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HomeMy WebLinkAbout20250346.tiffResolution Approve Amendment #1 to Intergovernmental Agreement for Nurse Home Visitor Program (NHVP)/Nurse-Family Partnership (NFP) 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 #1 to the Intergovernmental Agreement for the Nurse Home Visitor Program (NHVP)/Nurse-Family Partnership (NFP) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Early Childhood, 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, a copy of which is attached hereto and incorporated herein by reference. Now, therefore, be it resolved by the Board of County Commissioners of Weld County, Colorado, that Amendment #1 to the Intergovernmental Agreement for the Nurse Home Visitor Program (NHVP)/Nurse-Family Partnership (NFP) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Early Childhood, and the Colorado Department of Early Childhood, be, and hereby is, approved. Be it further resolved by the Board that the Chair be, and hereby is, authorized to sign said amendment. cc : Fl L (sc /SK/6F) 021.14/25 2025-0346 HL0058 Amendment #1 to Intergovernmental Agreement for Nurse Home Visitor Program (NHVP)/Nurse-Family Partnership (NFP) Page 2 The Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Resolution, on motion duly made and seconded, by the following vote on the 3rd day of February, A.D., 2025: Perry L. Buck, Chair: Aye Scott K. James, Pro -Tern: Aye Jason S. Maxey: Aye Lynette Peppler: Aye Kevin D. Ross: Excused Approved as to Form: Bruce Barker, County Attorney Attest: Esther E. Gesick, Clerk to the Board 2025-0346 HL0058 Cor a& D490L0(Q BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS AROUND TITLE: AMENDMENT # 1 TO FY 24-25 NURSE -FAMILY PARTNERSHIP AGREEMENT WITH COLORADO DEPARTMENT OF EARLY CHILDHOOD DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: JANUARY 28, 2025 PERSON REQUESTING: JASON CHESSHER, EXECUTIVE DIRECTOR SHAUN MAY, PHS DIVISION DIRECTOR Brief description of the problem/issue: For the Board's review and approval for placement on the agenda is Amendment #1 to the Nurse - Family Partnership (NFP) agreement between the Colorado Department of Early Childhood (CDEC) and the Weld County Department of Public Health and Environment. This amendment increases the agreement amount for State Fiscal Year (SFY) 2025 by $4,185, bringing the total agreement maximum to $1,307,904. This increase reflects the increase in our department indirect rate from 2024 to 2025. What options exist for the Board? 1. Approve: Approval of this amendment ensures continued funding to support high -quality nursing services for first-time mothers and their families, meeting the program's goals and objectives for SFY 2025. 2. Decline: Declining the amendment would result in the loss of increased funding. Consequences: 1. If Approved: Weld County will continue to deliver NFP services to our clients at current service levels. 2. If Not Approved: The department risks losing supplemental funding for SFY 2025, which may limit program resources and services for enrolled families in Weld County. Impacts: • This amendment supports uninterrupted program delivery for Weld County families. • Maintains adherence to the NFP model, ensuring compliance with grant and program requirements. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): • Amendment increases the SFY 2025 agreement by $4,185 for a total of $1,307,904. • No additional FTE is requested to meet the amendment deliverables. Recommendation: I recommend approval to place this amendment on a future agenda for formal consideration. 2025-0346 2/3 Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck Scott K. James Jason S. Maxey Lynette Peppier Kevin D. Ross ,6?' 3 34 er Ac mud, Karla Ford From: Sent: To: Subject: Approve Kevin Ross Kevin Ross Wednesday, January 29, 2025 8:1 5 AM Karla Ford Re: Please Reply - NFP Amendment PA From: Karla Ford <kford @weld .gov> Sent: Wednesday, January 29, 2025 7:32:31 AM To: Kevin Ross <kross@weld.gov> Subject: Please Reply - NFP Amendment PA Please advise if you support recommendation and to have department place on the agenda. Karla Ford X Office Manager, Board of Weld County Commissioners 1150 0 Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kford a(�weid goy :: www.weldgov.com :: **Please note my working hours are Monday -Thursday 7:00a.m.-4:00p.m.** Confidentiality Notice: This electronic transmission and any attached documents or other w-itings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you hove received this communication in error, please immediately notify sender by return a -moil and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Jason Chessher <jchessher@weld.gov> Sent: Tuesday, January 28, 2025 10:55 AM To: Karla Ford <kford@weld.gov> Cc: Shaun May <smay@weld.gov>; Bill Fritz <bfritz@weld.gov>; Jill Scott <jscott@weld.gov>; Cheryl Pattelli <cpattelli@weld.gov> Subject: NFP Amendment PA Hi Karla, Attached is a soft copy of the PA I left with you this morning. Jason Chessher Executive Director Weld County Department of Public Health & Environment 1555 N 17th Ave, Greeley, CO 80631 970-400-2293 1 uui u Iyi I CI IVCIUF.JC IU. Lwunr / JV-7JJV-s}LJJ-OCCC-r1I JU I CLODLOL COLORADO Department of Early Childhood STATE OF COLORADO INTERGOVERNMENTAL AGREEMENT MODIFICATION INTERGOVERNMENTAL AGREEMENT AMENDMENT #1 State Agency Colorado Department of Early Childhood 710 South Ash Street, Building C Glendale, CO 80246 Contractor Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, Colorado 80631 Original Agreement Number CT QAAA 2025* 1072 GAE QAAA 2025-184 25 QAAA 190699 Amendment Agreement Number CT QAAA 2025 -1072 Am 1 Agreement Performance Beginning Date August 8, 2024 Current Agreement Expiration Date June 30, 2025 Current Agreement Maximum Amount Initial Term State Fiscal Year 2025 S 1,307,904*^ And a $90,000 pooled General Accounting Encumbrance (GAE) shared amongst various contractors as described in this Contract, see Exhibit C, Section 11. ^Any amount paid against Holdover CT QAAA 2025* 1072 HL prior to the execution of this Contract shall be reduced from the Contract maximum amount. Extension Terms None Total for All State Fiscal Years $1,307,904 Signature Page Begins on Next Page THE REST OF THIS PAGE IS INTENTIONALLY LEFT BLANK Amendment Agreement Number:CT QAAA 2025 -1072 Am 1 Page 1 of 4 Version 07.2024 VUIiUbI I I CI Iveuupe IU. u ut-1r I UV-UUU -'tLOO-OCCO-r1I JU I CLJCLOL a COLORADO Department of Early Childhood SIGNATURE PAGE THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizing his or her signature. CONTRACTOR Weld County Department of Public Health and Environment Signed by: P 1,- fk) (Lair 4041-D DC361 r44r... Perry L. Buck, Chair By: Chair Date: 2/3/2025 — DocuSigned by: (Aura CartAhw L-1 SAC FGi3Z36304 G2... STATE OF COLORADO Jared S. Polis, Governor Lisa Roy, Ed.D., Executive Director Colorado Department of Early Childhood ,e—DocuSigned by: ete btA•Sittl .1/4--p@EA5��350242t. Stephanie Beasley, Deputy Executive Director Date:2/5/2025 STATE CONTROLLER Robert Jaros, CPA, MBA, JD By: Laura Curnow, CDEC Controller Amendment Effective Date: 2/6/2025 In accordance with §24-30-202, C.R.S., this Amendment is not valid until signed and dated above by the State Controller or an authorized delegate. Amendment Agreement Number:CT QAAA 2025 -1072 Am 1 Page 2 of 4 Version 07.2024 Docusign Envelope ID: D96AF75D-9559-4233-8EEB-A7507E23B282 ile0 COLORADO we CDEC Department of Early Childhood 1. PARTIES This Amendment (the "Amendment") to the Original Agreement shown on the Signature and Cover Page for this Amendment (the "Agreement") 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 Agreement shall be construed and interpreted in accordance with the Agreement. 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 Agreement contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment or Month Day, Year, whichever is later and shall terminate on the termination of the Agreement. 4. PURPOSE Weld County Department of Public Health and Environment (WCDPHE) Nurse -Family Partnership shall positively impact pregnancy outcomes, child health and development, and economic self-sufficiency of enrolled families in Weld County by delivering high -quality nursing services that comply with Nurse -Family Partnership (NFP) model fidelity. This Amendment increases funds for State Fiscal Year (SFY) 2025 services and amends Exhibits B and C. 5. MODIFICATIONS The Agreement and all prior amendments thereto, if any, are modified as follows: A. Increase the Agreement Amount for State Fiscal Year (SFY) 2025 by $4,185 from $1,303,719 to $1,307,904 and Increase the Maximum Amount for All State Fiscal Years from $1,303,719 to $1,307,904. The Agreement Maximum Amount table on the Agreement's Signature and Cover Page is hereby deleted and replaced with the Current Agreement Maximum Amount table shown on the Signature and Cover Page for this Amendment. B. Exhibit B - Budget Exhibit B — Amendment #1, which is attached and incorporated by this Amendment, shall replace Exhibit B- Amendment #1 of the Original Agreement. C. Exhibit C- Additional Provisions Exhibit C — Amendment #1, which is attached and incorporated by this Amendment, shall replace Exhibit C- Amendment #1 of the Original Agreement. Amendment Agreement Number:CT QAAA 2025 -1072 Aml Page 3 of 4 Version 07.2024 Docusign Envelope ID: D96AF75D-9559-4233-8EEB-A7507E23B282 COLORADO Department of Early Childhood 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Agreement, and the Agreement and all prior amendments or other modifications to the Agreement, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Agreement, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Agreement or any prior modification to the Agreement, 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 Agreement to the extent that this Amendment specifically modifies those Special Provisions. Amendment Agreement Number:CT QAAA 2025 -1072 Am l Page 4 of 4 Version 07.2024 Docusign Envelope ID D96AF75D-9559-4233-8EEB-A7507E23B282 Exhibit B- Amendment #1 C,Cai COLORADO Ito Department of Early Childhood Colorado Department of Early Childhood BUDGET WITH JUSTIFICATI JN FORM Contractor Name Weld County Department of Public Health and Environment Budget Period July 1, 2024 - June 30, 2025 Project Name Nurse Home Visitor Program Counites Served Weld County Program Contact Name, Title Phone Email Dana Garvey, RN, BSN, CLC, Nurse Home Visitor Program 970-400-2405 dgarvey@co.weld.co.us Fiscal Contact Name, Title Phone Email Sonya Oster, Business Operations Manager 970-400-2332 soster(cDweldgov.com Funded Caseload 150 Expenditure Categories Personnel Services - Salaried Employees SFY 2025 Position Title Description of Work and Fringe Benefits Include: medicare, unemployement, workers compensation, PERA, life/AD&D insurance, health insurance, paid time off Gross or Annual Salary Fringe Percent of Time on Project Total Amount For Project A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Nurse Home Visitor 1 Delivers home visiting to mothers & families in Weld County. $87,4t4 $30,605 50.00% $59,025 SO $3 $59,025 Nurse Home Visitor 2 Delivers home visiting to mothers & families in Weld County. $84,897 $29,714 100.00% $114,611 $0 $3 $114,611 Nurse Home Visitor 3 Delivers home visiting to mothers & families in Weld County. $82,3.-5 $28,831 100.00% $111,206 $0 $0 $111,206 Nurse Home Visitor 4 Delivers home visiting to mothers & families in Weld County. $82,3.-5 $28,831 100.00% $111,206 $0 SO $111,206 Nurse Home Visitor 5 Delivers home visiting to mothers & families in Weld County. $83,4-0 $29,215 100.00% $112,685 $0 $0 $112,685 Nurse Home Visitor 6 Delivers home visiting to mothers & families in Weld County. $82,6= 3 $28,922 100.00% $111,555 $0 $0 $111,555 Nurse Home Visitor 7 Delivers home visiting to mothers & families in Weld County. $84,491 $29,572 50.00% $57,032 $0 $0 $57,032 Nurse Home Visitor (NHV) Supervisor Provides oversight and assistance to home visitors to implement program within fidelity requirements. $113,3.7 $39,661 100.00% $152,978 SO SO $152,978 Community Health P-ograms Manager Provides oversight to ensure fidelity and quality of program delivery and assists the home visitors $109,738 $38,408 20.00% $29,629 $0 $0 $29,629 Public Health Services Director Provides oversight to ensure fidelity and quality of program delivery and assists the home visitors $141,159 $49,406 2.00% $3,811 $0 $0 $3,811 Office Technician Provides assistance in data uploading and genera! support for the program, supervisor, and nurse home visitors. $60,062 $21,022 100.00% $81,084 50 $0 $81,084 1. Total Personnel 5er/ices (including fringe benefits) $944,822 $0 $0 $944,822 Supplies & Operating Expenses SFY 2025 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Office Operating and Printing Expenses (i.e. supplies) Costs cover office supplies and printing which are necessary to perform the cri-ical functions of this program. $0 SO $2,000 Client Support Materials Costs include books, educational toys for clients, video clips and items that the team deems necessary for client support. $0 SO $12,000 Translation Services Translation Services to serve clients with various language needs. $0 SO $1,500 Postal & Shipping Services Covers costs for shipping requirements. $0 SO $150 Communications (cellular, network services) Costs include phone & cell phone services with unlimited texting and WIFI for up to 7 laptop computers. This allows the home visiting nurses the ability to communicate with each other and clients to ensure the safety of nurse home visitors and to enable charting in the field through the use of their cell phone hot spot capabilities. $0 SO $19,200 Medical Supplies Covers costs for medical items purchased for client home visits. $0 SO $500 Outside Services Covers costs associated with the calibration and servicing of scales used during home visits. $0 SO $990 Electronic Medical Records (EMR) Covers computer and data processing expenses related to EMR maintenance and upgrades, EMR licenses, and EMR operation and technical support (outside technical support). EMR is a technology driven norm in the medical community and it enables us to progress from double charting to single charting in an electronic format. $0 $0 $61,313 Te!ehealth Operating Expenses Costs to cover expenses related to telehealth delivery of the program. $0 $0 S50 Subtotal SO 30 $97,703 Items Excluded from MTDC: (Rental costs, tuition, scholarships/fellowships, participant support, equipment, capital expenditures) Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Program Support Fee National Service Office (NSO) Fee; Required cost for Nurse -Family Partnership ( VFP) SO $0 $27,168 Subtotal items removed from MTDC SO $0 $27,168 2. Total Supplies &r Operating Expenses $0 $0 $124,871 Training and Technical Assistance SFY 2025 Item Description of Item Per Fee # Total A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Dyadic Assessment of Natural Caregiver -Child Experiences (DANCE) Licensing Cost covers required NFP training materials. NHV $72 6 $432 $0 $0 $432 Administrator Education NFP training for Administrator. Administrator $672 1 $672 $0 $0 $672 Professional Deve'opment Covers cost of additional training for NHVs. NHV/Superviscr $600 8 $4,800 $0 $0 54,800 Certified Lactatior Counselor Recommended training for new NHV. NHV 5745 1 $745 $0 $0 $745 3. Total Training and Technical Assistance $6,649 SO $0 $6,649 Page 1 of 2 Docusrgn Envelope ID. D96AF75D-9559.4233-BEER-A7507E23B282 Exhibit B- Amendment #1 Travel SFY 2025 Item Description of Item A. Other Sources of Funding B. Med+caid Revenue C. CDEC Funding (NHVP) Visit Outreach Mileage Covers the costs for travel to client visits, community outreach, and trainings; as well as travel expenses for training 7 NHVs, 1 NHV supervisor, and 1 Site Administrator $0 $ 3,081 $21,919 NFP Supervisor Meetings Covers the cost for three state nurse supervisor meetings $0 $0 $250 NFP Nurse Practice Council Meetings Covers the cost for three state nurse practice council meetings $0 $0 $250 5. Total Travel $0 $3,081 $22,419 Contractors/Consultants (payments to third parties or entities) SFY 2025 Name Description of Item Allowable in MTDC calculation UnAllowable in MTDC Calculation A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) Mental Health Consultation for Nurses Covers the cost for monthly maternal/fetal mental health specialist consultation services to help nurses address potentially volatile and complex situations with clients. $1,500 $0 $0 $0 $1,500 6. Total Contractors/Consultants $1,500 $0 $0 $0 51,500 TOTAL $0 $3,081 $1,100,261 DIRECT COSTS MODIFIED TOTAL DIRECT Uniform Guidance 2 CFR 200.1 "Modified Total Direct Cost (MTDC)"- means all direct salaries and wages, applicable fringe benefits, materials and supplies, up to the first $25,000 of each subaward (regardless of the period of performance of the subawards under the award). MTDC excludes equipment, capital for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward in excess of $25,000. only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs, and with the approval of the cognizant agency (MTDC) travel, and charges Other items may indirect costs. SO $3,081 $1,073,093 COSTS services: expenditures, for Indirect Costs not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached] SFY 2025 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDEC Funding (NHVP) State Federal Indirect cost rate Negotiated rate of 18.96% of MTDC effective July - December 2024. Indirect rate of 19.74% of MTDC effective January - June 2025. $0 $0 $207,643 Total Indirect SO $0 $207,643 TOTAL $0 $3,081 $1,307,904 'Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.99 = 1.0) Page 2 of 2 Docusign Envelope ID: D96AF75D-9559-4233-8EEB-A7507E23B282 X CDEC COLORADO Department of Early Childhood ADDITIONAL PROVISIONS Exhibit C- Amendment #1 1. SERVICE PROVISIONS The Contractor shall provide the services according to the plans submitted in the "Statement of Work", attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans, timetables, tasks, duties, and responsibilities of the Contractor as described in the Statement of Work, shall be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms and conditions of this contract shall control over the Statement of Work. Any significant changes to the Statement of Work (SOW) require an amendment to the contract. 2. GOALS AND OBJECTIVES The Contractor shall be responsible for the achievement of any goals and objectives as specified within the Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished by the State to the Contractor allowing adequate time for compliance during the term of this contract. 3. COPY OF SUBCONTRACT The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the Contract Representative upon execution. 4. PAYMENT In consideration of the provision of services and reporting and subject to all payment and price provisions and further subject to verification by the State of full and satisfactory compliance with the terms of this contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget (EXHIBIT B), of this contract. A. The Contractor shall submit requests for payment to the OnBase Invoice Submission Process no less than monthly on forms prescribed and provided by the State. i. Link to Frequently Asked Questions about the OnBase Invoice Submission Process. ii. Link to Vendor Invoice Guidance ill. For technical issues please contact the OnBase Administrator at CDEC OnBase Admin@state.co.us. iv. For invoice issues, please contact CDEC Invoicing(a,state.co.us. B. Payment shall be made on a cost reimbursement basis for services rendered. C. It is understood any vacancy savings in the personnel category and/or any savings in any other category shall require written approval from the State prior to any redistribution of any savings by the Contractor. ANY COST SAVINGS THAT ARE REDISTRIBUTED BY CONTRACTOR WITHOUT WRITTEN APPROVAL SHALL NOT BE REIMBURSED BY THE STATE. D. IT IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT BE PAID BY CDEC. If Contractor has a legitimate need for additional funds, the Contractor shall request additional funds from the CDEC 60 days prior to projected depletion of contracted funds. CDEC shall Page 1 of 4 Revision Date 11/4/2024 Docusign Envelope ID: D96AF75D-9559-4233-8EEB-A7507E23B282 a cf• COLORADO Department of Early Childhood Exhibit C- Amendment #1 review each request and notify Contractor in writing of approval or denial. Approval of additional funds shall require an official modification to the Contract by Amendment or Option Letter. E. Timely Invoicing - Invoices shall be submitted no later than 30 days following the last day of the month. End of State Fiscal Year invoices are on a compressed timeframe. Invoices for all services provided prior to June 30th shall be invoiced by July 5th. Contractors who are unable to provide the invoice by July 5th shall notify the state of the amount to be booked as accounts payable by July 13th by sending an email to OnBase Invoice Submission Process. Final invoices for services prior to June 30th shall be submitted by September 14th. Invoices received after September 14th may not be paid. F. The Contractor shall maintain source documentation to support all payment requested pursuant to this contract. All source documentation shall be provided to the State by the Contractor upon request. G. It is understood that the State reserves the right to offset funds pursuant to this contract based on the discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes. H. The State shall review monthly invoices throughout the fiscal year. If, after a number of months, the State determines the Contractor is not needing/using the funding allocated for the Contractor's work in the Contract, the State shall remove these funds from the contract budget by Option Letter for a proportional reduction of services with prior written notification to the Contractor. This provision does not allow for a reduction in the rate of pay. 5. PARTICIPATION The Contractor representative(s) is required to participate in any Department of Early Childhood sponsored meetings related to this contract. 6. SUPPLANTING Payments made to the Contractor under this contract shall supplement and not supplant other state, local or federal expenditures for services associated with this contract. 7. BUDGET CHANGES Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not to exceed 10% of the total budget. Requests shall be made in the form of a written budget revision request to the appropriate program staff. Written approval for the budget revision shall be required prior to any changes to the budget related to the budget revision request. The total dollar amount of the contract budget cannot be changed as a result of the budget revision request. Budget adjustment requests over 10%, adding new expense lines, and/or changes to the total dollar amount of the budget require a formal amendment. No adjustments to the Indirect Costs portion of the budget are allowable without a formal amendment. Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" of an individual employee if a position currently listed in the contract becomes vacant and the new incoming employee shall be hired at a higher or lower salary. No increase within the salary range is authorized without prior written approval from CDEC. Adding additional staff requires an amendment to the contract. Vacancy savings cannot Page 2 of 4 Revision Date 11/4/2024 Docusign Envelope ID: D96AF75D-9559-4233-8EEB-A7507E23B282 a COLORADO Deparhnent of Early Childhood Exhibit C- Amendment #1 be used to change salary amounts for existing personnel without an amendment. Any change to personnel requires prior written approval from CDEC staff. This process shall never change the Contract Maximum Amount. Contractor must use available unused funds from either vacancy savings or another category within the contract. The revision request may not at any time compromise the integrity of the funded program as determined by CDEC program staff. 8. TRAVEL Travel costs must be listed in Exhibit B — Budget under travel including airfare, hotel, mileage and per diem costs. A. Mileage shall not exceed the State mileage rate per https://www.colorado.gov/pacific/osc/travel-fiscal-rule. B. Per Diem shall not exceed State per diem rate for the area of travel per https://www.colorado.gov/pacific/osc/travel-fiscal-rule. C. Hotel rates cannot exceed any rate established for conference attendance. D. Usage of airfare or Out of State Travel requires pre -approval from CDEC. 9. CRITICAL INCIDENT REPORTING Within 48 hours of the occurrence of a critical incident involving any child or family and/or an on duty agency staff member of any family support program staff funded through the Department of Early Childhood (CDEC), the agency must report in writing the details of the critical incident to the CDEC Program Manager for the involved family support program. Critical incidents may include, but are not limited to, awareness of an egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family support program; involuntary termination of a program staff's employment; criminal allegations involving program staff and related to his/her employment; negative media attention about the family support program; any major injury or threat to the security of an agency staff member while on duty and visiting an enrolled child or family. 10. MANDATED REPORTING A. All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters must report suspected child abuse and neglect to the local county child welfare agency, the local law enforcement agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS (1-844- 264-5437). B. All program staff are required to take the online mandatory reporter training on the Colorado Department of Human Services (CDHS) Child Welfare Training System: https://www.coloradocwts.com/mandated- reporter-training. 11. GENERAL ACCOUNTING ENCUMBRANCE (GAE) A. Nurse Home Visitor General Accounting Encumbrance (NHVP-GAE) shall be utilized as follows: Page 3 of 4 Revision Date 11/4/2024 Docusign Envelope ID: D96AF75D-9559-4233-8EEB-A7507E23B282 COLORADO Department of Early Childhood Exhibit C- Amendment #1 i. Nurse Family Partnership (NFP) training costs, often sites experience staff turnover in a fiscal year and they will be permitted to use the GAE to cover costs of NFP required training that was not included in their budget. ii. Travel costs associated with NFP training. For example, if a site hires a new Nurse Home Visitor, and this staff member is required to attend NFP orientation, the site will be able to bill the GAE for the training registration and travel expenses for the training. Travel costs may include mileage, hotel accommodations and per diem for the staff member attending the training. iii. Operational items not included in their budget such as cell phones, tablets, laptops. Due to staff turnover, sites are to not include potential operational item expenses in their budgets, but rather utilize the GAE in order to purchase necessary items for new staff. iv. Transition salaries to pay new staff during the overlap with the staff member leaving in order to provide time for adequate training. Once the original staff member leaves, the new staff member's salary would be paid against the existing line in their budget. v. Translation and interpretation services to serve clients who are deaf or hard of hearing, and those whose primary language is not English. B. Payment to Contractor is made from available funds encumbered and shared across multiple contractors. The State may increase or decrease the total funds encumbered at its sole discretion and without formal notice to Contractor. No minimum payment is guaranteed to Contractor. The liability of the State for such payments is limited to the encumbered amount remaining of such funds. C. Invoices shall be submitted separately for pre -approved expenditures. i. The Contractor shall submit requests for payment to CDEC_Invoicing@state.co.us. 12. GIFT CARDS A. To comply with federal guidelines, purchasing gift cards with funds from CDEC contract funds is not allowed. Please see citations 45CFR75.406 and 45CFR75.302.A for more information. 13. SAM.GOV REQUIREMENT FOR STATE FUNDED CONTRACTS A. Individuals who are excluded from participation in federal health care programs are also prohibited from participating in federal government procurement and non -procurement programs according to title 2 of the Code of Federal Regulations (CFR) 4 376.147 and 42 CFR part 1001, which clarifies that this applies to individuals and entities. B. Any individual or entity excluded from participation in Medicare, Medicaid, and other Federal health care programs under Title XI of the Social Security Act, 42 U.S.C. 1320a-7, 1320a -7a, 1320c-5, or 1395ccc, and implementing regulation at 42 CFR part 1001, will be subject to the prohibitions against participating in covered transactions, as set forth in this part and part 180, and is prohibited from participating in all Federal Government procurement programs and non -procurement programs. C. Contractor shall have a formal written policy regarding SAM.gov checks for all staff upon hiring and not less than annually including procedures for maintaining records of the evidence of this check. Page 4 of 4 Revision Date 11/4/2024 Contract Form Entity Information Entity Name* Entity ID* COLORADO DEPARTMENT OF @00004256 EARLY CHILDHOOD Contract Name* NURSE -FAMILY PARTNERSHIP AMENDMENT #1 Contract Status CTB REVIEW O New Entity? Contract ID 9066 Contract Lead * BFRITZ Contract Lead Email bfritz@weld.gov;Health- Contracts@weld.gov Contract Description* NURSE -FAMILY PARTNERSHIP AMENDMENT #1; ADJUST FOR CURRENT INDIRECT Contract Description 2 Contract Type* GRANT Amount* $4,185.00 Renewable* NO Automatic Renewal Grant IGA Department HEALTH Department Email CM-Health@weld.gov Department Head Email CM-Health- DeptHead@weld.gov County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Parent Contract ID Requires Board Approval YES Department Project # Requested BOCC Agenda Due Date Date* 01 /30/2025 02/03/2025 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? 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 Contact Info Review Date* 05/01/2025 Committed Delivery Date Renewal Date Expiration Date* 06/30/2025 Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head JASON CHESSHER DH Approved Date 01/30/2025 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 02/03/2025 Finance Approver CHERYL PATTELLI Legal Counsel BYRON HOWELL Finance Approved Date Legal Counsel Approved Date 01/30/2025 01/30/2025 Tyler Ref # AG 020325 Originator BFRITZ Hello