HomeMy WebLinkAbout20241636.tiffRESOLUTION
RE: APPROVE AMENDMENT #2 TO CONTRACT FOR IMMUNIZATION CORE SERVICES
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 Amendment #2 to the Contract for the
Immunization Core Services 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 July 1, 2023, and ending June 30, 2025, 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 Amendment #2 to the Contract for the Immunization Core Services
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 be, and hereby is, authorized
to sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 19th day of June, A.D., 2024, nunc pro tunc July 1, 2023.
BOARD OF COUNTY COMMISSIONERS
ATTEST: J
Weld County Clerk to the Board
BY:
.0aAok.le-
Deputy Clerk to the Board
APP'OVED
ney
Date of signature:
WELD COUNTY, CO
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2024-1636
HL0057
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BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: CDPHE FY 24-25 Immunization Core Services Contract
DEPARTMENT: PUBLIC HEALTH AND ENVIRONMNET DATE: May 30, 2024
PERSON REQUESTING: Jason Chessher, Executive Director
Shaun May, Public Health Services Division Director
Brief description of the problem/issue:
For the Board's review and approval for placement on the agenda is the Immunization Core Services contract
between the Colorado Department of Public Health and Environment and the Board of County Commissioners
of Weld County for the use and benefit of the Weld County Department of Public Health and Environment
(WCDPHE).
This grant provides continued funding to reduce vaccine -preventable diseases in Weld County. WCDPHE
provides a full range of childhood and adult vaccines at two fixed locations and at various offsite events.
Through this grant, our staff also provides technical support to community physician offices related to vaccines,
such as guidance on complex immunization schedules for school -age children and how to meet vaccine
storage requirements.
With the approval of this contract amendment, Weld County will be reimbursed $377,076 ($204,495 federal
funding and $172,581 state funding) for the grant term, which is July 1, 2024, to June 30, 2025. Activities will
be conducted by current staff; no additional FTE is requested.
What options exist for the Board?
Approval of this contract with CDPHE will continue funding to provide immunizations for vaccine preventable
diseases.
Declining this contract will result in the loss of funding that currently supports the WCDPHE immunization
program for children and adults.
Recommendation: I recommend the Board approve placement of this Immunization Core Services contract
on a future agenda for formal action.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro-Tem
Mike Freeman
Scott K. James
Kevin D. Ross , Chair
Lori Saine
via t•rract
�tv
2024-1636
��l L0 051
Karla Ford
From:
Sent:
To:
Subject:
Approve - thanks.
** Sent from my iPhone **
Scott James
Monday, June 3, 2024 2:55 PM
Karla Ford
Re: Please Reply - PA for CDHPE Core Immunization Contract
Scott K. James
Weld County Commissioner, District 2
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
970.336.7204 (Office)
970.381.7496 (Cell)
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning
the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Jun 3, 2024, at 11:05 AM, Karla Ford <kford@weld.gov>wrote:
You missed this one in the packet. Please advise if you support recommendation and to have
department place on the agenda.
Karla Ford
Office Manager, Board of Weld County Commissioners
1150 0 Street, P.Q. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kfordcweldgov.com :: www.weldgov.com
**Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.m.**
<image003.jpg>
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to
which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received
this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying,
distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named
recipient is strictly prohibited.
From: Jason Chessher <jchessher@weld.gov>
Sent: Thursday, May 30, 2024 2:01 PM
1
DocuSign Envelope ID: B758879C-5C04-4548-8FB3-EE8728492E04
CONTRACT AMENDMENT #2
SIGNATURE AND COVER PAGE(S)
State Agency:
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2024*0062
Contractor:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150 "O" Street
Greeley CO 80631
For the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17`h Avenue
Greeley CO 80631
Amendment Contract Number:
2025*0056 Amendment #2
Contract Performance Beginning Date:
July 1, 2023
Current Contract Expiration Date:
June 30, 2025
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal
Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
2024* 0062
$136,713.00
$166,305.00
$0.00
07/01/2023-
06/30/2024
$303,018.00
Amendment #1
2024*0062
$96,012.00
$0.00
$0.00
11/27/2023-
06/30/2024
$96,012.00
Amendment #2
2025*0056
$204,495.00
$172,581.00
$0.00
07/01/2024-
06/30/2025
$377,076.00
Current Contract Maximum
Cumulative Amount
$776,106.00
Amendment Contract Number: 2025*0056 Amendment #2
Page 1 of 4 Ver 08.31.23
aoac/_/(,�3
DocuSign Envelope ID: B758879C-5O04-454B-8FB3-EE8728492E04
SIGNATURE PAGE
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
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
For the use and benefit of the
Weld County Department of Public Health and
Environment
r-DocuSigned by:
`_eonrprorz6+FAA r
By: Signature
Kevin D. Ross
Name of Person Signing for Contractor
Chair
Title of Person Signing for Contractor
2024-06-19
Date:
STATE OF COLORADO
Jared S. Potts, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
e-DocuSigned by:
l_pr1zg+yat65ye81
By: Signature
Chelsea Gilbertson
Name of Executive Director Delegate
Procurement & Contracts Section
Title of Executive Director Delegate
2024-06-20
Date:
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
,--DocuSigned by:
9 ffL S ca$7flu4
• ecno1811616718A...
By: Signature
7annette Scarpino
Name of State Controller Delegate
Chief Financial officer
Title of State Controller Delegate
Amendment Effective Date:
2024-06-20
Amendment Contract Number: 2025*0056 Amendment #2 Page 2 of 4
Ver 08.31.23
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
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 under the State Controller Signature. 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 the Amendment term shown in §3.B of this Amendment.
A. 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 under the State
Controller Signature or July 1, 2024, whichever is later, and shall terminate on the
termination of the Contract or June 30, 2025, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to reduce and eliminate vaccine preventable diseases in
Colorado by increasing and maintaining immunization coverage. Local public health agencies
will provide core immunization services, according to established best practices and standards, to
improve the health of individuals and communities.
The Parties now desire to renew for an additional term and change the current Contract
Maximum Total for the following reason: to issue the fiscal year 2025 Statement of Work,
Budget and Federal Provisions.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount table is deleted and replaced with the Current Contract
Maximum Amount table shown on the Cover Page for this Amendment.
B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page
is hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
C. The Parties now agree to modify Exhibit B — Statement of Work of the agreement. Exhibit
B — Statement of Work is deleted and replaced in its entirety with Exhibit B- Statement of
Amendment Contract Number: 2025*0056 Amendment #2
Page 3 of 4 Ver 08.31.23
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
Work, attached to this Amendment for the following reason: to issue the fiscal year 2025
Statement of Work.
D. 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, attached to this Amendment
for the following reason: to issue the fiscal year 2025 Budget.
E. The Parties now agree to modify Exhibit D- Federal Provisions of the agreement. Exhibit
D — Federal Provisions is deleted and replaced in its entirety with Exhibit D- Federal
Provisions, attached to this Amendment for the following reason: to reflect changes to the
federal award identification information for fiscal year 2025.
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: 2025*0056 Amendment #2
Page 4 of 4 Ver 08.31.23
DocuSign Envelope ID: 0758879C-5C04-454B-8FB3-EE8728492E04
EXHIBIT B
STATEMENT OF WORK
To Original Contract Number: 2024*0062
Amendment Contract Number: 2025*0056 Amendment #2
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified
above.
I. Entity Name: Weld County Department of Public Health and Environment
II. Project Description: This project serves to maintain immunization awareness and increase vaccination
rates in Colorado. Local public health agencies will assure core immunization services, according to
established best practices and standards, to improve the health of individuals and communities.
The Colorado Department of Public Health and Environment (CDPHE) is funded by the Centers for
Disease Control and Prevention (CDC) to address potentially life -threatening diseases and reduce risk. The
project supports Local Public Health Agencies (LPHAs) through the Vaccines for Children (VFC)
program, and creates a coordinated infrastructure to align with national immunization standards. The
project supplies Section 317 vaccines at no cost to remove the financial barrier for adults without insurance.
The project counters anti -vaccination attitudes and beliefs by engaging the community, and delivering
education in the service area. The project encourages healthcare providers and school -based settings to use
the Colorado Immunization Information System (CIIS), and to contribute to the centralized system by
entering data. The project is intended to convene the public and health professionals, reduce mortality and
morbidity rates caused by vaccine -preventable diseases, and protect the health of Coloradans.
III. Definitions:
1. ACIP: Advisory Committee on Immunization Practices
2. Bridge Access Program: CDC project to provide access to COVID-19 vaccines to uninsured and
underinsured adults.
3.CALPHO Colorado Association of Local Public Health Officials
4. CCC: Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR 1009-2
5. CCR: Code of Colorado Regulations
6. CDC: Centers for Disease Control and Prevention
7. CDPHE: Colorado Department of Public Health and Environment
8. CIB: Colorado Immunization Branch
9. CIIS: Colorado Immunization Information System
10. Core Immunization Services (Core Services): Basic and essential vaccination services provided within
the LPHA's jurisdiction.
11. Deputization: The formal delegation of authority to provide VFC vaccines to eligible underinsured
children from a participating FQHC or RHC to another VFC-enrolled provider; typically
a local public health agency.
12. DTaP: Pediatric diphtheria, tetanus, and pertussis vaccine.
13. Evidence -based: Conscientious use of current scientific evidence and clinical expertise.
14. FAQ: Frequently Asked Questions
15. FQHC: Federally Qualified Health Center
16. Insured: A person who is covered by health insurance.
17. Jurisdiction: Power or right of a legal or political agency to exercise its authority over a
person, subject matter, or territory.
18. LPHA: Local public health agency
19. MMR Measles, mumps, and rubella vaccine.
20. MMR and DTaP database: An electronic, CDPHE tool that provides access to county -level measles,
mumps, rubella, diphtheria, tetanus and pertussis vaccine coverage data.
Page 1 of 8
Amendment Contract Number: 2025 *0056 Amendment #2 Ver. 01.11.19
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
EXHIBIT B
21. MOU: Memorandum of Understanding
22. RHC: Rural Health Center
23. School: As defined by the Colorado Board of Health rule 6 CCR 1009-2, all child care
facilities licensed by the Colorado Department of Human Services including: child care
centers, school -age child care center, preschools, day camps, resident camps, day
treatment centers, family child care homes, foster care homes, and head start programs;
public, private, or parochial kindergarten, elementary or secondary schools through grade
twelve, or a college or university.
24. Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine program
success including vaccine for: uninsured and underinsured adults, outbreak response and
preparedness support.
25. VFC: Vaccines for Children
26. VPD: Vaccine -preventable disease
27. WIG: Wildly Important Goal - a current strategic priority of CDPHE
IV. Work Plan:
Goal #1: Reduce vaccine -preventable diseases in Colorado by increasing or maintaining immunization
coverage.
Objective #1: No later than the expiration of the contract, provide core immunization services intended to
improve the health of individuals and communities.
Primary Activity #1
The Contractor shall implement core immunization services within its
jurisdiction.
Sub -Activities #1
I . The Contractor shall promote within the jurisdiction all ACIP-recommended
vaccines available through the following distribution channels:
a. VFC vaccines available through the VFC program for the eligible
population served.
b. Section 317 vaccines available through the Section 317 program for
the eligible population served.
c. Privately -purchased vaccines available for the eligible insured
population served.
2. The Contractor shall assure immunizations are provided within the
jurisdiction.
3. The Contractor shall screen patients for eligibility to receive publicly funded
vaccine.
4. The Contractor shall report immunization data to CIIS for all immunizations
administered by the agency within seven (7) days of vaccine administration.
5. The Contractor shall promote use of CIIS to providers and schools in the
jurisdiction.
6. The Contractor shall review the county level Immunization Rates Report
provided by CIB for the following information:
a. Children 19-35 months of age no later than 30 days after distribution
by CIB
b. Adolescents 13-17 years of age no later than 30 days after distribution
CIB
c. Compare to the CDC National Immunization Surveys; Child and Teen
and CIIS-generated statewide rates provided by CIB in order to
increase awareness of county versus state and national immunization
rates within the 30 days that the rates report is distributed by the CIB.
Page 2 of 8
Amendment Contract Number: 2025"0056 Amendment #2
Ver. 01.11.19
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
EXHIBIT B
7. The Contractor shall provide immunization subject matter expertise to the
following:
a. decision makers
b. policy makers
c. health care providers
d. the public
8. The Contractor shall meet with local stakeholders to implement a minimum of
one (1) evidence -based strategy that is culturally and linguistically appropriate to
reduce the following:
a. immunization disparities by race
b. immunization disparities by ethnicity
c. immunization disparities by socio-economic status
d. immunization disparities by disability status
9. The Contractor shall promote informed vaccine decision making by educating
a minimum of one (1) of the following:
a. consumers
b. health care providers
c. staff who administer immunizations
d. policy makers
10. The Contractor shall address vaccine hesitancy by educating a minimum of
one (1) of the following:
a. consumers
b. health care providers
c. staff who administer immunizations
d. policy makers
11. The Contractor shall promote vaccine services availability by educating a
minimum of one (1) of the following:
a. consumers
b. healthcare providers
c. staff who administer immunizations
d. policy makers
12. The Contractor shall promote seasonal influenza vaccine to improve
preparedness in the event of an influenza pandemic according to the following
criteria:
a. The Contractor shall promote seasonal influenza vaccine with new
organizations.
b. The Contractor shall continue seasonal influenza vaccine coordination
with existing organizations.
c. The Contractor shall promote seasonal influenza vaccine with
commercial sector organizations.
13. The Contractor shall maintain a deputization MOU with an FQHC/RHC.
14. The Contractor shall deliver information to schools and CCCs about
the Colorado State Board of Health Rule 6 CCR 1009-2 annual reporting
requirement.
a. The Contractor shall follow up with schools who fail to report data.
b. The Contractor shall follow up with CCCs who fail to report data.
15. The Contractor shall support a network of VFC providers.
Page 3 of 8
Amendment Contract Number: 2025 *0056 Amendment 112
Ver. 01.11.19
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
EXHIBIT B
a. The Contractor shall perform ongoing recruitment of new VFC
providers.
b. The Contractor shall educate current VFC providers about the VFC
program requirements.
16. The Contractor shall implement core immunization services in response to
cases of VPD in the jurisdiction.
17. The Contractor shall maintain staff readiness for a VPD outbreak.
18. The Contractor shall participate in CIB Immunization calls for up-to-date
information.
a. The Contractor shall listen to the audio recording of the call provided
by the CIB within 30 days when the Contractor is unable to attend the
call.
19. The Contractor shall attend a minimum of one (1) immunization -related
training or conference.
Objective #2: No later than the expiration of the contract, implement evidence -based strategies to improve
immunization rates in populations identified as underimmunized.
Primary Activity #1
The Contractor shall utilize immunization strategies to address strategic
priorities.
Sub -Activities #1
1. The Contractor shall utilize immunization strategies to address
underimmunization in populations.
2. The Contractor shall review the list of strategies from Strategies to improve
Colorado vaccination rates (in Standards and Requirements section).
3. The Contractor shall plan local activities to use evidence -based strategies
that are culturally and linguistically appropriate to increase immunization
rates with the following:
a. Health care providers
b. Pharmacists
c. Long-term care facility staff
d. Infection control specialists
e. School officials
f. The public
Objective #3: No later than the expiration of this contract, implement activities to maintain access to COVID-19
vaccines for uninsured and underinsured adults.
Primary Activity #1
1. The Contractor shall offer the Bridge Access Program to provide COVID-19
vaccines for uninsured and underinsured adults.
Sub -Activities #1
2. The Contractor shall participate in the Bridge Access Program to provide
COVID-19 vaccines to uninsured and underinsured adults.
a. The Contractor shall offer COVID-19 vaccines alongside other
routine vaccines.
3. The Contractor shall schedule a minimum of one (1) monthly vaccination
clinic during evening hours (after 5:00pm) to increase access.
4. The Contractor shall promote a minimum of one (1) monthly vaccination
clinic scheduled during evening hours (after 5:00pm) to increase access.
5. The Contractor shall conduct a minimum of one (1) monthly vaccination
clinic during extended evening hours (after 5:00pm) to increase access.
6. The Contractor shall schedule a minimum of one (1) monthly vaccination
clinic during weekend hours to increase access.
7. The Contractor shall promote a minimum of one (1) monthly vaccination
clinic scheduled during weekend hours to increase access.
Page 4 of 8
Amendment Contract Number: 2025 *0056 Amendment #2
Ver. 01.11.19
DocuSign Envelope ID: B758879C-5C04-4548-8FB3-EE8728492E04
EXHIBIT B
8. The Contractor shall conduct a minimum of one (1) monthly vaccination
clinic during weekend hours to increase access.
9. The Contractor shall promote publicly funded COVID-19 vaccines available
through the following programs:
a. VFC
b. Bridge Access Program
Standards and
1. The content of electronic documents located on CDPHE and non-CDPHE
Requirements
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 all
updates.
2. The Contractor shall use the final results of the CDC National Immunization
Surveys; Child and Teen and CIIS-generated statewide rates provided by
CIB via email communication in order to increase awareness of county
versus state and national immunization rates.
3. The Contractor shall comply with the requirements for entering/submitting
immunization data into CIIS as agreed to in the CIIS Letter of Agreement
found within the online CIIS Resource Center located on the following
website, https://www.cophr.com/emrlogin.asp. The content of this website is
incorporated and made part of this contract by reference.
4. The Contractor shall comply with the ACIP recommendations for vaccine
administration located on the following website,
http://www.cdc.gov/vaccines/acip/index.html. The content of this website is
incorporated and made part of this contract by reference.
5. The Contractor shall promote compliance with school immunization rules
within the Colorado State Board of Health Rule 6 CCR 1009-2 located on
the following website,
hops://drive.gootle.com/file/d/1 lUWIH39hkuiXalg4bcPOp7WoNdEw-
TQC/view. This document establishes immunization standards and is
incorporated and made part of this contract by reference.
6. The Contractor shall create a login to access the school and childcare
immunization data for the Contractor's jurisdiction located on the following
website, Colorado Health Informatics Data Systems at
https://www.healthinformatics.dphe.state.co.us. The content of this website
is incorporated and made part of this contract by reference.
7. The Contractor shall maintain a signed VFC recertification agreement when
providing VFC vaccines for the jurisdiction.
8. The Contractor shall provide signed VFC recertification packet and
agreements when providing VFC vaccines for the jurisdiction. The
recertification packet will be provided by CIB.
9. The Contractor shall comply with the requirements for utilizing VFC
vaccine agreed to in the VFC recertification agreement packet provided by
CIB when providing VFC vaccines for the jurisdiction.
10. The Contractor shall comply with the eligibility requirements for utilizing
Section 317 vaccine and Bridge Access Program COVID-19 vaccine as
Page 5 of 8
Amendment Contract Number: 2025 *0056 Amendment #2
Ver. 01.11.19
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
EXHIBIT B
provided by CIB policy and via email when providing 317 and Bridge
Access Program COVID-19 vaccines for the jurisdiction.
11. The Contractor shall review and use a minimum of one (1) evidence -based
strategy to reduce coverage disparities by race, ethnicity, socio-economic
status, and/or disability status from Strategies to improve Colorado
vaccination rates located on the following website,
https://drive.google.com/file/d/ 1 dYouAyu WmrzS 1 P8RQ7ZPl0uryuKfcC-
5/view?usp=sharing The content of this website is incorporated and made
part of this contract by reference.
12. The Contractor shall use deputization MOU guidance as provided by CIB
via email.
13. CDPHE will provide programmatic technical assistance to the Contractor,
upon request.
14. The Contractor shall complete an electronic quarterly progress report using
the FY25 Immunization Core Services Quarterly Progress Report, via the
following website, https://fs9.formsite.com/ColoradoIMMprogram/FY25-
LPHA/index The content of this website is incorporated and made part of
this contract by reference.
15. The Contractor shall complete the final electronic quarterly progress
report as a non -reimbursable deliverable.
16. The content of this website is incorporated and made part of this contract by
reference.
17. The Contractor shall utilize strategies of CALPHO and CDPHE's Colorado
Public Health System Transformation: Core Public Health Services Needs
Assessment Report. Jan 2020 located on the following
website,https://drive.google.com/file/d/13WfziCLlymOlZcFsW fke8W4Mj
RbxL8r/view?usp=sharing This document establishes immunization
standards and is incorporated and made part of this contract by reference.
18. The Contractor shall access the MMR and DTaP Dashboard at
https://cohealthviz.dohe.state.co.us/t/DCEED Public/views/LPHAMMRDT
aPGoals/MMRFluTracking?%3Aembed=y&%3Aiid=1 &%3AisGttestRedire
ctFromVizportal=y to track immunization coverage in their jurisdiction.
19. The Contractor shall strive to meet immunization targets for the jurisdiction
set by the CIB to attain a WIG.
20. CDPHE will provide each jurisdiction's immunization targets via email
within 90 days of the execution of the contract.
21. The CIB will maintain the LPHA Core Immunization Services FAQ
document at
https://docs.google.com/document/d/1 kOMx4smtcmit73nHwEDe9OW3Sip9
I9D6TacM2ES0y9w/edit?usp=sharing to address questions regarding this
project. The content of this website is incorporated and made part of this
contract by reference.
22. The Contractor shall utilize immunization strategies to address
underimmunization in populations as defined by CDPHE.
Page 6 of 8
Amendment Contract Number: 2025*0056 Amendment #2
Ver. 01.11.19
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
EXHIBIT B
23. The Contractor shall complete an electronic monthly report using the FY24-
25 COVID Bridge Access Progress Report via the following website,
https://fs9.formsite.com/ColoradoIMMprogram/BridgeAccess/index The
content of this website is incorporated and made part of this contract by
reference.
Expected Results of
Activity(s)
1. Immunizations are offered within the Contractor's jurisdiction.
2. Immunizations are promoted within the Contractor's jurisdiction.
3. Immunizations are administered within the Contractor's jurisdiction.
Measurement of Expected
Results
1. Data contained in the Immunization Rates Report.
2. Data contained in the CDPHE MMR and DTaP Dashboard.
3. Data contained in quarterly progress reports.
Completion Date
Deliverables
1. For Contractors providing VFC vaccines, the
Contractor shall electronically submit signed VFC
recertification packet and agreements.
No later than 30
business days
following the receipt of
the recertification
packet
2. The Contractor shall submit an electronic quarterly
progress report using the Immunization Core
Services Quarterly Progress Report.
No later than 15
calendar days
following the last
calendar day of
September, December,
March and July
3. The Contractor shall submit immunization data for
all immunizations administered by the Contractor's
agency to CIIS.
No later than seven (7)
days following vaccine
administration
4. The Contractor shall report the number of evening
and weekend clinics each month using the FY24-25
COVID Bridge Access Progress Report
No later than 15
calendar days
following the last
calendar day of the
month
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 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
Page 7 of 8
Amendment Contract Number: 2025 *0056 Amendment #2 Ver. 01.11.19
DocuSign Envelope ID: B758879C-5C04-4548-8FB3-EE8728492E04
EXHIBIT B
completed. The action(s) and timeline for completion will be documented in writing and agreed to by both
parties. If extenuating circumstances arise that requires an extension to the timeline, the Contractor must
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.
Page 8 of 8
Amendment Contract Number: 2025*0056 Amendment #2 Ver. 01.11.19
DocuSign Envelope ID:B758879C-5C04-454B-8FB3-EE8728492E04
EXHIBIT C
To Original Contract Number: 2024"0062
Original Budget
Immunization Activities: Weld County Department of Public Health and
Environment
Federal Funds
136,368
State Funds
172,581
Federal Funds — Bridge Program
68,127
Total Amount
377,076
Amendment Contract Number: 2025*0056 Amendment #2 Page 1 of 1
DocuSign Envelope ID: B758879C-5C04-4548-8F83-EE8728492E04
Exhibit D
Federal Provisions - CDC-RFA-IP19-1901 Immunization and Vaccines for Children
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has
been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or
any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental
Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient: Weld County Department of Public Health and Environment
b. Subrecipient Unique Entity Identification Number:
• SAM Unique Entity ID (UEI): MKKXT9U9MTV5
c. The Federal Award Identification Number (FAIN) is NH23IP922600
d. The Federal award date is TBD.
e. The subaward period of performance start date is TBD and end date is TBD.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
TBD
TBD
TBD
g. Federal award title of project or program: Immunization and Vaccines for Children.
h. The name of the Federal awarding agency is: The Department of Health and Human
Services — Centers for Disease Control and Prevention and the contact information for the
awarding official is Hilary Oliphant, 4770 Buford Highway, Chamblee, GA 30341,770-
433-3973; the name of the pass -through entity is the State of Colorado, Department of Public
Health and Environment (CDPHE), and the contact information for the CDPHE official is
Heather Roth, 4300 Cherry Creek Drive South, A-3, Denver, Colorado 80246 303-692-
2289.
i. The Catalog of Federal Domestic Assistance (CFDA) number is # 93.268 and the grant name
is Immunization and Vaccines for Children.
j. This award is not for research & development.
k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is
required to provide matching funds, Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2
CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and
CDPHE cost allocation plan.
Amendment Contract Number: 2025*0056 Amendment #2
Page 1 of4 Ver. 25.02.20
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
Exhibit D
2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing
regulations as they currently exist and may hereafter be amended.
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial
statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass -
through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of
performance, and Subpart F -Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
final status of Subrecipient's obligations hereunder.
8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any
matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account. Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not
intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for
any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by
Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during
Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit
conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform
Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR
§200.501.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments, as applicable;
b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40
U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
Amendment Contract Number: 2025*0056 Amendment #2 Page 2 of 4 Ver. 25.02.20
DocuSign Envelope ID: B758879C-5C04-4548-8FB3-EE8728492E04
Exhibit D
c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C.
3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
d. 42 U.S.C. 6101 et sue, 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination);
e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111
- 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47
U.S.C. 225 and 47 U.S.C. 611);
f when applicable, the Contractor shall comply with the provisions of the "Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments" (Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as
amended by §6062 of Public Law 110-252, including without limitation all data reporting
requirements required there under. This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964, as amended.
i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the definition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
m. if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
n. the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
Amendment Contract Number: 2025 *0056 Amendment #2
Page 3 of 4 Ver. 25.02.20
DocuSign Envelope ID: B758879C-5C04-454B-8FB3-EE8728492E04
Exhibit D
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation,
§§200.318 through 200.326 thereof.
14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet
a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended. 2 CFR
§200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract
must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract, and Subrecipient's final reimbursement request. If the project has not been closed by the
Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review. Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
Amendment Contract Number: 2025*0056 Amendment #2 Page 4 of 4 Ver. 25.02.20
Contract Form
Entity Information
Entity Name *
COLORADO DEPT OF PUBLIC
HEALTH/ENVIRONMENT
Entity ID*
@00001926
Contract Name *
IMMUNIZATION CORE SERVICES CONTRACT
Contract Status
CTB REVIEW
Contract Description *
IMMUNIZATION CORE SERVICES CONTRACT
Contract Description 2
Contract Type *
MAINTENANCE
Amount*
$ 377,076.00
Renewable*
NO
Automatic Renewal
Grant
YES
IGA
Department
HEALTH
Department Email
CM-Health@weldgov.com
Department Head Email
CM-Health-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
NTYATTO R N EY@W EL
DGOV.COM
Grant Deadline Date
O New Entity?
Contract ID
8348
Contract Lead *
BFRITZ
Contract Lead Email
bfritz@weld.gov;Health-
Contracts@weld.gov
Parent Contract ID
Requires Board Approval
YES
Department Project #
Requested BOCC Agenda Due Date
Date* 06/13/2024
06/17/2024
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
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
Termination Notice Period
Contact Information
Review Date *
05/01/2025
Committed Delivery Date
Renewal Date
Expiration Date*
06/30/2025
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 CHERYL PATTELLI BRUCE BARKER
DH Approved Date Finance Approved Date Legal Counsel Approved Date
06/12/2024 06/14/2024 06/14/2024
Final Approval
BOCC Approved Tyler Ref #
AG 061924
BOCC Signed Date Originator
BFRITZ
BOCC Agenda Date
06/19/2024
Hello