HomeMy WebLinkAbout20242433.tiffRESOLUTION
RE: APPROVE CONTRACTS UNIT CONTACT FORM AND PURCHASE ORDER
STATEMENT OF WORK FOR REIMBURSEMENT OF TOXICOLOGY TESTING
EXPENSES RELATED TO OVERDOSE DATA TO ACTION STATE GRANT, 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 a Contracts Unit Contact Form and
Purchase Order Statement of Work for Reimbursement of Toxicology Testing Expenses Related
to the Overdose Data to Action State Grant between the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the Coroner's
Office, and the Colorado Department of Public Health and Environment, Prevention Services
Division, with further terms and conditions being as stated in said form and statement of work,
and
WHEREAS, after review, the Board deems it advisable to approve said form and
statement of work, copies of which are attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Contracts Unit Contact Form and Purchase Order Statement of
Work for Reimbursement of Toxicology Testing Expenses Related to the Overdose Data to Action
State Grant between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Coroner's Office, and the Colorado Department
of Public Health and Environment, Prevention Services Division, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair Pro-Tem be, and hereby is,
authorized to sign the requisite Signature Authority Letter attached to said form.
CC: Co(MB), FCT(cv),l3occ(wc)
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2024-2433
CO0003
CONTRACTS UNIT CONTACT FORM AND PURCHASE ORDER STATEMENT OF WORK FOR
REIMBURSEMENT OF TOXICOLOGY TESTING EXPENSES RELATED TO OVERDOSE DATA
TO ACTION STATE GRANT
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 16th day of September, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: -rtA J G( .d
Weld County Clerk to the Board
BY:
AP
Octrdin uJOuudI cJc
Deputy Clerk to the Board
Coun y Attorney Date of signature: Q f20 `I
Z4
EXCUSED
Key' -Q Ross, Chair
Perry L. B k, Pro-Tem
ike Freeman
ri Saine
eL.-
2024-2433
CO0003
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: CDPHE funding for toxicology expenses
DEPARTMENT: Coroner
PERSON REQUESTING: Dr. Burson
DATE: Dec 4,2023
Brief description of the problem/issue:
The national opiod crisis has prompted increased research interest with fortunately comes with increased funding. CDPHE collects death related data
from our office regularly and has made funding available to recoup toxicology expenses. The stipulations specify opiod related or suspected deaths. As
you might imagine we have plenty such cases in Weld county. Thus, I would like approval to track and submit such cases to CDPHE for
reimbursement. We have up to $45,000 available depending on the number of cases that qualify.
What options exist for the Board?
Approve our participation or deny our participation.
Consequences:
If approved we will recoup up to $45,000 that is spent on opiod-related death investigations. If denied our office will simply continue to pay
for all toxicology expenses.
Impacts:
Approval will improve our annual budget bottom line.
Cost (Current Fiscal Year/Ongoing or Subsequent Fiscal Years:
No additional costs.
Recommendation:
Perry L. Buck, Pro -Tern
Mike Freeman, Chair
Scott K. James
Kevin D. Ross
Lori Saine
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
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2024-2433
AA co co 0003
OFFICE OF THE BOARD OF COMMISSIONERS
PHONE: 970-400-4200
FAX: 970-336-7233
1 150 O STREET
P.O. BOX 758
GREELEY, CO 80632
September 16, 2024
Colorado Department of Public Health and Environment
Prevention Services Division
To Whom it May Concern,
Weld County exists as a governmental entity and, as such, does not have a President or
Vice -President, but instead is governed by a Board of Weld County Commissioners. In addition,
the Weld County Coroner is appointed by, and operates under the leadership of, the Board of
Commissioners. I, Perry L. Buck, am authorized to sign actions on behalf of the Weld County
Board of Commissioners, pursuant to the attached Resolutions.
Sincerely,
Perry L. Buck
Chair Pro -Tern, Weld County Board of Commissioners
COLORADO
Prevention Services Division
Department of Public Health Er Environment
Contracts Unit Contact Form
Institution/Organization to complete this form to provide point of contact for contracting purposes.
If the Institution/Organization is a Local Public Health Agency (LPHA), the contract packet will be routed to the
negotiated email address(es) for the LPHA. Any additional LPHA recipient(s) should be identified below and will
receive a cc.
The section below is to be completed by the Institution/Organization Personnel V
Institution
/ Organization's
Information
(include
Entity's
DBA,
if
Legal
applicable)
Name
CovrnS/ O4 kided
Entity's
Physical
Address
n
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C-ietz-icy,
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Entity's
Mailing
Address,
from
Physical
if
different
Address
Phone
Number
070-
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(required
Unique
if
Entity
receiving
Identifier
federal
(UEI)
fund(s))
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Employer
Identification
Number
(EIN)
31/S 60000/ 3
Primary
Email
Address
for
DocuSign "
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Email
Address(s)
to
DocuSign
be
listed
(optional)
as
CC in
Must select one:
The email address listed above is a central email address or belongs to an individual that does not have signature
authority for the Institution/Organization; DocuSign envelope will be reassigned to signing authority.
The email address listed above is the signing authority for the Institution/Organization. The Program Contact /
Principal Investigator, listed below, should be cc in the DocuSign workflow.
(This
individual
serves as the
Institution
point
of
contact
/ Organization's
for administrative
related
duties
issues.)
Contract
like
routing
Administrator
and
helping
CDPHE
with
program -
the
contract
Name
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Phone
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Page 1 of
Revised 11.2022
(This
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cover
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matters,
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Signature of an individual with a position title that is not listed on the accepted signature
authority list requires a Signature Authority Letter placed on the entity's letter head and signed ***.
Accepted signature authorities by entity type are as follows:
• Corporation: President, Chief Executive Officer (CEO), Vice -President, Board of Directors Chairperson, or
Executive Director
• Partnership (General or Limited): General Partner
• Limited Liability Company (LLC): Manager
• Sole Proprietorship: Owner/ Contractor
• Individual using trade name: Owner/Contractor
Accepted signature authorities for agencies are as follows:
• Institutions of Higher Education (IHE): President, Chancellor, State Controller, Individuals with a delegation
agreement with the State Controller (i.e. Chief Financial Officer, Agency Controller, Chief Procurement
Officer)
• Agencies: Individuals with final executive authority for an Agency (regardless of title), Individuals with a
delegation agreement with the State Controller (i.e. Chief Financial Officer, Agency Controller, Chief
Procurement Officer)
Page 2 of 3 Revised 11.2022
• Government: Individual given actual authority based on governmental resolution.
Counties - Board of County Commissioners Chairperson or Executive Director
County or District Board of Health - Board of Health President or Executive Director
nor District Board of Social Services - Board of Social Services Chairperson
County Soc a
YP
Cities and Towns - Mayor
Cities and Towns - City Manager (if city manager structure)
School District - School District Superintendent
*** Sample language for Signature Authority Letter:
(Insert name of entity) exists as a non-profit corporate entity and as such does not have a President or Vice -
President, but instead is governed by a Board of Directors. In addition, (insert name of entity) operates under the
leadership of (insert name of individual signing the contract), our Chief Operating Officer (COO). (Insert name of
individual signing the contract) has the authority to sign contracts on behalf of (insert name of entity) which are
binding.
Page 3 of 3 Revised 11.2022
STATEMENT OF WORK
I. Project Description: This project serves to improve the surveillance of overdose deaths in Colorado by
increasing the ability of local coroners and the medical examiner in Denver City and County to accurately determine and
report to the state the number of deaths due to overdose and the substances involved in overdose deaths. This will be
accomplished by providing funding for toxicology testing for Colorado coroners and medical examiners as part of the
Overdose Data to Action - States grant from the Centers for Disease Control and Prevention (CDC). This health project is
being funded to reimburse laboratory fees associated with forensic toxicology testing related to overdose deaths or
suspected overdose deaths suspected to involve opioids or stimulants.
II. Definitions:
1. CDPHE: Colorado Department of Public Health and Environment
2. CHED: Center for Health and Environmental Data
3. Coroner: an elected official who is responsible for conducting or ordering an inquest into the manner or cause of
death, and to investigate or confirm the identity of an unknown person who has been found dead within the
coroner's jurisdiction. This is an elected position in all counties in Colorado except Weld County which has an
appointed coroner, and Denver which has an appointed medical examiner.
4. Fentanyl: a synthetic opioid about 50 times as potent as heroin. Medically, it is used in clinical settings for pain
management and during surgery. Illicit fentanyl can be found as powder and pressed pills, and as an adulterant in
other substances
5. Medical Examiner: in Denver City and County, the Medical Examiner is responsible for the investigating deaths
that occur in the jurisdiction, to perform post-mortem examinations, and to initiate inquests regarding deaths.
6. Novel Psychoactive Substances: "designer drugs" designed to mimic the effects of established illicit drugs.
7. Opioids: substances that act on opioid receptors to produce morphine -like effects. Medically they are primarily
used for pain relief, including anesthesia.
8. Stimulants: any drug that excites any bodily function, but more specifically those that stimulate the brain and
central nervous system. Stimulants induce alertness, elevated mood, wakefulness, increased speech and motor
activity and decrease appetite. There are prescription stimulants such as Ritalin and illicit stimulants such as
cocaine and methamphetamine.
9. Toxicology Testing: a test that determines the approximate amount and type of drugs in a person's body.
10. Xylazine: a veterinary tranquilizer that produces some of the same sedative effects as opioids. Xylazine can
sometimes be found as an adulterant in the illicit drug supply.
III. Work Plan:
Goal #1: Create connected and thriving communities free from injury and violence.
Objective #1: No later than the expiration date of this contract, improve the ability to order toxicology testing and submit
toxicology results for deaths in which overdose due to opioids and/or stimulants is suspected to be a contributing factor or
cause of death.
Primary Activity #1
The Contractor shall order toxicology testing from a laboratory for deaths in which overdose due to
opioids and/or stimulants is suspected to play a role in the death.
Sub -Activity #1
1. The Contractor shall obtain documentation from the laboratory used for toxicology testing that
includes the following information for every test submitted for reimbursement under this grant:
Page 1 of 4
Ver. 01.11.19
a. Case number
b. Test(s) performed
c. Cost of testing
Primary Activity #2
The Contractor shall provide toxicology results upon request to CHED.
Standards and
Requirements
1. The Contractor shall redact supporting documentation submitted with invoices to remove
identifying information regarding decedent such as:
a. Name
b. Date of birth
c. Address
2. Project funding is for reimbursement of laboratory fees associated with forensic toxicology testing
for overdose deaths or suspected overdose deaths due to opioids and/or stimulants only.
3. Funding from this project shall not be used for any of the following:
a. Toxicology testing conducted for any reason other than overdose or suspected overdose
b. Testing for deaths due to motor vehicle crashes
c. Laboratory fees for testing not covered under this grant (e.g., carbon monoxide, electrolytes
and glucose)
d. Personnel expenses
e. Supplies
f. Equipment
g. Technology costs
h. Other expenses not related to laboratory fees for forensic toxicology testing for overdose or
suspected overdose deaths due to opioids and/or stimulants
4. The minimum level of toxicological testing for suspected opioid and/or stimulant overdose deaths
shall include:
a. Screening, confirmatory, and quantitative testing for commonly prescribed drugs
b. Illicit opioids such as fentanyl and heroin
c. Illicit stimulants including cocaine, methamphetamine, other amphetamines, and cathinones
d. Drugs commonly co-occurring with opioids and/or stimulants, such as (but not limited to)
benzodiazepines.
5. When economically feasible, expanded testing shall be conducted to obtain a more comprehensive
assessment of potential drugs involved in suspected opioid and/or stimulant overdose deaths.
6. The funding from this project can be used for the identification and quantification of the following
substances:
a. Amphetamine, Methamphetamine, MDA, MDMA, MDEA
b. Alprazolam, Clonazepam, Diazepam, Nordiazepam, Oxazepam, Temazepam, Lorazepam
c. Buprenorphine
d. Cannabinoids
e. Cocaine, Cocaethylene, Benzoylecgonine
f. Codeine, Hydrocodone, Hydromorphone, Morphine, Oxycodone, Oxymorphone, 6-
Acetylmorphine
g. Fentanyl, Fentanyl analogs
h. Gabapentin
i. Methadone, EDDP (methadone metabolite)
Page 2 of 4
Ver. 01.11.19
j. Xylazine
k. Common over-the-counter, prescription/therapeutic, and illicit drugs, including but not
limited to antidepressants, antihistamines, antipsychotics, antiseizure, hallucinogens,
sedatives, stimulants
1. Novel Psychoactive Substances, when determined necessary by the ME/C
m. Other substances as approved by CDPHE
Expected Results of
Activity(s)
CDPHE will have increased access to toxicology results for overdose deaths in Colorado.
Measurement of
Expected Results
Count of toxicology results submitted to CDPHE for reimbursement.
Completion Date
Deliverables
The Contractor shall submit to CDPHE documentation from the laboratory
used for toxicology testing.
No later than the
expiration date of
this Purchase Order.
IV. Additional Provisions:
The following terms and conditions are in addition to the standard purchase order terms and conditions and are to
be read and interpreted in conjunction with the provisions of the purchase order. Wherever used in the following
provisions, "Contractor" and "Vendor" shall have the same meaning. Contractor and/or Vendor — any party to which a
Purchase Order is issued.
A. ADDITIONAL PROVISIONS -- Invoicing
To receive compensation under the Purchase Order, the Contractor shall submit a signed CDPHE approved Invoice Form.
The CDPHE approved Invoice Form must be submitted no later than forty-five (45) calendar days after the end of the
billing period for which services were rendered. Expenditures shall be in accordance with the Statement of Work and
Budget.
Submit the completed and signed CDPHE approved Invoice Form as an electronic document. Email the Invoice form and
supporting documentation to Cody Brown, Overdose Prevention Technical Assistance Coordinator, at
cody.brown@state.co.us.
Final billings under the Purchase Order must be received by the State within a reasonable time after the expiration or
termination of the Purchase Order; but in any event no later than forty-five (45) calendar days from the effective expiration
or termination date of the Purchase Order.
Payment to the Contractor is made from available funds encumbered through a General Accounting Encumbrance (GAE)
and shared across multiple contractors. CDPHE may increase or decrease the total funds encumbered in the GAE at its sole
discretion and without formal notice to the Contractor. No minimum payment is guaranteed to the Contractor. The liability
of the State for such payments is limited to the encumbered amount remaining of such funds.
B. ENTIRE AGREEMENT
These Provisions together with the Purchase Order constitute the entire agreement between the parties, and supersedes all
prior proposals, agreements or other communications between the parties.
Page 3 of 4
Ver. 01.11.19
V. Monitoring:
CDPHE's monitoring of the purchase order for compliance with performance requirements will be conducted throughout the
purchase order period by the Overdose Prevention Technical Assistance Coordinator. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include invoices and supporting documentation and
other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals
and communicated to the contractor.
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 time line for completion
will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to
the time line, the Contractor must email a request to the Overdose Prevention Technical Assistance Coordinator and receive
approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines 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 Terms and Conditions of this Purchase Order.
Page 4 of 4
Ver. 01.11.19
CONTRACTS UNIT CONTACT FORM AND STATEMENT OF WORK FOR REIMBURSEMENT
OF TOXICOLOGY TESTING EXPENSES RELATED TO OVERDOSE DATA TO ACTION
STATE GRANT
APPROVED AS TO SUBSTANCE:
Department Head, or Elected Official
APPROVED AS TO FUNDING:
Chief Financial Officer, or Controller
APPROVED AS TO FORM:
� I
Deputy County Attorney
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