HomeMy WebLinkAbout20243022.tiffRESOLUTION
RE: APPROVE AMENDMENT #2 TO GRANT CONTRACT FOR CHILDREN, YOUTH, AND
FAMILY BEHAVIORAL HEALTH SERVICES, 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 Grant Contract for
Children, Youth, and Family Behavioral Health Services 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 Human Services, and the Colorado Department of Human Services, commencing
upon full execution of signatures, 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,
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 Amendment #2 to the Grant Contract for Children, Youth, and Family
Behavioral Health Services 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 Human Services,
and the Colorado Department of Human Services, 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 13th day of November, A.D., 2024.
ATTEST:
Weld County Clerk to the Board
BY(tt)1 UC
Deputy Clerk to the Board
APP'OVED
my At • ney
Date of signature: I ' 113 1 Z4
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY
on Saine
CC ; }-(SD, AcT(cw/cD)
v1/27/25
2024-3022
HR0096
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
Coalvac4-I D4 gzs30
PASS -AROUND TITLE: Colorado Department of Human Services (CDHS) Behavioral Health Administration 1281
Grant Contract Amendment #2
DEPARTMENT: Human Services DATE: November 5, 2024
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the problem/issue: In 2023 the Department was awarded the Behavioral Health
Administration 1281 Grant by the Colorado Department of Human Services (CDHS) and entered into a contract
to receive this funding, known to the Board as Tyler# 2023-2546. The purpose of this Contract is to
establish/expand services to address local behavioral health care needs along continuum of care, including
services for Children, Youth, and Family with severe needs.
On June 19, 2024 the Board approved Amendment #1 that renewed the Agreement for FY25 which added
$470,085.09 in new funding for FY25 as well as updated Exhibit B, Exhibit C, Exhibit E, and Exhibit F.
The Department is now requesting the Board's approval of Amendment #2, which adds an additional
$9,946.47 to the FY25 funding. Additionally, this Amendment replaces Exhibit A with Exhibit A-1, Exhibit B-2
with Exhibit B-3, Exhibit E-1 with Exhibit E-2, and Exhibit F-1 with Exhibit E-2.
What options exist for the Board?
• Approval of the Colorado Department of Human Services (CDHS) Behavioral Health Administration
1281 Grant Contract Amendment #2.
• Deny approval of the Colorado Department of Human Services (CDHS) Behavioral Health
Administration 1281 Grant Contract Amendment #2.
Consequences: WCDHS will not have a current contract with CDHS
Impacts: WCDHS will not receive the additional funding and will not be able to provide services to
address local behavioral health care needs.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
Total award = Fiscal Year 2024 = $256,570.83
Fiscal Year 2025 = $470,085.09
Amendment #2 = $9,946.47
Total = $736,602.39
Funded through Colorado Department of Human Services Behavioral Health Administration
Pass -Around Memorandum; November 5, 2024 — CMS ID 8830
2024-3022
11/13 N-eU09co
Recommendation:
• Approval of Amendment #2 and authorize the Chair to sign electronically.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro-Tem 'gb
rnf—
Mike Freeman
Scott K. James gr
Kevin D. Ross, Chair e r
Lori Saine /`
Pass -Around Memorandum; November5, 2024 — CMS ID 8830
Docusign Envelope ID: 6544EC05-811 E-49F4-B58C-98A66B514E05
CONTRACT AMENDMENT #2
SIGNATURE AND COVER PAGE
State Agency
Colorado Department of Human Services
Behavioral Health Administration
Original Contract Number
24 IBEH 182001
Contractor
Weld County Department of Human Services
Amendment Contract Number
25 IBEH 194861
Current Contract Maximum Amount
Initial Term
State Fiscal Year 2024 $256,570.83
Extension Terms
State Fiscal Year 2025 $480,031.56
Total for All State Fiscal Years $736,602.39
Contract Performance Beginning Date
August 31, 2023
Current Contract Expiration Date
June 30, 2025
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
Weld County Department of Human Services
Signed by:
t�uln. V. foss
'-4.4119pcitserviti-D. Ross, Chair of the Board of
J County Commissioners
Date:
12/19/2024
STATE OF COLORADO
Jared Polis, Governor
Colorado Department of Human Services
Michelle Barnes, Executive Director
"-Signed by:
V4 to Akitt, f"• J nigt.
'-395B6DC fi8tte R. Smith, Commissioner
'-'JB� Behavioral Health Administration
Date:
12/19/2024
In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
DDoeuSigneed,,b�y:
By: I [/�u Dln,
Toiti-Wf tl t8Si9 Telly Belton / Amanda Rios
Amendment Effective Date:
12/24/2024
Amendment Contract Number
25 IBEH 194861 Page 1 of 2
Rev. 1/14/19
Docusign Envelope ID: 6544EC05-811E-49F4-B58C-98A66B514E05
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page
for this Amendment (the "Contract") is entered into by and between the Contractor, and the State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are defined
in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the Contract
contained herein shall commence on the Amendment Effective Date shown on the Signature
and Cover Page for this Amendment and shall terminate on the termination of the Contract.
4. PURPOSE
The purpose of this Contract is to establish/expand services to address local behavioral health care
needs along continuum of care, including services for Children, Youth, and Family with severe
needs. This Amendment adds $9,946.47 in funding for FY25 and updates the Statement of Work,
Budget, Supplemental Provisions for Federal Awards, and the SLFRF Subrecipient Provisions
exhibits..
MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby
deleted and replaced with the Current Contract Maximum Amount table shown on the
Signature and Cover Page for this Amendment.
B. REPLACE Exhibit A with Exhibit A-1, attached and incorporated by reference
C. REPLACE Exhibit B-2 with Exhibit B-3, attached and incorporated by reference.
a REPLACE Exhibit E-1 with Exhibit E-2, attached and incorporated by reference.
E. REPLACE Exhibit F-1 with Exhibit F-2, attached and incorporated by reference.
5. 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
25 IBEH 194861
Page 2 of 2 Rev. 1/14/19
Exhibit A-1
Exhibit A-1 - Statement of Work
Children, Youth, and Family Behavioral Health Services Grants
Article 1
Purpose and Target Population
1.1 Purpose
In accordance with 27-60-502, C.R.S., the Behavioral Health Administration (BHA) awards
grants to local governments, community -based organizations, federally -recognized Indian
tribes, local collaborative management programs, local juvenile services planning committees,
and nonprofit organizations for programs and services along the behavioral health care
continuum in areas of highest need and to address gaps in services, including children -
oriented, youth- oriented, and family -oriented behavioral health care services. The purpose of
the grant program is to expand or implement services that have been identified as gaps in
Child, Youth, and Family (CYF)-oriented behavioral health care and to improve outcomes for
individuals served.
1.2 Target Population
The target population includes persons eighteen (18) years of age or younger and their families
and persons twenty-one (21) years of age or younger who are receiving special education
services and their families pursuant to Part 1 of Article 20 of Title 22 s who have behavioral
health problems, including parent -child dyads, with acute, complex, and/or severe conditions
and needs.
Article 2
Definitions and Acronyms
Administrative Services Organizations (ASO) are organizations contracted by the Behavioral
Health Administration to administer and manage regional behavioral health crisis services.
Behavioral Health Administration (BHA) means the Behavioral Health Administration
established in section 27-60-203.
Behavioral Health Administrative Services Region means a Behavioral Health Administrative
Services Region designated by the BHA Commissioner after consultation with the Department
of Health Care Policy and Financing and consideration of the regional structure that serves the
Medicaid population.
Behavioral Health -Care Services Assessment Tool means the assessment tool described in
section 27-60-502 (1)(c) developed by the BHA to identify regional gaps in behavioral health-
care services.
Care Access Point means a location at which a person seeking behavioral health care can
receive care coordination.
Page 1 of 4
Exhibit A-1
Community -Based Organization means a nonprofit or for-profit organization that provides
behavioral health-care services.
Grant Program means the community behavioral health-care continuum gap grant program
established in C.R.S 27-60-502.
Local Education Provider means a school district, a charter school authorized pursuant to part 1
of article 30.5 of Title 22, and Institute charter school authorized pursuant to part 5 of Article
30.5 of title 22, or a Board of Cooperative Services as defined in C.R.S. 22-5-103.
Local Government means a county, municipality, city and county, or local education provider.
Managed Services Organizations (MSO) are organizations designated and contracted by the
Behavioral Health Administration to administer and manage a full continuum of SUD
prevention, intervention, treatment, recovery, and harm reduction services on a regional basis.
Nonprofit Organization means an organization that is exempt from taxation under Section 501
(c)(3) of the federal "Internal Revenue Code of 1986, as amended.
Regional Accountability Entity (RAE) are organizations in Health First Colorado, Colorado's
Medicaid program. They are responsible for coordinating members' care, ensuring they are
connected with primary and behavioral health care, and developing regional strategies to serve
Colorado Medicaid members.
Statement of Work (SOW)
State Court Administrator's Office (SCAO)
Article 3
Objectives of Grant
3.1 The Contractor shall provide one or more of the following services related to the
following grant objectives outlined below.
a. To expand Child, Youth, and Family (CYF) oriented behavioral health care services.
b. To address identified local behavioral health needs; to establish care access points
in each behavioral health administrative services region.
c. To provide care navigation and coordination services.
d. To expand evidence -based or evidence -informed behavioral health treatment,
including substance use disorder treatment.
e. To provide intensive outpatient services, including high-fidelity wraparound,
youth mobile response, and expanded caregiver interventions.
f. And to fund capital expenditures related to providing the above treatment services.
Page 2 of 4
Exhibit A-1
Article 4
Roles & Responsibilities
4.1 The Grant Application submitted in the RFA shall also serve as a work plan to be used
with this SOW and followed upon execution of the contract to monitor the grant project
performance The activities and services identified in the Grant Application/ work plan are
incorporated into this Contract by reference.
4.2 Contractor will be expected to have the capacity to operationalize the State's contract at
signing and implement delivery of services within sixty (60) days of contract execution.
4.3 Contractor shall maintain clear communication with regards to progress on the submitted
Grant Application Template Work Plan.
4.4 Contractor shall work with providers to identify ongoing payer sources for these services,
to include Medicaid, Medicare, Third -party insurance, etc.
4.5 Contractor shall ensure that any program funded by the grant must comply with the
federal "Americans with Disabilities Act of 1990" and serve individuals with a disability,
regardless of primary diagnosis, co-occurring conditions, if the individual requires assistance
with activities of daily living.
4.6 Contractor shall use the CLAS Standards(https://thinkculturalhealth.hhs.sov/) to help
the organization and programs take into account cultural health beliefs, preferred
languages, health literacy levels, and communication needs.
4.7 Services shall be provided in English and Spanish.
4.8 Period of Performance
a. Overall grant deadline to expend all funds December 30, 2024. However, renewal of
contract is subject to approval by the Program Manager for each state fiscal year as
funding allows and compliance to contract performance.
b. State fiscal years end June 30. New fiscal years begin July 1 in which a new contract
will be issued (as funding and contract compliance allow) under guidance and
direction of the Program Manager.
4.9 Annual Report. Contractor shall submit an annual report by June 15, 2024,
describing the use of the grant award, on a template to be provided by the BHA, to
cdhs BHAdeliverables@state.co.us.
4.10 Final Report. Contractor shall submit a final report by June 15, 2025, describing the
use of the grant award, on a template to be provided by the BHA, to
cdhs BHAdeliverables@state.co.us.
Page 3 of 4
Exhibit A-1
Article 5
Reporting, Deliverables, & Due Dates
5.1 Criteria for Acceptance of Deliverables
a. The BHA will review the Contractor's deliverables in accordance with all
specifications stated in this SOW and the Grant Application work plan. Deliverables
and overall performance will be monitored, tracked, inspected, and accepted or
rejected by the Program Manager and designated State personnel.
b. The acceptance of deliverables and satisfactory work performance required herein shall
be based on the timeliness, accuracy, and standards as specified in the requirements of
this statement of work and the Grant Application work plan.
c. Invoice payment is contingent upon timely receipt and approval of required
program and fiscal deliverables. Missed or incomplete deliverables will result in
an immediate withhold of payment until deliverables are submitted and
accepted by the program.
5.2 When submitting reports please briefly describe the metrics you are using for the
Reports and Deliverables to demonstrate the impact of your grant on the populations
you serve. This may include the specific data points, tools, process, and frequency with
which data will be collected and reported.
5.3 Deliverables Table
Deadline
Article Where Assigned
Activity
Within ten (10) days
following each quarter
ended September,
December, March, and June
SOW, Article 6.1
SLFRF Quarterly Report on a template
provided by the BHA.
June 15th, 2024
SOW, Article 4.9
Annual Report
June 15th, 2024
SOW, Article 4.10
Final Report
Method of Report Delivery (emailed to cdhs BHAdeliverables@state.co.us
*Deliverables can be changed administratively.
Article 6
Performance Outcome Measures
6.1 Contractor shall measure the metrics identified in the Coronavirus State and Local Fiscal
Recovery Funds (SLFRF) Subrecipient Quarterly Report, as may be amended, on a template to
be distributed by the BHA. The SLFRF Subrecipient Quarterly Report is due to
cdhs BHAdeliverables@state.co.us 10 days following the end ofeach quarter.
Page 4 of 4
EXHIBIT B-3
COLORADO
Behavioral Health
Administration
EXHIBIT B-3, FY25 ANNUAL BUDGET
Capacity Budget Template
BHA Program
Children, Youth, Family Services Grants,
HB22-1281
Agency Name
Weld County Department of Human
Services
Budget Period
07/01/2024 - 6/30/2025
Project Name
WCDHS Wraparound Program
Contact Information
Program Contact Name, Title
Phone
Email
Fiscal Contract Name, Title
Phone
Email
Julie Witkowski, Family Resource Division Director
970-400-6777
witkoVvjx`t ‘aeId.go‘
Tanya Geiser, Fiscal Division Director
970-400-6526
ueiser(u weld.gov
Date Completed 3/15/2024
All budget numbers are estimates. Contract billing will be on a cost reimbursement basis for actual expenses incurred.
EXPENDITURE
CATEGORIES
Personnel Services: Salary/Benefits
Annual Budget
Position Title
Description of Work
Gross or Annual
Salary
Fringe
Percent of
Time on
Total Amount Requested
from BHA
Wraparound Facilitator
Wraparound Facilitator
rehabilitate families
health needs via
will work to preserve and
while addressing mental and behavioral
the HFW process.
$ 85,214.61
$18,022.89
50%
S
51,618.75
Wraparound Facilitator
Wraparound Facilitator
rehabilitate families
health needs via
while
the HFW
will work to preserve
addressing mental
process.
and
and behavioral
$ 80,806.02
$30,144.91
50%
$
55,475.47
Wraparound Facilitator
Wraparound Facilitator
rehabilitate families
health needs via
will work to preserve
while addressing mental
and
and behavioral
$ 76,763.85
$29,290.00
50%
$
53,026.93
the HFW process.
Wraparound Facilitator
Wraparound Facilitator will work to preserve and
rehabilitate families while addressing mental and behavioral
health needs via the HFW process.
$ 83,230.20
$41,111.19
50%
$
62,170.70
Wraparound Facilitator
Wraparound Facilitator will work to preserve and
rehabilitate families while addressing mental and behavioral
health needs via the HFW process.
$ 78,304.92
$29,615.93
100%
$
107,920.85
Wraparound Supervisor
High Fidelity Wraparound Supervisor will serve as a systems
navigator and advocate in addition to supervising the HFW
team.
$ 114,590.07
$24,235.80
50%
$
69,412.94
Family Resource Division
Head
The FRD Division Head supervises the Wraparound
Supervisor and is an ongoing resource and support to the
WCDHS Wraparound team, and will complete tasks such as
time keeping, invoices, and required reports.
$ 128,340.86
$42,326.20
5%
$
8,533.35
Adoption Support &
Resource Coordinator
The Adoption Support & Resource Coordinator
with families who live in Weld County & have
children, when the family's request resources
with system navigation & care coordination.
referrals to WCDHS Wraparound and will work
Wraparound Facilitators in managing referred
opens cases
adopted
& assistance
They make
with
cases.
$ 74,127.31
$25,944.56
2%
$
2,001.44
Page 1of5
Last update 05_31_2022
EXHIBIT B-3
Adoption Support &
Resource Coordinator
The Adoption Support & Resource Coordinator opens cases
with families who live in Weld County & have adopted
children, when the family's request resources & assistance
with system navigation & care coordination. They make
referrals to WCDHS Wraparound and will work with
Wraparound Facilitators in managing referred cases.
$ 74,127.31
$25,944.56
2%
$ 2,001.44
Community Case Manager
The Community Case Managers work
Unit and open voluntary Prevention cases
abuse & neglect & to respond to other
in further systems involvement if the
unaddressed. They provide resources
system navigation & care coordination.
to WCDHS Wraparound and will work
Facilitators in managing referred cases.
within the Prevention
to prevent child
needs that could result
needs remain
& assistance with
They make referrals
with Wraparound
$ 71,687.72
$25,090.70
2%
$ 1,935.57
Community Case Manager
The Community Case Managers work
Unit and open voluntary Prevention cases
abuse & neglect & to respond to other
in further systems involvement if the
within the Prevention
to prevent child
needs that could result
needs remain
& assistance with
They make referrals
with Wraparound
$ 71,687.72
$25,090.70
2%
$ 1,935.57
unaddressed. They provide resources
system navigation & care coordination.
to WCDHS Wraparound and will work
Facilitators in managing referred cases.
Community Case Manager
The Community Case Managers work within the Prevention
Unit and open voluntary Prevention cases to prevent child
abuse & neglect & to respond to other needs that could result
in further systems involvement if the needs remain
unaddressed. They provide resources & assistance with
system navigation & care coordination. They make referrals
to WCDHS Wraparound and will work with Wraparound
Facilitators in managing referred cases.
$ 71,687.72
$25,090.70
2%
$ 1,935.57
Community Case Manager
The Community Case Managers work within the Prevention
Unit and open voluntary Prevention cases to prevent child
abuse & neglect & to respond to other needs that could result
in further systems involvement if the needs remain
unaddressed. They provide resources & assistance with
system navigation & care coordination. They make referrals
to WCDHS Wraparound and will work with Wraparound
Facilitators in managing referred cases.
$ 71,687.72
$25,090.70
2%
$ 1,935.57
Community Case Manager
The Community Case Managers work within the Prevention
Unit and open voluntary Prevention cases to prevent child
abuse & neglect & to respond to other needs that could result
in further systems involvement if the needs remain
unaddressed. They provide resources & assistance with
system navigation & care coordination. They make referrals
to WCDHS Wraparound and will work with Wraparound
Facilitators in managing referred cases.
$ 71,687.72
$25,090.70
2%
$ 1,935.57
Community Case Manager
The Community Case Managers work within the Prevention
Unit and open voluntary Prevention cases to prevent child
abuse & neglect & to respond to other needs that could result
in further systems involvement if the needs remain
unaddressed. They provide resources & assistance with
system navigation & care coordination. They make referrals
to WCDHS Wraparound and will work with Wraparound
Facilitators in managing referred cases.
$ 71,687.72
$25,090.70
2%
$ 1,935.57
Family Resource Case
Manager
The Family Resource Case Managers provide TANF case
management to families also involved with Child Welfare
and Prevention & who are in their last 12 months of
receiving TANF benefits. They make referrals to WCDHS
Wraparound and will work with Wraparound Facilitators in
managing referred cases.
$ 68,767.60
$24,068.66
2%
$ 1,856.73
Page 2of5
Last update 05_31_2022
EXHIBIT B-3
Family Resource Case
Manager
The Family Resource Case Managers
management to families also involved
and Prevention & who are in their
provide TANF case
with Child Welfare
last 12 months of
make referrals to WCDHS
Wraparound Facilitators in
$ 68,767.60
$24,068.66
2%
$ 1,856.73
receiving TANF benefits. They
Wraparound and will work with
managing referred cases.
Wraparound Coach
Wraparound Coach will serve as a support to the
Wraparound Supervisor to ensure all staff obtain and retain
Colorado Wraparound Credentialing
$ 110,273.34
$23,322.81
25%
$ 33,399.04
Personnel
Services -Hourly Employees
Annual
Budget
Position Title
Description of Work
Hourly Wage
Hourly Fringe
.
Total # of
Hours on
Total Amount Requested
from BHA
$ -
Total Personnel Services(including fringe benefits)
S 460,887.75
Client Costs
Annual Budget
Item
Description of Item
Rate
Quantity
:
Total Amount Requested
from BHA
Telephones -monthly
Ongoing expenses for cell and desk phones -77.98 monthly x 1 set x 12 months
$ 935.76
1
$ 935.76
Supplies and Marketing
Materials
General office supplies and marketing material for customer and stakeholder
engagement.
$ 12,941.47
1
$ 12,941.47
Total Client Costs
$ 13,877.23
Contract/Consultants Services (Subawards & Subcontracts)
Annual Budget
Name
Description of Work
Rate
Quantity
Total Amount Requested
from BHA
Michelle Ammerman
Contracted provider to prepare for and facilitate Trust Based Relational
Intervention Training and parent coaching (virtual and in person) for professionals
and caregivers parenting children and youth who have experienced trauma.
$ 200.00
100
$ 20,000.00
Total Contract Services
$ 20,000.00
Occupancy
Annual Budget
Item
Description of Item
Rate
Quantity
Total Amount Requested
from BHA
S
Total Occupancy
S -
Operating
Annual
Budget
Item
Description of Item
Rate
Quantity
Total Amount Requested
from BHA
Staff Training
Creating Exceptional Customer Experiences (4 hours, in person). Second year
training for the Wraparound team to further discuss strategies that will create
customer service experiences that ensure youth/families are satisfied, feel
comfortable bringing forward concerns and ensure timely follow up and action to
address concerns.
$ 500.00
6
$ 3,000.00
Staff Training
Lead Worker Training (4 hours, in person). Second year training
Wraparound team to review the expectations of their positions,
demands and apply techniques to more effectively carry out their
within the Wraparound program. Staff will practice clarifying
communication strategies for successful interactions with youth,
other Wraparound team participants.
for the
balance competing
responsibilities
expectations and
families and
$ 500.00
6
$ 3,000.00
Staff Training
Barriers to Effective Communication
for the Wraparound team to be empowered
overcome communication barriers,
emotional obstacles. They will also
communication strategies to foster
(1 hour, on demand). Second
with the skills needed
such as language, cultural
year training
to identify and
differences and
nonverbal
$ 40.00
6
$ 240.00
learn active listening and
meaningful connections.
Staff Training
Problem Solving for Business (1.5 hours, on demand). Second year training for
the Wraparound team to learn the components of effective problem solving and
how to better tackle every day obstacles.
$ 40.00
6
$ 240.00
Staff Training
Improve Team Workflow and Personal Effectiveness (4 hours,
year training for the Wraparound team to learn how identify inefficiencies,
solutions for improved processes, implement flexible solutions
needs and create actionable efficiency plans to best serve our
virtual). Second
$ 400.00
6
$ 2,400.00
create
to meet customers'
customers.
Page 3 of 5
Last update 05_31_2022
EXHIBIT B-3
Staff
Training
Foundations
the Wraparound
results
the five
awareness
youth/families.
for
within the
core competencies
and the
Emotional
team
team
Intelligence
to learn
and with
of
impact of
(6 hours,
ways to deliberately
wraparound
emotional intelligence
their own emotions
virtual). Second
use emotions
customers. Staff
in order
on the outcomes
year
to create
will learn
to deepen
of their
training for
optimal
to define
self-
$ 660.00
6
S 3,960.00
Total Operating
$ 12,840.00
Depreciation/Amortization
Annual
Budget
Item
Description
of
Item
Total Amount Requested
from BHA
Total Depreciation/Amortization
$ -
Professional Fees
Annual Budget
Item
Description of Item
Rate
Quantity
Total Amount Requested
from BHA
CANS Recertification
Annual recertification
for CANS Assessment
$ 15.00
6
$ 90.00
Clinical Liability Insurance
Annual liability insurance for LCSW for Medicaid Credentialing
$ 199.67
1
$ 199.67
Total Professional Fees
$ 289.67
Capital Costs
Annual Budget
Item
Description of Item
Rate
.
Quantity
Total Amount Requested
from BHA
$ -
Total Capital Costs
$ -
$ 507,894.65
TOTAL DIRECT COSTS (TDC)
Exclusions from Indirect Cost Base expenses
per OMB 2CFR § 200
Subaward in excess of $25,000
Rent
Equipment (over $5000)
Other Unallowable Expenses (not allowed a direct cost) such as land, real estate purchase, etc.
$ -
Total
Expenses per OMB
2CFR
§ 200
MODIFIED TOT4L DIRECT COSTS (MTDC)
$ 507,894.65
Indirect Costs
Annual Budget
Item
Description of Item
Percentage
Total Amount
frnm RHA
Requested
S -
TotalIndirect
$ -
Grand Total Expenses
$ 507,894.65
Page 4 of 5 Last update 05_31_2022
EXHIBIT B-3
Match Requirement Chart:
Size of Organization & Award amount
Match Requirement
Organization Annual Budget Size
Percentage Match Requirement on
grant award
large org.
$20,000,000 or more
5%
small
less than $20,000,000
2.5%
Award
of $50,000 or less
any size
0%
MATCH AMOUNT REQUIRED
Match Amount Required must be listed below in Revenue Offset and/ or Matching Funds
SELECT YOUR MATCH
AMOUNT
5.0%
25,395.00
Revenue Offset
Annual Budget
Client Services
Medicaid
Fee for Service Cash
Medicaid Capitation Encounters
BHA Indigent Encounters**
3rd
Party Insurance Cash
Receipts
Medicare Cash
Self-Pay/Client
Fees
Cash
from other
Sources: (Specify
below)
Total Client Services_ $ -
Matching Funds
Contracts
and Grants
Non
-Governmental
Contracts
Other
State Revenue/Accrual
Federal
Grant Funds/Accrual
Local
Funds/Accrual
Private Grant Funds/Accrual
Public
Support
Private Support
In -Kind
Donations
Other Funds (Specify
below)
Match
funding
comes from additional
staff
who
work
with
the
Wraparound
team, including
Family
Resource Division Head,
$ 27,863.09
Total Contracts and Grants
$ 27,863.09
Grand Total Revenue Offset
$ 27,863.09
Net
Cost
$ 480,031.56
The Parties may mutually agree, in writing, to modify the Budget administratively using an BHA Budget Reallocation form
Page 5 of 5 Last update 05_31_2022
6,COLORADO
Financial Services
100,
Department d Hrsmmn Serums
Division of Contracts and Procurement
EXHIBIT E-2
Supplemental Provisions for Federal Awards
Exhibit E-2
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), and/or exhibit regarding SLFRF Federal Provisions, the terms re FFATA and/or
SLFRF shall control. If the source of the funding of the Contract is a grant, these Federal Provisions are subject to
the Award as defined in §2 of these Federal Provisions, as may be revised pursuant to ongoing guidance from the
relevant Federal or State of Colorado agency or institutions of higher education.
1) Federal Award Identification
i. Subrecipient: Weld County dba Weld County Department of Human Services
ii. Subrecipient Unique Entity ID number: MKKXT9U9MTV5;
iii. The Federal Award Identification Number (FAIN) is SLFRP0126;
iv. The Federal award date is May 18, 2021;
v. The subaward period of performance July 1, 2024 and end date is June 30, 2025;
vi. Federal Funds:
Contract
Fiscal
Year
or
Amount
obligated
of
by
Federal
this
Contract
funds
Total
funds
Subrecipient
amount
obligated
of
Federal
to
the
Total
Federal
to
Subrecipient
amount
Award
of
committed
by
the
CDHS
FY25
ARPA
$48,306.63
$48,306.63
$48,306.63
vii. Federal award project description: To establish/expand services to address local behavioral Health
needs along continuum of care, including services for Children, Youth, and Families with severe needs;
viii. The name of the Federal awarding agency is U.S. Department of Treasury; the name of the pass -
through entity is the State of Colorado, Department of Human Services (CDHS);
ix. The Catalog of Federal Domestic Assistance (CFDA) number is 21.027, name is Coronavirus State and
Local Fiscal Recovery Funds, and dollar amount is $3,828,761,790;
x. This award is not for research & development;
xi. 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 CDHS cost
allocation plan.
2) All requirements imposed by CDHS on Subrecipient so that the Federal award is used in accordance with
Federal statutes, regulations, and the terms and conditions of the Federal award, are stated in Exhibit A, Exhibit
E, and Exhibit F.
3) Any additional requirements that CDHS imposes on Subrecipient in order for CDHS to meet its own
responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated Exhibit B, Exhibit C, and Exhibit D.
4) Subrecipient's approved indirect cost rate is 0%.
Supplemental Provisions for Federal Awards Page 1 of 11
Revised July 2024
Exhibit E-2
1.
5) Subrecipient must permit CDHS and auditors to have access to Subrecipient's records and financial statements
as necessary for CDHS to meet the requirements of 2 CFR §200.332 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 15 of this
Exhibit and may be further specified in the accompanying Scope of Work exhibit.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to
CDHS no later than thirty (30) 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
If a box below is checked, the accompanying provision applies.
i. ❑ Subrecipient is not required to provide matching funds.
ii. IJ Subrecipient shall provide matching funds as stated in Exhibit B. Subrecipient shall have raised
the full amount of matching funds prior to the Effective Date and shall report to CDHS 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 CDHS 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.
DEFINITIONS.
1.1 For the purposes of these Federal Provisions, the following terms shall have the meanings ascribed to them
below.
1.1.1 "Award" means an award of Federal financial assistance, and the Contract setting forth the terms
and conditions of that financial assistance, that a non -Federal Entity receives or administers.
1.1.1.1 Awards may be in the form of:
1.1.1.2 Grants;
1.1.1.3 Contracts;
1.1.1.3.1 Cooperative Contracts, which do not include cooperative research and
development Contracts (CRDA) pursuant to the Federal Technology Transfer
Act of 1986, as amended (15 U.S.C. 3710);
1.1.1.3.2 Loans;
1.1.1.3.3 Loan Guarantees;
1.1.1.3.4 Subsidies;
1.1.1.3.5 Insurance;
Supplemental Provisions for Federal Awards Page 2 of 11
Revised July 2024
Exhibit E-2
1.1.1.3.6 Food commodities;
1.1.1.3.7 Direct appropriations
1.1.1.3.8 Assessed and voluntary contributions; and
1.1.1.3.9 Other financial assistance transactions that authorize the expenditure of Federal
funds by non -Federal entities.
1.1.1.3.10 Any other items specified by OMB in policy memoranda available at the OMB
website or other source posted by the OMB.
1.1.2 Award does not include:
1.1.2.1 Technical assistance, which provides services in lieu of money;
1.1.2.2 A transfer of title to Federally owned property provided in lieu of money; even if the
award is called a grant;
1.1.2.3 Any award classified for security purposes; or
1.1.2.4 Any awarded funded in whole or in part with Recovery funds, as defined in section 1512
of the American Recovery, and Reinvestment Act (ARRA) of 2009 (Public Law 111-
5).
1.1.3 "Contract" means the Contract to which these Federal Provisions are attached and includes
all Award types in § of this Exhibit.
1.1.4 "Contractor" means the party or parties to a Contract funded, in whole or in part, with Federal
financial assistance, other than the Prime Recipient, and includes grantees, subgrantees,
Subrecipients, and borrowers. For purposes of Transparency Act reporting, Contractor does not
include Vendors.
1.1.5 "Unique Entity ID number" or "UEI" is the Unique Entity ID number established by the federal
government in the Unique Entity ID System to uniquely identify a business entity. For more, see:
www.sam.gov.
1.1.6 "Entity" means:
1.1.6.1 If the source of funding is a Grant:
1.1.6.1.1 a Non -Federal Entity;
1.1.6.1.2 a foreign public entity;
1.1.6.1.3 a foreign organization;
1.1.6.1.4 a non-profit organization;
1.1.6.1.5 a domestic for-profit organization (for 2 CFR parts 25 and 170 only);
1.1.6.1.6 a foreign non-profit organization (only for 2 CFR part 170) only);
1.1.6.1.7 a Federal agency, but only as a Subrecipient under an Award or Subaward to a non -
Federal entity (or 2 CFR 200.1); or
1.1.6.1.8 a foreign for-profit organization (for 2 CFR part 170 only).
1.1.6.2 If the source of funding is not a Grant:
1.1.6.2.1 all of the following as defined at 2 CFR part 25, subpart C;
Supplemental Provisions for Federal Awards Page 3 of 11
Revised July 2024
Exhibit E-2
1.1.6.2.2 A governmental organization, which is a State, local government, or Indian Tribe;
1.1.6.2.3 a foreign public entity;
1.1.6.2.4 a domestic or foreign non-profit organization;
1.1.6.2.5 a domestic or foreign for-profit organization; and
1.1.6.2.6 a Federal agency, but only a Subrecipient under an Award or Subaward to a non -Federal
entity.
1.1.7 "Executive" means an officer, managing partner or any other employee in a management position.
1.1.8 If the source of funding is a Grant, "Federal Awarding Agency" means a Federal agency providing
a Federal Award to a Recipient as described in 2 CFR 200.1. If the source of funding is not a Grant,
"Federal Award Identification Number (FAIN)" means an Award number assigned by a Federal
agency to a Prime Recipient.
1.1.9 "FFATA" means the Federal Funding Accountability and Transparency Act of 2006 (Public Law
109-282), as amended by §6202 of Public Law 110-252. FFATA, as amended, also is referred to as
the "Transparency Act."
1.1.10 "Federal Provisions" means these Federal Provisions subject to the Transparency Act and Uniform
Guidance, as may be revised pursuant to ongoing guidance from the relevant Federal or State of
Colorado agency or institutions of higher education.
1.1.11 If the source of funding is a Grant, "Grant" as used herein is the Contract to which these Federal
Provisions are attached.
1.1.12 "Grantee" means the party or parties identified as such in the Grant to which these Federal Provisions
are attached if the source of funding is a Grant. Grantee also means Subrecipient.
1.1.13 "Non -Federal Entity means a State, local government, Indian tribe, institution of higher education,
or nonprofit organization that carries out a Federal Award as a Recipient or a Subrecipient.
1.1.14 "Nonprofit Organization" means any corporation, trust, association, cooperative, or other
organization, not including IHEs, that:
1.1.14.1 Is operated primarily for scientific, educations, service, charitable, or similar purposes in the
public interest;
1.1.14.2 Is not organized primarily for the profit, and
1.1.14.3 Uses net process to maintain improve or expand the operations of the organization.
1.1.15 "OMB" means the Executive Office of the President, Office of Management and Budget.
1.1.16 "Pass -through Entity" means a non -Federal Entity that provides a Subaward to a Subrecipient to
carry out part of a Federal program.
1.1.17 "Prime Recipient" means a Colorado State agency or institution of higher education that receives an
Award, or, of the source of funding is a Grant it is that agency or institution identified as the Grantor
in the Grant to which these Federal Provisions are attached.
1.1.18 "Subaward" means an award by a Prime Recipient to a Subrecipient funded in whole or in part by a
Federal Award. The terms and conditions of the Federal Award flow down to the Subaward unless
the terms and conditions of the Federal Award specifically indicate otherwise in accordance with 2
CFR 200.101 or 2 CFR 200.38, as applicable. The term does not include payments to a contractor
or payments to an individual that is a beneficiary of a Federal program.
Supplemental Provisions for Federal Awards Page 4 of 11
Revised July 2024
Exhibit E-2
1.1.19 "Subrecipient" or, if the source of funding is a Grant, "Subgrantee" means a non -Federal Entity (or
a Federal agency under an Award or Subaward to a non -Federal Entity) receiving Federal funds
through a Prime Recipient to support the performance of the Federal project or program for which
the Federal funds were awarded. A Subrecipient is subject to the terms and conditions of the Federal
Award to the Prime Recipient, including program compliance requirements. The term "Subrecipient"
includes and may be referred to as Subgrantee. The term does not include an individual who is a
beneficiary of a federal program.
1.1.20 "Subrecipient Parent UEI Number" means the subrecipient parent organization's 12 -digit Unique
Entity ID System (UEI) number that appears in the subrecipient's System for Award Management
(SAM) profile, if applicable.
1.1.21 "System for Award Management (SAM)" means the Federal repository into which an Entity must
enter the information required under the Transparency Act, which may be found at
http://www.sam.gov.
1.1.22 "Total Compensation" means the cash and noncash dollar value earned by an Executive during the
Prime Recipient's or Subrecipient's preceding fiscal year (see 48 CFR 52.204-10, as prescribed in
48 CFR 4.1403(a), as applicable) and includes the following:
1.1.22.1 Salary and bonus;
1.1.22.2 Awards of stock, stock options, and stock appreciation rights, using the dollar amount
recognized for financial statement reporting purposes with respect to the fiscal year in
accordance with the Statement of Financial Accounting Standards No. 123 (Revised 2005)
(FAS 123R), Shared Based Payments;
1.1.22.3 Earnings for services under non -equity incentive plans, not including group life, health,
hospitalization or medical reimbursement plans that do not discriminate in favor of
Executives and are available generally to all salaried employees;
1.1.22.4 Change in present value of defined benefit and actuarial pension plans;
1.1.22.5 Above -market earnings on deferred compensation which is not tax -qualified;
1.1.22.6 Other compensation, if the aggregate value of all such other compensation (e.g., severance,
termination payments, value of life insurance paid on behalf of the employee, perquisites or
property) for the Executive exceeds $10,000.
1.1.23 "Transparency Act" means the Federal Funding Accountability and Transparency Act of 2006
(Public Law 109-282), as amended by §6202 of Public Law 110-252. The Transparency Act may
also be referred to as FFATA.
1.1.24 "Uniform Guidance" means the Office of Management and Budget Uniform Administrative
Requirements, Cost Principles, and Audit Requirements for Federal Awards, which, unless the
source of funding is a Grant, supersedes requirements from OMB Circulars A-21, A-87, A-110, and
A-122, OMB Circulars A-89, A-102, and A-133, and the guidance in Circular A-50 on Single Audit
Act follow-up. The terms and conditions of the Uniform Guidance flow down to Awards to
Subrecipients unless the Uniform Guidance or the terms and conditions of the Federal Award
specifically indicate otherwise.
1.1.25 "Vendor" means a dealer, distributor, merchant or other seller providing property or services required
for a project or program funded by an Award. A Vendor is not a Prime Recipient or a Subrecipient
and is not subject to the terms and conditions of the Federal award. Program compliance
requirements do not pass through to a Vendor.
2. COMPLIANCE.
Supplemental Provisions for Federal Awards Page 5 of 11
Revised July 2024
Exhibit E-2
2.1 Contractor/Grantee shall comply with all applicable provisions of the Transparency Act and the regulations
issued pursuant thereto, all applicable provisions of the Uniform Guidance, including, but not limited to, all
applicable Federal Laws and regulations required by this Federal Award. Any revisions to such provisions
or regulations shall automatically become a part of these Federal Provisions, without the necessity of either
party executing any further instrument. The State of Colorado, at its discretion, may provide written
notification to Contractor/Grantee of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
3. SYSTEM FOR AWARD MANAGEMENT (SAM) AND UNIQUE ENTITY ID SYSTEM (UEI) REQUIREMENTS.
3.1 SAM. Contractor/Grantee shall maintain the currency of its information in SAM until the
Contractor/Grantee submits the final financial report required under the Award or receives final payment,
whichever is later. Contractor/Grantee shall review and update SAM information at least annually after
the initial registration, and more frequently if required by changes in its information.
3.2 UEI. Contractor/Grantee shall provide its UEI number to its Prime Recipient and shall update
Contractor's/Grantee's information in www.sam.gov at least annually after the initial registration, and
more frequently if required by changes in Contractor's/Grantee's information.
4. TOTAL COMPENSATION.
4.1 Contractor/Grantee shall include Total Compensation in SAM for each of its five most highly compensated
Executives for the preceding fiscal year if:
4.1.1 The total Federal funding authorized to date under the Award is $30,000 or more if the source of
funding is a Grant, or otherwise $25,000 or more if the source of funding is not a Grant; and
4.1.2 In the preceding fiscal year, Contractor/Grantee received:
4.1.2.1 80% or more of its annual gross revenues from Federal procurement contracts and subcontracts
and/or Federal financial assistance Awards or Subawards subject to the Transparency Act; and
4.1.2.2 $30,000,000 or more in annual gross revenues from Federal procurement contracts and
subcontracts and/or Federal financial assistance Awards or Subawards subject to the
Transparency Act if the source of funding is a Grant or otherwise $25,000,000 or more in
annual gross revenues from Federal procurement contracts and subcontracts and/or Federal
financial assistance Awards or Subawards subject to the Transparency Act if the source of
funding is not a Grant; and
4.1.2.3 The public does not have access to information about the compensation of such Executives
through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of
1934 (15 U.S.C. 78m(a), 78o(d) or § 6104 of the Internal Revenue Code of 1986.
S. REPORTING.
5.1 If Contractor/Grantee is a Subrecipient of the Award pursuant to the Transparency Act, Grantee shall report
data elements to SAM and to the Prime Recipient as required in this Exhibit. No direct payment shall be
made to Grantee for providing any reports required under these Federal Provisions and the cost of producing
such reports shall be included in the Contract/Grant price. The reporting requirements in this Exhibit are
based on guidance from the US Office of Management and Budget (OMB), and as such are subject to
change at any time by OMB. Any such changes shall be automatically incorporated into this Contract/Grant
and shall become part of Contractor's/Grantee's obligations under this Contract/Grant.
6. EFFECTIVE DATE AND DOLLAR THRESHOLD FOR REPORTING.
Supplemental Provisions for Federal Awards Page 6 of 11
Revised July 2024
Exhibit E-2
6.1 If the source of funding is a Grant, Reporting requirements in §7 below apply to new Awards as of October
1, 2010, if the initial award is $30,000 or more. If the initial Award is below $30,000 but subsequent Award
modifications result in a total Award of $30,000 or more, the Award is subject to the reporting requirements
as of the date the Award exceeds $30,000. If the initial Award is $30,000 or more, but funding is
subsequently de -obligated such that the total award amount falls below $30,000, the Award shall continue
to be subject to the reporting requirements.
6.2 If the source of funding is not a Grant, Reporting requirements in §7 below apply to new Awards as of
October 1, 2010, if the initial award is $25,000 or more. If the initial Award is below $25,000 but subsequent
Award modifications result in a total Award of $25,000 or more, the Award is subject to the reporting
requirements as of the date the Award exceeds $25,000. If the initial Award is $25,000 or more, but funding
is subsequently de -obligated such that the total award amount falls below $25,000, the Award shall continue
to be subject to the reporting requirements.
6.3 The procurement standards in §8 below are applicable to new Awards made by Prime Recipient as of
December 26, 2015. The standards set forth in §11 below are applicable to audits of fiscal years beginning
on or after December 26, 2014.
7. SUBRECIPIENT REPORTING REQUIREMENTS.
7.1 If Contractor/Grantee is a Subrecipient, Contractor/Grantee shall report as set forth below.
7.1.1 To SAM. A Subrecipient shall register in SAM and report the following data elements in SAM for
each Federal Award Identification Number (FAIN) assigned by a Federal agency to a Prime Recipient
no later than the end of the month following the month in which the Subaward was made:
7.1.1.1 Subrecipient UEI Number;
7.1.1.2 Subrecipient UEI Number if more than one electronic funds transfer (EFT) account;
7.1.1.3 Subrecipient parent's organization UEI Number;
7.1.1.4 Subrecipient's address, including Street Address, City, State, Country, Zip (+ 4 if source of
funding is a Grant or as otherwise directed per SAM directives for proper reporting), and
Congressional District;
7.1.1.5 Subrecipient's top 5 most highly compensated Executives if the criteria in §4 above are met;
and
7.1.1.6 Subrecipient's Total Compensation of top 5 most highly compensated Executives if the criteria
in §4 above met.
7.1.2 To Prime Recipient. A Subrecipient shall report to its Prime Recipient, upon the effective date of the
Contract/Grant, the following data elements:
7.1.2.1 Subrecipient's UEI Number as registered in SAM.
7.1.2.2 Primary Place of Performance Information, including: Street Address, City, State, Country, Zip
code + 4, and Congressional District.
8. SUBRECIPIENT REPORTING REQUIREMENTS.
8.1 Procurement Procedures. A Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and applicable regulations, provided that the procurements
conform to applicable Federal law and the standards identified in the Uniform Guidance, including without
limitation, 2 CFR 200.318 through 200.327 thereof.
Supplemental Provisions for Federal Awards Page 7 of 11
Revised July 2024
Exhibit E-2
8.2 If the source of funding is a Grant: Domestic preference for procurements (2 CFR 200.322). As appropriate
and to the extent consistent with law, the non -Federal entity should, to the greatest extent practicable under
a Federal award, provide a preference for the purchase, acquisition, or use of goods, products, or materials
produced in the United States (including but not limited to iron, aluminum, steel, cement, and other
manufactured products). The requirements of this section must be included in all subawards including all
contracts and purchase orders for work or products under this award.
8.3 Procurement of Recovered Materials. If a Subrecipient is a State Agency or an agency of a political
subdivision of the State, its contractors must comply with section 6002 of the Solid Waste Disposal Act, as
amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include
procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
part 247, that contain the highest percentage of recovered materials practicable, consistent with maintaining
a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the
quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management
services in a manner that maximizes energy and resource recovery; and establishing an affirmative
procurement program for procurement of recovered materials identified in the EPA guidelines.
9. ACCESS TO RECORDS.
9.1 A Subrecipient shall permit Recipient/Prime Recipient and its auditors to have access to Subrecipient's
records and financial statements as necessary for Recipient to meet the requirements of 2 CFR 200.311-
200.332 (Requirements for pass -through entities), 2 CFR 200.300 (Statutory and national policy
requirements) through 2 CFR 200.309 (Period of performance), and Subpart F -Audit Requirements of the
Uniform Guidance.
10. SINGLE AUDIT REQUIREMENTS
10.1 If a Subrecipient expends $750,000 or more in Federal Awards during the Subrecipient's fiscal year, the
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.
10.1.1 Election. A Subrecipient shall have a single audit conducted in accordance with Uniform Guidance
2 CFR 200.514 (Scope of audit), except when it elects to have a program -specific audit conducted in
accordance with 2 CFR 200.507 (Program -specific audits). The Subrecipient may elect to have a
program -specific audit if Subrecipient expends Federal Awards under only one Federal program
(excluding research and development) and the Federal program's statutes, regulations, or the terms
and conditions of the Federal award do not require a financial statement audit of Prime Recipient. A
program -specific audit may not be elected for research and development unless all of the Federal
Awards expended were received from Recipient and Recipient approves in advance a program -
specific audit.
10.1.2 Exemption. If a Subrecipient expends less than $750,000 in Federal Awards during its fiscal year,
the Subrecipient shall be exempt from Federal audit requirements for that year, except as noted in 2
CFR 200.503 (Relation to other audit requirements), but records shall be available for review or audit
by appropriate officials of the Federal agency, the State, and the Government Accountability Office.
10.1.3 Subrecipient Compliance Responsibility. A Subrecipient shall procure or otherwise arrange for the
audit required by Subpart F of the Uniform Guidance and ensure it is properly performed and
submitted when due in accordance with the Uniform Guidance. Subrecipient shall prepare
appropriate financial statements, including the schedule of expenditures of Federal awards in
accordance with 2 CFR 200.510 (Financial statements) and provide the auditor with access to
personnel, accounts, books, records, supporting documentation, and other information as needed for
the auditor to perform the audit required by Uniform Guidance Subpart F -Audit Requirements.
Supplemental Provisions for Federal Awards Page 8 of 11
Revised July 2024
Exhibit E-2
11. CONTRACT/GRANT PROVISIONS FOR SUBRECIPIENT CONTRACTS.
11.1 In addition to other provisions required by the Federal Awarding Agency or the Prime Recipient,
Contractors/Grantees that are Subrecipients shall comply with the following provisions. Subrecipients shall
include all of the following applicable provisions in all subcontracts entered into by it pursuant to this
Contract/Grant.
11.1.1 [Applicable to federally assisted construction contracts.] Equal Employment Opportunity. 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 shall include 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.
11.1.2 [Applicable to on -site employees working on government -funded construction, alteration and repair
projects.] Davis -Bacon Act. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148).
11.1.3 Rights to Inventions Made Under a contract/grant or agreement. If the Federal Award meets the
definition of "funding agreement"/ "funding Contract" under 37 CFR 401.2 (a) and the Prime
Recipient or Subrecipient wishes to enter into a contract with a small business firm or nonprofit
organization regarding the substitution of parties, assignment or performance of experimental,
developmental, or research work under that "funding ageement,"/"fimding Contract", the Prime
Recipient or Subrecipient must 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 Federal
Awarding Agency.
11.1.4 Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-
1387), as amended. Contracts and subgrants of amounts in excess of $150,000 must contain a
provision that requires the non -Federal awardee(s) to agree to comply with all applicable standards,
orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal
Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the
Federal Awarding Agency and the Regional Office of the Environmental Protection Agency (EPA).
11.1.5 Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR
180.220) must not be made to parties listed on the government wide exclusions in the System for
Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement
Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p.
235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory
or regulatory authority other than Executive Order 12549.
11.1.6 Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award
exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it
will not and has not used Federal appropriated funds to pay any person or organization for influencing
or attempting to influence an officer or employee of any agency, a member of Congress, officer or
employee of Congress, or an employee of a member of Congress in connection with obtaining any
Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose
any lobbying with non -Federal funds that takes place in connection with obtaining any Federal award.
Such disclosures are forwarded from tier to tier up to the non -Federal award.
Supplemental Provisions for Federal Awards Page 9 of 11
Revised July 2024
Exhibit E-2
11.1.7 Never contract with the enemy (2 CFR 200.215). Federal awarding agencies and recipients are subject
to the regulations implementing "Never contract with the enemy" in 2 CFR part 183. The regulations
in 2 CFR part 183 affect covered contracts, grants and cooperative agreements that are expected to
exceed $50,000 within the period of performance, are performed outside the United States and its
territories, and are in support of a contingency operation in which members of the Armed Forces are
actively engaged in hostilities.
11.1.8 Prohibition on certain telecommunications and video surveillance services or equipment (2 CFR
200.216). Grantee is prohibited from obligating or expending loan or grant funds on certain
telecommunications and video surveillance services or equipment pursuant to 2 CFR 200.216.
12. CERTIFICATIONS.
12.1 Unless prohibited by Federal statutes or regulations, Recipient/Prime Recipient 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 the State at the end of the Award that the
project or activity was completed, or the level of effort was expended. 2 CFR 200.201(3). If the required
level of activity or effort was not carried out, the amount of the Award must be adjusted.
13. EXEMPTIONS.
13.1 These Federal Provisions do not apply to an individual who receives an Award as a natural person, unrelated
to any business or non-profit organization he or she may own or operate in his or her name.
14. EVENT OF DEFAULT AND TERMINATION.
14.1 Failure to comply with these Federal Provisions shall constitute an event of default under the Contract/Grant
and the State of Colorado may terminate the Contract/Grant upon 30 days prior written notice if the default
remains uncured five calendar days following the termination of the 30 -day notice period. This remedy will
be in addition to any other remedy available to the State of Colorado under the Contract/Grant, at law or in
equity.
14.2 Termination (2 CFR 200.340). The Federal Award may be terminated in whole or in part as follows:
14.2.1 By the Federal Awarding Agency or Pass -through Entity, if a Non -Federal Entity fails to comply with
the terms and conditions of a Federal Award;
14.2.2 By the Federal awarding agency or Pass -through Entity, to the greatest extent authorized by law, if
an award no longer effectuates the program goals or agency priorities;
14.2.3 By the Federal awarding agency or Pass -through Entity with the consent of the Non -Federal Entity,
in which case the two parties must agree upon the termination conditions, including the effective date
and, in the case of partial termination, the portion to be terminated;
14.2.4 By the Non -Federal Entity upon sending to the Federal Awarding Agency or Pass -through Entity
written notification setting forth the reasons for such termination, the effective date, and, in the case
of partial termination, the portion to be terminated. However, if the Federal Awarding Agency or Pass -
through Entity determines in the case of partial termination that the reduced or modified portion of
the Federal Award or Subaward will not accomplish the purposes for which the Federal Award was
made, the Federal Awarding Agency or Pass -through Entity may terminate the Federal Award in its
entirety; or
14.2.5 By the Federal Awarding Agency or Pass -through Entity pursuant to termination provisions included
in the Federal Award.
15. ADDITIONAL TERMS RE PAYMENTS TO GRANTEE TO SUPPLEMENT MAIN TERMS IN CONTRACT.
Supplemental Provisions for Federal Awards Page 10 of 11
Revised July 2024
Exhibit E-2
15.1 Federal Recovery: The closeout of a Federal Award does not affect the right of the Federal Awarding Agency
or the State 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, as defined below.
15.2 Close -Out: Grantee shall close out this Award within 45 days after the Fund Expenditure End Date shown
on the Signature and Cover Page for this Agreement. To complete closeout, Grantee shall submit to the
State all deliverables (including documentation) as defined in this Agreement and Grantee's final
reimbursement request or invoice. The State will withhold 5% of allowable costs until all final
documentation has been submitted and accepted by the State as substantially complete. If the Federal
Awarding Agency has not closed this Federal Award within one year and 90 days after the Fund Expenditure
End Date shown on the Signature and Cover Page for this Agreement due to Grantee's failure to submit
required documentation, then Grantee may be prohibited from applying for new Federal Awards through
the State until such documentation is submitted and accepted
EXHIBIT END
Supplemental Provisions for Federal Awards Page 11 of 11
Revised July 2024
a
COLORADO
Mandel Services
Department of Human Sentem
Divtston of Contracts and Procurement
Exhibit F-2
V.6
EXHIBIT F-2
SLFRF SUBRECIPIENT PROVISIONS EXHIBIT (CDHS)
This Exhibit and the Appendices hereto apply regarding the use of State and Local Fiscal Recovery
Funds (SLFRF) to comply with requirements established by the U.S. Department of Treasury and
the Colorado Department of Personnel & Administration, Office of the State Controller re the
Colorado Department of Human Services (CDHS).
This SLFRF Provisions Exhibit may supplement other Exhibit(s) to the instant Agreement. In the
event that terms on prior Exhibit(s) to the instant Agreement conflict with this SLFRF Provisions
Exhibit, this Exhibit shall control and take precedence.
The Contractor/Vendor/Other Agency entity with which the Colorado Department of Human
Services (CDHS) is contracting per this Agreement may be referred to as "Subrecipient" herein,
the designation per controlling law and mandates. This "Subrecipient" designation shall apply in
this context notwithstanding prior definition(s) of any entity to this agreement as "Contractor" or
any other title.
Subrecipient must agree to and comply with the terms of these SLFRF Provisions in order to
receive and use these funds. Subrecipient shall execute not only the instant Agreement, but also
specifically the Certification Agreement appendix to the instant Exhibit. A failure to also separately
execute the Certification Agreement appendix hereto shall not relieve Subrecipient of the
rules/obligations set forth herein; such a clerical error must be promptly remedied upon discovery
by notifying the CDHS office/program contact, who can then assist with the logistics of mandatory
signing, which shall retroactively apply.
In the event that Subrecipient is/was in receipt of SLFRF funding from CDHS prior to execution
of the instant Exhibit, Subrecipient understands that its obligations set forth herein with regards to
that funding shall retroactively apply.
The regulations and requirements surrounding receipt and use of SLFRF funding is an evolving
subject matter as established by the U.S. Department of Treasury and put into established policy
by the Colorado Department of Personnel & Administration, Office of the State Controller for use
with CDHS Agreements. As such, Subrecipient agrees to execute any additional
Agreements/Amendments as required by CDHS to establish and/or update these procedures.
Subrecipient agrees to accept written notice from CDHS of updates to these requirements and to
comply with same forthwith, even if prior to or without a formal Amendment to the Agreement to
update this Exhibit or the rules/requirements established herein. Regardless, if CDHS requests that
Subrecipient execute an Amendment to formalize implementation of and/or acknowledgment of
updates to this Exhibit, Subrecipient shall promptly comply.
1
Exhibit F-2
V.6
Subrecipient agrees to stay abreast of and comply with the most current iterations of the
requirements re SLFRF funding set forth on https://osc.colorado.gov/american-rescue-plan-act
(see SLFRF Grant Agreement Templates Tab).
FEDERAL AWARD(S) APPLICABLE TO THIS GRANT AWARD
Federal Awarding Office
Grant Program
Assistance Listing Number
Federal Award Number
US Department of the Treasury
Coronavirus State and Local Fiscal Recovery Funds
21.027
SLFRP0126
Federal Award Date
Federal Award End Date
May 18, 2021
December 31, 2026
Title VI of the Social Security Act, Section 602
Federal Statutory Authority
Total Amount of Federal Award (this is
not the amount of this grant agreement)
$3,828,761,790
* Funds may not be available through the Federal Award End Date subject to the provisions in §2
and §5 below.
STATE AWARD (IF APPLICABLE) TO THIS GRANT AWARD
State Statutory Authority
HB24-1466 — Refinance Federal Coronavirus Recovery
Funds
State Award Date
July 1, 2024
State Award End Date
June 30, 2025
APPENDIX 1 TO SLFRF EXHIBIT- BUDGET SUPPLEMENT
1. BUDGET BY US TREASURY EXPENDITURE CATEGORY
1.1 Expenditure Categories identified in this Appendix will determine what is reported on as
outlined in all following Appendices to this Exhibit.
Project
Number
Project Title
US Treasury Expenditure Category
Number and Name
Budget
PHI340
Children, youth, and Family
Behavioral Health Services
Grants
1.14 Other Public Health Services
$48,306.63
Total
$48,306.63
2. BUDGET BY FUNCTION
3. EXPENDITURE CATEGORY MODIFICATIONS
2
Exhibit F-2
V.6
3.1 Increases or decreases in any Expenditure Category must be requested and approved by
the State Agency by using the SLFRF Expenditure Modification Form. This form can be
found at: https://osc.colorado.gov/american-rescue-plan-act (see SLFRF Grant
Agreement Templates Tab). In no event may this be used to modify the overall total of
this Agreement or otherwise any non SLFRF expenditures.
APPENDIX 2 TO SLFRF EXHIBIT- FEDERAL PROVISIONS
SUPPLEMENT
1. APPLICABILITY OF PROVISIONS
1.1 The Grant to which these Federal Provisions are attached 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 Federal Provisions, the Special Provisions, the body of the Grant, or any attachments
or exhibits incorporated into and made a part of the Grant, the provisions of these Federal
Provisions shall control.
1.2 The State of Colorado is accountable to Treasury for oversight of their subrecipients,
including ensuring their subrecipients comply with the SLFRF statute, SLFRF Award
Terms and Conditions, Treasury's Final Rule, and reporting requirements, as applicable.
1.3 Additionally, any subrecipient that issues a subaward to another entity (2nd tier
subrecipient), must hold the 2" tier subrecipient accountable to these provisions and
adhere to reporting requirements.
1.4 These Federal Provisions are subject to the Award as defined in §2 of these Federal
Provisions, as may be revised pursuant to ongoing guidance from the relevant Federal or
State of Colorado agency or institutions of higher education.
2. DEFINITIONS
2.1 For the purposes of these Federal Provisions, the following terms shall have the
meanings ascribed to them below.
2.1.1 "Award" means an award of Federal financial assistance, and the Grant setting forth
the terms and conditions of that financial assistance, that a non -Federal Entity
receives or administers.
2.1.2 "Entity" means:
2.1.2.1 a Non -Federal Entity;
2.1.2.2 a foreign public entity;
2.1.2.3 a foreign organization;
2.1.2.4 a non-profit organization;
2.1.2.5 a domestic for-profit organization (for 2 CFR parts 25 and 170 only);
3
Exhibit F-2
V.6
2.1.2.6 a foreign non-profit organization (only for 2 CFR part 170) only);
2.1.2.7 a Federal agency, but only as a Subrecipient under an Award or Subaward
to a non -Federal entity (or 2 CFR 200.1); or
2.1.2.8 a foreign for-profit organization (for 2 CFR part 170 only).
2.1.3 "Executive" means an officer, managing partner or any other employee in a
management position.
2.1.4 "Expenditure Category (EC)" means the category of eligible uses as defined by the
US Department of Treasury in "Appendix 1 of the Compliance and Reporting
Guidance, State and Local Fiscal Recovery Funds" report available at
www.treasury.gov.
2.1.5 "Federal Awarding Agency" means a Federal agency providing a Federal Award to
a Recipient as described in 2 CFR 200.1
2.1.6 "Grant" means the Grant to which these Federal Provisions are attached.
2.1.7 "Grantee" means the party or parties identified as such in the Grant to which these
Federal Provisions are attached. Grantee also means Subrecipient.
2.1.8 "Non -Federal Entity" means a State, local government, Indian tribe, institution of
higher education, or nonprofit organization that carries out a Federal Award as a
Recipient or a Subrecipient.
2.1.9 "Nonprofit Organization" means any corporation, trust, association, cooperative, or
other organization, not including IHEs, that:
2.1.9.1 Is operated primarily for scientific, educational, service, charitable, or
similar purposes in the public interest;
2.1.9.2 Is not organized primarily for profit; and
2.1.9.3 Uses net proceeds to maintain, improve, or expand the operations of the
organization.
2.1.10 "OMB" means the Executive Office of the President, Office of Management and
Budget.
2.1.11 "Pass -through Entity" means a non -Federal Entity that provides a Subaward to a
Subrecipient to carry out part of a Federal program.
2.1.12 "Prime Recipient" means the Colorado State agency or institution of higher
education identified as the Grantor in the Grant to which these Federal Provisions
are attached.
2.1.13 "Subaward" means an award by a Prime Recipient to a Subrecipient funded in
whole or in part by a Federal Award. The terms and conditions of the Federal Award
flow down to the Subaward unless the terms and conditions of the Federal Award
specifically indicate otherwise in accordance with 2 CFR 200.101. The term does
not include payments to a Contractor or payments to an individual that is a
beneficiary of a Federal program.
4
Exhibit F-2
V.6
2.1.14 "Subrecipient" or "Subgrantee" means a non -Federal Entity (or a Federal agency
under an Award or Subaward to a non -Federal Entity) receiving Federal funds
through a Prime Recipient to support the performance of the Federal project or
program for which the Federal funds were awarded. A Subrecipient is subject to the
terms and conditions of the Federal Award to the Prime Recipient, including
program compliance requirements. The term does not include an individual who is
a beneficiary of a federal program. For SLFRF Grants, a subrecipient relationship
continues to exist for Expenditure Category 6.1 Revenue Replacement.
2.1.15 "System for Award Management (SAM)" means the Federal repository into which
an Entity must enter the information required under the Transparency Act, which
may be found at http://www.sam.gov. "Total Compensation" means the cash and
noncash dollar value earned by an Executive during the Prime Recipient's or
Subrecipient's preceding fiscal year (see 48 CFR 52.204-10, as prescribed in 48
CFR 4.1403(a)) and includes the following:
2.1.15.1 Salary and bonus;
2.1.15.2 Awards of stock, stock options, and stock appreciation rights, using the
dollar amount recognized for financial statement reporting purposes with
respect to the fiscal year in accordance with the Statement of Financial
Accounting Standards No. 123 (Revised 2005) (FAS 123R), Shared Based
Payments;
2.1.15.3 Earnings for services under non -equity incentive plans, not including group
life, health, hospitalization or medical reimbursement plans that do not
discriminate in favor of Executives and are available generally to all salaried
employees;
2.1.15.4 Change in present value of defined benefit and actuarial pension plans;
2.1.15.5 Above -market earnings on deferred compensation which is not tax -
qualified.
2.1.15.6 Other compensation, if the aggregate value of all such other compensation
(e.g., severance, termination payments, value of life insurance paid on
behalf of the employee, perquisites or property) for the Executive exceeds
$10,000.
2.1.15.7 "Transparency Act" means the Federal Funding Accountability and
Transparency Act of 2006 (Public Law 109-282), as amended by §6202 of
Public Law 110-252.
2.1.15.8 "Uniform Guidance" means the Office of Management and Budget Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for
Federal Awards. The terms and conditions of the Uniform Guidance flow
down to Awards to Subrecipients unless the Uniform Guidance or the terms
and conditions of the Federal Award specifically indicate otherwise.
2.1.15.9 "Unique Entity ID Number" means the Unique Entity ID established by the
federal government for a Grantee or Subrecipient at
https://sam.gov/content/home.
5
Exhibit F-2
V.6
3. COMPLIANCE
3.1 Subrecipient shall comply with all applicable provisions of the Transparency Act and the
regulations issued pursuant thereto, all applicable provisions of the Uniform Guidance,
and all applicable Federal Laws and regulations required by this Federal Award. Any
revisions to such provisions or regulations shall automatically become a part of these
Federal Provisions, without the necessity of either party executing any further
instrument. The State of Colorado, at its discretion, may provide written notification to
Grantee of such revisions, but such notice shall not be a condition precedent to the
effectiveness of such revisions.
3.2 Per US Treasury Final Award requirements, grantee programs or services must not include
terms or conditions that undermine efforts to stop COVID-19 or discourage compliance
with recommendations and CDC guidelines.
4. SYSTEM FOR AWARD MANAGEMENT (SAM) AND UNIQUE ENTITY IDENTIFIER (UEI)
REQUIREMENTS
4.1 SAM. Subrecipient shall maintain the currency of its information in SAM until the
Grantee submits the final financial report required under the Award or receives final
payment, whichever is later. Subrecipient shall review and update SAM information at
least annually after the initial registration, and more frequently if required by changes in
its information.
4.2 UEI. Grantee shall provide its UEI Number to its Prime Recipient and shall update
Grantee's information in SAM at least annually.
5. TOTAL COMPENSATION
5.1 Grantee shall include Total Compensation in SAM for each of its five most highly
compensated Executives for the preceding fiscal year if:
5.1.1 The total Federal funding authorized to date under the Award is $30,000 or more;
and
5.1.2 In the preceding fiscal year, Grantee received:
5.1.2.1 80% or more of its annual gross revenues from Federal procurement
Agreements and Subcontractors and/or Federal financial assistance Awards
or Subawards subject to the Transparency Act; and
5.1.2.2 $30,000,000 or more in annual gross revenues from Federal procurement
Agreements and Subcontractors and/or Federal financial assistance Awards
or Subawards subject to the Transparency Act; and
5.1.2.3 The public does not have access to information about the compensation of
such Executives through periodic reports filed under section 13(a) or 15(d)
of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d) or § 6104
of the Internal Revenue Code of 1986.
6. REPORTING
6
Exhibit F-2
V.6
6.1 If Grantee is a Subrecipient of the Award pursuant to the Transparency Act, Grantee shall
report data elements to SAM and to the Prime Recipient as required in this Exhibit. No
direct payment shall be made to Grantee for providing any reports required under these
Federal Provisions and the cost of producing such reports shall be included in the Grant
price. The reporting requirements in this Exhibit are based on guidance from the OMB,
and as such are subject to change at any time by OMB. Any such changes shall be
automatically incorporated into this Grant and shall become part of Grantee's obligations
under this Grant.
7. EFFECTIVE DATE AND DOLLAR THRESHOLD FOR FEDERAL REPORTING.
7.1 Reporting requirements in §8 below apply to new Awards as of October 1, 2010, if the
initial award is $30,000 or more. If the initial Award is below $30,000 but subsequent
Award modifications result in a total Award of $30,000 or more, the Award is subject to
the reporting requirements as of the date the Award exceeds $30,000. If the initial Award
is $30,000 or more, but funding is subsequently de -obligated such that the total award
amount falls below $30,000, the Award shall continue to be subject to the reporting
requirements. If the total award is below $30,000 no reporting required; if more than
$30,000 and less than $50,000 then FFATA reporting is required; and $50,000 and above
SLFRF reporting is required.
7.2 The procurement standards in §9 below are applicable to new Awards made by Prime
Recipient as of December 26, 2015. The standards set forth in §11 below are applicable to
audits of fiscal years beginning on or after December 26, 2014.
8. SUBRECIPIENT REPORTING REQUIREMENTS.
8.1 Grantee shall report as set forth below.
8.1.1 Grantee shall use the SLFRF Subrecipient Quarterly Report Workbook as
referenced in Appendix 4 to report to the State Agency within ten (10) days
following each quarter ended September, December, March and June. Additional
information on specific requirements are detailed in the SLFRF Subrecipient
Quarterly Report Workbooks and "Compliance and Reporting Guidance, State and
Local Fiscal Recovery Funds" report available at www.treasury.gov.
EC 1— Public Health
All Public Health Projects
a) Description of structure and objectives
b) Description of relation to COVID-19
c) Identification of impacted and/or disproportionately impacted communities
d) Capital Expenditures
i. Presence of capital expenditure in project
ii. Total projected capital expenditure
iii. Type of capital expenditure
iv. Written justification
v. Labor reporting
COVID-19 Interventions and Mental Health (1.4, 1.11, 1.12, 1.13)
a) Amount of total project used for evidence -based programs
b) Evaluation plan description
7
Exhibit F-2
V.6
COVID-19 Small Business Economic Assistance (1.8)
a) Number of small businesses served
COVID-19 Assistance to Non -Profits (1.9)
a) Number of non -profits served
COVID-19 Aid to Travel, Tourism, and Hospitality or Other Impacted Industries (1.10)
a) Sector of employer
b) Purpose of funds
EC 2 — Negative Economic Impacts
All Negative Economic Impacts Projects
a) Description of project structure and objectives
b) Description of project's response to COVID-19
c) Identification of impacted and/or disproportionately impacted communities
d) Amount of total project used for evidence -based programs and description of
evaluation plan (not required for 2.5, 2.8, 2.21-2.24, 2.27-2.29, 2.31, 2.34-2.36)
e) Number of workers enrolled in sectoral job training programs
f) Number of workers completing sectoral job training programs
g) Number of people participating in summer youth employment programs
h) Capital Expenditures
i. Presence of capital expenditure in project
ii. Total projected capital expenditure
iii. Type of capital expenditure
iv. Written justification
v. Labor reporting
Household Assistance (2.1-2.8)
a) Number of households served
b) Number of people or households receiving eviction prevention services (2.2 & 2.5
only) (Federal guidance may change this requirement in July 2022)
c) Number of affordable housing units preserved or developed (2.2 & 2.5 only)
(Federal guidance may change this requirement in July 2022)
Healthy Childhood Environments (2.11-2.13)
Number of children served by childcare and early learning (Federal guidance may change
this requirement in July 2022)
Number of families served by home visiting (Federal guidance may change this requirement in
July 2022)
Education Assistance (2.14, 2.24-2.27)
a) National Center for Education Statistics ("NCES") School ID or NCES District ID
b) Number of students participating in evidence -based programs (Federal guidance may
change this requirement in July 2022)
Housing Support (2.15, 2.16, 2.18)
a) Number of people or households receiving eviction prevention services (Federal
guidance may change this requirement in July 2022)
b) Number of affordable housing units preserved or developed (Federal guidance may
change this requirement in July 2022)
8
Exhibit F-2
V6
Small Business Economic Assistance (2.29-2.33)
a) Number of small businesses served
Assistance to Non -Profits (2.34)
a) Number of non -profits served
Aid to Travel, Tourism, and Hospitality or Other Impacted Industries (2.35-2.36)
a) Sector of employer
b) Purpose of funds
c) If other than travel, tourism and hospitality (2.36) — description of hardship
EC 3 — Public Health — Negative Economic Impact: Public Sector Capacity
Payroll for Public Health and Safety Employees (EC 3.1)
a) Number of government FTEs responding to COVID-19
Rehiring Public Sector Staff (EC 3.2)
a) Number of FTEs rehired by governments
EC 4 — Premium Pay
All Premium Pay Projects
a) List of sectors designated as critical by the chief executive of the jurisdiction, if
beyond those listed in the final rule
b) Numbers of workers served
c) Employer sector for all subawards to third -party employers
d) Written narrative justification of how premium pay is responsive to essential work
during the public health emergency for non-exempt workers or those making over
150 percent of the state/county's average annual wage
e) Number of workers to be served with premium pay in K-12 schools
EC 5 — Infrastructure Projects
All Infrastructure Projects
a) Projected/actual construction start date (month/year)
b) Projected/actual initiation of operations date (month/year)
c) Location (for broadband, geospatial data of locations to be served)
d) Projects over $10 million
i. Prevailing wage certification or detailed project employment and local
impact report
ii. Project labor agreement certification or project workforce continuity
plan
iii. Prioritization of local hires
iv. Community benefit agreement description, if applicable
Water and sewer projects (EC 5.1-5.18)
a) National Pollutant Discharge Elimination System (NPDES) Permit Number (if
applicable; for projects aligned with the Clean Water State Revolving Fund)
b) Public Water System (PWS) ID number (if applicable; for projects aligned with the
Drinking Water State Revolving Fund)
9
Exhibit F-2
V.6
c) Median Household Income of service area
d) Lowest Quintile Income of the service area
Broadband projects (EC 5.19-5.21)
a) Confirm that the project is designed to, upon completion, reliably meet or exceed
symmetrical 100 Mbps download and upload speeds.
i. If the project is not designed to reliably meet or exceed symmetrical 100
Mbps download and upload speeds, explain why not, and
ii. Confirm that the project is designed to, upon completion, meet or exceed
100 Mbps download speed and between at least 20 Mbps and 100 Mbps
upload speed, and be scalable to a minimum of 100 Mbps download
speed and 100 Mbps upload speed.
b) Additional programmatic data will be required for broadband projects and will be
defined in a subsequent version of the US Treasury Reporting Guidance,
including, but not limited to (Federal guidance may change this requirement in July 2022):
i. Number of households (broken out by households on Tribal lands and
those not on Tribal lands) that have gained increased access to
broadband meeting the minimum speed standards in areas that
previously lacked access to service of at least 25 Mbps download and 3
Mbps upload, with the number of households with access to minimum
speed standard of reliable 100 Mbps symmetrical upload and download
and number of households with access to minimum speed standard of
reliable 100 Mbps download and 20 Mbps upload
ii. Number of institutions and businesses (broken out by institutions on
Tribal lands and those not on Tribal lands) that have projected increased
access to broadband meeting the minimum speed standards in areas that
previously lacked access to service of at least 25 Mbps download and 3
Mbps upload, in each of the following categories: business, small
business, elementary school, secondary school, higher education
institution, library, healthcare facility, and public safety organization,
with the number of each type of institution with access to the minimum
speed standard of reliable 100 Mbps symmetrical upload and download;
and number of each type of institution with access to the minimum
speed standard of reliable 100 Mbps download and 20 Mbps upload.
iii. Narrative identifying speeds/pricing tiers to be offered, including the
speed/pricing of its affordability offering, technology to be deployed,
miles of fiber, cost per mile, cost per passing, number of households
(broken out by households on Tribal lands and those not on Tribal lands)
projected to have increased access to broadband meeting the minimum
speed standards in areas that previously lacked access to service of at
least 25 Mbps download and 3 Mbps upload, number of households with
access to minimum speed standard of reliable 100 Mbps symmetrical
upload and download, number of households with access to minimum
speed standard of reliable 100 Mbps download and 20 Mbps upload, and
number of institutions and businesses (broken out by institutions on
Tribal lands and those not on Tribal lands) projected to have increased
access to broadband meeting the minimum speed standards in areas that
10
Exhibit F-2
V.6
previously lacked access to service of at least 25 Mbps download and 3
Mbps upload, in each of the following categories: business, small
business, elementary school, secondary school, higher education
institution, library, healthcare facility, and public safety organization.
Specify the number of each type of institution with access to the
minimum speed standard of reliable 100 Mbps symmetrical upload and
download; and the number of each type of institution with access to the
minimum speed standard of reliable 100 Mbps download and 20 Mbps
upload.
All Expenditure Categories
a) Program income earned and expended to cover eligible project costs
8.1.2. To SAM. A Subrecipient shall register in SAM and report the following data
elements in SAM for each Federal Award Identification Number (FAIN) assigned
by a Federal Agency to Prime Recipient no later than the end of the month
following the month in which the Subaward was made.
8.1.2.1. Subrecipient Unique Entity ID ("UEI");
8.1.2.2. Subrecipient UEI if more than one electronic funds transfer (EFT) account;
8.1.2.3. Subrecipient parent's organization UEI;
8.1.2.4. Subrecipient's address, including: Street Address, City, State, Country, Zip
+ 4, and Congressional District;
8.1.2.5. Subrecipient's top 5 most highly compensated Executives if the criteria in
§4 above are met; and
8.1.2.6. Subrecipient's Total Compensation of top 5 most highly compensated
Executives if the criteria in §4 above met.
8.1.3. To Prime Recipient. A Subrecipient shall report to its Prime Recipient, the
following data elements:
8.1.3.1. Subrecipient's UEI as registered in SAM.
8.1.3.2. Primary Place of Performance Information, including: Street Address, City,
State, Country, Zip code + 4, and Congressional District.
8.1.3.3. Narrative identifying methodology for serving disadvantaged communities.
See the "Project Demographic Distribution" section in the "Compliance and
Reporting Guidance, State and Local Fiscal Recovery Funds" report
available at www.treasury.gov. This requirement is applicable to all projects
in Expenditure Categories 1 and 2.
8.1.3.4. Narrative identifying funds allocated towards evidenced -based
interventions and the evidence base. See the "Use of Evidence" section in
the "Compliance and Reporting Guidance, State and Local Fiscal Recovery
Funds" report available at www.treasury.gov. See section 8.1.1 for relevant
Expenditure Categories.
8.1.3.5. Narrative describing the structure and objectives of the assistance program
and in what manner the aid responds to the public health and negative
11
Exhibit F-2
V.6
economic impacts of COVID-19. This requirement is applicable to
Expenditure Categories 1 and 2. For aid to travel, tourism, and hospitality
or other impacted industries (EC 2.11-2.12), also provide the sector of
employer, purpose of funds, and if not travel, tourism and hospitality a
description of the pandemic impact on the industry.
8.1.3.6. Narrative identifying the sector served and designated as critical to the
health and well-being of residents by the chief executive of the jurisdiction
and the number of workers expected to be served. For groups of workers
(e.g., an operating unit, a classification of worker, etc.) or, to the extent
applicable, individual workers, other than those where the eligible worker
receiving premium pay is earning (with the premium pay included) below
150 percent of their residing state or county's average annual wage for all
occupations, as defined by the Bureau of Labor Statistics Occupational
Employment and Wage Statistics, whichever is higher, OR the eligible
worker receiving premium pay is not exempt from the Fair Labor Standards
Act overtime provisions, include justification of how the premium pay or
grant is responsive to workers performing essential work during the public
health emergency. This could include a description of the essential workers'
duties, health or financial risks faced due to COVID-19 but should not
include personally identifiable information. This requirement applies to EC
4.1, and 4.2.
8.1.3.7. For infrastructure projects (EC 5) or capital expenditures in any expenditure
category, narrative identifying the projected construction start date
(month/year), projected initiation of operations date (month/year), and
location (for broadband, geospatial location data).
8.1.3.7.1. For projects over $10 million:
8.1.3.7.1.1. Certification that all laborers and mechanics employed
by Contractors and Subcontractors in the performance
of such project are paid wages at rates not less than
those prevailing, as determined by the U.S. Secretary of
Labor in accordance with subchapter IV of chapter 31
of title 40, United States Code (commonly known as the
"Davis -Bacon Act"), for the corresponding classes of
laborers and mechanics employed on projects of a
character similar to the Agreement work in the civil
subdivision of the State (or the District of Columbia) in
which the work is to be performed, or by the appropriate
State entity pursuant to a corollary State prevailing -
wage -in -construction law (commonly known as "baby
Davis -Bacon Acts"). If such certification is not
provided, a recipient must provide a project
employment and local impact report detailing (1) the
number of employees of Contractors and sub-
contractors working on the project; (2) the number of
employees on the project hired directly and hired
12
Exhibit F-2
V.6
through a third party; (3) the wages and benefits of
workers on the project by classification; and (4) whether
those wages are at rates less than those prevailing.
Recipients must maintain sufficient records to
substantiate this information upon request.
8.1.3.7.1.2. A Subrecipient may provide a certification that a project
includes a project labor agreement, meaning a pre -hire
collective bargaining agreement consistent with section
8(f) of the National Labor Relations Act (29 U.S.C.
158(f)). If the recipient does not provide such
certification, the recipient must provide a project
workforce continuity plan, detailing: (1) how the
Subrecipient will ensure the project has ready access to
a sufficient supply of appropriately skilled and unskilled
labor to ensure high -quality construction throughout the
life of the project; (2) how the Subrecipient will
minimize risks of labor disputes and disruptions that
would jeopardize timeliness and cost-effectiveness of
the project; and (3) how the Subrecipient will provide a
safe and healthy workplace that avoids delays and costs
associated with workplace illnesses, injuries, and
fatalities; (4) whether workers on the project will
receive wages and benefits that will secure an
appropriately skilled workforce in the context of the
local or regional labor market; and (5) whether the
project has completed a project labor agreement.
8.1.3.7.1.3. Whether the project prioritizes local hires.
8.1.3.7.1.4. Whether the project has a Community Benefit
Agreement, with a description of any such agreement.
8.1.4. Subrecipient also agrees to comply with any reporting requirements established by
the US Treasury, Governor's Office and Office of the State Controller. The State
of Colorado may need additional reporting requirements after this agreement is
executed. If there are additional reporting requirements, the State will provide
notice of such additional reporting requirements via Appendix 5— SLFRF
Reporting Modification Form.
9. PROCUREMENT STANDARDS
13
Exhibit F-2
V.6
9.1 Procurement Procedures. A Subrecipient shall use its own documented procurement
procedures which reflect applicable State, local, and Tribal laws and applicable regulations,
provided that the procurements conform to applicable Federal law and the standards
identified in the Uniform Guidance, including without limitation, 2 CFR 200.318 through
200.327 thereof.
9.2 Domestic preference for procurements (2 CFR 200.322). As appropriate and to the extent
consistent with law, the non -Federal entity should, to the greatest extent practicable under
a Federal award, provide a preference for the purchase, acquisition, or use of goods,
products, or materials produced in the United States (including but not limited to iron,
aluminum, steel, cement, and other manufactured products). The requirements of this
section must be included in all subawards including all Agreements and purchase orders
for work or products under this award.
9.3 Procurement of Recovered Materials. If a Subrecipient is a State Agency or an agency of
a political subdivision of the State, its Contractors must comply with section 6002 of the
Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act.
The requirements of Section 6002 include procuring only items designated in guidelines of
the Environmental Protection Agency (EPA) at 40 CFR part 247, that contain the highest
percentage of recovered materials practicable, consistent with maintaining a satisfactory
level of competition, where the purchase price of the item exceeds $10,000 or the value of
the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid
waste management services in a manner that maximizes energy and resource recovery; and
establishing an affirmative procurement program for procurement of recovered materials
identified in the EPA guidelines.
10. ACCESS TO RECORDS.
10.1 A Subrecipient shall permit Prime Recipient and its auditors to have access to
Subrecipient's records and financial statements as necessary for Recipient to meet the
requirements of 2 CFR 200.332 (Requirements for pass -through entities), 2 CFR 200.300
(Statutory and national policy requirements) through 2 CFR 200.309 (Period of
performance), and Subpart F -Audit Requirements of the Uniform guidance.
11. SINGLE AUDIT REQUIREMENTS
11.1 If a Subrecipient expends $750,000 or more in Federal Awards during the Subrecipient's
fiscal year, the 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.
1 l .1.1 Election. A Subrecipient shall have a single audit conducted in accordance with
Uniform Guidance 2 CFR 200.514 (Scope of audit), except when it elects to have
a program -specific audit conducted in accordance with 2 CFR 200.507 (Program -
specific audits). The Subrecipient may elect to have a program -specific audit if
Subrecipient expends Federal Awards under only one Federal program (excluding
research and development) and the Federal program's statutes, regulations, or the
terms and conditions of the Federal award do not require a financial statement
audit of Prime Recipient. A program -specific audit may not be elected for research
14
Exhibit F-2
V.6
and development unless all of the Federal Awards expended were received from
Recipient and Recipient approves in advance a program -specific audit.
11.1.2 Exemption. If a Subrecipient expends less than $750,000 in Federal Awards
during its fiscal year, the Subrecipient shall be exempt from Federal audit
requirements for that year, except as noted in 2 CFR 200.503 (Relation to other
audit requirements), but records shall be available for review or audit by
appropriate officials of the Federal agency, the State, and the Government
Accountability Office.
11.1.3 Subrecipient Compliance Responsibility. A Subrecipient shall procure or
otherwise arrange for the audit required by Subpart F of the Uniform Guidance
and ensure it is properly performed and submitted when due in accordance with
the Uniform Guidance. Subrecipient shall prepare appropriate financial
statements, including the schedule of expenditures of Federal awards in
accordance with 2 CFR 200.510 (Financial statements) and provide the auditor
with access to personnel, accounts, books, records, supporting documentation, and
other information as needed for the auditor to perform the audit required by
Uniform Guidance Subpart F -Audit Requirements.
12. SINGLE AUDIT REQUIREMENTS
12.1 In addition to other provisions required by the Federal Awarding Agency or the Prime
Recipient, Grantees that are Subrecipients shall comply with the following provisions.
Subrecipients shall include all of the following applicable provisions in all Subcontractors
entered into by it pursuant to this Grant.
12.1.1 [Applicable to federally assisted construction Agreements.] Equal Employment
Opportunity. Except as otherwise provided under 41 CFR Part 60, all Agreements
that meet the definition of "federally assisted construction Agreement" in 41 CFR
Part 60-1.3 shall include 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 Agreement Compliance Programs, Equal Employment
Opportunity, Department of Labor.
12.1.2 [Applicable to on -site employees working on government -funded construction,
alteration and repair projects.] Davis -Bacon Act. Davis -Bacon Act, as amended
(40 U.S.C. 3141-3148).
15
Exhibit F-2
V.6
12.1.3 Rights to Inventions Made Under a grant or agreement. If the Federal Award meets
the definition of "funding agreement" under 37 CFR 401.2 (a) and the Prime
Recipient or Subrecipient wishes to enter into an Agreement with a small business
firm or nonprofit organization regarding the substitution of parties, assignment or
performance of experimental, developmental, or research work under that
"funding agreement," the Prime Recipient or Subrecipient must comply with the
requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit
Organizations and Small Business Firms Under Government Grants, Agreements
and Cooperative Agreements," and any implementing regulations issued by the
Federal Awarding Agency.
12.1.4 Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control
Act (33 U.S.C. 1251-1387), as amended. Agreements and subgrants of amounts
in excess of $150,000 must contain a provision that requires the non -Federal
awardees to agree to comply with all applicable standards, orders or regulations
issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water
Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be
reported to the Federal Awarding Agency and the Regional Office of the
Environmental Protection Agency (EPA).
12.1.5 Debarment and Suspension (Executive Orders 12549 and 12689). A Agreement
award (see 2 CFR 180.220) must not be made to parties listed on the government
wide exclusions in SAM, in accordance with the OMB guidelines at 2 CFR 180
that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and
12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM
Exclusions contains the names of parties debarred, suspended, or otherwise
excluded by agencies, as well as parties declared ineligible under statutory or
regulatory authority other than Executive Order 12549.
12.1.6 Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid
for an award exceeding $100,000 must file the required certification. Each tier
certifies to the tier above that it will not and has not used Federal appropriated
funds to pay any person or organization for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, officer or employee
of Congress, or an employee of a member of Congress in connection with
obtaining any Federal Agreement, grant or any other award covered by 31 U.S.C.
1352. Each tier must also disclose any lobbying with non -Federal funds that takes
place in connection with obtaining any Federal award. Such disclosures are
forwarded from tier to tier up to the non -Federal award.
12.1.7Never Agreement with the enemy (2 CFR 200.215). Federal awarding agencies
and recipients are subject to the regulations implementing "Never Agreement with
the enemy" in 2 CFR part 183. The regulations in 2 CFR part 183 affect covered
Agreements, grants and cooperative agreements that are expected to exceed
$50,000 within the period of performance, are performed outside the United States
and its territories, and are in support of a contingency operation in which members
of the Armed Forces are actively engaged in hostilities.
16
Exhibit F-2
V.6
12.1.8 Prohibition on certain telecommunications and video surveillance services or
equipment (2 CFR 200.216). Grantee is prohibited from obligating or expending
loan or grant funds on certain telecommunications and video surveillance services
or equipment pursuant to 2 CFR 200.216.
12.1.9 Title VI of the Civil Rights Act. The Subgrantee, Contractor, Subcontractor,
transferee, and assignee shall comply with Title VI of the Civil Rights Act of 1964,
which prohibits recipients of federal financial assistance from excluding from a
program or activity, denying benefits of, or otherwise discriminating against a
person on the basis of race, color, or national origin (42 U.S.C. § 2000d et seq.),
as implemented by the Department of Treasury's Title VI regulations, 31 CFR Part
22, which are herein incorporated by reference and made a part of this Agreement
(or agreement). Title VI also includes protection to persons with "Limited English
Proficiency" in any program or activity receiving federal financial assistance, 42
U.S. C. § 2000d et seq., as implemented by the Department of the Treasury's Title
VI regulations, 31 CRF Part 22, and herein incorporated by reference and made
part of this Agreement or agreement.
13. CERTIFICATIONS.
13.1. Subrecipient Certification. Subrecipient shall sign a "State of Colorado Agreement with
Recipient of Federal Recovery Funds" Certification Form in separate Appendix hereto and
submit to State Agency with signed grant agreement.
13.2. Unless prohibited by Federal statutes or regulations, Prime Recipient 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 the State at the end of the Award that the project or activity was
completed, or the level of effort was expended. 2 CFR 200.201(3). If the required level
of activity or effort was not carried out, the amount of the Award must be adjusted.
14. EXEMPTIONS.
14.1 These Federal Provisions do not apply to an individual who receives an Award as a natural
person, unrelated to any business or non-profit organization he or she may own or operate
in his or her name.
14.2 A Grantee with gross income from all sources of less than $300,000 in the previous tax
year is exempt from the requirements to report Subawards and the Total Compensation of
its most highly compensated Executives.
EVENT OF DEFAULT AND TERMINATION.
14.3 Failure to comply with these Federal Provisions shall constitute an event of default under
the Grant and the State of Colorado may terminate the Grant upon 30 days prior written
notice if the default remains uncured five calendar days following the termination of the
30 -day notice period. This remedy will be in addition to any other remedy available to the
State of Colorado under the Grant, at law or in equity.
14.4 Termination (2 CFR 200.340). The Federal Award may be terminated in whole or in part
as follows:
17
Exhibit F-2
V.6
14.4.1 By the Federal Awarding Agency or Pass -through Entity, if a Non -Federal Entity
fails to comply with the terms and conditions of a Federal Award;
14.4.2 By the Federal awarding agency or Pass -through Entity, to the greatest extent
authorized by law, if an award no longer effectuates the program goals or agency
priorities;
14.4.3 By the Federal awarding agency or Pass -through Entity with the consent of the
Non -Federal Entity, in which case the two parties must agree upon the termination
conditions, including the effective date and, in the case of partial termination, the
portion to be terminated;
14.4.4 By the Non -Federal Entity upon sending to the Federal Awarding Agency or Pass -
through Entity written notification setting forth the reasons for such termination,
the effective date, and, in the case of partial termination, the portion to be
terminated. However, if the Federal Awarding Agency or Pass -through Entity
determines in the case of partial termination that the reduced or modified portion
of the Federal Award or Subaward will not accomplish the purposes for which the
Federal Award was made, the Federal Awarding Agency or Pass -through Entity
may terminate the Federal Award in its entirety; or
14.4.5 By the Federal Awarding Agency or Pass -through Entity pursuant to termination
provisions included in the Federal Award.
[THE REST OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
18
Docusign Envelope ID: 6544EC05-811E-49F4-B58C-98A66B514E05
Exhibit F-2
V.6
APPENDIX 3 TO SLFRF EXHIBIT- SUBRECIPIENT CERTIFICATION
AGREEMENT
AGREEMENT WITH SUBRECIPIENT OF FEDERAL RECOVERY FUNDS
Section 602(b) of the Social Security Act (the Act), as added by section 9901 of the
American Rescue Plan Act (ARPA), Pub. L. No. 117-2 (March 11, 2021), authorizes the
Department of the Treasury (Treasury) to make payments to certain Subrecipients from
the Coronavirus State Fiscal Recovery Fund. The State of Colorado has signed and
certified a separate agreement with Treasury as a condition of receiving such payments
from the Treasury. This agreement is between your organization and the State and your
organization is signing and certifying the same terms and conditions included in the
State's separate agreement with Treasury. Your organization is referred to as a
Subrecipient.
As a condition of your organization receiving federal recovery funds from the State, the
authorized representative below hereby (i) certifies that your organization will carry out
the activities listed in section 602(c) of the Act and (ii) agrees to the terms attached hereto.
Your organization also agrees to use the federal recovery funds as specified in bills passed
by the General Assembly and signed by the Governor.
Under penalty of perjury, the undersigned official certifies that the authorized
representative has read and understood the organization's obligations in the Assurances
of Compliance and Civil Rights Requirements, that any information submitted in
conjunction with this assurances document is accurate and complete, and that the
organization is in compliance with the nondiscrimination requirements.
Subrecipient Name: weld county
Authorized Representative:
Title:
chair Pro -Tern
Kevin D. Ross
Signed by:
Signature: [4' ,J• ASS 12/19/2024
404FIJI- .361h441-
19
Docusign Envelope ID: 6544EC05-811E-49F4-B58C-98A66B514E05
Exhibit F-2
V.6
AGREEMENT WITH SUBRECIPIENT OF FEDERAL RECOVERY FUNDS
TERMS AND CONDITIONS
1. Use of Funds.
a. Subrecipient understands and agrees that the funds disbursed under this award
may only be used in compliance with section 602(c) of the Social Security Act
(the Act) and Treasury's regulations implementing that section and guidance.
b. Subrecipient will determine prior to engaging in any project using this
assistance that it has the institutional, managerial, and financial capability to
ensure proper planning, management, and completion of such project.
2. Period of Performance. The period of performance for this subaward is shown on page
one of this Agreement. Subrecipient may use funds to cover eligible costs incurred, as
set forth in Treasury's implementing regulations, during this period of performance.
3. Reporting. Subrecipient agrees to comply with any reporting obligations established
by Treasury as they relate to this award. Subrecipient also agrees to comply with any
reporting requirements established by the Governor's Office and Office of the State
Controller. The State will provide notice of such additional reporting requirements via
separate Appendix hereto — Reporting Modification Form.
4. Maintenance of and Access to Records
a. recipient shall maintain records and financial documents sufficient to evidence
compliance with section 602(c), Treasury's regulations implementing that
section, and guidance issued by Treasury regarding the foregoing.
b. The Treasury Office of Inspector General and the Government Accountability
Office, or their authorized representatives, shall have the right of access to
records (electronic and otherwise) of Subrecipient in order to conduct audits
or other investigations.
c. Records shall be maintained by Subrecipient for a period of five (5) years after
all funds have been expended or returned to Treasury, whichever is later.
5. Pre -award Costs. Pre -award costs, as defined in 2 C.F.R. § 200.458, may not be paid
with funding from this award.
6. Administrative Costs. Subrecipient may use funds provided under this award to cover
both direct and indirect costs. Subrecipient shall follow guidance on administrative
costs issued by the Governor's Office and Office of the State Controller.
7. Cost Sharing. Cost sharing or matching funds are not required to be provided by
Subrecipient.
8. Conflicts of Interest. The State of Colorado understands and agrees it must maintain a
conflict -of -interest policy consistent with 2 C.F.R. § 200.318(c) and that such conflict
of interest policy is applicable to each activity funded under this award. Subrecipient
and Contractors must disclose in writing to the Office of the State Controller or the
pass -through entity, as appropriate, any potential conflict of interest affecting the
awarded funds in accordance with 2 C.F.R. § 200.112. The Office of the State
20
Exhibit F-2
V.6
Controller shall disclose such conflict to Treasury.
9. Compliance with Applicable Law and Regulations.
a. Subrecipient agrees to comply with the requirements of section 602 of the Act,
regulations adopted by Treasury pursuant to section 602(f) of the Act, and
guidance issued by Treasury regarding the foregoing. Subrecipient also agrees
to comply with all other applicable federal statutes, regulations, and executive
orders, and Subrecipient shall provide for such compliance by other parties in
any agreements it enters into with other parties relating to this award.
b. Federal regulations applicable to this award include, without limitation, the
following:
i. Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards, 2 C.F.R. Part 200, other than such
provisions as Treasury may determine are inapplicable to this Award
and subject to such exceptions as may be otherwise provided by
Treasury. Subpart F — Audit Requirements of the Uniform Guidance,
implementing the Single Audit Act, shall apply to this award.
ii. Universal Identifier and System for Award Management (SAM), 2
C.F.R. Part 25, pursuant to which the award term set forth in Appendix
A to 2 C.F.R. Part 25 is hereby incorporated by reference.
iii. Reporting Subaward and Executive Compensation Information, 2
C.F.R. Part 170, pursuant to which the award term set forth in Appendix
A to 2 C.F.R. Part 170 is hereby incorporated by reference.
iv. OMB Guidelines to Agencies on Government wide Debarment and
Suspension (Nonprocurement), 2 C.F.R. Part 180, including the
requirement to include a term or condition in all lower tier covered
transactions (Agreements and Subcontractors described in 2 C.F.R.
Part 180, subpart B) that the award is subject to 2 C.F.R. Part 180 and
Treasury's implementing regulation at 31 C.F.R. Part 19.
v. Subrecipient Integrity and Performance Matters, pursuant to which the
award term set forth in 2 C.F.R. Part 200, Appendix XII to Part 200 is
hereby incorporated by reference.
vi. Government wide Requirements for Drug -Free Workplace, 31 C.F.R.
Part 20.
vii. New Restrictions on Lobbying, 31 C.F.R. Part 21.
viii. Uniform Relocation Assistance and Real Property Acquisitions Act of
1970 (42 U.S.C. §§ 4601-4655) and implementing regulations.
ix. Generally applicable federal environmental laws and regulations.
c. Statutes and regulations prohibiting discrimination applicable to this award
include, without limitation, the following:
i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d et seq.)
21
Exhibit F-2
V.6
and Treasury's implementing regulations at 31 C.F.R. Part 22, which
prohibit discrimination on the basis of race, color, or national origin
under programs or activities receiving federal financial assistance;
ii. The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42
U.S.C. §§ 3601 et seq.), which prohibits discrimination in housing on
the basis of race, color, religion, national origin, sex, familial status, or
disability;
iii. Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C.
§ 794), which prohibits discrimination on the basis of disability under
any program or activity receiving federal financial assistance;
iv. The Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101
et seq.), and Treasury's implementing regulations at 31 C.F.R. Part 23,
which prohibit discrimination on the basis of age in programs or
activities receiving federal financial assistance; and
v. Title II of the Americans with Disabilities Act of 1990, as amended (42
U.S.C. §§ 12101 et seq.), which prohibits discrimination on the basis
of disability under programs, activities, and services provided or made
available by state and local governments or instrumentalities or
agencies thereto.
10. Remedial Actions. In the event of Subrecipient's noncompliance with section 602 of
the Act, other applicable laws, Treasury's implementing regulations, guidance, or any
reporting or other program requirements, Treasury may impose additional conditions
on the receipt of a subsequent tranche of future award funds, if any, or take other
available remedies as set forth in 2 C.F.R. § 200.339. In the case of a violation of
section 602(c) of the Act regarding the use of funds, previous payments shall be
subject to recoupment as provided in section 602(e) of the Act and any additional
payments may be subject to withholding as provided in sections 602(b)(6)(A)(ii)(III)
of the Act, as applicable.
11. Hatch Act. Subrecipient agrees to comply, as applicable, with requirements of the
Hatch Act (5 U.S.C.(§ 1501-1508 and 7324-7328), which limit certain political
activities of State or local government employees whose principal employment is in
connection with an activity financed in whole or in part by this federal assistance.
12. False Statements. Subrecipient understands that making false statements or claims in
connection with this award is a violation of federal law and may result in criminal,
civil, or administrative sanctions, including fines, imprisonment, civil damages and
penalties, debarment from participating in federal awards or Agreements, and/or any
other remedy available by law.
13. Publications. Any publications produced with funds from this award must display the
following language: "This project [is being] [was] supported, in whole or in part, by
federal award number SLFRF0126 awarded to the State of Colorado by the U.S.
Department of the Treasury."
22
Exhibit F-2
V.6
14. Debts Owed the Federal Government.
a. Any funds paid to the Subrecipient (1) in excess of the amount to which the
Subrecipient is finally determined to be authorized to retain under the terms of
this award; (2) that are determined by the Treasury Office of Inspector General
to have been misused; or (3) that are determined by Treasury to be subject to a
repayment obligation pursuant to sections 602(e) and 603(b)(2)(D) of the Act
and have not been repaid by the Subrecipient shall constitute a debt to the
federal government.
b. Any debts determined to be owed to the federal government must be paid
promptly by Subrecipient. A debt is delinquent if it has not been paid by the
date specified in Treasury's initial written demand for payment, unless other
satisfactory arrangements have been made or if the Subrecipient knowingly or
improperly retains funds that are a debt as defined in paragraph 14(a). Treasury
will take any actions available to it to collect such a debt.
15. Disclaimer.
a. The United States expressly disclaims any and all responsibility or liability to
Subrecipient or third persons for the actions of Subrecipient or third persons
resulting in death, bodily injury, property damages, or any other losses
resulting in any way from the performance of this award or any other losses
resulting in any way from the performance of this award or any Agreement, or
Subcontractor under this award.
b. The acceptance of this award by Subrecipient does not in any way establish an
agency relationship between the United States and Subrecipient.
16. Protections for Whistleblowers.
a. In accordance with 41 U.S.C. § 4712, Subrecipient may not discharge, demote,
or otherwise discriminate against an employee in reprisal for disclosing to any
of the list of persons or entities provided below, information that the employee
reasonably believes is evidence of gross mismanagement of a federal
Agreement or grant, a gross waste of federal funds, an abuse of authority
relating to a federal Agreement or grant, a substantial and specific danger to
public health or safety, or a violation of law, rule, or regulation related to a
federal Agreement (including the competition for or negotiation of an
Agreement) or grant.
b. The list of persons and entities referenced in the paragraph above includes the
following:
i. A member of Congress or a representative of a committee of Congress;
ii. An Inspector General;
iii. The Government Accountability Office;
iv. A Treasury employee responsible for Agreement or grant oversight or
management;
23
Exhibit F-2
V.6
v. An authorized official of the Department of Justice or other law
enforcement agency;
vi. A court or grand jury; or
vii. A management official or other employee of Subrecipient, Contractor,
or Subcontractor who has the responsibility to investigate, discover, or
address misconduct.
c. Subrecipient shall inform its employees in writing of the rights and remedies
provided under this section, in the predominant native language of the
workforce.
17. Increasing Seat Belt Use in the United States. Pursuant to Executive Order 13043, 62
FR 19217 (Apr. 18, 1997), Subrecipient should encourage its Contractors to adopt and
enforce on-the-job seat belt policies and programs for their employees when operating
company -owned, rented or personally owned vehicles.
18. Reducing Text Messaging While Driving. Pursuant to Executive Order 13513, 74 FR
51225 (Oct. 6, 2009), Subrecipient should encourage its employees, Subrecipients,
and Contractors to adopt and enforce policies that ban text messaging while driving,
and Subrecipient should establish workplace safety policies to decrease accidents
caused by distracted drivers.
[THE REST OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
24
Exhibit F-2
V.6
ASSURANCES OF COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS
ASSURANCES OF COMPLIANCE WITH
TITLE VI OF THE CIVIL RIGHTS ACT OF
1964
As a condition of receipt of federal financial assistance from the Department of the
Treasury, the Subrecipient provides the assurances stated herein. The federal financial
assistance may include federal grants, loans and Agreements to provide assistance to the
Subrecipient's beneficiaries, the use or rent of Federal land or property at below market value,
Federal training, a loan of Federal personnel, subsidies, and other arrangements with the
intention of providing assistance. Federal financial assistance does not encompass
Agreements of guarantee or insurance, regulated programs, licenses, procurement
Agreements by the Federal government at market value, or programs that provide direct
benefits.
The assurances apply to all federal financial assistance from or funds made available
through the Department of the Treasury, including any assistance that the Subrecipient may
request in the future.
The Civil Rights Restoration Act of 1987 provides that the provisions of the
assurances apply to all of the operations of the Subrecipient's program(s) and activity(ies), so
long as any portion of the Subrecipient's program(s) or activity(ies) is federally assisted in
the manner prescribed above.
1. Subrecipient ensures its current and future compliance with Title VI of the Civil Rights Act
of 1964, as amended, which prohibits exclusion from participation, denial of the benefits of,
or subjection to discrimination under programs and activities receiving federal financial
assistance, of any person in the United States on the ground of race, color, or national origin
(42 U.S.C. § 2000d et seq.), as implemented by the Department of the Treasury Title VI
regulations at 31 CFR Part 22 and other pertinent executive orders such as Executive Order
13166, directives, circulars, policies, memoranda, and/or guidance documents.
2. Subrecipient acknowledges that Executive Order 13166, "Improving Access to Services
for Persons with Limited English Proficiency," seeks to improve access to federally
assisted programs and activities for individuals who, because of national origin, have
Limited English proficiency (LEP). Subrecipient understands that denying a person access
to its programs, services, and activities because of LEP is a form of national origin
discrimination prohibited under Title VI of the Civil Rights Act of 1964 and the
Department of the Treasury's implementing regulations. Accordingly, Subrecipient shall
initiate reasonable steps, or comply with the Department of the Treasury's directives, to
ensure that LEP persons have meaningful access to its programs, services, and activities.
Subrecipient understands and agrees that meaningful access may entail providing
language assistance services, including oral interpretation and written translation where
necessary, to ensure effective communication in the Subrecipient's programs, services,
and activities.
3. Subrecipient agrees to consider the need for language services for LEP persons when
Subrecipient develops applicable budgets and conducts programs, services, and activities.
As a resource, the Department of the Treasury has published its LEP guidance at 70 FR
25
Exhibit F-2
V.6
6067. For more information on taking reasonable steps to provide meaningful access for
LEP persons, please visit http://www.lep.gov.
4. Subrecipient acknowledges and agrees that compliance with the assurances constitutes a
condition of continued receipt of federal financial assistance and is binding upon
Subrecipient and Subrecipient's successors, transferees, and assignees for the period in
which such assistance is provided.
5. Subrecipient acknowledges and agrees that it must require any sub -grantees, contractors,
subcontractors, successors, transferees, and assignees to comply with assurances 1-4
above, and agrees to incorporate the following language in every Agreement or
agreement subject to Title VI and its regulations between the Subrecipient and the
Subrecipient's sub -grantees, Contractors, Subcontractors, successors, transferees, and
assignees:
The sub -grantee, Contractor, Subcontractor, successor, transferee, and assignee shall
comply with Title VI of the Civil Rights Act of 1964, which prohibits Subrecipients of
federal financial assistance from excluding from a program or activity, denying benefits
of or otherwise discriminating against a person on the basis of race, color, or national
origin (42 U.S.C. § 2000d et seq), as implemented by the Department of the Treasury's
Title VI regulations, 31 CFR Part 22, which are herein incorporated by reference and
made a part of this Agreement (or agreement). Title VI also includes protection to
persons with "Limited English Proficiency" in any program or activity receiving federal
financial assistance, 42
U.S.C. § 2000d et seq., as implemented by the Department of the Treasury's Title VI
regulations, 31 CFR Part 22, and herein incorporated by reference and made a part
of this Agreement or agreement.
6. Subrecipient understands and agrees that if any real property or structure is provided or
improved with the aid of federal financial assistance by the Department of the Treasury, this
assurance obligates the Subrecipient, or in the case of a subsequent transfer, the transferee,
for the period during which the real property or structure is used for a purpose for which the
federal financial assistance is extended or for another purpose involving the provision of
similar services or benefits. If any personal property is provided, this assurance obligates the
Subrecipient for the period during which it retains ownership or possession of the property.
7. Subrecipient shall cooperate in any enforcement or compliance review activities by the
Department of the Treasury of the aforementioned obligations. Enforcement may include
investigation, arbitration, mediation, litigation, and monitoring of any settlement
agreements that may result from these actions. The Subrecipient shall comply with
information requests, on -site compliance reviews and reporting requirements.
8. Subrecipient shall notify the OSC with copy to CDHS for visibility, the OSC will report to
the Department of Treasury of any complaints of discrimination on the grounds of race, color,
or national origin, and limited English proficiency covered by Title VI of the Civil Rights
Act of 1964 and implementing regulations and provide, upon request, a list of all such
reviews or proceedings based on the complaint, pending or completed, including outcome.
26
Exhibit F-2
V.6
9. Subrecipient must provide documentation of an administrative agency's or court's
findings of non-compliance of Title VI and efforts to address the non-compliance,
including any voluntary compliance or other agreements between the Subrecipient and
the administrative agency that made the finding. If the Subrecipient settles a case or
matter alleging such discrimination, the Subrecipient must provide documentation of
the settlement. If Subrecipient has not been the subject of any court or administrative
agency finding of discrimination, please so state.
10. If the Subrecipient makes sub -awards to other agencies or other entities, the Subrecipient
is responsible for ensuring that sub-Subrecipients also comply with Title VI and other
applicable authorities covered in this document State agencies that make sub -awards
must have in place standard grant assurances and review procedures to demonstrate that
that they are effectively monitoring the civil rights compliance of sub- Subrecipients.
11. The United States of America has the right to seek judicial enforcement of the terms of
this assurances document and nothing in this document alters or limits the federal
enforcement measures that the United States may take in order to address violations of
this document or applicable federal law.
APPENDIX 4 TO SLFRF EXHIBIT- SLFRF SUBRECIPIENT
QUARTERLY REPORT REQUIREMENTS
1. SLFRF SUBRECIPIENT QUARTERLY REPORT WORKBOOK
1.1 The SLFRF Subrecipient Quarterly Report Workbook must be submitted to
the State Agency within ten (10) days following each quarter ended
September, December, March and June. The SLFRF Subrecipient Quarterly
Report Workbook can be found at: https://osc.colorado.gov/american-
rescue-plan-act (see SLFRF Grant Agreement Templates Tab).
1.2 The requirements set forth in this Appendix 4 do not apply if the instant
Agreement is between two Colorado State Agencies.
[THE REST OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
27
Exhibit F-2
V.6
APPENDIX 5 TO SLFRF EXHIBIT- SAMPLE SLFRF REPORTING
MODIFICATIONS FORM
Grantee:
Project Title:
Project Duration: I To:
State Agency:
Grant Agreement No:
Project No:
From:
This form serves as notification that there has been a change to the reporting requirements set forth in the original
SLFRF Grant Agreement.
The following reporting requirements have been (add/ remove additional rows as necessary):
Updated Reporting
Requirement
(Add/Delete/Modify)
Project Number
Reporting Requirement
By signing this form, the Grantee agrees to and acknowledges the changes to the reporting requirements set
forth in the original SLFRF Grant Agreement. All other terms and conditions of the original SLFRF Grant
Agreement, with any approved modifications, remain in full force and effect. Grantee shall submit this form
to the State Agency within 10 business days of the date sent by that Agency.
Grantee
Date
State Agency Grant Manager Date
28
Contract Form
Entity Information
Entity Name" Entity ID*
COLORADO DEPARTMENT OF @00003650
HUMAN SERVICES
Contract Name * Contract ID
CDHS BHA CHILDREN, YOUTH, FAMILY (CYF) SERVICES 8830
GRANT HB22-1 281 HIGH FIDELITY WRAP TEAM
AMENDMENT #2 Contract Lead
*
SADAMS
Contract Status
CTB REVIEW
O New Entity?
Parent Contract ID
20232546
Requires Board Approval
YES
Contract Lead Email Department Project #
sadams@weld.gov;cobbx
xlk@weld.gov
Contract Description
CDHS BHA CHILDREN, YOUTH, FAMILY (CYF) SERVICES GRANT HB22-1281 HIGH FIDELITY WRAP TEAM AMEND #2
ADDS $9,946.47 OF ADDITIONAL FUNDING TO FY 25. CHAIR WILL SIGN ELECTRONICALLY. ORIGINAL
AGREEMENT TYLER# 2023-2546; AMEND #1 TYLER# 2024-1624
Contract Description 2
PA ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB IS 11/5/24.
Contract Type *
AMENDMENT
Amount*
$9,946.47
Renewable*
NO
Automatic Renewal
Grant
IGA
Department Requested BOCC Agenda Due Date
HUMAN SERVICES Date* 11/09/2024
11/13/2024
Department Email
CM-
HumanServices@weld.gov
Department Head Email
CM-HumanServices-
DeptHead@weld.gov
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
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
04/30/2025
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
JAMIE ULRICH CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
11/06/2024 11/07/2024 11/07/2024
Final Approval
BOCC Approved Tyler Ref #
AG 111324
BOCC Signed Date Originator
SADAMS
BOCC Agenda Date
11/13/2024
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