs by sharing written protocols,
reviewing processes and best practices,identification of key partnerships,and assistance with
troubleshooting programmatic challenges.TA may be delivered virtually,through email and/or in
person.
31. VH-Viral Hepatitis
IV. Work Plan:
Goal#1: Provide high-quality HIV,STI,and VH prevention services to increase the priority population's access to
testing,education,and treatment,and reduce the acquisition of HIV/STINH throughout Colorado in order to disrupt
health inequities.
Objective#1:No later than the expiration date of the contract,reduce the spread of syphilis through a continuum of
syphilis prevention intervention services for the priority population in the service area.
Primary Activity#1 The Contractor shall complete the indicated intervention services.
1.The Contractor shall develop FDT protocols.
2.The Contractor shall implement FDT protocols.
3.The Contractor shall provide indicated interventions in non-clinical settings.
4.The Contractor shall offer confirmatory testing for clients with a reactive rapid
Sub-Activities#1 syphilis result.
5.The Contractor shall offer pregnancy testing to females of reproductive age who test
positive for syphilis.
6.The Contractor shall identify topics for technical assistance.
7.The Contractor shall offer field-delivered therapy to individuals who meet the FDT
eligibility criteria.
8.The Contractor shall complete client-level data REDCap forms.
Primary Activity#2 The Contractor shall evaluate patients for additional support services.
1. The Contractor shall screen patients for support services.
Sub-Activities#2 2. The Contractor shall refer patients to eligible support services.
3. The Contractor shall review the results for each indicated intervention patient.
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Amendment Contract Number:2026*0270 AMD#4 Version 1.7.2026
Docusign Envelope ID:C30DDECE-F4B4-490D-8BA9-B5C704CFFA26
EXHIBIT B
4. The Contractor shall notify the patient of positive STI results.
5. The Contractor shall facilitate visits for STI treatment.
6. The Contractor shall document client referral information through REDCap.
Primary Activity#3 The Contractor shall complete a Quality Improvement Plan.
1. The Contractor shall create a Quality Improvement Plan.
Sub-Activities#3 2. The Contractor shall implement the CDPHE approved Quality Improvement Plan.
3. The Contractor shall record the results of the Quality Improvement Plan.
Primary Activity#4 The Contractor shall complete Educational Sessions.
1. The Contractor shall develop educational materials.
Sub-Activities#4 2. The Contractor shall distribute education materials.
3. The Contractor shall complete Educational Sessions with healthcare providers.
Primary Activity#5 The Contractor shall deliver technical assistance to LPHAs,upon request.
1. The Contractor shall respond to TA requests within seven(7)calendar days upon
Sub-Activities#5 request.
2. The Contractor shall document technical assistance that was delivered to LPHAs.
Primary Activity#6 The Contractor shall complete Monthly Narrative Reports.
Primary Activity#7 The Contractor shall attend scheduled CDPHE Contract Monitoring Calls.
1. The content of electronic documents located on CDPHE and non-CDPHE websites
and information contained on CDPHE and non-CDPHE websites may be updated
periodically during the Contract term. The Contractor shall monitor documents and
website content for updates and comply with the most recent revisions.
2. The Contractor shall comply with the following rules and regulations when
performing data collection and entry,reporting,and the implementation of
activities.
a. The CDPHE Communicable Reportable Conditions Guidelines are located
on the following state of Colorado website.This information is
incorporated and made part of this Contract for reference:
https://www.colorado.gov/pacific/cdphe/report-a-disease
b. The CDPHE STI and HIV funded partner guidance and policies are
identified below.These documents are incorporated and made part of this
Contract for reference and are available on the following website:
https://www.colorado.gov/pacific/cdphe/sti-hiv-funded-partner-policies
Standards and 3. The Contractor shall maintain one(1)of the following for syphilis testing
Requirements throughout the life of the project:
a. Valid,non-expired CLIA waiver certificate
b. Valid,non-expired CLIA certificate
4. The Contractor shall use FDA approved testing technology when administering
rapid syphilis testing and adhere to manufacturers' instructions as to use and
storage.
5. The Contractor shall request technical assistance via email at
cdphe sthv contractmonitoring@state.co.us.
6. CDPHE will provide a response to requests for technical assistance to the
Contractor upon request within five(5)business days.
7. The Contractor shall collect a minimum of 90%of required data elements for
Syphilis testing and other funded intervention services and activities.
8. CDPHE will act as the Contractor's data administrator for REDCap.
9. The Contractor shall provide access to REDCap for a minimum of one(1)staff
person for the purposes of entering client level data.
a. This information is incorporated and made part of this Contract by
reference.Access to REDCap can be attained by completion of the
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lC ii:�.i�i A 2 :0` 2;(I-A AID Version 1.7.2026
Docusign Envelope ID.C3ODDECE-F4B4-490D-8BA9-B5C704CFFA26
EXHIBIT B
REDCap User Account/Change Request Form:
https://cdphe.redcan.state.co.us/surveys/?s=KFE7RFLH7X
10. The Contractor shall complete the following REDCap instruments for the following
client-level indicated interventions:
a. Client Intake
b. STI Testing
c. HIV/HCV Testing
d. FDT
11. The Contractor shall enter data related to contracted services into REDCap no later
than ten(10)calendar days following each client encounter.
12. The Contractor shall use the required data elements described in the sample
document NHM&E Data Variables and Values.This document is incorporated and
made part of this Contract by reference and is available on the following website:
https://www.colorado.gov/pacific/cdphe/sti-hi v-fun ded-partner-policies.
13. The Contractor shall use the REDCap Monthly Narrative Report form for the
monthly progress reports.
14. CDPHE will provide the Contractor access to the REDCap Monthly Narrative
Report form via REDCap within 30 days of Contract execution.
15. The Contractor shall include the following items in the Monthly Narrative Report
for each respective contracted service:
a. Description of how work was implemented for the contracted service
b. Description of barriers or challenges related to providing the contracted
service.
c. Technical assistance needs
d. Program changes
16. The Contractor shall submit distributable education materials created by funded
staff for indicated interventions,by email to CDPHE for approval prior to
implementation.
a. The types of materials shall be submitted:
i. Educational materials for contracted services.
ii. Educational curriculum for contracted services.
b. CDPHE will respond to material submissions within ten(10)business days
and provide approval or required revisions.
c. The Contractor shall edit materials as directed by CDPHE within ten(10)
business days of receipt of receiving CDPHE feedback.
17. The Contractor shall provide the following active referrals for clients needing
syphilis treatment.
a. The Contractor shall work to refer patients for clinical treatment.
b. The Contractor shall work to refer clients to field-delivered therapy(FDT)
for those with a positive syphilis test that have barriers to treatment
c. The Contractor shall work with CDPHE DIS to refer clients to treatment.
18. Quality Improvement Plan:The Quality Improvement Plan shall include the
following related to the implementation and delivery of funded indicated
intervention services and activities:
a. Evaluate the number of individuals from the priority population screened
for syphilis.
b. Evaluate the syphilis positivity rate.
c. Evaluate the efficacy of processes to ensure individuals from the priority
populations with a positive syphilis screen that receive completed
treatment.
d. The Contractor shall submit the written draft Quality Improvement Plan to
CDPHE Contract Monitor.
e. CDPHE will provide feedback and make a request for any revisions to the
Contractor within 15 business days of receipt.
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Amendment Contract Number:2026*0270 AMD#4 Version 1.7.2026
Docusign Envelope ID:C30DDECE-F4B4-490D-8BA9-B5C704CFFA26
EXHIBIT B
f. The Contractor shall complete the request for any suggested changes or
revisions within 30 business days.
g. The Contractor shall submit the final written Quality Improvement Plan.
19. The Contractor shall monitor the following:
a. Evaluate the number of individuals from the priority population screened
and treated in the following settings:
i. Non-clinical settings
ii. Field delivered therapy.
b. Evaluate the efficacy of treatment processes to ensure individuals from the
priority populations complete treatment.
c. Monitor refusal rates for individuals who do not want syphilis screening.
20. The Contractor shall develop the following protocols for field-delivered therapy:
a. Referral Procedure
i. Referral forms
b. FDT Consent form
c. Anaphylaxis Standing Order
d. FDT Quality Assurance Control Checklist
e. Patient information handouts
f. Patient Eligibility Criteria
g. Patient Follow Up
h. Data Documentation
21. The Contractor shall develop the following protocols for screening in non-clinical
settings:
a. Storage and handling of specimen samples and medication
b. Testing procedures
c. Standing orders
d. Management of positive STI results
e. Treatment procedures
f. Referral procedures
g. Management of contacts
h. Coordination with DIS for clients with a positive syphilis screen
22. The Contractor shall maintain staff throughout the contract period who are
responsible for the following activities:
a. Draft and update protocols
b. Provide indicated interventions in the clinical setting
c. Provide indicated interventions in the non-clinical setting
d. Complete the Quality Improvement Plan activities
e. Complete data entry for indicated interventions
f. Provide educational sessions
g. Provide Technical Assistance to LPHAs
h. Complete and submit monthly narrative reports
23. The Contractor shall substitute other employees to complete required activities in
the case of employee vacancies.
24. The Contractor shall comply with CDPHE's Use of Incentive Guideline when
distributing incentives for contracted services.This form is incorporated and made
part of this Contract by reference and is available at the following website:
https://drive.google.com/file/d/1HvLVxV4P LoLDx6Mxl6cWO2UShMPsdKO/vie
w.
25. CDPHE will provide a schedule for virtual monitoring calls with the Contractor,at a
minimum,quarterly,within 45 days of Contract execution.
26. The Contractor shall submit deliverables to the CDPHE Contract Monitor via email
at cdphe_sthv_contractmonitoring@state.co.us.
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Amendment Contract Number.2026*0270 AMD#4 Version 1.7.2026
Docusign Envelope ID.C3ODDECE-F4B4-490D-8BA9-B5C704CFFA26
EXHIBIT B
1. Individuals at risk for acquiring syphilis will increase participation with syphilis
Expected Results of prevention activities.
Activity(s) 2. Individuals that have acquired syphilis will increase participation with syphilis
treatment activities.
Measurement of Expected 1. Number of clients served as tracked in REDCap.
Results 2. Number of clients who are documented as adequately treated in REDCap.
Completion Date
1. The Contractor shall submit a Monthly Narrative Report. No later than 30
calendar days
following the last
day of each month
for months one(1)
Deliverables through 11.
2. The Contractor shall submit Protocols. No later than six(6)
months following
the Contract start
date.
3. The Contractor shall submit a draft Quality Improvement No later than six(6)
Plan. months following
the Contract start
date.
4. The Contractor shall submit the final Monthly Narrative No later than the
Report. Contract end date.
5. The Contractor shall submit the results of the Quality No later than the
Improvement Plan. Contract end date.
V. Monitoring:
CDPHE's monitoring of this Contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Contract Monitor. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports,REDCap
reports or reports from other databases as designated by CDPHE,site visits,invoices and other fiscal and
programmatic documentation as applicable.The Contractor's performance will be evaluated at set intervals
and communicated to the Contractor.A Final Contractor Performance Evaluation will be conducted at the
end of the life of the contract.
VI. Resolution of Non-Compliance:
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue.
Within 30 calendar days of discovery,the Contractor and the State will collaborate,when appropriate,to
determine the action(s)necessary to rectify the compliance issue and determine when the action(s)must be
completed. The action(s)and timeline for completion will be documented in writing and agreed to by both
parties. If extenuating circumstances arise that require an extension to the timeline,the Contractor shall
email a request to the CDPHE Contract Monitor and receive approval for a new due date.The State will
oversee the completion/implementation of the action(s)to ensure timelines are met and the issue(s)is
resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution
plan,the State may exercise its rights under the provisions of this Contract.
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Amendment Contract Number:2026*0270 AMD#4 Version 1.7.2026
Docusign Envelope ID:C30DDECE-F4B4-490D-8BA9-B5C704CFFA26
Exhibit C Budget
Colorado Department of Public Health and Environment
.3.s
• • BUDGET JUSTIFICATION FORM
Colorado DepartmentContract Routing CT 2026*0270 AMD#4
of Public health
and Ennimnuant
t of Public Health and Baylor Morrison
Weld County De
Contractor Name Department Public Health Nurse
Environment Program Contact Name,Title,Phone and 970-400-2320
Email bmorrisomttwnld.gor
Bill Fritz
Budget Period 07/012025-06/30/2026 Accounting Manager
Fiscal Contact Name,Title,Phone and 970-400-2122
Email bfritzeld.gov
Project Name FDT and Outreach Contract Number CT 202630270
Expenditure Categories
Percent of Actual Match or In-
Gross or tln,o*'rr Monthly Time Time(FTC)on Service Type Kind(If Orenal Amount Amount Change New Amount
Salary Contract/ FDT/Outreach Applicable)
Purchase Order
Description of Work(for hourly employees,please include the hourly rate and number of
Position Title/Employee Name
hours in your description)
c.w.o.,oauna..uheduhng dale., ou
u and location for
Public Health Nurse I(FDT) bUT.Aeewaivg patient.at lint:plmunout.Read.,Read., t $81,224.00 S30,759.53 $0.28 FDT S31,355.00 -$24,000.00 S7,355.00
patient,partite.to schedule tenting and FDT where
,ndiemed.
Commaing patimt...eheduling data.imam and Damian fur
Public Health Nurse II(POT) BUT Aa.a.ing patiena at lint apmunveme Reaching out S83,678.40 S31,689.01 $0.07 FDT $8.076.00 -$4,000.00 54,076.00
'ultimate partners to schedule testing and Fla whin
indicated
Medical Assistant Anm minim with supplies and msa,emnuna for Ffn. S56,908,00 S21 551.06 S0.07 FDT S5,492.00 -$5,492.00 S0.00
Orden,medications for FDT
Develop and unplement pmeee es and procedures osm,ee
Program Coordinator nun.and conduct hintconcontactss contacts with m n<nm. . S155,792.00 S58,998.43 $0.04 FDT S8,592.00 44,200.00 $4,392.00
Nurse Practitioner Complete monthly nuwvee and meetings with COP.
staff
Pubhe Health Nurse I Collect mutinies.mama ranks.provide navgwm and S81,224.00 S30,759.53 $0.04 Outreach 54,479.00 $24,000.00 S28,479.00
pm de vemmenasl a needed
Public Health Nurse ll cuhcd sample°'"sins results,pm;Je nth,raua,and S83,678.40 S31,689.01 $0.04 Outreach $4.615.00 $8,200.00 512,815.00
m ode vummenne)u needed
Provide.wtreanh planning and oversight.lorisau,
scheduling and uper•umsl support for outreach alums
Outreach Program Coordinator Inwxme looul conceit'wound testing and treatment fat 573,236.00 $27,734.47 50.04 Outreach $4,039.00 $8,630.00 S12,669.00
theae m gran oak of eoutracting mid nen:mining sod
m the cummumn.
Medical Assistant Aniat Public Helm Nurser,witham«wtg samples $56,908.00 $21,551.06 $0.04 Outreach S3,138.00 •$3,138.00 S0.00
Total Personal Services(including hinge benefits) 50.00 569,786.00 50.00 569,786.00
Supplies&Operating Expenses
Saralee Type Match or In Total Amount
Item Description of Item Rage Quantity FDT/Outreach kind(If Requested from Amount Change NewAmount
applkable) CDPHE
Phone/Fax/Internet Cell Phone w/hotspot-1 phone w/hotspot$1 W/month S400.00 51.00 FDT $400.00 $0.00 S400.00
Supplies-FTD Supplies necessary to be productive in all places for FDT.Laptop and $45 26 SI.00 PDT $45.26 S45.26
a
CCCS° s $0.00
STI Lab Testing Sit lab testing for:Syphilis RPR and TPPA confirmation S10.00 $5.00 FDT $50.00 $0.00 $5'00
CT/GC Lab Testing Cf/C urine lab test and analysis S20.00 $5.00 FDT SI00.0) -$50.00 $50.00
HIV Lab Testing HIV lab testing combo and ditf $500 $5.00 FDT $25.00 -$25.00 S0.00
Syphilis treatment Bieillin.22 per dose $022 $20.00 FDT $4.40 $0.00 $4.411
Chlanrydia treatment Doxi 3.92 per treatment 53 92 $5.00 FDT $19.60 $0.00 $19 60
Gonorrhea Treatment Rocephin 64 per dose 50.64 $5.00 FDT $3.20 $0.00 $3.20
Pregnancy Tests For the field $2.50 $5.00 FDT $12.50 $0.00 $12.50
Supplies•Jail Based Testing/program supplies(gloves,lancets,band-arils,cotton balls, S I00.00 $1.00 Outreach $100.00 $100.00
butterfly,alcohol swabs,etc.) S0.00
CT/GC Screening Test Jail Based CT/GC Screening Test S40.00 S95.00 Outreach $3,800.00 $50 00 $3,850.00
Syphilis Confirmation Test-Jell Based TPPA or RPR Titer $10.00 $6.00 Outreach S60.00 $60.00
$0.00
HIV Confirmation Test-Jail Based HIV Combo and Ditf $500 $6.00 Outreach 53000 $25.00 S55.00
Syphilis treatment-Jail Based Bicillin $0.22 $2500 Outreach $5.50 $0.00 $5.50
Chlamydia treatment-Jail Based Doxyrycline $3.92 $5.00 Outreach $19.60 $0.00 $19.60
Gonorrhea treatment-Jail Based Ceflriaxone SI00 S4.00 Outreach $4.00 S0.00 S4.00
Pregnancy Tests-Jail Rased Pregnancy teals for pregnancy status $3 00 $60 00 Outreach $18000 $0 f10 $180.00
Total Supplies&Operating Expenses $6.00 S4,859.06 50.00 S4,859.06
Travel
car In
Service Type Match
Item Description of Item Rale Quantity PDT/Outreach kind(if Oren&Amount Amount Change New Amount
applkable)
Mileage Mileage Reimbursement fro FDT $0.70 S454.00 FDT S317.80 S0.00 S317.80
$0.00 S000 S000
Total Travel $0.00 5317.80 50.00 S317.80
Other Casts
Service Type Match or In
Item Description of Item Rate Quantity FDT/Outreach kind Of Orginal Amount Amount Change New Amount
applicable)
2026-0270 Amendment#4 Page 1
Docusign Envelope ID:C300DECE-F4B4-490D-8BA9-B5C704CFFA26
Exhibit C Budget
Training STI State Training 3-day class S10000 51.00 FDT S100.00 S000 S100.00
Training STI State Training 3-dav class $100.00 $100 Outreach 5100.00 5000 510000
$000 $O 00 $0.00 SO 00 $n 00
Total Other Costs 50.00 5200.00 $0.00 5200.00
Contractual(payments to third parties 0r entities)
Match or In
ServiceItem Subcontractor Entlq Name and/or Description of hear Rate Quantity T,/Outtyp A kind(if Orghtal Amount Amount Change New Amount
FDrea
applicable)
$0.00 $0.00 50.00 50.00 SO 00
$0.00 50.00 50.00 $0.00 $0 00
$0.00 SO.00 S0.00 S000 SII00
Total Contractual S0.00 $0.00 $0.00 $0.00
SUB-TOTAL BEFORE INDIRECT S75,162.86 S0.00 575,162.86
Indirect
Service Type Match or In
Item DmcrIption of Item FDT/Outreach kind(if Orgtnal Amount Amount Change New Amount
applicable)
Indirect cost rate 2025 negotiated rate MTDC $0.20 FDT $1 n 776 60 $0.00 S 10,776.60
Indirect cost rate 2025 negotiated rate MTDC $0.20 Outreach 54 0l4i 14 SO.00 54,060 54
Total Indirect $0.00 514,837.14 $0.00 514,837.14
TOTAL MATCH OR IN KIND 50.011 $0.00 50.00 S0.00
TOTAL 09)1,000.00 $0.00 590,000.00
Match or In Orgmal
Expenditure Categories kind(if OrOnal Amount Amount Change Amount
applicable)
Personal Services Including Fringe Benefits 569,786.411 511.00 560.78/,00
Supplies and Operating Expenses 54,859.114 $0.00 $J Sc0 U6
Travel $317.80 S0.00 $31780
Omer Costs $100.00 S0.00 .S2110 rill
Contractual Payments 50.00 50.00 $1100
Subtotal Before Indirect S75,162.86 S0.00 S75.162.86
Indirect 514,037.14 S000 514,837.14
Total 590,000.00 $0.00 S90,0110.00
Reporting Categories Category of Service Direct Costs Indirect Costs Total Cast. Amount Change New Amount
FDT FDT 554,592.76 S10,776.60 $65,369.36 -537,767.ran 827,61236
Outreach Outreach $20,570.10 $LOGO 54 S24,630 64 $37 767 ui $(,_.397(.4
$75,162.86 514,637.14 $90,000.00 $0.00 090,000.01)
2026-0270 Amendment#4 Page 2
Contract Form
Entity Information
Entity Name* Entity ID* New Entity? Please use the job
COLORADO DEPT OF PUBLIC SUP-1926 aid linked here to add a
HEALTH/ENVIRONMENT Q supplier in Workday.
Contract Name* Contract ID Parent Contract ID
CONTRACT AMENDMENT#4 - STI/FIELD DELOVERED 10382
Requires Board Approval
THERAPY (FDT) Contract Lead* YES
Contract Status BFRITZ
CTB REVIEW Department Project#
Contract Lead Email
bfritz@weld.gov;Health-
Contracts@weld.gov
Contract Description*
CONTRACT AMENDMENT#4 - STI/FIELD DELOVERED THERAPY (FDT)
Contract Description 2
Contract Type* Department Requested BOCC Agenda Due Date
STATEMENT OF WORK HEALTH Date* 02/14/2026
02/18/2026
Amount* Department Email
$0.00 CM-Health@weld.gov Will a work session with BOCC be required?*
NO
Renewable* Department Head Email
NO CM-Health- Does Contract require Purchasing Dept. to be
DeptHead@weld.gov included?*
Automatic Renewal
NO
County Attorney
Grant GENERAL COUNTY
IGA ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date Review Date* Renewal Date
06/01 /2026
Termination Notice Period Expiration Date*
Committed Delivery Date 06/30/2026
Contact Information
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JASON CHESSHER CHRIS D'OVIDIO BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
02/13/2026 02/14/2026 02/17/2026
Final Approval
BOCC Approved Doc ID#
AG 022526
BOCC Signed Date
Originator
BOCC Agenda Date BFRITZ
02/25/2026
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