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HomeMy WebLinkAbout971037.tiffRESOLUTION RE: APPROVE PURCHASE OF SERVICES AGREEMENT BETWEEN THE WELD COUNTY HEALTH DEPARTMENT AND THE NORTHERN COLORADO HEALTH NETWORK, INC., DBA THE NORTHERN COLORADO AIDS PROJECT, AND AUTHORIZE CHAIRMAN 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 Purchase of Services Agreement 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 Health Department, and the Northern Colorado Health Network, Inc., dba the Northern Colorado Aids Project, commencing April 1, 1997, and ending March 30, 1998, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Purchase of Services Agreement 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 Health Department, and the Northern Colorado Health Network, Inc., dba the Northern Colorado Aids Project, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of May, A.D., 1997, nunc pro tunc April 1, 1997. APP eputy Cler o the Board ORM: ounty Attor ey BOARD OF COUNTY COMMISSIONERS � WELD OUNTY, COJ,ORAD O�' "`+O George . Baxter, Chair stance L. Harb= P,:'-Tem Dal K. Hall ALLAk J ,tr- ./ Barbara J. Kirkmeyer rJ i' i(44 W. H. Webster e -C : /it; NcNN 971037 HL0023 CONTRACT NUMBER: 199798NCAP PURCHASE OF SERVICES AGREEMENT THIS AGREEMENT is made and entered into this ARA day of %?'7 1997 by and between the County of Weld, State of Colorado, by and through the Boa''rd of County Commissioners of Weld County, on behalf of the Weld County Health Department ("WCHD"), and the Northern Colorado Health Network, Inc., d/b/a the Northern Colorado AIDS Project ("NCAP"). WITNESSETH: WHEREAS, WCHD has been awarded Ryan White C.A.R.E. Title II funds from the Colorado Department of Public Health and Environment for use in establishing a consortium for care services for persons infected and affected by the HIV virus in Weld, Larimer, Morgan, Logan, Yuma, Sedgewick, Phillips, and Washington Counties ("the program"), and WHEREAS, WCHD desires to contract for provision of case management to persons infected or affected by HIV in Larimer County ("Larimer County"); and WHEREAS, NCAP desires to provide said case management to Larimer County; and WHEREAS, the parties desire to reduce the terms of their agreement to writing. NOW, THEREFORE, for and in consideration of the covenants, conditions, agreements, and stipulations hereinafter expressed, the parties do hereby agree as follows: 1. Recitals. The above recitals are hereby incorporated herein as if stated verbatim 2. Terms of Agreement. This Agreement shall be effective from the date of its signing, nunc pro tune April 1, 1997 through March 31, 1998. 3. Compensation. In consideration of the services to be provided by NCAP as set forth in this Agreement, WCHD agrees to pay NCAP on a monthly basis for services provided during that month, pursuant to the terms of this Agreement, and the budget amounts set forth in Attachment A, attached hereto and incorporated herein. NCAP shall submit an invoice on a form as set forth in Attachment B, attached hereto and incorporated herein, at the end of each month services are rendered. The invoice will clearly delineate the services provided and the expenses incurred. Payment shall be conditioned upon affirmation by WCHD of full and satisfactory compliance with the terms of this Agreement. WCHD agrees to make payment for approved invoices, or notify NCAP of denial of payment within thirty (30) days after invoices have been submitted. If NCAP disputes WCHD's disapproval of any invoice or portion of an invoice submitted for payment, NCAP shall notify WCHD within 10 days of the dispute. The parties shall make a good faith effort to resolve the dispute within 30 days of the notice from NCAP. If the dispute is 1 971037 not resolved by the parties within the stated 30 days. NCAP may then appeal the matter to the Board of County Commissioners for the County of Weld, State of Colorado, pursuant to the provisions of Section 3-8, paragraph 4(n) of the Home Rule Charter for Weld County, Colorado. 4. Services to be Provided by Contractor. A. NCAP shall provide personnel who will perform active outreach services to individuals infected with or affected by HIV and , perform in -home assessments, and coordinate with local health care providers to obtain referrals of newly diagnosed HIV positive persons in Larimer County. B. NCAP shall require its personnel to coordinate with WCHD's Case/Program Manager in the performance of NCAP's personnel's duties. C. NCAP shall provide the services outlined in the "implementation plan" as they apply to NCAP, or as they are applicable to Larimer county. An attachment of the implementation plan is attached hereto and incorporated herein as Attachment C. D. NCAP shall ensure compliance with the provisions set forth in the Colorado Ryan White Title II 1996 Consortium Assurances, attached hereto and incorporated herein as Attachment D. E. NCAP shall be bound by all existing protocols, professional standards, and applicable statutes, including, but not limited to Section 25-4-1401 C.R.S., et. seq. (HIV infection and AIDS), and Section 18-4412 C.R.S. (medical records), concerning confidentiality. F. NCAP shall comply with the reporting requirements and time frames described in the Colorado Department of Public Health and Environment Guidance for the Development of Tide II Funded Consortia Workplans, 1997-1998, a copy of which is attached hereto and incorporated herein as Attachment E. G. NCAP shall have a financial audit performed in the final quarter of this Agreement and prior to March 1, 1998. The firm to perform the audit must be independent of NCAP or NCAP's staff, volunteers, or Board, and must be approved by WCHD prior to performing the audit. A report from the audit must be filed with WCHD on or before March 31, 1998. 5. Parties' Relationship. The parties to this Agreement intend that the relationship between them contemplated by this Agreement is that of independent entities working in mutual cooperation. No employee, agent, or servant of any party shall be deemed to be an employee, agent, or servant of another party of this Agreement. 971037 6. Limitations - Liabilities - Indemnification. Each party shall not be responsible or liable for acts, omissions, or failure to act by the other party. Accordingly, to the extent permitted by law, WCHD agrees to indemnify and hold NCAP harmless from any and all liability incurred by acts, omissions, or failures to act by WCHD and, likewise, NCAP agrees to indemnify and hold WCHD harmless from any and all liability incurred by acts, omissions, or failures to act by NCAP, pursuant to the terms of this Agreement. Because WCHD is a department of Weld County Government, NCAP acknowledges that this agreement to indemnify and hold harmless WCHD extends to Weld County, its employees, agents, subcontractors, and assignees. The term "liability" includes, but is not limited to, any and all claims, damages, and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the applicable party who acted or failed to act. 7. Non -Assignment. This Agreement shall not be assignable without prior written consent of WCHD or NCAP, whichever is the non -assigning party. 8. Provision of Services. WCHD and NCAP assure compliance with Title VI of the Civil Rights Act of 1964, that no person shall, on the grounds of race, color, sex, religion, age, national origin, or individual handicap, be excluded from participation in, be denied the benefits of, or be subject to discrimination under any provision of this Agreement. 9. Termination. Either party may terminate this agreement for cause upon ten (10) days written notice, and for any reason, so long as thirty (30) days written notice of its intent to so terminate is given to the other party. If this Agreement is so terminated, WCHD shall pay that compensation to NCAP which duly reflects the actual amounts due and owing to NCAP for which NCAP documents that NCAP provided services pursuant to this Agreement, and which amounts have not previously been paid. 10. Notices. Any notice provided for in this Agreement shall be in writing and shall be served by personal delivery or by certified mail, return receipt requested, postage prepaid, at the addresses set forth in this Agreement, until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice serviced by personal delivery shall be delivered and effective upon receipt or upon attempted delivery. This method of notification will be used in all instances except for emergency situations when immediate notification to the parties is required. HEALTH DEPARTMENT: Weld County Department of Health c/o Gabrielle Vergara 1517 16th Avenue Court Greeley, Colorado 80631 3 971037 CONTRACTOR: Northern Colorado AIDS Project c/o Jeff Hill P.O. Box 182 Fort Collins, CO 80522 11. Modification and Breach. This Agreement contains the entire Agreement and understanding between the parties to this Agreement and supersedes any other agreements concerning the subject matter of this transaction, whether oral or written. No modification, amendment, novation, renewal, or other alteration of or to this Agreement and the attached exhibits shall be deemed valid or of any force or effect whatsoever, unless mutually agreed upon in writing by the undersigned parties. No breach of any term, provision, or clause of this Agreement shall be deemed waived or excused, unless such waiver or consent shall be in writing and signed by the party claimed to have waived or consented. Any consent by any party hereto, or waiver of, a breach by any other party, whether expressed or implied, shall not constitute a consent to, waiver of, or excuse for any other different or subsequent breach. 12. Incorporation of Contractual Provisions. This Agreement is expressly made subject to all laws and regulations of the United States and the State of Colorado. Contractual provisions required by such laws and regulations, but not having been set forth herein, are hereby incorporated by this reference as though expressly set forth in full. All parties to this agreement are hereby put on notice and charged with the responsibility of compliance with such contract provisions as required by law. 13. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable, this Agreement shall be construed and enforced without such a provision, to the extent this Agreement is then capable of execution within the original intent of the parties. 14. Funding. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, or WCHD to expend funds not otherwise appropriated during the term of this Agreement. 15. Records. Each party agrees to keep any and all records and information confidential, in compliance with all laws and regulations concerning the confidentiality of such records. 16. No Third Party Beneficiary Enforcement. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care with respect to any person not a party to this Agreement. 4 971037 It is expressly understood and agreed that enforcement of the terms and conditions of this Agreement and all rights of action relating to such enforcement shall be strictly reserved to the undersigned parties, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be deemed an incidental beneficiary only. IN WITNESS WHEREOF, the parties have hereunto set their hand and seals this c.-.17/4 day of ina.4— , 1997, nunc pro tuns April 1, 1997. WELD COUNTY HEALTH DEPARTMENT NORTHERN COLORADO AIDS PROJECT John S. Pickle, M.S.E.H. Date ATTEST, Weld Bv: ATTE COMM;SS and COUNTY TURES ONLY 5 Aej By: 5 Date BOARD OF COUNTY COMMISSIONERS cAi 797 Date 971037 ATTACHMENT A Northern Colorado AIDS Project (1997-1998 Budget) Case Management Personnel 31,688 Fringe 3,169 Travel 1,250 Printing/Postage 1,200 Phone 1,200 Subtotal 38,507 Admin. (10%) 3,851 Other Counseling (Support Groups) Subtotal 3,640 Admin. (10%) 364 Food Bank Subtotal 1,500 Admin. (10%) 150 Vouchers Dental 1,500 Medical 4,000 Emergency Financial 4,000 Subtotal 9,500 Admin. (10%) 950 Total $42,358 Total $ 4,004 Total $ 1,650 Total $10,450 TOTAL REOUEST $58,462 971037 ATTACBMENT B Tilling Request Agency: Northern Colorado AIDS Project (NCAP) From: to Date Submitted: Date Entered: Signature: Title: Case Management Personnel Fringe Travel Printing/Postage Phone Subtotal Admin. (10%) Total Case Management Other Counseling (Support Groups) Subtotal Admin. (10%) Food Bank Total Counseling Subtotal Admin. (10%) Total Food Bank Vouchers Medical Dental Emergency Financial Asst. Subtotal Admin. (10%) Total Vouchers TOTAL BILLING Previous Balance Amount Requested New Balance Due Date Document # Account # Keyed By Extension Date Mail Mail with Enclosure Return to Dept. Authorized By 971037 ATTACHMENT C Implementation plan: The majority of the Ryan White funds will be used to support case management services, which will be carried out by 2.35 FTE case managers divided among the three funded agencies. Funds will also be used to support the food bank (nutritional supplements), support groups, translation services, the voucher program, and a bilingual outreach worker. The Weld County Health Department will use Ryan White funds to support its part-time case management position (.75 FTE), and will provide case management and support services to individuals infected with or affected by HIV and AIDS, who reside in Weld County. WCHD's case manager will also assist NCHD's part-time case manager in providing case management in northeast Colorado. The WCHD will also use Ryan White funds to continue with the one support group currently in existence and to develop a second support group so that there are two separate support groups for those infected and for those affected, respectively. The WCHD will also continue the voucher program, providing financial assistance for accessing medical and dental care, and emergency financial assistance for expenses related to food, housing, rent, utilities, medications, or other critical needs. The Northern Colorado AIDS Project will continue to use Ryan White funds to support its two case managements positions (1.5 FTE), and will provide case management and support services to individuals infected with or affected by HIV and AIDS, who reside in Larimer county. They will also use Ryan White funds to continue with their two support groups (Infected Persons Group and Family & Friends Group), and to purchase nutritional supplements (e.g. Advera, Sustacal, Ensure, etc.), which they will make available to their clients as well as to the clients of the other two funded agencies. This year NCAP will implement their own voucher program, similar to that of the Weld County Health Department's. The Northeast Colorado Health Department will continue to use Ryan White Funds to support its part-time case manager (.1 FTE), who will provide case management and support services, with assistance from the WCHD, to individuals infected with or affected by HIV and AIDS, who reside in the counties of Morgan, Logan, Yuma, Sedgewick, Phillips, or Washington. Ryan White funds will also be used to support NCHD's part-time bilingual outreach worker (.01 FTE) and part-time outreach coordinator (.01 FTE), who will assist the case manager in her duties, and will also work with other community agencies to identify individuals currently not receiving services or receiving inadequate services. Since many of NCHD's clients are Spanish speaking only, they will use Ryan White funds to provide interpreting services so that clients may more easily access other needed services. NCHD will also be using Ryan White funds to continue with their support group for individuals infected with or affected by HIV and AIDS. 971037 ATTACHMENT D Colorado Ryan White Title II 1994 Consortium Assurances In order to receive assistance from the State, the Consortium hereby assures the State that: A. Within the established locality in which the consortium will operate, the population and subpopulations of individuals and families with HIV disease have been identified by the consortium; B. The consortium's service plan addresses the special care and service needs of the populations and subpopulations identified by a needs assessment in the established locality; C. The consortium will comply with all data collection and reporting requirements as mandated by HRSA and the Colorado Department of Health; D. The consortium will be a single coordinating entity that will integrate the delivery of services among the populations and subpopulations identified in the established locality; E. The consortium will coordinate and expand existing programs before any new programs are created; F. The consortium shall deliver case management services that link available community support services to appropriate specialized medical services; G. The consortium will include participation by individuals with HIV fiicrase in the assessment of service needs and the planning of the delivery of services; H. The consortium has or will create a mechanism to evaluate the success of the consortium in responding to the identified needs and the cost effectiveness of the mechanisms employed by the consortium to deliver comprehensive care; L The consortium has or will adopt by-laws by which the consortium will operate. The by- laws will include the definition of a "member" of the consortium and a description of the process the consortium must follow in including new members. Membership definitions and processes will clearly demonstrate an open and inclusionary intent which will give all segments of the HIV service provider community an opportunity to participate on a continuous and ongoing basis. By-laws will also include a description of the process for selecting a lead agency; this process will ensure all consortium members have an opportunity to be considered for the role of lead agency, if interested, and to participate in selection of the lead agency; and 97103'7 J. All non-profit agencies receiving $25,000 or more in Title II funds will ensure an annual independent financial audit is conducted and a report submitted as specified in Section 11-F, of the 1996-97 Tide 11 Consortia Workplan Guidance document. (The CFDA number for Title 11 funds is 93.917). abn tilk Signature 2•Il-q7 Date 971037 i ATTACHMENT E COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT GUIDANCE FOR THE DEVELOPMENT OF TITLE II FUNDED CONSORTIA WORKPLANS, 1997-98 i 971037 I. GENERAL INFORMATION A. Introduction: The Colorado Department of Public Health and Environment (CDPHE) is receiving a 12 - month grant under the federal Ryan White C.A.R.E. Act of 1990 to "improve the quality, availability and organization of health care and support services for individuals and families with HIV disease." [Sec. 2611] Grant funds are restricted to specific types of activities and services. Grant funds may be used for the development and operation of HIV care consortia; home- and community -based care services; continuum of health insurance coverage; and the provision of treatments. It is the intention of the Act that funds be distributed in a manner consistent with the epidemiology of reported AIDS cases within the State. At least 7.42% of funds must be used to serve infants, children, women and families with HIV. B. Definitions: 1. HIV Care Consortia: An HIV care consortium, as defined in the Ryan White C.A.R.E. Act, is "an association of one or more public, and one or more nonprofit private, health care and support service providers and community -based organizations." [Sec. 2613 (a) (1) and (2)] Consortia are established and operate within areas most affected by HIV disease to provide a comprehensive continuum of care to individuals and families with HIV disease. 2. Home- and Community -based Care: Home- and Community -based Care is defined as those skilled health services provided to an individual with HIV disease in his/her home pursuant to a written plan of care established by a case management team. 3. Continuum of Health Insurance Coverage: Continuum of Health Insurance Coverage is defined as financial assistance provided to eligible low-income individuals with HIV disease in maintaining a continuity of health insurance or receiving medical benefits under a health insurance program, including risk pools. 4. Provision of Treatments: Provision of Treatments is defined as the provision of treatments that have been determined to prolong life or prevent the serious deterioration of health arising from HIV disease. C. Overview: Under the auspices of the Governor's AIDS Council a subcommittee was formed to determine general disbursements of Title II funds. Determinations were made of funding amounts for each consortia area. Individual consortium will make their own decisions of how best to disburse those funds within their own geographic area. These decisions must 1 971037 be made on documented needs assessment. D. Goal of the Program: It is the goal of the Colorado Department of Public Health and Environment to fund activities and services throughout the State in order to "improve the quality, availability and organization of health care and support services for low-income individuals and families with HIV disease." [Sec. 2611] 2 971037 H. STATEMENT OF WORK A. Period of Performance: The period of performance for this project is from April 1, 1997, through March 31, 1998. B. General Responsibilities: 1. To the maximum extent possible, ensure that HIV -related health care and support services provided will be without regard to the ability of the low-income individual to pay for such services and without regard to the current or past health condition of the person with HIV disease. 2. Ensure that services will be provided in a setting that is accessible to low-income individuals with HIV disease and provide outreach to low-income individuals with HIV disease to inform them of the services available through this grant. 3. Ensure that if an entity receiving Title II funds charges for services, it must do so on a sliding fee schedule that is available to the public. The following chart may be referred to for allowable charges: Individual/Family Annual Gross Income and Total Allowable Annual Charges INDIVIDUAL/FAMILY ANNUAL GROSS INCOME TOTAL ALLOWABLE ANNUAL CHARGES Equal to or below the official poverty line No charges permitted 101 to 200 percent of the official poverty line 5% or less of gross income 201 to 300 percent of the official poverty line 7% or less of gross income More than 300 percent of the official poverty line 10% or less of gross income 4. Conduct all programs in accordance with the accepted workplan, including remaining within theproposed budget and performing tasks within the specified time -frame. 5. Identify a project staff member to work with the Colorado Department of Public Health and Environment. - 6. Work cooperatively with the Colorado Department of Public Health and Environment with the review and evaluation of program progress and the independent peer review program designed to assess the quality and appropriateness of health and support services provided through this grant. 3 971037 C. Specific Responsibilities and Eligibility Requirements: 1. Responsibilities: a) To provide comprehensive outpatient, essential health and support services for low- income individuals and families with HIV infection. Services include (but are not limited to): i) essential health services: case management; medical, nursing and dental care; diagnostics; monitoring; medical follow-up services; mental health; developmental and rehabilitation services; home health; and hospice care. ii) essential support services: transportation; attendant care; homemaker services; day or respite care; benefits advocacy; advocacy services provided through public and nonprofit private entities; nutrition; housing referral; child welfare and family services (including foster care and adoption); and provision of information and counseling on living with HIV. b) To coordinate and expand existing services, and to identify service gaps. The consortium is the single coordinating body that will integrate the HIV services within a particular locality. If a locality has sub -populations with unique service requirements which cannot be adequately met by a single coordinating body, an additional consortium could receive Title II funds. c) To ensure that Ryan White funds are used as a payor of last resort. Clients who are eligible for third -party payments, including Medicaid and Medicare, and those who have private health insurance should be using those funds before CARE Act funds. 2. Eligibility Requirements: A consortium does not have to provide the services directly. Alternatively, it can coordinate the services. In addition, a consortium is not required to become a legally incorporated entity. Funds can be received by a lead member agency, on behalf of a consortium. In order to be eligible to receive funding, a consortium must comply with the following requirements: a) Membership: A consortium must include agencies and community -based organizations which provide services to populations and sub -populations with HIV infection within the community; represent the populations and sub -populations affected by HIV in the community; and are located in areas where these groups reside. Additionally, a consortium should include representation by persons with HIV infection. 4 971037 b) Service Plan: i) A consortium must undertake a needs assessmentand establish a service plan based on the results of the needs assessment in consultation with the public health agency that provides or funds ambulatory and outpatient HIV -related health services; other entities that directly provide ambulatory HIV health services; community -based organizations that are organized solely for the purpose of providing HIV -related support services to individuals with HIV infection; and in Ryan White Title I cities, the HIV Health Services Planning Council. ii) The consortium must assure that persons with HIV infection participate in the planning process, and that needs will be addressed through the coordination and expansion of existing programs before new programs are created; in metropolitan areas, the geographic area to be served by the consortium corresponds to the boundaries of local health and support service delivery systems, to the extent practicable; in rural areas, the consortium will provide case management services to link support services to specialized medical services; the full continuum of health and social services needed for persons with HIV infection has been considered; and adequate planning has occurred to meet the special needs of families with HIV infection, including family centered care. c) Reporting and Evaluation: The consortium must create a mechanism to evaluate its success in responding to identified needs and the cost-effectiveness of the mechanisms employed by the consortium to deliver comprehensive care. The results of these evaluations must be reported to the State. Data and information about the evaluation methodology the consortium used must also be available to the State. D. Reporting Requirements: Contractors must provide statistical and program achievement information and assurances to the Colorado Department of Public Health and Environment in a manner that meets the requirements of the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (DHHS). This information includes: 1. Statistical and Program Achievement: All contractors receiving Title II funds MUST comply with the reporting requirements of the AAR and provide quarterly narrative reports and up-to-date fiscal information., a) Four quarterly narrative and statistical reports must be submitted for the period of April 1 to June 30; July 1 to September 30; October 1 to December 31, 1997; and January 1 to March 31, 1998. These reports will be due by July 15 and October 15, 1997 and January 15 and April 15, 1998, respectively. Narrative reports should 5 971037 include discussions of: progress in achievement of goals and objectives; problems and concerns encountered in completing activities within each category of service; plans to respond to any barriers encountered; and highlights of noteworthy achievements and developments. b) Contractors are required to submit monthly reports meeting the requirements of the AAR. c) Contractors are also required to produce an annual aggregate AAR to be submitted to HRSA. The reporting period is based on the calendar year, e.g., January 1 through December 31 of any given year. However, in the event a contract is not renewed for the new project period commencing April 1, 1997, the reporting period for calendar year 1997 shall be from January 1, 1997, to March 31, 1997. All contractors must plan to complete the standard scannable AAR which will be sent to you as soon as possible. The year-end form will be completed for the January 1, 1996 through December 31, 1996 time period and will be due in our office on March 3, 1997. E. Assurances: Consortia submitting workplans are required to sign the enclosed assurances and include them as an attachment to the workplan. F. Annual financial audit: If you receive $25,000 or more in Ryan White funds during your agency's 1996 fiscal year, you must have an annual fmancial audit conducted by an independent auditor. The audit report must be received by CDH no later than 90 days after the last day of the project period. Necessary and reasonable costs associated with this audit may be paid from the agency's administrative funds. A welcome change to the federal audit requirement is forthcoming. If a non-profit agency's fiscal year ends after June 30, 1997 an audit is required only if $300,000 or more in federal funds is received. 6 971037 jam mEmORAnDUm George Baxter, Chairman To Board of County Commissioners Date May 22, 1997 COLORADO From John Pickle, Director, Health Department ++ gLat- Subject: Northern Colorado AIDS Project Purchase of Services Agreement Enclosed for Board review and approval is an agreement between Weld County Health Department and the Northern Colorado Health Network, Inc., doing business as Northern Colorado AIDS Project (NCAP). The Health Department was awarded Ryan White Title II funds from the Colorado Department of Public Health and Environment to continue the consortium of care services for persons infected and affected by the HIV virus in Northeastern Colorado. As part of the effort, the Health Department is entering into an agreement with NCAP to provide case management services to such persons in Larimer County and to provide coordination of the Northern Colorado Care Consortium. For these services, NCAP will receive an amount not to exceed $58,462 for the period April 1, 1997 through March 30, 1998. I recommend your approval of this agreement. Enclosures 971037 Hello